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Sample records for spina bifida longitudinal

  1. Spina Bifida

    MedlinePLUS

    ... most people with spina bifida are of normal intelligence. Spina bifida’s impact is determined by the size ... factors. Most children with the disorder have normal intelligence and can walk, often with assistive devices. If ...

  2. Spina Bifida

    MedlinePLUS

    ... NINDS Funding Information Research Programs Training & Career Awards Enhancing Diversity Find People About NINDS NINDS Spina Bifida ... Funding | News From NINDS | Find People | Training | Research | Enhancing Diversity Careers@NINDS | FOIA | Accessibility Policy | Contact Us | ...

  3. Spina Bifida

    MedlinePLUS

    ... having spina bifida: Take 400 micrograms (mcg) of folic acid every day. If you already have had a ... may need to take a higher dose of folic acid before getting pregnant and during the first few ...

  4. Living with Spina Bifida

    MedlinePLUS

    ... Us Information For... Media Policy Makers Living With Spina Bifida Language: English Espaol (Spanish) Recommend on Facebook Tweet ... of the website provides information about living with spina bifida at different ages. Spina bifida affects the entire ...

  5. Spina bifida - resources

    MedlinePLUS

    Resources - spina bifida ... The following organizations are good resources for information on spina bifida : March of Dimes -- www.marchofdimes.org/baby/spina-bifida.aspx National Institute of Neurologic Disorders and ...

  6. Spina bifida (image)

    MedlinePLUS

    Spina bifida is a congenital disorder (birth defect) in which the backbone and spinal canal do not close ... membranes protruding out of an affected infant's back. Spina bifida may also be nearly inconsequential, or may be ...

  7. Spina Bifida

    MedlinePLUS

    ... pronounced SPAHY-nuh BIF-i-duh ) is a neural tube defect that frequently occurs in families. Spina ... meninges) alone, called a meningocele, or with some neural elements, called a meningomyelocele. Or the defect may ...

  8. Spina Bifida (For Parents)

    MedlinePLUS

    ... fluid and pressure inside the skull. Back Continue Diagnosis Expectant parents may be able to find out if a baby has spina bifida by taking certain prenatal tests . The alpha-fetoprotein (AFP) test is a ...

  9. Genetics Home Reference: Spina bifida

    MedlinePLUS

    ... defect. The best-studied of these genes is MTHFR , which provides instructions for making a protein that ... risk of spina bifida. Read more about the MTHFR gene. How do people inherit spina bifida? Most ...

  10. Spina Bifida Clinic Directory

    MedlinePLUS

    ... 752-6919 www.genetics.kaiser.org Children’s Hospital Orange County (CHOC) Children’s Hospital Spina Bifida Clinic (pediatric to age 21) 455 S. Main St. Orange, CA 92868 (714) 532-8497 Email: eab0@choc. ...

  11. Spina Bifida (For Parents)

    MedlinePLUS

    ... Kids Up for Sports Pregnant? Your Baby's Growth Cerebral Palsy: Caring for Your Child All About Food Allergies ... procedure, a thin tube is placed within the brain to drain extra fluid down to the belly, where ... from their spina bifida. Those with paralysis may eventually need walking aids like leg braces, ...

  12. Spina Bifida and Motherhood.

    ERIC Educational Resources Information Center

    Drakes, Olive

    1984-01-01

    Two women with spina bifida, a disability in which the spinal cord and nerves are damaged, gave birth to healthy babies. The article points out the need to provide young girls having this condition with information and counseling regarding sexual relationships, parenthood, and child rearing. (CL)

  13. Test Your Knowledge of Spina Bifida

    MedlinePLUS

    ... staying the same. We can also compare the number of babies born with spina bifida relative to where people live and by other factors. Learn more about spina bifida research >> Understanding Risks for and Causes of Spina Bifida CDC ...

  14. The Child with Spina Bifida.

    ERIC Educational Resources Information Center

    Anderson, Elizabeth M.; Spain, Bernie

    Intended for parents as well as professionals, the text provides information and practical suggestions on dealing with spina bifida and hydrocephalus. Part I (chapters 1 and 2) concentrates on the medical and physical aspects of the condition with discussions covering such areas as spina bifida's development, locomotor problems, and the role of

  15. Spina Bifida: Some Psychological Aspects

    ERIC Educational Resources Information Center

    Fulthorpe, Derek

    1974-01-01

    Examined were the intellectual ability, social adjustment, social competence, and personality characteristics of 33 children, 8-to 15-years-old with spina bifida (a malformation of the spinal cord). (CL)

  16. Integrating Pupils with Spina Bifida

    ERIC Educational Resources Information Center

    Halliwell, Miles; Spain, Bernie

    1977-01-01

    A followup survey of parents and teachers of 155 children born with spina bifida, who were mildly handicapped and attended ordinary schools in London, indicated that there were no major problems with the children's placements. (IM)

  17. Spina Bifida Data and Statistics

    MedlinePLUS

    ... introduction of folic acid fortification. Overall, a 28% reduction in prevalence was observed for anencephaly (a birth ... of the brain) and spina bifida. A greater reduction (35% reduction) was observed among programs that actively ...

  18. Spina Bifida Cystica

    PubMed Central

    Lorber, John

    1972-01-01

    The disappointing results of treatment in 270 consecutive unselected cases of spina bifida admitted during a 27-month period are detailed. Massive effort has led to much avoidable suffering at an exorbitant cost in manpower and money. This study confirms the validity of those adverse prognostic criteria defined in an earlier study and which form a basis for selection. These are (1) thoracolumbar lesions, (2) severe paraplegia, (3) gross enlargement of head, (4) kyphosis, and (5) other severe congenital defects, or birth injuries. It is shown again that selection is possible on the first day of life on purely objective criteria; that it is essential for the benefit of all those affectedwhether they are for treatment or no treatment; and that it is in the interest of their families and the community. ImagesFIG. 2.FIG. 3.FIG. 4.FIG. 5.FIG. 6.FIG. 7. PMID:4567074

  19. Spina bifida (degrees of severity) (image)

    MedlinePLUS

    Spina bifida is a congenital disorder (birth defect) in which the backbone and spinal canal do not close ... membranes protruding out of an affected infant's back. Spina bifida may also be nearly inconsequential, or may be ...

  20. Spina Bifida. Fact Sheet = Espina Bifida. Hojas Informativas Sobre Discapacidades.

    ERIC Educational Resources Information Center

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele), outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet discusses the need for many children with myelomeningocele to learn to manage

  1. Medical Adherence in Young Adolescents with Spina Bifida: Longitudinal Associations with Family Functioning

    PubMed Central

    Stepansky, Mona A.; Roache, Caitlin R.; Schultz, Karen

    2010-01-01

    Objective?The purpose of this study was 2-fold: (1) to explore the transfer of responsibility of medical tasks from parent to child during the transition to adolescence, and (2) to examine the associations between family functioning and medical adherence in youth with spina bifida.?Methods?Seventy families of children with spina bifida participated in this study. Data were collected during family interaction sessions by using questionnaires completed by mothers, fathers, youth, teachers and health professionals.?Results?Findings suggest that responsibility for medical regimens transfers gradually from parent to child over time. Additionally, family conflict and cohesion were correlated with medical adherence. Finally, family conflict over medical issues was related to a decrease in medical adherence over time.?Conclusions?Results suggest that as youth take more responsibility over their medical regimens, family conflict regarding medical issues becomes a contributor to their adherence behaviors. Interventions that target family conflict may facilitate adherence behaviors. PMID:19561010

  2. Orthopedic Management of Spina Bifida

    ERIC Educational Resources Information Center

    Thomson, Jeffrey D.; Segal, Lee S.

    2010-01-01

    The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of…

  3. Mathematical Development in Spina Bifida

    ERIC Educational Resources Information Center

    English, Lianne H.; Barnes, Marcia A.; Taylor, Heather B.; Landry, Susan H.

    2009-01-01

    Spina bifida (SB) is a neural tube defect diagnosed before or at birth that is associated with a high incidence of math disability often without co-occurring difficulties in reading. SB provides an interesting population within which to examine the development of mathematical abilities and disability across the lifespan and in relation to the

  4. Urologic Management of Spina Bifida

    ERIC Educational Resources Information Center

    Clayton, Douglass B.; Brock, John W., III; Joseph, David B.

    2010-01-01

    The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity,…

  5. Spina Bifida Association of America

    ERIC Educational Resources Information Center

    Exceptional Parent, 1974

    1974-01-01

    The Statement of the Spina Bifida Association of America (SBAA) explains SB as a malformation of the central nervous system, reports the formation of SBAA in 1974, explains SBAA's emphasis on local chapter organization, and describes SBAA services, including a bimonthly publication, public education efforts, and research validation projects. (GW)

  6. Urologic Management of Spina Bifida

    ERIC Educational Resources Information Center

    Clayton, Douglass B.; Brock, John W., III; Joseph, David B.

    2010-01-01

    The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity,

  7. Social Implications of Spina Bifida.

    ERIC Educational Resources Information Center

    Woodburn, Margaret

    Investigated in Southeast Scotland were the social and practical problems faced by the parents of 86 children (ages 18 months to 38 years) with spina bifida, 74 of whom were classified as myelomeningoceles (a more serious condition involving malformation of the spinal cord). Questionnaires and interviews were used to gather information in the

  8. Orthopedic Management of Spina Bifida

    ERIC Educational Resources Information Center

    Thomson, Jeffrey D.; Segal, Lee S.

    2010-01-01

    The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of

  9. Spina Bifida, Meningomyelocele, and Meningocele.

    PubMed

    Song, Rachel B; Glass, Eric N; Kent, Marc

    2016-03-01

    Spina bifida with or without meningocele or meningomyelocele is encountered infrequently in small animal practice. The English bulldog and Manx cat are breeds predisposed. Although often silent clinically, in those animals with clinical signs, it is important to recognize the signs early and to understand the appropriate imaging modalities employed in establishing a diagnosis. In a select population of affected animals, proposed surgical intervention may be considered to prevent neurologic decline, prevent secondary complications, and potentially improve outcomes. PMID:26725976

  10. Spina Bifida and Folic Acid Awareness

    ERIC Educational Resources Information Center

    Exceptional Parent, 2007

    2007-01-01

    Spina bifida is the most common, permanently disabling birth defect in the United States. It is a birth defect that involves incomplete formation of the spine during the first month of pregnancy--often before a woman even knows she is pregnant. Everyday, an average of eight babies are born with spina bifida or a similar birth defect of the brain

  11. Spina Bifida and Folic Acid Awareness

    ERIC Educational Resources Information Center

    Exceptional Parent, 2007

    2007-01-01

    Spina bifida is the most common, permanently disabling birth defect in the United States. It is a birth defect that involves incomplete formation of the spine during the first month of pregnancy--often before a woman even knows she is pregnant. Everyday, an average of eight babies are born with spina bifida or a similar birth defect of the brain…

  12. Trajectories of Psychosocial Adjustment in Adolescents with Spina Bifida: A 6-Year, Four-Wave Longitudinal Follow-up

    ERIC Educational Resources Information Center

    Holmbeck, Grayson N.; DeLucia, Christian; Essner, Bonnie; Kelly, Lauren; Zebracki, Kathy; Friedman, Deborah; Jandasek, Barbara

    2010-01-01

    Objective: As a follow-up to an earlier cross-sectional study (Holmbeck et al., 2003), the current multimethod, multi-informant investigation examined individual growth in psychosocial adjustment across the adolescent transition in 2 samples: young adolescents with spina bifida (SB) and typically developing adolescents (N = 68 in both groups at

  13. Educational Placement of Children with Spina Bifida.

    ERIC Educational Resources Information Center

    Lauder, Calvin E.; And Others

    1979-01-01

    Procedures of school placement for 38 children (ages 5 to 18 years) with spina bifida in 23 school districts in western New York State were studied 5 years after a mandated process was enacted. (Author)

  14. Spina bifida clinic--organisational aspects.

    PubMed

    Karmarkar, S J

    1997-01-01

    Spina bifida is a complicated problem which affects many systems and demands multidisciplinary attention. The psychosocial aspects of a condition like spina bifida also need to be carefully handled. The ultimate goal is prevention, requiring co-ordinated efforts to establish antenatal diagnosis and screening tests for this anomaly. In our country, the task of solving the difficulties faced by these children at home and in school also falls on our shoulders. All the above responsibilities can only be undertaken if a group of doctors, nurses, social workers, administrators and philanthropists are dedicated to the care and well being of these children. A special clinic helps to create and maintain such a group in order to provide for all, the varied medicosocial needs of a spina bifida patient under one roof. PMID:11129886

  15. Diagnosis of spina bifida on ultrasound: always termination?

    PubMed

    Trudell, Amanda S; Odibo, Anthony O

    2014-04-01

    Open spina bifida is a non-lethal fetal anomaly. Significant advances in the prevention, diagnosis and treatment of open spina bifida have been made over the past 75 years. The most significant strategy for the prevention of open spina bifida has been with folic acid supplementation; however, further investigation into the complicated role that genetics and the environment play in metabolism are coming to light. Ultrasound is the gold standard diagnostic tool for spina bifida. Three-dimensional ultrasound and magnetic resonance imaging are also beginning to play a role in the characterisation of the open spina bifida spinal lesion. Lesion level has been closely correlated to short and long-term outcomes, and prenatal characterisation of lesion level on ultrasound is important for patient counselling. Long-term outcomes of people living with spina bifida are available and should be used for non-directive patient counselling about pregnancy choices for women with open spina bifida. PMID:24373566

  16. The Spina Bifida Child in the Classroom.

    ERIC Educational Resources Information Center

    Mattson, Beverly; And Others

    Learning characteristics of children with spina bifida (lesions on the spinal cord) are reviewed in the text of a presentation with slides, and the effects of such factors as hospitalization experiences and the presence of hydrocephalus are considered. Characteristics related to intelligence, sensory integration, tactile responsiveness, tactile

  17. The Cognitive Phenotype of Spina Bifida Meningomyelocele

    ERIC Educational Resources Information Center

    Dennis, Maureen; Barnes, Marcia A.

    2010-01-01

    A cognitive phenotype is a product of both assets and deficits that specifies what individuals with spina bifida meningomyelocele (SBM) can and cannot do and why they can or cannot do it. In this article, we review the cognitive phenotype of SBM and describe the processing assets and deficits that cut within and across content domains, sensory

  18. Neurosurgical Management of Spina Bifida: Research Issues

    ERIC Educational Resources Information Center

    Bowman, Robin M.; McLone, David G.

    2010-01-01

    The neurosurgical goal when treating children with spina bifida (predominantly myelomeningocele) is to maintain stable neurological functioning throughout the patient's life time. Unfortunately, few long-term outcome studies are available to help direct the neurosurgical care of a child born with myelomeningocele and often treatment relies more

  19. Mathematics Performance of Children with Spina Bifida.

    ERIC Educational Resources Information Center

    French, Kathryn

    1995-01-01

    Mathematics performance in 32 children with spina bifida was investigated at 3.8 through 8.8 years and two years later. About half showed mathematics difficulties. At the time of the second data collection, 28% of the subjects were identified with mathematics and other learning disabilities and with language impairments. Visual perception

  20. Psychosocial and Family Functioning in Spina Bifida

    ERIC Educational Resources Information Center

    Holmbeck, Grayson N.; Devine, Katie A.

    2010-01-01

    A developmentally oriented bio-neuropsychosocial model is introduced to explain the variation in family functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the family functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with

  1. The Spina Bifida Child in the Classroom.

    ERIC Educational Resources Information Center

    Mattson, Beverly; And Others

    Learning characteristics of children with spina bifida (lesions on the spinal cord) are reviewed in the text of a presentation with slides, and the effects of such factors as hospitalization experiences and the presence of hydrocephalus are considered. Characteristics related to intelligence, sensory integration, tactile responsiveness, tactile…

  2. Psychosocial and Family Functioning in Spina Bifida

    ERIC Educational Resources Information Center

    Holmbeck, Grayson N.; Devine, Katie A.

    2010-01-01

    A developmentally oriented bio-neuropsychosocial model is introduced to explain the variation in family functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the family functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with…

  3. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 21.

    ERIC Educational Resources Information Center

    Interstate Research Associates, McLean, VA.

    This fact sheet on spina bifida is offered in both English and Spanish. It provides definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele). Incidence figures are given as are typical characteristics of children with spina bifida. Educational implications are briefly noted, including the need to

  4. Genetics Home Reference: Spina bifida

    MedlinePLUS

    ... a buildup of excess fluid around the brain (hydrocephalus) and learning problems. With surgery and other forms ... bifida? deficiency ; diabetes ; diabetes mellitus ; embryonic ; fever ; folate ; hydrocephalus ; inheritance ; maternal ; meningocele ; neural tube defects ; pattern of ...

  5. Optimizing Health Care for Children with Spina Bifida

    ERIC Educational Resources Information Center

    Liptak, Gregory S.; El Samra, Ahmad

    2010-01-01

    The health care needs of children with spina bifida are complex. They need specialists, generalists, and an integrated system to deliver this complex care and to align and inform all the providers. Most research in spina bifida has been focused on narrow medical outcomes; it has been noncollaborative, based on small samples of convenience, with no

  6. Symposium on Spina Bifida (Denver, Colorado, November, 1969).

    ERIC Educational Resources Information Center

    Colorado Univ., Denver. Medical Center.

    The objectives of the symposium were to define the problems of the child with spina bifida and to present practical means of management, using a multi-disciplinary team approach. Eight papers defining the problem cover the epidemiology of spina bifida, pathophysiology, musculoskeletal defects, incontinence of bladder and bowel, problems of

  7. Psychological and Educational Studies with Spina Bifida Children. Final Report.

    ERIC Educational Resources Information Center

    Diller, Leonard; And Others

    To measure school achievements in spina bifida children, to relate these measures to certain variables, to obtain information on educational problems, and to study facets of cognition and its changes with age, 77 spina bifida children and 53 amputees (all aged 5 to 15) were tested. Sixty non-disabled children were at times used for controls. The

  8. Optimizing Health Care for Adults with Spina Bifida

    ERIC Educational Resources Information Center

    Webb, Thomas S.

    2010-01-01

    Survival into adulthood for individuals with spina bifida has significantly improved over the last 40 years with the majority of patients now living as adults. Despite this growing population of adult patients who have increased medical needs compared to the general population, including spina bifida (SB)-specific care, age-related secondary

  9. Optimizing Health Care for Children with Spina Bifida

    ERIC Educational Resources Information Center

    Liptak, Gregory S.; El Samra, Ahmad

    2010-01-01

    The health care needs of children with spina bifida are complex. They need specialists, generalists, and an integrated system to deliver this complex care and to align and inform all the providers. Most research in spina bifida has been focused on narrow medical outcomes; it has been noncollaborative, based on small samples of convenience, with no…

  10. Optimizing Health Care for Adults with Spina Bifida

    ERIC Educational Resources Information Center

    Webb, Thomas S.

    2010-01-01

    Survival into adulthood for individuals with spina bifida has significantly improved over the last 40 years with the majority of patients now living as adults. Despite this growing population of adult patients who have increased medical needs compared to the general population, including spina bifida (SB)-specific care, age-related secondary…

  11. The Cognitive Phenotype Of Spina Bifida Meningomyelocele

    PubMed Central

    Dennis, Maureen; Barnes, Marcia A.

    2010-01-01

    A cognitive phenotype is a product of both assets and deficits that specifies what individuals with spina bifida meningomyelocele (SBM) can and cannot do and why they can or cannot do it. In this paper, we review the cognitive phenotype of SBM and describe the processing assets and deficits that cut within and across content domains, sensory modality, and material, including studies from our laboratory and other investigations. We discuss some implications of the SBM cognitive phenotype for assessment, rehabilitation, and research. PMID:20419769

  12. Spina bifida occulta: radiographic and operative correlation.

    PubMed

    Bajpai, M; Bhatnagar, V; Mitra, D K; Mishra, N K; Rohatgi, M; Upadhyaya, P

    1989-01-01

    The clinical and myelographic evaluation in 24 children with spina bifida occulta has been correlated with the operative findings. Myelograms were done using Myodil in 11 patients and Metrizamide in 13 patients. The diagnostic quality of myelograms done with Metrizamide was comparatively better. Myodil myelography failed to demonstrate diastematomyelia in one case and a dural sac in 3 cases of lipomeningomyelocele, whereas, Metrizamide failed to demonstrate a sac in one case of lipomeningomyelocele only. Worsening of the neurological status was observed in only 3 cases in whom myelography was done with Myodil. The radiographic and operative correlation has been discussed. PMID:2699314

  13. How Do Health Care Providers Diagnose Spina Bifida?

    MedlinePLUS

    ... examines blood in several ways to look for neural tube defects, such as spina bifida, and other ... 30/2012 Related A-Z Topics Birth Defects Neural Tube Defects (NTDs) NICHD News and Spotlights Boosting ...

  14. What Are the Treatments for Spina Bifida and Related Conditions?

    MedlinePLUS

    ... with spina bifida has hydrocephalus (water on the brain), a surgeon can implant a shunt—a small hollow tube to drain the extra fluid and relieve pressure on the brain. The shunt may need to be replaced during ...

  15. Verb generation in children with spina bifida

    PubMed Central

    DENNIS, MAUREEN; JEWELL, DERRYN; HETHERINGTON, ROSS; BURTON, CHRISTINE; BRANDT, MICHAEL E.; BLASER, SUSAN E.; FLETCHER, JACK M.

    2008-01-01

    We investigated verb generation in children with spina bifida meningomyelocele (SBM; n = 55) and in typically developing controls (n = 32). Participants completed 6 blocks (40 trials each) of a task requiring them to produce a semantically related verb in response to a target noun and an additional 40 trials on which they were simply required to read target nouns aloud. After controlling for reading response time, groups did not differ significantly in verb generation response time or learning. Children with SBM produced more non-verb errors than controls and tended to repeat their mistakes over blocks. Verb generation performance was associated with brain volume measures in participants with SBM. Congenital cerebellar dysmorphology is associated with impaired performance in verb generation accuracy, although not with increased response times to produce verbs. PMID:18282316

  16. Selection for Treatment in Spina Bifida Cystica*

    PubMed Central

    Smith, G. Keys; Smith, E. Durham

    1973-01-01

    This paper discusses (1) the mortality in 295 patients with myelomeningocele born 1961-9, (2) the “quality of life” of 88 surviving patients born 1961-5, and (3) their implications for selection for treatment in spina bifida cystica. Evidence is presented that high neurological levels, the presence of severe hydrocephalus, especially if present at birth, meningitis and ventriculitis, and gross renal disease are very adverse factors both in mortality and in quality of life. In selection for treatment we recommend immediate repair of the sac in most low lesions, deferring treatment in high lesions, and re-evaluation of the survivors of the latter group at 1 month or later. PMID:4586033

  17. A Longitudinal Assessment of Early Pubertal Timing as a Predictor of Psychosocial Changes in Adolescent Girls With and Without Spina Bifida

    PubMed Central

    Wasserman, Rachel M.; Lennon, Jaclyn M.; Amaro, Christina M.

    2012-01-01

    Objective?A longitudinal comparison of adolescent girls with and without spina bifida (SB), regarding the effects of early pubertal timing on girls depressive symptoms, motherdaughter conflict, and emotional distancing.?Methods?62 motherdaughter dyads (31 with SB and 31 without) reported on psychosocial outcomes at 5 time points (ages 8/9 to 16/17 years).?Results?A pubertal timing??SB status interaction predicted emotional distancing (T2), conflict (T2, T5), and depressive symptoms (T4), such that early maturing girls without SB reported the greatest increase in each outcome. Main effects of pubertal timing predicted emotional distancing (T4), conflict (T4), and depressive symptoms (T2, T3, T5). Findings were not always consistent across reporters, assessments of pubertal timing, and time-points.?Conclusions?Although early maturing girls in both groups may experience greater psychosocial difficulties, early maturing girls without SB may be most at-risk. The somewhat reduced impact of early pubertal timing in girls with SB is discussed. PMID:22271794

  18. The Adolescent with Spina Bifida: Academic Achievement and Employment Prospects. Research Supplement.

    ERIC Educational Resources Information Center

    Tew, Brian

    1986-01-01

    A longitudinal study of 52 adolescents with spina bifida reveals information about their intelligence and attainments at age 16, achievement examinations, the relationship between IQ and academic achievement, and employment at 18 years. Among findings are significantly lower performance among Ss with shunts and intracranial complications. (CL)

  19. [Spina bifida aperta in a sheep lamb].

    PubMed

    Gutzwiller, N; Hilbe, M; Kircher, P; Bleull, U

    2015-01-01

    The case report describes the symptoms and diagnostic methods of a spina bifida aperta in a new born lamb. The most relevant clinical findings were recumbency immediately after birth with normal consciousness and suckling reflexes, alterations of the skin and coat in the lumbosacral region as well as dysuria. The biochemical and haematological screening of the blood indicated no abnormalities. While the radiological examination of the spine showed no clear evidence of the cause of the clinical sings the ultrasound and computed tomography examination revealed an incomplete closure of the vertebral arch between the 4th lumbar and the 3rd sacral vertebrae. Additionally, a hernia with similar density to the spinal cord was present in the same region of the spine. Based on the findings the lamb was euthanized. The pathological examination confirmed the incomplete closure of the vertebral arch and moreover a myelomeningocele has been diagnosed. In the histopathological examination the white and grey matter were separated in the area of the macroscopic visible lesions. Due to non-specific clinical symptoms imagining diagnostics can be crucial to confirm the diagnosis of this rare syndrome. PMID:26753319

  20. Cerebellar Motor Function in Spina Bifida Meningomyelocele

    PubMed Central

    Dennis, Maureen; Salman, Michael S.; Juranek, Jenifer; Fletcher, Jack M.

    2010-01-01

    Spina bifida meningomyelocele (SBM), a congenital neurodevelopmental disorder, involves dysmorphology of the cerebellum, and its most obvious manifestations are motor deficits. This paper reviews cerebellar neuropathology and motor function across several motor systems well studied in SBM in relation to current models of cerebellar motor and timing function. Children and adults with SBM have widespread motor deficits in trunk, upper limbs, eyes, and speech articulators that are broadly congruent with those observed in adults with cerebellar lesions. The structure and function of the cerebellum are correlated with a range of motor functions. While motor learning is generally preserved in SBM, those motor functions requiring predictive signals and precise calibration of the temporal features of movement are impaired, resulting in deficits in smooth movement coordination as well as in the classical cerebellar triad of dysmetria, ataxia, and dysarthria. That motor function in individuals with SBM is disordered in a manner phenotypically similar to that in adult cerebellar lesions, and appears to involve similar deficits in predictive cerebellar motor control, suggests that age-based cerebellar motor plasticity is limited in individuals with this neurodevelopmental disorder. PMID:20652468

  1. Sexuality, pre-conception counseling and urological management of pregnancy for young women with spina bifida.

    PubMed

    Visconti, Daniela; Noia, Giuseppe; Triarico, Silvia; Quattrocchi, Tomasella; Pellegrino, Marcella; Carducci, Brigida; De Santis, Marco; Caruso, Alessandro

    2012-08-01

    A great number of newborns with spina bifida now survive with a growing life expectancy. Support with regard to sexual issues is essential in the management of adolescents with spina bifida, who require specific knowledge of sexual problems related to their disability. Women with spina bifida are usually fertile and need pre-conception counseling. Furthermore, compared to healthy women they have a higher chance of conceiving a child with spina bifida, so they are treated with periconceptional folic acid supplements. In addition pregnancies in women with spina bifida require adequate management of secondary conditions, mainly urological issues, which are exacerbated during pregnancy. This article gives an overview of sexual education, sex functioning and sexual activity among adolescents with spina bifida. Moreover, we aim to support young women with spina bifida, providing pre-conception counseling and practical guidelines essential for the urological management of their pregnancy. PMID:22546496

  2. Children with Spina Bifida: Why Do They Fail in School?

    ERIC Educational Resources Information Center

    Eisert, Debra C.; Shelburne, Kathryn

    Thirty-eight children with spina bifida, a congenital defect involving the nervous system, were tested for verbal and performance ability and freedom from distractibility on the Wechsler Intelligence Scale for Children-Revised. Achievement on the Wide Range Achievement Test was also measured, and medical and socioeconomic information obtained.

  3. Correlates of Self Esteem in Adolescents with Spina Bifida.

    ERIC Educational Resources Information Center

    Eckart, M. L.

    The study examined correlates of self-esteem in 54 adolescents and young adults (ages 12-22) with spina bifida. Core issues identified were the relationships of global self-esteem and perceived competencies in specific areas, perceptions of control, and identification with the physically handicapped. Relationships of self-esteem to age, gender,…

  4. Physical Status and Psychosocial Adjustment in Children with Spina Bifida.

    ERIC Educational Resources Information Center

    Wallander, Jan L.; And Others

    1989-01-01

    The study, in which mothers of 62 children with spina bifida completed the Child Behavior Checklist, found that children with differing degrees of physical problems and disability (determined from medical charts) did not differ significantly in their psychosocial adjustment. (Author/DB)

  5. Team Management of Cognitive Dysfunction in Children with Spina Bifida.

    ERIC Educational Resources Information Center

    Knowlton, Douglas D.; And Others

    1985-01-01

    The article presents a summary of the cognitive difficulties often encountered when a multidisciplinary team attempts to manage children with spina bifida. Suggestions for intervention and program planning are presented. A model for team management incorporating medical, allied health, and psychosocial professionals is presented. (Author/CL)

  6. Observations of a Father: My Son Has Spina Bifida.

    ERIC Educational Resources Information Center

    Remmel, Carl L.

    1982-01-01

    The author reviews his experiences as the father of a child with spina bifida, a congenital problem in which the spine is not completely enclosed. He recounts his feelings upon first finding out about the condition and his son's subsequent surgeries and crises. (CL)

  7. Increasing Community Independence for Adolescents with Spina Bifida.

    ERIC Educational Resources Information Center

    Sherman, Roberta G.; And Others

    1985-01-01

    Examined whether a community-based habilitation program focusing on normalization and individual goal setting was effective in enhancing levels of independence in teenagers with spina bifida. Subjects (N=14) participated in an eight-week summer program. Results suggested the program was effective with the greatest strength being support and

  8. Children with Spina Bifida: Educational Implications of Their Medical Characteristics.

    ERIC Educational Resources Information Center

    Korabek, Cynthia A.; Cuvo, Anthony J.

    1986-01-01

    Many children with spina bifida present organic characteristics such as muscle weakness below the spinal lesion. These medical aspects are discussed with respect to their influence on teaching self-care and motor skills and reducing self-injurious behavior. Recommendations for educational programming are made. (Author/JDD)

  9. Reaching for Independence: Counseling Implications for Youth with Spina Bifida

    ERIC Educational Resources Information Center

    Brislin, Dawn C.

    2008-01-01

    Spina bifida, a congenital physical disability, is indirectly associated with difficulties in scholastic achievement, social development, and self-determination. Environment can have an impact on psychosocial development and impede functioning academically, socially, and vocationally. Counselors must be aware of the societal atmosphere to identify

  10. Physical Education for Students with Spina Bifida: Mothers' Perspectives

    ERIC Educational Resources Information Center

    An, Jihoun; Goodwin, Donna L.

    2007-01-01

    This study described the meaning 7 mothers of children with spina bifida ascribed to their children's physical education, the mothers' roles in the schools, and the importance of the IEP in home and school communication. The stories of 4 mothers of elementary and 3 mothers of secondary aged children were gathered using the phenomenological methods

  11. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 12.

    ERIC Educational Resources Information Center

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida, outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet emphasizes that school programs should be flexible to accommodate these students' special needs and frequent absences, that children with

  12. Learning Among Children with Spina Bifida

    MedlinePLUS

    ... doing math, telling time and counting change. 8. Decision Making/Problem Solving People with Spina have trouble making ... appears to not improve their problem solving or decision- making, contact professionals. This information does not constitute medical ...

  13. Paternal occupational exposure around conception and spina bifida in offspring.

    PubMed

    Blatter, B M; Hermens, R; Bakker, M; Roeleveld, N; Verbeek, A L; Zielhuis, G A

    1997-09-01

    A multi-center case-referent study was conducted on the relation between paternal occupational exposure and spina bifida in offspring. Cases were born between 1980 and 1992 in The Netherlands. Referents were recruited from hospitals and from the general population. Postal questionnaires were used to gather information on occupation and potential confounders. Through job-specific telephone interviews with 122 case fathers and 411 referent fathers, detailed exposure information was collected on specific tasks, the use of chemical or physical agents, frequency of exposure, and use of protective equipment. The study yielded statistically significant associations between spina bifida and low exposure to welding fumes (OR = 1.6, 95% CI: 1.0-2.6) and low exposure to UV radiation during welding (OR = 2.6, 95% CI: 1.2-5.6), and suggestive findings of an association between spina bifida and moderate or high exposure to cleaning agents, moderate or high pesticide exposure (OR = 1.7, 95% CI: 0.7-4.0), and stainless steel dust (OR = 2.0, 95% CI: 0.8-5.2). No associations were identified for other paternal occupational exposures, such as organic solvents. PMID:9219659

  14. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans-spina bifida and covered...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... program for certain children of Vietnam veterans-spina bifida and covered birth defects. 21.8012 Section...-Spina Bifida and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans—spina bifida and covered birth defects. VA will provide an evaluation to...

  15. Work Participation among Young Adults with Spina Bifida in the Netherlands

    ERIC Educational Resources Information Center

    Van Mechelen, M. C.; Verhoef, M.; Van Asbeck, F. W. A.; Post, M. W. M.

    2008-01-01

    The aim of this study was to: (1) assess work participation among young adults with spina bifida, (2) identify problems perceived in finding employment, and (3) examine which determinants are related to work participation. This cross-sectional study was a follow-up study to the Adolescents with SPina bifida In the Netherlands (ASPINE) study. Data

  16. Community Knowledge, Beliefs, Attitudes, and Practices towards Children with Spina Bifida and Hydrocephalus in Uganda

    ERIC Educational Resources Information Center

    Bannink, Femke; Stroeken, Koenraad; Idro, Richard; van Hove, Geert

    2015-01-01

    This article describes the findings of a qualitative study on knowledge, beliefs, attitudes, and practices towards children with spina bifida and hydrocephalus in four regions of Uganda. Focus group discussions and semi-structured interviews were held with parents of children with spina bifida and hydrocephalus, policy-makers, and service

  17. Impairment of a Motor Skill in Children with Spina Bifida Cystica and Hydrocephalus: An Exploratory Study

    ERIC Educational Resources Information Center

    Anderson, Elizabeth M.; Plewis, Ian

    1977-01-01

    Twenty 7-10 year old children with spina bifida cystica and hydrocephalus and 20 normals matched for age, sex and IQ were compared on a 12-trial target task, first used by Connolly, Brown & Bassett (1968). Findings are discussed in relation to neurological abnormalities in the spina bifida group. (Editor/RK)

  18. Spina Bifida: Guidelines of Care for Children with Special Health Care Needs.

    ERIC Educational Resources Information Center

    Minnesota State Dept. of Health, Minneapolis. Services for Children with Handicaps.

    These guidelines were written to help families coordinate the health care that may be needed by a child with spina bifida. The booklet begins with general information about spina bifida. It then discusses the goals of health care, the health care team, the importance of periodic health care, and record keeping procedures. The child's health care…

  19. Impact of Spina Bifida on Parental Caregivers: Findings from a Survey of Arkansas Families

    ERIC Educational Resources Information Center

    Grosse, Scott D.; Flores, Alina L.; Ouyang, Lijing; Robbins, James M.; Tilford, John M.

    2009-01-01

    The well-being of caregivers of children with spina bifida and other conditions is an important topic. We interviewed the primary caregivers of 98 children aged 0-17 years with spina bifida sampled from a population-based birth defects registry in Arkansas and the caregivers of 49 unaffected children. Measures of caregiver well-being were compared…

  20. Community Knowledge, Beliefs, Attitudes, and Practices towards Children with Spina Bifida and Hydrocephalus in Uganda

    ERIC Educational Resources Information Center

    Bannink, Femke; Stroeken, Koenraad; Idro, Richard; van Hove, Geert

    2015-01-01

    This article describes the findings of a qualitative study on knowledge, beliefs, attitudes, and practices towards children with spina bifida and hydrocephalus in four regions of Uganda. Focus group discussions and semi-structured interviews were held with parents of children with spina bifida and hydrocephalus, policy-makers, and service…

  1. Changes in Medical Practice towards the Child with Spina Bifida: Implications for Schools.

    ERIC Educational Resources Information Center

    Tew, Brian

    1987-01-01

    The improved surgical management of children with spina bifida is among the reasons for a decreased number of severely physically and/or mentally affected children. Such improvements have resulted in more spina bifida children attending British ordinary schools and fewer attending special schools. (Author/DB)

  2. Impact of Spina Bifida on Parental Caregivers: Findings from a Survey of Arkansas Families

    ERIC Educational Resources Information Center

    Grosse, Scott D.; Flores, Alina L.; Ouyang, Lijing; Robbins, James M.; Tilford, John M.

    2009-01-01

    The well-being of caregivers of children with spina bifida and other conditions is an important topic. We interviewed the primary caregivers of 98 children aged 0-17 years with spina bifida sampled from a population-based birth defects registry in Arkansas and the caregivers of 49 unaffected children. Measures of caregiver well-being were compared

  3. From Wheelchair to Cane: Elective Transtibial Amputations in a Patient with Spina Bifida.

    PubMed

    Mayo, Amanda; Berbrayer, David

    2015-11-01

    Spina bifida is associated with foot deformities, which may lead to foot ulcers, osteomyelitis, and limb amputation. Calcanectomy and Symes amputations have been reported successful in spina bifida. There is lack of evidence for transtibial amputations. This case describes a 27-yr-old woman with L4 level spina bifida who underwent bilateral transtibial amputations. She ambulated with bilateral ankle foot orthoses and canes until age 22. At age 22, she had bilateral foot reconstructive surgeries complicated by nonunion, ulcerations, and osteomyelitis. She was using a wheelchair by age 25. She had elective bilateral transtibial amputations at age 27 for progressive osteomyelitis. Four weeks after amputations, she was fit with bilateral prostheses. On completion of 2 mos of rehabilitation, she ambulated with a cane. This case demonstrates good functional outcomes after transtibial amputations in a young spina bifida patient. Prosthetic fitting should be considered for similar, previously high functioning spina bifida patients with transtibial amputation(s). PMID:26259056

  4. Fetal surgery for spina bifida: past, present, future.

    PubMed

    Adzick, N Scott

    2013-02-01

    Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treating hydrocephalus with a ventricular shunt. Experimental and clinical evidence suggest that the primary cause of the neurologic defects associated with MMC is not simply incomplete neurulation, but rather chronic, mechanical and amniotic-fluid induced chemical trauma that progressively damages the exposed neural tissue during gestation. The cerebrospinal fluid leak through the MMC leads to hindbrain herniation and hydrocephalus. In utero repair of open spina bifida is now performed in selected patients and presents an additional therapeutic alternative for expectant mothers carrying a fetus with MMC. In the past, studies in animal models and clinical case series laid the groundwork for a clinical trial to test the safety and efficacy of fetal MMC repair. In the present, a prospective, randomized study (the MOMS trial) has shown that fetal surgery for MMC before 26 weeks' gestation may preserve neurologic function, reverse the hindbrain herniation of the Chiari II malformation, and obviate the need for postnatal placement of a ventriculoperitoneal shunt. However, this study also demonstrates that fetal surgery is associated with significant risks related to the uterine scar and premature birth. In the future, research will expand our understanding of the pathophysiology of MMC, evaluate the long-term impact of in-utero intervention, and to refine timing and technique of fetal MMC surgery using tissue engineering technology. PMID:23395140

  5. Sacral fatigue fractures in children with sacral spina bifida occulta.

    PubMed

    Hama, Shingo; Takata, Yoichiro; Sakai, Toshinori; Higashino, Kosaku; Abe, Mitsunobu; Nagamachi, Akihiro; Sairyo, Koichi

    2016-05-01

    In this report, we present two cases of 9-year-old children with spina bifida occulta (SBO) of the sacrum, who were diagnosed with sacral fatigue fractures. In both patients, MRI showed a linear signal void and high signal in sacral ala on the short tau inversion recovery sequence. Sacral SBO at the same level of the sacral fracture was observed in each patient on computed tomography images. These lesions healed with rest. This is the first literature reporting cases with sacral stress fractures who had SBO at the same level of fracture. PMID:26196371

  6. Spina bifida occulta and aperta: a review of current treatment paradigms.

    PubMed

    Kahn, L; Biro, E E; Smith, R D; Bui, C J

    2015-03-01

    Spina bifida remains a challenging neurosurgical entity to manage despite both an increased awareness of the disease as well as a decreased incidence due to folic acid supplementation. We review the spectrum of neural tube defects, which are the second most common serious congenital defect and the most common of the central nervous system, and discuss the latest management paradigms. The challenges of timely diagnosis and treatment of spina bifida occulta and the latest advances in fetal repair of spina bifida aperta (myelomeningocele) will be discussed. The authors review the literature and share their experience with managing neural tube defects. PMID:25387659

  7. The Infant and Young Child with Spina Bifida: Major Medical Concerns.

    ERIC Educational Resources Information Center

    Shaer, Catherine M.

