Science.gov

Sample records for 4-year-old girl presented

  1. Multifocal tumoral calcinosis in a 4-year-old girl

    PubMed Central

    Sayar, Ilyas; Peker, Kemal; Kapısız, Alparslan; Bostancı, Isıl Esen; Gürbüzel, Mehmet; Isik, Arda; Peker, Necla Aydın

    2014-01-01

    Patient: Female, 4 Final Diagnosis: Tumoral calcinosis Symptoms: Hard immobile mass Medication: — Clinical Procedure: — Specialty: Surgery Objective: Congenital defects Background: Tumoral calcinosis is an uncommon condition associated with the deposition of painless calcific masses. It is more common in childhood or early adolescence of African-American females. Case Report: We present a case of a 4-year-old girl with tumoral calcinosis treated surgically. The case is rather rare in terms of the age of the patient and the localization of the masses (gluteal site). In our patient, the biochemical findings were normal, except for hyperphosphatemia and elevated alkaline phosphatase. Conclusions: Total excision appears to lead to a good clinical outcome and a low incidence of local relapse. PMID:24644527

  2. Inflammatory epidermolysis bullosa acquisita in a 4-year-old girl.

    PubMed

    Lazić-Mosler, Elvira; Jukić, Ines Lakoš; Murat-Sušić, Slobodna; Husar, Karmela; Skerlev, Mihael; Bukvić Mokos, Zrinka; Ishii, Norito; Hashimoto, Takashi; Marinović, Branka

    2015-11-01

    This study presents a case of linear immunoglobulin A dermatosis-like epidermolysis bullosa acquisita in a 4-year-old girl showing rapid, widespread and inflammatory skin lesions. The diagnosis was confirmed by histopathology, direct and indirect immunofluorescence, various immunoblotting analyses and enzyme-linked immunosorbent assays. Despite the severe clinical manifestations, the disease was successfully controlled by combination therapy of oral prednisolone and dapsone. © 2015 Japanese Dermatological Association.

  3. Where there's smoke there's fire--ear candling in a 4-year-old girl.

    PubMed

    Hornibrook, Jeremy

    2012-12-14

    It is estimated that one-third of the United States population subscribes to alternative medical therapies (Eisenberg et al, NEJM 1993;328:246-252). Ear candles are popular products promoted by alternative health practitioners, and sold by health shops and even over the Internet. They have been promoted for ear and sinus discomfort, rhinitis, sinusitis, glue ear, colds, flu, migraine, tinnitus, but particularly for removal of ear wax (cerumen). In this case report, a 4-year-old girl in New Zealand presents with otitis media and during the course of the ear examination white deposits were noticed on her eardrum; this was confirmed as being caused by ear candling.

  4. [Noma in a 4 year-old girl: a case report from Chad].

    PubMed

    Cocquempot, K; Javaudin, O; Lerasle, P; Aigle, L

    2014-01-01

    This case report describes a 4-year-old girl in Chad with noma, also called cancrum oris. This acute gangrenous stomatitis has a combined morbidity-mortality rate that can reach 70%. It occurs worldwide but is most common in sub-Saharan Africa in children aged 2 to 16 years. Its pathogenesis is uncertain, but several bacteria including Fusobacterium necrophorum, Prevotella intermedia and Pseudomonas aeruginosa may be responsible for the development of noma, which develops over the oral lesions these bacteria cause. Poverty is its most important risk factor. Due to its rapid course and high lethality, it requires emergency treatment with antibiotics, daily dressing of the lesion, and nutritional rehabilitation. Surgical removal of the remaining necrotic tissue can be followed by reconstructive procedures. Physical and speech therapy should be initiated to prevent functional complications.

  5. Growing teratoma syndrome: first case report in a 4-year-old girl.

    PubMed

    Daher, Paul; Riachy, Edward; Khoury, Antoine; Raffoul, Lara; Ghorra, Claude; Rehayem, Caline

    2015-02-01

    Growing teratoma syndrome (GTS) consists of germ cell tumors that grow following chemotherapy despite complete eradication of the malignant cells. They can metastasize to any site, particularly the retroperitoneum, mediastinum and cervical region. It typically affects young adults and adolescents. Here we describe the youngest case reported in a 4-year-old girl with an ovarian mixed germ cell tumor who underwent an oophorectomy. Her tumor markers normalized by the end of her chemotherapeutic treatment; however, she developed a retroperitoneal mass that was subsequently resected. Histopathology revealed a mature teratoma, consisting of a GTS. We stress the need for early recognition and treatment of GTS to avoid the subsequent morbidity and mortality associated with it. Although GTS has an excellent prognosis when completely resected, it is essential that the patient be regularly followed-up with serum tumor markers and imaging.

  6. Apical Lung Herniation Associated with Continuous Positive Airway Pressure in a 4-Year-Old Girl

    PubMed Central

    Lehmann, Christopher J.; Daftary, Ameet S.; Machogu, Evans M.

    2016-01-01

    We report a case of apical lung herniation through the superior thoracic aperture of an obese child using nocturnal CPAP. Lung herniation has been described in association with congenital thoracic abnormalities and elevated intra-thoracic pressure, such as trauma. This patient was hospitalized with community acquired pneumonia and required nocturnal CPAP for treatment of concurrent obstructive sleep apnea. Her lung hernia was discovered incidentally on routine follow-up chest radiography and resolved with cessation of CPAP treatment. Lung herniation in association with the use of continuous positive airway pressure (CPAP) has not been previously described. Citation: Lehmann CJ, Daftary AS, Machogu EM. Apical lung herniation associated with continuous positive airway pressure in a 4-year-old girl. J Clin Sleep Med 2016;12(11):1565–1566. PMID:27397657

  7. Fatal course of pulmonary Absidia sp. infection in a 4-year-old girl undergoing treatment for acute lymphoblastic leukemia.

    PubMed

    Krauze, Agnieszka; Krenke, Katarzyna; Matysiak, Michal; Kulus, Marek

    2005-07-01

    Absidia sp. is a rare etiologic agent responsible for infectious complications in immunosuppressed patients. The authors describe a 4-year-old girl with acute lymphoblastic leukemia complicated with pleuropneumonia caused by an Absidia infection during the induction of remission. A review of the published reports in current literature is included for comparison. To the authors' knowledge only six cases of primary pulmonary absidiomycosis have been published. Despite its uncommon pulmonary presentation, mucormycosis should be considered in patients with an immunosuppressing illness and positive risk factors and when a pulmonary lesion is not responding to appropriate antibiotic therapy.

  8. Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery

    PubMed Central

    Lee, Jeong-Hwan; Oh, Chaeyoun; Youn, Joong Kee; Han, Ji-Won; Jung, Sung-Eun

    2016-01-01

    Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. Abdominal CT revealed a 5.2 cm × 4.5 cm × 5.1 cm, right-sided, partially thrombosed, saccular, iliac artery aneurysm. She underwent to operation, aneurismal resection. A pathological examination confirmed that it was a true aneurysm, considering that all layers of the vascular wall were stretched with no deficit. The patient was discharged 3 days after the surgery without any complication. Five months passed since the surgery, and the patient is doing well without any abdominal or leg pain. PMID:27847800

  9. Harlequin sign (hemifacial flushing and contralateral hypohidrosis) in a 4-year-old girl with Horner syndrome.

    PubMed

    Abe, Masatoshi; Tamura, Atsushi; Sogabe, Yoko; Hashimoto, Chie; Shyuto, Tomoko; Ishikawa, Osamu

    2006-01-01

    We report a Japanese infant with Horner syndrome whose clinical examination and testing suggested the location of the causative lesion. A 4-year-old Japanese girl had an acquired right ocular ptosis and unequal pupils presenting shortly after birth. She also exhibited left hemifacial flushing and loss of sweating on the contralateral side (harlequin sign). Physical examination demonstrated 2.0 mm of ptosis of the right upper lid with normal elevator function. The diameters of the pupils were 4 mm on the left and 2.5 mm on the right. No sweating was induced in the right frontal region at 40 degrees C for 15 minutes of sweat challenge test. Otherwise, no abnormalities were found by the neurophysiologic examinations or magnetic resonance imaging of the brain. Based on the clinical examination, we speculated that the responsible lesion might be in the preganglionic areas. Harlequin sign was informative for making the diagnosis of Horner syndrome.

  10. Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery.

    PubMed

    Lee, Jeong-Hwan; Oh, Chaeyoun; Youn, Joong Kee; Han, Ji-Won; Kim, Hyun-Young; Jung, Sung-Eun

    2016-11-01

    Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. Abdominal CT revealed a 5.2 cm × 4.5 cm × 5.1 cm, right-sided, partially thrombosed, saccular, iliac artery aneurysm. She underwent to operation, aneurismal resection. A pathological examination confirmed that it was a true aneurysm, considering that all layers of the vascular wall were stretched with no deficit. The patient was discharged 3 days after the surgery without any complication. Five months passed since the surgery, and the patient is doing well without any abdominal or leg pain.

  11. Generalized tetanus in a 4-year old boy presenting with dysphagia and trismus: a case report

    PubMed Central

    2009-01-01

    Introduction The low incidence of tetanus in developed countries has resulted in a decreased vigilance of this disease. This raises concern, as the prodromal stadium of a generalized tetanus infection may lack the characteristic paroxysmal muscle spasms. Tetanus can rapidly progress into life-threatening muscle spasms accompanied by respiratory insufficiency and/or autonomic dysfunction. This emphasizes the need for early diagnosis and treatment. Case presentation A 4-year-old Caucasian boy presented with a one-week history of general malaise, mild fever, indolence and anorexia. He subsequently developed dysphagia, sialorrhoea, difficulties opening the mouth and eventually dehydration. Due to parental concerns about the boy's refusal of fluids, a pediatrician was consulted. At that time of presentation he showed signs of trismus and muscle rigidity. Together with the lack of immunization and a toe nail infection, this lead to the suspicion of a generalized tetanus infection. After sedation, endotracheal intubation and ventilation, passive immunization and initiation of antimicrobial treatment, he was immediately transferred to a pediatric intensive care unit (PICU) for further treatment. The frequency and severity of paroxysmal muscle spasms increased progressively during his PICU stay, despite high doses of sedatives. Not before two weeks after admittance, extubation and careful weaning off sedatives was achieved. Conclusion Tetanus infection remains a rare but potentially lethal disease in developed countries. As the full scope of classical symptoms may be absent at first presentation, tetanus should always be considered in non-immunized patients with an acute onset of dysphagia and trismus. PMID:19829891

  12. [Periodic fever, aphtosus stomatitis, pharyngitis, cervical adenopathy syndrome (PFAPA syndrome) in 4-years old girl--case report].

    PubMed

    Krzywicka, Agnieszka; Rusek-Zychma, Małgorzata; Barć-Czarnecka, Małgorzata; Roszkowska, Dagmara

    2007-01-01

    Characteristic feature of PFAPA syndrome is periodic episodes of fever recurring in 21-28 days in infants and young children. Fever is accompanied by aphtosus stomatitis, pharyngitis and cervical adenopathy. Diagnosis of this syndrome are based on typical clinical manifestations, because there are no characteristic changes in laboratory findings. The reason of this syndrome is unknown. We described a case of 4 years old girl with typical manifestations of this syndrome. We excluded others reasons of periodic fever. PFAPA syndrome passed after 2 years of duration after adenothomy.

  13. A 4-year-old boy presenting with persistent urinary incontinence: Questions.

    PubMed

    Keenswijk, Werner; Walle, Johan Vande

    2017-05-01

    A 4-year-old boy was referred to the nephrologist with daytime urinary incontinence and suspicion of an overactive bladder. At the age of 17 months he had been referred to the pediatric endocrinologist because of polyuria and polydipsia in order to exclude diabetes insipidus. Repeated water deprivation tests and a magnetic resonance imaging scan of the brain were normal. Diabetes insipidus was excluded, and primary polydipsia was thought to be most likely since diabetes mellitus also had been excluded. At the current presentation, he drank up to 3 L a day and quite often had wet diapers. He also seemed to pass stools infrequently and with difficulty. Curiously his grandmother had similar symptoms of polyuria and polydipsia since childhood and had been diagnosed with primary polydipsia. The physical examination of our pediatric patient was normal. In the differential diagnosis we included diabetes insipidus but also contemplated other possibilities, such as nephronophthisis, tubulopathies and hypercalciuria. Laboratory results including urinalysis and an ultrasound of the kidney did not show any abnormalities, making a tubulopathy or hypercalciuria unlikely. A desmopressin test by the intravenous route came back completely normal, pointing to another cause than diabetes insipidus. Genetic testing for the nephronophthisis came back negative but was positive for a missense mutation in the AVPR2 gene (p.Arg104Cys) associated with partial nephrogenic diabetes insipidus. He was started on daily desmopressin. Within 3 days the urinary incontinence resolved as did the polyuria and faecal incontinence. His grandmother was referred to the geneticist and eventually the adult nephrologist. This case highlights the importance of being thorough when confronted with a difficult diagnosis. It also emphasizes that a test result does not necessarily equate to the presence or absence of a condition since the test with 100 % sensitivity and specificity has yet to be discovered.

  14. The Effects of Mode of Presentation and Number of Categories on 4-Year-Olds' Proportion Estimates.

    ERIC Educational Resources Information Center

    Widom, Cathy Spatz; Ginsburg, Herbert

    Two experiments investigate the effects of mode of presentation and number of categories on 4-year-olds' proportion estimates. Experiment I compares simultaneous and successive presentations of proportion problems using two categories of elements. The subjects were 40 children chosen randomly and tested individually. Four problems were presented…

  15. Progressive cubitus varus due to a bony physeal bar in a 4-year-old girl following a supracondylar fracture: a case report.

    PubMed

    Theruvil, Bipin; Kapoor, Vikas; Fairhurst, Jo; Taylor, Graeme R

    2005-10-01

    We report a case of progressive cubitus varus deformity caused by a physeal bar following a supracondylar humeral fracture in a 4-year-old girl. Malreduction is thought to be the commonest cause of this deformity, which is nonprogressive. A corrective osteotomy in cases like ours should be deferred until skeletal maturity.

  16. Initial diagnosis of the congenital disorder of glycosylation PMM2-CDG (CDG1a) in a 4-year-old girl after neurosurgical intervention for cerebral hemorrhage.

    PubMed

    Stefanits, Harald; Konstantopoulou, Vassiliki; Kuess, Magnus; Milenkovic, Ivan; Matula, Christian

    2014-11-01

    The congenital disorder of glycosylation characterized by a deficiency of phosphomannomutase 2 (PMM2-CDG) is the most common variant of congenital disorders of glycosylation. Besides typical clinical features, such as dysmorphism and abnormal body fat distribution, coagulation abnormities often lead to thromboembolic and hemorrhagic events in these patients. However, only 2 cases of intracerebral bleeding in patients with PMM2-CDG have been described so far. A 4-year-old girl who initially presented with symptoms resulting from raised intracranial pressure underwent acute neurosurgical intervention for intracranial hemorrhage. The differential diagnoses after MRI included arteriovenous malformation and intraparenchymal brain tumor. However, clinical investigations promoted the diagnosis of PMM2-CDG, which was supported further by neuropathological findings and finally confirmed by isoelectric focusing and mutational analysis. No major complications or neurological deficits were evident after surgery, and the patient was able to attend an integrated kindergarten. Unexplained intracranial hemorrhage should raise suspicion of a metabolic disorder and should be discussed with specialists to rule out an orphan disease such as PMM2-CDG.

  17. Reversible growth failure and complete GH deficiency in a 4-year-old girl with very early Hashimoto's thyroiditis and subsequent hyperplasia of pituitary thyrotroph cells.

    PubMed

    Gaspari, Laura; Paris, Françoise; Leboucq, Nicolas; Bonafé, Alain; Sultan, Charles

    2016-08-01

    Hashimoto's thyroiditis is a well-known cause of growth retardation in adolescence. It is less frequently seen in children and rarely seen in infants. A 4-year-old girl was referred to our clinic for a second opinion before starting growth hormone (GH) treatment. Linear growth had markedly declined in the past 2 years, with height -3.4 standard deviations. GH deficiency was complete. She had dry, gray-sallow skin and bloated abdomen, but no goiter. The parents reported fatigue and constipation. Hormonal evaluation revealed TSH 629.5 mIU/ml, free T4 0.08 ng/dl, and prolactin 17.2 ng/ml. Bone age was 2 years. Antibodies to thyroglobulin and thyroid peroxidase were positive, suggesting Hashimoto's thyroiditis. Brain magnetic resonance imaging showed anterior pituitary hyperplasia. After 3 years of L-thyroxine therapy, she was symptomless, her height was -0.6 standard deviations, and the TSH level was normal. Brain magnetic resonance imaging showed regression of the pituitary hyperplasia. This report describes a patient with Hashimoto's thyroiditis and pituitary hyperplasia, both quite rare in very young children. Acquired hypothyroidism may appear after neonatal screening and therefore should not be overlooked in investigations of short stature, even when clinical signs of hypothyroidism are absent. • Hashimoto's thyroiditis and pituitary hyperplasia are rare in very young children. • Acquired hypothyroidism can appear after negative neonatal screening and should not be overlooked. What is New: • Short children should be evaluated for growth hormone deficiency but only after excluding other causes, particularly hypothyroidism, as we report a child with this disease but no clinical signs of it.

  18. A 4-year-old child presenting morning onset of spontaneous tracheal rupture due to bronchial mucous plug occlusion during the nighttime sleep: a case report.

    PubMed

    Capasso, Raffaella; Carbone, Mattia; Rossi, Eugenio; Mamone, Rosanna; Zeccolini, Raffaele; Reginelli, Alfonso; Zeccolini, Massimo; Brunese, Luca; Rotondo, Antonio

    2016-06-01

    Coughing is the most efficient mechanism for clearing mucus and fluid secretions from the airways and its reflex can be suppressed by sleep. Spontaneous tracheal ruptures are believed to result from raised intratracheal pressure against a closed glottis, such as for severe coughing. This is the first reported case of tracheal rupture presented on morning awakening after bronchial mucous plug formation during the nighttime sleep because of an ineffective cough reflex. An otherwise healthy white 4-year-old child presented morning onset of dyspnea, chest pain and diffuse swelling of the neck. His history was significant only for nonsevere coughing episodes before his nighttime rest; the child's parents denied any recent fever, weight loss, pains, trauma, bronchial asthma, and sick contacts. A chest X-ray and computed tomography scan revealed pneumomediastinum, obstructive atelectasis of the lower lobe of his left lung, and a small tracheal laceration confirmed by an emergency bronchoscopy. After endoscopic removal of a mucous plug and secretions, the child's pulmonary gas exchange and respiratory rate improved, so our patient was managed conservatively. This report illustrates an unusual presentation of lung obstructive atelectasis due to a mucous plug manifested by tracheal rupture. This report also highlights the importance of the coughing reflex as one of several defensive mechanisms protecting the airways from the potentially damaging effects of aspirate and accumulated secretions.

  19. Necrotizing pneumonia and acute purulent pericarditis caused by Streptococcus pneumoniae serotype 19A in a healthy 4-year-old girl after one catch-up dose of 13-valent pneumococcal conjugate vaccine.

    PubMed

    Lu, Shay; Tsai, Jeng-Dau; Tsao, Ten-Fu; Liao, Pei-Fen; Sheu, Ji-Nan

    2016-08-01

    Streptococcus pneumoniae is a common cause of infectious diseases in children that may lead to life-threatening complications. Acute purulent pericarditis is an uncommon complication of S. pneumoniae in the antibiotic era. A healthy 4-year-old girl was admitted with pneumonia and pleural effusion. She had received one catch-up dose of 13-valent pneumococcal conjugate vaccine at 2 years of age. She rapidly developed necrotizing pneumonia, complicated by bronchopleural fistula presenting as subcutaneous emphysema and pneumothorax and acute purulent pericarditis. S. pneumoniae serotype 19A was subsequently identified from blood, empyema and pericardial fluid cultures. After appropriate antibiotic therapy and a right lower lobectomy, her condition stabilized and she promptly recovered. This case highlights two rare potential clinical complications of pneumococcal disease in a child: necrotizing pneumonia and acute purulent pericarditis. This is the first report of a child who received just one catch-up dose of 13-valent pneumococcal conjugate vaccine at 2 years of age, as per the United States' Advisory Committee on Immunization Practice's recommendations, but who still developed severe invasive pneumococcal disease with life-threatening complications caused by S. pneumoniae serotype 19A.

  20. Necrotizing pneumonia and acute purulent pericarditis caused by Streptococcus pneumoniae serotype 19A in a healthy 4-year-old girl after one catch-up dose of 13-valent pneumococcal conjugate vaccine.

    PubMed

    Lu, Shay; Tsai, Jeng-Dau; Tsao, Ten-Fu; Liao, Pei-Fen; Sheu, Ji-Nan

    2016-01-29

    Streptococcus pneumoniae is a common cause of infectious diseases in children that may lead to life-threatening complications. Acute purulent pericarditis is an uncommon complication of S. pneumoniae in the antibiotic era. A healthy 4-year-old girl was admitted with pneumonia and pleural effusion. She had received one catch-up dose of 13-valent pneumococcal conjugate vaccine at 2 years of age. She rapidly developed necrotizing pneumonia, complicated by bronchopleural fistula presenting as subcutaneous emphysema and pneumothorax and acute purulent pericarditis. S. pneumoniae serotype 19A was subsequently identified from blood, empyema and pericardial fluid cultures. After appropriate antibiotic therapy and a right lower lobectomy, her condition stabilized and she promptly recovered. This case highlights two rare potential clinical complications of pneumococcal disease in a child: necrotizing pneumonia and acute purulent pericarditis. This is the first report of a child who received just one catch-up dose of 13-valent pneumococcal conjugate vaccine at 2 years of age, as per the United States' Advisory Committee on Immunization Practice's recommendations, but who still developed severe invasive pneumococcal disease with life-threatening complications caused by S. pneumoniae serotype 19A.

  1. Pregabalin as adjunct in a multimodal pain therapy after traumatic foot amputation - A case report of a 4-year-old girl.

    PubMed

    Wössner, Stephanie; Weber, Kirsten; Steinbeck, Anna C; Oberhauser, Markus; Feuerecker, Matthias

    2017-09-22

    The purpose of this case report is to describe a multimodal pain therapeutic concept including the adjunct use of pregabalin in a 4.5 year-old child after forefoot amputation. Phantom limb pain and sensation is a complex pain syndrome that is difficult to treat and prevent. 70-75% of all children develop such a pain syndrome after amputation. We describe here a paediatric patient who underwent forefoot amputation following traumatic foot injury and received multimodal pain therapy including pregabalin. A 4.5 year-old otherwise healthy girl suffered severe injuries of the right foot and lower leg during a motor vehicle accident. Due to development of severe necrosis, forefoot amputation had to be performed during the hospital stay. Initial pain therapy included paracetamol, ibuprofen, metamizol, morphine and fentanyl. With mounting pain and anxiety, regional anaesthesia of the distal sciatic nerve was administered in combination with a ketamine and morphine patient controlled analgesia pump (PCA). The peripheral blockade of the distal sciatic nerve was placed with the guidance of ultrasound and nerve stimulator. The PCA concept included a continuous basal rate combined with a bolus function. Although the regional anaesthesia was well positioned and functioning, there was inadequate pain control. The pain was described by the patient as short, highly intense and sharp sensations with intensity on the visual analogue scale (VAS) of 10 (out of 10). Furthermore, she suffered from anxiety episodes and sleep disturbance. The medical team decided to treat with pregabalin to resolve these issues while awaiting amputation (Lisfranc line). She received psychological counselling as adjunct treatment. This multimodal concept enabled an early and efficient pain reduction pre- and post-amputation and allowed for the possibility of a hospital discharge without any opioid pain medication. The multimodal pain therapy including pregabalin was well tolerated, safe and highly effective

  2. Measuring Implicit Attitudes of 4-Year-Olds: The Preschool Implicit Association Test

    ERIC Educational Resources Information Center

    Cvencek, Dario; Greenwald, Anthony G.; Meltzoff, Andrew N.

    2011-01-01

    The Preschool Implicit Association Test (PSIAT) is an adaptation of an established social cognition measure (IAT) for use with preschool children. Two studies with 4-year-olds found that the PSIAT was effective in evaluating (a) attitudes toward commonly liked objects ("flowers"="good") and (b) gender attitudes ("girl"="good" or "boy"="good"). The…

  3. Measuring Implicit Attitudes of 4-Year-Olds: The Preschool Implicit Association Test

    ERIC Educational Resources Information Center

    Cvencek, Dario; Greenwald, Anthony G.; Meltzoff, Andrew N.

    2011-01-01

    The Preschool Implicit Association Test (PSIAT) is an adaptation of an established social cognition measure (IAT) for use with preschool children. Two studies with 4-year-olds found that the PSIAT was effective in evaluating (a) attitudes toward commonly liked objects ("flowers"="good") and (b) gender attitudes ("girl"="good" or "boy"="good"). The…

  4. Pneumococcal sacroiliitis in a 4-year-old boy.

    PubMed

    Perez, A; Padilla, E; Marco, A; De Otero, J; Bandiera, D; Marimón, I

    2008-01-01

    Pyogenic sacroiliitis is an extremely rare manifestation of invasive pneumococcal disease in childhood as only four cases have been described to date. We report and comment on a case of pneumococcal sacroiliitis in a 4-year-old boy. This patient was diagnosed promptly on account of the symptom triad of fever, buttock pain, and limping gait, along with characteristic findings in magnetic resonance imaging (MRI) and bone scans, and recovered fully after 6 weeks of antimicrobial therapy. Pyogenic sacroiliitis is an uncommon disease in which the diagnosis is often delayed because of nonspecific clinical presentation. The key to successful management is early diagnosis in which MRI and bone scan findings play a crucial role. If the diagnosis is established promptly, most patients can be managed successfully following the therapeutic principles used in other osteoarticular infections.

  5. Emerging Understanding of Patterning in 4-Year-Olds

    ERIC Educational Resources Information Center

    Rittle-Johnson, Bethany; Fyfe, Emily R.; McLean, Laura E.; McEldoon, Katherine L.

    2013-01-01

    Young children have an impressive amount of mathematics knowledge, but past psychological research has focused primarily on their number knowledge. Preschoolers also spontaneously engage in a form of early algebraic thinking-patterning. In the current study, we assessed 4-year-old children's knowledge of repeating patterns on two occasions…

  6. Total body fat content versus BMI in 4-year-old healthy Swedish children.

    PubMed

    Forsum, Elisabet; Flinke Carlsson, Eva; Henriksson, Hanna; Henriksson, Pontus; Löf, Marie

    2013-01-01

    Childhood overweight and obesity, a worldwide problem, is generally identified using BMI (body mass index). However, this application of BMI has been little investigated in children below 5 years of age due to a lack of appropriate methods to assess body composition. Therefore, we used air displacement plethysmography (ADP) to study 4.4-year old boys and girls since this method is accurate in young children if they accept the requirements of the measurement. The purpose was to analyze the relationship between BMI and body fat in these children. Body composition was assessed in 76 (43 boys, 33 girls) of the 84 children brought to the measurement session. Boys and girls contained 25.2 ± 4.7 and 26.8 ± 4.0% body fat, respectively. BMI-based cut-offs for overweight could not effectively identify children with a high body fat content. There was a significant (P < 0.001) but weak (r = 0.39) correlation between BMI and body fat (%). In conclusion, requirements associated with a successful assessment of body composition by means of ADP were accepted by most 4-year-olds. Furthermore, BMI-based cut-offs for overweight did not effectively identify children with a high body fatness and BMI explained only a small proportion of the variation in body fat (%) in this age group.

  7. Inflammatory tinea capitis: non-healing plaque on the occiput of a 4-year-old child.

    PubMed

    Ang, Chia Chun; Tay, Yong Kwang

    2010-05-01

    Inflammatory tinea capitis is an uncommon condition in Singapore. In this case report we present a patient whom we managed for this condition. A 4-year-old girl presented to us with multiple pustules over the occipital scalp for 6 weeks, associated with painful cervical lymphadenopathy. Her condition did not respond to topical and oral antibiotics. The patient was diagnosed with kerion (inflammatory tinea capitis) and fungal culture of plucked hairs from the kerion grew Microsporum species of dermatophyte. She was treated with a course of oral griseofulvin and topical selenium sulfide shampoo. She was advised to bring her pet cats to the veterinarian for screening, as well as not to share combs with her other siblings. Her condition improved with the antifungal therapy, and there was no residual alopecia. Physicians should consider tinea capitis when they encounter a patient with scalp folliculitis or scarring alopecia in the appropriate clinical context.

  8. Episodic foresight beyond the very next event in 3- and 4-year-old children.

    PubMed

    Boden, Hannah; Labuschagne, Lisa G; Hinten, Ashley E; Scarf, Damian

    2017-07-21

    Testing episodic foresight in children generally involves presenting them with a problem in one location (e.g., Room A) and, after a spending a delay in a different location, telling them they will be returning to Room A. Before they go, children are presented with a number of items, one of which will allow them to solve the problem in Room A. At around 3 to 4 years of age children display episodic foresight, selecting the item that will allow them to solve the problem. To date, however, no study has assessed whether 3- and 4-year-old children can plan beyond the very next event, selecting the correct item when there is a delay before returning to Room A. Here, we show that 3- and 4-year-old children can pass when a delay is imposed but that their performance is significantly worse than when they are planning for an immediate event. © 2017 Wiley Periodicals, Inc.

  9. The role of imagination in facilitating deductive reasoning in 2-, 3- and 4-year-olds.

    PubMed

    Richards, C A; Sanderson, J A

    1999-09-30

    When 4- and 6-year-olds are cued to use their imagination, they can overcome the belief bias effect and demonstrate deductive reasoning ability on syllogisms containing contrary-to-fact material. This study tested whether 2- and 3-year-olds could also reason with incongruent syllogisms when encouraged to use their imagination. Eighty-four 2-, 3- and 4-year-olds were randomly assigned to one of four conditions: no cue, word cue, fantasy planet or imagery. Children were then presented with six syllogistic reasoning problems containing incongruent information. In the imagination conditions, 2- and 3-year-olds performed as competently as 4-year-olds. The findings are discussed in relation to other research which suggests that under certain circumstances 2- and 3-year-olds have the capacity for counterfactual thinking.

  10. Experience with headwear influences the other-race effect in 4-year-old children.

    PubMed

    Suhrke, Janina; Freitag, Claudia; Lamm, Bettina; Teiser, Johanna; Poloczek, Sonja; Fassbender, Ina; Teubert, Manuel; Voehringer, Isabel; Keller, Heidi; Knopf, Monika; Lohaus, Arnold; Schwarzer, Gudrun

    2015-09-01

    The other-race effect (ORE) implies the better recognition of faces of one's own race compared with faces of a different race. It demonstrates that face recognition is shaped by daily experience with human faces. Such experience mainly includes structural information of own-race faces and also information on the way faces are usually seen, as a whole or partly covered by scarves or other headwear. In two experiments, we investigated how this mode of presentation is related to the occurrence of the ORE during childhood. In Experiment 1, 4-year-old German children (N = 104), accustomed to seeing faces without headwear in daily life, were asked to recognize female Caucasian or African faces, presented either as a whole or wearing a woolen hat, in a forced choice paradigm. In Experiment 2, 4-year-olds from rural Cameroon (N = 70), accustomed to seeing faces with and without headwear in daily life, participated in the same task. In both groups, the ORE was present in the familiar mode of presentation, that is, in whole faces in German children and in whole and partly covered faces in Cameroonian children. The results are discussed in relation to the role of experience for face recognition processes.

  11. A vesicular variant of pseudoverrucous papules and nodules in the genital area of an incontinent 4-year-old.

    PubMed

    Dixit, Shreya; Scurry, James P; Fischer, Gayle

    2013-11-01

    Irritant contact dermatitis is a common cause of chronic vulvitis in patients wearing diapers and incontinence garments. In most cases the diagnosis is obvious; however, atypical presentations may mimic more serious dermatoses. We present a 4-year-old girl who presented at birth with cloacal atresia corrected surgically and resulting in chronic incontinence requiring full-time diapers. She presented with crops of herpetiform vesicles and bullae on a base that ranged from normal skin to severe erythema and oedema. A histological examination revealed a well-demarcated lesion showing a thickened epidermis with hyperkeratosis and parakeratosis, acanthosis and an abrupt transition to pallor of the upper half. Focal full thickness epidermis necrosis and small areas of spongiosis, acantholysis and apoptotic keratinocytes were seen. Immunofluorescence was negative. The lesions improved with the treatment of secondary infection and minimal topical therapy with an emollient only. This case represents an unusual vesicular variant of pseudoverrucous papules and nodules, which has been reported only once previously.