    1997-01-01

    This review of medical concerns in dealing with spina bifida examines neurologic and neurosurgical issues, learning issues, urological dysfunction, orthopedic issues, bowel control, latex allergy, and prenatal diagnosis and prevention. (JDD)

  8. Saving Money and Getting Help: Advice for Families of Children with Spina Bifida.

    ERIC Educational Resources Information Center

    Rosenfeld, Lynn; And Others

    1987-01-01

    The excerpt from "Saving Money and Getting Help: Advice for Families of Children with Spina Bifida" (Lynn Rosenfeld) provides guidelines for parents concerning health insurance, health maintenance organizations, and questions to ask concerning health insurance coverage and filing claims. (DB)

  9. Language Use without Comprehension: A Suggested Methodology for the Clinical Evaluation of Spina Bifida Children.

    ERIC Educational Resources Information Center

    Culatta, Barbara

    1978-01-01

    Three spina bifida children (mean age 66 months) were studied to illustrate the comprehension deficit and to demonstrate how evaluations can be structured. Available from Eterna Press, P.O. Box 19, Bolingbrook, Illinois 60439. (Author/PHR)

  10. Assessment of Parental Expressed Emotion: Associations with Adolescent Depressive Symptoms Among Youth with Spina Bifida

    PubMed Central

    Kelly, Lauren M.; OMahar, Kerry

    2011-01-01

    Objectives?A longitudinal multi-method, multi-informant design was utilized to investigate parental expressed emotion (EE) as a predictor of depressive symptoms among adolescents with spina bifida (n?=?60) and a matched comparison sample (n?=?65).?Methods?A newly modified self-administered audiotaped interview methodology was used to assess parental warmth and criticism across the middle adolescent developmental period (ages 1417). Parent- and youth-reports of adolescent depressive symptoms were obtained at each time point.?Results?Significant cross-sectional associations between parental EE variables and youth depressive symptoms were found for both groups. Significant longitudinal relations between maternal criticism and parent proxy-report of youth depressive symptoms were also found across 2 years for the spina bifida group and across 4 years for both groups.?Conclusions?This modified measure of parental EE can be used in future pediatric research that focuses on precursors or outcomes of this important parenting construct. PMID:20870752

  11. Role of Maternal Serum Alpha-Fetoprotein and Ultrasonography in Contemporary Detection of Spina Bifida.

    PubMed

    Racusin, Diana A; Villarreal, Sarah; Antony, Kathleen M; Harris, R Alan; Mastrobattista, Joan; Lee, Wesley; Shamshirsaz, Alireza A; Belfort, Michael; Aagaard, Kjersti M

    2015-12-01

    Objective?Midtrimester maternal serum alpha-fetoprotein (MSAFP) and sonographic evaluation have been used to screen for spina bifida. With the increased uptake of cell-free DNA (cfDNA) and first trimester screening, MSAFP levels may no longer be obtained routinely. Our aim was to evaluate a pediatric neurosurgical referral center database of spina bifida cases to determine the antenatal detection rate and means of diagnosis. Study Design?Nested case series of all spina bifida cases referred postnatally from 2007 to 2013. Data were abstracted from the maternal record and rates of antenatal detection with MSAFP and sonographic screening were determined. Results?Of the 105 postnatally referred cases, 11.4% (12/105) were not identified until delivery. Overall, 39% of the cases had MSAFP screening. The odds ratio for sonogram-based detection of spina bifida was 4.9 (95% confidence interval, 2-11.9). Of the neonatally detected cases, 100% had prenatal care and 91.6% (11 of the 12 cases) had documented sonography. Conclusion?We have found that 11.4% of the spina bifida cases were not detected before delivery. Nine out of the 12 cases of antenatally missed spina bifida were not screened using MSAFP. Our findings support the approach of midtrimester MSAFP screening combined with sonographic evaluation. We speculate that prenatal screening with MSAFP is underutilized. PMID:26332586

  12. Upper limb cerebellar motor function in children with spina bifida

    PubMed Central

    Jewell, Derryn; Fletcher, Jack M.; Mahy, Caitlin E. V.; Hetherington, Ross; MacGregor, Daune; Drake, James M.; Salman, Michael S.

    2011-01-01

    Purpose To investigate upper limb cerebellar motor function in children with spina bifida myelomeningocele (SBM) and in typically developing controls. Methods Participants with SBM, who had either upper level spinal lesions (n=23) or lower level spinal lesions (n=65), and controls (n=37) completed four upper limb motor function tasks (posture, rebound, limb dysmetria, and diadochokinesis) under four different physical and cognitive challenge conditions. Functional independence was assessed by parental questionnaire. Results Fewer SBM participants were able to complete the posture task, and they were less likely than controls to obtain a perfect rebound score. Participants with SBM showed impaired performance in either time, accuracy, or both, on the limb dysmetria and diadochokinesis tasks but responded like controls to physical and cognitive challenges. Conclusions Because upper limb motor performance predicted aspects of functional independence, we conclude that upper limb impairments in children with SBM are significant and have direct implications for the level of independent functioning in children with SBM. PMID:19823846

  13. Physical education for students with spina bifida: mothers' perspectives.

    PubMed

    An, Jihoun; Goodwin, Donna L

    2007-01-01

    This study described the meaning 7 mothers of children with spina bifida ascribed to their children's physical education, the mothers' roles in the schools, and the importance of the IEP in home and school communication. The stories of 4 mothers of elementary and 3 mothers of secondary aged children were gathered using the phenomenological methods of semistructured interviews, artifacts, and field notes. The thematic analysis revealed three themes: a good thing but . . . , connection to sports, and beyond the curriculum. The mothers valued their children's participation in physical education and provided instrumental support to teachers and teaching associates. They also valued sport as an avenue for developing sport specific skills, which in turn enriched the school experience. The findings are discussed within the context of Peters' (1996) model of disablement. PMID:17703061

  14. Folic Acid Intake and Spina Bifida in the Era of Dietary Folic Acid Fortification

    PubMed Central

    Ahrens, Katherine; Yazdy, Mahsa M.; Mitchell, Allen A.; Werler, Martha M.

    2016-01-01

    Background The US Food and Drug Administration mandated that enriched grain products be fortified with folic acid by 1998. We evaluated whether intake of folic acid from supplements and diet was associated with a reduction in spina bifida in the setting of folic acid fortification. Methods Data were collected as part of the Slone Birth Defects Study from 1998 to 2008. Mothers of infants with and without birth defects were interviewed within 6 months of delivery about pregnancy exposures, including details of diet and vitamin intake. Dietary natural folate and synthetic folic acid from fortification were combined into a single, weighted measure—dietary folate equivalent. Periconceptional folic acid supplementation and dietary folate consumption were compared between 205 mothers of spina bifida cases and 6357 mothers of nonmalformed controls. Relative risks of a spina bifida-affected birth were estimated with odds ratios (ORs) and 95% confidence intervals (CIs). Results Spina bifida was not associated with regular folic acid supplementation (≥4 days per week) either around the time of conception (adjusted OR = 1.1 [95% CI = 0.74 –1.7]) or initiated in early pregnancy (0.79 [0.54–1.2]). After adjustment for confounders, a 13% reduced odds of spina bifida was estimated for each 100-µg increase in daily dietary folate equivalent consumed. Conclusions In the setting of folic acid fortification of grains, our data suggest that folic acid supplementation does not appear to offer further benefit for reducing risk of spina bifida. Rather, the folate-associated benefit on spina bifida risk was found with increasing amounts of dietary folic acid consumed, regardless of folic acid supplementation level. PMID:21659881

  15. Trajectories of Family Processes across the Adolescent Transition in Youth with Spina Bifida

    PubMed Central

    Jandasek, Barbara; Holmbeck, Grayson N.; DeLucia, Christian; Zebracki, Kathy; Friedman, Deborah

    2009-01-01

    The current study investigated change in family processes, including conflict, cohesion, and stress, across the adolescent transition, comparing the developmental trajectories of youth with and without spina bifida. Individual growth curve modeling procedures were utilized to describe the developmental course of family processes across 4 waves of data collection, from ages 9 to 15, and to test whether illness status [spina bifida vs. matched comparison group (N = 68 for both groups at Time 1)] would significantly predict individual variability in family processes. Potential moderators (child gender, SES, and child verbal ability) of the association between illness status and family functioning were also examined. Differences were found between the trajectories of family processes for families of youth with and without spina bifida. For families of youth with spina bifida, changes in family conflict and cohesion may be less dramatic than or inconsistent with what is expected during typical adolescence. Families of youth with spina bifida from low SES homes appear to demonstrate resilience in terms of family stress. PMID:19803608

  16. Interhemispheric Effective and Functional Cortical Connectivity Signatures of Spina Bifida Are Consistent with Callosal Anomaly

    PubMed Central

    Malekpour, Sheida; Li, Zhimin; Cheung, Bing Leung Patrick; Castillo, Eduardo M.; Papanicolaou, Andrew C.; Kramer, Larry A.; Fletcher, Jack M.

    2012-01-01

    Abstract The impact of the posterior callosal anomalies associated with spina bifida on interhemispheric cortical connectivity is studied using a method for estimating cortical multivariable autoregressive models from scalp magnetoencephalography data. Interhemispheric effective and functional connectivity, measured using conditional Granger causality and coherence, respectively, is determined for the anterior and posterior cortical regions in a population of five spina bifida and five control subjects during a resting eyes-closed state. The estimated connectivity is shown to be consistent over the randomly selected subsets of the data for each subject. The posterior interhemispheric effective and functional connectivity and cortical power are significantly lower in the spina bifida group, a result that is consistent with posterior callosal anomalies. The anterior interhemispheric effective and functional connectivity are elevated in the spina bifida group, a result that may reflect compensatory mechanisms. In contrast, the intrahemispheric effective connectivity is comparable in the two groups. The differences between the spina bifida and control groups are most significant in the ? and ? bands. PMID:22571349

  17. Continence in patients with spina bifida: long term results.

    PubMed Central

    Malone, P S; Wheeler, R A; Williams, J E

    1994-01-01

    One hundred and forty four questionnaires relating to bladder and bowel control were sent to a random selection of patients with spina bifida throughout the United Kingdom. One hundred and seventeen questionnaires were returned, of which 109 were usable. Twenty eight out of 109 responders had undergone some form of urinary diversion, of whom 20 (71%) were reliably dry. The remaining 81 responders emptied their bladders by a variety of techniques including normal voiding, straining, expression, clean intermittent catheterisation, indwelling catheters, or they dribbled urine continuously. Only 31 (38%) of this group were reliably dry. Ninety four of 109 (86%) responders regularly sat on the toilet to evacuate their bowels and most used some aid such as manual evacuation, laxatives, suppositories, or enemas. Fifty five of 104 (53%) responders soiled regularly, 31 (56%) of whom were also wet. Forty seven per cent of dry patients (24/51) were faecally incontinent. Only 25 of 104 (24%) patients responding to all questions were reliably clean and dry. PMID:8129429

  18. Rare LRP6 variants identified in spina bifida patients

    PubMed Central

    Lei, Yunping; Fathe, Kristin; McCartney, Danielle; Zhu, Huiping; Yang, Wei; Ross, M. Elizabeth; Shaw, Gary M.; Finnell, Richard H.

    2014-01-01

    Several single nucleotide variants (SNVs) in low-density lipoprotein receptor-related protein 6 (Lrp6) cause neural tube defects (NTDs) in mice. We therefore examined LRP6 in 192 unrelated infants from California with the NTD, spina bifida, and found four heterozygous missense SNVs, three of which were predicted to be deleterious, among NTD cases and not in 190 ethnically matched non-malformed controls. Parents and siblings could not be tested because of the study design. Like Cd and rs mouse variants, the p.Tyr544Cys Lrp6 protein failed to bind the chaperone protein MESD and impaired Lrp6 subcellular localization to the plasma membrane of MDCK II cells. Only the p.Tyr544Cys Lrp6 variant down-regulated canonical Wnt signaling in a TopFlash luciferase reporter in vitro assay. In contrast, three Lrp6 mutants (p.Ala3Val, p.Tyr544Cys and p.Arg1574Leu) increased non-canonical Wnt/PCP signaling in an Ap1-luciferase assay. Thus, LRP6 variants outside of YWTD-repeats could potentially predispose embryos to NTDs, while Lrp6 modulation of Wnt/PCP signaling would be more essential than its canonical pathway role in neural tube closure. PMID:25546815

  19. Chiropractic Care of Acute Low Back Pain and Incidental Spina Bifida Occulta: A Case Report

    PubMed Central

    Cofano, Gregory P.; Anderson, Benjamin C.; Stumpff, Eric R.

    2014-01-01

    Objective The purpose of this case report is to describe chiropractic care of an adolescent with acute low back pain and incidental finding of spina bifida occulta managed with high-velocity low-amplitude manipulation. Clinical Features A 10-year-old boy was referred for chiropractic care by his pediatrician for the management of low back pain after a fall 3 days prior. Examination and medical records revealed the patient also had spina bifida occulta at the level of L5. Intervention and Outcome High-velocity low-amplitude treatment for lower back pain showed resolution of patient's pain after 6 visits. No adverse effects were reported. Conclusion An adolescent patient with lower back pain and incidental finding of spina bifida occulta improved with a course of care that included with high-velocity low-amplitude manipulation therapy. PMID:25435841

  20. A qualitative synthesis of adolescents' experiences of living with spina bifida.

    PubMed

    Lindsay, Sally

    2014-09-01

    In this article, I explore the experiences and perspectives of youth living with spina bifida, the second most common congenital condition in North America, to inform the development of health programs. I undertook a thematic metasynthesis to integrate qualitative evidence across studies examining the experiences of youth with spina bifida. I used 10 electronic databases to search for and review 4,051 abstracts, and identified 12 articles meeting the inclusion criteria. I examined those articles using a constant comparative approach, drawing on concepts of normalcy and biographical disruption to inform understanding of three emergent themes: (a) the medical management of spina bifida; (b) the importance of peer and family relationships (i.e., social support, belonging, and challenges in peer connections); and (c) identity and self-concept (i.e., normalization). This metasynthesis provides insight for youth, parents, and clinicians on areas of life in which youth could use further support. PMID:25104820

  1. Prevention of spina bifida: folic acid intake during pregnancy in Gulu district, northern Uganda

    PubMed Central

    Bannink, Femke; Larok, Rita; Kirabira, Peter; Bauwens, Lieven; van Hove, Geert

    2015-01-01

    Introduction The intake of folic acid before conception and during the first trimester of pregnancy can prevent spina bifida. This paper describes folic acid intake in women in Gulu district in northern Uganda. Methods Structured interviews were held with 394 women attending antenatal care (ANC), 15 mothers of children with spina bifida, and 35 health workers in 2012 and 2013. SPSS16 was used for data analysis. Results 1/4 mothers of children with spina bifida took folic acid during late pregnancy, none preconception. None had knowledge about folic acid and spina bifida prevention. 33.5% of women attending ANC had ever heard about spina bifida, 1% knew folic acid intake can prevent spina bifida. 42.4% took folic acid supplements in late pregnancy, 8.1% during the first trimester, none preconception. All women said to have eaten food rich in folic acid. None were aware about fortified foods. 7% of health workers understood the importance of early folic acid intake. All health workers recommended folic acid intake to women attending ANC. 20% of the health workers and 25% of the women said folic acid supplements are not always available. Conclusion Folic acid intake is limited in northern Uganda. This is attributed to limited education and understanding of women and health workers about the importance of early folic acid intake, late presentation of women at ANC, poor supply chain and dilapidated health services caused by war and poverty. A combination of food fortification, sensitization of health workers, women, and improving folic acid supply is recommended. PMID:26090048

  2. Issues of medical management in adults with spina bifida.

    PubMed

    McDonnell, G V; McCann, J P

    2000-04-01

    The objective of this study was to establish the range of medical issues among those attending a clinic for adults with spina bifida (SB) and hydrocephalus (CASBAH). Owing to improvements in medical care in the past 3-4 decades, an increasing number of SB patients go on to prosper in adult life. Since 1990 there has been a CASBAH service in Belfast serving Northern Ireland on a regional basis. There are now 237 patients with SB remaining on the live register at CASBAH. All records were reviewed with regard to site of lesion, ambulatory ability, shunt placement and regularity of attendance. The records of 193 were also reviewed with reference to musculoskeletal problems, bladder function, bowel function, renal impairment and hypertension, skin breakdown, epilepsy and the incidence of clinically significant Chiari/hydrosyringomyelia. Of the patients on the register, 36% are wheelchair dependent, 8% have some ambulatory capacity but are largely wheelchair dependent, 22% are ambulatory with aid and 34% are independently ambulatory. Bladder function is normal in 8%, whilst 32% describe normal bowel function. Renal impairment is present in 48% of patients, and 15% are on anti-hypertensive therapy. Epilepsy is an active issue in 9%, and intraventricular shunts are in situ in 37% of patients. Scoliosis is present in 50% and 70% have joint deformities or contractures. Five patients have become symptomatic from the Chiari/hydrosyringomyelia complex. These data reflect the considerable range of disability in adult SB patients, the challenges presented in long-term management and the need for organised follow-up. PMID:10855520

  3. Natural History of Spina Bifida Cystica and Cranium Bifidum Cysticum

    PubMed Central

    Laurence, K. M.; Tew, B. J.

    1971-01-01

    The 425 cases of spina bifida cystica and cranium bifidum cysticum born in a population of 850,000 between 1956 and 1962 (with an incidence of 4·12 per 1000 births) were followed. Most did not receive the modern treatment for the condition. Follow-up in 1968 showed that 25% were stillborn, 13% died during the first week of perinatal causes, a further 47% died mostly of the complications of the condition, and 15% are still alive. Life table survival figures suggest for the liveborns a 12·8% life expectancy to the 11th birthday. The series included 18 cases of meningocele (4·2% of the total), diagnosed largely by exclusion; all are surviving and are largely free from physical and mental handicap. 26 cases of encephalocele include 8 survivors who are all retarded but not much crippled. Of the 381 myeloceles, 37 survive who though not much affected mentally are severely handicapped physically with limb paralysis and incontinence, the pattern of which was largely determined by the level of the lesion. There is a close relation between degree of hydrocephalus and severity of mental retardation. Boys surviving show better performance than girls. The incontinent, whether treated or untreated, show no more emotional disturbance than the continent. This series provides a `baseline' allowing modern and surgical treatment to be evaluated. 60% of the total (or 85% of those liveborn) should be regarded as potentially salvageable. Nearly all cases should probably have the `open' lesion closed as a surgical emergency, but thereafter no further procedure should be undertaken on those with severe hydrocephalus, established renal damage, persistent intracranial infection, or severe kyphosis, or if other severe malformations are present. PMID:4930541

  4. [Maternal-fetal surgery for spina bifida: future perspectives].

    PubMed

    Joyeux, L; Chalouhi, G E; Ville, Y; Sapin, E

    2014-06-01

    Open spina bifida or myelomeningocele (MMC) is a frequent congenital abnormality (450 cases per year in France) associated with high morbidity. Immediate postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, treating hydrocephalus with a ventricular shunt. MMC surgical techniques haven't achieved any major progress in the past decades. Numerous experimental and clinical studies have demonstrated the MMC "two-hit" hypothetic pathogenesis: a primary embryonic congenital abnormality of the nervous system due to a failure in the closure of the developing neural tube, followed by secondary damages of spinal cord and nerves caused by long-term exposure to amniotic fluid. This malformation frequently develops cranial consequences, i.e. hydrocephalus and Chiari II malformation, due to leakage of cerebrospinal fluid. After 30 years of research, a randomized trial published in February 2011 proved open maternal-fetal surgery (OMFS) for MMC to be a real therapeutic option. Comparing prenatal to postnatal surgery, it confirmed better outcomes of MMC children after a follow up of 2.5 years: enhancement of lower limb motor function, decrease of the degree of hindbrain herniation associated with the Chiari II malformation and the need for shunting. At 5 years of age, MMC children operated prenatally seems to have better neurocognitive, motor and bladder-sphincter outcomes than those operated postnatally. However, risks of OMFS exist: prematurity for the fetus and a double hysterotomy at approximately 3-month interval for the mother. Nowadays, it seems crucial to inform parents of MMC patients about OMFS and to offer it in France. Future research will improve our understanding of MMC pathophysiology and evaluate long-term outcomes of OMFS. Tomorrow's prenatal surgery will be less invasive and more premature using endoscopic, robotic or percutaneous techniques. Beforehand, Achilles' heel of maternal-fetal surgery, i.e. preterm premature rupture of membranes, preterm labor and preterm birth, must be solved. PMID:24582882

  5. Health Risk Behaviors in Spina Bifida: The Need for Clinical and Policy Action

    ERIC Educational Resources Information Center

    Sawin, Kathleen J.; Brei, Timothy J.

    2012-01-01

    Health risk behaviors (HRBs) in adults with spina bifida such as poor diet, reduced physical activity, increased television viewing time, and substance abuse often have their genesis in early childhood. They are potentially preventable but if not addressed aggressively may continue to progress across the lifespan. Findings from a population-based

  6. Health Risk Behaviors in Spina Bifida: The Need for Clinical and Policy Action

    ERIC Educational Resources Information Center

    Sawin, Kathleen J.; Brei, Timothy J.

    2012-01-01

    Health risk behaviors (HRBs) in adults with spina bifida such as poor diet, reduced physical activity, increased television viewing time, and substance abuse often have their genesis in early childhood. They are potentially preventable but if not addressed aggressively may continue to progress across the lifespan. Findings from a population-based…

  7. Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment: Differences and Similarities in Pragmatic Ability

    ERIC Educational Resources Information Center

    Holck, Pernille; Nettelbladt, Ulrika; Sandberg, Annika Dahlgren

    2009-01-01

    Pragmatically related abilities were studied in three clinical groups of children from 5 to 11 years of age; children with cerebral palsy (CP; n = 10), children with spina bifida and hydrocephalus (SBH; n = 10) and children with pragmatic language impairment (PLI; n = 10), in order to explore pragmatic abilities within each group. A range of

  8. The Language of Children with Spina Bifida and Hydrocephalus: Meeting Task Demands and Mastering Syntax.

    ERIC Educational Resources Information Center

    Byrne, Karen; And Others

    1990-01-01

    Linguistic performance of 7 children (mean age=68 months) with spina bifida, hydrocephalus, and average intelligence was evaluated. Subjects dealt with the semantic-pragmatic requirements of linguistically posed problems in an age-appropriate manner. Performance declined as task demands increased but no more than performance of nondisabled

  9. Inferential Ability in Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment

    ERIC Educational Resources Information Center

    Holck, Pernille; Sandberg, Annika Dahlgren; Nettelbladt, Ulrika

    2010-01-01

    The aim of the study was to investigate and compare the ability to make inferences in three groups of children ranging from 5;2 to 10;9 years: 10 children with cerebral palsy (CP), 10 children with spina bifida and hydrocephalus (SBH) and 10 children with pragmatic language impairment (PLI). The relationship between inferential and literal

  10. The Arnold-Chiari Malformation and Its Implications for Individuals with Spina Bifida and Hydrocephalus.

    ERIC Educational Resources Information Center

    Mittler, Joel E.

    1986-01-01

    The Arnold-Chiari malformation is present in most infants born with myelomeningocele (a form of spina bifida) and hydrocephalus. The syndrome is responsible for structural abnormalities in the brain, and peripheral nervous system. Etiology, symptoms, impact on central nervous system structures, surgical treatment, and implications for education

  11. The Management and Education of Children with Spina Bifida and Hydrocephalus.

    ERIC Educational Resources Information Center

    Andrews, Robert J.; Elkins, John

    The report describes the population of children in Australia with spina bifida and/or hydrocephalus, notes their needs and characteristics, reviews their school placement and social circumstances, and considers future educational services for them. Initial chapters review the literature on medical, psychoeducational, and social-family aspects of

  12. Mother and Child Depressive Symptoms in Youth with Spina Bifida: Additive, Moderator, and Mediator Models

    ERIC Educational Resources Information Center

    Schellinger, Kriston B.; Holmbeck, Grayson N.; Essner, Bonnie S.; Alvarez, Renae

    2012-01-01

    The purpose of the study was to examine the extent to which parenting behaviors influence the relation between maternal and child depressive symptoms in youth with spina bifida and a comparison sample. Previous research has found that maternal depression not only negatively impacts the mother-child relationship, but also places the child at risk…

  13. The Influence of Juggling on Mental Rotation Performance in Children with Spina Bifida

    ERIC Educational Resources Information Center

    Lehmann, Jennifer; Jansen, Petra

    2012-01-01

    This study examined the influence of juggling training on mental rotation ability in children with spina bifida. Children between the ages of 8 and 12 solved a chronometric mental rotation test. Half of the children received juggling training (EG) over an 8 week time period; the other half did not receive training (CG). Afterwards, all

  14. Mother and Child Depressive Symptoms in Youth with Spina Bifida: Additive, Moderator, and Mediator Models

    ERIC Educational Resources Information Center

    Schellinger, Kriston B.; Holmbeck, Grayson N.; Essner, Bonnie S.; Alvarez, Renae

    2012-01-01

    The purpose of the study was to examine the extent to which parenting behaviors influence the relation between maternal and child depressive symptoms in youth with spina bifida and a comparison sample. Previous research has found that maternal depression not only negatively impacts the mother-child relationship, but also places the child at risk

  15. Role of Early Parenting and Motor Skills on Development in Children with Spina Bifida

    ERIC Educational Resources Information Center

    Lomax-Bream, Laura E.; Taylor, Heather B.; Landry, Susan H.; Barnes, Marcia A.; Fletcher, Jack M.; Swank, Paul

    2007-01-01

    The impact of parenting and motor skills on the development of cognitive, language, and daily living skills was examined in 165 children (91 with spina bifida, SB), from 6-36 months of age. Motor scores significantly influenced cognitive, language, and daily living skills. Higher quality parenting was associated with higher levels of development

  16. Epidemiologic and Genetic Aspects of Spina Bifida and Other Neural Tube Defects

    ERIC Educational Resources Information Center

    Au, Kit Sing; Ashley-Koch, Allison; Northrup, Hope

    2010-01-01

    The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public…

  17. Anomalous Development of Brain Structure and Function in Spina Bifida Myelomeningocele

    ERIC Educational Resources Information Center

    Juranek, Jenifer; Salman, Michael S.

    2010-01-01

    Spina bifida myelomeningocele (SBM) is a specific type of neural tube defect whereby the open neural tube at the level of the spinal cord alters brain development during early stages of gestation. Some structural anomalies are virtually unique to individuals with SBM, including a complex pattern of cerebellar dysplasia known as the Chiari II…

  18. Transition to Adult Health Care for Adolescents with Spina Bifida: Research Issues

    ERIC Educational Resources Information Center

    Sawyer, Susan M.; Macnee, Sarah

    2010-01-01

    The increasing survival of children and young people with congenital disabilities such as spina bifida (SB) provides a challenge to health care systems globally about how best to respond to the multitude of health, developmental, and psychosocial needs of those affected by this complex disorder across the lifespan, not just in childhood and

  19. Quality of Life in Individuals with Spina Bifida: A Research Update

    ERIC Educational Resources Information Center

    Sawin, Kathleen J.; Bellin, Melissa H.

    2010-01-01

    Quality of life (QOL) is an important concept for individuals with chronic health conditions. Measuring and supporting QOL in children, adolescents, and adults with spina bifida (SB) may be especially unique given the broad range of complex health and rehabilitative challenges they encounter. This article provides a research update on (a)

  20. Educational Attainments of Spina Bifida Children Attending Ordinary or Special Schools.

    ERIC Educational Resources Information Center

    Carr, Janet; And Others

    1983-01-01

    Spina Bifida children (N=22) in regular and special schools were matched for IQ and their academic achievement compared. Data from tests revealed that Ss from special schools were behind their peers in mathematics with no significant differences in reading. (CL)

  1. Risk and Protective Influences in the Lives of Siblings of Youths with Spina Bifida

    ERIC Educational Resources Information Center

    Bellin, Melissa H.; Kovacs, Pamela J.; Sawin, Kathleen J.

    2008-01-01

    The impact of childhood chronic health conditions like spina bifida (SB) is a shared family experience. However, the lived experience of siblings is not well known. One hundred and fifty-five brothers and sisters of a child with SB responded to an open-ended question included in an anonymous self-administered mail questionnaire designed to enhance

  2. Spatial Knowledge of Children with Spina Bifida in a Virtual Large-Scale Space

    ERIC Educational Resources Information Center

    Wiedenbauer, Gunnar; Jansen-Osmann, Petra

    2006-01-01

    The spatial knowledge of 18 children with spina bifida and 18 healthy control children (matched according to sex, age, and verbal IQ) was investigated in a computer-simulated environment. All children had to learn a route through a virtual floor system containing 18 landmarks. Controlling for cognitive abilities, the results revealed that children

  3. Handwriting Skills in Children with Spina Bifida: Assessment, Monitoring and Measurement.

    ERIC Educational Resources Information Center

    Hancock, Julie; Alston, Jean

    1986-01-01

    Case studies of three students with spina bifida (ages 8-11) illustrate an individualized six-week handwriting intervention program which stressed assessment, monitoring, and measurement of changes in writing performance. Appropriate changes in physical support (sitting position, writing surface, and choice of writing tool) are recommended. (JW)

  4. The Use of Self-Modeling to Improve the Swimming Performance of Spina Bifida Children.

    ERIC Educational Resources Information Center

    Dowrick, Peter W.; Dove, Cynthia

    1980-01-01

    The use of edited videotape replay (which showed only "positive" behaviors) to improve the water skills of three spina bifida children (ages 5 to 10) was examined. A multiple baseline across Ss design was used, and behavioral changes were observed to occur in close association with intervention. One child was given successive reapplications of

  5. The Effects of Cognitive Strategy Instruction on the Mathematical Problem Solving of Adolescents with Spina Bifida

    ERIC Educational Resources Information Center

    Coughlin, Judy; Montague, Marjorie

    2011-01-01

    This study investigated the effects of cognitive strategy instruction on the mathematical problem solving of three adolescents with spina bifida. Conditions of the multiple-baseline across-individuals design included baseline, two levels of treatment, posttesting, and maintenance. Treatment 1 focused on one-step math problems, and Treatment 2

  6. Anomalous Development of Brain Structure and Function in Spina Bifida Myelomeningocele

    ERIC Educational Resources Information Center

    Juranek, Jenifer; Salman, Michael S.

    2010-01-01

    Spina bifida myelomeningocele (SBM) is a specific type of neural tube defect whereby the open neural tube at the level of the spinal cord alters brain development during early stages of gestation. Some structural anomalies are virtually unique to individuals with SBM, including a complex pattern of cerebellar dysplasia known as the Chiari II

  7. Transition to Adult Health Care for Adolescents with Spina Bifida: Research Issues

    ERIC Educational Resources Information Center

    Sawyer, Susan M.; Macnee, Sarah

    2010-01-01

    The increasing survival of children and young people with congenital disabilities such as spina bifida (SB) provides a challenge to health care systems globally about how best to respond to the multitude of health, developmental, and psychosocial needs of those affected by this complex disorder across the lifespan, not just in childhood and…

  8. Epidemiologic and Genetic Aspects of Spina Bifida and Other Neural Tube Defects

    ERIC Educational Resources Information Center

    Au, Kit Sing; Ashley-Koch, Allison; Northrup, Hope

    2010-01-01

    The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public

  9. Arithmetic Processing in Children with Spina Bifida: Calculation Accuracy, Strategy Use, and Fact Retrieval Fluency

    ERIC Educational Resources Information Center

    Barnes, Marcia A.; Wilkinson, Margaret; Khemani, Ekta; Boudesquie, Amy; Dennis, Maureen; Fletcher, Jack M.

    2006-01-01

    Three studies compared 98 children with spina bifida myelomeningocele (SBM)--a disorder associated with high rates of math disability and spatial deficits--to 94 typically developing children on multidigit subtraction and cognitive addition tasks. Children with SBM were classified into those with reading decoding and math disability, only math

  10. Awareness of folic acid use increases its consumption, and reduces the risk of spina bifida.

    PubMed

    Kondo, Atsuo; Morota, Nobuhito; Date, Hiroaki; Yoshifuji, Kazuhisa; Morishima, Toshibumi; Miyazato, Minoru; Shirane, Reizo; Sakai, Hideki; Pooh, Kyong Hon; Watanabe, Tomoyuki

    2015-07-14

    The majority of neural tube defects were believed to be folic acid (FA)-preventable in the 1990s. The Japanese government recommended women planning pregnancy to take FA supplements of 400 ?g/d in 2000, but the incidence of spina bifida has not decreased. We aimed to evaluate the OR of having an infant with spina bifida for women who periconceptionally took FA supplements and the association between an increase in supplement use and possible promoters for the increase. This is a case-control study which used 360 case women who gave birth to newborns afflicted with spina bifida, and 2333 control women who gave birth to healthy newborns during the first 12 years of this century. They were divided into two 6-year periods; from 2001 to 2006 and from 2007 to 2012. Logistic regression analyses were conducted to compute OR between cases and controls. The adjusted OR of having an infant with spina bifida for supplement users was 0.48 in the first period, and 0.53 in the second period. The proportion of women who periconceptionally consumed supplements significantly increased from 10 % in the first period to 30 % in the second period. Awareness of the preventive role of FA was a promoter for an increase in supplement use, and thus an FA campaign in high school seems rational and effective. The failure of the current public health policy is responsible for an epidemic of spina bifida. Mandatory food fortification with FA is urgent and long overdue in Japan. PMID:25999131

  11. Are There Disorders or Conditions Associated with Spina Bifida?

    MedlinePLUS

    ... movements. They also can develop urinary tract infections. Latex Allergy Many people with spina bifida—possibly three- ... of those with the condition—are allergic to latex, or natural rubber. While researchers still don’t ...

  12. Prevalence and patterns of spina bifida occulta in 2707 normal adults.

    PubMed

    Fidas, A; MacDonald, H L; Elton, R A; Wild, S R; Chisholm, G D; Scott, R

    1987-09-01

    Plain radiographs of the urinary tract on 2707 normal volunteers were reviewed to establish the prevalence and patterns of spina bifida occulta in the normal population. Abnormalities in the formation of the posterior arch were identified in 23%, and four different patterns are described. In this group of subjects the condition was twice as common in males as in females (P less than 0.001) and commoner in younger adults. The commonest defects were either in S1 alone or involved S1 and S2 together. Isolated defects at L5 or S2 were rare. The level of opening of the posterior sacral arcs was assessed and a high level of opening was shown to correlate with the presence of spina bifida occulta. PMID:3311565

  13. Genetic polymorphisms in the thioredoxin 2 (TXN2) gene and risk for spina bifida.

    PubMed

    Wen, Shu; Lu, Wei; Zhu, Huiping; Yang, Wei; Shaw, Gary M; Lammer, Edward J; Islam, Ana; Finnell, Richard H

    2009-02-01

    TXN2 encodes human thioredoxin 2, a small redox protein important in cellular antioxidant defenses, as well as in the regulation of apoptosis. Txn2 knockout mice fail to complete neural tube closure by E10.5 and die in utero. We hypothesized that genetic variation in human TXN2 gene may alter the function of the encoded protein in a manner associated with an increased risk for neural tube defects (NTDs). A DNA re-sequencing effort of the human TXN2 gene was taken. After a variation in the promoter was identified, the transcriptional activity of different alleles was investigated. The possible association between these variations and the risk of spina bifida was further evaluated in a subset of samples obtained from a large population-based case-control study in California in two different ethnicity groups, non-Hispanic white and Hispanic white. We identified a novel promoter insertion polymorphism located 9 base pairs upstream of the transcription start site of exon 1(-9 insertion). The GA, G and GGGA insertions were associated with a marked decrease of transcriptional activity when overexpressed in both U2-OS (an osteosarcoma cell line) and 293 cells (derived from human embryonic kidney). Further analysis revealed that the GA insertion was associated with increased spina bifida risk for Hispanic whites. Our study revealed a novel Ins/Del polymorphism in the human TXN2 gene proximal promoter region that altered the transcriptional activity and is associated with spina bifida risk. This polymorphism may be a genetic modifier of spina bifida risk in this California population. PMID:19165900

  14. Disturbed apoptosis and cell proliferation in developing neuroepithelium of lumbo-sacral neural tubes in retinoic acid-induced spina bifida aperta in rat.

    PubMed

    Wei, Xiaowei; Li, Hui; Miao, Jianing; Zhou, Fenghua; Liu, Bo; Wu, Di; Li, Shujing; Wang, Lili; Fan, Yang; Wang, Weilin; Yuan, Zhengwei

    2012-08-01

    Spina bifida is a complex congenital malformation resulting from failure of fusion in the spinal neural tube during embryogenesis. However, the cellular mechanism underlying spina bifida is not fully understood. Here, we investigated cell apoptosis in whole embryos and proliferation of neural progenitor cells in the spinal neural tube during neurulation in all-trans retinoic acid (atRA)-induced spina bifida in fetal rats. Cell apoptosis was assessed by TUNEL assay on whole-mount and serially sectioned samples of rat embryos with spina bifida. Cell proliferation of lumbo-sacral neural progenitor cells was assessed by staining for the mitotic marker Ki67 and pH3. We found an excess of apoptosis in the neuroepithelium of embryos with spina bifida, which became more marked as embryos progress from E11 to E13. Conversely, there was a reduction in cell proliferation in spina bifida embryos, with a progressively greater difference from controls with stage from E11 to 13. Thus, atRA-induced spina bifida in rat shows perturbed apoptosis and proliferation of neural progenitors in the lumbo-sacral spinal cord during embryonic development, which might contribute to the pathogenesis of spina bifida. PMID:22504176

  15. How I Do It: Management of spina bifida in a hospital in The People's Republic of China

    PubMed Central

    Bao, Nan; Lazareff, Jorge

    2015-01-01

    We present our personal experience on patients with Spina Bifida. It is the result of having treated 1600 children for 12 years at Shanghai Children's Medical Center. We classify the cases on Spina Bifida Manifesta (myelomeningocele, myelocele, lypomyelomeningocele) or Spina Bifida Oculta (lipoma, dermal sinus and thickened filum terminale). For the former, we recommend surgery within 2448 h after birth. For the latter we recommend preventive surgery months after birth. We acknowledge that the diameter of the spinal canal is a problem for large remnant lesions. In cases of myelomeningocele, we prefer to place the shunt and close the defect in the same procedure, it reduces the risks inherent to exposure to anesthesia, reduces hospital stay, and related costs. If there is a suspicious of infection, we do not place the shunt on the same procedure. The personal description of the preferred techniques for closure of the different defects is described. PMID:26236554

  16. Spina bifida and birth outcome before and after fortification of flour with iron and folic acid in Oman.

    PubMed

    Alasfoor, D; Elsayed, M K; Mohammed, A J

    2010-05-01

    This paper presents the trend of spina bifida and other neural tube defects in Oman after the nationwide implementation of folate supplementation of pregnant women in 1990 and the fortification of wheat flour with iron and folate in 1996. The annual incidence of spina bifida fluctuated from 2.34 to 4.03 per 1000 deliveries between 1991 and 1996, but fell sharply to 2.11 per 1000 deliveries in 1997, after which the downward trend continued, reaching 0.29 per 1000 deliveries by 2006. The rate of other neural tube defects remained almost constant. The reduction in spina bifida rates in Oman could be linked to the start of flour fortification but not the supplementation programme. PMID:20799554

  17. Screening of polymorphisms for MTHFR and DHFR genes in spina bifida children and their mothers

    NASA Astrophysics Data System (ADS)

    Husna, M. Z.; Endom, I.; Ibrahim, S.; Selvi, N. Amaramalar; Fakhrurazi, H.; Htwe, R. Ohnmar; Kanehaswari, Y.; Halim, A. R. Abdul; Wong, S. W.; Subashini, K.; Syahira, O. Nur; Aishah, S.