  12. Stop-consonant and vowel perception in 3- and 4-year-old children.

    PubMed

    Ohde, R N; Haley, K L

    1997-12-01

    Recent research on 5- to 11-year-old children's perception of stop consonants and vowels indicates that they can generally identify these sounds with relatively high accuracy from short duration stimulus onsets [Ohde et al., J. Acoust. Soc. Am. 97, 3800-3812 (1995); Ohde et al., J. Acoust. Soc. Am. 100, 3813-3824 (1996)]. The purpose of the current experiments was to determine if younger children, aged 3-4 years, can also recover consonant and vowel features from stimulus onsets. Ten adults, ten 3-year olds, and ten 4-year-olds listened to synthesized syllables composed of combinations of [b d g] and [i u a]. The synthesis parameters included manipulations of the following stimulus variables: formant transition (moving or straight), noise burst (present or absent), and voicing duration (10, 30, or 46 ms). Developmental effects were found for the perception of both stop consonants and vowels. In general, adults identified these sounds at a significantly higher level than children, and perception by 4-year-olds was significantly better than 3-year-olds. A developmental effect of dynamic formant motion was obtained, but it was limited to only the [g] stop consonant. Stimulus duration affected the children's perception of vowels indicating that they may utilize additional auditory information to a much greater extent than adults. The results support the importance of information in stimulus onsets for syllable identification, and developmental changes in sensitivity to these cues for consonant and vowel perception.

  13. A 4-year-old Nigerian boy with cerebral palsy?

    PubMed

    Bodensteiner, John B

    2014-06-01

    A four year old with a diagnosis of congenital infection leading to cerebral palsy is presented. The patient instead has a condition called Leukoencephalopathy with bilateral temporal lobe cysts which can be differentiated from congenital CMV by the clinical and MRI findings.

  14. Sensitive Perception of a Person's Direction of Walking by 4-Year-Old Children

    ERIC Educational Resources Information Center

    Sweeny, Timothy D.; Wurnitsch, Nicole; Gopnik, Alison; Whitney, David

    2013-01-01

    Watch any crowded intersection, and you will see how adept people are at reading the subtle movements of one another. While adults can readily discriminate small differences in the direction of a moving person, it is unclear if this sensitivity is in place early in development. Here, we present evidence that 4-year-old children are sensitive to…

  15. The phonological skills of Samoan speaking 4-year-olds.

    PubMed

    Ballard, Elaine; Farao, Sharon

    2008-01-01

    To date there has been little research on the typical developmental patterns for children speaking Samoan. The research outlined in this paper serves to fill this gap by reporting on the phonological development of Samoan speaking children growing up in the English dominant language environment of Auckland New Zealand. In this study 20 children aged between 4;0 and 4;11 were assessed using a picture naming task that probed their knowledge of the Samoan phonemic inventory. The findings presented here give an indication of what children in their fifth year have as speech sounds in their phonetic inventory and the types of errors that they may still produce. These results demonstrate the similarities and differences that Samoan phonological development shares with other languages. In particular the differences that seem "atypical" when compared with studies on English are discussed. It is tentatively concluded that these differences may well be typical for Samoan speech acquisition given language specific factors and the bilingual context in which these children are growing up.

  16. Fathers' challenging parenting behavior prevents social anxiety development in their 4-year-old children: a longitudinal observational study.

    PubMed

    Majdandžić, Mirjana; Möller, Eline L; de Vente, Wieke; Bögels, Susan M; van den Boom, Dymphna C

    2014-02-01

    Recent models on parenting propose different roles for fathers and mothers in the development of child anxiety. Specifically, it is suggested that fathers' challenging parenting behavior, in which the child is playfully encouraged to push her limits, buffers against child anxiety. In this longitudinal study, we explored whether the effect of challenging parenting on children's social anxiety differed between fathers and mothers. Fathers and mothers from 94 families were separately observed with their two children (44 % girls), aged 2 and 4 years at Time 1, in three structured situations involving one puzzle task and two games. Overinvolved and challenging parenting behavior were coded. Child social anxiety was measured by observing the child's response to a stranger at Time 1, and half a year later at Time 2, and by parental ratings. In line with predictions, father's challenging parenting behavior predicted less subsequent observed social anxiety of the 4-year-old child. Mothers' challenging behavior, however, predicted more observed social anxiety of the 4-year-old. Parents' overinvolvement at Time 1 did not predict change in observed social anxiety of the 4-year-old child. For the 2-year-old child, maternal and paternal parenting behavior did not predict subsequent social anxiety, but early social anxiety marginally did. Parent-rated social anxiety was predicted by previous parental ratings of social anxiety, and not by parenting behavior. Challenging parenting behavior appears to have favorable effects on observed 4-year-old's social anxiety when displayed by the father. Challenging parenting behavior emerges as an important focus for future research and interventions.

  17. Cerebral candidiasis in a 4-year-old boy after intestinal surgery.

    PubMed

    Zhang, Shu-Cheng

    2015-03-01

    Cerebral candidiasis is a devastating disease which contributes to a high mortality. Most of the cerebral candidiasis are never microbiologically or radiologically confirmed. In this case, a 4-year-old boy who developed cerebral candidiasis was successfully rescued and presented. The diagnosis of cerebral candidiasis was established based on both microbiologic and radiologic examinations. The pathogen was revealed to be Candida albicans by cerebrospinal fluid and central venous catheter cultures, and the cerebral involvement was recorded by series head magnetic resonance imaging (MRI) with an appearance of special encephalitis demonstrated. The imaging studies played a critical role throughout the diagnosis and treatment. Familiarity with the imaging findings in the appropriate clinical setting may result in a heightened level of awareness of this infection and, consequently, in earlier diagnosis and treatment.

  18. Unusual localization of a choroid plexus papilloma in a 4-year-old female.

    PubMed

    Rostasy, Kevin M; Sponholz, Stefanie; Bahn, Erik; Ludwig, Hans C; Hanefeld, Folker

    2003-01-01

    Choroid plexus papillomas are rare tumors that are confined to areas in which the choroid plexus is normally located. In children, choroid plexus papillomas are predominantly located in the lateral ventricles. Clinically they present with signs of raised intracranial pressure, such as vomiting and increasing head size. Here we report on the clinical, radiologic, and histologic findings of a 4-year-old female who was found to have a tumor in the posterior fossa that had all the histologic hallmarks of a choroid plexus papilloma. This tumor did not originate from the roof of the fourth ventricle as expected but from the ependymal lining covering the median rostral medulla near the pontomedullary junction, a location that so far has not been reported.

  19. Diet and blood lipids in 1-4 year-old children.

    PubMed

    Hoppu, U; Isolauri, E; Koskinen, P; Laitinen, K

    2013-10-01

    Early nutrition may programme blood lipid levels and thereby later cardiovascular health of children. The objective here was to evaluate the effects of maternal dietary counselling during pregnancy and breastfeeding on dietary intakes and blood lipid values in 1-4 year-old children. Further, the nutritional determinants of children's lipid profiles were assessed. Mothers were randomised into dietary counselling or control groups at the first trimester of pregnancy. Their children were followed up clinically at 1, 2 and 4 years of age, by three-day food records and analyses of total cholesterol, HDL cholesterol and apolipoproteins A-I and B as well as lipoprotein (a). In general, the mean intake of saturated fatty acids as a proportion of total energy intake (E%) was higher than the recommended, while the mean intake of polyunsaturated fatty acids was low in children's diet. Over the first years, girls had higher concentration of non-HDL cholesterol than boys; 2.64 mmol/l (95% CI 2.54-2.74) vs. 2.49 (2.38-2.60); p = 0.038. Maternal dietary counselling was not reflected in the children's lipid values. Children's monounsaturated fatty acid intake (E%) correlated with apoA-I (p = 0.048) and, furthermore, there was a negative correlation between polyunsaturated fatty acid intake (E%) and apoB (p = 0.046). Children's dietary fatty acid intake, but not maternal dietary counselling was shown to be related to blood apolipoproteins in children. Copyright © 2012 Elsevier B.V. All rights reserved.

  20. Profiles of Social-Emotional Readiness for 4-Year-Old Kindergarten

    PubMed Central

    Miller, Michele M.; Goldsmith, H. Hill

    2017-01-01

    Children who are viewed as ready for kindergarten and/or first grade typically exhibit high attention, approach, and adaptability coupled with low activity and reactivity. These characteristics tend to be especially valued by teachers and describe a child who is “teachable,” or school ready. Since many children enter formal schooling earlier by attending pre-K for 4-year olds, often called 4-year-old kindergarten, there is a need to examine school readiness earlier than kindergarten, which may look very different developmentally. If we expect children to enter formal schooling at age 4, then it should be clear what we expect of them in order to succeed. We explored which temperament, behavior, and cognitive items teachers of 4-year-old kindergarten (N = 29) rated as highly characteristic versus uncharacteristic of ready 4-year-olds. This teacher-generated data identified five clusters of children who were deemed ready for 4-year-old kindergarten. Teachers noted high cognitive skills and following directions as salient in many of the clusters, which aligns with the readiness expectations for kindergarten and first grade. However, items that distinguished the five clusters from one another referenced differences in activity level, sociability, shyness, enthusiasm, and patience that were not expected based on the previous literature with slightly older children. Given that some of the children teachers identified as especially ready for 4-year-old kindergarten did not fit this static model of a “teachable” child, a single profile of school readiness at an early age may be inappropriate. PMID:28197124

  1. Profiles of Social-Emotional Readiness for 4-Year-Old Kindergarten.

    PubMed

    Miller, Michele M; Goldsmith, H Hill

    2017-01-01

    Children who are viewed as ready for kindergarten and/or first grade typically exhibit high attention, approach, and adaptability coupled with low activity and reactivity. These characteristics tend to be especially valued by teachers and describe a child who is "teachable," or school ready. Since many children enter formal schooling earlier by attending pre-K for 4-year olds, often called 4-year-old kindergarten, there is a need to examine school readiness earlier than kindergarten, which may look very different developmentally. If we expect children to enter formal schooling at age 4, then it should be clear what we expect of them in order to succeed. We explored which temperament, behavior, and cognitive items teachers of 4-year-old kindergarten (N = 29) rated as highly characteristic versus uncharacteristic of ready 4-year-olds. This teacher-generated data identified five clusters of children who were deemed ready for 4-year-old kindergarten. Teachers noted high cognitive skills and following directions as salient in many of the clusters, which aligns with the readiness expectations for kindergarten and first grade. However, items that distinguished the five clusters from one another referenced differences in activity level, sociability, shyness, enthusiasm, and patience that were not expected based on the previous literature with slightly older children. Given that some of the children teachers identified as especially ready for 4-year-old kindergarten did not fit this static model of a "teachable" child, a single profile of school readiness at an early age may be inappropriate.

  2. Ameloblastic Fibro-Odontoma in a 4-Year-Old Boy

    PubMed Central

    Ghandehari-Motlagh, Mehdi; Khosravi, Zahra; Meighani, Ghasem; Baradaran-Nakhjavani, Yahya

    2016-01-01

    Introduction Ameloblastic fibro-odontoma (AFO) is defined as a benign odontogenic tumor with slow growing behavior. Its prevalence is rare. AFO is characterized by histologic features of ameloblastic fibroma (AF) with the formation of enamel and dentine. Case Presentation This is a case report of AFO accompanied with a number of impacted deciduous teeth and its management in a 4-year old boy. Examination of oral cavity revealed an extensive swelling from midline to left deciduous maxillary first molar, covered with normal mucosa. Radiographic examination showed a well-defined mixed radiolucent-radiopaque lesion that extended horizontally from midline to mesial border of the left maxillary primary first molar and vertically from alveolar crest to the floor of nose. The differential diagnosis was odontoma (ameloblastic fibro-odontoma, complex odontoma). Surgical enucleation and curettage was performed under general anesthesia. Histopathologic sections show bone trabeculae in marrow spaces. There was myxoid matrix in some spaces which contained odontogenic epithelial cells. These findings led to diagnosis of AFO. No sign of recurrence has been observed during the 12-month follow-up period. Conclusion Although AFO is a rare tumor, it is more prevalent in childrenʼs jaw. Conservative surgical treatment allowed the normal development of teeth. PMID:27307963

  3. Delirium due to scopolamine patch in a 4-year-old boy.

    PubMed

    Lin, Yang-Guang; Chen, Po-Hon; Chang, Fang-Yuan; Wu, Li-Te; Liao, Kuo-Yu; Wu, Tzee-Chung

    2011-03-01

    The scopolamine patch is usually used to reduce postoperative nausea and vomiting associated with anesthesia and/or surgery. It is also commonly used for the prevention of motion sickness. Transdermal scopolamine patches have been used for decades and there are few reports in the literature of toxic psychosis associated with the product. Most documented cases of acute psychosis following administration of scopolamine or other anticholinergic agents have been from the adult population. Here we present a 4-year-old boy with deteriorated cognitive function and changed mental status acutely. Besides flushing skin and psychotic behaviors including bizarre actions, hallucinations, aggressive behavior, hyperactivity, and incoherent speech were also noticed. Symptoms and signs were resolved after removal of scopolamine patch and conservative management. This case is possibly one of the youngest patients to exhibit such toxic effects. We hope to relay information about common agents with anticholinergic effects to clinical practitioners and remind that drug-induced psychosis should be considered in children with acute changes in behavior.

  4. Situational changes in self-awareness influence 3- and 4-year-olds' self-regulation.

    PubMed

    Ross, J; Anderson, J R; Campbell, R N

    2011-01-01

    In adults, heightened self-awareness leads to adherence to socially valued norms, whereas lowered self-awareness is associated with antinormative behavior. Levels of self-awareness are influenced by environmental cues such as mirrors. Do situational changes in self-awareness also have an impact on preschoolers' self-regulation? Adherence to a socially valued standard was observed under different conditions of self-focus. In Experiment 1 the standard was prescribed ("don't look in the box"), and in Experiment 2 children had the opportunity to be altruistic. Heightened self-focus was induced using a large mirror. In a neutral condition, the nonreflective side of the mirror was shown. To lower self-focus, children wore a disguise. Preschoolers peeked less and showed more altruism when the mirror image was present. As found for adults, it appears that self-awareness leads 3- and 4-year-olds to adhere to salient social standards. These results suggest that self-focus has a socially adaptive regulatory function from an early age. Copyright © 2010 Elsevier Inc. All rights reserved.

  5. Earth Science. Developing an Early Interest in Science: A Preschool Science Curriculum. (4-Year-Olds).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    This teaching guide on earth sciences for 4-year-olds is based on a modification of the "Plan, Do, Review" approach to education devised by High Scope in Ypsilanti, Michigan. First implemented as an outreach early childhood program in North Carolina, the science activities described in this guide can be adapted to various early childhood…

  6. Social Context Effects in 2- and 4-Year-Olds' Selective versus Faithful Imitation

    ERIC Educational Resources Information Center

    Yu, Yue; Kushnir, Tamar

    2014-01-01

    This study asked whether children's tendency to imitate selectively (ignore causally unnecessary actions) versus faithfully ("overimitate" causally unnecessary actions) varies across ages and social contexts. In the first experiment, 2-year-olds and 4-year-olds were randomly assigned to play 1 of 3 prior games with a demonstrator: a…

  7. Fantastic Physics: Developing an Early Interest in Science. A Preschool Science Curriculum.(4 Year Old Curriculum).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    Using hands-on activities and the "Plan, Do, Review" approach, this physics curriculum for 4-year-olds is designed to develop an early interest in and enthusiasm for science and to excite children about learning in general. The curriculum is designed to be implemented biweekly in preschool or child care programs but may also be presented…

  8. Markers for Persistent Specific Expressive Language Delay in 3-4-Year-Olds

    ERIC Educational Resources Information Center

    Everitt, Andrea; Hannaford, Philip; Conti-Ramsden, Gina

    2013-01-01

    Background: Identifying 3-4-year-olds who are most at risk of persisting language difficulties, and possibly specific language impairment (SLI), is difficult due to the natural variation of language in young children. In older children, markers for SLI have been identified that differentiate between children with and without SLI. It is not known…

  9. Fantastic Physics: Developing an Early Interest in Science. A Preschool Science Curriculum.(4 Year Old Curriculum).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    Using hands-on activities and the "Plan, Do, Review" approach, this physics curriculum for 4-year-olds is designed to develop an early interest in and enthusiasm for science and to excite children about learning in general. The curriculum is designed to be implemented biweekly in preschool or child care programs but may also be presented…

  10. Cognitive Socialisation of 4-Year-Old Children in Nursery School.

    ERIC Educational Resources Information Center

    Murphy, H. F.; Wilkinson, J. E.