    2013-11-01

    Mechanism underlying the beneficial effect of folic acid supplementation in reducing the risk of neural tube defect is still not well understood. Current evidences show the involvement of folic acid metabolic gene's polymorphism as contributing factors that regulate this pathway. Therefore, the objective of this research was to determine the presence of C677T polymorphism for methylenetetrahydrofolate reductase (MTHFR) and dihydrofolate reductase (DHFR-19 bp deletion) genes between mother-children pairs of case and control. With the approval of UKMMC ethic committee, genomic DNA was extracted from one hundred and forty consented bloods. Polymerase chain reaction (PCR), PCR-RFLP (Restriction Fragment Length Polymorphism) and sequencing were employed to verify each nucleotide change. Our result shows that mutant MTHFR and DHFR alleles are present in all Malaysian sub-ethnic groups, case and control. Even though mutant MTHFR are found to be slightly higher in the case groups, 75% of the affected child is a non carrier for this allele and 62.5% of the mothers with an affected child are genotypically normal. For DHFR, almost all (87.5-100%) investigated samples are a carrier or having a double DHFR deletion be it a case or control pairs. However, strong maternal inheritance shown by the deleted allele might be due to a cascade effect of lacks of folate consumption or maternal uniparental disomy. In conclusion, the use of MTHFR and DHFR as markers in determining the risk of having spina bifida baby is uninformative and plays a small indirect role as the genetic causes of spina bifida. Therefore, spina bifida remains etiologically unknown polygenic and quantitative developmental trait whereby the searches for positive genetic marker need to be continued.

  18. A unifying hypothesis for hydrocephalus, Chiari malformation, syringomyelia, anencephaly and spina bifida.

    PubMed

    Williams, Helen

    2008-01-01

    This work is a modified version of the Casey Holter Memorial prize essay presented to the Society for Research into Hydrocephalus and Spina Bifida, June 29th 2007, Heidelberg, Germany. It describes the origin and consequences of the Chiari malformation, and proposes that hydrocephalus is caused by inadequate central nervous system (CNS) venous drainage. A new hypothesis regarding the pathogenesis, anencephaly and spina bifida is described.Any volume increase in the central nervous system can increase venous pressure. This occurs because veins are compressible and a CNS volume increase may result in reduced venous blood flow. This has the potential to cause progressive increase in cerebrospinal fluid (CSF) volume. Venous insufficiency may be caused by any disease that reduces space for venous volume. The flow of CSF has a beneficial effect on venous drainage. In health it moderates central nervous system pressure by moving between the head and spine. Conversely, obstruction to CSF flow causes localised pressure increases, which have an adverse effect on venous drainage.The Chiari malformation is associated with hindbrain herniation, which may be caused by low spinal pressure relative to cranial pressure. In these instances, there are hindbrain-related symptoms caused by cerebellar and brainstem compression. When spinal injury occurs as a result of a Chiari malformation, the primary pathology is posterior fossa hypoplasia, resulting in raised spinal pressure. The small posterior fossa prevents the flow of CSF from the spine to the head as blood enters the central nervous system during movement. Consequently, intermittent increases in spinal pressure caused by movement, result in injury to the spinal cord. It is proposed that posterior fossa hypoplasia, which has origins in fetal life, causes syringomyelia after birth and leads to damage to the spinal cord in spina bifida. It is proposed that hydrocephalus may occur as a result of posterior fossa hypoplasia, where raised pressure occurs as a result of obstruction to flow of CSF from the head to the spine, and cerebral injury with raised pressure occurs in anencephaly by this mechanism.The current view of dysraphism is that low central nervous system pressure and exposure to amniotic fluid, damage the central nervous system. The hypothesis proposed in this essay supports the view that spina bifida is a manifestation of progressive hydrocephalus in the fetus. It is proposed that that mesodermal growth insufficiency influences both neural tube closure and central nervous system pressure, leading to dysraphism. PMID:18405364

  19. Curly tail: a 50 year history of the mouse spina bifida model

    PubMed Central

    van Straaten, Henny W.M.; Copp, Andrew J.

    2014-01-01

    Summary This paper reviews 50 years of progress towards understanding the aetiology and pathogenesis of neural tube defects (NTD) in the curly tail (ct) mutant mouse. More than 45 papers have been published on various aspects of curly tail with the result that it is now the best understood mouse model of NTD pathogenesis. The failure of closure of the spinal neural tube, which leads to spina bifida in this mouse, has been traced back to a tissue-specific defect of cell proliferation in the tail bud of the E9.5 embryo. This cell proliferation defect results in a growth imbalance in the caudal region that generates ventral curvature of the body axis. Neurulation movements are opposed, leading to delayed neuropore closure and spina bifida, or tail defects. It is interesting to reflect that these advances have been achieved in the absence of information on the nature of the ct gene product, which remains unidentified. In addition to the principal ct gene, which maps to distal Chromosome 4, the curly tail phenotype is influenced by several modifier genes and by environmental factors. NTD in curly tail are resistant to folic acid, but can be prevented by myo-inositol. These and other features of NTD in this system bear striking similarities to the situation in humans, making curly tail a model for understanding a sub-type of human NTD. PMID:11396850

  20. Accessibility of mHealth Self-Care Apps for Individuals with Spina Bifida

    PubMed Central

    Yu, Daihua X.; Parmanto, Bambang; Dicianno, Brad E.; Pramana, Gede

    2015-01-01

    As the smartphone becomes ubiquitous, mobile health is becoming a viable technology to empower individuals to engage in preventive self-care. An innovative mobile health system called iMHere (Internet Mobile Health and Rehabilitation) has been developed at the University of Pittsburgh to support self-care and adherence to self-care regimens for individuals with spina bifida and other complex conditions who are vulnerable to secondary complications. The goal of this study was to explore the accessibility of iMHere apps for individuals with spina bifida. Six participants were asked to perform tasks in a lab environment. Though all of the participants were satisfied with the iMHere apps and would use them again in the future, their needs and preferences to access and use iMHere apps differed. Personalization that provides the ability for a participant to modify the appearance of content, such as the size of the icons and the color of text, could be an ideal solution to address potential issues and barriers to accessibility. The importance of personalization—and potential strategies—for accessibility are discussed. PMID:26755902

  1. The car use of young drivers with spina bifida and hydrocephalus.

    PubMed

    Simms, B

    1991-12-01

    This study aimed to collect information on the car use and driving experiences of drivers with spina bifida and hydrocephalus and their disabled and able-bodied peers. A questionnaire was completed by 36 drivers with spina bifida and hydrocephalus (SBH) and two control groups, 36 able-bodied (AB) drivers and 14 drivers with cerebral palsy (CP). Results indicated that although those with SBH and CP took longer to learn to drive than their AB peers and reported more difficulties during the tuition period, the nature of the difficulties experienced were the same for all groups. In the first year of driving those with SBH and CP reported a lower weekly mileage but a higher number of accidents than their able-bodied peers. The SBH group were also less likely to travel on unfamiliar routes and reported greater difficulties with route planning and route following. Many drivers from both disabled and able-bodied groups reported difficulties with parking and reversing during the first year of driving and would have welcomed advice in these (and other) areas. Many SBH and CP drivers were unable to use service stations independently due to physical difficulties, and some would have liked advice on how to use the equipment. Although most drivers considered that being able to drive had given them more freedom and independence, the provision of on-going advice and training was needed to develop driving skills in the early years as a qualified driver. PMID:1807381

  2. Are the betaine-homocysteine methyltransferase (BHMT and BHMT2) genes risk factors for spina bifida and orofacial clefts?

    PubMed

    Zhu, Huiping; Curry, Stacey; Wen, Shu; Wicker, Ned J; Shaw, Gary M; Lammer, Edward J; Yang, Wei; Jafarov, Toghrul; Finnell, Richard H

    2005-06-15

    Abnormalities in folate and/or homocysteine metabolism may adversely influence embryonic development, leading to the birth of infants with a variety of congenital malformations, including neural tube defects (NTDs) and craniofacial abnormalities. Based upon suggestive evidence that periconceptional folic acid supplementation is effective in preventing a significant proportion of the aforementioned birth defects, genetic variation in the folate biosynthetic pathways may influence the infant's susceptibility to these birth defects. The goal of our study was to investigate sequence variations in the betaine-homocysteine methyltransferase (BHMT) and betaine-homocysteine methyltransferase (BHMT2) genes as modifiers of risk of spina bifida, cleft palate, and cleft lip and palate. The results of this study indicated that individuals homozygous for the single nucleotide polymorphism R239Q in BHMT did not have elevated risks for spina bifida. Genotype frequencies for the BHMT2 rs626105 polymorphism also did not reveal any elevated risks for spina bifida, and only a modest, imprecise elevation of risk for orofacial clefts. The results of these experiments suggest that variants of the BHMT/BHMT2 genes in infants do not substantially contribute to the risk of spina bifida or orofacial clefts in our study population. PMID:15887275

  3. A Review of the Potential for Cardiometabolic Dysfunction in Youth with Spina Bifida and the Role for Physical Activity and Structured Exercise

    PubMed Central

    Short, Kevin R.; Frimberger, Dominic

    2012-01-01

    Children and adolescents who have decreased mobility due to spina bifida may be at increased risk for the components of metabolic syndrome, including abdominal obesity, insulin resistance, and dyslipidemia due to low physical activity. Like their nondisabled peers, adolescents with spina bifida that develop metabolic risk factors early in life have set the stage for adult disease. Exercise interventions can improve metabolic dysfunction in nondisabled youth, but the types of exercise programs that are most effective and the mechanisms involved are not known. This is especially true in adolescents with spina bifida, who have impaired mobility and physical function and with whom there have been few well-controlled studies. This paper highlights the current lack of knowledge about the role of physical activity and the need to develop exercise strategies targeting the reduction of cardiometabolic risk and improving quality of life in youth with spina bifida. PMID:22778758

  4. The Influence of Condition Parameters and Internalizing Symptoms on Social Outcomes in Youth With Spina Bifida

    PubMed Central

    Essner, Bonnie S.; Murray, Caitlin B.

    2014-01-01

    Objective?To test a model of social competence in youth with spina bifida (SB). Involvement in social activities was expected to mediate associations between SB-related condition parameters (pain, body mass index, and motor function) and social competence. Internalizing symptoms were predicted to amplify the negative impact of condition parameters on social activity involvement.?Methods?108 youth with SB, their caregivers, peers, and teachers participated in a multimethod study that included cognitive testing, questionnaires, and observational interaction tasks.?Results?Social activity involvement partially mediated the relation between pain and lower social competence. Internalizing symptoms had a significant indirect effect on social competence via decreased involvement in social activities.?Conclusions?Pain and internalizing symptoms interfere with social activity involvement, which is, in turn, important for social competence development in youth with SB. Assessing and treating these condition parameters and activity factors may be important areas of focus in clinical practice and research with these youth. PMID:24914086

  5. Lack of significant association between spina bifida and the fragile X syndrome

    SciTech Connect

    Schiano, C.M.; Demb, H.B.; Brown, W.T.

    1995-12-04

    Folic acid is involved in two common disorders associated with developmental disabilities. Spina bifida is a malformation that may be associated with mental retardation, learning disabilities, and epilepsy. Its incidence can be reduced by the ingestion of folic acid before, and at the time of, conception. The fragile X syndrome is a genetic disorder which is the most common form of inherited mental retardation. This disorder can be diagnosed by the induction of fragile sites on the X chromosome which is cultured in a medium deficient in folic acid. In several studies, folic acid was reported to alleviate some of the developmental and behavioral manifestations associated in the fragile X syndrome, while in others, it has no effect. 9 refs.

  6. Prospective and Episodic Memory in Relation to Hippocampal Volume in Adults with Spina Bifida Myelomeningocele

    PubMed Central

    Treble-Barna, Amery; Juranek, Jenifer; Stuebing, Karla K.; Cirino, Paul T.; Dennis, Maureen; Fletcher, Jack M.

    2014-01-01

    The present study examined prospective and episodic memory in relation to age, functional independence, and hippocampal volume in younger to middle-aged adults with spina bifida myelomeningocele (SBM) and typically developing (TD) adults. Prospective and episodic memory, as well as hippocampal volume, were reduced in adults with SBM relative to TD adults. Neither memory performance nor hippocampal volume showed greater decrements in older adults. Lower hippocampal volume was associated with reduced prospective memory in adults with SBM, and this relation was specific to the hippocampus and not to a contrast structure, the amygdala. Prospective memory mediated the relation between hippocampal volume and functional independence in adults with SBM. The results add to emerging evidence for reduced memory function in adults with SBM, and provide quantitative evidence for compromised hippocampal macrostructure as a neural correlate of reduced memory in this population. PMID:25068670

  7. Altered Expression of 14-3-3? Protein in Spinal Cords of Rat Fetuses with Spina Bifida Aperta

    PubMed Central

    Wu, Li-na; Wei, Xiao-wei; Fan, Yang; Miao, Jia-ning; Wang, Li-li; Zhang, Yi; Wu, Di; Yuan, Zheng-wei

    2013-01-01

    Background A large number of studies have confirmed that excessive apoptosis is one of the reasons for deficient neuronal function in neural tube defects (NTDs). A previous study from our laboratory used 2-D gel electrophoresis to demonstrate that 14-3-3? expression was low in the spinal cords of rat fetuses with spina bifida aperta at embryonic day (E) 17. As a member of the 14-3-3 protein family, 14-3-3? plays a crucial role in the determination of cell fate and anti-apoptotic activity. However, neither the expression of 14-3-3? in defective spinal cords, nor the correlation between 14-3-3? and excessive apoptosis in NTDs has been fully confirmed. Methodology/Principal Findings We used immunoblotting and quantitative real-time PCR (qRT-PCR) to quantify the expression of 14-3-3? and double immunofluorescence to visualize 14-3-3? and apoptosis. We found that, compared with controls, 14-3-3? was down-regulated in spina bifida between E12 and E15. Excessive apoptotic cells and low expression of 14-3-3? were observed in the dorsal region of spinal cords with spina bifida during the same time period. To initially explore the molecular mechanisms of apoptosis in NTDs, we investigated the expression of microRNA-7 (miR-7), microRNA-375 (miR-375) and microRNA-451 (miR-451), which are known to down-regulate 14-3-3? in several different cell types. We also investigated the expression of p53, a molecule that is downstream of 14-3-3? and can be down-regulated by it. We discovered that, in contrast to the reduction of 14-3-3? expression, the expression of miR-451, miR-375 and p53 increased in spina bifida rat fetuses. Conclusions/Significance These data suggest that the reduced expression of 14-3-3? plays a role in the excessive apoptosis that occurs in spina bifida and may be partly regulated by the over-expression of miR-451 and miR-375, and the consequent up-regulation of p53 might further promote apoptosis in spina bifida. PMID:23936434

  8. Assessment on self-care, mobility and social function of children with spina bifida in Turkey

    PubMed Central

    Sirzai, Hulya; Dogu, Beril; Demir, Selamet; Yilmaz, Figen; Kuran, Banu

    2014-01-01

    The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory (PEDI) to look into capacity of twenty-eight children with spina bifida with lesions at different levels in different dimensions of self-care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 (1–10) years. In the muscle test carried out, 13 patients (44.8%) had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients (54%) were non-ambulatory according to the Hoofer ambulation classification. Raw and scale scores in the self-care, mobility and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambulation Scale and muscle test (P < 0.05). A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test (P < 0.005). A negative relation was also found between Caregiver Assistance Scale-mobility and Functional Ambulation Scale and muscle test (P < 0.005). In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence. PMID:25206788

  9. A two-view ultrasound CAD system for spina bifida detection using Zernike features

    NASA Astrophysics Data System (ADS)

    Konur, Umut; Gürgen, Fikret; Varol, Füsun

    2011-03-01

    In this work, we address a very specific CAD (Computer Aided Detection/Diagnosis) problem and try to detect one of the relatively common birth defects - spina bifida, in the prenatal period. To do this, fetal ultrasound images are used as the input imaging modality, which is the most convenient so far. Our approach is to decide using two particular types of views of the fetal neural tube. Transcerebellar head (i.e. brain) and transverse (axial) spine images are processed to extract features which are then used to classify healthy (normal), suspicious (probably defective) and non-decidable cases. Decisions raised by two independent classifiers may be individually treated, or if desired and data related to both modalities are available, those decisions can be combined to keep matters more secure. Even more security can be attained by using more than two modalities and base the final decision on all those potential classifiers. Our current system relies on feature extraction from images for cases (for particular patients). The first step is image preprocessing and segmentation to get rid of useless image pixels and represent the input in a more compact domain, which is hopefully more representative for good classification performance. Next, a particular type of feature extraction, which uses Zernike moments computed on either B/W or gray-scale image segments, is performed. The aim here is to obtain values for indicative markers that signal the presence of spina bifida. Markers differ depending on the image modality being used. Either shape or texture information captured by moments may propose useful features. Finally, SVM is used to train classifiers to be used as decision makers. Our experimental results show that a promising CAD system can be actualized for the specific purpose. On the other hand, the performance of such a system would highly depend on the qualities of image preprocessing, segmentation, feature extraction and comprehensiveness of image data.

  10. Spina Bifida

    MedlinePLUS

    ... spine, or spinal cord. It happens if the spinal column of the fetus doesn't close completely during the first month of pregnancy. This can damage the nerves and spinal cord. Screening tests during pregnancy can check for ...

  11. Spina Bifida

    MedlinePLUS

    ... Problems Illnesses & Injuries Health Problems of Grown Ups People, Places & Things That Help Feelings Q&A Movies & More Quizzes Games Kids' Medical Dictionary En Espaol What Other Kids Are Reading Girls and Puberty Boys and Puberty Video: Am I Normal? (Girls and Puberty) Movie: Digestive ...

  12. Spina Bifida

    MedlinePLUS

    ... She likes to go swimming, play with her dog, and have friends over. She's been in three ... Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart.com

  13. Spina Bifida

    MedlinePLUS

    ... re pregnant. If you have a fever, take acetaminophen (Tylenol®) right away and call your provider. How do ... re pregnant. If you have a fever, take acetaminophen (Tylenol®) right away and call your provider. How ...

  14. Transition into adult healthcare services in Scotland: findings from a study concerning service users at the Scottish Spina Bifida Association

    PubMed Central

    Wynd, Andrew HD; Carachi, Robert

    2014-01-01

    Background and Aims Literature on interventions that enable young people with spina bifida and/or hydrocephalus to have smooth transition, into adult healthcare services, stress the need for the process to start early and to include all family members. The study reported here was set to quantify and articulate the experiences of service users who are or due to be going through the transition process in Scotland today. Methods and Results Focus group sessions, in the North of Scotland and in the Central Belt, captured rich qualitative data. A survey, sent to eligible participants on the Spina Bifida National database, offered complimentary data source. Despite the fact that the number of returned questionnaires was low (n?=?20), data analysis identified a number of core recurring themes. These include issues concerning Communications, Respect, Choice and Control. Findings suggest that there is a significant chasm between the political rhetoric and the reality faced by young people with spina bifida moving to adult healthcare services. Conclusion A possible way to facilitate successful transition of young people is using personal healthcare information as the locus for needed change. More research is needed to ascertain whether a Person-Centred Record, which is set to empower young people on their transition pathway, is an appropriate transition tool. PMID:25358489

  15. Application potential of bone marrow mesenchymal stem cell (BMSCs) based tissue-engineering for spinal cord defect repair in rat fetuses with spina bifida aperta.

    PubMed

    Li, Xiaoshuai; Yuan, Zhengwei; Wei, Xiaowei; Li, Hui; Zhao, Guifeng; Miao, Jiaoning; Wu, Di; Liu, Bo; Cao, Songying; An, Dong; Ma, Wei; Zhang, Henan; Wang, Weilin; Wang, Qiushi; Gu, Hui

    2016-04-01

    Spina bifida aperta are complex congenital malformations resulting from failure of fusion in the spinal neural tube during embryogenesis. Despite surgical repair of the defect, most patients who survive with spina bifida aperta have a multiple system handicap due to neuron deficiency of the defective spinal cord. Tissue engineering has emerged as a novel treatment for replacement of lost tissue. This study evaluated the prenatal surgical approach of transplanting a chitosan-gelatin scaffold seeded with bone marrow mesenchymal stem cells (BMSCs) in the healing the defective spinal cord of rat fetuses with retinoic acid induced spina bifida aperta. Scaffold characterisation revealed the porous structure, organic and amorphous content. This biomaterial promoted the adhesion, spreading and in vitro viability of the BMSCs. After transplantation of the scaffold combined with BMSCs, the defective region of spinal cord in rat fetuses with spina bifida aperta at E20 decreased obviously under stereomicroscopy, and the skin defect almost closed in many fetuses. The transplanted BMSCs in chitosan-gelatin scaffold survived, grew and expressed markers of neural stem cells and neurons in the defective spinal cord. In addition, the biomaterial presented high biocompatibility and slow biodegradation in vivo. In conclusion, prenatal transplantation of the scaffold combined with BMSCs could treat spinal cord defect in fetuses with spina bifida aperta by the regeneration of neurons and repairmen of defective region. PMID:26894267

  16. Spina bifida in fetus is associated with an altered pattern of DNA methylation in placenta.

    PubMed

    Zhang, Xiaojuan; Pei, Lijun; Li, Runting; Zhang, Wei; Yang, Hua; Li, Yongchao; Guo, Yu; Tan, Pingping; Han, Jingdong J; Zheng, Xiaoying; Ma, Runlin Z

    2015-10-01

    Failure in closure of neural tube leads to neural tube defects (NTDs), which are among the most common symptoms of human birth defects. Although epigenetic status in placenta is linked to fetal development, the mechanism behind this remains unknown. Because of the importance of DNA methylation in gene function, we set to explore whether or not DNA methylation in human placenta is also linked to fetal NTDs. Here we show for the first time that alteration of DNA methylation in placenta is closely associated with the phenotypes of fetal spina bifida (Sb). We found that patterns of DNA methylation for genes in neurological system process were differentially altered in the Sb placenta. In particular, the transcription regulatory regions of TRIM26 and GANS were kept at the hypomethylation status in Sb placenta alone. Accordingly, the protein levels of TRIM26 and GNAS were significantly elevated only in the Sb placenta but not in the Sb-affected fetuses. In cellular model of CHO cells deficient in Dihydrofolate reductase and treated with 5-aza-2'-deoxycytidine, the protein levels of GNAS and TRIM26 were significantly higher than those in normal control cells. These findings suggested that epigenetic status of genes in placenta have profound impacts on the development of NTDs. PMID:26178427

  17. Examination of Frontal and Parietal Tectocortical Attention Pathways in Spina Bifida Meningomyelocele Using Probabilistic Diffusion Tractography

    PubMed Central

    Juranek, Jenifer; Stuebing, Karla; Cirino, Paul T.; Dennis, Maureen; Fletcher, Jack M.

    2013-01-01

    Abstract Abnormalities of the midbrain tectum are common but variable malformations in spina bifida meningomyelocele (SBM) and have been linked to neuropsychological deficits in attention orienting. The degree to which variations in tectum structure influence white matter (WM) connectivity to cortical regions is unknown. To assess the relationship of tectal structure and connectivity to frontal and parietal cortical regions, probabilistic diffusion tractography was performed on 106 individuals (80 SBM, 26 typically developing [TD]) to isolate anterior versus posterior tectocortical WM pathways. Results showed that those with SBM exhibited significantly reduced tectal volume, along with decreased fractional anisotropy (FA) in posterior but not anterior tectocortical WM pathways when compared with TD individuals. The group with SBM also showed greater within-subject discrepancies between frontal and parietal WM integrity compared with the TD group. Of those with SBM, qualitative classification of tectal beaking based on radiological review was associated with increased axial diffusivity across both anterior and posterior tectocortical pathways, relative to individuals with SBM and a normal appearing tectum. These results support previous volumetric findings of greater impairment to posterior versus anterior brain regions in SBM, and quantifiably relate tectal volume, tectocortical WM integrity, and tectal malformations in this population. PMID:23937233

  18. Structure, Integrity, and Function of the Hypoplastic Corpus Callosum in Spina Bifida Myelomeningocele

    PubMed Central

    Crawley, Jennifer T.; Hasan, Khader; Hannay, H. Julia; Dennis, Maureen; Jockell, Catherine

    2014-01-01

    Abstract Although there are many studies of people with complete or partial hypogenesis of the corpus callosum (CC), little is understood about the hypoplastic CC in which all structures are present but thinned. Spina bifida myelomeningocele (SBM) is a model organism for such studies because many have either a hypogenetic or hypoplastic CC. We used diffusion tensor tractography (DTT) to evaluate the hypoplastic CC in SBM and its relation to interhemispheric functions and intelligence quotient (IQ). Participants were individuals with SBM and an intact or hypoplastic CC (n=28), who were compared to a typically developing comparison group (n=32). Total and regional DTT volume and integrity measures (fractional anisotropy, axial diffusivity, and radial diffusivity) of the CC were related to measures of intelligence (IQ), bimanual motor functioning, and dichotic auditory performance. As predicted, DTT showed variations in volume and integrity that were maximized in the entire CC and the posterior CC. IQ correlated with entire CC volume, anterior and posterior regional CC volumes, and also with measures of integrity. Bimanual motor functioning correlated with the anterior and posterior volumes of the CC but not with any integrity measures. Axial diffusivity in the posterior CC was negatively correlated with right ear dichotic listening performance. The hypoplastic CC is not macrostructurally or microstructurally intact in SBM, even when it appears radiologically intact. Both volume and integrity of the posterior regions were related to reductions in IQ and to interhemispheric processing. These findings may transfer to other disorders characterized by a hypoplastic CC. PMID:25014561

  19. Upper limb motor function in young adults with spina bifida and hydrocephalus

    PubMed Central

    Salman, M. S.; Jewell, D.; Hetherington, R.; Spiegler, B. J.; MacGregor, D. L.; Drake, J. M.; Humphreys, R. P.; Gentili, F.

    2011-01-01

    Objective The objective of the study was to measure upper limb motor function in young adults with spina bifida meningomyelocele (SBM) and typically developing age peers. Method Participants were 26 young adults with SBM, with a Verbal or Performance IQ score of at least 70 on the Wechsler scales, and 27 age- and gender-matched controls. Four upper limb motor function tasks were performed under four different visual and cognitive challenge conditions. Motor independence was assessed by questionnaire. Results Fewer SBM than control participants obtained perfect posture and rebound scores. The SBM group performed less accurately and was more disrupted by cognitive challenge than controls on limb dysmetria tasks. The SBM group was slower than controls on the diadochokinesis task. Adaptive motor independence was related to one upper limb motor task, arm posture, and upper rather than lower spinal lesions were associated with less motor independence. Conclusions Young adults with SBM have significant limitations in upper limb function and are more disrupted by some challenges while performing upper limb motor tasks. Within the group of young adults with SBM, upper spinal lesions compromise motor independence more than lower spinal lesions. PMID:19672605

  20. Relations between Brain Structure and Attentional Function in Spina Bifida: Utilization of Robust Statistical Approaches

    PubMed Central

    Kulesz, Paulina A.; Tian, Siva; Juranek, Jenifer; Fletcher, Jack M.; Francis, David J.

    2015-01-01

    Objective Weak structure-function relations for brain and behavior may stem from problems in estimating these relations in small clinical samples with frequently occurring outliers. In the current project, we focused on the utility of using alternative statistics to estimate these relations. Method Fifty-four children with spina bifida meningomyelocele performed attention tasks and received MRI of the brain. Using a bootstrap sampling process, the Pearson product moment correlation was compared with four robust correlations: the percentage bend correlation, the Winsorized correlation, the skipped correlation using the Donoho-Gasko median, and the skipped correlation using the minimum volume ellipsoid estimator Results All methods yielded similar estimates of the relations between measures of brain volume and attention performance. The similarity of estimates across correlation methods suggested that the weak structure-function relations previously found in many studies are not readily attributable to the presence of outlying observations and other factors that violate the assumptions behind the Pearson correlation. Conclusions Given the difficulty of assembling large samples for brain-behavior studies, estimating correlations using multiple, robust methods may enhance the statistical conclusion validity of studies yielding small, but often clinically significant, correlations. PMID:25495830

  1. Attention in spina bifida myelomeningocele: Relations with brain volume and integrity

    PubMed Central

    Kulesz, Paulina A.; Treble-Barna, Amery; Williams, Victoria J.; Juranek, Jenifer; Cirino, Paul T.; Dennis, Maureen; Fletcher, Jack M.

    2015-01-01

    This study investigated the relations of tectal volume and superior parietal cortex, as well as alterations in tectocortical white matter connectivity, with the orienting and executive control attention networks in individuals with spina bifida myelomeningocele (SBM). Probabilistic diffusion tractography and quantification of tectal and superior parietal cortical volume were performed on 74 individuals aged 829 with SBM and a history of hydrocephalus. Behavioral assessments measured posterior (covert orienting) and anterior (conflict resolution, attentional control) attention network functions. Reduced tectal volume was associated with slower covert orienting; reduced superior parietal cortical volume was associated with slower conflict resolution; and increased axial diffusivity and radial diffusivity along both frontal and parietal tectocortical pathways were associated with reduced attentional control. Results suggest that components of both the orienting and executive control attention networks are impaired in SBM. Neuroanatomical disruption to the orienting network appears more robust and a direct consequence of characteristic midbrain dysmorphology; whereas, executive control difficulties may emerge from parietal cortical anomalies and reduced frontal and parietal corticalsubcortical white matter pathways susceptible to the pathophysiological effects of congenital hydrocephalus. PMID:26106529

  2. Associations of Ethnicity and SES with IQ and Achievement in Spina Bifida Meningomyelocele

    PubMed Central

    Garnaat, Sarah L.; Myszka, Katherine A.; Fletcher, Jack M.; Dennis, Maureen

    2010-01-01

    Objectives?We evaluated whether the phenotypic pattern of higher verbal than nonverbal IQ in children with spina bifida meningomyelocele (SBM) is consistent across subgroups differing in ethnicity and SES. We also explored the relation of cognitive and academic performance.?Methods?Non-Hispanic White (n = 153) and Hispanic (n = 80) children with SBM received the Stanford Binet Test of Intelligence-IV and achievement subtests of the WoodcockJohnson. Parents completed questionnaires assessing the family environment [socioeconomic status (SES), resources, and educational opportunities].?Results?Multivariate analysis revealed that Hispanic children with lower SES had lower verbal than nonverbal scores. Hispanic children with higher SES and non-Hispanic White children demonstrated the reverse pattern. Verbal and nonverbal IQ interacted to predict reading and math performance.?Conclusions?Lower SES is associated with lower verbal IQ in economically disadvantaged Hispanic children with SBM. Academic achievement is largely correlated with verbal IQ, but children with lower verbal IQ may partially compensate with higher nonverbal ability. PMID:20150339

  3. Physical fitness and exercise training on individuals with spina bifida: a systematic review.

    PubMed

    Oliveira, Ana; Jcome, Cristina; Marques, Alda

    2014-05-01

    Spina Bifida (SB) is characterized by several physical impairments; however, data on physical fitness and on the benefits of exercise training in individuals with SB are dispersed in the literature. Thus, this systematic review aimed to describe (i) physical fitness components (cardiorespiratory endurance, muscle strength, body composition, flexibility and neuromotor) and (ii) exercise training effects on the physical fitness of individuals with SB. CINAHL, MEDLINE and EMBASE were searched from January to March 2013 and updated in December 2013. Twenty-three studies were included. A summary of the results was performed using a best-evidence synthesis. Participants with SB had lower cardiorespiratory endurance (-32 to 54% in VO2 peak) and muscle strength (-58 to 90%) and higher body fat (159%) than their healthy peers. Mobility restrictions were present in 26.3-61% of participants. No data on neuromotor fitness were found. Aerobic and strength training improved participants' cardiorespiratory endurance (effect sizes 0.78-1.4) and muscle strength (effect sizes 0-0.59). Individuals with SB have impaired cardiorespiratory endurance, muscle strength, body composition and flexibility when compared to healthy peers. Exercise training seems to improve two of these fitness components (cardiorespiratory endurance and muscle strength). Nevertheless, the heterogeneity of the studies' designs, methods and instruments used limits the establishment of firm conclusions and highlights the need for further research. PMID:24612860

  4. The role of urodynamic studies in the diagnosis and treatment of patients with spina bifida

    PubMed Central

    Alatas, I.; Demirci, H.; Canaz, Huseyin; Akdemir, O.; Baydin, S.; Ozel, K.

    2015-01-01

    Aim: Spina bifida (SB) is a congenital deformity that is frequently seen in infancy. Surgical treatment and clinical follow-up of patients with the diagnosis of SB are important to provide education to the patients and their relatives, to increase patient survival, to ensure that they have a more comfortable life. Neuro-urological problems are highly important for the patients in terms of both social and medical. Materials and Methods: The medical records of patients who underwent surgery for SB and tethered cord syndrome at our clinic in the past year were retrospectively evaluated. The results of urodynamic studies of the patients were evaluated. The results of patients who underwent control urodynamic studies during the follow-up period were compared with the previous results, and their clinical courses were determined. Results: The most frequent urodynamic changes in patients were hyperactive detrusor activity and detrusor sphincter dyssynergy preoperatively. Conclusion: A significant improvement was observed when the results of postoperative urodynamic studies were evaluated in patients who underwent surgery for tethered cord. PMID:25972935

  5. Anatomical and diffusion MRI of deep gray matter in pediatric spina bifida

    PubMed Central

    Ware, Ashley L.; Juranek, Jenifer; Williams, Victoria J.; Cirino, Paul T.; Dennis, Maureen; Fletcher, Jack M.

    2014-01-01

    Individuals with spina bifida myelomeningocele (SBM) exhibit brain abnormalities in cortical thickness, white matter integrity, and cerebellar structure. Little is known about deep gray matter macro- and microstructure in this population. The current study utilized volumetric and diffusion-weighted MRI techniques to examine gray matter volume and microstructure in several subcortical structures: basal ganglia nuclei, thalamus, hippocampus, and amygdala. Sixty-six children and adolescents (ages 8–18; M = 12.0, SD = 2.73) with SBM and typically developing (TD) controls underwent T1- and diffusion-weighted neuroimaging. Microstructural results indicated that hippocampal volume was disproportionately reduced, whereas the putamen volume was enlarged in the group with SBM. Microstructural analyses indicated increased mean diffusivity (MD) and fractional anisotropy (FA) in the gray matter of most examined structures (i.e., thalamus, caudate, hippocampus), with the putamen exhibiting a unique pattern of decreased MD and increased FA. These results provide further support that SBM differentially disrupts brain regions whereby some structures are volumetrically normal whereas others are reduced or enlarged. In the hippocampus, volumetric reduction coupled with increased MD may imply reduced cellular density and aberrant organization. Alternatively, the enlarged volume and significantly reduced MD in the putamen suggest increased density. PMID:25057465

  6. A model of comprehension in spina bifida meningomyelocele: meaning activation, integration, and revision.

    PubMed

    Barnes, Marcia A; Huber, Joelene; Johnston, Amber M; Dennis, Maureen

    2007-09-01

    Spina bifida meningomyelocele (SBM) is a neurodevelopmental disorder associated with adequate development of word reading and single word comprehension, but deficient text and discourse comprehension. Studies of comprehension in children with SBM are reviewed in relation to a comprehension model in which meanings are either activated from the surface code or constructed through resource-intensive integration and revision processes to form representations of the text base and models of the situation described by the text. Two new studies probed the construction of situation models in SBM. Experiment 1 tested the ability to build spatial and affective situation models from single sentences in 86 children with SBM (8 to 18 years of age) and 37 control children (8 to 16 years of age). Experiment 2 tested the ability to integrate across sentences to build spatial situation models in 15 children with SBM and 15 age-matched controls. Compared to age peers, children with SBM did not construct situation models that required integration of information across sentences, even though they could construct such models from single sentences. The data bear on the distinctive SBM neurocognitive profile, and more generally, on the significance of integration processes for the constructive aspects of language comprehension. PMID:17697417

  7. The Influence of Social Adjustment on Normative and Risky Health Behaviors in Emerging Adults With Spina Bifida

    PubMed Central

    Murray, Caitlin B.; Lennon, Jaclyn M.; Devine, Katie A.; Holmbeck, Grayson N.; Klages, Kimberly; Potthoff, Lauren M.

    2015-01-01

    Objective To understand the rates of normative and risky health behaviors and the influence of prior and current social adjustment on health risk behaviors in emerging adults with spina bifida (SB). Method These data are part of a larger longitudinal study of youth with SB; at ages 1819, 50 emerging adults with SB and 60 typically developing (TD) youth participated. Social adjustment was measured at ages 12/13, 14/15, 16/17, and 18/19. Substance use and sexual activity were self-reported by emerging adults. Results The SB group reported similar frequencies (i.e., number of days in the previous month) of cigarette and marijuana use. Fewer individuals with SB reported initiation of both alcohol use (i.e., ever used) and sexual activity (i.e., ever had sex) compared to TD peers. The SB group also reported less frequent alcohol use and fewer sexual partners. Better social adjustment during early adolescence (ages 12/13) predicted more frequent alcohol use and a greater number of sexual partners for all youth. Social adjustment also mediated the effect of group status on health risk behaviors. Conclusions Emerging adults with SB lag behind TD peers in terms of normative initiation of alcohol use and sexual activity. However, this population participates in some risky health behaviors at similar rates compared to their TD peers (e.g., smoking). Youths health risk behaviors may be influenced by their level of social adjustment. A challenge for future interventions for this population will be finding methods of improving social functioning without increasing the rate of health risk behavior. PMID:24490647

  8. Genes encoding critical transcriptional activators for murine neural tube development and human spina bifida: a case-control study

    PubMed Central

    2010-01-01

    Background Spina bifida is a malformation of the neural tube and is the most common of neural tube defects (NTDs). The etiology of spina bifida is largely unknown, although it is thought to be multi-factorial, involving multiple interacting genes and environmental factors. Mutations in transcriptional co-activator genes-Cited2, p300, Cbp, Tfap2?, Carm1 and Cart1 result in NTDs in murine models, thus prompt us to investigate whether homologues of these genes are associated with NTDs in humans. Methods Data and biological samples from 297 spina bifida cases and 300 controls were derived from a population-based case-control study conducted in California. 37 SNPs within CITED2, EP300, CREBBP, TFAP2A, CARM1 and ALX1 were genotyped using an ABI SNPlex assay. Odds ratios and 95% confidence intervals were calculated for alleles, genotypes and haplotypes to evaluate the risk for spina bifida. Results Several SNPs showed increased or decreased risk, including CITED2 rs1131431 (OR = 5.32, 1.04~27.30), EP300 rs4820428 (OR = 1.30, 1.01~1.67), EP300 rs4820429 (OR = 0.50, 0.26~0.50, in whites, OR = 0.7, 0.49~0.99 in all subjects), EP300 rs17002284 (OR = 0.43, 0.22~0.84), TFAP2A rs3798691 (OR = 1.78, 1.13~2.87 in Hispanics), CREBBP rs129986 (OR = 0.27, 0.11~0.69), CARM1 rs17616105 (OR = 0.41, 0.22~0.72 in whites). In addition, one haplotype block in EP300 and one in TFAP2A appeared to be associated with increased risk. Conclusions Modest associations were observed in CITED2, EP300, CREBBP, TFAP2A and CARM1 but not ALX1. However, these modest associations were not statistically significant after correction for multiple comparisons. Searching for potential functional variants and rare causal mutations is warranted in these genes. PMID:20932315

  9. [Familial congenital diaphragmatic hernia with anencephly-exencephaly and spina bifida].

    PubMed

    Hussey, Maria; W?asienko, Pawe?; Adamczyk, Tomasz; Dangel, Joanna

    2015-02-01

    Congenital Diaphragmatic Hernia (CDH) occurs with an estimated incidence of 1 to 2500 live births. Even though the exact etiology is still unknown, more and more often current research points out genetic factors as the possible cause of the defect. According to the latest data and the own experience 50-60% of CDH cases are isolated. The rest forms a group of CDH complicated by an additional anatomic defect or a genetic syndrome caused by a mutation of a single gene or the whole chromosome. We have presented a case study of a 32 years-old multigravida para 3, who has been referred to the Reference Centre of Prenatal Cardiology in 30 weeks of gestation due to the diagnosis of acrania with exencephaly, spina bifida and suspicion for CDH in a fetus. Although the patient's first child died due to CDH, the patient neither before nor during the pregnancy was getting a folic acid supplementation. Moreover, she has not agreed on a further cytogenetic testing or an advanced consultation with a clinical geneticist. The child died after delivery in a local hospital. The case was described to indicate the problem that the CDH diagnostic procedure is still missing a molecular genetic analysis especially in the cases of recurrent CDH. By saying that in the cases of CDH we should always strive to complete the molecular testing having in mind that by discovering pathogenesis and genes responsible for the formation of CDH we not only might improve the therapeutic methods but also find a way to prevent its development. PMID:25807842

  10. Tethering of the spinal cord in mouse fetuses and neonates with spina bifida

    PubMed Central

    Stiefel, Dorothea; Shibata, Takashi; Meuli, Martin; Duffy, Patrick G.; Copp, Andrew J.

    2015-01-01

    Object Tethering of the spinal cord is a well known complication in humans with spina bifida (SB) aperta or occulta. Its pathogenesis consists of a pathological fixation of the spinal cord resulting in traction on the neural tissue which, in turn, leads to ischemia and progressive neurological deterioration. Although well established in humans, the phenomenon of cord tethering has not been described in animal models of SB. Methods A fetal mouse model with naturally occurring, genetically determined SB was produced by generating double mutants between the curly tail (ct) and loop-tail (Lp) mutant strains. Microdissection, labelling with DiI, immunohistochemistry for neurofilaments, hematoxylin and eosin staining of histological sections and whole mount skeletal preparations were used in the comparison of mutant and normal fetuses. Conclusions Normal fetuses exhibit the onset of progressive physiological ascent of the spinal cord from embryonic day (E) 15.5. Spinal cord ascent results, by E18.5, in spinal nerve roots that pass caudo-laterally from the spinal cord towards the periphery. In contrast, fetuses with SB exhibit spinal cord tethering that results, at E18.5, in nerve roots that run in a cranio-lateral direction from the spinal cord. The region of closed spinal cord immediately cranial to the SB lesion exhibits marked narrowing, late in gestation, suggesting that a potentially damaging stretch force is applied to the spinal cord by the tethered SB lesion. This mouse model provides an opportunity to study the onset and early sequelae of spinal cord tethering in SB. PMID:12956464

  11. A Genetic Signature of Spina Bifida Risk from Pathway-Informed Comprehensive Gene-Variant Analysis

    PubMed Central

    Marini, Nicholas J.; Hoffmann, Thomas J.; Lammer, Edward J.; Hardin, Jill; Lazaruk, Katherine; Stein, Jason B.; Gilbert, Dennis A.; Wright, Crystal; Lipzen, Anna; Pennacchio, Len A.; Carmichael, Suzan L.; Witte, John S.; Shaw, Gary M.; Rine, Jasper

    2011-01-01

    Despite compelling epidemiological evidence that folic acid supplements reduce the frequency of neural tube defects (NTDs) in newborns, common variant association studies with folate metabolism genes have failed to explain the majority of NTD risk. The contribution of rare alleles as well as genetic interactions within the folate pathway have not been extensively studied in the context of NTDs. Thus, we sequenced the exons in 31 folate-related genes in a 480-member NTD case-control population to identify the full spectrum of allelic variation and determine whether rare alleles or obvious genetic interactions within this pathway affect NTD risk. We constructed a pathway model, predetermined independent of the data, which grouped genes into coherent sets reflecting the distinct metabolic compartments in the folate/one-carbon pathway (purine synthesis, pyrimidine synthesis, and homocysteine recycling to methionine). By integrating multiple variants based on these groupings, we uncovered two provocative, complex genetic risk signatures. Interestingly, these signatures differed by race/ethnicity: a Hispanic risk profile pointed to alterations in purine biosynthesis, whereas that in non-Hispanic whites implicated homocysteine metabolism. In contrast, parallel analyses that focused on individual alleles, or individual genes, as the units by which to assign risk revealed no compelling associations. These results suggest that the ability to layer pathway relationships onto clinical variant data can be uniquely informative for identifying genetic risk as well as for generating mechanistic hypotheses. Furthermore, the identification of ethnic-specific risk signatures for spina bifida resonated with epidemiological data suggesting that the underlying pathogenesis may differ between Hispanic and non-Hispanic groups. PMID:22140583

  12. Quality of life related to urinary continence in adult spina bifida patients

    PubMed Central

    Dong, Caroline; Casey, Jessica T.; Greiman, Alyssa; Mukherjee, Shubhra; Kielb, Stephanie J.

    2015-01-01

    Introduction To analyze the correlations of bladder management technique, ambulatory status and urologic reconstruction on quality of life (QOL) as affected by urinary symptoms in adult spina bifida (SB) patients. Material and methods Sixtysix adult SB patients completed the RAND 36Item Health Survey (mSF36) and Incontinence Quality of Life (IQOL). Demographic information, history of urinary reconstruction, and bladder management techniques were reviewed and analyzed with respect to survey scores. Results Mean age of patients was 32.3 (SD 7.2) years and 44 patients (66.7%) were female. Fortyfive patients (68.2%) were mainly ambulatory, 21 (31.8%) use a wheelchair and 10 (15.2%) had urologic reconstruction, while 56 (83.3%) did not. Twelve patients (18.2%) void, 42 (63.6%) perform clean intermittent catheterization (CIC), 4 (6.1%) use an indwelling catheter, 3 (4.5%) have an ileal conduit (IC) and 5 (7.6%) mainly use diapers. Mean mSF36 General Health score was 56.5 (SD 22.9) and mean IQOL Sum score was 50.9 (SD 21.7), where lower scores reflect lower QOL. mSF36 and IQOL scores did not significantly correlate with bladder management technique, ambulatory status or urologic reconstruction. A correlation was noted between IQOL scales and most mSF36 scales (all p <0.02). Conclusions In our cohort study of adult SB patients, bladder management technique and urologic reconstruction did not correlate with urinary (IQOL) or general health (mSF36) domains, although IQOL and mSF36 scores correlated closely, suggesting urinary continence is significantly related to general QOL. However, we are unable to identify a single factor that improves either urinary or general QOL. PMID:25914840

  13. A Description of Spina Bifida Cases and Co-Occurring Malformations, 1976–2011

    PubMed Central

    Parker, Samantha E.; Yazdy, Mahsa M.; Mitchell, Allen A.; Demmer, Laurie A.; Werler, Martha M.

    2015-01-01

    Mandatory folic acid fortification in the United States corresponded with a decline in the prevalence of spina bifida (SB). The aim of this study was to describe the epidemiologic characteristics of isolated versus non-isolated SB cases in both pre- and post-fortification periods. SB cases in the Slone Epidemiology Center Birth Defects Study from 1976 to 2011 without chromosomal anomalies and syndromes were included. A maternal interview, conducted within 6 months of delivery, collected information on demographics, reproductive history, diet, and supplement use. Daily folic acid intake in the periconceptional period was calculated using both dietary and supplement information and categorized as low intake (<400 μg/day) or high intake (≥400 μg/day). SB cases (n=1170) were classified as isolated (80.4%) or non-isolated (19.1%). Non-isolated cases were further divided into subgroups based on accompanying major malformations (midline, renal, genital, heart, laterality). Compared to non-isolated cases, isolated cases were more likely to be white, non-Hispanic and have more than 12 years of education. Cases in the renal, genital, and heart subgroups had the lowest proportions of mothers with a high folic acid intake. The change from pre- to post-fortification was associated with a decrease in the proportion of isolated cases from 83% to 72%, though in both periods isolated cases were more likely to be female and their mothers were more likely to have high folic acid intake. These findings highlight the importance of separating isolated and non-isolated cases in etiologic research of SB. PMID:24357196

  14. White and grey matter relations to simple, choice, and cognitive reaction time in spina bifida.

    PubMed

    Dennis, Maureen; Cirino, Paul T; Simic, Nevena; Juranek, Jenifer; Taylor, W Pat; Fletcher, Jack M

    2016-03-01

    Elevated reaction time (RT) is common in brain disorders. We studied three forms of RT in a neurodevelopmental disorder, spina bifida myelomeningocele (SBM), characterized by regional alterations of both white and grey matter, and typically developing individuals aged 8 to 48 years, in order to establish the nature of the lifespan-relations of RT and brain variables. Cognitive accuracy and RT speed and variability were all impaired in SBM relative to the typically developing group, but the most important effects of SBM on RT are seen on tasks that require a cognitive decision rule. Individuals with SBM are impaired not only in speeded performance, but also in the consistency of their performance on tasks that extend over time, which may contribute to poor performance on a range of cognitive tasks. The group with SBM showed smaller corrected corpus callosum proportions, larger corrected cerebellar white matter proportions, and larger corrected proportions for grey matter in the Central Executive and Salience networks. There were clear negative relations between RT measures and corpus callosum, Central Executive, and Default Mode networks in the group with SBM; relations were not observed in typically developing age peers. Statistical mediation analyses indicated that corpus callosum and Central Executive Network were important mediators. While RT is known to rely heavily on white matter under conditions of typical development and in individuals with adult-onset brain injury, we add the new information that additional involvement of grey matter may be important for a key neuropsychological function in a common neurodevelopmental disorder. PMID:26040977

  15. Epidemiologic and genetic aspects of spina bifida and other neural tube defects

    PubMed Central

    Au, Kit Sing; Ashley-Koch, Allison; Northrup, Hope

    2011-01-01

    The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public health officials to design and implement policies to prevent NTD pregnancies, and (c) individuals to take precautions to reduce the chance of having an NTD-affected pregnancy. Despite extensive research, our knowledge of the genetic etiology of human NTDs is limited. Although more than 200 small animal models with NTDs exist, most of these models do not replicate the human disease phenotype. Over a hundred candidate genes have been examined for risk association to human SB. The candidate genes studied include those important in folic acid metabolism, glucose metabolism, retinoid metabolism, and apoptosis. Many genes that regulate transcription in early embryogenesis and maintain planar cell polarity have also been tested as candidates. Additionally, genes identified through mouse models of NTDs have been explored as candidates. We do not know how many genes in the human genome may confer risk for NTDs in human. Less than 20% of the studied candidate genes have been determined to confer even a minor effect on risk association. Many studies have provided conflicting conclusions due to limitations in study design that potentially affect the power of statistical analysis. Future directions such as genomewide association studies (GWAS) and whole exome or even whole genome sequencing are discussed as possible avenues to identify genes that affect risk for human NTDs. PMID:20419766

  16. Skin Ulcers and Mortality Among Adolescents and Young Adults With Spina Bifida in South Carolina During 2000-2010.

    PubMed

    Cai, Bo; McDermott, Suzanne; Wang, Yinding; Royer, Julie A; Mann, Joshua R; Hardin, James W; Ozturk, Orgul; Ouyang, Lijing

    2016-03-01

    The authors investigated 48 deaths (7% death rate) among 690 adolescents and young adults with spina bifida in South Carolina during 2000-2010. The authors used Medicaid and other administrative data and a retrospective cohort design that included people with spina bifida identified using ICD-9 codes. Cox regression models with time-dependent and time-invariant covariates, and Kaplan-Meier survival curves were constructed. The authors found that 21.4% of the study group had a skin ulcer during the study period and individuals with skin ulcers had significantly higher mortality than those without ulcers (P < .0001). People who had their first skin ulcer during adolescence had higher mortality than those who had the first skin ulcer during young adulthood (P = .0002; hazard ratio = 10.70, 95% confidence interval for hazard ratio: 3.01, 38.00) and those without skin ulcers, controlling for other covariates. This study showed that age at which individuals first had a skin ulcer was associated with mortality. PMID:26239488

  17. Inter-Tester Reliability and Precision of Manual Muscle Testing and Hand-Held Dynamometry in Lower Limb Muscles of Children with Spina Bifida

    ERIC Educational Resources Information Center

    Mahony, Kate; Hunt, Adrienne; Daley, Deborah; Sims, Susan; Adams, Roger

    2009-01-01

    Reliability and measurement precision of manual muscle testing (MMT) and hand-held dynamometry (HHD) were compared for children with spina bifida. Strength measures were obtained of the hip flexors, hip abductors, and knee extensors of 20 children (10 males, 10 females; mean age 9 years 10 months; range: 5 to 15 years) by two experienced physical…

  18. Inter-Tester Reliability and Precision of Manual Muscle Testing and Hand-Held Dynamometry in Lower Limb Muscles of Children with Spina Bifida

    ERIC Educational Resources Information Center

    Mahony, Kate; Hunt, Adrienne; Daley, Deborah; Sims, Susan; Adams, Roger

    2009-01-01

    Reliability and measurement precision of manual muscle testing (MMT) and hand-held dynamometry (HHD) were compared for children with spina bifida. Strength measures were obtained of the hip flexors, hip abductors, and knee extensors of 20 children (10 males, 10 females; mean age 9 years 10 months; range: 5 to 15 years) by two experienced physical

  19. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... is or was a Vietnam veteran. 3.814 Section 3.814 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... spina bifida whose biological father or mother is or was a Vietnam veteran. (a) Monthly monetary... father is or was a Vietnam veteran. Receipt of this allowance will not affect the right of the...

  20. Pyonephrosis and urosepsis in a 41-year old patient with spina bifida: Case report of a preventable death

    PubMed Central

    2012-01-01

    Background Urological complications are the major cause of ill health in patients with spina bifida. Urinary sepsis accounted for the majority of admissions in patients with spina bifida. As the patient grows older, changes occur in the adult bladder, leading to increases in storage pressure and consequent risk of deterioration of renal function, which may occur insidiously. Case presentation A 34-year-old male spinal bifida patient had been managing neuropathic bladder by penile sheath. Intravenous urography revealed normal kidneys. This patient was advised intermittent catheterisations. But self-catheterisation was not possible because of long, overhanging prepuce and marked spinal curvature. This patient developed repeated urine infections. Five years later, ultrasound examination of urinary tract revealed hydronephrotic right kidney with echogenic debris within the collecting system. There was no evidence of dilatation of the ureter near the vesicoureteric junction. The left kidney appeared normal. There was no evidence of calculus disease seen in either kidney. Indwelling urethral catheter drainage was established. Two years later, MAG-3 renogram revealed normal uptake and excretion by left kidney. The right kidney showed little functioning tissue. Following a routine change of urethral catheter this patient became unwell. Ultrasound examination revealed hydronephrotic right kidney containing thick hyper-echoic internal septations and debris in the right renal pelvis suspicious of pyonephrosis. Under both ultrasound and fluoroscopic guidance, an 8 French pig tail catheter was inserted into the right renal collecting system. 150 ml of turbid urine was aspirated immediately. This patient developed large left pleural effusion, collapse/consolidation of the left lower lobe, a large fluid collection in the abdomen extending into the pelvis and expired twenty days later because of sepsis and respiratory failure. Conclusion Although penile sheath drainage may be convenient for a spina bifida patient and the carers, hydronephrosis can occur insidiously. With recurrent urine infections, hydronephrotic kidney can become pyonephrosis, which is life-threatening. Therefore, every effort should be made to carry out intermittent catheterisations along with antimuscarinic drug therapy. PMID:22613462

  1. Left-sided Poland's syndrome in a girl with rare associations like spina bifida and diaphragmatic hernia.

    PubMed

    Sunitha, V C; Narayanan, Sathya; Nair, Pradeep Pankajakshan; Prakash, Manikka Lakshmanan

    2013-01-01

    Poland's syndrome is a rare congenital anomaly characterised by partial or complete absence of sternocostal head of pectoralis major muscle and anomalies of ipsilateral hand and digits. Other associated anomalies involving anterior thoracic wall, breast, diaphragm and vertebrae have also been reported in various cases. We report a case of a 10-year-old girl, with features of left-sided Poland's syndrome associated with spina bifida, dextroposition of the heart and left-sided diaphragmatic hernia. These are rare associations of Poland's syndrome. She was investigated with chest X-ray, contrast-enhanced CT of the thorax, ultrasonography of abdomen and echocardiography which helped in arriving at an accurate diagnosis and assessing all the associated abnormalities. PMID:24057335

  2. Bluish discolouration of urine drainage tube and bag in a female patient with spina bifida, paraplegia, and suprapubic cystostomy.

    PubMed

    Vaidyanathan, Subramanian; Soni, Bakul M

    2007-01-01

    We present a female patient with spina bifida, paraplegia, suprapubic cystostomy, and chronic constipation, who became anxious when she noticed a bluish discolouration of her urine drainage system. Urine microbiology revealed growth of Providencia stuartii and Staphylococcus aureus. There were no systemic features of infection and, therefore, antibiotics were not prescribed for asymptomatic bacteriuria. This patient was advised to change the urine bag every day, and was prescribed senna to facilitate bowel evacuation. She was reassured that bluish discolouration of the urine drainage tube and bag was a transient, benign phenomenon and not indicative of any underlying pathology. Over the next 7 days, the bluish discolouration gradually faded away. Clinical characteristics of patients who are likely to develop this phenomenon and the underlying biochemical mechanism for bluish discolouration of the urine drainage system are discussed in brief. PMID:17619789

  3. Exploratory study: knowledge about the benefits of breastfeeding and barriers for initiation in mothers of children with spina bifida.

    PubMed

    Rivera, Ana Font; Dvila Torres, Ren R; Parrilla Rodrguez, Ana M; de Longo, Idalina Montes; Gorrn Peralta, Jos J

    2008-11-01

    The aim of the study is to identify the level of knowledge on breastfeeding by mothers of infants with spina bifida and the barriers encountered in initiating breastfeeding. A non-probabilisitic sample (n=30) of mothers was used in this study. The sample was obtained in two institutions specializing in care for infants with congenital anomalies in Puerto Rico. A self-administered questionnaire was used consisting of six sections. Descriptive statistics were used for data analysis. Among participants, 56.7% had adequate knowledge on the benefits of breastfeeding. The most frequently encountered barriers in initiating breastfeeding were related to the neonatal intensive care unit (NICU). Problems with the medical and nursing procedures, routines, support from personnel, and adequacy of the environment were the most frequent. It is important to develop a education to encourage nurses and other health care professionals need suggest, support and encourage breastfeeding to mothers of infants with neural tube defects. PMID:17874287

  4. Genetic Association Study of Putative Functional Single Nucleotide Polymorphisms of Genes in Folate Metabolism and Spina Bifida

    PubMed Central

    Martinez, Carla A.; Northrup, Hope; Lin, Jone-Ing; Morrison, Alanna C.; Fletcher, Jack M.; Tyerman, Gayle H.; Au, Kit Sing

    2009-01-01

    OBJECTIVE We tested putative functional single nucleotide polymorphisms (SNPs) in genes which regulate the folate/homocysteine metabolism pathway for their contribution to spina bifida (SB) susceptibility. STUDY DESIGN The study consisted of 610 unrelated simplex SB patient families. Genotypes of 46 SNPs located in the coding sequence or promoter region of 11 genes were investigated. Associations between transmission of alleles and SB in the offspring were examined using the reconstruction-combined transmission disequilibrium test. RESULTS Significant association of SNP rs5742905 in cystathionine-?-synthase (CBS), rs1643649 in dihydrofolate reductase (DHFR), rs2853533 in thymidylate synthetase (TYMS), and rs3737965 in methylene-tetrahydrofolate-reductase (MTHFR) was found (p= 0.015, 0.041, 0.021, and 0.007 respectively). CONCLUSION Transmission disequilibrium of SNP alleles in CBS, DHFR, MTHFR and TYMS confers an increased susceptibility to SB. PMID:19683694

  5. The National Spina Bifida Patient Registry: Profile of a Large Cohort of Participants from the First 10 Clinics

    PubMed Central

    Sawin, Kathleen J.; Liu, Tiebin; Ward, Elisabeth; Thibadeau, Judy; Schechter, Michael S.; Soe, Minn M.; Walker, William

    2015-01-01

    Objective To use data from the US National Spina Bifida Patient Registry (NSBPR) to describe variations in Contexts of Care, Processes of Care, and Health Outcomes among individuals with spina bifida (SB) receiving care in 10 clinics. Study design Reported here are baseline cross-sectional data representing the first visit of 2172 participants from 10 specialized, multidisciplinary SB clinics participating in the NSBPR. We used descriptive statistics, the Fisher exact test, ?2 test, and Wilcoxon rank-sum test to examine the data. Results The mean age was 10.1 (SD 8.1) years with slightly more female subjects (52.5%). The majority was white (63.4%) and relied upon public insurance (53.5%). One-third had sacral lesions, 44.8% had mid-low lumbar lesions, and 24.9% had high lumbar and thoracic lesions. The most common surgery was ventricular shunt placement (65.7%). The most common bladder-management technique among those with bladder impairment was intermittent catheterization (69.0%). Almost 14% experienced a pressure ulcer in the last year. Of those ages 5 years or older with bowel or bladder impairments, almost 30% were continent of stool; a similar percentage was continent of urine. Most variables were associated with type of SB diagnosis. Conclusion The NSBPR provides a cross section of a predominantly pediatric population of patients followed in specialized SB programs. There were wide variations in the variables studied and major differences in Context of Care, Processes of Care, and Health Outcomes by type of SB. Such wide variation and the differences by type of SB should be considered in future analyses of outcomes. PMID:25444012

  6. Outcomes of Clinicians, Caregivers, Family Members and Adults with Spina Bifida Regarding Receptivity to use of the iMHere mHealth Solution to Promote Wellness

    PubMed Central

    Fairman, Andrea D.; Dicianno, Brad E.; Datt, Nicole; Garver, Amanda; Parmanto, Bambang; McCue, Michael

    2013-01-01

    The purpose of this study was to gather information regarding the receptivity of clinicians, caregivers and family members, and adults with spina bifida (SB) to the use of a mHealth application, iMobile Health and Rehabilitation (iMHere) system. Surveys were administered to end user groups in conjunction with a conference presentation at the Spina Bifida Association’s 38th Annual Conference. The survey results were obtained from a total of 107 respondents. Likert scale and qualitative results are provided in consideration of future application of the iMHere system in clinical practice. The results of this survey indicate respondents were receptive and supportive with regard to adopting such a system for personal and professional use. Challenges likely to be encountered in the introduction of the iMHere system are also revealed and discussed. PMID:25945209

  7. The epidemiology of anencephaly and spina bifida in Izmir, Turkey, in the light of recent aetiological theories

    PubMed Central

    Buckley, M. R.; Erten, Oktay

    1979-01-01

    The data from this study suggest that, in western Turkey, potato consumption and water hardness do not play a significant role in the aetiology of anencephaly and spina bifida (ASB). Several of the predictions of the fetus-fetus interaction theory are not supported. Other predictions could not be tested because of lack of information on the dizygotic (DZ) twinning rate. Twin data from this study, together with previous material containing explicit information on zygosity, suggest that true concordance of a particular neural tube anomaly occurs only in monozygotic (MZ) twins. It also seems that even ASB concordance occurs in DZ twins only at a rate comparable with recurrence in siblings. This confirms the earlier refutation (Field and Kerr, 1974) of the supposition of Nance (1971) that MZ twin pairs are strikingly discordant for ASB compared with DZ pairs. However, the evidence seems to go further than Field's assertion that MZ and DZ pairs are affected about equally. Concordance in DZ twins is in comparison with sibling data, but MZ pairs show a significantly higher rate of concordance in both categories. Finally, the incidence of ASB in Izmir compared with the areas of ethnic origin of the Turks, and the high representation of families from Balkan areas where the incidence more closely resembles that of Izmir, suggest that the genetic factor is important in this area. PMID:389335

  8. Cotransplantation with specific populations of spina bifida bone marrow stem/progenitor cells enhances urinary bladder regeneration.

    PubMed

    Sharma, Arun K; Bury, Matthew I; Fuller, Natalie J; Marks, Andrew J; Kollhoff, David M; Rao, Manoj V; Hota, Partha V; Matoka, Derek J; Edassery, Seby L; Thaker, Hatim; Sarwark, John F; Janicki, Joseph A; Ameer, Guillermo A; Cheng, Earl Y

    2013-03-01

    Spina bifida (SB) patients afflicted with myelomeningocele typically possess a neurogenic urinary bladder and exhibit varying degrees of bladder dysfunction. Although surgical intervention in the form of enterocystoplasty is the current standard of care in which to remedy the neurogenic bladder, it is still a stop-gap measure and is associated with many complications due to the use of bowel as a source of replacement tissue. Contemporary bladder tissue engineering strategies lack the ability to reform bladder smooth muscle, vasculature, and promote peripheral nerve tissue growth when using autologous populations of cells. Within the context of this study, we demonstrate the role of two specific populations of bone marrow (BM) stem/progenitor cells used in combination with a synthetic elastomeric scaffold that provides a unique and alternative means to current bladder regeneration approaches. In vitro differentiation, gene expression, and proliferation are similar among donor mesenchymal stem cells (MSCs), whereas poly(1,8-octanediol-cocitrate) scaffolds seeded with SB BM MSCs perform analogously to control counterparts with regard to bladder smooth muscle wall formation in vivo. SB CD34(+) hematopoietic stem/progenitor cells cotransplanted with donor-matched MSCs cause a dramatic increase in tissue vascularization as well as an induction of peripheral nerve growth in grafted areas compared with samples not seeded with hematopoietic stem/progenitor cells. Finally, MSC/CD34(+) grafts provided the impetus for rapid urothelium regeneration. Data suggest that autologous BM stem/progenitor cells may be used as alternate, nonpathogenic cell sources for SB patient-specific bladder tissue regeneration in lieu of current enterocystoplasty procedures and have implications for other bladder regenerative therapies. PMID:23431178

  9. Inpatient and Emergency Room Visits for Adolescents and Young Adults With Spina Bifida Living in South Carolina

    PubMed Central

    Mann, Joshua R.; Royer, Julie A.; Turk, Margaret A.; McDermott, Suzanne; Holland, Margaret M.; Ozturk, Orgul D.; Hardin, James W.; Thibadeau, Judy K.

    2015-01-01

    Objective To compare emergency room (ER) and inpatient hospital (IP) use rates for persons with spina bifida (SB) to peers without SB, when transition from pediatric to adult health care is likely to occur; and to analyze those ER and IP rates by age, race, socioeconomic status, gender, and type of residential area. Design A retrospective cohort study. Setting Secondary data analysis in South Carolina. Participants We studied individuals who were between 15 and 24 years old and enrolled in the State Health Plan (SHP) or state Medicaid during the 2000–2010 study period. Methods Individuals with SB were identified using ICD-9 billing codes (741.0, 741.9) in SHP, Medicaid, and hospital uniform billing (UB) data. ER and IP encounters were identified using UB data. Multivariable Generalized Estimating Equation (GEE) Poisson models were estimated to compare rates of ER and IP use among the SB group to the comparison group. Main Outcome Measures Total ER rate and IP rate, in addition to cause-specific rates for ambulatory care sensitive conditions (ACSC) and other condition categories. Results We found higher rates of ER and IP use in persons with SB compared to the control group. Among individuals with SB, young adults (those 20–24 years old) had higher rates of ER use due to all ACSC (P = .023), other ACSC (P = .04), and urinary tract infections (UTI; P = .002) compared to adolescents (those 15–19 years old). Conclusions Young adulthood is associated with increased ER use overall, as well as in specific condition categories (most notably UTI) in individuals 15–24 years old with SB. This association may be indicative of changing healthcare access as people with SB move from adolescent to adult health care, and/or physiologic changes during the age range studied. PMID:25511690

  10. Copy number variation analysis implicates the cell polarity gene glypican 5 as a human spina bifida candidate gene

    PubMed Central

    Bassuk, Alexander G.; Muthuswamy, Lakshmi B.; Boland, Riley; Smith, Tiffany L.; Hulstrand, Alissa M.; Northrup, Hope; Hakeman, Matthew; Dierdorff, Jason M.; Yung, Christina K.; Long, Abby; Brouillette, Rachel B.; Au, Kit Sing; Gurnett, Christina; Houston, Douglas W.; Cornell, Robert A.; Manak, J. Robert

    2013-01-01

    Neural tube defects (NTDs) are common birth defects of complex etiology. Family and population-based studies have confirmed a genetic component to NTDs. However, despite more than three decades of research, the genes involved in human NTDs remain largely unknown. We tested the hypothesis that rare copy number variants (CNVs), especially de novo germline CNVs, are a significant risk factor for NTDs. We used array-based comparative genomic hybridization (aCGH) to identify rare CNVs in 128 Caucasian and 61 Hispanic patients with non-syndromic lumbar-sacral myelomeningocele. We also performed aCGH analysis on the parents of affected individuals with rare CNVs where parental DNA was available (42 sets). Among the eight de novo CNVs that we identified, three generated copy number changes of entire genes. One large heterozygous deletion removed 27 genes, including PAX3, a known spina bifida-associated gene. A second CNV altered genes (PGPD8, ZC3H6) for which little is known regarding function or expression. A third heterozygous deletion removed GPC5 and part of GPC6, genes encoding glypicans. Glypicans are proteoglycans that modulate the activity of morphogens such as Sonic Hedgehog (SHH) and bone morphogenetic proteins (BMPs), both of which have been implicated in NTDs. Additionally, glypicans function in the planar cell polarity (PCP) pathway, and several PCP genes have been associated with NTDs. Here, we show that GPC5 orthologs are expressed in the neural tube, and that inhibiting their expression in frog and fish embryos results in NTDs. These results implicate GPC5 as a gene required for normal neural tube development. PMID:23223018

  11. Cotransplantation with specific populations of spina bifida bone marrow stem/progenitor cells enhances urinary bladder regeneration

    PubMed Central

    Sharma, Arun K.; Bury, Matthew I.; Fuller, Natalie J.; Marks, Andrew J.; Kollhoff, David M.; Rao, Manoj V.; Hota, Partha V.; Matoka, Derek J.; Edassery, Seby L.; Thaker, Hatim; Sarwark, John F.; Janicki, Joseph A.; Ameer, Guillermo A.; Cheng, Earl Y.

    2013-01-01

    Spina bifida (SB) patients afflicted with myelomeningocele typically possess a neurogenic urinary bladder and exhibit varying degrees of bladder dysfunction. Although surgical intervention in the form of enterocystoplasty is the current standard of care in which to remedy the neurogenic bladder, it is still a stop-gap measure and is associated with many complications due to the use of bowel as a source of replacement tissue. Contemporary bladder tissue engineering strategies lack the ability to reform bladder smooth muscle, vasculature, and promote peripheral nerve tissue growth when using autologous populations of cells. Within the context of this study, we demonstrate the role of two specific populations of bone marrow (BM) stem/progenitor cells used in combination with a synthetic elastomeric scaffold that provides a unique and alternative means to current bladder regeneration approaches. In vitro differentiation, gene expression, and proliferation are similar among donor mesenchymal stem cells (MSCs), whereas poly(1,8-octanediol-cocitrate) scaffolds seeded with SB BM MSCs perform analogously to control counterparts with regard to bladder smooth muscle wall formation in vivo. SB CD34+ hematopoietic stem/progenitor cells cotransplanted with donor-matched MSCs cause a dramatic increase in tissue vascularization as well as an induction of peripheral nerve growth in grafted areas compared with samples not seeded with hematopoietic stem/progenitor cells. Finally, MSC/CD34+ grafts provided the impetus for rapid urothelium regeneration. Data suggest that autologous BM stem/progenitor cells may be used as alternate, nonpathogenic cell sources for SB patient-specific bladder tissue regeneration in lieu of current enterocystoplasty procedures and have implications for other bladder regenerative therapies. PMID:23431178

  12. Distribution of alleles of the methylenetetrahydrofolate reductase (MTHFR) C677T gene polymorphism in familial spina bifida.

    PubMed

    Johnson, W G; Stenroos, E S; Heath, S C; Chen, Y; Carroll, R; McKoy, V V; Chatkupt, S; Lehner, T

    1999-12-22

    Spina bifida cystica (SB) is one of the most common and disabling of birth defects. Folic acid supplementation in mothers during the periconceptional period has been shown to prevent more than 70% of neural tube defects (NTD) including SB. However, the mechanism is unknown. We tested a series of multicase SB families in which 224 individuals were genotyped and a group of 215 unrelated unaffected (external) control individuals for association of SB with the T allele of methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism that produces a heat-labile enzyme protein. The data were analyzed using first the transmission/disequilibrium test (TDT) and second a modified case-control study design with Monte Carlo sampling methods. No association of SB with the MTHFR T allele was found by either method. Presently, association between SB and the T allele has been found in four studies, a Dutch study, an Irish study, a North American study, and an Italian study. But no association was found in four other studies, a British study, a French study, a Turkish study, and a German study. A California population-based study found only modestly increased risk of SB with this allele that was not significant at the P < 0.05 level. The present study finds no evidence of the association. Only one other study, the German study, has used TDT analysis. The present study is the first to use a modified case-control study design with Monte Carlo sampling methods to test this association. Thus, it appears that the MTHFR T allele is a risk factor for SB in some populations but not others. Major genetic risk factors for folate-related SB remain to be found. PMID:10594879

  13. Maternal serum alpha-fetoprotein levels in pregnancies among black and white women with fetal open spina bifida: a United States collaborative study.

    PubMed

    Johnson, A M; Palomaki, G E; Haddow, J E

    1990-02-01

    In the present study second-trimester maternal serum alpha-fetoprotein levels were analyzed from 146 pregnancies associated with fetal open spina bifida to identify whether affected pregnancies from the black population were associated with higher maternal serum alpha-fetoprotein levels than their white counterparts. Pregnancies in black women not affected by open spina bifida are already known to have higher maternal serum alpha-fetoprotein levels. All of the cases were analyzed with gestational ages assigned by last menstrual period, and all maternal serum alpha-fetoprotein values were expressed as multiples of the median, to correct for differences in gestational age and assay among the 15 centers reporting data. The levels from affected pregnancies in white and black women fit log Gaussian distributions, with medians of 3.10 and 4.37 multiples of the median, respectively, on the basis of singleton, unaffected, white pregnancy medians. These results support adjustment of maternal serum alpha-fetoprotein values for race in black women; in addition, if a screening program's policy is to screen at a comparable risk in the two races, a higher maternal serum alpha-fetoprotein multiple of the median cutoff would be justified for black women. PMID:1689960

  14. Prenatal Ablation of Nicotinic Receptor alpha7 Cell Lineages Produces Lumbosacral Spina Bifida the Severity of Which is Modified by Choline and Nicotine Exposure

    PubMed Central

    Rogers, Scott W; Tvrdik, Petr; Capecchi, Mario R; Gahring, Lorise C

    2012-01-01

    Lumbosacral spina bifida is a common debilitating birth defect whose multiple causes are poorly understood. Here, we provide the first genetic delineation of cholinergic nicotinic receptor alpha7 (Chrna7) expression and link the ablation of the Chrna7 cell lineage to this condition in the mouse. Using homologous recombination, an IRES-Cre bi-cistronic cassette was introduced into the 3? noncoding region of Chrna7 (Chrna7:Cre) for identifying cell lineages expressing this gene. This lineage first appears at embryonic day E9.0 in rhombomeres 3 and 5 of the neural tube and extends to cell subsets in most tissues by E14.5. Ablation of the Chrna7:Cre cell lineage in embryos from crosses with conditionally expressed attenuated diphtheria toxin results in precise developmental defects including omphalocele (89%) and open spina bifida (SB; 80%). We hypothesized that like humans, this defect would be modified by environmental compounds not only folic acid or choline but also nicotine. Prenatal chronic oral nicotine administration substantially worsened the defect to often include the rostral neural tube. In contrast, supplementation of the maternal diet with 2% choline decreased SB prevalence to 38% and dramatically reduced the defect severity. Folic acid supplementation only trended towards a reduced SB frequency. The omphalocele was unaffected by these interventions. These studies identify the Chrna7 cell lineage as participating in posterior neuropore closure and present a novel model of lower SB that can be substantially modified by the prenatal environment. 2012 Wiley Periodicals, Inc. PMID:22473653

  15. US Pilot Study of Lumbar to Sacral Nerve Rerouting to Restore Voiding and Bowel Function in Spina Bifida: 3-Year Experience

    PubMed Central

    Peters, Kenneth M.; Gilmer, Holly; Feber, Kevin; Girdler, Benjamin J.; Nantau, William; Trock, Gary; Killinger, Kim A.; Boura, Judith A.

    2014-01-01

    Objective. To report our experience with creating a skin-central nervous system-bladder reflex arc with intradural lumbar to sacral motor root microanastomosis to restore bladder/bowel function in spina bifida patients. Methods. Urinary/bowel changes from baseline to three years were evaluated with questionnaires, voiding diaries, urodynamics (UDS), and renal function studies. Treatment response was defined as CIC ? once/day with stable renal function, voiding efficiency > 50%, and no worsening of motor function. Results. Of 13 subjects (9 female, median age 8 years), 3 voided small amounts at baseline, one voided 200?cc (voiding efficiency 32%), 4/13 reported normal bowels, and 2/13 were continent of stool. Postoperatively, all had transient lower extremity weakness; one developed permanent foot drop. Over three years, renal function remained stable and mean maximum cystometric capacity (MCC) increased (P = 0.0135). In the 10 that returned at 3 years, 7 were treatment responders and 9 had discontinued antimuscarinics, but most still leaked urine. Only 2/8 with baseline neurogenic detrusor overactivity (NDO) still had NDO, all 3 with compliance <10?mL/cm H2O had normalized, 7/10 considered their bowels normal, 5/10 were continent of stool, and 8/10 would undergo the procedure again. Conclusion. Lumbar to sacral nerve rerouting can improve elimination in spina bifida patients. This trial is registered with ClinicalTrials.gov NCT00378664. PMID:24987412

  16. US Pilot Study of Lumbar to Sacral Nerve Rerouting to Restore Voiding and Bowel Function in Spina Bifida: 3-Year Experience.

    PubMed

    Peters, Kenneth M; Gilmer, Holly; Feber, Kevin; Girdler, Benjamin J; Nantau, William; Trock, Gary; Killinger, Kim A; Boura, Judith A

    2014-01-01

    Objective. To report our experience with creating a skin-central nervous system-bladder reflex arc with intradural lumbar to sacral motor root microanastomosis to restore bladder/bowel function in spina bifida patients. Methods. Urinary/bowel changes from baseline to three years were evaluated with questionnaires, voiding diaries, urodynamics (UDS), and renal function studies. Treatment response was defined as CIC ? once/day with stable renal function, voiding efficiency > 50%, and no worsening of motor function. Results. Of 13 subjects (9 female, median age 8 years), 3 voided small amounts at baseline, one voided 200?cc (voiding efficiency 32%), 4/13 reported normal bowels, and 2/13 were continent of stool. Postoperatively, all had transient lower extremity weakness; one developed permanent foot drop. Over three years, renal function remained stable and mean maximum cystometric capacity (MCC) increased (P = 0.0135). In the 10 that returned at 3 years, 7 were treatment responders and 9 had discontinued antimuscarinics, but most still leaked urine. Only 2/8 with baseline neurogenic detrusor overactivity (NDO) still had NDO, all 3 with compliance <10?mL/cm H2O had normalized, 7/10 considered their bowels normal, 5/10 were continent of stool, and 8/10 would undergo the procedure again. Conclusion. Lumbar to sacral nerve rerouting can improve elimination in spina bifida patients. This trial is registered with ClinicalTrials.gov NCT00378664. PMID:24987412

  17. Discrepancies in Mother and Child Perceptions of Spina Bifida Medical Responsibilities During the Transition to Adolescence: Associations With Family Conflict and Medical Adherence

    PubMed Central

    Psihogios, Alexandra M.