    Using a test-observe-test design with a sample of 29 4-year-old children, this study examined the relationship between children's activity choices in a typical progressive nursery school and their intellectual performance, socioeconomic status (SES), and sex. An attempt was made to identify those experiential factors associated with changes in…

  11. Through Another's Eyes: Elements in the Eyes of a 4-Year-Old

    ERIC Educational Resources Information Center

    Hu, Xuan

    2004-01-01

    My husband, who is a scientist, often brings home different scientific journals and magazines to read, and my 4-year-old son, Nicholas J. Hu, likes to flip through them. A recent issue of Chemical and Engineering News (September, 2003) caught his interest more than usual because there were stories of different elements. Nicholas has been able to…

  12. Social Context Effects in 2- and 4-Year-Olds' Selective versus Faithful Imitation

    ERIC Educational Resources Information Center

    Yu, Yue; Kushnir, Tamar

    2014-01-01

    This study asked whether children's tendency to imitate selectively (ignore causally unnecessary actions) versus faithfully ("overimitate" causally unnecessary actions) varies across ages and social contexts. In the first experiment, 2-year-olds and 4-year-olds were randomly assigned to play 1 of 3 prior games with a demonstrator: a…

  13. School Enrollment of 3- and 4-Year-Olds, by Race/Ethnic Category.

    ERIC Educational Resources Information Center

    Kahn, Gerald

    Based on data collected by the U.S. Bureau of the Census in its October 1980 Current Population Survey, this report examines school enrollment rates of 3- and 4-year-olds from three major ethnic groups (black, white, and Spanish origin) and relates this information to characteristics of the children's schools and households. Variables covered in…

  14. Collaboration between 3- and 4-Year-Olds in Self-Initiated Play on Instruments

    ERIC Educational Resources Information Center

    Young, Susan

    2008-01-01

    This article reports on a study of collaborative music-making on instruments among 3- and 4-year-old children. An area equipped with musical instruments was provided as a free-choice play option in an early childhood setting and a fixed camera recorded the children's play continuously during a number of visits. From the total 17 h of data five…

  15. My Body. Developing an Early Interest in Science: A Preschool Science Curriculum. (4-Year-Olds).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    This teaching guide on the body for 4-year-olds is based on a modification of the "Plan, Do, Review" approach to education devised by High Scope in Ypsilanti, Michigan. First implemented as an outreach early childhood program in North Carolina, the science activities described in this guide can be adapted to various early childhood environments.…

  16. My Body. Developing an Early Interest in Science: A Preschool Science Curriculum. (4-Year-Olds).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    This teaching guide on the body for 4-year-olds is based on a modification of the "Plan, Do, Review" approach to education devised by High Scope in Ypsilanti, Michigan. First implemented as an outreach early childhood program in North Carolina, the science activities described in this guide can be adapted to various early childhood environments.…

  17. Earth Science. Developing an Early Interest in Science: A Preschool Science Curriculum. (4-Year-Olds).

    ERIC Educational Resources Information Center

    Summer, Gail L.; Giovannini, Kathleen

    This teaching guide on earth sciences for 4-year-olds is based on a modification of the "Plan, Do, Review" approach to education devised by High Scope in Ypsilanti, Michigan. First implemented as an outreach early childhood program in North Carolina, the science activities described in this guide can be adapted to various early childhood…

  18. Urinary 1-hydroxypyrene and PAH exposure in 4-year-old Spanish children.

    PubMed

    Freire, C; Abril, A; Fernández, M F; Ramos, R; Estarlich, M; Manrique, A; Aguirre, A; Ibarluzea, J; Olea, N

    2009-02-15

    Exposure to polycyclic aromatic hydrocarbons (PAH), among the main compounds present in polluted urban air, is of concern for children's health. Childhood exposure to PAH was assessed by urinary monitoring of 1-hydroxypyrene (1-OHP), a pyrene metabolite, investigating its association with exposure to air pollution and other factors related to PAH in air. A group of 174 4-year-old children were recruited and a questionnaire on their indoor and outdoor residential environment was completed by parents. At the same time, environmental measurements of traffic-related air pollution (NO2) were carried out. A urine sample was collected from each child in order to analyze 1-OHP using HPLC with fluorescence detection, correcting for creatinine concentrations. Non-parametric tests and regression analyses were used to identify environmental factors that influence 1-OHP excretion. Mean urinary 1-OHP concentration was 0.061 micromol/mol creatinine, ranging from 0.004 to 0.314 micromol/mol. Non-parametric tests and regression analysis showed positive and significant associations (P

  19. Traumatic hip dislocation with incomplete reduction due to soft-tissue interposition in a 4-year-old boy.

    PubMed

    Burgos, J; Gonzalez-Herranz, P; Ocete, G

    1995-01-01

    The case of a traumatic dislocation of the left hip in a 4-year-old boy is presented. After an initial attempt at reduction under general anesthesia, a permanent deformity in the flexion of the hip remained, and there was radiographic evidence of a nonconcentric reduction. Computed tomography (CT) showed interposition in the posterior part of the joint. Under general anesthesia, the mobilization of the hip reduced the dislocation correctly, removing the necessity of open treatment. This case stresses the need for early diagnosis of this serious complication and closed reduction of the joint, avoiding the poor results of open and deferred treatments.

  20. Effects of a Full-Day Preschool Program on 4-Year-Old Children

    ERIC Educational Resources Information Center

    Herry, Yves; Maltais, Claire; Thompson, Katherine

    2007-01-01

    This study explored the effects of a full-day preschool program on 4-year-old children. The study compared the development of a group of children (N = 403) who attended the preschool program on a half-day basis during the 1999-2000 school year (the last year the half-day program was in place) with the development of a group of children (N = 418)…

  1. [Management with soya of 1-4 years-old suffering malnutrition].

    PubMed

    García-Garro, Alberto Javier; Gernández-Flores, María Guadalupe; Ramos-Ortega, Gregorio

    2007-02-01

    To show that children from 1 to 4 years old suffering malnutrition who are treated with soya have a better chance of recovering height and weight. Observational, prospective, case-control study. Family Medicine Unit No. 52, Cuautitlán Izcalli, Mexico. For this survey, a sample of 83 undernourished children from 1 to 4 years old was taken and 3 experimental and 3 control groups were formed. The first group held children from 1 to 2 years old; the second group, from 2 years one month to 3 years old; and the third group, from 3 years one month to 4 years old. The study lasted for 12 months. We found that the experimental group from 1 to 2 years old increased in weight and size by over 80%, whilst the weight and size gain in the other groups was significant, but not as much as expected. It is important to emphasize that there was greater impact in the group given soya, in which there was clear improvement. The degree of malnutrition dropped and in some cases nutritional status was restored. We can affirm that, if mothers' understanding improved, malnutrition could be prevented by proper training.

  2. Early Sentence Productions of 3- and 4-Year-Old Children Who Use Augmentative and Alternative Communication.

    PubMed

    Binger, Cathy; Kent-Walsh, Jennifer; King, Marika; Mansfield, Lindsay

    2017-07-12

    This study investigated the early rule-based sentence productions of 3- and 4-year-old children with severe speech disorders who used single-meaning graphic symbols to communicate. Ten 3- and 4-year-olds requiring the use of augmentative and alternative communication, who had largely intact receptive language skills, received instruction in producing up to four different semantic-syntactic targets using an Apple iPad with a communication app. A single-case, multiple-probe, across-targets design was used to assess the progress of each participant and target. Generalization to new vocabulary was assessed, and a subgroup also was taught to produce sentences using grammatical markers. Some targets (primarily possessor-entity) were mastered in the baseline phase, and the majority of the remaining targets were mastered during intervention. All four children who completed intervention for grammatical markers quickly learned to use the markers accurately. Expressive language potential for preschoolers using graphic symbol-based augmentative and alternative communication systems should not be underestimated. With appropriate presentation and intervention techniques, some preschoolers with profound speech disorders can readily learn to produce rule-based messages via graphic symbols.

  3. [Awake Nasotracheal Intubation for a 4-Year-old Boy with an Oral Penetrating Toothbrush Injury].

    PubMed

    Kobayashi, Naoya; Ando, Kokichi; Saito, Kazutomo; Toyama, Hiroaki; Fudeta, Hiroto; Yamauchi, Masanori

    2015-09-01

    We report a case of an oral penetrating injury caused by a toothbrush in a 4-year-old 17-kg boy. The toothbrush was lodged in the right cervical region through the oral cavity, and emergency surgery for removal was planned under general anesthesia. Although mask ventilation was not possible because of the protruding toothbrush handle, awake nasotracheal intubation was successfully performed with a fiber-scope and intravenous fentanyl 25 μg. We conclude that appropriate analgesics could facilitate awake intubation in pediatric patients.

  4. Case Report: Traumatic anterior cerebral artery aneurysm in a 4-year old child

    PubMed Central

    Munakomi, Sunil; Tamrakar, Karuna; Chaudhary, Pramod; Bhattarai, Binod; Cherian, Iype

    2015-01-01

    Traumatic intracranial aneurysm in the proximal part of the anterior cerebral artery in the pediatric population has not been documented so far. Here we report the case of a 4 year-old child who developed a pseudo-aneurysm after minor head trauma and was managed successfully with trapping of the aneurysm. A ventriculo-peritoneal shunt was placed as the child became dependent on extraventricular drain during the post-operative period. The patient made excellent recovery in neurological status within 1 month of post-operative clinical follow up. PMID:27635218

  5. Ingestion of tea tree oil (Melaleuca oil) by a 4-year-old boy.

    PubMed

    Morris, Marilyn C; Donoghue, Aaron; Markowitz, Jennifer A; Osterhoudt, Kevin C

    2003-06-01

    A 4-year-old boy ingested a small quantity of tea tree oil. Within 30 minutes, he became ataxic and shortly thereafter progressed to unresponsiveness; he was endotracheally intubated by paramedics. His neurologic status improved gradually over 10 hours, and he remains well on follow-up. Tea tree oil is an increasingly popular topical antiseptic that is available in a wide variety of products, often without warning labels. Healthcare providers should be aware of the common uses of tea tree oil, as well as its potential toxicity.

  6. Three- and 4-year-old children's response tendencies to various interviewers.

    PubMed

    Okanda, Mako; Kanda, Takayuki; Ishiguro, Hiroshi; Itakura, Shoji

    2013-09-01

    Unlike young preschoolers, older preschoolers may exhibit a response bias under social pressure from authoritative interviewers. To examine this, 3- and 4-year-old preschoolers were asked yes-no questions about familiar and unfamiliar objects in three conditions. In one condition an adult asked them questions in a live interaction, in a second condition an adult asked questions via video, and in a third condition a robot asked questions via video. The 3-year-olds exhibited a yes bias-a tendency to say "yes"-in nearly all conditions. The only exception was when they were asked questions about unfamiliar objects by the human interviewer via video, where they did not respond in a biased manner. The 4-year-olds exhibited a yes bias in only one condition-when they were questioned by a live human interviewer about both objects. They also exhibited a nay-saying bias when asked questions about unfamiliar objects in both video conditions, and they did not show any response bias in other conditions. The results suggest that the social pressure from an authoritative adult in a live interaction is problematic.

  7. Traffic-related air pollution is related to interrupter resistance in 4-year-old children.

    PubMed

    Eenhuizen, Esther; Gehring, Ulrike; Wijga, Alet H; Smit, Henriette A; Fischer, Paul H; Brauer, Michael; Koppelman, Gerard H; Kerkhof, Marjan; de Jongste, Johan C; Brunekreef, Bert; Hoek, Gerard

    2013-06-01

    Outdoor air pollution has been associated with decrements in lung function and growth of lung function in school-age children. Lung function effects have not been examined in preschoolers, with the exception of one study on minute ventilation in newborns. Our goal was to assess the relationship between long- and short-term exposure to traffic-related air pollution and interrupter resistance in 4-year-old children. Lung function was measured using the interrupter resistance method in children participating in a Dutch birth cohort study. Long-term average air pollution concentrations of fine particulate matter, nitrogen dioxide and soot at the residential address at birth were assessed using land-use regression models. Daily average air pollution concentrations on the day of clinical examination were obtained from the Dutch National Air Quality Monitoring Network. Significant associations were found between long-term average air pollution concentrations and interrupter resistance. Interrupter resistance increased by 0.04 kPa·s·L(-1) (95% CI 0.01-0.07) per interquartile range increase (3.3 μg·m(-3)) in fine particle concentration. Short-term exposure was not associated with interrupter resistance. Long-term exposure to traffic-related air pollution was associated with increased interrupter resistance in 4-year-old children, supporting previous birth cohort studies reporting effects of air pollution on subjectively reported respiratory symptoms in preschool children.

  8. Learning to perceive English /d/ versus /edh/: A comparison of French, English, and English-French bilingual 4-year-olds

    NASA Astrophysics Data System (ADS)

    Sundara, Megha; Polka, Linda; Campisi, Lisa; Genesee, Fred; Marcoux, Caroline

    2002-05-01

    Recent findings show that discrimination of the English /d-edh/ does not differ for English and French infants (6-8-month-olds and 10-12-month-olds), although English adults clearly outperform French adults on this contrast, which is not phonemic in French. With respect to age effects, English listeners' perception of /d-edh/ improves between infancy and adulthood, whereas French listeners' perception remains unchanged [Polka et al., J. Acoust. Soc. Am. 109, 2190-2200 (2001)]. In the present study, we tested monolingual English, monolingual French, and early English-French bilingual 4-year-olds on the same contrast using the same stimuli and procedures to clarify when facilitative effects of language experience emerge and whether they are affected by bilingualism. Four findings are reported. First, a language effect (English>French) is evident by 4 years of age. Second, among native (English) listeners facilitative effects are evident by 4-years of age (infants<4-year-olds4-year-olds=adults). Fourth, bilingual 4-year-olds' performance is virtually identical to that of their French-speaking peers, revealing a strong effect of bilingualism on the perception of this contrast. Several factors contributing to these findings will be discussed.

  9. Acute ethanol poisoning in a 4-year-old as a result of ethanol-based hand-sanitizer ingestion.

    PubMed

    Engel, Jeffrey S; Spiller, Henry A

    2010-07-01

    Alcohol-based hand sanitizers have become widely available because of widespread usage in schools, hospitals, and workplaces and by consumers. We report what we believe is the first unintentional ingestion in a small child producing significant intoxication. A 4-year-old 14-kg girl was brought to the emergency department with altered mental status after a history of ingesting an alcohol-based hand sanitizer. Physical examination revealed an obtunded child with periods of hypoventilation and a hematoma in the central portion of her forehead from a fall at home that occurred after the ingestion. Abnormal vital signs included a heart rate of 139 beats/min and temperature of 96.3 degrees F, decreasing to 93.6 degrees F. Abnormal laboratory values consisted of potassium of 2.6 mEq/L and a serum alcohol of 243 mg/dL. A computed tomography scan of her brain without contrast showed no acute intracranial abnormality. A urine drug screen for common drugs of abuse was reported as negative. The child was intubated, placed on mechanical ventilation, and admitted for medical care. She recovered over the next day without sequelae. As with other potentially toxic products, we would recommend caution and direct supervision of use when this product is available to young children.

  10. Dietary patterns at 4 years old: Association with appetite-related eating behaviours in 7 year-old children.

    PubMed

    Albuquerque, Gabriela; Lopes, Carla; Durão, Catarina; Severo, Milton; Moreira, Pedro; Oliveira, Andreia

    2016-12-02

    A possible relationship between children's dietary intake and certain aspects of eating behaviours has been documented, but most studies are cross-sectional and do not consider the complexity of the diet. The aim of this study was to quantify the association between dietary patterns established at 4 years old and appetite-related eating behaviours identified at 7 years old. Participants are children from the Generation XXI population-based birth cohort. Trained interviewers collected data at birth, 4 and 7 years old on socio-demographics, health and lifestyles, and anthropometrics. At 4 years old, diet was assessed by a Food Frequency Questionnaire and three dietary patterns were identified by Latent Class Analysis: 'Healthier', 'Snacking' and 'Energy Dense Foods' (EDF). A Portuguese version of the original Children's Eating Behaviour Questionnaire (CEBQ) was self-completed by mothers at 7 year-old. This version has previously shown good psychometric properties and the 8 CEBQ sub-domains were combined into two wider dimensions: Appetite Restraint and Appetite Disinhibition. Generalized linear models were used to estimate the associations after adjustment for maternal characteristics (n = 4358). Interaction effects were tested. Children belonging to the 'Snacking' (β = 0.329, 95%CI: 0.265; 0.393) and to the 'EDF' (β = 0.138, 95%CI: 0.098; 0.179) dietary patterns at 4 years old scored increasingly higher, respectively, on Appetite Restraint and Appetite Disinhibition dimensions at 7 years old, comparatively to children in the 'Healthier' dietary pattern. Maternal BMI before pregnancy modified the 'Snacking' pattern associations; they were stronger in children from underweight/normal weight mothers for Appetite Restraint and present only among overweight/obese mothers for Appetite Disinhibition. This study suggests that children following less healthy dietary patterns early in life have more often disordered eating behaviours in later childhood. Maternal

  11. Cooperation, but not competition, improves 4-year-old children's reasoning about others' diverse desires.

    PubMed

    Jin, Xinyi; Li, Pengchao; He, Jie; Shen, Mowei

    2017-05-01

    Three experiments examined whether cooperation or competition affects 4-year-old children's reasoning about other people's desires-which differed from their own-in a gift selection task. Experiment 1 (N=72) found that children's performance in selecting an adult-preferred gift for an adult experimenter was enhanced by a short period of preceding cooperative, but not competitive or individualistic, play with the experimenter. Experiment 2 (N=24) ruled out the alternative explanation that children resisted satisfying their opponent after competition. Experiment 3 (N=48) replicated the cooperation advantage in selecting a gift for someone else, indicating that children's understanding of diverse desires was generally improved by cooperation but not competition. These findings support the constructivist view of social development and highlight the advantage of cooperation.

  12. Narrative skills in 4-year-olds with normal, impaired, and late-developing language.

    PubMed

    Paul, R; Smith, R L

    1993-06-01

    Two groups of children who were slow in expressive language development (SELD) at age 2 and a matched group of toddlers with normal language were re-evaluated at age 4. Assessment included measures of productive syntactic skills in spontaneous speech and narrative abilities in a standard story retelling task. Four-year-olds who continued to perform below the normal range in sentence structure production scored significantly lower than their normally speaking peers on all measures of narrative skill. Children who were slow to begin talking at age 2 but who, by age 4, had moved into the normal range in basic sentence structure production showed no statistically significant differences, in terms of several of the measures of narrative ability, from either normally speaking 4-year-olds or from the group with persistent delay. The implications of these findings for the management of early language delay and its relation to school learning disability are discussed.

  13. Phonological awareness and phonemic perception in 4-year-old children with delayed expressive phonology skills.

    PubMed

    Rvachew, Susan; Ohberg, Alyssa; Grawburg, Meghann; Heyding, Joan

    2003-11-01

    The purpose of this study was to compare the phonological awareness abilities of 2 groups of 4-year-old children: one with normally developing speech and language skills and the other with moderately or severely delayed expressive phonological skills but age-appropriate receptive vocabulary skills. Each group received tests of articulation, receptive vocabulary, phonemic perception, early literacy, and phonological awareness skills. The groups were matched for receptive language skills, age, socioeconomic status, and emergent literacy knowledge. The children with expressive phonological delays demonstrated significantly poorer phonemic perception and phonological awareness skills than their normally developing peers. The results suggest that preschool children with delayed expressive phonological abilities should be screened for their phonological awareness skills even when their language skills are otherwise normally developing.

  14. [Prevalence of iodine deficiency and related factors in 4 year-old schoolchildren].

    PubMed

    Serra-Prat, Mateu; Díaz, Eva; Verde, Yolanda; Gost, Jordi; Serra, Eugènia; Puig Domingo, Manel

    2003-03-01

    Iodine deficiency in early years of life can cause important disorders in body growth and development. The aim of this study was to determine the prevalence of iodine deficiency in 4 year-old schoolchildren from the town of Mataró (Barcelona, Spain) and to know the factors associated with this nutritional deficiency. A population-based cross-sectional study was designed, which included all 4 year-old schoolchildren of this town. A physicians team performed a basic physical examination and collected urine samples for iodine determination. Parents were asked to answer a nutritional habits questionnaire. Eight hundred and sixty urine samples were obtained from 987 participants. Mean urinary iodine levels were 214.1 g/l (SD = 103.3 g/l) and the median was 189.0 g/l. Prevalence of iodine deficiency was 7.8% at a 100 g/l cut-off point and 1.2% at a 50 g/l cut-off point. Statistical differences in the prevalence of iodine deficiency were observed between ethnic groups: while natives had a prevalence of 7.0%, in Magrebins it was 18.4%, Subsaharians 20.0% and other ethnical groups 14.3% (p = 0.016). Schoolchildren in Mataró have adequate urinary iodine levels according to WHO recommendations with a relatively low prevalence of iodine deficiency. However, even after adjustments for the knowledge of the existence of iodized salt, iodine deficiency correlates with the child's ethnic origin (native or immigrant).

  15. [Validity of anthropometric measurements and weight perceptions reported by relatives of children under 4 years old].

    PubMed

    Patiño-Villena, Begoña; Chirlaque, María Dolores; Salmerón, Diego; González, Eduardo; Navarro, Carmen

    2016-01-01

    To assess the validity of weight and height measurements reported by parents and the perception of their children's weight status in order to assess the prevalence of overweight children under 4 years old. Cross-sectional study. Anthropometric data was collected by self-report questionnaires completed by parents of children 3-45 months old: 1) information from paediatric check-ups (gold standard); 2) information reported from the home environment; and 3) data from individual perceptions. WHO standards were used. Reported height was underestimated, thus reported weight/height and BMI/age were overestimated. Overweight prevalence according to paediatric check-ups was 18.6%, compared to 26.5% reported prevalence, showing a moderate concordance (Kappa: 0.47 [0.34-0.60]), 70% sensitivity and 84% specificity. Subjective perception was 11.2%, representing 30% sensitivity and 93% specificity. The reported information has little validity for population-based studies, as height is underestimated and overweight status is not correctly perceived due to distortion of individual perception. Questionnaires must be validated and awareness raised among families. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  16. Ameloblastic Fibro-Odontoma in a 4-Year-Old Boy.

    PubMed

    Ghandehari-Motlagh, Mehdi; Khosravi, Zahra; Meighani, Ghasem; Baradaran-Nakhjavani, Yahya

    2016-04-01

    Ameloblastic fibro-odontoma (AFO) is defined as a benign odontogenic tumor with slow growing behavior. Its prevalence is rare. AFO is characterized by histologic features of ameloblastic fibroma (AF) with the formation of enamel and dentine. This is a case report of AFO accompanied with a number of impacted deciduous teeth and its management in a 4-year old boy. Examination of oral cavity revealed an extensive swelling from midline to left deciduous maxillary first molar, covered with normal mucosa. Radiographic examination showed a well-defined mixed radiolucent-radiopaque lesion that extended horizontally from midline to mesial border of the left maxillary primary first molar and vertically from alveolar crest to the floor of nose. The differential diagnosis was odontoma (ameloblastic fibro-odontoma, complex odontoma). Surgical enucleation and curettage was performed under general anesthesia. Histopathologic sections show bone trabeculae in marrow spaces. There was myxoid matrix in some spaces which contained odontogenic epithelial cells. These findings led to diagnosis of AFO. No sign of recurrence has been observed during the 12-month follow-up period. Although AFO is a rare tumor, it is more prevalent in children's jaw. Conservative surgical treatment allowed the normal development of teeth.

  17. Joint Rhythmic Movement Increases 4-Year-Old Children's Prosocial Sharing and Fairness Toward Peers.

    PubMed

    Rabinowitch, Tal-Chen; Meltzoff, Andrew N

    2017-01-01

    The allocation of resources to a peer partner is a prosocial act that is of fundamental importance. Joint rhythmic movement, such as occurs during musical interaction, can induce positive social experiences, which may play a role in developing and enhancing young children's prosocial skills. Here, we investigated whether joint rhythmic movement, free of musical context, increases 4-year-olds' sharing and sense of fairness in a resource allocation task involving peers. We developed a precise procedure for administering joint synchronous experience, joint asynchronous experience, and a baseline control involving no treatment. Then we tested how participants allocated resources between self and peer. We found an increase in the generous allocation of resources to peers following both synchronous and asynchronous movement compared to no treatment. At a more theoretical level, this result is considered in relation to previous work testing other aspects of child prosociality, for example, peer cooperation, which can be distinguished from judgments of fairness in resource allocation tasks. We draw a conceptual distinction between two types of prosocial behavior: resource allocation (an other-directed individual behavior) and cooperation (a goal-directed collaborative endeavor). Our results highlight how rhythmic interactions, which are prominent in joint musical engagements and synchronized activity, influence prosocial behavior between preschool peers.

  18. Visual access trumps gender in 3- and 4-year-old children's endorsement of testimony.

    PubMed

    Terrier, Nathalie; Bernard, Stéphane; Mercier, Hugo; Clément, Fabrice

    2016-06-01

    Several studies have investigated how preschoolers weigh social cues against epistemic cues when taking testimony into account. For instance, one study showed that 4- and 5-year-olds preferred to endorse the testimony of an informant who had the same gender as the children; by contrast, when the gender cue conflicted with an epistemic cue--past reliability--the latter trumped the former. None of the previous studies, however, has shown that 3-year-olds can prioritize an epistemic cue over a social cue. In Experiment 1, we offer the first demonstration that 3-year-olds favor testimony from a same-gender informant in the absence of other cues. In Experiments 2 and 3, an epistemic cue-visual access--was introduced. In those experiments, 3- and 4-year-olds endorsed the testimony of the informant with visual access regardless of whether it was a same-gender informant (Experiment 3) or a different-gender informant (Experiment 2). These results demonstrate that 3-year-olds are able to give more weight to an epistemic cue than to a social cue when evaluating testimony.

  19. Atresia of the Aortic Arch in 4-Year-Old Child: A Clinical Case Study

    PubMed Central

    Nigro Stimato, Vittoria; Didier, Dominique; Beghetti, Maurice; Tissot, Cécile

    2015-01-01

    Atresia of the aortic arch is a rare congenital heart defect with a high mortality when associated with other intracardiac defects. Cardiac magnetic resonance (CMR) provides the exact anatomy of the aortic arch and collateral circulation and is useful to diagnose-associated aortic arch anomalies. This report describes the case of a 4-year-old child with atresia of the aortic arch, referred to our institution with the diagnosis of aortic coarctation and bicuspid aortic valve. On clinical exam, the femoral pulses were not palpable and there was a significant differential blood pressure between the upper and lower limbs. The echocardiography showed a severely stenotic bicuspid aortic valve but was limited for the exact description of the aortic arch. CMR showed absence of lumen continuity between the ascending and descending aorta distal to the left subclavian artery, extending over 5 mm, with the presence of a bend in the arch and diverticulum on either side of the zone of discontinuity, suggesting the diagnosis atresia of the aortic arch rather than coarctation or interruption. The patient benefited from a successful surgical commissurotomy of the aortic valve and reconstruction of the aortic arch with a homograft. The post-operative CMR confirmed the good surgical result. This case emphasizes the utility of CMR to provide good anatomical information to establish the exact diagnosis and the operative strategy. PMID:25853109

  20. Anaphylaxis in a 4-year-old male caused by contact with grasses: a case report.

    PubMed

    Ramón, Germán Darío; Croce, Victor H; Chérrez Ojeda, Iván

    2017-01-01

    Acute urticaria is the presence of urticaria for <6 weeks, and it is the most common type of urticaria in children. Sometimes, it may be associated with anaphylaxis, a life-threatening condition. Urticaria must be differentiated from anaphylaxis because the latter may require emergency treatment. We describe a child with anaphylaxis exposed to grasses on two occasions. We described a 4-year-old male child with anaphylaxis exposed to grasses. Patient also suffered mild neurologic/respiratory symptoms but it is unlikely that he had anaphylaxis. Skin-prick tests were positive to Cynodon dactylis, Phalaris arundinacea and Festuca elatior. Little is known about the importance of pollens as a cause of urticaria in young children. The case reported here is particularly interesting because, to the best of our knowledge, anaphylaxis due to pollen exposure in children aged <4 years has not been reported before. We strongly encourage all physicians searching for the cause of acute urticaria (allergists, dermatologists, primary-care physicians) to consider the possibility of pollen allergy, and to screen these patients for pollen sensitization.

  1. Serum lipid and apolipoprotein levels in 4-year-old children are associated with parental levels and track over time.

    PubMed

    Öhlund, I; Hernell, O; Hörnell, A; Lind, T

    2011-04-01

    There are only a few studies linking dietary fat intake to serum lipid levels in young children. Our objective was to prospectively evaluate serum lipid levels from infancy to early childhood, and to explore their possible association with dietary, growth and parental factors. Children (n=127) followed from early infancy were examined for serum lipid levels, anthropometry and dietary intake at 4 years of age. We also studied possible associations with parental anthropometric and blood biochemistry data collected from 122 mothers' and 118 fathers' when children were 4 years of age. Serum concentrations of total cholesterol (TC), high-density lipoprotein cholesterol (HDLC), low-density lipoprotein cholesterol (LDLC) and the apolipoprotein B/apolipoprotein A-1 ratio (apo B/apo A-1) showed significant tracking from infancy to 4 years. Furthermore, children's TC levels correlated with paternal TC level from 6 months to 4 years, but with maternal only at 4 years. In girls, both LDLC and HDLC correlated with parental LDLC and HDLC. In all children, intake of saturated fatty acids (SAFAs) was higher than recommended, and in 90% of the children polyunsaturated fatty acid (PUFA) intake was lower than recommended. Serum lipid levels values tracked from infancy to 4 years and were associated with parental values. Higher serum lipid levels at 4 years compared with 6-18 months of age may result from changes in the quality of dietary fat. We therefore suggest that intake of dietary fat in 4-year-old children should be more focused on quality. Furthermore, as there were strong associations between the child and parental serum lipid levels this supports the view that family-based rather than individual intervention is preferable. © 2011 Macmillan Publishers Limited All rights reserved

  2. Clinical Reasoning: a girl presenting with stiffness episodes during sleep, cafe-au-lait spots, and flecked retina.

    PubMed

    Moavero, Romina; Cusmai, Raffaella; Roberti, Maria Cristina; Vigevano, Federico; Curatolo, Paolo

    2013-01-29

    A 4-year-old girl who had been born of normal pregnancy and delivery and had an unremarkable family or personal history was referred to a neuropsychiatric department because of the appearance of peculiar nocturnal episodes. Parents described that their child abruptly became stiff during sleep. These episodes usually ranged from 20 to 40 seconds, and after that the child continued to sleep. Initially she presented 1 episode per week, but there was a progressive increase in frequency up to 3 to 4 times per night. The child never presented similar episodes while awake. Her examination revealed some café-au-lait spots, congenital microcephaly (3rd centile) and low stature for the age (10th centile). She did not present any neurologic deficit, but she failed to develop an age-appropriate speech, with a delay in the main language milestones.

  3. False belief understanding and "cool" inhibitory control in 3-and 4-years-old Italian children.

    PubMed

    Bellagamba, Francesca; Addessi, Elsa; Focaroli, Valentina; Pecora, Giulia; Maggiorelli, Valentina; Pace, Beatrice; Paglieri, Fabio

    2015-01-01

    During preschool years, major developments occur in both executive function and theory of mind (ToM), and several studies have demonstrated a correlation between these processes. Research on the development of inhibitory control (IC) has distinguished between more cognitive, "cool" aspects of self-control, measured by conflict tasks, that require inhibiting an habitual response to generate an arbitrary one, and "hot," affective aspects, such as affective decision making, measured by delay tasks, that require inhibition of a prepotent response. The aim of this study was to investigate the relations between 3- and 4-year-olds' performance on a task measuring false belief understanding, the most widely used index of ToM in preschoolers, and three tasks measuring cognitive versus affective aspects of IC. To this end, we tested 101 Italian preschool children in four tasks: (a) the Unexpected Content False Belief task, (b) the Conflict task (a simplified version of the Day-Night Stroop task), (c) the Delay task, and (d) the Delay Choice task. Children's receptive vocabulary was assessed by the Peabody Picture Vocabulary test. Children's performance in the False Belief task was significantly related only to performance in the Conflict task, controlling for vocabulary and age. Importantly, children's performance in the Conflict task did not significantly correlate with their performance in the Delay task or in the Delay Choice task, suggesting that these tasks measure different components of IC. The dissociation between the Conflict and the Delay tasks may indicate that monitoring and regulating a cool process (as flexible categorization) may involve different abilities than monitoring and regulating a hot process (not touching an available and highly attractive stimulus or choosing between a smaller immediate option and a larger delayed one). Moreover, our findings support the view that "cool" aspects of IC and ToM are interrelated, extending to an Italian sample of

  4. Effects of explicit teacher-implemented phoneme awareness instruction in 4-year-olds.

    PubMed

    Tyler, Ann A; Osterhouse, Heather; Wickham, Katherine; Mcnutt, Robert; Shao, Yuanyuan

    2014-01-01

    The purpose of this study was to determine whether gains would be observed in an integrated group of 4-year-olds when phoneme awareness skills were explicitly taught by trained early childhood educators. In a quasi-experimental design with a delayed treatment approach, one classroom (N = 14) was randomly assigned to receive the instructional program in fall, while a second classroom (N = 10) served as a control and subsequently received the program in spring. Baseline assessment of speech and language skills indicated there were four participants with speech and/or language impairments. The teacher training involved an initial workshop and weekly hour-long mentoring meetings; the program was provided for 20 min a day, 4 d a week, for 10 weeks. Outcome measures of phoneme awareness and letter knowledge skills were obtained from non-standardized tasks administered pre-instruction and post-instruction, at mid-year and end-year points. When each classroom received the phoneme instruction, participants made gains in letter knowledge and phoneme level skills in comparison with group performance under regular instruction. These gains were statistically significant for phoneme blending and letter knowledge. Using an aggregate of all outcome measures, the gain for each classroom when under instruction was statistically significant as compared with when that same classroom was receiving the regular curriculum. Children with speech and/or language impairment responded more variably. Gains in the more difficult phoneme awareness skill of blending suggest the potential for marked change with an intensive, explicit classroom instruction and hold promise for SLPs collaborating with preschool teachers to provide time-efficient PA instruction.