    2013-01-01

    Objective This study investigated mother–child discrepancies over perceptions of who is responsible for spina bifida (SB) medical tasks in relation to family conflict and medical adherence. Method 140 youth with SB and their mothers completed questionnaires regarding who is responsible for specific SB medical tasks, family conflict, and medical adherence. An observational measure was also used to assess family conflict. Results Although children viewed themselves as more responsible for medical management than mothers did, mother–child discrepancies were not associated with family conflict or medical adherence. Interaction effects revealed that adherence was better when family conflict was low and when parents were responsible for medical tasks. Conclusions Parental involvement in SB medical care is essential for optimal medical adherence during adolescence. The presence of family conflict also plays an influential role on SB medical adherence. Future research should evaluate the relations between discrepancies, family conflict, and medical adherence across time. PMID:23843631

  18. The assessment of weight status in children and young people attending a spina bifida outpatient clinic: a retrospective medical record review

    PubMed Central

    Swift, Judy Anne; Yung, Emily; Lyons, Julia; Church, Paige

    2013-01-01

    Purpose Children with disabilities are two to three times more likely to become overweight or obese than typically developing children. Children with spina bifida (SB) are at particular risk, yet obesity prevalence and weight management with this population are under-researched. This retrospective chart review explored how weight is assessed and discussed in a children’s SB outpatient clinic. Method Height/weight data were extracted from records of children aged 2–18 with a diagnosis of SB attending an outpatient clinic at least once between June 2009–2011. Body mass index was calculated and classified using Centers for Disease Control and Prevention cut-offs. Notes around weight, diet and physical/sedentary activities were transcribed verbatim and analysed using descriptive thematic analysis. Results Of 180 eligible patients identified, only 63 records had sufficient data to calculate BMI; 15 patients were overweight (23.81%) and 11 obese (17.46%). Weight and physical activity discussions were typically related to function (e.g. mobility, pain). Diet discussions focused on bowel and bladder function and dietary challenges. Conclusions Anthropometrics were infrequently recorded, leaving an incomplete picture of weight status in children with SB and suggesting that weight is not prioritised. Bowel/bladder function was highlighted over other benefits of a healthy body weight, indicating that health promotion opportunities are being missed. Implications for Rehabilitation It is important to assess, categorise and record anthropometric data for children and youth with spina bifida as they may be at particular risk of excess weight. Information around weight categorisation should be discussed openly and non-judgmentally with children and their families. Health promotion opportunities may be missed by focusing solely on symptom management or function. Healthcare professionals should emphasise the broad benefits of healthy eating and physical activity, offering strategies to enable the child to incorporate healthy lifestyle behaviours appropriate to their level of ability. PMID:23510013

  19. Spina Bifida Occulta

    MedlinePLUS

    ... gets stretched and damaged. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ... on an individual basis. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ...

  20. Hypertension and Spina Bifida

    MedlinePLUS

    ... is a standard workup. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ... on an individual basis. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ...

  1. Genetics and Spina Bifida

    MedlinePLUS

    ... with medically diagnosed obesity www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ... on an individual basis. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ...

  2. Can Naturoptics fund Naturopathic Universities to Develop Interlocked Mentoring Relationships with Proposed Universities to Check Sensitivities of Individuals with Spina Bifida, to Environmentally Generated EMF Information about 'Quakes, Hurricanes, etc.?

    NASA Astrophysics Data System (ADS)

    McLeod, David M.; Ataide, Italani; McLeod, Roger D.

    2006-03-01

    Individuals harboring the herpes zoster virus following chicken pox, are susceptible to attacks of shingles. They may indicate peculiar awareness of pricking `pin and needle' sensations and co-symptoms of tinnitus and/or Meuniere's syndrome. RDM used similar symptoms in FL to predict the earthquake ninety miles north of Guantanamo bay in 1998. An astounding burial site in Florida from over six thousand years ago had a teenaged boy with severe spina bifida, with non-Asian genes, who could not have survived without very capable health support. Two youthful individuals likewise afflicted with spina bifida were unearthed from one site at Pompeii, entombed by the eruption of Vesuvius, August 24 and 25, CE 79. We know how to locate sites, active with EMF, which have tornado, hurricane and earthquake associations, and would like to foster joint research also involving Hawaiian and other volcanoes.

  3. Long-term complications following bladder augmentations in patients with spina bifida: bladder calculi, perforation of the augmented bladder and upper tract deterioration

    PubMed Central

    2016-01-01

    Background We desire to review our experience with bladder augmentation in spina bifida patients followed in a transitional and adult urologic practice. This paper will specifically focus on three major complications: bladder calculi, the most frequent complication found following bladder augmentation, perforation of the augmentation, its most lethal complication and finally we will address loss of renal function as a direct result of our surgical reconstructive procedures. Methods We reviewed a prospective data base maintained on patients with spina bifida followed in our transitional and adult urology clinic from 1986 to date. Specific attention was given to patients who had developed bladder calculi, sustained a spontaneous perforation of the augmented bladder or had developed new onset of renal scarring or renal insufficiency (≥ stage 3 renal failure) during prolonged follow-up. Results The development of renal stones (P<0.05) and symptomatic urinary tract infections (P<0.0001) were found to be significantly reduced by the use of high volume (≥240 mL) daily bladder wash outs. Individuals who still developed bladder calculi recalcitrant to high volume wash outs were not benefited by the correction of underlying metabolic abnormalities or mucolytic agents. Spontaneous bladder perforations in the adult patient population with spina bifida were found to be directly correlated to substance abuse and noncompliance with intermittent catheterization, P<0.005. Deterioration of the upper tracts as defined by the new onset of renal scars occurred in 40% (32/80) of the patients managed by a ileocystoplasty and simultaneous bladder neck outlet procedure during a median follow-up interval 14 years (range, 8–45 years). Development of ≥ stage 3 chronic renal failure occurred within 38% (12/32) of the patients with scarring i.e., 15% (12/80) of the total patient population. Prior to the development of the renal scarring, 69% (22/32) of the patients had been noncompliant with intermittent catheterization. The onset of upper tract deterioration (i.e., new scar formation, hydronephrosis, calculus development, decrease in renal function) was silent, that is, clinically asymptomatic in one third (10/32 pts). Conclusions This paper documents the need for high volume bladder irrigations to both prevent the most common complication following bladder augmentation, which is the development of bladder calculi and to reduce the incidence of symptomatic urinary tract infections. It provides a unique perspective regarding the impact of substance abuse and patient non-compliance with medical directives as being both the most common cause for both spontaneous bladder rupture following augmentation cystoplasty and for deterioration of the upper tracts. These findings should cause the surgeon to reflect on his/her assessment of a patient prior to performing a bladder augmentation procedure and stress the need for close follow-up. PMID:26904407

  4. Brain stem/brain stem occipital bone ratio and the four-line view in nuchal translucency images of fetuses with open spina bifida.

    PubMed

    Iuculano, Ambra; Zoppi, Maria Angelica; Piras, Alessandra; Arras, Maurizio; Monni, Giovanni

    2014-09-10

    Abstract Objective: Brain stem depth/brain stem occipital bone distance (BS/BSOB ratio) and the four-line view, in images obtained for nuchal translucency (NT) screening in fetuses with open spina bifida (OSB). Methods: Single center, retrospective study based on the assessment of NT screening images of fetuses with OSB. A ratio between the BS depth and the BSOB distance was calculated (BS/BSOB ratio) and the four-line view observed, and the sensitivity for a BS/BSOB ratio superior/equal to 1, and for the lack of detection of the four-line view were calculated. Results: There were 17 cases of prenatal diagnosis OSB. In six cases, the suspicion on OSB was raised during NT screening, in six cases, the diagnosis was made before 20 weeks and in five cases during anomaly scan. The BS/BSOB ratio was superior/equal to 1 in all 17 cases, and three lines, were visualized in 15/17 images of the OSB cases, being the sensitivity 100% (95% CI, 81 to 100%) and 88% (95% CI, 65 to 96%). Conclusion: Assessment of BS/BSOB ratio and four-line view in NT images is feasible detecting affected by OSB with high sensitivity. The presence of associated anomalies or of an enlarged NT enhances the early detection. PMID:25123518

  5. EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY

    PubMed Central

    Crytzer, Theresa M.; Dicianno, Brad E.; Fairman, Andrea D.

    2013-01-01

    Background Obesity, deconditioning, cognitive impairment, and poor exercise tolerance are health issues concerning adults with spina bifida (SB). Our aim is to describe exercise participation and identify motivating tactics and exercise devices that increase participation. Design In a quasi-experimental randomized crossover design, the GameCycle was compared to a Saratoga Silver I arm ergometer. Personalized free or low cost text/voice message reminders to exercise were sent. Methods Nineteen young adults with SB were assigned to either the GameCycle or Saratoga exercise group. Within each group, participants were randomized to receive reminders to exercise, or no reminders, then crossed over to the opposite message group after eight weeks. Before and after a 16 week exercise program we collected anthropometric, metabolic, exercise testing and questionnaire data, and recorded participation. Results Miles traveled by the GameCycle group were significantly higher than the Saratoga exercise groups. No significant differences were found in participation between the message reminder groups. Low participation rates were seen overall. Conclusions Those using the GameCycle traveled more miles. Barriers to exercise participation may have superseded ability to motivate adults with SB to exercise even with electronic reminders. Support from therapists to combat deconditioning and develop coping skills may be needed. PMID:24620701

  6. Observed Macro- and Micro-Level Parenting Behaviors During Preadolescent Family Interactions as Predictors of Adjustment in Emerging Adults With and Without Spina Bifida

    PubMed Central

    Amaro, Christina M.; Devine, Katie A.; Psihogios, Alexandra M.; Murphy, Lexa K.; Holmbeck, Grayson N.

    2015-01-01

    Objective?To examine observed autonomy-promoting and -inhibiting parenting behaviors during preadolescence as predictors of adjustment outcomes in emerging adults with and without spina bifida (SB).?Methods?Demographic and videotaped interaction data were collected from families with 8/9-year-old children with SB (n = 68) and a matched group of typically developing youth (n = 68). Observed interaction data were coded with macro- and micro-coding schemes. Measures of emerging adulthood adjustment were collected 10 years later (ages 18/19 years; n = 50 and n = 60 for SB and comparison groups, respectively).?Results?Autonomy-promoting (behavioral control, autonomy-relatedness) and -inhibiting (psychological control) observed preadolescent parenting behaviors prospectively predicted emerging adulthood adjustment, particularly within educational, social, and emotional domains. Interestingly, high parent undermining of relatedness predicted better educational and social adjustment in the SB sample. Conclusions?Parenting behaviors related to autonomy have long-term consequences for adjustment in emerging adults with and without SB. PMID:24864277

  7. Development and validation of the Peer Interaction Macro-coding System scales (PIMS): A new tool for observational measurement of social competence in youth with spina bifida

    PubMed Central

    Holbein, Christina E.; Zebracki, Kathy; Holmbeck, Grayson N.

    2014-01-01

    Many children with chronic health conditions encounter enduring difficulties in their peer interactions and friendships. This study aimed to create and validate scales derived from an observational coding system (i.e., Peer Interaction Macro-coding System; PIMS) in a sample of children with spina bifida and their peers. 106 target child-peer dyads completed a battery of questionnaires and interviews and were videotaped performing four interaction tasks, which were then coded across multiple domains of social functioning. Five scales (i.e., Control, Prosocial Skills, Positive Affect, Conflict, and Dyadic Cohesion) were rationally derived based on a review of the literature and a panel of experts. Internal consistency and inter-rater reliability at the scale level were good-to-excellent for all five scales. Interscale correlations were in the low-to-moderate range for four of the scales, although the Dyadic Cohesion scale was highly correlated with two other scales and was subsequently dropped. Convergent and discriminant validity were established by examining the four remaining scales in association with comparable questionnaire and interview data. The four PIMS scales appear to be reliable and valid measures of social competence and may enhance future multimethod research efforts aimed at learning more about peer interactions and overall social competence. PMID:24932641

  8. Brain Mechanisms for Reading and Language Processing in Spina Bifida Meningomyelocele: A Combined Magnetic Source- and Structural Magnetic Resonance Imaging Study

    PubMed Central

    Simos, Panagiotis G.; Papanicolaou, Andrew C.; Castillo, Eduardo Martinez; Juranek, Jenifer; Cirino, Paul T.; Rezaie, Roozbeh; Fletcher, Jack M.

    2011-01-01

    Objective The development of the ability to process spoken and written language depends upon a network of left hemisphere temporal, parietal, and frontal regions. The present study explored features of brain organization in children with spina bifida meningomyelocele (SBM) and shunted hydrocephalus, who commonly present with precocious development of word reading skills and preservation of vocabulary and grammar skills. Method Eight children with SBM were compared with 15 IQ and reading-level matched, typically developing controls on MRI-based morphometric and Magnetic Source Imaging-derived neurophysiological profiles. Results Children with SBM showed reduced magnetic activity in left inferior parietal regions during spoken word recognition and pseudoword reading tasks. We also noted reduced surface area/volume in inferior parietal and posterior temporal regions in SBM and increased gray matter volumes in left middle frontal regions and gyral complexity in left posterior temporal and inferior parietal regions. Conclusions A complex pattern of changes in cortical morphology and activation may serve as evidence for structural and functional brain reorganization ensuring preservation of language and decoding abilities in children with SBM. PMID:21574714

  9. Development and validation of the Peer Interaction Macro-Coding System Scales (PIMS): a new tool for observational measurement of social competence in youth with spina bifida.

    PubMed

    Holbein, Christina E; Zebracki, Kathy; Holmbeck, Grayson N

    2014-12-01

    Many children with chronic health conditions encounter enduring difficulties in their peer interactions and friendships. This study aimed to create and validate scales derived from an observational coding system (i.e., Peer Interaction Macro-Coding System, or PIMS) in a sample of children with spina bifida and their peers. Participants were 106 target child-peer dyads who completed a battery of questionnaires and interviews and were videotaped performing 4 interaction tasks, which were then coded across multiple domains of social functioning. Five scales (i.e., Control, Prosocial Skills, Positive Affect, Conflict, and Dyadic Cohesion) were rationally derived based on a review of the literature and a panel of experts. Internal consistency and interrater reliability at the scale level were good to excellent for all 5 scales. Interscale correlations were in the low-to-moderate range for 4 of the scales, although the Dyadic Cohesion Scale was highly correlated with two other scales and was subsequently dropped. Convergent validity and discriminant validity were established by examining the 4 remaining scales in association with comparable questionnaire and interview data. The 4 PIMS scales appear to be reliable and valid measures of social competence and may enhance future multimethod research efforts aimed at learning more about peer interactions and overall social competence. PMID:24932641

  10. The 19-bp deletion polymorphism in intron-1 of dihydrofolate reductase (DHFR) may decrease rather than increase risk for spina bifida in the Irish population.

    PubMed

    Parle-McDermott, Anne; Pangilinan, Faith; Mills, James L; Kirke, Peadar N; Gibney, Eileen R; Troendle, James; O'Leary, Valerie B; Molloy, Anne M; Conley, Mary; Scott, John M; Brody, Lawrence C

    2007-06-01

    Periconceptional maternal folic acid supplementation can prevent up to 70% of pregnancies affected with neural tube defects (NTDs), including spina bifida. This has focused attention on folate-related genes such as dihydrofolate reductase (DHFR) in a bid to identify the genetic factors that influence NTD risk through either the fetal or maternal genotype. We considered a novel intronic 19-bp deletion polymorphism and two polymorphisms within the 3' untranslated region (721A>T and 829C>T) of the DHFR gene as candidates for NTD risk. We studied NTD cases (n=283), mothers of cases (n=280), fathers of cases (n=279), and controls (n=256). We did not find the DHFR 829C>T polymorphism to be variable within the Irish population. The 19-bp intron deletion and the 721A>T polymorphisms were found to be in linkage disequilibrium. In contrast to a previous study, the 19-bp intron deletion allele did show a significant protective effect in mothers of NTD cases when present in one (relative risk 0.59 [95%CI: 0.39-0.89], P=0.01) or two copies (relative risk 0.52 [95%CI: 0.32-0.86], P=0.01). Analysis of mRNA levels revealed a small increase in expression ( approximately 1.5-fold) associated with the 19-bp intron deletion polymorphism, but this was not significant. In conclusion, the DHFR intron 19-bp deletion allele may be a protective NTD genetic factor by increasing DHFR mRNA levels in pregnant women. PMID:17486595

  11. Men's Health and Spina Bifida

    MedlinePLUS

    ... your clinic about these. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ... on an individual basis. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ...

  12. Spina Bifida Association of America

    MedlinePLUS

    ... Corporate Sponsor Make a Planned Gift Gift of Stock Learn General Information FAQS about SB Info Sheets ... Corporate Sponsor Make a Planned Gift Gift of Stock Learn General Information FAQS about SB Info Sheets ...

  13. Type 2 Diabetes and Spina Bifida

    MedlinePLUS

    ... to them” more easily www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ... on an individual basis. www.spinabildaassociation.org • 1600 Wilson Blvd. Suite 800 Arlington, VA 22209 • 800-621- ...

  14. Frequently Asked Questions about Spina Bifida

    MedlinePLUS

    ... vomiting, visual difficulties, muscle numbness and weakness, and back pain. After having MRI and other tests, it seems ... son is an outstanding athlete but has chronic back pain. Can he be helped? A: Back pain should ...

  15. The diagnostic features of spina bifida: the role of ultrasound.

    PubMed

    Coleman, Beverly G; Langer, Jill E; Horii, Steven C

    2015-01-01

    Myelomeningocele (MMC) is one of the most devastating, nonlethal congenital anomalies worldwide. The live birth prevalence of MMC changed dramatically in the 1980s with the introduction of maternal serum screening and the widespread use of prenatal ultrasound imaging. The high-resolution ultrasound affordable today with state-of-the-art equipment allows us to make a very accurate diagnosis of MMC, including details related to the entire fetal central nervous system. Ultrasound can accurately localize the site of the osseous and soft tissue defects. Congenital spinal defects can be characterized definitively as open or closed, which are treated very differently with in utero repair, which is done in some cases, compared to only conservative follow-up with postnatal therapy for occult defects. Additional findings of kyphosis, scoliosis and anomalous vertebrate and associated conditions such as cervical syrinx can be identified. The state of the intracranial structures, including the presence or absence of ventriculomegaly and hindbrain herniation, as well as unexpected complications such as intracranial hemorrhage can be diagnosed. The severity of neurological compromise in some fetuses can be estimated by detailed examination of the lower extremities. As well as searching for talipes, we also now routinely characterize flexion and extension motions at the hip, knee and ankle joints. The information provided by ultrasound plays a crucial role, now more than ever, in patient counseling and pregnancy management. This article emphasizes how we utilize ultrasound in the evaluation of patients with suspected MMC at the Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia. PMID:25341807

  16. Surgery on Fetus Reduces Complications of Spina Bifida

    MedlinePLUS Videos and Cool Tools

    ... an opening in the spine. In a new Web video, study author Catherine Y. Spong, M.D., ... medical rehabilitation. For more information, visit the Institute’s Web site at http://www.nichd.nih.gov/ . The ...

  17. Ophthalmologic complications of meningomyelocele: a longitudinal study.

    PubMed Central

    Biglan, A W

    1990-01-01

    Patients with spina bifida have multiple ophthalmologic problems, many of which are preventable. Most of the problems are related to the hydrocephalus, which is caused by the coexisting Arnold-Chiari malformation. When patients are treated for hydrocephalus, and comprehensive eye care is available, 94% of the patients will have 6/12 visual acuity or better. Strabismus is common but it responds well to medical and surgical treatment. Children with spina bifida should have frequent examinations by an ophthalmologist who is familiar with the diagnosis and management of the defects recorded in this study. Images FIGURE 4 FIGURE 5 FIGURE 6 FIGURE 7 FIGURE 8 FIGURE 9 FIGURE 10 FIGURE 11 FIGURE 12 PMID:2095031

  18. Driver education: the needs of the learner driver with spina bifida and hydrocephalus.

    PubMed

    Simms, B

    1989-12-01

    Eighty one young people with myelomeningocele and hydrocephalus were assessed for driving ability during the period 1982-1984. All except 6 were eligible to hold a provisional license. At December 1988, over 50% were qualified drivers. Differences in the number of hours of tuition, tests and the difficulties encountered varied for both the driver group and those who had discontinued tuition. Difficulties related to (a) practical and financial considerations and (b) the organisation of tuition. A smaller group of 20 was monitored during tuition within a two year period. Prior to tuition, 10 attended a one week driving course designed to introduce car control skills and simple road procedures. A further 10 learner drivers, who had not attended a course, were similarly monitored through the tuition period. Learner drivers were reviewed by in-car testing and interview after each ten hours' tuition. At the end of the two year period, 40% of learner drivers had passed the driving test, 45% were still receiving tuition and 15% had discontinued lessons. Equal numbers from both groups were qualified drivers but 30% of those who had not attended a course had discontinued tuition. Significant factors for driving success included the availability of instructors and suitably adapted cars, frequency of tuition and level of parental and community support. Future planning for driver education should consider providing driving facilities in local centres. Facilities would need to include adapted cars, experienced instructors and key-workers to coordinate tuition and fulfill a supportive role. PMID:2623960

  19. Arithmetic Achievement in Children with Cerebral Palsy or Spina Bifida Meningomyelocele

    ERIC Educational Resources Information Center

    Jenks, Kathleen M.; van Lieshout, Ernest C. D. M.; de Moor, Jan

    2009-01-01

    The aim of this study was to establish whether children with a physical disability resulting from central nervous system disorders (CNSd) show a level of arithmetic achievement lower than that of non-CNSd children and whether this is related to poor automaticity of number facts or reduced arithmetic instruction time. Twenty-two children with CNSd

  20. JUMONJI GENE AND RISK FOR SPINA BIFIDA AND CONGENITAL HEART DEFECTS. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  1. ASSOCIATIONS BETWEEN POLYMORPHISMS WITHIN THE THYMIDYLATE SYNTHASE GENE AND SPINA BIFIDA. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  2. Deliberate termination of life of newborns with spina bifida, a critical reappraisal

    PubMed Central

    2007-01-01

    Objects Deliberate termination of life of newborns (involuntary euthanasia) with meningomyelocele (MMC) is practiced openly only in the Netherlands. ‘Unbearable and hopeless suffering’ is the single most cited criterion for this termination, together with the notion that ‘there are no other proper medical means to alleviate this suffering’. In this paper, both (and other) statements are questioned, also by putting them in a broader perspective. Methods First, a historical overview of the treatment of newborns with MMC is presented, concentrating on the question of selection for treatment. Second, a thorough analysis is made of the criteria used for life termination. Third, a case of a newborn with a very severe MMC is presented as a ‘reference case’. Conclusion ‘Unbearable and hopeless suffering’ cannot be applied to newborns with MMC. They are not ‘terminally ill’ and do have ‘prospects of a future’. In these end-of-life decisions, ‘quality of life judgments’ should not be applied. When such a newborn is not treated, modern palliative care always will suffice in eliminating possible discomfort. There is no reason whatsoever for active life-termination of these newborns. PMID:17929034

  3. Myelomeningocele: How we can improve the assessment of the most severe form of spina bifida.

    PubMed

    Smith, George M; Krynska, Barbara

    2015-09-01

    Myelomeningocele (MMC) is a devastating spinal cord birth defect, which results in significant life-long disabilities, impaired quality of life, and difficult medical management. The pathological progression of MMC involves failure in neural tube and vertebral arch closure at early gestational ages, followed by subsequent impairment in spinal cord and vertebral growth during fetal development. MMC is irreversible at term. Thus, prenatal therapeutic strategies that interrupt progressive pathological processes offer an appealing approach for treatment of MMC. However, a thorough understanding of pathological progression of MMC is mandatory for appropriate treatment to be rendered. This article is part of a Special Issue entitled SI: Spinal cord injury. PMID:25498106

  4. Characteristics of a Spina Bifida Population Including North American Caucasian and Hispanic Individuals

    PubMed Central

    Au, Kit Sing; Tran, Phong X.; Tsai, Chester C.; OByrne, Michelle R.; Lin, Jone-Ing; Morrison, Alanna C.; Hampson, Amy W.; Cirino, Paul; Fletcher, Jack M.; Ostermaier, Kathryn K.; Tyerman, Gayle H.; Doebel, Sabine; Northrup, Hope

    2008-01-01

    BACKGROUND Meningomyelocele (MM) is a common human birth defect. MM is a disorder of neural development caused by contributions from genes and environmental factors that result in the neural tube defect and lead to a spectrum of physical and neurocognitive phenotypes. METHODS A multi-disciplinary approach has been taken to develop a comprehensive understanding of MM through collaborative efforts from investigators specializing in genetics, development, brain imaging, and neurocognitive outcome. Patients have been recruited from five different sites: Houston and the Texas-Mexico border area; Toronto, Canada; Los Angeles, California; and Lexington, Kentucky. Genetic risk factors for MM have been assessed by genotyping and association testing using the transmission disequilibrium test. RESULTS A total of 509 affected child/parent trios and 309 affected child/parent duos have been enrolled to date for genetic association studies. Subsets of the patients have also been enrolled for studies assessing development, brain imaging, and neurocognitive outcomes. The study recruited two major ethnic groups with 45.9% Hispanics of Mexican descent and 36.2% North American Caucasians of European descent. The remaining patients are African American, South and Central American, Native American and Asian. Studies of this group of patients have already discovered distinct corpus callosum morphology and neurocognitive deficits that associate with MM. We have identified maternal MTHFR 667T allele as a risk factor for MM. In addition, we also found that several genes for glucose transport and metabolism are potential risk factors for MM. CONCLUSIONS The enrolled patient population provides a valuable resource for elucidating the disease characteristics and mechanisms for MM development. PMID:18937358

  5. 77 FR 42229 - Gruma Corporation, Spina Bifida Association, March of Dimes Foundation, American Academy of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-18

    ... that appeared in the Federal Register of June 13, 2012 (77 FR 35317). The document announced that Gruma...., Bldg. 32, rm. 3208, Silver Spring, MD 20993, 301-796-9148. SUPPLEMENTARY INFORMATION: In FR Doc. 2012... regulations be amended to provide for the safe use of folic acid in corn masa flour. The document...

  6. 77 FR 35317 - Gruma Corporation, Spina Bifida Association, March of Dimes Foundation, American Academy of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... amended to provide for the safe use of folic acid in corn masa flour. FOR FURTHER INFORMATION CONTACT... provide for the safe use of folic acid in corn masa flour. The Agency has determined under 21 CFR...

  7. Trends in Spina Bifida and Anencephalus in the United States, 1991-2006

    MedlinePLUS

    ... Gallery FastStats MMWR QuickStats Ordering Information Printed Publications Birth, Death, Marriage and Divorce Certificates Government Printing Office Bookstore How to Order from the National Technical Information Service NCHS Trends ...

  8. Arnold Chiari malformation with spina bifida: a lost opportunity of folic Acid supplementation.

    PubMed

    Ganesh, Deepa; Sagayaraj, Benjamin M; Barua, Ravi Kumar; Sharma, Nidhi; Ranga, Upasana

    2014-12-01

    In Arnold Chiari (kee-AHR-ee) II malformation elongated cerebellar tonsils are displaced inferiorly through the Foramen Magnum into the upper cervical spinal canal. It is a complex anomaly with skull, dura, brain, spine and cord manifestations. Meningomyelocele is seen in all cases. We present a case of type II Arnold Chiari Malformation diagnosed in utero in a pregnant lady .There was no periconceptional folic acid supplementation. As the role of the Methylene Tetra Hydro Folate Reductase gene polymorphism in neural tube defects is becoming evident, a simple opportunity as folic acid supplementation should not be missed. Folate supplementation as fortification of cereal grains will also prevent other conditions like congenital heart defects, urinary tract anomalies, orofacial defects, limb defects and pyloric stenosis. PMID:25653995

  9. Arnold Chiari Malformation with Spina Bifida: A Lost Opportunity of Folic Acid Supplementation

    PubMed Central

    Sagayaraj, Benjamin M; Barua, Ravi Kumar; Sharma, Nidhi; Ranga, Upasana

    2014-01-01

    In Arnold Chiari (kee-AHR-ee) II malformation elongated cerebellar tonsils are displaced inferiorly through the Foramen Magnum into the upper cervical spinal canal. It is a complex anomaly with skull, dura, brain, spine and cord manifestations. Meningomyelocele is seen in all cases. We present a case of type II Arnold Chiari Malformation diagnosed in utero in a pregnant lady .There was no periconceptional folic acid supplementation. As the role of the Methylene Tetra Hydro Folate Reductase gene polymorphism in neural tube defects is becoming evident, a simple opportunity as folic acid supplementation should not be missed. Folate supplementation as fortification of cereal grains will also prevent other conditions like congenital heart defects, urinary tract anomalies, orofacial defects, limb defects and pyloric stenosis. PMID:25653995

  10. IS SONIC HEDGEHOG (SHH) A CANDIDATE GENE FOR SPINA BIFIDA? (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  11. Longitudinal Mediators of Achievement in Mathematics and Reading in Typical and Atypical Development

    PubMed Central

    Barnes, Marcia A.; Raghubar, Kimberly P.; English, Lianne; Williams, Jeffrey M.; Taylor, Heather; Landry, Susan

    2014-01-01

    Longitudinal studies of neurodevelopmental disorders that are diagnosed at or before birth and which are associated with specific learning difficulties at school-age provide one method for investigating developmental precursors of later-emerging academic disabilities. Spina bifida myelomeningocele (SBM) is a neurodevelopmental disorder associated with particular problems in mathematics, in contrast to well-developed word reading. Children with SBM (n = 30) and typically developing children (n = 35) were used to determine whether cognitive abilities measured at 36 and 60 months of age mediated the effect of group on mathematical and reading achievement outcomes at 8.5 and 9.5 years of age. A series of multiple mediator models showed that: visual-spatial working memory at 36 months and phonological awareness at 60 months partially mediated the effect of group on math calculations; phonological awareness partially mediated the effect of group on small addition and subtraction problems on a test of math fluency; and visual-spatial working memory mediated the effect of group on a test of math problem solving. Groups did not differ on word reading, and phonological awareness was the only mediator for reading fluency and reading comprehension. The findings are discussed with reference to theories of mathematical development and disability and with respect to both common and differing cognitive correlates of math and reading. PMID:24269579

  12. Longitudinal mediators of achievement in mathematics and reading in typical and atypical development.

    PubMed

    Barnes, Marcia A; Raghubar, Kimberly P; English, Lianne; Williams, Jeffrey M; Taylor, Heather; Landry, Susan

    2014-03-01

    Longitudinal studies of neurodevelopmental disorders that are diagnosed at or before birth and are associated with specific learning difficulties at school-age provide one method for investigating developmental precursors of later-emerging academic disabilities. Spina bifida myelomeningocele (SBM) is a neurodevelopmental disorder associated with particular problems in mathematics, in contrast to well-developed word reading. Children with SBM (n=30) and typically developing children (n=35) were used to determine whether cognitive abilities measured at 36 and 60 months of age mediated the effect of group on mathematical and reading achievement outcomes at 8.5 and 9.5 years of age. A series of multiple mediator models showed that: visual-spatial working memory at 36 months and phonological awareness at 60 months partially mediated the effect of group on math calculations, phonological awareness partially mediated the effect of group on small addition and subtraction problems on a test of math fluency, and visual-spatial working memory mediated the effect of group on a test of math problem solving. Groups did not differ on word reading, and phonological awareness was the only mediator for reading fluency and reading comprehension. The findings are discussed with reference to theories of mathematical development and disability and with respect to both common and differing cognitive correlates of math and reading. PMID:24269579

  13. 76 FR 58567 - Proposed Information Collection (Request for Transportation Expense Reimbursement) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... solicits comments on the information needed to determine children with spina bifida eligibility for... collection. Abstract: Children of Vietnam veterans born with spina bifida and receiving vocational...

  14. Idiom Comprehension Deficits in Relation to Corpus Callosum Agenesis and Hypoplasia in Children with Spina Bifida Meningomyelocele

    ERIC Educational Resources Information Center

    Huber-Okrainec, J.; Blaser, S.E.; Dennis, M.

    2005-01-01

    Idioms are phrases with figurative meanings that are not directly derived from the literal meanings of the words in the phrase. Idiom comprehension varies with: literality, whether the idiom is literally plausible; compositionality, whether individual words contribute to a figurative meaning; and contextual bias. We studied idiom comprehension in

  15. EVALUATION OF THE CITED2 GENE AND RISK FOR SPINA BIFIDA AND CONGENITAL HEART DEFECTS. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  16. The Many Layers of Social Support: Capturing the Voices of Young People with Spina Bifida and Their Parents

    ERIC Educational Resources Information Center

    Antle, Beverley J.; Montgomery, Gert; Stapleford, Christine

    2009-01-01

    Young people with physical disabilities experience greater difficulty than their able-bodied peers in many psychosocial domains as they transition toward adulthood. However, firsthand knowledge of the dimensions of social support that young people with physical disabilities find useful during this stage is lacking. This qualitative study involved

  17. RISK FACTORS FOR NEURAL TUBE DEFECTS: ASSOCIATIONS BETWEEN UNCOUPLING PROTEIN 2 POLYMORPHISMS AND SPINA BIFIDA. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  18. The wart-like chorion of Edessa bifida (Hemiptera: Pentatomidae).

    PubMed

    Wolf, K W; Reid, W

    2003-10-01

    There is the suspicion that the stink bug Edessa bifida invades cotton fields in Southern parts of North America. To assist in the early detection of the bug, the morphology of deposited eggs of E. bifida is described using scanning electron microscopy (SEM). The study revealed a surface pattern not yet seen in the Pentatomidae. The almost spherical eggs are deposited in batches and fastened both to one another and to the plant surface by secretions in all likelihood produced by the female. The egg surface is characterized by pentagons and hexagons formed by slender ridges. The lumen of these polygons shows 1 to 4 circular elevations of variable size and a flat upper face. In contrast to the ridges the elevations are relatively conspicuous. They are reminiscent of tiny warts and therefore the chorion of E. bifida is referred to as 'wart-like chorion'. Twenty-eight to 31 short aero-micropylar processes are mounted in a circumferential row at the anterior pole of the eggs. The discussion focuses on the variability of the chorion in the stink bugs. PMID:15137688

  19. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., 1812, 1821, 1831, 1832, 1833, 1834, 5101, 5110, 5111, 5112) Cross Reference: 38 CFR 3.307(a)(6)(iv). ... have been exposed to an herbicide agent during such service. Exposure to an herbicide agent will be... the Department of Defense, operated in or near the Korean DMZ in an area in which herbicides are...

  20. Mouse hitchhiker mutants have spina bifida, dorso-ventral patterning defects and polydactyly: identification of Tulp3 as a novel negative regulator of the Sonic hedgehog pathway

    PubMed Central

    Patterson, Victoria L.; Damrau, Christine; Paudyal, Anju; Reeve, Benjamin; Grimes, Daniel T.; Stewart, Michelle E.; Williams, Debbie J.; Siggers, Pam; Greenfield, Andy; Murdoch, Jennifer N.

    2009-01-01

    The mammalian Sonic hedgehog (Shh) signalling pathway is essential for embryonic development and the patterning of multiple organs. Disruption or activation of Shh signalling leads to multiple birth defects, including holoprosencephaly, neural tube defects and polydactyly, and in adults results in tumours of the skin or central nervous system. Genetic approaches with model organisms continue to identify novel components of the pathway, including key molecules that function as positive or negative regulators of Shh signalling. Data presented here define Tulp3 as a novel negative regulator of the Shh pathway. We have identified a new mouse mutant that is a strongly hypomorphic allele of Tulp3 and which exhibits expansion of ventral markers in the caudal spinal cord, as well as neural tube defects and preaxial polydactyly, consistent with increased Shh signalling. We demonstrate that Tulp3 acts genetically downstream of Shh and Smoothened (Smo) in neural tube patterning and exhibits a genetic interaction with Gli3 in limb development. We show that Tulp3 does not appear to alter expression or processing of Gli3, and we demonstrate that transcriptional regulation of other negative regulators (Rab23, Fkbp8, Thm1, Sufu and PKA) is not affected. We discuss the possible mechanism of action of Tulp3 in Shh-mediated signalling in light of these new data. PMID:19223390

  1. EVALUATION OF INFANT METHYLENETETRAHYDROFOLATE REDUCTASE GENOTYPE, MATERNAL VITAMIN USE, AND RISK OF HIGH VERSUS LOW LEVEL SPINA BIFIDA DEFECTS. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  2. MATERNAL PERICONCEPTIONAL VITAMIN USE, GENETIC VARIATION OF INFANT REDUCED FOLATE CARRIER (A80G) AND RISK OF SPINA BIFIDA. (R828292)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  3. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Reference: 38 CFR 3.307(a)(6)(iv). ... is or was a Vietnam veteran or a veteran with covered service in Korea. 3.814 Section 3.814 Pensions... veteran or a veteran with covered service in Korea. (a) Monthly monetary allowance. VA will pay a...

  4. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Reference: 38 CFR 3.307(a)(6)(iv). ... is or was a Vietnam veteran or a veteran with covered service in Korea. 3.814 Section 3.814 Pensions... veteran or a veteran with covered service in Korea. (a) Monthly monetary allowance. VA will pay a...

  5. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Reference: 38 CFR 3.307(a)(6)(iv). ... is or was a Vietnam veteran or a veteran with covered service in Korea. 3.814 Section 3.814 Pensions... veteran or a veteran with covered service in Korea. (a) Monthly monetary allowance. VA will pay a...

  6. Block the function of nonmuscle myosin II by blebbistatin induces zebrafish embryo cardia bifida.

    PubMed

    Wang, Xueqian; Chong, Mei; Wang, Xin; Wang, Hongkui; Zhang, Jie; Xu, Hui; Zhang, Jingjing; Liu, Dong

    2015-03-01

    Nonmuscle myosin II (NM II) is the name given to the multi-subunit protein product of three genes encoding different nonmuscle myosin heavy chains including NM II-A, NM II-B, and NM II-C. Blebbistatin is a small molecule that has been shown to be a relatively specific inhibitor of NM II. Blocking the function of NM II by blebbistatin induces zebrafish embryo cardia bifida at a dose-dependent manner. In situ hybridization analysis with ventricular marker ventricular myosin heavy chain (vmhc) and atrial marker atrial myosin heavy chain (amhc) showed each of the heart contained both distinct atria and ventricle. However, the cardia bifida embryos had highly variable distance between two separate ventricles. We also provided evidence that time window from 12 to 20 h post fertilization (hpf) is necessary and sufficient for cardia bifida formation caused by blebbistatin treatment. Expression of spinster homolog 2 (spns2) was decreased in blebbistatin-treated embryos, suggesting the cardia bifida phenotype caused by NM II inhibition was relevant to precardiac mesoderm migration defects. Through in situ hybridization analysis, we showed that foxa1 was expressed in endoderm of blebbistatin-treated embryos at 24-hpf stage, suggesting the endoderm formation is normal in cardia bifida embryos caused by blebbistatin treatment. In addition, we demonstrated that blebbistatin treatment resulted in morphology alteration of zebrafish cardiomyocytes in vivo and neonatal mouse cardiomyocytes in vitro. PMID:25403653

  7. Prenatal Surgery: Helping Babies Before Birth

    MedlinePLUS

    ... of the greatest successes have come from correcting spina bifida (an often disabling spinal abnormality in which the ... A recent landmark study reports that kids with spina bifida who received fetal surgery typically are more likely ...

  8. Being Pregnant with Twins, Triplets and Other Multiples

    MedlinePLUS

    ... babies, including neural tube defects (like spina bifida ), cerebral palsy , congenital heart defects and birth defects that affect ... babies, including neural tube defects (like spina bifida ), cerebral palsy , congenital heart defects and birth defects that affect ...

  9. 38 CFR 21.8020 - Entitlement to vocational training and employment assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Basic Entitlement... individual's spina bifida and/or other covered birth defect(s) which are so severe as to...

  10. 38 CFR 21.8140 - Evaluation and improvement of vocational potential.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Evaluation and... to §§ 17.900 through 17.905 of this title for the spina bifida, covered birth defects, or...

  11. 75 FR 9276 - Proposed Information Collection (Application for CHAMPVA Benefits); Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... for children of Vietnam veterans born with spina bifida and certain other covered birth defects. DATES...-7959e to claim payment/ ] reimbursement of expenses related to spina bifida and certain covered...