  5. Somatosensory Evoked Field in Response to Visuotactile Stimulation in 3- to 4-Year-Old Children

    PubMed Central

    Remijn, Gerard B.; Kikuchi, Mitsuru; Shitamichi, Kiyomi; Ueno, Sanae; Yoshimura, Yuko; Nagao, Kikuko; Tsubokawa, Tsunehisa; Kojima, Haruyuki; Higashida, Haruhiro; Minabe, Yoshio

    2014-01-01

    A child-customized magnetoencephalography system was used to investigate somatosensory evoked field (SEF) in 3- to 4-year-old children. Three stimulus conditions were used in which the children received tactile-only stimulation to their left index finger or visuotactile stimulation. In the two visuotactile conditions, the children received tactile stimulation to their finger while they watched a video of tactile stimulation applied either to someone else’s finger (the finger-touch condition) or to someone else’s toe (the toe-touch condition). The latencies and source strengths of equivalent current dipoles (ECDs) over contralateral (right) somatosensory cortex were analyzed. In the preschoolers who provided valid ECDs, the stimulus conditions induced an early-latency ECD occurring between 60 and 68 ms mainly with an anterior direction. We further identified a middle-latency ECD between 97 and 104 ms, which predominantly had a posterior direction. Finally, initial evidence was found for a late-latency ECD at about 139–151 ms again more often with an anterior direction. Differences were found in the source strengths of the middle-latency ECDs among the stimulus conditions. For the paired comparisons that could be formed, ECD source strength was more pronounced in the finger-touch condition than in the tactile-only and the toe-touch conditions. Although more research is necessary to expand the data set, this suggests that visual information modulated preschool SEF. The finding that ECD source strength was higher when seen and felt touch occurred to the same body part, as compared to a different body part, might further indicate that connectivity between visual and tactile information is indexed in preschool somatosensory cortical activity, already in a somatotopic way. PMID:24715860

  6. Integrating across Episodes: Investigating the Long-term Accessibility of Self-derived Knowledge in 4-Year-Old Children

    PubMed Central

    Varga, Nicole L.; Stewart, Rebekah A.; Bauer, Patricia J.

    2016-01-01

    Semantic memory, defined as our store of knowledge about the world, provides representational support for all of our higher order cognitive functions. As such, it is crucial that the contents of semantic memory remain accessible over time. Although memory for knowledge learned through direct observation has been previously investigated, we know very little about the retention of knowledge derived through integration of information acquired across separate learning episodes. The present research investigated cross-episode integration in 4-year-old children. Participants were presented with novel facts via distinct story episodes and tested for knowledge extension through cross-episode integration, as well as for retention of the information over a 1-week delay. In Experiment 1, children retained the self-derived knowledge over the delay, though performance was primarily evidenced in a forced-choice format. In Experiment 2, we sought to facilitate the accessibility and robustness of self-derived knowledge by providing a verbal reminder after the delay. The accessibility of self-derived knowledge increased, irrespective of whether participants successfully demonstrated knowledge of the integration facts during the first visit. The results suggest knowledge extended through integration remains accessible after delays, even in a population in which this learning process is less robust. The findings also demonstrate the facilitative effect of reminders on the accessibility and further extension of knowledge over extended time periods. PMID:26774259

  7. Maternal child-feeding practices and dietary inadequacy of 4-year-old children.

    PubMed

    Durão, Catarina; Andreozzi, Valeska; Oliveira, Andreia; Moreira, Pedro; Guerra, António; Barros, Henrique; Lopes, Carla

    2015-09-01

    This study aimed to evaluate the association between maternal perceived responsibility and child-feeding practices and dietary inadequacy of 4-year-old children. We studied 4122 mothers and children enrolled in the population-based birth cohort - Generation XXI (Porto, Portugal). Mothers self-completed the Child Feeding Questionnaire and a scale on covert and overt control, and answered to a food frequency questionnaire in face-to-face interviews. Using dietary guidelines for preschool children, adequacy intervals were defined: fruit and vegetables (F&V) 4-7 times/day; dairy 3-5 times/day; meat and eggs 5-10 times/week; fish 2-4 times/week. Inadequacy was considered as below or above these cut-points. For energy-dense micronutrient-poor foods and beverages (EDF), a tolerable limit was defined (<6 times/week). Associations between maternal perceived responsibility and child-feeding practices (restriction, monitoring, pressure to eat, overt and covert control) and children's diet were examined by logistic regression models. After adjustment for maternal BMI, education, and diet, and children's characteristics (sex, BMI z-scores), restriction, monitoring, overt and covert control were associated with 11-18% lower odds of F&V consumption below the interval defined as adequate. Overt control was also associated with 24% higher odds of their consumption above it. Higher perceived responsibility was associated with higher odds of children consuming F&V and dairy above recommendations. Pressure to eat was positively associated with consumption of dairy above the adequate interval. Except for pressure to eat, maternal practices were associated with 14-27% lower odds of inadequate consumption of EDF. In conclusion, children whose mothers had higher levels of covert control, monitoring, and restriction were less likely to consume F&V below recommendations and EDF above tolerable limits. Higher overt control and pressure to eat were associated, respectively, with higher

  8. [YEL-AND meningoencephalitis in a 4-year-old boy consecutive to a yellow-fever vaccine].

    PubMed

    Gerin, M; Wroblewski, I; Bost-Bru, C; N'guyen, M-A; Debillon, T

    2014-04-01

    Yellow fever is a vector-borne disease transmitted by an endemic mosquito in sub-Saharan Africa and tropical South America. It causes fever and possibly liver and renal failure with hemorrhagic signs, which may be fatal. The yellow-fever vaccine is an attenuated vaccine that is recommended for all travelers over the age of 9 months in high-risk areas. Adverse effects have been reported: minor symptoms (such as viral syndrome), hypersensitivity reactions, and major symptoms such as viscerotropic disease (YEL-AVD) and neurotropic disease (YEL-AND). The yellow-fever vaccine-associated autoimmune disease with central nervous system involvement (such as acute disseminated encephalomyelitis) associates fever and headaches, neurologic dysfunction, seizures, cerebrospinal fluid (CSF) pleocytosis, and elevated protein, with neuroimaging consistent with multifocal areas of demyelization. The presence of antibodies or virus in CSF, within 1-30 days following vaccination, and the exclusion of other causes is necessary for diagnosis. We describe herein the case of a 4-year-old child who presented with severe encephalitis consecutive to a yellow-fever vaccine, with favorable progression. Diagnosis is based on the chronology of clinical and paraclinical signs and the presence of yellow-fever-specific antibodies in CSF. The treatment consists of symptomatic treatment and immunoglobulin injection. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  9. Blue-ringed octopus (Hapalochlaena sp.) envenomation of a 4-year-old boy: a case report.

    PubMed

    Cavazzoni, Elena; Lister, Bruce; Sargent, Phillip; Schibler, Andreas

    2008-09-01

    The blue-ringed octopus (Hapalochlaena sp.) is a small animal, which can inject a toxin that produces a respiratory arrest within minutes. This envenomation is a rare occurrence with very few reported outcomes in children. A 4-year-old boy was bitten by a blue-ringed octopus (Hapalochlaena sp.) whilst playing at a popular beach in Queensland, Australia. Within ten minutes of the bite, he had vomited three times, lost the ability to stand and complained of blurred vision. An ambulance was called by the time he presented to the local emergency department (20 minutes after the bite) he had acute and progressive skeletal muscle weakness. He was intubated, ventilated, and transferred to a pediatric intensive care unit for specialized supportive care. He was ventilated for a total of 17 hours with spontaneous muscular activity returning at around 15 hours from envenomation. If not treated appropriately the bite of this small and innocuous looking animal could have lead to death within minutes. This case report serves as a reminder of how appropriate treatment can ensure discharge from hospital with no long-term consequences. It also highlights the importance of education for beach goers and in particular parents to prevent exposure of tetrodotoxin to children.

  10. Hematogones With Lambda Light Chain Restriction in a 4-Year-Old Boy With Burkitt Lymphoma: A Potential Diagnostic Pitfall.

    PubMed

    Guillory, Tesha; Li, Shiyong; Bergsagel, Daniel J; Weinzierl, Elizabeth; Bunting, Silvia T

    2016-05-01

    Hematogones are immature normal B cell precursors with a characteristic immunophenotype profile on flow cytometry that typically do not express surface immunoglobulin light chains. In this report, we describe a case in which the hematogones exhibit light chain restriction. Our patient was a 4-year-old boy with a complicated medical history involving treatment for a presumed bilateral Wilms tumor of the kidney that on later resection was diagnosed as Burkitt lymphoma. Flow cytometry analysis of his bone marrow revealed a small distinct population of cells expressing dim cluster of differentiation (CD)10, CD19, CD22, CD38, dim CD58, human leukocyte antigen-D related (HLA-DR), and dim CD45, which are characteristic of hematogones. These cells, however, demonstrated dim surface immunoglobulin lambda light-chain restriction. Molecular study results for immunoglobulin heavy and kappa light-chain gene rearrangements were negative. We present this case to raise awareness of the potential pitfalls of working up bone marrow for involvement by B cell lymphoproliferative disorder.

  11. Turner Syndrome in Girls Presenting with Coarctation of the Aorta.

    PubMed

    Eckhauser, Aaron; South, Sarah T; Meyers, Lindsay; Bleyl, Steven B; Botto, Lorenzo D

    2015-11-01

    To evaluate the frequency of Turner syndrome in a population-based, statewide cohort of girls with coarctation of the aorta. The Utah Birth Defects Network was used to ascertain a cohort of girls between 1997 and 2011 with coarctation of the aorta. Livebirths with isolated coarctation of the aorta or transverse arch hypoplasia were included and patients with complex congenital heart disease not usually seen in Turner syndrome were excluded. Of 244 girls with coarctation of the aorta, 77 patients were excluded, leaving a cohort of 167 girls; 86 patients (51%) had chromosomal studies and 21 (12.6%) were diagnosed with Turner syndrome. All patients were diagnosed within the first 4 months of life and 5 (24%) were diagnosed prenatally. Fifteen patients (71%) had Turner syndrome-related findings in addition to coarctation of the aorta. Girls with mosaicism were less likely to have Turner syndrome-associated findings (3/6 mosaic girls compared with 12/17 girls with non-mosaic 45,X). Twelve girls (57%) diagnosed with Turner syndrome also had a bicommissural aortic valve. At least 12.6% of girls born with coarctation of the aorta have karyotype-confirmed Turner syndrome. Such a high frequency, combined with the clinical benefits of an early diagnosis, supports genetic screening for Turner syndrome in girls presenting with coarctation of the aorta. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Corneal Cross-Linking in a 4-Year-Old Child With Keratoconus and Down Syndrome.

    PubMed

    Sabti, Saad; Tappeiner, Christoph; Frueh, Beatrice E

    2015-09-01

    To describe the clinical outcome of corneal cross-linking (CXL) in a young child with keratoconus. This is a case report of a young girl with keratoconus with ophthalmologic findings and 3-year follow-up. Follow-up visits included visual acuity measurement, retinoscopy, corneal tomography, and topography. A girl with Down syndrome was diagnosed with bilateral keratoconus and relative amblyopia at the age of 4 years. The best-corrected near visual acuity was 20/100 binocularly. Corneal tomography showed the following parameters: OD K(max) 47.2 diopters (D), thinnest location 442 μm; OS K(max) 49.6 D, thinnest location 432 μm. Three months later, the keratoconus in the left eye progressed (K(max) 50.2 D, thinnest location 424 μm), and CXL was performed. One year later, CXL was necessary also in the right eye because of progression. The girl was most recently reexamined at the age of 7 years. The corrected near visual acuity was 20/80 in both eyes. The corneal curvature slightly flattened, and the corneal thickness stabilized (OD K(max) 46.8 D, thinnest location 389 μm; OS K(max) 49.4 D, thinnest location 360 μm). Onset of keratoconus can occur in early childhood, especially in patients with Down syndrome. In this case, CXL was performed at 4 and 5 years of age without complications and stopped further keratoconus progression.

  13. Different Executive Functions Support Different Kinds of Cognitive Flexibility: Evidence from 2-, 3-, and 4-Year-Olds

    ERIC Educational Resources Information Center

    Blakey, Emma; Visser, Ingmar; Carroll, Daniel J.

    2016-01-01

    Improvements in cognitive flexibility during the preschool years have been linked to developments in both working memory and inhibitory control, though the precise contribution of each remains unclear. In the current study, one hundred and twenty 2-, 3-, and 4-year-olds completed two rule-switching tasks. In one version, children switched rules in…

  14. Effectiveness of a Fundamental Motor Skill Intervention for 4-Year-Old Children with Autism Spectrum Disorder: A Pilot Study

    ERIC Educational Resources Information Center

    Bremer, Emily; Balogh, Robert; Lloyd, Meghann

    2015-01-01

    A wait-list control experimental design was employed to investigate the effectiveness of a fundamental motor skill intervention at improving the motor skills, adaptive behavior, and social skills of 4-year-old children with autism spectrum disorder (experimental n?=?5, control n?=?4); the impact of intervention intensity was also explored. The…

  15. Genetic and Environmental Mediation of the Relationship between Language and Nonverbal Impairment in 4-Year-Old Twins

    ERIC Educational Resources Information Center

    Viding, Essi; Price, Thomas S.; Spinath, Frank M.; Bishop, Dorothy V. M.; Dale, Philip S.; Plomin, Robert

    2003-01-01

    This study of 4-year-old twins investigated the genetic and environmental origins of comorbidity between language impairment and nonverbal ability by testing the extent to which language impairment in one twin predicted nonverbal ability in the co-twin. Impairment of language ability was defined as scores below the 15th percentile on a general…

  16. Syntactic Priming in 3- and 4-Year-Old Children: Evidence for Abstract Representations of Transitive and Dative Forms

    ERIC Educational Resources Information Center

    Shimpi, Priya M.; Gamez, Perla B.; Huttenlocher, Janellen; Vasilyeva, Marina

    2007-01-01

    The current studies used a syntactic priming paradigm with 3- and 4-year-old children. In Experiment 1, children were asked to describe a series of drawings depicting transitive and dative relations to establish baseline production levels. In Experiment 2, an experimenter described a similar series of drawings using one of two syntactic forms…

  17. Classroom Age Composition and the School Readiness of 3- and 4-Year-Olds in the Head Start Program.

    PubMed

    Ansari, Arya; Purtell, Kelly; Gershoff, Elizabeth

    2016-01-01

    The federal Head Start program, designed to improve the school readiness of children from low-income families, often serves 3- and 4-year-olds in the same classrooms. Given the developmental differences between 3- and 4-year-olds, it is unknown whether educating them together in the same classrooms benefits one group, both, or neither. Using data from the Family and Child Experiences Survey 2009 cohort, this study used a peer-effects framework to examine the associations between mixed-age classrooms and the school readiness of a nationally representative sample of newly enrolled 3-year-olds (n = 1,644) and 4-year-olds (n = 1,185) in the Head Start program. Results revealed that 4-year-olds displayed fewer gains in academic skills during the preschool year when they were enrolled in classrooms with more 3-year-olds; effect sizes corresponded to 4 to 5 months of academic development. In contrast, classroom age composition was not consistently associated with 3-year-olds' school readiness. © The Author(s) 2015.

  18. The Prevalence of ADHD, ODD, Depression, and Anxiety in a Community Sample of 4-Year-Olds

    ERIC Educational Resources Information Center

    Lavigne, John V.; LeBailly, Susan A.; Hopkins, Joyce; Gouze, Karen R.; Binns, Helen J.

    2009-01-01

    Few studies have examined the epidemiology of preschoolers' psychopathology. This study included 796 4-year-old children recruited from schools and pediatric practices in a diverse, urban area. Psychiatric disorder was assessed by a structured interview adapted for preschool children and by questionnaire. The most common disorders were…

  19. Biomass, Nitrogen, and Phosphorus Accumulation in 4-Year-Old Intensively Managed Loblolly Pine and Sweetgum Plantations

    Treesearch

    Charles A. Gresham; Thomas M. William

    2002-01-01

    Knowing the nutrient uptake potential of plantations of fast-growing species is essential to designing land-based tertiary water treatment facilities. This study was conducted to estimate the biomass of 4-year-old, intensively managed loblolly pine (Pinus taeda) and sweetgum (Liquidambar styraciflua) plantations and to estimate the...

  20. The Prevalence of ADHD, ODD, Depression, and Anxiety in a Community Sample of 4-Year-Olds

    ERIC Educational Resources Information Center

    Lavigne, John V.; LeBailly, Susan A.; Hopkins, Joyce; Gouze, Karen R.; Binns, Helen J.