  12. Relationship Between Erectores Spinae Voltage and Back-Lift Strength for Isometric, Concentric, and Eccentric Contractions

    ERIC Educational Resources Information Center

    Ashton, T. Edwin J.; Singh, Mohan

    1975-01-01

    This study determined the maximal mean values for concentric and eccentric back-lift strength as well as isometric, and examined and compared the relationships between the mean peak voltage of the erectores spinae muscle(s) and maximal force exerted for the three types of muscle contractions. (RC)

  13. Comparison of the Electromyographic Activation Level and Unilateral Selectivity of Erector Spinae during Different Selected Movements

    ERIC Educational Resources Information Center

    Guo, Lan-Yuen; Wang, Yu-Lin; Huang, Yu-Han; Yang, Chich-Haung; Hou, Yi-You; Harn, Hans I-Chen; You, Yu-Lin

    2012-01-01

    For patients with scoliosis, core stabilization exercises may be beneficial in improving muscle strength and trunk dynamic control. However, few studies have examined whether the erector spinae (ES) activation status during unilateral spinal extensor strengthening meets the guideline for patients with spinal scoliosis. To determine ES activation

  14. Comparison of the Electromyographic Activation Level and Unilateral Selectivity of Erector Spinae during Different Selected Movements

    ERIC Educational Resources Information Center

    Guo, Lan-Yuen; Wang, Yu-Lin; Huang, Yu-Han; Yang, Chich-Haung; Hou, Yi-You; Harn, Hans I-Chen; You, Yu-Lin

    2012-01-01

    For patients with scoliosis, core stabilization exercises may be beneficial in improving muscle strength and trunk dynamic control. However, few studies have examined whether the erector spinae (ES) activation status during unilateral spinal extensor strengthening meets the guideline for patients with spinal scoliosis. To determine ES activation…

  15. Revision of Ascra with proposition of the bifida species group and description of two new species (Hemiptera: Pentatomidae: Edessinae).

    PubMed

    Santos, Bianca Tamires Silva Dos; Silva, Valeria Juliete Da; Fernandes, Jose Antonio Marin

    2015-01-01

    Edessa is comprised of six subgenera, Aceratodes, Ascra, Dorypleura, Edessa, Hypoxys and Pygoda. Ascra is here elevated to genus status based on characteristics of the male and female genitalia and the gibbous pronotum. This genus is comprised of eight species previously placed in Edessa-E. bifida, E. cordifera, E. petersii, E. abdita, E. championi, E. privata, E. conspersa and E. morbosa, as well as six new species. The genus Ascra was further divided into two groups of species bifida and privata separated by a different pattern of punctuation on body and pygophore. Here we present only the bifida species group formed by A. bifida, A. cordifera, A. petersii, A. abdita, and A. championi, as well as two new species-A. vluteum and A. flavoscutellata. Lectotypes of Aceratodes sigillatus, Edessa abdita, E. championi, E. cornuta, E. densata and E. petersii are designated. Aceratodes sigillatus, Edessa cornuta, E. densata, E. picata, and E. florida are considered junior synonyms of A. bifida. Interestingly, some species of this genus are considered edible in Mexico. PMID:26624452

  16. The ethnobotany of Christ's Thorn Jujube (Ziziphus spina-christi) in Israel

    PubMed Central

    Dafni, Amots; Levy, Shay; Lev, Efraim

    2005-01-01

    This article surveys the ethnobotany of Ziziphus spina-christi (L.) Desf. in the Middle East from various aspects: historical, religious, philological, literary, linguistic, as well as pharmacological, among Muslims, Jews, and Christians. It is suggested that this is the only tree species considered "holy" by Muslims (all the individuals of the species are sanctified by religion) in addition to its status as "sacred tree " (particular trees which are venerated due to historical or magical events related to them, regardless of their botanical identity) in the Middle East. It has also a special status as "blessed tree" among the Druze. PMID:16270941

  17. 75 FR 13560 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): RFA DD 10...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    ... Bifida,and RFA DP 10-006 Epidemiologic Study of Inflammatory Bowel Disease, Initial Review In accordance... Condition Progression in Young Children with Spina Bifida, and RFA DP 10-006 Epidemiologic Study...

  18. Longitudinal melanonychias.

    PubMed

    Di Chiacchio, Nilton; Ruben, Beth S; Loureiro, Walter Refkalevsky

    2013-01-01

    Melanonychia is black or brown pigmentation that appears in the fingernails and toenails. The pigment can come from exogenous sources, such as bacteria or fungal infection, tar, or blood. Endogenous causes include aberrant melanin production in the nail bed, resulting in a longitudinal presentation. Melanonychia can indicate the presence of cancerous growths, as well as infection. Diagnostic measures, including dermatoscopy, biopsy, and histopathology, can determine the cause and direct the course of treatment. Malignant lesions should be excised, and underlying infections should be addressed with antibiotics or antifungals. Benign lesions and hyperpigmentation may benefit from a wait-and-see approach. PMID:24079589

  19. [Differentiation of two hemp nettle species (Galeopsis bifida Boenn. and G. tetrahit L.) inferred from morphological characters and DNA markers].

    PubMed

    Maslova, E V

    2008-03-01

    Two species of the genus Galeopsis L., G. tetrahit L. and G. bifida (family Lamiaceae), are problematic to distinguish often wrongly recognized, and treated by some taxonomists as a single species. Morphological diagnostical characters of these species are variable and partly overlap. Species independence of G. tetrahit and G. bifida was evaluated and their diagnostic characters verified using ISSR and RAPD markers. A total of 57 ISSR and 28 RAPD fragments were obtained providing distinct subdivision of the accessions examined into two groups. Analysis of molecular data using the neighbor-joining method showed that the accessions studied fell into two clades in the same way as demonstrated by the analysis of 20 morphological characters using single linkage method. The morphological characters were found to be more variable compared to the molecular markers, although the combined of these characters provided differentiation of the species. PMID:18664141

  20. Neural Tube Defects

    MedlinePLUS

    Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month ... she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In spina ...

  1. 38 CFR 21.8015 - Notification by VA of necessary information or evidence when a claim is filed; time for claimant...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Training and Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth...

  2. 38 CFR 21.8380 - Additional applicable regulations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Additional Applicable Regulations 21.8380 Additional applicable regulations. The...

  3. 38 CFR 21.8380 - Additional applicable regulations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Additional Applicable Regulations 21.8380 Additional applicable regulations. The...

  4. 38 CFR 21.8380 - Additional applicable regulations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Additional Applicable Regulations 21.8380 Additional applicable regulations. The...

  5. Visual narratives of the pediatric illness experience: children communicating with clinicians through video.

    PubMed

    Rich, Michael; Polvinen, Julie; Patashnick, Jennifer

    2005-07-01

    The pediatric illness experience is a complex subject that requires a multidimensional, flexible, and patient-centered approach. The video intervention/prevention assessment (VIA) method, with its diverse source data and multidisciplinary analytical frameworks, generates findings that can be examined from any number of perspectives simply by asking different questions. As an exploration of human experience, VIA can be applied to various medical and psychiatric conditions. It has been used to investigate the experiences of children and adolescents who live with asthma, obesity, spina bifida, and diabetes mellitus. VIA currently is being applied to a longitudinal examination of the transition to adulthood by pediatric patients with spina bifida, cystic fibrosis, sickle cell disease, and HIV. PMID:15936674

  6. Cytotoxicity of different extracts of arial parts of Ziziphus spina-christi on Hela and MDA-MB-468 tumor cells

    PubMed Central

    Jafarian, Abbas; Zolfaghari, Behzad; Shirani, Kobra

    2014-01-01

    Background: It has been shown that plants from the family Rhamnaceae possess anticancer activity. In this study, we sought to determine if Ziziphus spina-christi, a species from this family, has cytotoxic effect on cancer cell lines. Materials and Methods: Using maceration method, different extracts of leaves of Z. spina-christi were prepared. Hexane, chloroform, chloroform-methanol (9:1), methanol-water (7:1) methanol, butanol and water were used for extraction, after preliminary phytochemical analyses were done. The cytotoxic activity of the extracts against Hela and MDA-MB-468 tumor cells was evaluated by MTT assay. Briefly, cells were seeded in microplates and different concentrations of extracts were added. After incubation of cells for 72 h, their viability was evaluated by addition of tetrazolium salt solution. After 3 h medium was aspirated, dimethyl sulfoxide was added and absorbance was determined at 540 nm with an ELISA plate reader. Extracts were considered cytotoxic when more than 50% reduction on cell survival was observed. Results: Hexane, chloroform, chloroform-methanol, butanol, methanol-water and aqueous extracts of Z. spina-christi significantly and concentration-dependently reduced viability of Hela and MAD-MB-468 cells. In the both cell lines, chloroform-methanol extract of Z. spina-christi was more potent than the other extracts. Results: From the finding of this study it can be concluded that Z. spina-christi is a good candidate for further study for new cytotoxic agents. PMID:24627846

  7. 38 CFR 17.901 - Provision of health care.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Provision of health care... Health Care Benefits for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects § 17.901 Provision of health care. (a) Spina bifida. VA will provide a Vietnam veteran's child who has...

  8. Brief Report: An Online Support Intervention--Perceptions of Adolescents with Physical Disabilities

    ERIC Educational Resources Information Center

    Stewart, Miriam; Barnfather, Alison; Magill-Evans, Joyce; Ray, Lynne; Letourneau, Nicole

    2011-01-01

    Adolescents with cerebral palsy and spina bifida report restricted interactions with peers and gaps in social support. A pilot online support intervention offered interactions with peers. Five mentors with cerebral palsy or spina bifida and 22 adolescents with the same disabilities met weekly online for 25 group sessions over six months.

  9. Brief Report: An Online Support Intervention--Perceptions of Adolescents with Physical Disabilities

    ERIC Educational Resources Information Center

    Stewart, Miriam; Barnfather, Alison; Magill-Evans, Joyce; Ray, Lynne; Letourneau, Nicole

    2011-01-01

    Adolescents with cerebral palsy and spina bifida report restricted interactions with peers and gaps in social support. A pilot online support intervention offered interactions with peers. Five mentors with cerebral palsy or spina bifida and 22 adolescents with the same disabilities met weekly online for 25 group sessions over six months.…

  10. Subsequent Births in Families of Children with Disabilities: Using Demographic Data to Examine Parents' Reproductive Patterns

    ERIC Educational Resources Information Center

    Burke, Meghan M.; Urbano, Richard C.; Hodapp, Robert M.

    2011-01-01

    The authors determined family reproductive patterns after the birth of a child with (vs. without) a disability. Using Tennessee birth records, the authors examined families of children with Down syndrome (N = 1,123), spina bifida (N = 368), and population group (N = 734,189). Families of children with Down syndrome and with spina bifida were more

  11. 38 CFR 17.901 - Provision of health care.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Provision of health care... Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects § 17.901 Provision of health care. (a) Spina bifida. VA...

  12. Subsequent Births in Families of Children with Disabilities: Using Demographic Data to Examine Parents' Reproductive Patterns

    ERIC Educational Resources Information Center

    Burke, Meghan M.; Urbano, Richard C.; Hodapp, Robert M.

    2011-01-01

    The authors determined family reproductive patterns after the birth of a child with (vs. without) a disability. Using Tennessee birth records, the authors examined families of children with Down syndrome (N = 1,123), spina bifida (N = 368), and population group (N = 734,189). Families of children with Down syndrome and with spina bifida were more…

  13. 38 CFR 17.901 - Provision of health care.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Provision of health care... Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects § 17.901 Provision of health care. (a) Spina bifida. VA...

  14. 38 CFR 17.901 - Provision of health care.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Provision of health care... Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects § 17.901 Provision of health care. (a) Spina bifida. VA...

  15. 38 CFR 17.901 - Provision of health care.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Provision of health care... Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects § 17.901 Provision of health care. (a) Spina bifida. VA...

  16. From Wheelchair to Cane

    PubMed Central

    Mayo, Amanda; Berbrayer, David

    2015-01-01

    ABSTRACT Spina bifida is associated with foot deformities, which may lead to foot ulcers, osteomyelitis, and limb amputation. Calcanectomy and Symes amputations have been reported successful in spina bifida. There is lack of evidence for transtibial amputations. This case describes a 27-yr-old woman with L4 level spina bifida who underwent bilateral transtibial amputations. She ambulated with bilateral ankle foot orthoses and canes until age 22. At age 22, she had bilateral foot reconstructive surgeries complicated by nonunion, ulcerations, and osteomyelitis. She was using a wheelchair by age 25. She had elective bilateral transtibial amputations at age 27 for progressive osteomyelitis. Four weeks after amputations, she was fit with bilateral prostheses. On completion of 2 mos of rehabilitation, she ambulated with a cane. This case demonstrates good functional outcomes after transtibial amputations in a young spina bifida patient. Prosthetic fitting should be considered for similar, previously high functioning spina bifida patients with transtibial amputation(s). PMID:26259056

  17. Formulation and evaluation of antihyperglycemic leaf extracts of Zizyphus spina-christi (L.) Willd.

    PubMed

    Nesseem, D I; Michel, C G; Sleem, A A; El-Alfy, T S

    2009-02-01

    This study deals with the formulation of antihyperglycemic leaf extracts of Zizyphus spina-christi (L.) Willd. A bioactivity guided fractionation of different leaf extracts [defatted ethanol 70% (a), butanol (b), ethanol 70% (c), ethyl acetate (d) and petroleum ether (e) extracts] revealed that extract (c) possessed the highest antihyperglycemic activity followed by (b) and (a). HPLC was adopted for standardization of the extract (c) based on evaluation of the major saponin christinin-A which was used as marker. The detection limit was 9.45 mg/ml for Christinin-A. Extracts (a), (b) and (c) were separately formulated in soft (S) and hard (H) gelatin capsules. Two different formulations (F1 and F2) were tried using different excipients suitable for oral drug delivery. Formula 1, used for soft gelatin capsules [(F1) Sa, Sb, Sc] Formula 2, used for hard gelatin capsules [(F2) - Ha, Hb, Hc]. The recovery rates of the samples of saponin were in the range 99.43-101.86% at 200, 800 microg/ml and 1200 microg/ml. Saponin release rates from different formulae were carried out using dissolution tester USP XXIV. The highest release was obtained from formulation Sc. The release of the extracts followed diffusion mechanism. The selected formula Sc exhibited highest anti-diabetic activity (P < 0.01) on acute and long-term administration and highest saponin release. This formula (Sc) contained poly-oxyethylene (20) cetyl ether (BC-20TX), PEG 400, PEG 6000, purified water, meglyol 810, ascorbic acid and 200 mg of extract (c). PMID:19320283

  18. Longitudinal impedance of RHIC

    SciTech Connect

    Blaskiewicz, M.; Brennan, J. M.; Mernick, K.

    2015-05-03

    The longitudinal impedance of the two RHIC rings has been measured using the effect of potential well distortion on longitudinal Schottky measurements. For the blue RHIC ring Im(Z/n) = 1.5±0.2Ω. For the yellow ring Im(Z/n) = 5.4±1Ω.

  19. Longitudinal Multistage Testing

    ERIC Educational Resources Information Center

    Pohl, Steffi

    2013-01-01

    This article introduces longitudinal multistage testing (lMST), a special form of multistage testing (MST), as a method for adaptive testing in longitudinal large-scale studies. In lMST designs, test forms of different difficulty levels are used, whereas the values on a pretest determine the routing to these test forms. Since lMST allows for…

  20. Longitudinal Multistage Testing

    ERIC Educational Resources Information Center

    Pohl, Steffi

    2013-01-01

    This article introduces longitudinal multistage testing (lMST), a special form of multistage testing (MST), as a method for adaptive testing in longitudinal large-scale studies. In lMST designs, test forms of different difficulty levels are used, whereas the values on a pretest determine the routing to these test forms. Since lMST allows for

  1. [A case of conus medullaris infarction expanding to the vertebral bodies, major psoas and erector spinae muscles].

    PubMed

    Konno, Takuya; Suwabe, Tatsuya; Kasahara, Sou; Umeda, Yoshitaka; Oyake, Mutsuo; Fujita, Nobuya

    2015-01-01

    A 77-year-old woman presented with conus medullaris and cauda equina syndrome following a sudden pain in the bilateral lower abdomen and right buttock. Lumbar magnetic resonance imaging (MRI) showed not only a conus medullaris lesion, but also several lesions in the vertebral bodies (L1, L2), right major psoas muscle, right multifidus muscle and bilateral erector spinae muscles. As these areas receive blood supply from each branch of the same segmental artery, we considered all of the lesions as infarctions that were a result of a single parent vessel occlusion. It is known that a vertebral body lesion can be accompanied by a spinal cord infarction, but in combination with infarction of a muscle has not been reported. This is the first report of a concomitant spinal cord and muscle infarction revealed by MRI. It is noteworthy that a spinal cord infarction could expand not only to neighboring vertebral bodies, but also to muscles. PMID:26165811

  2. The Effects of Bag Style on Muscle Activity of the Trapezius, Erector Spinae and Latissimus Dorsi During Walking in Female University Students

    PubMed Central

    Hardie, Rebecca; Haskew, Rachel; Harris, Joel; Hughes, Gerwyn

    2015-01-01

    Back pain is common in adolescents which has been associated with carrying a bag. However, there is little research examining the effects of bag style in female adolescents. The aim of the study was to investigate the effects of different bag conditions on muscle activity of the trapezius, erector spinae and latissimus dorsi muscles in female university students during walking. Twelve female university students walked on a treadmill for 5 minutes at 1.1 m/s during five conditions; control, 1 strapped rucksack, 2 strapped rucksack, ipsilateral shoulder strap and contralateral shoulder strap, each containing 10% bodyweight. Electromyography for the trapezius, erector spinae and latissimus dorsi was recorded for the last 30 s of each condition. Two-way ANOVA and paired t-tests were used to identify differences between right and left muscles and between bag conditions. Results showed that muscle activity of the left trapezius was significantly higher than the right trapezius during the 1 strap rucksack condition. For the left trapezius, the 2 strapped rucksack and the control condition had significantly lower muscle activity compared to the 1 strapped rucksack and the ipsilateral shoulder strap. For the left erector spinae muscle, there was significantly greater muscle activity when wearing the contralateral shoulder strap compared to the control. For the right erector spinae, significantly lower muscle activity was observed when wearing the 2 strapped rucksack compared to the ipsilateral shoulder strap and contralateral shoulder strap. There were no significant differences in muscle activity of the latissimus dorsi muscles between any of the bag conditions. These findings suggest that a two strapped rucksack should be used when carrying loads to reduce spinal muscle activity which may, in turn, reduce reports of back pain in female adolescents. PMID:25964808

  3. Longitudinal Spin Seebeck Effect

    NASA Astrophysics Data System (ADS)

    Uchida, Ken-Ichi

    2013-03-01

    The spin Seebeck effect (SSE) refers to the generation of a spin voltage as a result of a temperature gradient in magnetic materials. Here, a spin voltage is a potential for electron spins to drive a nonequilibrium spin current; when a conductor is attached to a magnet with a finite spin voltage, it induces a spin injection into the conductor. The SSE is of crucial importance in spintronics and spin caloritronics, since it enables simple and versatile generation of a spin current from heat. The simplest and most straightforward setup of the SSE is the longitudinal configuration, in which a spin current flowing parallel to a temperature gradient is measured via the inverse spin Hall effect (ISHE). The longitudinal SSE device consists of a ferromagnetic or ferrimagnetic insulator (FI, e.g. YIG) covered with a paramagnetic metal (PM, e.g. Pt) film. When a temperature gradient is applied perpendicular to the FI/PM interface, an ISHE-induced voltage is generated in the PM layer. In this talk, we report the observation of the longitudinal SSE in various FI/PM systems and provide evidence that the longitudinal SSE is free from thermoelectric artefact, i.e., the anomalous Nernst effect caused by extrinsic magnetic proximity. Then, we discuss the longitudinal SSE from an application point of view. We thank E. Saitoh, S. Maekawa, G. E. W. Bauer, X.-F. Jin, H. Adachi, D. Hou, D. Tian, T. Kikkawa, A. Kirihara, and M. Ishida for their support and valuable discussions.

  4. Effect of the cervical flexion angle during smart phone use on muscle fatigue of the cervical erector spinae and upper trapezius.

    PubMed

    Lee, Sangyong; Lee, Daehee; Park, Jungseo

    2015-06-01

    [Purpose] The purpose of this study was to examine the influence of the cervical flexion angle when using a smart phone on muscle fatigue of the cervical erector spinae (CES) and upper trapezius (UT). [Subjects] This study recruited 12 healthy adults. [Methods] Each subject sat on a chair, with his/her back against the wall and held a smart phone with both hands. Fatigue of the neck and shoulder muscles at different cervical flexion angles (0, 30, and 50) was measured by electromyography. The following muscles were assessed: the right upper trapezius (RtUT), left upper trapezius (LtUT), right cervical erector spinae (RtCES), and left cervical erector spinae (LtCES). A cervical range of motion instrument was attached to the subjects' heads to measure the cervical angle during the experiment. [Results] The RtUT and LtUT showed the highest muscle fatigue at a cervical flexion angle of 50 and the lowest fatigue at an angle of 30. There was no significant difference in the muscle fatigue of the RtCES and LtCES at any of the cervical flexion angles. [Conclusion] UT muscle fatigue depends on the cervical flexion angle when using a smart phone. PMID:26180333

  5. WISCONSIN LONGITUDINAL STUDY (WLS)

    EPA Science Inventory

    The Wisconsin Longitudinal Study (WLS) is a long-term study of a random sample of 10,317 men and women who graduated from Wisconsin high schools in 1957. The WLS provides an opportunity to study of the life course, intergenerational transfers and relationships, family functioning...

  6. Longitudinal discharge laser baffles

    DOEpatents

    Warner, B.E.; Ault, E.R.

    1994-06-07

    The IR baffles placed between the window and the electrode of a longitudinal discharge laser improve laser performance by intercepting off-axis IR radiation from the laser and in doing so reduce window heating and subsequent optical distortion of the laser beam. 1 fig.

  7. Longitudinal discharge laser baffles

    DOEpatents

    Warner, Bruce E. (Livermore, CA); Ault, Earl R. (Dublin, CA)

    1994-01-01

    The IR baffles placed between the window and the electrode of a longitudinal discharge laser improve laser performance by intercepting off-axis IR radiation from the laser and in doing so reduce window heating and subsequent optical distortion of the laser beam.

  8. Longitudinal discharge laser electrodes

    DOEpatents

    Warner, Bruce E. (Livermore, CA); Miller, John L. (Dublin, CA); Ault, Earl R. (Dublin, CA)

    1994-01-01

    The improved longitudinal discharge laser electrode with IR baffle includes an electrode made up of washers spaced along the laser axis in order to form inter-washer spaces for hollow cathode discharge to take place and for IR radiation to be trapped. Additional IR baffles can be placed between the electrode ann the window.

  9. Longitudinal discharge laser electrodes

    DOEpatents

    Warner, B.E.; Miller, J.L.; Ault, E.R.

    1994-08-23

    The improved longitudinal discharge laser electrode with IR baffle includes an electrode made up of washers spaced along the laser axis in order to form inter-washer spaces for hollow cathode discharge to take place and for IR radiation to be trapped. Additional IR baffles can be placed between the electrode ann the window. 2 figs.

  10. Electromyographic responses of erector spinae and lower limb's muscles to dynamic postural perturbations in patients with adolescent idiopathic scoliosis.

    PubMed

    Farahpour, Nader; Ghasemi, Safoura; Allard, Paul; Saba, Mohammad Sadegh

    2014-10-01

    The aim of this study was to evaluate electromyographic (EMG) responses of erector spinae (ES) and lower limbs' muscles to dynamic forward postural perturbation (FPP) and backward postural perturbation (BPP) in patients with adolescent idiopathic scoliosis (AIS) and in a healthy control group. Ten right thoracic AIS patients (Cobb=21.64.4) and 10 control adolescents were studied. Using bipolar surface electrodes, EMG activities of ES muscle at T10 (EST10) and L3 (ESL3) levels, biceps femoris (BF), gastrocnemius lateralis (G) and rectus femoris (RF) muscles in the right and the left sides during FPP and BPP were evaluated. Muscle responses were measured over a 1s time window after the onset of perturbation. In FPP test, the EMG responses of right EST10, ESL3 and BF muscles in the scoliosis group were respectively about 1.40 (p=0.035), 1.43 (p=0.07) and 1.45 (p=0.01) times greater than those in control group. Also, in BPP test, at right ESL3 muscle of the scoliosis group the EMG activity was 1.64 times higher than that in the control group (p=0.01). The scoliosis group during FPP displayed asymmetrical muscle responses in EST10 and BF muscles. This asymmetrical muscle activity in response to FPP is hypothesized to be a possible compensatory strategy rather than an inherent characteristic of scoliosis. PMID:25008019

  11. Tuberculous dactylitis (spina ventosa) with concomitant ipsilateral axillary scrofuloderma in an immunocompetent child: A rare presentation of skeletal tuberculosis

    PubMed Central

    Bhaskar; Khonglah, Tashi; Bareh, Jerryson

    2013-01-01

    Tuberculous dactylitis is a distinctly uncommon, yet well recognized form of tuberculosis involving the small bones of the hand or foot. It occurs in young children in endemic areas under 5 years of age. Tuberculosis of the short tubular bones like phalanges, metacarpals or metatarsals is quite uncommon beyond 6 years of age, once the epiphyseal centers are well established. The radiographic features of cystic expansion have led to the name “Spina Ventosa” for tuberculous dactylitis of the short bones. Scrofuloderma is a mycobacterial infection affecting children and young adults, representing direct extension of tuberculosis into the skin from underlying structures e.g. lymph nodes. An 8-year-old malnourished girl had multiple axillary ulcers with lymphadenopathy. Tuberculous dactylitis with ipsilateral axillary scrofuloderma was suspected on clinical and radiological grounds. The suspicion was confirmed by histology and bacteriology. The patient responded to antitubercular drugs with progressive healing of the lesions without surgery. Concomitant presence of these dual lesions suggesting active disseminated tuberculosis in immune-competent child over 6 years is very rare and hardly reported. PMID:23977657

  12. Experimental Demonstration of Longitudinal Magnification

    ERIC Educational Resources Information Center

    Razpet, Nada; Susman, Katarina; Cepic, Mojca

    2009-01-01

    We describe an experiment which enables the observation of longitudinal magnification for the real image of a three-dimensional (3D) object formed by a converging lens. The experiment also shows the absence of longitudinal inversion. Possible reasons for misconceptions with respect to real images and longitudinal inversions are discussed and a

  13. Longitudinal Functional Data Analysis

    PubMed Central

    Park, So Young; Staicu, Ana-Maria

    2015-01-01

    We consider dependent functional data that are correlated because of a longitudinal-based design: each subject is observed at repeated times and at each time a functional observation (curve) is recorded. We propose a novel parsimonious modeling framework for repeatedly observed functional observations that allows to extract low dimensional features. The proposed methodology accounts for the longitudinal design, is designed to study the dynamic behavior of the underlying process, allows prediction of full future trajectory, and is computationally fast. Theoretical properties of this framework are studied and numerical investigations confirm excellent behavior in finite samples. The proposed method is motivated by and applied to a diffusion tensor imaging study of multiple sclerosis. PMID:26594358

  14. What Are Neural Tube Defects?

    MedlinePLUS

    ... are born with spina bifida will have normal intelligence, but some will have learning or intellectual disabilities . ... effects, some children with this condition have normal intelligence. 6 Iniencephaly Iniencephaly(pronounced in-ee-ehn-SEF- ...

  15. Back to School: What It Means When You're Using a Wheelchair

    MedlinePLUS

    ... Center Ask Our Experts Newly Paralyzed Emergency Management Spinal Cord Injury Types Secondary Issues Rehabilitation Centers Health Insurance Social ... Sclerosis Muscular Dystrophy Post-Polio Syndrome Spina Bifida Spinal Cord Injury Syringomyelia / Tethered Cord Transverse Myelitis Paralysis and Its ...

  16. Gardening from a Wheelchair

    MedlinePLUS

    ... Center Ask Our Experts Newly Paralyzed Emergency Management Spinal Cord Injury Types Secondary Issues Rehabilitation Centers Health Insurance Social ... Sclerosis Muscular Dystrophy Post-Polio Syndrome Spina Bifida Spinal Cord Injury Syringomyelia / Tethered Cord Transverse Myelitis Paralysis and Its ...

  17. Children and Teens with Paralysis

    MedlinePLUS

    ... Center Ask Our Experts Newly Paralyzed Emergency Management Spinal Cord Injury Types Secondary Issues Rehabilitation Centers Health Insurance Social ... Sclerosis Muscular Dystrophy Post-Polio Syndrome Spina Bifida Spinal Cord Injury Syringomyelia / Tethered Cord Transverse Myelitis Paralysis and Its ...

  18. Newly Paralyzed

    MedlinePLUS

    ... Center Ask Our Experts Newly Paralyzed Emergency Management Spinal Cord Injury Types Secondary Issues Rehabilitation Centers Health Insurance Social ... Sclerosis Muscular Dystrophy Post-Polio Syndrome Spina Bifida Spinal Cord Injury Syringomyelia / Tethered Cord Transverse Myelitis Paralysis and Its ...

  19. For What Conditions Are Assistive Devices Used?

    MedlinePLUS

    ... who have spinal cord injuries, traumatic brain injury, cerebral palsy, muscular dystrophy, spina bifida , osteogenesis imperfecta, multiple sclerosis, ... Z Topics Autism Spectrum Disorder (ASD) Birth Defects Cerebral Palsy All related topics NICHD News and Spotlights Boosting ...

  20. 38 CFR 17.133 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CHAMPVA (38 CFR 17.270 through 17.278) and spina bifida (38 CFR 17.904) and any other regulations that... and a copy of the transcription shall be provided to the claimant. After reviewing the matter,...

  1. Facts about Encephalocele

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  2. Birth Defects Diagnosis

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  3. Facts about Upper and Lower Limb Reduction Defects

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  4. Facts about Birth Defects

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  5. Facts about Omphalocele

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  6. Facts about Hypospadias

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  7. Facts about Anencephaly

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  8. Opioid Use and Neural Tube Defects

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  9. Facts about Down Syndrome

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  10. Birth Defects Research and Tracking

    MedlinePLUS

    ... Down Syndrome Data and Statistics Growth Charts Encephalocele Gastroschisis Hypospadias Microcephaly Omphalocele Spina Bifida Upper and Lower ... Down Syndrome Eye Defects Fetal Alcohol Syndrome Disorders Gastroschisis Heart Defects Coarctation of the Aorta Hypoplastic left ...

  11. Going to an Occupational Therapist

    MedlinePLUS

    ... Last? Mornings are tough for Joe. He has cerebral palsy , a condition that affects the brain's control over ... in the lines. Some kids with conditions like cerebral palsy (like Joe), muscular dystrophy , or spina bifida may ...

  12. Wheelchairs

    MedlinePLUS

    ... Others have disabilities due to muscular dystrophy or cerebral palsy . In some cases, kids have wheelchairs but don' ... Needs Spina Bifida In the Band: Jens' Story Cerebral Palsy Steven's Story: Power Player Going to a Physical ...

  13. Health Issues and Treatments

    MedlinePLUS

    ... lie in one position for too long. Latex (Natural Rubber) Allergy Many people with spina bifida are allergic to products that contain latex, or natural rubber. This means they should not use items ...

  14. Types of Disabilities

    MedlinePLUS

    ... The condition is usually a diagnosis. For example, autism spectrum disorders, spina bifida, and traumatic brain injury are health conditions. Body Structures Body structures are physical parts of the body. ...

  15. Wheelchairs

    MedlinePLUS

    ... Others have disabilities due to muscular dystrophy or cerebral palsy . In some cases, kids have wheelchairs but don' ... Therapist In the Band: Jens' Story Spina Bifida Cerebral Palsy Contact Us Print Resources Send to a friend ...

  16. Scoliosis

    MedlinePLUS

    ... problem that affects the muscles. Problems can include cerebral palsy , muscular dystrophy , spina bifida, and polio . ... They may have another serious disorder such as cerebral palsy or muscular dystrophy, so their goals are much ...

  17. Going to an Occupational Therapist

    MedlinePLUS

    ... ocupacional Mornings are tough for Joe. He has cerebral palsy , a condition that affects the brain's control over ... in the lines. Some kids with conditions like cerebral palsy (like Joe), muscular dystrophy , or spina bifida may ...

  18. A Legal Brief: Very Special Education.

    ERIC Educational Resources Information Center

    Zirkel, Perry A.; Gluckman, Ivan B.

    1981-01-01

    Discusses previous litigation relevant to the case of a child suffering from "spina bifida" whose parents have brought suit against a Texas school district for failing to include catheterization in the child's individual education program. (Author/WD)

  19. Related Services and the Supreme Court: A Family's Story.

    ERIC Educational Resources Information Center

    Tatro, Mary

    1984-01-01

    The article describes the efforts of a woman in securing, through court litigation, clean intermittent catheterization as a related service for her child with spina bifida. Effects of the decision process on the mother, family, and child are noted. (CL)

  20. Areas of Responsibility in the Health Care of Multiply Handicapped Children

    ERIC Educational Resources Information Center

    Kanthor, Harold; And Others

    1974-01-01

    Forty-four mothers of children ages birth to 17-years-old with spina bifida were interviewed to determine whether primary physicians, specialists or other sources had taken responsibility for providing each of nine areas of health care. (CL)

  1. Dear Jamie

    ERIC Educational Resources Information Center

    Helton, Sandra

    1974-01-01

    The letter from an adult woman handicapped by spina bifida myelomeningocele is addressed to an adolescent similarly handicapped and focuses on problems of emotional adjustment and coping with bladder incontinence. (DB)

  2. Children with Disabilities Who Use Assistive Technology: Ethical Considerations.

    ERIC Educational Resources Information Center

    Holder-Brown, Loreta; Parette, Howard P. Jr.

    1992-01-01

    Discusses some of the ethical concerns that early childhood professionals should consider when identifying or adapting assistive technologies for young children with such disabilities as cerebral palsy, spina bifida, visual impairments, and hearing impairments. (BB)

  3. 38 CFR 21.8014 - Application.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General... birth defect, an application under this subpart may be filed at any time after November 30, 2001....

  4. 38 CFR 21.8014 - Application.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General... birth defect, an application under this subpart may be filed at any time after November 30, 2001....

  5. 38 CFR 21.8014 - Application.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General... birth defect, an application under this subpart may be filed at any time after November 30, 2001....

  6. 38 CFR 21.8014 - Application.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Vietnam Veterans-Spina Bifida and Covered Birth Defects General § 21.8014 Application. (a) Filing an... time after September 30, 1997. For a child claiming eligibility based on a covered birth defect,...

  7. 38 CFR 21.8014 - Application.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General... birth defect, an application under this subpart may be filed at any time after November 30, 2001....

  8. Children with Special Health Care Needs

    MedlinePLUS

    ... United States) have special health care needs, including cerebral palsy, spina bifida, asthma, hemophilia, autism, diabetes, and various ... Allergies? Resources Home Safety Checklist ACEP Coloring Book Download the Coloring Book » Emergency Care For You American ...

  9. Malnutrition

    MedlinePLUS

    ... diet Starvation due to food not being available Eating disorders Problems with digesting food or absorbing nutrients from ... B9 (folacin) Deficiency - Vitamin E Deficiency - Vitamin K Eating disorders ... Megaloblastic anemia Pellagra Rickets Scurvy Spina bifida ...

  10. Urban-Rural Variation in the Occurrence of Neural Tube Defects in Texas

    EPA Science Inventory

    This study examined the pattern and magnitude of urban-rural variation in anencephaly, spina bifida without anencephaly, and encephalocele in Texas using four different indicators of urban-rural status for the period 1999 to 2003.

  11. 38 CFR 21.8410 - Delegation of authority.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Delegation of Authority 21.8410 Delegation of authority. The Secretary delegates authority...

  12. 38 CFR 21.8016 - Nonduplication of benefits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General 21.8016 Nonduplication of benefits. (a) Election of benefitschapter 35. An...

  13. 38 CFR 21.8016 - Nonduplication of benefits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General 21.8016 Nonduplication of benefits. (a) Election of benefitschapter 35. An...

  14. 76 FR 52572 - Rules Governing Hearings Before the Agency of Original Jurisdiction and the Board of Veterans...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... and Rehabilitation for Vietnam Veterans' Children with Spina Bifida or Other Covered Birth Defects... hearings by the Board and hearings conducted by employees at regional offices.'' 58 FR 27934, 27934 (May...

  15. 38 CFR 21.8284 - Additional vocational training.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Vocational Training Program Entrance, Termination, and Resources 21.8284 Additional...

  16. 38 CFR 21.8360 - Satisfactory conduct and cooperation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Satisfactory Conduct and Cooperation 21.8360 Satisfactory conduct and cooperation....

  17. 38 CFR 21.8410 - Delegation of authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Delegation of Authority 21.8410 Delegation of authority. The Secretary delegates authority...

  18. 38 CFR 21.8320 - Authorization of services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Authorization of Services 21.8320 Authorization of services. The provisions of ...

  19. 38 CFR 21.8284 - Additional vocational training.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Vocational Training Program Entrance, Termination, and Resources 21.8284 Additional...

  20. 38 CFR 21.8360 - Satisfactory conduct and cooperation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Satisfactory Conduct and Cooperation 21.8360 Satisfactory conduct and cooperation....

  1. 38 CFR 21.8320 - Authorization of services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Authorization of Services 21.8320 Authorization of services. The provisions of ...

  2. 38 CFR 21.8320 - Authorization of services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Authorization of Services 21.8320 Authorization of services. The provisions of ...

  3. 38 CFR 21.8410 - Delegation of authority.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Delegation of Authority 21.8410 Delegation of authority. The Secretary delegates authority...

  4. 38 CFR 21.8360 - Satisfactory conduct and cooperation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Satisfactory Conduct and Cooperation 21.8360 Satisfactory conduct and cooperation....

  5. 38 CFR 21.8284 - Additional vocational training.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Vocational Training Program Entrance, Termination, and Resources 21.8284 Additional...

  6. 38 CFR 21.8016 - Nonduplication of benefits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects General 21.8016 Nonduplication of benefits. (a) Election of benefitschapter 35. An...

  7. Spinal dysraphism

    PubMed Central

    Venkataramana, N. K.

    2011-01-01

    To review the clinical features and current understanding of spina bifida with an emphasis on the Indian Scenario. Selected articles and current English language texts were reviewed. The authors experience was also reviewed and analysed. Spina bifida is a common congenital anomaly encompassing a wide spectrum of neural tube defects.It is broadly classified as spina bifida aperta and occulta. With the prenatal screening, the incidence of aperta is gradually declining, whereas the detection of occulta has increased with the advent of magnetic resonance imaging. Over the years, the understanding of pathophysiology has made a significant changein the management of these anomalies. Early detection and complete correction can significantly reduce the neurological disability. This article is an overview of spina bifida with a special emphasis on Indian scenario. PMID:22069428

  8. Kyphosis

    MedlinePLUS

    ... as tuberculosis ) Muscular dystrophy Neurofibromatosis Paget disease Polio Scoliosis Spina bifida Tumors ... chap 671. Warner WC, Sawyer JR, Kelly DM. Scoliosis and kyphosis. In: Canale ST, Beaty JH, eds. ...

  9. Folic acid and birth defect prevention

    MedlinePLUS

    Prevention of birth defects with folic acid (folate) ... There is good evidence that taking folic acid before and during pregnancy can reduce the risk of certain birth defects ( spina bifida , anencephaly , and some heart defects). Experts recommend taking ...

  10. What Are the Treatments for Neural Tube Defects?

    MedlinePLUS

    ... with spina bifida has hydrocephalus (water on the brain), a surgeon can implant a shunt—a small hollow tube to drain fluid—to relieve pressure on the brain. Treating hydrocephalus can prevent problems such as blindness. ...

  11. Effects of abdominal drawing-in during prone hip extension on the muscle activities of the hamstring, gluteus maximus, and lumbar erector spinae in subjects with lumbar hyperlordosis

    PubMed Central

    Kim, Tae-Woo; Kim, Yong-Wook

    2015-01-01

    [Purpose] The purpose of this study was to compare the effects of an abdominal drawing-in maneuver (ADIM), measured using a pressure bio-feedback unit, on the activities of the hamstring, gluteus maximus, and erector spinae muscles during prone hip extension. [Subjects and Methods] Thirty healthy adult subjects (14 male, 16 female), were recruited. Subjects’ lumbar lordosis and pelvic tilt angles were measured, and based on the results, the subjects were divided into two groups: a hyperlordotic lumbar angle (HLLA) group (n=15) and a normal lordotic lumbar angle (NLLA) group (n=15). The muscle activities of the hamstring and gluteus maximus, and of the erector spinae on the right side of the body, were recorded using surface electromyography. [Results] When performing ADIM with prone hip extension, the muscle activity of the gluteus maximus of the HLLA group significantly improved compared with that the NLLA group. [Conclusion] This study demonstrated that ADIM with prone hip extension was more effective at eliciting gluteus maximus activity in the HLLA group than in the NLLA group. Therefore, ADIM with prone hip extension may be useful for increasing the gluteus maximus activity of individuals with lumbar hyperlordosis. PMID:25729173

  12. Longitudinal Stern-Gerlach

    NASA Astrophysics Data System (ADS)

    Higinbotham, Douglas

    2006-11-01

    In 1922 Otto Stern and Walther Gerlach split a beam of silver atoms using a transverse gradient field. This experiment, which lead to the understanding that electrons have intrinsic spin, oddly enough does not work for free electrons due to the interplay between the Lorentz force and Heisenberg uncertainly principle. Recent calculations, Phys. Rev. Lett. 79 (1997) 4517 and Phys. Rev. Lett. 86 (2001) 4508, have shown that a dismissed idea of L. Brillouin from 1928 to use a longitudinal gradient field to minimize the effect of the Lorentz force may in fact be possible. The history of the Stern-Gerlach device will be presented along with the revived ideas for separating a beam of free electrons into its two spin states.

  13. Longitudinal space charge amplifier

    NASA Astrophysics Data System (ADS)

    Schneidmiller, E. A.; Yurkov, M. V.

    2013-05-01

    Longitudinal space charge (LSC) driven microbunching instability in electron beam formation systems of X-ray FELs is a recently discovered effect hampering beam instrumentation and FEL operation. The instability was observed in different facilities in infrared and visible wavelength ranges. In this paper we propose to use such an instability for generation of vacuum ultraviolet (VUV) and X-ray radiation. A typical longitudinal space charge amplifier (LSCA) consists of few amplification cascades (drift space plus chicane) with a short undulator behind the last cascade. If the amplifier starts up from the shot noise, the amplified density modulation has a wide band, on the order of unity. The bandwidth of the radiation within the central cone is given by inverse number of undulator periods. A wavelength compression could be an attractive option for LSCA since the process is broadband, and a high compression stability is not required. LSCA can be used as a cheap addition to the existing or planned short-wavelength FELs. In particular, it can produce the second color for a pump-probe experiment. It is also possible to generate attosecond pulses in the VUV and X-ray regimes. Some user experiments can profit from a relatively large bandwidth of the radiation, and this is easy to obtain in LSCA scheme. Finally, since the amplification mechanism is broadband and robust, LSCA can be an interesting alternative to self-amplified spontaneous emission free electron laser (SASE FEL) in the case of using laser-plasma accelerators as drivers of light sources.

  14. Families of Children with Mental Retardation: Effective Collaboration.

    ERIC Educational Resources Information Center

    Singh, Delar K.

    This paper discuses the findings of a research study that compared 191 families of children with spina bifida and 145 families of children with mental retardation. Findings include: (1) mothers of children with developmental disabilities (DD) perceived that they experienced more poor health/mood problems than the mothers of children with Spina

  15. Analyzing longitudinal microbial metabolomics data.

    PubMed

    Rubingh, Carina M; Bijlsma, Sabina; Jellema, Renger H; Overkamp, Karin M; van der Werf, Marit J; Smilde, Age K

    2009-09-01

    A longitudinal experimental design in combination with metabolomics and multiway data analysis is a powerful approach in the identification of metabolites whose correlation with bioproduct formation shows a shift in time. In this paper, a strategy is presented for the analysis of longitudinal microbial metabolomics data, which was performed in order to identify metabolites that are likely inducers of phenylalanine production by Escherichia coli. The variation in phenylalanine production as a function of differences in metabolism induced by the different environmental conditions in time was described by a validated multiway statistical model. Notably, most of the metabolites showing the strongest relations with phenylalanine production seemed to hardly change in time. Apparently, potential bottlenecks in phenylalanine seem to hardly change in the course of a batch fermentation. The approach described in this study is not limited to longitudinal microbial studies but can also be applied to other (biological) studies in which similar longitudinal data need to be analyzed. PMID:19624157

  16. Antifungal activity of nettle (Urtica dioica L.), colocynth (Citrullus colocynthis L. Schrad), oleander (Nerium oleander L.) and konar (Ziziphus spina-christi L.) extracts on plants pathogenic fungi.

    PubMed

    Hadizadeh, I; Peivastegan, B; Kolahi, M

    2009-01-01

    Anti-mycotic activity of the ethanol extracts from Nettle (Urtica dioica L.), Colocynth (Citrullus colocynthis L. Schrad), Konar (Ziziphus spina-christi L.) and Oleander (Nerium oleander L.) floral parts were screened in vitro against four important plant pathogenic fungi viz.; Alternaria alternate, Fusarium oxysporum, Fusarium solani and Rizoctonia solani using agar dilution bioassay. Extracts showed antifungal activity against all the tested fungi. Among the plants, Nettle and Colocynth were the most effective against A. alternate and R. solani while Oleander possesses the best inhibition on F. oxysporum and F. solani. Konar was the most effective extract by reducing the growth of Rizoctonia solani than other fungi. These results showed that extracts could be considered suitable alternatives to chemical additives for the control of fungal diseases in plants. PMID:19579919

  17. Longitudinal Studies of Spelling Development.

    ERIC Educational Resources Information Center

    Ellis, Nick

    Noting that proposed models of literacy development suggest that reading and writing mutually influence and grow from each other, this paper summarizes aspects of stage theories of literacy development and an integrative model, and considers how the model fared in empirical longitudinal tests. The paper begins with a summary of the modal aspects

  18. Longitudinally-vibrating surgical microelectrode

    NASA Technical Reports Server (NTRS)

    Feldstein, C.; Crawford, D.; Kawabus, E. W.

    1977-01-01

    Microelectrode attached to cone of loudspeaker imparting longitudinal vibrations, penetrates relatively tough tissue of arterial walls easier and with more precise depth control because dimpling is eliminated. Vibrating microelectrode has been successfully used to make accurate oxygen-content measurements in arterial walls.

  19. Longitudinal spin fluctuations in nickel

    SciTech Connect

    Boeni, P. , Villigen ); Martinez, J.L. ); Tranquada, J.M. )

    1989-10-10

    The longitudinal and transverse spin fluctuations in Ni have been measured below {Tc} by means of polarized neutron scattering in the momentum range 0.06 < q < 0.18 {angstrom}{sup -1}. In transverse scans spin wave peaks at E{sub q} = Dq{sup 2} appear as expected from early measurements performed with unpolarized neutrons. The longitudinal magnetic scattering {sub {chi}L}(q, E), on the other hand, is quasielastic without any signature of inelastic peaks near E{sub q}. The q and T dependences of {sub {chi}L}(q, E) resemble the paramagnetic scattering above {Tc}, i.e., the linewidth is roughly proportional to q{sup 2.5} and the integrated intensity I(q) is proportional to (q{sup 2} + {kappa}{sub z}{sup 2}){sup -1}. 8 refs., 3 figs.

  20. The Importance of Longitudinal Studies

    NASA Astrophysics Data System (ADS)

    Knezek, Patricia

    2014-01-01

    It has been eight years since the AAS Council unanimously endorsed the document, known as "Equity Now: The Pasadena Recommendations for Gender Equality in Astronomy," in January 2005. This document was the main product of the conference entitled “Women in Astronomy II: Ten Years After” (WIA II), held in June 2003 in Pasadena, CA. One of the key recommendations represented in that document was the need for a longitudinal study of astronomers. It was recognized that in order to understand our own field, how it is evolving, and the impact on individuals, we need to track people over time. I will discuss the fundamental questions that led to the recommendation, and set the stage for the current (ongoing) longitudinal study.

  1. LONGITUDINAL LASER WIRE AT SNS

    SciTech Connect

    Aleksandrov, Alexander V; Liu, Yun; Zhukov, Alexander P

    2014-01-01

    This paper describes a longitudinal H- beam profile scanner that utilizes laser light to detach convoy electrons and an MCP to collect and measure these electrons. The scanner is located in MEBT with H- energy of 2.5MeV and an RF frequency 402.5MHz. The picosecond pulsed laser runs at 80.5MHz in sync with the accelerator RF. The laser beam is delivered to the beam line through a 30m optical fiber. The pulse width after the fiber transmission measures about 10ps. Scanning the laser phase effectively allows measurements to move along ion bunch longitudinal position. We are able to reliably measure production beam bunch length with this method. The biggest problem we have encountered is background signal from electrons being stripped by vacuum. Several techniques of signal detection are discussed.

  2. Longitudinal bulk acoustic mass sensor

    SciTech Connect

    Hales, J. H.; Teva, J.; Boisen, A.; Davis, Z. J.

    2009-07-20

    A polycrystalline silicon longitudinal bulk acoustic cantilever is fabricated and operated in air at 51 MHz. A mass sensitivity of 100 Hz/fg (1 fg=10{sup -15} g) is obtained from the preliminary experiments where a minute mass is deposited on the device by means of focused ion beam. The total noise in the currently applied measurement system allows for a minimum detectable mass of 0.5 fg in air.

  3. Parameterized Linear Longitudinal Airship Model

    NASA Technical Reports Server (NTRS)

    Kulczycki, Eric; Elfes, Alberto; Bayard, David; Quadrelli, Marco; Johnson, Joseph

    2010-01-01

    A parameterized linear mathematical model of the longitudinal dynamics of an airship is undergoing development. This model is intended to be used in designing control systems for future airships that would operate in the atmospheres of Earth and remote planets. Heretofore, the development of linearized models of the longitudinal dynamics of airships has been costly in that it has been necessary to perform extensive flight testing and to use system-identification techniques to construct models that fit the flight-test data. The present model is a generic one that can be relatively easily specialized to approximate the dynamics of specific airships at specific operating points, without need for further system identification, and with significantly less flight testing. The approach taken in the present development is to merge the linearized dynamical equations of an airship with techniques for estimation of aircraft stability derivatives, and to thereby make it possible to construct a linearized dynamical model of the longitudinal dynamics of a specific airship from geometric and aerodynamic data pertaining to that airship. (It is also planned to develop a model of the lateral dynamics by use of the same methods.) All of the aerodynamic data needed to construct the model of a specific airship can be obtained from wind-tunnel testing and computational fluid dynamics

  4. Longitudinal study of fingerprint recognition

    PubMed Central

    Yoon, Soweon; Jain, Anil K.

    2015-01-01

    Human identification by fingerprints is based on the fundamental premise that ridge patterns from distinct fingers are different (uniqueness) and a fingerprint pattern does not change over time (persistence). Although the uniqueness of fingerprints has been investigated by developing statistical models to estimate the probability of error in comparing two random samples of fingerprints, the persistence of fingerprints has remained a general belief based on only a few case studies. In this study, fingerprint match (similarity) scores are analyzed by multilevel statistical models with covariates such as time interval between two fingerprints in comparison, subject’s age, and fingerprint image quality. Longitudinal fingerprint records of 15,597 subjects are sampled from an operational fingerprint database such that each individual has at least five 10-print records over a minimum time span of 5 y. In regard to the persistence of fingerprints, the longitudinal analysis on a single (right index) finger demonstrates that (i) genuine match scores tend to significantly decrease when time interval between two fingerprints in comparison increases, whereas the change in impostor match scores is negligible; and (ii) fingerprint recognition accuracy at operational settings, nevertheless, tends to be stable as the time interval increases up to 12 y, the maximum time span in the dataset. However, the uncertainty of temporal stability of fingerprint recognition accuracy becomes substantially large if either of the two fingerprints being compared is of poor quality. The conclusions drawn from 10-finger fusion analysis coincide with the conclusions from single-finger analysis. PMID:26124106

  5. Longitudinal study of fingerprint recognition.

    PubMed

    Yoon, Soweon; Jain, Anil K

    2015-07-14

    Human identification by fingerprints is based on the fundamental premise that ridge patterns from distinct fingers are different (uniqueness) and a fingerprint pattern does not change over time (persistence). Although the uniqueness of fingerprints has been investigated by developing statistical models to estimate the probability of error in comparing two random samples of fingerprints, the persistence of fingerprints has remained a general belief based on only a few case studies. In this study, fingerprint match (similarity) scores are analyzed by multilevel statistical models with covariates such as time interval between two fingerprints in comparison, subject's age, and fingerprint image quality. Longitudinal fingerprint records of 15,597 subjects are sampled from an operational fingerprint database such that each individual has at least five 10-print records over a minimum time span of 5 y. In regard to the persistence of fingerprints, the longitudinal analysis on a single (right index) finger demonstrates that (i) genuine match scores tend to significantly decrease when time interval between two fingerprints in comparison increases, whereas the change in impostor match scores is negligible; and (ii) fingerprint recognition accuracy at operational settings, nevertheless, tends to be stable as the time interval increases up to 12 y, the maximum time span in the dataset. However, the uncertainty of temporal stability of fingerprint recognition accuracy becomes substantially large if either of the two fingerprints being compared is of poor quality. The conclusions drawn from 10-finger fusion analysis coincide with the conclusions from single-finger analysis. PMID:26124106

  6. Transverse-longitudinal integrated resonator

    DOEpatents

    Hutchinson, Donald P. (Knoxville, TN); Simpson, Marcus L. (Knoxville, TN); Simpson, John T. (Knoxville, TN)

    2003-03-11

    A transverse-longitudinal integrated optical resonator (TLIR) is disclosed which includes a waveguide, a first and a second subwavelength resonant grating in the waveguide, and at least one photonic band gap resonant structure (PBG) in the waveguide. The PBG is positioned between the first and second subwavelength resonant gratings. An electro-optic waveguide material may be used to permit tuning the TLIR and to permit the TLIR to perform signal modulation and switching. The TLIR may be positioned on a bulk substrate die with one or more electronic and optical devices and may be communicably connected to the same. A method for fabricating a TLIR including fabricating a broadband reflective grating is disclosed. A method for tuning the TLIR's transmission resonance wavelength is also disclosed.

  7. 14 CFR 23.145 - Longitudinal control.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... speed increase. (d) It must be possible, with a pilot control force of not more than 10 pounds, to... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Longitudinal control. 23.145 Section 23.145... Maneuverability 23.145 Longitudinal control. (a) With the airplane as nearly as possible in trim at 1.3 VS1,...

  8. 14 CFR 23.145 - Longitudinal control.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... speed increase. (d) It must be possible, with a pilot control force of not more than 10 pounds, to... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Longitudinal control. 23.145 Section 23.145... Maneuverability 23.145 Longitudinal control. (a) With the airplane as nearly as possible in trim at 1.3 VS1,...

  9. 14 CFR 23.145 - Longitudinal control.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... speed increase. (d) It must be possible, with a pilot control force of not more than 10 pounds, to... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Longitudinal control. 23.145 Section 23.145... Maneuverability 23.145 Longitudinal control. (a) With the airplane as nearly as possible in trim at 1.3 VS1,...

  10. Modeling a Longitudinal Relational Research Data Systems

    ERIC Educational Resources Information Center

    Olsen, Michelle D. Hunt

    2010-01-01

    A study was conducted to propose a research-based model for a longitudinal data research system that addressed recommendations from a synthesis of literature related to: (1) needs reported by the U.S. Department of Education, (2) the twelve mandatory elements that define federally approved state longitudinal data systems (SLDS), (3) the

  11. Designing a Longitudinal Study: Issues, Problems & Concerns.

    ERIC Educational Resources Information Center

    Brogan, Ray; Zhao, Charles

    A longitudinal study was planned to track a class in a prekindergarten program to determine program effectiveness. There are many problems in conducting a longitudinal study, most of which revolve around the long-term commitment required. A carefully designed information system is important. For the study in question, computer software and

  12. 14 CFR 23.145 - Longitudinal control.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Longitudinal control. 23.145 Section 23.145... Maneuverability 23.145 Longitudinal control. (a) With the airplane as nearly as possible in trim at 1.3 VS1, it... application of single-handed control forces exceeding those specified in 23.143(c). The trimming...

  13. Fears in Czech Adolescents: A Longitudinal Study

    ERIC Educational Resources Information Center

    Michalcáková, Radka; Lacinová, Lenka; Kyjonková, Hana; Bouša, Ondrej; Jelínek, Martin

    2013-01-01

    The present study investigates developmental patterns of fear in adolescence. It is based on longitudinal data collected as a part of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC) project. A total of 186 Czech adolescents (43% girls) were assessed repeatedly at the age of 11, 13, and 15 years. The free-response method was…

  14. Colorado Longitudinal Twin Study of Reading Disability

    ERIC Educational Resources Information Center

    Wadsworth, Sally J.; DeFries, John C.; Olson, Richard K.; Willcutt, Erik G.

    2007-01-01

    The primary objectives of the present study are to introduce the Colorado Longitudinal Twin Study of Reading Disability, the first longitudinal twin study in which subjects have been specifically selected for having a history of reading difficulties, and to present some initial assessments of the stability of reading performance and cognitive…

  15. Modeling a Longitudinal Relational Research Data Systems

    ERIC Educational Resources Information Center

    Olsen, Michelle D. Hunt

    2010-01-01

    A study was conducted to propose a research-based model for a longitudinal data research system that addressed recommendations from a synthesis of literature related to: (1) needs reported by the U.S. Department of Education, (2) the twelve mandatory elements that define federally approved state longitudinal data systems (SLDS), (3) the…

  16. ADIABATIC EXCITATION OF LONGITUDINAL BUNCH SHAPE OSCILLATIONS.

    SciTech Connect

    BAI,M.; BROWN,K.; FISCHER,W.; ROSER,T.; SMITH,K.; TSOUPAS,N.; VANZEIJTS,J.

    1999-03-29

    By modulating the rf voltage at near twice the synchrotron frequency we are able to modulate the longitudinal bunch shape. We show experimentally that this can be done while preserving the longitudinal emittance when the rf voltage modulation is turned on adiabatically. Experimental measurements will be presented along with theoretical predictions.

  17. Colorado Longitudinal Twin Study of Reading Disability

    ERIC Educational Resources Information Center

    Wadsworth, Sally J.; DeFries, John C.; Olson, Richard K.; Willcutt, Erik G.

    2007-01-01

    The primary objectives of the present study are to introduce the Colorado Longitudinal Twin Study of Reading Disability, the first longitudinal twin study in which subjects have been specifically selected for having a history of reading difficulties, and to present some initial assessments of the stability of reading performance and cognitive

  18. Venturing a 30-Year Longitudinal Study

    ERIC Educational Resources Information Center

    Block, Jack; Block, Jeanne H.

    2006-01-01

    Longitudinal inquiry has long been recognized as a uniquely powerful method for seeking understanding of psychological development. A 30-year longitudinal venture is described--its theoretical motivation, methodological rationale, and details of implementation. Some of the novel and implicative findings the study has generated are briefly…

  19. Fears in Czech Adolescents: A Longitudinal Study

    ERIC Educational Resources Information Center

    Michalckov, Radka; Lacinov, Lenka; Kyjonkov, Hana; Boua, Ondrej; Jelnek, Martin

    2013-01-01

    The present study investigates developmental patterns of fear in adolescence. It is based on longitudinal data collected as a part of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC) project. A total of 186 Czech adolescents (43% girls) were assessed repeatedly at the age of 11, 13, and 15 years. The free-response method was

  20. Transverse and longitudinal vibrations in amorphous silicon

    NASA Astrophysics Data System (ADS)

    Beltukov, Y. M.; Fusco, C.; Tanguy, A.; Parshin, D. A.

    2015-12-01

    We show that harmonic vibrations in amorphous silicon can be decomposed to transverse and longitudinal components in all frequency range even in the absence of the well defined wave vector q. For this purpose we define the transverse component of the eigenvector with given ? as a component, which does not change the volumes of Voronoi cells around atoms. The longitudinal component is the remaining orthogonal component. We have found the longitudinal and transverse components of the vibrational density of states for numerical model of amorphous silicon. The vibrations are mostly transverse below 7 THz and above 15 THz. In the frequency interval in between the vibrations have a longitudinal nature. Just this sudden transformation of vibrations at 7 THz from almost transverse to almost longitudinal ones explains the prominent peak in the diffusivity of the amorphous silicon just above 7 THz.

  1. LSTGEE: longitudinal analysis of neuroimaging data

    NASA Astrophysics Data System (ADS)

    Li, Yimei; Zhu, Hongtu; Chen, Yasheng; An, Hongyu; Gilmore, John; Lin, Weili; Shen, Dinggang

    2009-02-01

    Longitudinal imaging studies are essential to understanding the neural development of neuropsychiatric disorders, substance use disorders, and normal brain. Using appropriate image processing and statistical tools to analyze the imaging, behavioral, and clinical data is critical for optimally exploring and interpreting the findings from those imaging studies. However, the existing imaging processing and statistical methods for analyzing imaging longitudinal measures are primarily developed for cross-sectional neuroimaging studies. The simple use of these cross-sectional tools to longitudinal imaging studies will significantly decrease the statistical power of longitudinal studies in detecting subtle changes of imaging measures and the causal role of time-dependent covariate in disease process. The main objective of this paper is to develop longitudinal statistics toolbox, called LSTGEE, for the analysis of neuroimaging data from longitudinal studies. We develop generalized estimating equations for jointly modeling imaging measures with behavioral and clinical variables from longitudinal studies. We develop a test procedure based on a score test statistic and a resampling method to test linear hypotheses of unknown parameters, such as associations between brain structure and function and covariates of interest, such as IQ, age, gene, diagnostic groups, and severity of disease. We demonstrate the application of our statistical methods to the detection of the changes of the fractional anisotropy across time in a longitudinal neonate study. Particularly, our results demonstrate that the use of longitudinal statistics can dramatically increase the statistical power in detecting the changes of neuroimaging measures. The proposed approach can be applied to longitudinal data with multiple outcomes and accommodate incomplete and unbalanced data, i.e., subjects with different number of measurements.

  2. Statistical image analysis of longitudinal RAVENS images

    PubMed Central

    Lee, Seonjoo; Zipunnikov, Vadim; Reich, Daniel S.; Pham, Dzung L.

    2015-01-01

    Regional analysis of volumes examined in normalized space (RAVENS) are transformation images used in the study of brain morphometry. In this paper, RAVENS images are analyzed using a longitudinal variant of voxel-based morphometry (VBM) and longitudinal functional principal component analysis (LFPCA) for high-dimensional images. We demonstrate that the latter overcomes the limitations of standard longitudinal VBM analyses, which does not separate registration errors from other longitudinal changes and baseline patterns. This is especially important in contexts where longitudinal changes are only a small fraction of the overall observed variability, which is typical in normal aging and many chronic diseases. Our simulation study shows that LFPCA effectively separates registration error from baseline and longitudinal signals of interest by decomposing RAVENS images measured at multiple visits into three components: a subject-specific imaging random intercept that quantifies the cross-sectional variability, a subject-specific imaging slope that quantifies the irreversible changes over multiple visits, and a subject-visit specific imaging deviation. We describe strategies to identify baseline/longitudinal variation and registration errors combined with covariates of interest. Our analysis suggests that specific regional brain atrophy and ventricular enlargement are associated with multiple sclerosis (MS) disease progression. PMID:26539071

  3. Longitudinal Oscillations in Hall thrusters

    NASA Astrophysics Data System (ADS)

    Barral, S.; Makowski, K.; Peradzynski, Z.; Dudeck, M.

    2004-10-01

    Longitudinal waves with a phase velocity close to the velocity of ions have been recurrently observed in Hall thruster experiments and simulations. It is shown that this so-called ion transit-time instability may arise in the simplest one-dimensional fluid model of a Hall thruster discharge in which cold ions are accelerated between two electrodes within a quasineutral plasma. The analysis of high frequency, quasineutral ion acoustic waves reveals that under adequate circumstances and in particular for high ionization levels, one of the two acoustic waves is strongly amplified. Forcing then a constant potential drop between the electrodes, the response of the discharge cur- rent to plasma perturbations provides a feedback poten- tially able to trigger an unstable resonance of ion acoustic waves. The frequency and growth rate of such an insta- bility are calculated for a supersonic ion flow. The scaling of the frequency with the ion transit-time and the role of the ionization degree on their onset are qualitatively ex- plained.

  4. Longitudinal Variations in Jupiter's Winds

    NASA Technical Reports Server (NTRS)

    Simon-Miller, Amy A.; Gierasch, P. J.; Tierney, G.

    2010-01-01

    Long-term studies of Jupiter's zonal wind field revealed temporal variations on the order of 20 to 40 m/s at many latitudes, greater than the typical data uncertainties of 1 to 10 m/s. No definitive periodicities were evident, however, though some latitudinally-confined signals did appear at periods relevant to the Quasi- Quadrennial Oscillation (Simon-Miller & Gierasch, Icarus, in press). As the QQO appears, from vertical temperature profiles, to propagate downward, it is unclear why a signal is not more obvious, unless other processes dominate over possibly weaker forcing from the QQO. An additional complication is that zonal wind profiles represent an average over some particular set of longitudes for an image pair and most data sets do not offer global wind coverage. Lien avoiding known features, such as the large anticyclonic vortices especially prevalent in the south, there can be distinct variations in longitude. We present results on the full wind field from Voyager and Cassini data, showing apparent longitudinal variations of up to 60 m/s or more. These are particularly obvious near disruptions such as the South Equatorial Disturbance, even when the feature itself is not clearly visible. These two dates represent very different states of the planet for comparison: Voyagers 1 & 2 flew by Jupiter shortly after a global upheaval, while many regions were in a disturbed state, while the Cassini view is typical of a more quiescent period present during much of the 1990s and early 2000s.

  5. Longitudinal dynamics and tomography in the Tevatron

    SciTech Connect

    Stogin, J.; Sen, T.; Moore, R. S.

    2012-01-10

    Motivated by the desire to understand the longitudinal effects of beam-beam forces, we study the longitudinal dynamics of protons and anti-protons at injection and top energy in the Tevatron. Multi-turn data of the longitudinal profiles are captured to reveal information about frequencies of oscillation, and changes in the bunch distributions. Tomographic reconstruction is used to create phase space maps which are subsequently used to find the momentum distributions. Changes in these distributions for both proton and anti-proton beams are also followed through the operational cycle. We report too on the details of interesting dynamics and some unexpected findings.

  6. Digital Longitudinal Tomography Using Backprojection.

    NASA Astrophysics Data System (ADS)

    Kampp, Thomas Dalton

    1987-09-01

    Conventional tomography allows a single section to be demonstrated on film with a single sweep of an x -ray tube. Each sweep of the x-ray tube exposes the patient to approximately one rad of radiation dose. This tomographic method has been extended by using a backprojection method to allow six degrees of freedom in the selection of the plane to be synthesized. As many planes as desired can be retrospectively tomosynthesized from a single sweep of the apparatus. This can greatly reduce the dose to the patient as well as eliminate patient motion artifacts that would occur with individually acquired slices using the traditional analogue film method. A linear tomographic table was modified by the addition of a digital imaging chain so that a set of projection images could be acquired with each sweep of the apparatus. The digital images were manipulated by a computer to tomosynthesize retrospectively any desired plane. This advanced tomographic system would complement CT which cannot yet match the resolution of this system for longitudinal studies. Various special phantoms were imaged in order to provide data which were used to determine the operating characteristics of this particular system. The characteristics measured are the system gray level response, sampling density, modulation transfer function, small area contrast, detection limits, signal-to-noise ratio, noise Wiener spectrum, and slice thickness. This laboratory piece of equipment could significantly detect approximately 1.7% contrast with a 1 mm pixel size. The MTF values and limiting resolution were approximately one -third of what can be obtained with current CT scanners. The system performed precisely as the computer simulations indicated. The dynamic range of the display is less than that of the image. Windowing of the final image can increase displayed contrast up to the limits imposed by noise. This is an improvement compared to film. With current state -of-the-art equipment, a little engineering and money, the system can be greatly improved.

  7. Longitudinal Variability of Thermospheric Temperature

    NASA Astrophysics Data System (ADS)

    Shepherd, M.; Shepherd, G.; Cho, Y.-M.

    2012-04-01

    A topic of great current interest in atmospheric dynamics is the developing recognition of the influence of the diurnal eastward-propagating non-migrating tide of wavenumber 3 (DE3) on the thermosphere. Longitudinal variations of F-region ionospheric electron density show a zonal wavenumber 4 pattern, expected for satellite observations at a fixed local time with respect to a rotating Earth. WINDII observations of airglow O(1S) volume emission rate (VER), excited by photoelectron impact on atomic oxygen at 250 km were interpreted as neutral density observations; they have shown the wavenumber 4 to be a common density perturbation in the equatorial thermosphere. The analysis has been extended further by examining thermospheric neutral temperatures at 245 km height derived from the observed daytime O(1S)VERs and the atomic oxygen density scale heights centred at this altitude. The observations examined have shown a distinct wave-4 signature at 20°S-40°S for the period from September to April with a more pronounced increase during fall equinox. Another enhancement of the wave 4 amplitude is observed during January. At the same time the quasi 2-day wave was observed in the MLT region in Rayleigh scattering temperatures and up to 180 km in O(1S) airglow and wind observations. The thermospheric temperatures at 245 km are further analysed for quasi 2-day wave signatures in attempt to determine the source of the observed thermospheric temperature wave-4 perturbations and their coupling with the neutral atmosphere below.

  8. ADDHEALTH - NATIONAL LONGITUDINAL STUDY OF ADOLESCENT HEALTH

    EPA Science Inventory

    This study provides a comprehensive view of the health and health behaviors of adolescents and the antecedents - personal, interpersonal, familial, and environmental of these outcomes. The study features a longitudinal, multi-level design with independent measurement at the indiv...

  9. The Lighthouse Program: A Longitudinal Research Project.

    ERIC Educational Resources Information Center

    LaRose, Barbara

    1986-01-01

    Longitudinal data are presented from the Lighthouse Program for gifted students which features cluster grouping and a quota identification systems to ensure proportionate inclusion of minority students. (Author/CL)

  10. 14 CFR 23.145 - Longitudinal control.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Longitudinal control. 23.145 Section 23.145... Maneuverability § 23.145 Longitudinal control. (a) With the airplane as nearly as possible in trim at 1.3 VS1, it... application of single-handed control forces exceeding those specified in § 23.143(c). The trimming...

  11. Longitudinal space charge effects near transition

    SciTech Connect

    Pozdeyev,E.; Rodriguez, J.A.; Marti, F.; York, R.C.

    2009-05-04

    Experimental and numerical studies of the longitudinal beam dynamics in the Small Isochronous Ring (SIR) at Michigan State University revealed a fast, space-charge driven instability that did not fit the model of the negative mass instability. This paper proposes a simple analytical model explaining these results. Also, the paper compares the model to result s of experimental and numerical studies of the longitudinal beam dynamics in SIR.

  12. Longitudinal Association Analysis of Quantitative Traits

    PubMed Central

    Fan, Ruzong; Zhang, Yiwei; Albert, Paul S.; Liu, Aiyi; Wang, Yuanjia; Xiong, Momiao

    2015-01-01

    Longitudinal genetic studies provide a valuable resource for exploring key genetic and environmental factors that affect complex traits over time. Genetic analysis of longitudinal data that incorporate temporal variations is important for understanding genetic architecture and biological variations of common complex diseases. Although they are important, there is a paucity of statistical methods to analyze longitudinal human genetic data. In this article, longitudinal methods are developed for temporal association mapping to analyze population longitudinal data. Both parametric and nonparametric models are proposed. The models can be applied to multiple diallelic genetic markers such as single-nucleotide polymorphisms and multiallelic markers such as microsatellites. By analytical formulae, we show that the models take both the linkage disequilibrium and temporal trends into account simultaneously. Variance-covariance structure is constructed to model the single measurement variation and multiple measurement correlations of an individual based on the theory of stochastic processes. Novel penalized spline models are used to estimate the time-dependent mean functions and regression coefficients. The methods were applied to analyze Framingham Heart Study data of Genetic Analysis Workshop (GAW) 13 and GAW 16. The temporal trends and genetic effects of the systolic blood pressure are successfully detected by the proposed approaches. Simulation studies were performed to find out that the nonparametric penalized linear model is the best choice in fitting real data. The research sheds light on the important area of longitudinal genetic analysis, and it provides a basis for future methodological investigations and practical applications. PMID:22965819

  13. Longitudinal surface structures (flowstripes) on Antarctic glaciers

    NASA Astrophysics Data System (ADS)

    Glasser, N. F.; Gudmundsson, G. H.

    2012-03-01

    Longitudinal surface structures ("flowstripes") are common on many glaciers but their origin and significance are poorly understood. In this paper we present observations of the development of these longitudinal structures from four different Antarctic glacier systems; the Lambert Glacier/Amery Ice Shelf area, the Taylor and Ferrar Glaciers in the Ross Sea sector, Crane and Jorum Glaciers (ice-shelf tributary glaciers) on the Antarctic Peninsula, and the onset zone of a tributary to the Recovery Glacier Ice Stream in the Filchner Ice Shelf area. Mapping from optical satellite images demonstrates that longitudinal surface structures develop in two main situations: (1) as relatively wide flow stripes within glacier flow units and (2) as relatively narrow flow stripes where there is convergent flow around nunataks or at glacier confluence zones. Our observations indicate that the confluence features are narrower, sharper, and more clearly defined features. They are characterised by linear troughs or depressions on the ice surface and are much more common than the former type. Longitudinal surface structures within glacier flow units have previously been explained as the surface expression of localised bed perturbations but a universal explanation for those forming at glacier confluences is lacking. Here we propose that these features are formed at zones of ice acceleration and extensional flow at glacier confluences. We provide a schematic model for the development of longitudinal surface structures based on extensional flow that can explain their ridge and trough morphology as well as their down-ice persistence.

  14. Visual analysis of longitudinal brain tumor perfusion

    NASA Astrophysics Data System (ADS)

    Glaer, Sylvia; Oeltze, Steffen; Preim, Uta; Bjrnerud, Atle; Hauser, Helwig; Preim, Bernhard

    2013-02-01

    In clinical research on diagnosis and evaluation of brain tumors, longitudinal perfusion MRI studies are acquired for tumor grading as well as to monitor and assess treatment response and patient prognosis. Within this work, we demonstrate how visual analysis techniques can be adapted to multidimensional datasets from such studies within a framework to support the computer-aided diagnosis of brain tumors. Our solution builds on two innovations: First, we introduce a pipeline yielding comparative, co-registered quantitative perfusion parameter maps over all time steps of the longitudinal study. Second, based on these time-dependent parameter maps, visual analysis methods were developed and adapted to reveal valuable insight into tumor progression, especially regarding the clinical research area of low grade glioma transformation into high grade gliomas. Our examination of four longitudinal brain studies demonstrates the suitability of the presented visual analysis methods and comprises new possibilities for the clinical researcher to characterize the development of low grade gliomas.

  15. A model cochlear partition involving longitudinal elasticity.

    PubMed

    Jaffer, Taha S A; Kunov, Hans; Wong, Willy

    2002-08-01

    This paper addresses the issue of longitudinal stiffness within the cochlea. A one-dimensional model of the cochlear partition is presented in which the resonant sections are coupled by longitudinal elastic elements. These elements functionally represent the aggregate mechanical effect of the connective tissue that spans the length of the organ of Corti. With the plate-like morphology of the cochlear partition in mind, the contribution of longitudinal elasticity to partition dynamics is appreciable, though weak and nonlinear. If the elasticity is considered Hookian then the nonlinearity takes a cubic form. Numerical solutions are presented that demonstrate the compressive nature of the partial differential nonlinear equations and their ability to produce realistic cubic distortion product otoacoustic emissions. Within the framework of this model, some speculations can be made regarding the dynamical function of the phalangeal processes, the sharpness of active cochlear mechanics, and the propogation of pathology along the partition. PMID:12186039

  16. Longitudinal stent deformation during coronary bifurcation stenting.

    PubMed

    Vijayvergiya, Rajesh; Sharma, Prafull; Gupta, Ankush; Goyal, Praveg; Panda, Prashant

    2016-03-01

    A distortion of implanted coronary stent along its longitudinal axis during coronary intervention is known as longitudinal stent deformation (LSD). LSD is frequently seen with newer drug eluting stents (DES), specifically with PROMUS Element stent. It is usually caused by impact of guide catheter tip, or following passage of catheters like balloon catheter, IVUS catheter, guideliner, etc. We hereby report a case of LSD during coronary bifurcation lesion intervention, using two-stents technique. Patient had acute stent thrombosis as a complication of LSD, which was successfully managed. PMID:26811144

  17. What Can We Learn From Longitudinal Studies of Adult Development?

    PubMed Central

    Schaie, K. Warner

    2005-01-01

    This article distinguishes between normal and pathological aging, provides an interdisciplinary context, and then considers a sample case of cognitive aging. Developmental influences on cognition include the physiological infrastructure, genetic predispositions, and environmental influences. Different types of longitudinal studies are distinguished, and contrasting findings of cross-sectional and longitudinal are examined in the sample case of the Seattle Longitudinal Study. Also considered is the longitudinal context for intervention studies and the role of longitudinal family studies in assessing rate of aging and generational differences in rates of aging. Finally, attention is given to the role of longitudinal studies in the early detection of risk for dementia in advanced age. PMID:16467912

  18. Emotion Regulation and Childhood Aggression: Longitudinal Associations

    ERIC Educational Resources Information Center

    Roll, Judith; Koglin, Ute; Petermann, Franz

    2012-01-01

    Accumulating evidence suggests that emotion dysregulation is associated with psychopathology. This paper provides a review of recent longitudinal studies that investigate the relationship between emotion regulation and aggressive behavior in childhood age. While there is substantial evidence for assuming a close relation of emotion regulation and

  19. Psychodynamic Psychotherapy: A Quantitative, Longitudinal Perspective

    ERIC Educational Resources Information Center

    Roseborough, David J.; McLeod, Jeffrey T.; Bradshaw, William H.

    2012-01-01

    This effectiveness study examined the course of treatment longitudinally and outcomes associated with psychodynamic psychotherapy for a sample of 1,050 people undertaking this treatment in a community setting, over the course of 4 years, at 3-month intervals, using the Outcome Questionnaire (OQ)-45.2. The authors used multilevel modeling to look

  20. Personnel Issues in Maintaining Longitudinal Designs.

    ERIC Educational Resources Information Center

    Mertens, Sally; Rogers, Glen

    In longitudinal studies, the same variables must be measured, in the same way, on at least two occasions. Research personnel are very important in keeping the necessary continuity of the procedures and the comparability of the measurements over time. As staff turnover can create serious problems, this paper suggests several strategies for reducing…

  1. Teaching Technology Longitudinally to Virtual Children

    ERIC Educational Resources Information Center

    Matthews, Lynley

    2010-01-01

    Children of Generation Y are entering our schooling system. These children have always known instant communication and the internet. They possess basic skills in using technology, but they still need to develop a deeper understanding of technology. Teaching longitudinally will increase the learner's confidence and develop a deeper understanding.

  2. Longitudinal Predictors of High School Completion

    ERIC Educational Resources Information Center

    Barry, Melissa; Reschly, Amy L.

    2012-01-01

    This longitudinal study examined predictors of dropout assessed in elementary school. Student demographic data, achievement, attendance, and ratings of behavior from the Behavior Assessment System for Children were used to predict dropout and completion. Two models, which varied on student sex and race, predicted dropout at rates ranging from 75%…

  3. NLS Handbook, 2005. National Longitudinal Surveys

    ERIC Educational Resources Information Center

    Bureau of Labor Statistics, 2006

    2006-01-01

    The National Longitudinal Surveys (NLS), sponsored by the U.S. Bureau of Labor Statistics (BLS), are a set of surveys designed to gather information at multiple points in time on the labor market experiences of groups of men and women. Each of the cohorts has been selected to represent all people living in the United States at the initial

  4. Managing Organizational Commitment: Insights from Longitudinal Research

    ERIC Educational Resources Information Center

    Morrow, Paula C.