    2009-01-01

    Few studies have examined the epidemiology of preschoolers' psychopathology. This study included 796 4-year-old children recruited from schools and pediatric practices in a diverse, urban area. Psychiatric disorder was assessed by a structured interview adapted for preschool children and by questionnaire. The most common disorders were…

  1. Sensitivity of 4-Year-Olds to Featural and Second-Order Relational Changes in Face Distinctiveness

    ERIC Educational Resources Information Center

    McKone, Elinor; Boyer, Barbara L.

    2006-01-01

    Sensitivity to adult ratings of facial distinctiveness (how much an individual stands out in a crowd) has been demonstrated previously in children age 5 years or older. Experiment 1 extended this result to 4-year-olds using a "choose the more distinctive face" task. Children's patterns of choice across item pairs also correlated well with those of…

  2. How Do Symbols Affect 3- to 4-Year-Olds' Executive Function? Evidence from a Reverse-Contingency Task

    ERIC Educational Resources Information Center

    Apperly, Ian A.; Carroll, Daniel J.

    2009-01-01

    In two experiments, 330 3- to 4-year-olds competed for stickers in a game in which the optimal response strategy was to point to an empty box that their opponent would receive in order to obtain a baited box for themselves. When the baited box contained stickers, children showed a strong tendency to point at the baited box and therefore lose the…

  3. Different Executive Functions Support Different Kinds of Cognitive Flexibility: Evidence from 2-, 3-, and 4-Year-Olds

    ERIC Educational Resources Information Center

    Blakey, Emma; Visser, Ingmar; Carroll, Daniel J.

    2016-01-01

    Improvements in cognitive flexibility during the preschool years have been linked to developments in both working memory and inhibitory control, though the precise contribution of each remains unclear. In the current study, one hundred and twenty 2-, 3-, and 4-year-olds completed two rule-switching tasks. In one version, children switched rules in…

  4. How Do Symbols Affect 3- to 4-Year-Olds' Executive Function? Evidence from a Reverse-Contingency Task

    ERIC Educational Resources Information Center

    Apperly, Ian A.; Carroll, Daniel J.

    2009-01-01

    In two experiments, 330 3- to 4-year-olds competed for stickers in a game in which the optimal response strategy was to point to an empty box that their opponent would receive in order to obtain a baited box for themselves. When the baited box contained stickers, children showed a strong tendency to point at the baited box and therefore lose the…

  5. Phonological Patterns in Normally Developing Spanish-Speaking 3-and 4-Year Olds of Puerto Rican Descent.

    ERIC Educational Resources Information Center

    Goldstein, Brian A.; Iglesias, Aquiles

    1996-01-01

    This study used quantitative and qualitative methodology to examine the phonological patterns of 24 3-year-old and 30 4-year-old Spanish-speaking preschoolers of Puerto Rican descent. The children acquired the sounds of their language at an early age and did not exhibit high percentages of occurrence on targeted phonological processes. (DB)

  6. Perception of synthetic vowel exemplars of 4-year-old children and estimation of their corresponding vocal tract shapes.

    PubMed

    McGowan, Richard S

    2006-11-01

    Formant scalings for vowel exemplars of American 4 year olds who were imitating adult production were used along with published data of American adult male vowel production to synthesize /a, ae, u, i/. Other vowel exemplars were also synthesized. Adult listeners were asked to categorize these synthetic vowels in a forced choice task. With some exceptions, the formant frequencies preferred for the vowels /a, ae, u, i/ were close to the published data. In order to gain insight on children's articulation during imitation of vowels /a, ae, u, i/, a five-tube model was used in an algorithm to infer vocal tract shape from the first three formant frequencies of the adult productions, the formant frequencies derived for 4 year olds by scaling, and formant frequencies for 4 year olds derived based on the listening experiments. It was found that the rear tube length for the children, in proportionate terms, was nearly always greater than that of the adult. The rear tube length was proportionately twice as long in children compared to adults for the vowel /u/. Tongue root flexibility and the oblique angle between the pharynx and mouth may be more important than pharynx length in determining formant scalings for 4 year old children.

  7. Effectiveness of a Fundamental Motor Skill Intervention for 4-Year-Old Children with Autism Spectrum Disorder: A Pilot Study

    ERIC Educational Resources Information Center

    Bremer, Emily; Balogh, Robert; Lloyd, Meghann

    2015-01-01

    A wait-list control experimental design was employed to investigate the effectiveness of a fundamental motor skill intervention at improving the motor skills, adaptive behavior, and social skills of 4-year-old children with autism spectrum disorder (experimental n?=?5, control n?=?4); the impact of intervention intensity was also explored. The…

  8. A Case of a 4-Year-Old Boy with a Mesenteric Chylous Cyst Infected with Histoplasma capsulatum.

    PubMed

    Kweyamba, Vianney; Apiyo, Mirraim; Olika, Biratu; Kituuka, Olivia

    2016-01-01

    Mesenteric cysts are uncommon entities and chyle- (lymph-) containing cysts are the rarest of this group. This is a case report of a 4-year-old boy with a mesenteric chylous cyst who was later found to have Histoplasma capsulatum infection.

  9. Life-Threatening Respiratory Tract Disease with Human Bocavirus-1 Infection in a 4-Year-Old Child

    PubMed Central

    Edner, Niklas; Castillo-Rodas, Paul; Falk, Lars; Hedman, Klaus; Söderlund-Venermo, Maria

    2012-01-01

    The disease spectrum associated with human bocavirus-1 infection remains to be fully defined. We report a case of bocavirus-1-associated bronchiolitis, leading to severe respiratory failure and extracorporeal membrane oxygenation in a 4-year-old child, and suggest blood testing for human bocavirus-1 in children with severe respiratory tract infection. PMID:22135260

  10. Noma (cancrum oris): case report in a 4-year-old HIV-positive South African child.

    PubMed

    Naidoo, S; Chikte, U M

    2000-12-01

    Cancrum oris (noma) is a gangrenous infection that develops in the mouth and spreads rapidly to other parts of the face. The disease occurs mostly in conditions of poverty, poor hygiene and malnutrition. In sub-Saharan Africa the frequency in several countries is estimated to be 1-7 cases per 1,000 population, and as many as 12 cases per 1,000 in the most affected communities. About 90% of these children die without receiving any care, yet the disease can, and should, be prevented. With increasing numbers of children who are malnourished and who have compromised immune systems (compounded by the HIV pandemic) the prevalence of conditions such as noma is likely to increase. Among the earliest features of noma are excessive salivation, marked fetor oris, facial oedema and a greyish-black discolouration of the skin in the affected area. This devastating gangrenous lesion may involve the cheek, the chin, the infra-orbital margin, palate, nose, antrum and virtually any part of the face. This report describes a 4-year-old HIV-positive African girl, who was abandoned, discharged from the Plastics Unit and now lives in a child care sanctuary. Little is known about her history prior to her arrival at the home a few weeks previously. The clinical examination revealed a delay in growth and physical development equivalent to that of a 2-year-old child. The left cheek had a perforating ulcer in a healing phase. The perforation, about 1 cm in diameter, was surrounded by oedematous tissues showing a mild to moderate erythema. The peripheral oedema extended to the lower palpebral, the upper labial, left labial commissural, mandibular and pre-parotid regions. Submental, submandibular and cervical lymph nodes were mildly painful upon palpation. The child was not pyretic. The intra-oral examination revealed the features of acute necrotising gingivitis (ANG). ANG was generalised and showed classic interdental crater-like ulcers covered with whitish debris. Halitosis was pronounced

  11. An unusual case of a sore throat and otalgia in a 4-year-old boy.

    PubMed

    Siupšinskienė, Nora; Padervinskis, Evaldas; Poškienė, Lina; Endeley, Nganjo; Vaitkus, Saulius

    2012-01-01

    A sore throat, otalgia, and snoring are the common symptoms seen in children presenting to an otorhinolaryngological clinic. Sometimes, however, these symptoms may be suggestive of an aggressive malignancy. We present a rare case of Burkitt's lymphoma of the tonsil in a young child, which initially manifested as a sore throat and otalgia.

  12. Genetic Influences on Specific versus Nonspecific Language Impairment in 4-Year-Old Twins

    ERIC Educational Resources Information Center

    Hayiou-Thomas, Marianna E.; Oliver, Bonamy; Plomin, Robert

    2005-01-01

    The present study addresses the distinction between specific (SLI) and nonspecific (NLI) language impairment at an etiological level by estimating the relative genetic and environmental contributions to language impairment in children with SLI and NLI. Drawing on a large longitudinal twin study, we tested a sample of 356 four-and-a-half-year-old…

  13. Anticoagulant and vasodilator therapy for Nicolau syndrome following intramuscular benzathine penicillin injection in a 4 year old boy.

    PubMed

    Alkan Bozkaya, Tijen; Demirel, Gamze; Ormeci, Tugrul; Al, Serdar; Çakar, Engin; Tastekin, Ayhan; Turkoglu, Halil

    2016-06-01

    Nicolau syndrome (NS) is a rare complication of intramuscular, intraarticular or subcutaneous injection of particular drugs leading to ischemic necrosis of the surrounding skin, soft tissue and muscular tissue. Benzathine penicilin one of the most widely used antibiotic for upper respiratory tract infections and has been rarely reported to cause NS. Here we describe a 4 year old boy with diagnosis of NS after the injection of benzathine penicillin who was successfuly treated with unfractionized heparin (enoxaparine) and pentoxifylline. The practitioners should pay attention for unnecessary use of benzathine penicillin to avoid from probable complications.

  14. Food choice, socio-economic characteristics and health in 4-year olds in a well-educated urban Swedish community.

    PubMed

    Garemo, Malin; Arvidsson Lenner, Ragnhild; Nilsson, Ellen Karlge; Borres, Magnus P; Strandvik, Birgitta

    2007-02-01

    Dietary habits founded early in life might influence development of welfare diseases. The aim was to analyse food choice, socio-economic characteristics and health by questionnaires in healthy 4-year olds. Two hundred and thirty children were invited and 79% completed all questionnaires. Anthropometry was measured in 131 subjects. The sample was characteristic for Swedish children except that more parents had university education. Most children attended pre-school; 52% >30 h/week. Almost all had been breast-fed until a mean age of 5 months. Fifteen per cent were overweight and 2% obese according to the IOTF cut-offs. A, D vitamin supplementation was not given to a third. Full fat dairy products, minced meat and sausages predominated, and only a fourth was served fat fish. Olive or rape seed oil was consumed regularly by 40% and a third consumed "junk food" regularly. Maternal immigrant status influenced the food choice. In a Swedish urban community of 4-year olds, 17% were overweight or obese. The intake of vegetables, oils and "junk food" seemed to have increased, while the intake of dairy products, fruit, meat and fish seemed to be similar to earlier studies. Food choice was influenced by maternal origin.

  15. Mechanical Complication with Broviac Repair Kit in a 4-Year-Old Boy with MEN 2a.

    PubMed

    Sesia, Sergio B; Haecker, Frank-Martin; Mayr, Johannes

    2009-01-01

    Background. Mechanical complications in the use of indwelling central venous catheters (CVCs) such as the Broviac catheter (BC) include kinking, occlusion, dislocation or leaking. We report on a mechanical complication after using a repair kit for the BC. Method. A 4-year old boy, suffering from multiple endocrine neoplasia type 2a (MEN 2a), intestinal aganglionosis (Hirschsprung's disease), and short bowel syndrome, required a BC for home parenteral nutrition. Result. Due to recurrent leakage of the BC, 5 subsequent repairs were necessary within seven months. During one repair a metallic tube belonging to the repair kit was found to have migrated proximally to the skin entrance level within the BC and requiring surgical removal. Conclusion. To our knowledge, this is the first report focusing on such a serious complication using a BC and its repair kit. The proximal migration of this metallic tube constitutes a distinct theoretical risk of endothoracic foreign body embolization.

  16. Effectiveness of a fundamental motor skill intervention for 4-year-old children with autism spectrum disorder: A pilot study.

    PubMed

    Bremer, Emily; Balogh, Robert; Lloyd, Meghann

    2015-11-01

    A wait-list control experimental design was employed to investigate the effectiveness of a fundamental motor skill intervention at improving the motor skills, adaptive behavior, and social skills of 4-year-old children with autism spectrum disorder (experimental n = 5, control n = 4); the impact of intervention intensity was also explored. The experimental group significantly improved their object manipulation and overall motor scores from pre- to post-intervention. The wait-list control design revealed no group-by-time interactions; however, with the groups combined time was a significant factor for all motor variables. There were no significant changes in adaptive behavior and social skills. These preliminary findings suggest that a fundamental motor skill intervention may benefit young children with autism spectrum disorder. Future research with larger samples is warranted. © The Author(s) 2014.

  17. Severe cyanide poisoning from an alternative medicine treatment with amygdalin and apricot kernels in a 4-year-old child.

    PubMed

    Sauer, Harald; Wollny, Caroline; Oster, Isabel; Tutdibi, Erol; Gortner, Ludwig; Gottschling, Sven; Meyer, Sascha

    2015-05-01

    The use of complementary and alternative medicine (CAM) is widespread in children with cancer and is poorly regulated. Case report. We describe a case of severe cyanide poisoning arising from CAM use. A severely agitated, encephalopathic, unresponsive 4-year-old boy (initial Glasgow Coma Scale of 3) with a history of metastatic ependymoma was brought to our emergency department by ambulance services. Initial blood gas analysis demonstrated severe metabolic/lactic acidosis. On detailed questioning of the parents, the use of CAM including intravenous and oral "vitamin B 17" (amygdalin) and oral apricot kernel was reported. After administering sodium thiosulfate, rapid improvement in his medical condition with complete recovery without need for further intensive care treatment was seen. Serum cyanide level was markedly elevated. Cyanide poisoning can be the cause of severe encephalopathy in children receiving CAM treatment with substances containing cyanogenic glycosides.

  18. Which graphic symbols do 4-year-old children choose to represent each of the four basic emotions?

    PubMed

    Visser, Naomi; Alant, Erna; Harty, Michal

    2008-12-01

    The purpose of this study was to investigate which graphic symbols are perceived by typically developing 4-year-old children as the best representation of four basic emotions. Participants were asked to respond to questions by using graphic symbols taken from PCS, PICSYM, and Makaton for four basic emotions: happy, sad, afraid, angry. The purpose was to determine which graphic symbol the children selected as a representation of an emotion. Frequencies of choices per symbol were obtained and the different symbols were analysed in terms of facial features that distinguish them from each other. The most preferred symbol per emotion was also identified. Results showed that children recognized the emotion happy with more ease than the emotions sad, afraid, and angry.

  19. Hidden dense middle cerebral artery sign in a 4-year-old boy with traumatic subarachnoid hemorrhage.

    PubMed

    Kim, Bum-Joon; Choi, Jong-Il; Ha, Sung-Kon; Lim, Dong-Jun; Kim, Sang-Dae

    2014-12-01

    A 4-year-old boy was admitted with acute onset of hemiplegia of the right side that was secondary to a traffic accident. Initial computed tomography revealed a traumatic subarachnoid hemorrhage, and follow-up computed tomography showed a more localized hematoma of the left sylvian cistern. After a few days of conservative treatment, magnetic resonance imaging (MRI) revealed a cerebral infarction of the left lenticulostriate territory, even though magnetic resonance angiography showed preserved middle cerebral artery flow. Thus, we realized that the hematoma of the sylvian cistern was the so-called dense middle cerebral artery sign. This case of posttraumatic infarction suggested the importance of meticulous investigations and clinical correlations of imaging studies in pediatric patients with head injuries. © The Author(s) 2013.

  20. The development of writing skills in 4-year-old children with and without specific language impairment.

    PubMed

    Pavelko, Stacey L; Lieberman, R Jane; Schwartz, Jamie; Hahs-Vaughn, Debbie; Nye, Chad

    2017-01-01

    Research shows that many preschool children with specific language impairment (SLI) have difficulty acquiring literacy skills including phonological awareness, print concepts, and alphabet knowledge. Limited research suggests that preschool children with SLI also have difficulty with emergent writing tasks such as name writing and word writing. In typically developing children, research indicates that emergent writing skills are acquired in a developmental sequence: (1) linearity, (2) segmentation, (3) simple characters, (4) left-right orientation, (5) complex characters, (6) random letters, and (7) invented spelling. This study compared the emergent writing skills of 4-year-old children with SLI (n = 22) to their age- and gender-matched peers (n = 22). Results indicated that children with SLI demonstrate difficulty with a variety of writing tasks, including letter writing, name writing, word writing, and sentence writing when compared to their typically-developing peers. Children with SLI followed the same developmental sequence in acquiring writing skills as their typically-developing peers.