    2011-01-01

    This article summarizes what is known about the "active" management of affective organizational commitment (AOC) through a review of 58 studies employing longitudinal research designs. The review yields six broad categories of antecedents that have empirically demonstrated effects on AOC: socialization practices, organizational changes, human

  5. Delinquency Prone Youth: Longitudinal and Preventive Research.

    ERIC Educational Resources Information Center

    Benning, James J.; And Others

    The first two phases of the EAU Claire County Youth Study were concerned with the relationships between classroom behavior and various facets of the child's family life. Phase II took two forms: (1) a major longitudinal evaluation of the relationships among classroom aggression, social adjustment, subsequent academic achievement, and juvenile

  6. Dual longitudinal mode Nd:YAG laser

    SciTech Connect

    Raymond, T.D.; Smith, A.V.; Esherick, P.

    1991-01-01

    We have obtained dual-longitudinal-mode operation of a Q-switched Nd: YAG laser by simultaneously injection-seeding two frequencies to produce pulses with modulation frequency discretely tunable from 185 MHz to greater than 17 GHz. 3 refs.

  7. Design and Implementation Issues in Longitudinal Research

    ERIC Educational Resources Information Center

    Ludlow, Larry H.; Pedulla, Joseph; Reagan, Emile Mitescu; Enterline, Sarah; Cannady, Mac; Chappe, Stephanie

    2011-01-01

    To meet demands for accountability, most schools and departments of education at institutions of higher education (IHEs) gather information on their current students and graduates. This paper describes issues to consider when designing a longitudinal data collection and management system, drawing on seven years' experience developing such a

  8. Psychodynamic Psychotherapy: A Quantitative, Longitudinal Perspective

    ERIC Educational Resources Information Center

    Roseborough, David J.; McLeod, Jeffrey T.; Bradshaw, William H.

    2012-01-01

    This effectiveness study examined the course of treatment longitudinally and outcomes associated with psychodynamic psychotherapy for a sample of 1,050 people undertaking this treatment in a community setting, over the course of 4 years, at 3-month intervals, using the Outcome Questionnaire (OQ)-45.2. The authors used multilevel modeling to look…

  9. The Tevatron bunch by bunch longitudinal dampers

    SciTech Connect

    Cheng-Yang Tan and James Steimel

    2002-09-25

    We describe in this paper the Tevatron bunch by bunch dampers. The goal of the dampers is to stop the spontaneous longitudinal beam size blowup of the protons during a store. We will go through the theory and also show the measured results during the commissioning of this system. The system is currently operational and have stopped the beam blowups during a store.

  10. Issues in Longitudinal Research on Motivation

    ERIC Educational Resources Information Center

    Stoel, Reinoud D.; Roeleveld, Jaap; Peetsma, Thea; van den Wittenboer, Godfried; Hox, Joop

    2006-01-01

    This paper discusses two methodological issues regarding the analysis of longitudinal data using structural equation modeling that emerged during the reconsideration of the analysis of a recent study on the relationship between academic motivation and language achievement in elementary education [Stoel R.D., Peetsma, T.T.D. and Roeleveld, J.

  11. Development of Metacognitive Skillfulness: A Longitudinal Study

    ERIC Educational Resources Information Center

    van der Stel, Manita; Veenman, Marcel V. J.

    2010-01-01

    This study shows the results of a two-year longitudinal study where the same participants were followed for two consecutive years as they enter secondary school (aged 12-14 years). The main issue was to investigate the development of both the quantity and the quality of metacognitive skills. Another issue was to establish whether the development

  12. Are Sibling Relationships Protective? A Longitudinal Study

    ERIC Educational Resources Information Center

    Gass, Krista; Jenkins, Jennifer; Dunn, Judy

    2007-01-01

    Background: Although the protective effects of familial and parental support have been studied extensively in the child psychopathology literature, few studies have explored the protective quality of positive sibling relationships. Methods: A two-wave longitudinal design was used to examine the protective effect of positive sibling relationships

  13. 14 CFR 25.145 - Longitudinal control.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... STANDARDS: TRANSPORT CATEGORY AIRPLANES Flight Controllability and Maneuverability § 25.145 Longitudinal..., no change in trim control, or exertion of more than 50 pounds control force (representative of the maximum short term force that can be applied readily by one hand) may be required for the...

  14. 14 CFR 25.145 - Longitudinal control.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... STANDARDS: TRANSPORT CATEGORY AIRPLANES Flight Controllability and Maneuverability § 25.145 Longitudinal..., no change in trim control, or exertion of more than 50 pounds control force (representative of the maximum short term force that can be applied readily by one hand) may be required for the...

  15. Emotion Regulation and Childhood Aggression: Longitudinal Associations

    ERIC Educational Resources Information Center

    Roll, Judith; Koglin, Ute; Petermann, Franz

    2012-01-01

    Accumulating evidence suggests that emotion dysregulation is associated with psychopathology. This paper provides a review of recent longitudinal studies that investigate the relationship between emotion regulation and aggressive behavior in childhood age. While there is substantial evidence for assuming a close relation of emotion regulation and…

  16. MPCP Longitudinal Educational Growth Study Baseline Report

    ERIC Educational Resources Information Center

    Witte, John F.; Wolf, Patrick J.; Cowen, Joshua M.; Fleming, David J.; Lucas-McLean, Juanita

    2008-01-01

    This report focuses on the initial design, implementation and baseline results of the five-year Longitudinal Educational Growth Study (LEGS) of the Milwaukee Parental Choice Program (MPCP) being conducted by the School Choice Demonstration Project (SCDP). The LEGS will be the first evaluation of the participant effects of the MPCP using…

  17. NLS Handbook 1993. The National Longitudinal Surveys.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center for Human Resource Research.

    This handbook introduces the reader to the National Longitudinal Surveys (NLS) research project and the various data sets that comprise the NLS. It is designed to assist readers in making an informed decision on whether the NLS is an appropriate data source for their research needs and to provide additional resources for those who desire more

  18. Longitudinal Predictors of High School Completion

    ERIC Educational Resources Information Center

    Barry, Melissa; Reschly, Amy L.

    2012-01-01

    This longitudinal study examined predictors of dropout assessed in elementary school. Student demographic data, achievement, attendance, and ratings of behavior from the Behavior Assessment System for Children were used to predict dropout and completion. Two models, which varied on student sex and race, predicted dropout at rates ranging from 75%

  19. Longitudinal emittance measurements at REX-ISOLDE

    NASA Astrophysics Data System (ADS)

    Fraser, M. A.; Zocca, F.; Jones, R. M.; Pasini, M.; Posocco, P. A.; Voulot, D.; Wenander, F.

    2012-01-01

    We report on measurements of the longitudinal emittance at the Radioactive ion beam EXperiment (REX) at ISOLDE, CERN. The rms longitudinal emittance was measured as 0.340.08 ? ns keV/u at the output of the RFQ and as 0.360.04 ? ns keV/ u in front of the third 7-gap split-ring resonator (7G3) using the three-gradient technique; systematic errors are not included but are estimated at approximately 10%. The 86% emittance was measured a factor of approximately 4.4 times larger than the rms emittance at 1.480.2 and 1.550.12 ? ns keV/ u at the RFQ and 7G3, respectively. The REX switchyard magnet was used as a spectrometer to analyse the energy spread of the beam as it was manipulated by varying the voltage of the rebuncher (ReB) and 7G3 cavities operating at non-accelerating phases. The transfer matrix for a multi-gap bunching cavity is derived and suitably truncated to allow for the accurate reconstruction of the beam parameters from measurement. The technique for measuring the energy spread was rigorously simulated and validated. A silicon detector, in its development phase, was also exploited to measure the longitudinal beam properties. The measured longitudinal emittance is compatible with the acceptance of the HIE-ISOLDE superconducting linac upgrade.

  20. Reduced Longitudinal Function in Chronic Aortic Regurgitation

    PubMed Central

    Al Balbissi, Kais A.

    2015-01-01

    Background Chronic aortic regurgitation (AR) patients demonstrate left ventricular (LV) remodeling with increased LV mass and volume but may have a preserved LV ejection fraction (EF). We hypothesize that in chronic AR, global longitudinal systolic and diastolic function will be reduced despite a preserved LV EF. Methods We studied with Doppler echocardiography 27 normal subjects, 87 patients with chronic AR with a LV EF > 50% (AR + PEF), 66 patients with an EF < 50% [AR + reduced LV ejection fraction (REF)] and 82 patients with hypertensive heart disease. LV volume, transmitral spectral and tissue Doppler were obtained. Myocardial velocities and their timing and longitudinal strain of the proximal and mid wall of each of the 3 apical views were obtained. Results As compared to normals, global longitudinal strain was reduced in AR + PEF (13.8 4.0%) and AR + REF (11.4 4.7%) vs. normals (18.4 3.6%, both p < 0.001). As an additional comparison group for AR + PEF, global longitudinal strain was reduced as compared to patients with hypertensive heart disease (p = 0.032). The average peak diastolic annular velocity (e') was decreased in AR + PEF (6.9 3.3 cm/s vs. 13.4 2.6 cm/s, p < 0.001) and AR + REF (4.8 2.1 cm/s, p < 0.001). Peak rapid filling velocity/e' (E/e') was increased in both AR + PEF (14.4 6.2 vs. 6.2 1.3, p < 0.001) and AR + REF (18.8 6.4, p < 0.001 vs. normals). Independent correlates of global longitudinal strain (r = 0.6416, p < 0.001) included EF (p < 0.0001), E/e' (p < 0.0001), and tricuspid regurgitation velocity (p = 0.0176). Conclusion With chronic AR, there is impaired longitudinal function despite preserved EF. Moreover, global longitudinal strain was well correlated with noninvasive estimated LV filling pressures and pulmonary systolic arterial pressures. PMID:26755930

  1. 21 CFR 101.79 - Health claims: Folate and neural tube defects.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... defects—(1) Definition. Neural tube defects are serious birth defects of the brain or spinal cord that can... defects result from failure of closure of the covering of the brain or spinal cord during early embryonic... defects spina bifida or anencephaly,” “birth defects of the brain or spinal cord anencephaly or...

  2. 21 CFR 101.79 - Health claims: Folate and neural tube defects.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... defects—(1) Definition. Neural tube defects are serious birth defects of the brain or spinal cord that can... defects result from failure of closure of the covering of the brain or spinal cord during early embryonic... defects spina bifida or anencephaly,” “birth defects of the brain or spinal cord anencephaly or...

  3. 21 CFR 101.79 - Health claims: Folate and neural tube defects.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... defects—(1) Definition. Neural tube defects are serious birth defects of the brain or spinal cord that can... defects result from failure of closure of the covering of the brain or spinal cord during early embryonic... defects spina bifida or anencephaly,” “birth defects of the brain or spinal cord anencephaly or...

  4. Reactions to Prenatal Testing: Reflection of Religiosity and Attitudes toward Abortion and People with Disabilities.

    ERIC Educational Resources Information Center

    Bell, Martie; Stoneman, Zolinda

    2000-01-01

    A study asked 166 undergraduates what they would do if through prenatal testing they discovered that they (or their partner) were carrying a fetus with disabilities. Respondents were more uncertain about whether to continue the pregnancy when the fetus was diagnosed with Down syndrome than with spina bifida or hemophilia. (Contains references.)

  5. Gastrointestinal Disorders in Children with Neurodevelopmental Disabilities

    ERIC Educational Resources Information Center

    Sullivan, Peter B.

    2008-01-01

    Children with neurodevelopmental disabilities such as cerebral palsy (CP), spina bifida, or inborn errors of metabolism frequently have associated gastrointestinal problems. These include oral motor dysfunction leading to feeding difficulties, risk of aspiration, prolonged feeding times, and malnutrition with its attendant physical compromise.…

  6. Gastrointestinal Disorders in Children with Neurodevelopmental Disabilities

    ERIC Educational Resources Information Center

    Sullivan, Peter B.

    2008-01-01

    Children with neurodevelopmental disabilities such as cerebral palsy (CP), spina bifida, or inborn errors of metabolism frequently have associated gastrointestinal problems. These include oral motor dysfunction leading to feeding difficulties, risk of aspiration, prolonged feeding times, and malnutrition with its attendant physical compromise.

  7. Factors Associated with Self-Worth in Young People with Physical Disabilities

    ERIC Educational Resources Information Center

    Antle, Beverley J.

    2004-01-01

    Having a positive sense of self is associated with success for children and adults, with and without disabilities. This article reports on a cross-sectional study examining the correlates of global self-worth for 85 young people (ages eight to 23) with spina bifida (a condition present at birth) or spinal cord injury (an acquired condition).…

  8. Spirituality, Loss and Recovery in Children with Disabilities

    ERIC Educational Resources Information Center

    Erickson, David V.

    2008-01-01

    This article focuses on loss, recovery and spiritual dimensions of trauma in spinal cord injury (SCI) during adolescence. From a clinical perspective, while there are physical characteristics in common with congenital childhood disabilities such as spina bifida, life adjustment issues associated with acquired disabilities can be quite different,…

  9. A Case of Enlarged Intracranial Translucency in a Fetus with Blake's Pouch Cyst

    PubMed Central

    Iuculano, Ambra; Zoppi, Maria Angelica; Ibba, Rosa Maria; Monni, Giovanni

    2014-01-01

    The intracranial translucency (IT) is a recently introduced marker of open spina bifida (OSB). In this study, we describe a case of a fetus affected by Blake's pouch cyst which showed alterations of BS/BSOB ratio at the first trimester screening. PMID:24523974

  10. A Case of Enlarged Intracranial Translucency in a Fetus with Blake's Pouch Cyst.

    PubMed

    Iuculano, Ambra; Zoppi, Maria Angelica; Ibba, Rosa Maria; Monni, Giovanni

    2014-01-01

    The intracranial translucency (IT) is a recently introduced marker of open spina bifida (OSB). In this study, we describe a case of a fetus affected by Blake's pouch cyst which showed alterations of BS/BSOB ratio at the first trimester screening. PMID:24523974

  11. 38 CFR 21.8410 - Delegation of authority.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Delegation of authority. 21.8410 Section 21.8410 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Training and Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida...

  12. Social Skills and Behavior Problems in Children with Disabilities with and without Siblings

    ERIC Educational Resources Information Center

    Fussell, Jill J.; Macias, Michelle M.; Saylor, Conway F.

    2005-01-01

    This study examined social skills and behavior of children with disabilities (CWD) and the impact of siblings on these behaviors. Eighty-five CWD diagnosed with Attention-Deficit Hyperactivity Disorder only (ADHD-o), Learning Disability or Learning Problems (LD/LP), ADHD and LD combined (ADHD/LD) or Spina Bifida (SB) and their siblings were…

  13. Methotrexate and Pregnancy

    MedlinePLUS

    ... specific risks, as well as suggest prenatal testing. Prenatal testing may involve a blood or amniotic fluid test for neural tube defects (such as spina bifida) and a detailed ultrasound to look at the growth and development of the baby. Ultrasound can show some birth ...

  14. 38 CFR 21.8286 - Training resources.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Training resources. 21...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Training and Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Vocational Training Program Entrance,...

  15. Spirituality, Loss and Recovery in Children with Disabilities

    ERIC Educational Resources Information Center

    Erickson, David V.

    2008-01-01

    This article focuses on loss, recovery and spiritual dimensions of trauma in spinal cord injury (SCI) during adolescence. From a clinical perspective, while there are physical characteristics in common with congenital childhood disabilities such as spina bifida, life adjustment issues associated with acquired disabilities can be quite different,

  16. National Organizations Raising Public Consciousness. Part II.

    ERIC Educational Resources Information Center

    Exceptional Parent, 1980

    1980-01-01

    Statements of seven national organizations (Muscular Dystrophy Association, Spina Bifida Association of America, National Easter Seal Society, International Association of Parents of the Deaf, American Foundation for the Blind, Down's Syndrome Congress, and the National Society for Autistic Children) about raising community awareness of issues…

  17. Utilizing Alternative Assessment Techniques with Physically Impaired Students To Increase Work Completion and Improve Work Quality.

    ERIC Educational Resources Information Center

    Thomas, Traci L.

    This paper describes a practicum project that involved teaching 14 students (ages 8 through 13) with physical disabilities (cerebral palsy, spina bifida, and muscular dystrophy) to plan, organize, and complete projects and assignments independently. The paper explains the low expectations for the students and the students' lack of experience in…

  18. 38 CFR 21.8030 - Requirement for evaluation of child.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... evaluation of child. 21.8030 Section 21.8030 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Evaluation § 21.8030 Requirement for evaluation of child. (a) Children to be...

  19. 38 CFR 21.8030 - Requirement for evaluation of child.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... evaluation of child. 21.8030 Section 21.8030 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Evaluation § 21.8030 Requirement for evaluation of child. (a) Children to be evaluated. The VR&E Division will evaluate each...

  20. 38 CFR 21.8030 - Requirement for evaluation of child.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... evaluation of child. 21.8030 Section 21.8030 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Evaluation § 21.8030 Requirement for evaluation of child. (a) Children to be...

  1. 38 CFR 21.8030 - Requirement for evaluation of child.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... evaluation of child. 21.8030 Section 21.8030 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Evaluation § 21.8030 Requirement for evaluation of child. (a) Children to be...

  2. Helping SBH Pupils with Handwriting.

    ERIC Educational Resources Information Center

    Anderson, Elizabeth

    1979-01-01

    The article describes two cases of children (7- and 8 1/2-years-old) with spina bifida and hydrocephalus who participated in a research project to discover whether such children could make significant improvements in writing given appropriate help, and to produce an advisory booklet for teachers. (SBH)

  3. Development of Intentionality in the Vocalization of Handicapped Infants Reared in a Hospital Setting.

    ERIC Educational Resources Information Center

    Bochner, Sandra

    1986-01-01

    The 15-month study followed the vocal development of five handicapped (Down Syndrome, hydrocephalus, and spina bifida) hospital reared infants. Results suggested that only the two less handicapped infants demonstrated use of sounds for social interaction and that the other infants used vocalization primarily as protest or self-stimulation.

  4. Neuropathology and Structural Changes in Hydrocephalus

    ERIC Educational Resources Information Center

    Del Bigio, Marc R.

    2010-01-01

    In the context of spina bifida, hydrocephalus is usually caused by crowding of the posterior fossa with obstruction to cerebrospinal fluid flow from the forth ventricle, and less often by malformation of the cerebral aqueduct. Enlargement of the cerebral ventricles causes gradual destruction of periventricular white matter axons. Motor, sensory,…

  5. Reactions to Prenatal Testing: Reflection of Religiosity and Attitudes toward Abortion and People with Disabilities.

    ERIC Educational Resources Information Center

    Bell, Martie; Stoneman, Zolinda

    2000-01-01

    A study asked 166 undergraduates what they would do if through prenatal testing they discovered that they (or their partner) were carrying a fetus with disabilities. Respondents were more uncertain about whether to continue the pregnancy when the fetus was diagnosed with Down syndrome than with spina bifida or hemophilia. (Contains references.)…

  6. Home Care for Children with Chronic Illnesses and Severe Disabilities: A Bibliography and Resource Guide.

    ERIC Educational Resources Information Center

    Wells, Alice; And Others

    The bibliography and resource guide summarizes relevant research and information on home care for children with disabilities and chronic illnesses, including those with such diagnoses as spina bifida, cerebral palsy, severe mental retardation, acquired immune deficiency syndrome (AIDS), hemophilia, sickle cell anemia, autism, or failure-to-thrive…

  7. Incontinent Children Discover Hope at Camp Oakhurst.

    ERIC Educational Resources Information Center

    Raps, Marvin A.

    1991-01-01

    Describes summer-camp experiences of young people who are incontinent because of spina bifida. Focuses on residential camp program as encouragement for youth to learn independent incontinence management. Describes self-catheterization program and process as minor inconvenience and positive alternative to soiled clothing and accompanying

  8. 38 CFR 21.8284 - Additional vocational training.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Training and Rehabilitation for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Vocational Training Program Entrance, Termination, and Resources 21.8284 Additional vocational training. VA may provide an additional period...

  9. 38 CFR 21.8340 - Leaves of absence.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Leaves of absence. 21... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Leaves of Absence 21.8340 Leaves of absence. (a) Purpose of leave of absence. The purpose of the...

  10. 38 CFR 21.8340 - Leaves of absence.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Leaves of absence. 21... Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects Leaves of Absence 21.8340 Leaves of absence. (a) Purpose of leave of absence. The purpose of the...

  11. Nathan Watt: A True American Idol

    ERIC Educational Resources Information Center

    Watt, Diana

    2006-01-01

    In this article, the author profiles her son Nathan Watt, a 14-year-old who was born with Spina Bifida, who does not allow setbacks to keep him from achieving his goals and dreams in the areas of writing, recording, and performing his own music. He has also opened a business website and turned his story, "Anything is Possible," into a color story

  12. Neuropathology and Structural Changes in Hydrocephalus

    ERIC Educational Resources Information Center

    Del Bigio, Marc R.

    2010-01-01

    In the context of spina bifida, hydrocephalus is usually caused by crowding of the posterior fossa with obstruction to cerebrospinal fluid flow from the forth ventricle, and less often by malformation of the cerebral aqueduct. Enlargement of the cerebral ventricles causes gradual destruction of periventricular white matter axons. Motor, sensory,

  13. Folic acid fortification and cancer risk: plea for objective evaluation of the evidence

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The letter from Bayston and colleagues,1 representing the Association for Spina Bifida and Hydrocephalus, dismisses concerns raised by two recent studies2, 3 of a possible increase in colorectal cancer (CRC) risk following a high intake of folic acid. In relation to the postulated link between forti...

  14. Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

    ERIC Educational Resources Information Center

    Gorter, Jan Willem

    2009-01-01

    In their qualitative study, Young and colleagues (2009) found that youth and adults with cerebral palsy (CP), spina bifida, and acquired brain injuries of childhood in the province of Ontario, Canada, perceive or have perceived their transfer from pediatric to adult-oriented health care services as a struggle. Although publications on transition

  15. Subjective Age in the Transition to Adulthood for Persons with and without Motor Disabilities

    ERIC Educational Resources Information Center

    Galambos, Nancy L.; Darrah, Johanna; Magill-Evans, Joyce

    2007-01-01

    This study examined subjective age (how old one feels) and associated variables in 148 emerging adults, ages 20-30 years. Seventy-six participants had a motor disability (cerebral palsy, spina bifida) and 72 had no motor disability. Participants completed questionnaires and were interviewed. There was no significant difference in subjective age

  16. Clean Intermittent Catheterization in the School Setting

    ERIC Educational Resources Information Center

    Katrancha, Elizabeth D.

    2008-01-01

    Spina bifida (SB) is a neural tube defect that causes many physical and mental disabilities. Bowel and bladder incontinence is the disability seen most often in these students that requires the school nurse's attention. Clean intermittent catheterization (CIC) provides the student with SB a vehicle to reach a satisfactory level of continence,

  17. Training a Parent in Wheelchair Skills to Improve Her Child's Wheelchair Skills: A Case Study

    ERIC Educational Resources Information Center

    Kirby, R. Lee; Smith, Cher; Billard, Jessica L.; Irving, Jenny D. H.; Pitts, Janice E.; White, Rebecca S.

    2010-01-01

    We tested the hypothesis that training a parent in wheelchair-user and caregiver wheelchair skills would improve the child's wheelchair skills. We studied an 11-year-old girl with spina bifida and her mother. The mother received 4 training sessions averaging 42.5 minutes per session, over a period of 3 weeks. The total pre-training and, 4 weeks

  18. Social Skills and Behavior Problems in Children with Disabilities with and without Siblings

    ERIC Educational Resources Information Center

    Fussell, Jill J.; Macias, Michelle M.; Saylor, Conway F.

    2005-01-01

    This study examined social skills and behavior of children with disabilities (CWD) and the impact of siblings on these behaviors. Eighty-five CWD diagnosed with Attention-Deficit Hyperactivity Disorder only (ADHD-o), Learning Disability or Learning Problems (LD/LP), ADHD and LD combined (ADHD/LD) or Spina Bifida (SB) and their siblings were

  19. Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

    ERIC Educational Resources Information Center

    Young, Nancy L.; Barden, Wendy S.; Mills, Wendy A.; Burke, Tricia A.; Law, Mary; Boydell, Katherine

    2009-01-01

    Introduction: The transition to adulthood is extremely difficult for individuals with disabilities. We sought to explore the specific issue of transition to adult-oriented health care in a Canadian context. Methods: We conducted semi-structured individual interviews with 15 youth and 15 adults with cerebral palsy, spina bifida, and acquired brain

  20. Mothering in Families with and without a Child with Disability.

    ERIC Educational Resources Information Center

    Bower, Anna M.; Hayes, Alan

    1998-01-01

    A study involving 14 Australian mothers of children with spina bifida, 17 mothers with children with Down syndrome, and 38 control mothers, found that the experiences of being a mother were characterized by similarities rather than differences among the three groups. Differences in experiences tended to be disability specific. (CR)

  1. Ethical Problems of Screening for Neural Tube Defects.

    ERIC Educational Resources Information Center

    Habgood, J. S.

    1978-01-01

    Among the ethical problems in screening for severe spina bifida in a fetus are deciding who should be screened; whether the procedure, which has medical risks, is justified; and how to deal with the only known solution--abortion. Journal availability: see EC 114 865. (PHR)

  2. The Role of Genetic Counseling in the Elective Termination of Pregnancies Involving Fetuses with Disabilities.

    ERIC Educational Resources Information Center

    Roberts, Christy D.; Stough, Laura M.; Parrish, Linda H.

    2002-01-01

    A survey of 69 women at risk for carrying a fetus with a disability found most would choose to terminate a pregnancy that tested positive for a disability regardless of type of disability (either Down syndrome or spina bifida). The decision was not related to knowledge about disabilities but was negatively related to knowledge of

  3. Roughing It Smoothly.

    ERIC Educational Resources Information Center

    Turner, Donna

    1988-01-01

    A mother of a 17-year-old son with spina bifida recounts the family's experiences camping in the Adirondack Mountains. Her son has enjoyed swimming, modified waterskiing, riding to the top of a mountain during the summer on a ski chair lift, and blueberry picking from a toboggan rather than his wheelchair. (VW)

  4. Congruence between Mother and Handicapped Child's View of the Child's Sense of Adjustment.

    ERIC Educational Resources Information Center

    Harvey, David; Greenway, Philip

    1982-01-01

    Only diagnosis of handicap was significantly related to the tendency for children to be either less or more positive in response to the items than their mothers, with cerebral palsy children more positive and spina bifida children consistently less positive in direction. (Author)

  5. 38 CFR 21.8282 - Termination of a vocational training program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Vocational Training..., administrative error, or finding that the child no longer has a covered birth defect. An eligible child for whom... covered birth defect. The effective date of termination will be the earliest of the following...

  6. 38 CFR 21.8010 - Definitions and abbreviations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth... abbreviations. For the purposes of this subpart: Covered birth defect means the same as defined at § 3.815(c)(3... title who has a covered birth defect other than a birth defect described in § 3.815(a)(2)....

  7. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... and covered birth defects. 21.8012 Section 21.8012 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects....

  8. 38 CFR 21.8010 - Definitions and abbreviations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth... abbreviations. For the purposes of this subpart: Covered birth defect means the same as defined at § 3.815(c)(3... title who has a covered birth defect other than a birth defect described in § 3.815(a)(2)....

  9. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... and covered birth defects. 21.8012 Section 21.8012 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects....

  10. 38 CFR 21.8010 - Definitions and abbreviations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth... abbreviations. For the purposes of this subpart: Covered birth defect means the same as defined at § 3.815(c)(3... title who has a covered birth defect other than a birth defect described in § 3.815(a)(2)....

  11. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... and covered birth defects. 21.8012 Section 21.8012 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects....

  12. 38 CFR 21.8010 - Definitions and abbreviations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects General § 21.8010 Definitions and... birth defect means the same as defined at § 3.815(c)(3) of this title. Eligible child means, as... an individual as defined at § 3.815(c)(2) of this title who has a covered birth defect other than...

  13. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans and veterans with covered...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... and covered birth defects. 21.8012 Section 21.8012 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans and veterans with covered service in Korea—spina bifida and covered birth defects....

  14. 38 CFR 21.8010 - Definitions and abbreviations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth... abbreviations. For the purposes of this subpart: Covered birth defect means the same as defined at § 3.815(c)(3... title who has a covered birth defect other than a birth defect described in § 3.815(a)(2)....

  15. Factors Associated with Self-Worth in Young People with Physical Disabilities

    ERIC Educational Resources Information Center

    Antle, Beverley J.

    2004-01-01

    Having a positive sense of self is associated with success for children and adults, with and without disabilities. This article reports on a cross-sectional study examining the correlates of global self-worth for 85 young people (ages eight to 23) with spina bifida (a condition present at birth) or spinal cord injury (an acquired condition).

  16. Irving Independent School District, Petitioner v. Henri Tatro, et Ux., Individually and as Next Friend of Amber Tatro, a Minor. On Writ of Certiorari to the United States Court of Appeals for the Fifth Circiut. No. 83-558.

    ERIC Educational Resources Information Center

    Supreme Court of the U. S., Washington, DC.

    A Supreme Court ruling is presented regarding the provision of clean intermittent catheterization as part of related services mandated under P.L. 94-142, the Education for All Handicapped Children Act. The case argued focused on the needs of a young girl with spina bifida for intermittent catheterization to remove urine from her bladder. The court…

  17. Prevention of Neural Tube Defects. ARC Q&A #101-45.

    ERIC Educational Resources Information Center

    Arc, Arlington, TX.

    This fact sheet uses a question-and-answer format to summarize issues related to the prevention of neural tube defects. Questions and answers address the following topics: what neural tube defects are and the most common types (spina bifida and anencephaly); occurrence of neural tube defects during the first month of pregnancy; the frequency of

  18. 38 CFR 17.905 - Medical records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Medical records. 17.905 Section 17.905 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects § 17.905...

  19. 38 CFR 17.904 - Review and appeal process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Health Care Benefits for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects § 17.904 Review and appeal process. For purposes of §§ 17.900 through 17.905, if a health care provider, child, or representative disagrees with a determination concerning provision of health care or with...

  20. Spirituality: A Coping Mechanism in the Lives of Adults with Congenital Disabilities

    ERIC Educational Resources Information Center

    Specht, Jacqueline A.; King, Gillian A.; Willoughby, Colleen; Brown, Elizabeth G.; Smith, Linda

    2005-01-01

    The purpose of this study was to gain insight into the perspective of individuals with congenital disabilities about spirituality as a coping mechanism during crucial times in their lives, Qualitative analysis of interviews assessing turning points in the lives of 15 adults (6 women and 9 men; M = 37 years) with spina bifida, cerebral palsy, or

  1. Living with a Handicap. Australian Early Childhood Resource Booklets, No. 3, 1981.

    ERIC Educational Resources Information Center

    Australian Early Childhood Association, Inc., Watson.

    Autobiographical sketches of four Australians living with physical handicaps are presented in this Australian early childhood resource booklet. Life experiences in school and out are reported by a blind man, a young woman who was brain damaged due to injuries in an automobile accident, a mother of a child with spina bifida, and a Doctor of…

  2. 38 CFR 21.8370 - Authorization of transportation services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... transportation services. 21.8370 Section 21.8370 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects Transportation Services § 21.8370 Authorization of transportation services. (a) General. VA authorizes transportation...

  3. 38 CFR 17.133 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... CHAMPVA (38 CFR 17.270 through 17.278) and spina bifida (38 CFR 17.904) and any other regulations that... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Procedures. 17.133... Reconsideration of Denied Claims 17.133 Procedures. (a) Scope. This section sets forth...

  4. Reading Fluency Instruction with Students Who Have Physical Disabilities

    ERIC Educational Resources Information Center

    Heller, Kathryn Wolff; Rupert, Jenny Hayes; Coleman-Martin, Mari Beth; Mezei, Peter J.; Calhoon, Mary Beth

    2007-01-01

    Although fluency instruction is an essential part of teaching reading, there is limited information on providing this type of instruction with students who have physical disabilities. This article examines three case studies across two students, one with cerebral palsy and the other with both arthrogryposis and spina bifida. In the first study,

  5. Swimming for the Handicapped Child and Adult: Occasional Papers No. 10.

    ERIC Educational Resources Information Center

    Neishloss, Lou

    Outlined are physiological and psychological values of swimming for the handicapped, basic principles and teaching procedures for instructing physically handicapped persons, and specific suggestions for teaching swimming to persons with the following conditions; amputations, polio, paraplegia, cerebral palsy, spina bifida, Legg-Perthes Disease,…

  6. 38 CFR 17.900 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Definitions. 17.900 Section 17.900 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered Service in Korea-Spina Bifida and Covered Birth Defects §...

  7. 38 CFR 17.900 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Definitions. 17.900 Section 17.900 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans-Spina Bifida and Covered Birth Defects § 17.900 Definitions. For purposes of §§ 17.900...

  8. 115. DETAILS OF REINFORCEMENT: TYPICAL CROSSSECTION, LONGITUDINAL BRACE OF CENTER ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    115. DETAILS OF REINFORCEMENT: TYPICAL CROSS-SECTION, LONGITUDINAL BRACE OF CENTER PILES, OUTSIDE LONGITUDINAL GIRDER Sheet 6 of 9 (#3257) - Huntington Beach Municipal Pier, Pacific Coast Highway at Main Street, Huntington Beach, Orange County, CA

  9. Using the Longitudinal Study as a Central Teaching Focus.

    ERIC Educational Resources Information Center

    Demchik, Michael J.

    1999-01-01

    Argues that treatment of one investigative longitudinal topic from start to finish in a high school biology class can illustrate many major ideas and concepts. Discusses ways to use various longitudinal studies of plant growth with General Biology classes. (WRM)

  10. 14 CFR 27.173 - Static longitudinal stability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Static longitudinal stability. 27.173... longitudinal stability. (a) The longitudinal control must be designed so that a rearward movement of the... the maneuvers specified in 27.175(a) through (d), the slope of the control position versus...

  11. 14 CFR 29.173 - Static longitudinal stability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Static longitudinal stability. 29.173... Static longitudinal stability. (a) The longitudinal control must be designed so that a rearward movement... constant during the maneuvers specified in 29.175(a) through (d), the slope of the control...

  12. 14 CFR 23.175 - Demonstration of static longitudinal stability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Demonstration of static longitudinal stability. 23.175 Section 23.175 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... Flight Stability § 23.175 Demonstration of static longitudinal stability. Static longitudinal...

  13. 46 CFR 154.176 - Longitudinal contiguous hull structure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Longitudinal contiguous hull structure. 154.176 Section... Equipment Hull Structure 154.176 Longitudinal contiguous hull structure. (a) The longitudinal contiguous hull structure of a vessel having cargo containment systems without secondary barriers must meet...

  14. 46 CFR 154.176 - Longitudinal contiguous hull structure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Longitudinal contiguous hull structure. 154.176 Section... Equipment Hull Structure 154.176 Longitudinal contiguous hull structure. (a) The longitudinal contiguous hull structure of a vessel having cargo containment systems without secondary barriers must meet...

  15. Nonlinear dynamics of microtubules A longitudinal model

    NASA Astrophysics Data System (ADS)

    Zdravkovi?, S.; Satari?, M. V.; Zekovi?, S.

    2013-05-01

    In the present letter we describe a model of nonlinear dynamics of microtubules (MTs) assuming a single longitudinal degree of freedom per tubulin dimer. This is a longitudinal displacement of a dimer at a certain position with respect to the neighbouring one. A nonlinear partial differential equation, describing dimer's dynamics within MT, is solved both analytically and numerically. It is shown that such a nonlinear model can lead to the existence of kink solitons moving along the MTs. The internal electrical field strength is calculated using two procedures and a perfect agreement between the results is demonstrated. This enabled the estimation of the total energy, kink velocity and kink width. To simplify the calculation of the total energy we stated and proved a useful auxiliary theorem.

  16. Longitudinal injection transients in an electron storagering

    SciTech Connect

    Byrd, J.M.; De Santis, S.

    2000-11-02

    We present the results of an experimental study of the longitudinal beam dynamics at injection in the Advanced Light Source (ALS), an electron storage ring. By measuring the longitudinal bunch distribution following injection using a streak camera, we were able to study several useful and interesting e.ects as well as improve overall injection efficiency. These include measurement and correction of the phase and energy offsets at injection, measurement of the injected bunch length and energy spread, direct observation of phase space filamentation due to the spread in synchrotron frequencies, and measurement of the effective damping rate of the bunch shape including radiation damping and decoherence. We have also made some initial studies of the decay of an uncaptured beam at injection which may provide a novel means of measuring the radiation loss per turn.

  17. Longitudinal variations of the equatorial electojet

    NASA Astrophysics Data System (ADS)

    Shume, Esayas

    We have utilized a three dimensional electrostatic potential model to explain the longitudinal variations of the equatorial electrojet. The model runs were constrained by net H component magnetic field measurements from three equatorial stations, namely, Huancayo (Peru) 12.05 S, 284.67 E; Addis Ababa (Ethiopia) 9.8 N, 38.8 E; Tirunelveli (India) 8.42 N, 77.48 E. The model runs were done in an iterative fashion until the computed and measured H component magnetic field values come into a close agreement. The physical mechanisms for the longitudinal variations of the equatorial electrojet were inferred by comparing and contrasting the resulting computed vertical polarization electric field (which drives the equatorial electrojet), and zonal current density profiles for the three stations mentioned above.

  18. A longitudinal study of moral reasoning.

    PubMed

    Walker, L J

    1989-02-01

    Several issues concerning Gilligan's model of moral orientations and Kohlberg's models of moral stages and moral orientations were examined in a longitudinal study with 233 subjects (from 78 families) who ranged in age from 5 to 63 years. They participated in 2 identical interviews separated by a 2-year interval. In each interview, they discussed hypothetical dilemmas and a personally generated real-life dilemma, which were scored for both moral stage and moral orientation (both Gilligan's and Kohlberg's typologies). Results revealed few violations of the stage sequence over the longitudinal interval, supporting Kohlberg's moral stage model. Sex differences were almost completely absent for both Gilligan's and Kohlberg's moral orientations, although there were clear developmental trends. Hypothetical and real-life dilemmas elicited different moral orientations, especially in terms of Kohlberg's typology. The interrelations between the 2 models of moral orientations were generally weak, indicating that they are not synonymous. PMID:2702866

  19. Eulerian network modeling of longitudinal dispersion

    NASA Astrophysics Data System (ADS)

    Mehmani, Yashar; Balhoff, Matthew T.

    2015-10-01

    A novel Eulerian network model that incorporates "shear dispersion," the stretching of solute due to nonuniform velocity profiles within pore throats is developed. The superposing transport method (STM) is nonlocal in time (i.e., uses information from several previous time steps) and is equivalent to performing network-wide time convolutions of elementary throat response functions. Predicted macroscopic longitudinal dispersion coefficients for disordered sphere packs are in good agreement with published experimental data. We further investigate the impact of mixing assumptions within pores on macroscopic longitudinal dispersion and find the dependence to be weak for disordered sphere packs. Limitations of Eulerian network models as a whole are also discussed, and their inappropriateness for ordered porous media concluded.

  20. Linac Coherent Light Source Longitudinal Feedback Model

    SciTech Connect

    Wu, Juhao; Emma, P.; Hendrickson, L.; /SLAC

    2005-06-15

    The Linac Coherent Light Source (LCLS) will be the world's first x-ray free-electron laser (FEL). To ensure the vitality of FEL lasing, it is critical to preserve the high quality of the electron beam during acceleration and compression. The peak current and final energy are very sensitive to system jitter. To minimize this sensitivity, a longitudinal feedback system on the bunch length and energy is required, together with other diagnostics and feedback systems (e.g., on transverse phase space). Here, we describe a simulation framework, which includes a realistic jitter model for the LCLS accelerator system, the RF acceleration, structure wakefield, and second order optics. Simulation results show that to meet the tight requirements set by the FEL, such a longitudinal feedback system is mandatory.