  1. Increase in child behavior problems among urban Brazilian 4-year olds: 1993 and 2004 Pelotas birth cohorts

    PubMed Central

    Matijasevich, Alicia; Murray, Elizabeth; Stein, Alan; Anselmi, Luciana; Menezes, Ana M; Santos, Iná S; Barros, Aluísio JD; Gigante, Denise P; Barros, Fernando C; Victora, Cesar G

    2014-01-01

    Background There are an increasing number of reports on time trends in child and adolescent psychological problems but none from low- and middle-income countries, and very few covering the preschool period. The aim was to investigate changes in preschool behavioral/emotional problems in two birth cohorts from a middle-income country born 11 years apart. Methods We analyzed data from the 1993 and 2004 Pelotas birth cohort studies from Brazil. A subsample of 4-year olds from the 1993 cohort (634) and all 4-year olds from the 2004 cohort (3750) were assessed for behavioral/emotional problems through maternal report using the Child Behavior Checklist (CBCL). Response rates in these two population-based cohorts were above 90%. Results We found a significant increase in CBCL total problems, internalizing and externalizing mean scores over the 11-year period. For 1993 and 2004 Pelotas cohorts, respectively, CBCL mean values (SE) total problems scores were 27.9 (0.8) and 34.7 (0.3); for internalizing scores, 5.7 (0.2) and 6.3 (0.1) and for externalizing scores, 12.4 (0.4) and 15.5 (0.1). After adjusting for confounding variables, the largest increase from 1993 to 2004 was identified in the aggressive behavior syndrome score (Cohen's d = .50), followed by the externalizing problem score (Cohen's d = .40) and CBCL total problem score (Cohen's d = .36), respectively. The rise in child psychological problems was more marked in children from families with fewer assets and with less educated mothers. Conclusions Our findings provide evidence for a substantial increase in preschool behavioral problems among children in Brazil over an 11-year period. PMID:24735354

  2. A Girl with Pervasive Developmental Disorder and Complex Chromosome Rearrangement Involving 8p and 10p

    ERIC Educational Resources Information Center

    Zwaigenbaum, L; Sonnenberg, L. K.; Heshka, T.; Eastwood, S.; Xu, J.

    2005-01-01

    We report a 4-year-old girl with a "de novo", apparently balanced complex chromosome rearrangement. She initially presented for assessment of velopharyngeal insufficiency due to hypernasal speech. She has distinctive facial features (long face, broad nasal bridge, and protuberant ears with simplified helices), bifid uvula, strabismus,…

  3. Recent (<4 year old) Leaf Litter is Not a Major Source of Microbial Carbon in a Temperate Forest Mineral Soil

    SciTech Connect

    Kramer, Christiane; Trumbore, Susan E.; Froberg, Mats J.; Cisneros dozal, Luz Maria; Zhang, Dachun; Xu, Xiamei; Santos, Guaciara; Hanson, Paul J

    2010-01-01

    Microbial communities in soil A horizons derive their carbon from several potential sources: organic carbon (C) transported down from overlying litter and organic horizons, root-derived C, or soil organic matter. We took advantage of a multi-year experiment that manipulated the {sup 14}C isotope signature of surface leaf litter inputs in a temperate forest at the Oak Ridge Reservation, Tennessee, USA, to quantify the contribution of recent leaf litter C to microbial respiration and biomarkers in the underlying mineral soil. We observed no measurable difference (< {approx}40{per_thousand} given our current analytical methods) in the radiocarbon signatures of microbial phospholipid fatty acids (PLFA) isolated from the top 10 cm of mineral soil in plots that experienced 3 years of litterfall that differed in each year by {approx}750{per_thousand} between high-{sup 14}C and low-{sup 14}C treatments. Assuming any difference in {sup 14}C between the high- and low-{sup 14}C plots would reflect C derived from these manipulated litter additions, we estimate that <6% of the microbial C after 4 years was derived from the added 1-4-year-old surface litter. Large contributions of C from litter < 1 year (or >4 years) old (which fell after (or prior to) the manipulation and therefore did not differ between plots) are not supported because the {sup 14}C signatures of the PLFA compounds (averaging 200-220{per_thousand}) is much higher that of the 2004-5 leaf litter (115{per_thousand}) or pre-2000 litter. A mesocosm experiment further demonstrated that C leached from {sup 14}C-enriched surface litter or the O horizon was not a detectable C source in underlying mineral soil microbes during the first eight months after litter addition. Instead a decline in the {sup 14}C of PLFA over the mesocosm experiment likely reflected the loss of a pre-existing substrate not associated with added leaf litter. Measured PLFA {Delta}{sup 14}C signatures were higher than those measured in bulk

  4. Second-hand smoke exposure in 4-year-old children in Spain: Sources, associated factors and urinary cotinine.

    PubMed

    Aurrekoetxea, Juan José; Murcia, Mario; Rebagliato, Marisa; Guxens, Mònica; Fernández-Somoano, Ana; López, María José; Lertxundi, Aitana; Castilla, Ane Miren; Espada, Mercedes; Tardón, Adonina; Ballester, Ferran; Santa-Marina, Loreto

    2016-02-01

    Second-hand smoke exposure (SHS) in children remains as a major pollution problem, with important consequences for children's health. This study aimed to identify the sources of exposure to SHS among 4-year-old children, comparing self-reports to a urinary biomarker of exposure, and characterize the most important variables related to SHS exposure in this population. 4-year-old children's exposure to SHS was assessed by a parental-reported questionnaire and by urinary cotinine (UC) measurements in 1757 participants from 4 different areas of the Spanish INMA (INfancia y Medio Ambiente - Environment and Childhood) Project. The questionnaire about SHS included information about smoking habits at home by household members, and about exposure to SHS in other places including other homes, bars, restaurants or transportation. The association between quantified UC levels (>4ng/ml) and sociodemographic variables and the different sources of SHS exposure was examined using logistic regression. Based on parental reports, 21.6% of the children were exposed to SHS at home and 47.1% elsewhere; making a total 55.9% of the children exposed to SHS. In addition, 28.2% of the children whose parents reported being not regularly exposed to SHS had quantified UC values. Children from younger mothers (<34 vs. ≥39.4 y) had a higher odds of exposure to SHS [OR (95% CI): 2.28 (1.70-3.05) per year], as well as from families with a lower educational level [OR secondary: 2.12 (1.69-2.65); primary or less: 2.91 (2.19-3.88)]. The odds of quantifiable UC in children dropped after the smoking ban in public places [OR=0.59 (0.42-0.83)]. Regarding the sources of SHS exposure we observed that quantifiable UC odds was increased in children whose parents smoked at home in their presence [OR mother occasionally: 13.39 (7.03-25.50); mother often: 18.48 (8.40-40.66); father occasionally: 10.98 (6.52-18.49); father often: 11.50 (5.96-22.20)] or in children attending other confined places, mainly other

  5. Portion Size Variably Affects Food Intake of 6-year-old and 4-year-old Children in Kunming, China

    PubMed Central

    Smith, Lindsey; Conroy, Katharine; Wen, Hongmei; Rui, Li; Humphries, Debbie

    2015-01-01

    Age and portion size have been found to influence food intake in American children but have not been examined in an international context. This study evaluated the association between age and the effects of portion size on the food intake of kindergarteners in Kunming, China. Using a within-subjects crossover design in a classroom setting, 173 children in two age groups, mean age 4.2 years and 6.1 years, were served a predefined reference, small (-30%) and large (+30%) portion of rice, vegetables, and a protein source during lunchtime over three consecutive days. Each portion was weighed before and after the meal to determine amount of food consumed. Linear mixed modeling, controlling for repeated measures and clustering by classroom, was used to compare food intake under small and large portion size conditions to the reference portion. Children ate significantly less food when served small portions. When served a large portion, 6-year-old children increased food intake while 4-year-old children decreased food intake in comparison to the reference portion. Findings indicate that portion size affects food intake in Chinese children 4- to 6-years old. Older children show larger increases in food intake with increased portion size than do younger children. PMID:23702260

  6. A Quasi-Experimental Study of a Movement and Preliteracy Program for 3- and 4-Year-Old Children.

    PubMed

    Bedard, Chloe; Bremer, Emily; Campbell, Wenonah; Cairney, John

    2017-01-01

    Approximately 28% of children are not ready for kindergarten, 91% are inactive according to current guidelines, and 21% are overweight/obese. Early intervention to strengthen movement and preliteracy skills may help to curb the concerning rates of poor school readiness, inactivity, obesity, and subsequently positively impact health across the lifespan. The objective of this pilot study was to evaluate the effectiveness of a motor and preliteracy skill program for a community sample of 3- to 4-year-old children. A quasi-experimental study design was used. The program was run for 1 h/week for 10 weeks and consisted of movement skill instruction, free play, and an interactive reading circle with care-giver involvement throughout each session. Movement and preliteracy skills were assessed in all children pre- and post-intervention using the Peabody Developmental Motor Scales-2nd edition, the Preschool Word and Print Awareness tool, and the Phonological Awareness Literacy Screening tool. Nineteen families (experimental group, n = 8; control group, n = 11) were recruited (mean age = 3 years, 8 m; 47% male). There was a significant effect of group on gross motor raw scores overall [F(1, 16) = 4.67, p < 0.05; [Formula: see text

  7. Portion size variably affects food intake of 6-year-old and 4-year-old children in Kunming, China.

    PubMed

    Smith, Lindsey; Conroy, Katharine; Wen, Hongmei; Rui, Li; Humphries, Debbie

    2013-10-01

    Age and portion size have been found to influence food intake in American children but have not been examined in an international context. This study evaluated the association between age and the effects of portion size on the food intake of kindergarteners in Kunming, China. Using a within-subjects crossover design in a classroom setting, 173 children in two age groups, mean age 4.2 years and 6.1 years, were served a predefined reference, small (-30%) and large (+30%) portion of rice, vegetables, and a protein source during lunchtime over three consecutive days. Each portion was weighed before and after the meal to determine amount of food consumed. Linear mixed modeling, controlling for repeated measures and clustering by classroom, was used to compare food intake under small and large portion size conditions to the reference portion. Children ate significantly less food when served small portions. When served a large portion, 6-year-old children increased food intake while 4-year-old children decreased food intake in comparison to the reference portion. Findings indicate that portion size affects food intake in Chinese children 4-6-years old. Older children show larger increases in food intake with increased portion size than do younger children. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Internet-Assisted Parent Training Intervention for Disruptive Behavior in 4-Year-Old Children: A Randomized Clinical Trial.

    PubMed

    Sourander, Andre; McGrath, Patrick J; Ristkari, Terja; Cunningham, Charles; Huttunen, Jukka; Lingley-Pottie, Patricia; Hinkka-Yli-Salomäki, Susanna; Kinnunen, Malin; Vuorio, Jenni; Sinokki, Atte; Fossum, Sturla; Unruh, Anita

    2016-04-01

    There is a large gap worldwide in the provision of evidence-based early treatment of children with disruptive behavioral problems. To determine whether an Internet-assisted intervention using whole-population screening that targets the most symptomatic 4-year-old children is effective at 6 and 12 months after the start of treatment. This 2-parallel-group randomized clinical trial was performed from October 1, 2011, through November 30, 2013, at a primary health care clinic in Southwest Finland. Data analysis was performed from August 6, 2015, to December 11, 2015. Of a screened population of 4656 children, 730 met the screening criteria indicating a high level of disruptive behavioral problems. A total of 464 parents of 4-year-old children were randomized into the Strongest Families Smart Website (SFSW) intervention group (n = 232) or an education control (EC) group (n = 232). The SFSW intervention, an 11-session Internet-assisted parent training program that included weekly telephone coaching. Child Behavior Checklist version for preschool children (CBCL/1.5-5) externalizing scale (primary outcome), other CBCL/1.5-5 scales and subscores, Parenting Scale, Inventory of Callous-Unemotional Traits, and the 21-item Depression, Anxiety, and Stress Scale. All data were analyzed by intention to treat and per protocol. The assessments were made before randomization and 6 and 12 months after randomization. Of the children randomized, 287 (61.9%) were male and 79 (17.1%) lived in other than a family with 2 biological parents. At 12-month follow-up, improvement in the SFSW intervention group was significantly greater compared with the control group on the following measures: CBCL/1.5-5 externalizing scale (effect size, 0.34; P < .001), internalizing scale (effect size, 0.35; P < .001), and total scores (effect size, 0.37; P < .001); 5 of 7 syndrome scales, including aggression (effect size, 0.36; P < .001), sleep (effect size, 0.24; P = .002

  9. Energy requirements for maintenance and growth in 3- to 4-year-olds may be overestimated by existing equations.

    PubMed

    Sijtsma, Anna; Corpeleijn, Eva; Sauer, Pieter J J

    2014-05-01

    To give appropriate dietary advice to preschool children, an estimation of their energy requirements for both maintenance and activity is needed. We compared energy requirements for maintenance, measured by indirect calorimetry against existing equations predicting these requirements in 3- to 4-year-old children. In 30 children (age 3.4 ± 0.3) from the GECKO Drenthe cohort, height, weight, evening sleeping metabolic rate (SMR) (by indirect calorimetry), fat mass (FM), and fat-free mass (FFM) (by isotope dilution) were measured. For 25 children, a valid evening SMR was available as a measure for energy used for maintenance and growth. This SMR was compared with existing equations (Schofield, FAO/WHO/UNU, Oxford and Harris-Benedict). Correlations among SMR and weight, height, FM, and FFM were also calculated. From the existing equations, significant higher values, ranging from 58 to 144 kcal/day, were calculated for the BMR compared with the measured SMR results, indicating 8% to 19% overestimation. This overestimation is higher at lower ranges of energy requirement. SMR was positively related to weight (r = 0.488, P = 0.013), height (r = 0.499, P = 0.011), and FFM (r = 0.482, P = 0.027), but not to FM (r = 0.211, P = 0.358). Existing equations show higher values for the energy used for maintenance in young children compared to the results of our measurements of the SMR. Energy used for maintenance is correlated with FFM and not with FM.

  10. Dental Caries and Associated Factors in Children Aged 2-4 Years Old in Mbeya City, Tanzania.

    PubMed

    Mwakayoka, Hery; Masalu, Joyce Rose; Namakuka Kikwilu, Emil

    2017-06-01

    Dental caries in infants and young children is prevalent worldwide; its magnitude and associated factors vary between communities because of cultural and social economic differences. No such information was available for pre-school children in Mbeya city. To determine dental caries status and associated factors in 2 to 4-year-old children in Mbeya city. A cross sectional study was conducted among 525 children aged 2-4 years and their parents/caregivers. Caries was assessed using caries assessment spectrum and treatment index, oral hygiene by visual inspection for visible plaque on index teeth, and dietary and oral hygiene habits by a questionnaire. Kappa statistics was used to test reliability of study instruments, χ(2)-test and logistic regression was employed for studying associations. Caries free children for dmft1, dmft2 and dmft3 were 79.8%, 83.8% and 94.7% and caries experience was 0.49 (1.23), 0.4 (1.14) and 0.10 (0.53) respectively. Older age [(OR =2.722 (1.617-4.582) p=< 0.001)]; and frequent consumption of factory made sugary foods/snacks at age 1-2 years [(OR=3.061 (1.188-7.887) p=0.021] were associated with caries. Prolonged breastfeeding for more than 1 year and breastfeeding at night had no association with dental caries. The prevalence of dental caries was very low. Older age and frequent consumption of factory made sugary foods at age 1-2 years were associated with higher odds of developing dental caries. Prolonged breasfeeding and breastfeeding at night had no association with dental caries. Prevention of dental caries should be instituted as soon as primary teeth start erupting, especially through discouraging consumption of factory made sugary foods/snacks.

  11. Dental Caries and Associated Factors in Children Aged 2-4 Years Old in Mbeya City, Tanzania

    PubMed Central

    Mwakayoka, Hery; Masalu, Joyce Rose; Namakuka Kikwilu, Emil

    2017-01-01

    Statement of the Problem: Dental caries in infants and young children is prevalent worldwide; its magnitude and associated factors vary between communities because of cultural and social economic differences. No such information was available for pre-school children in Mbeya city. Purpose: To determine dental caries status and associated factors in 2 to 4-year-old children in Mbeya city. Materials and Method: A cross sectional study was conducted among 525 children aged 2-4 years and their parents/caregivers. Caries was assessed using caries assessment spectrum and treatment index, oral hygiene by visual inspection for visible plaque on index teeth, and dietary and oral hygiene habits by a questionnaire. Kappa statistics was used to test reliability of study instruments, χ2-test and logistic regression was employed for studying associations. Results: Caries free children for dmft1, dmft2 and dmft3 were 79.8%, 83.8% and 94.7% and caries experience was 0.49 (1.23), 0.4 (1.14) and 0.10 (0.53) respectively. Older age [(OR =2.722 (1.617-4.582) p=< 0.001)]; and frequent consumption of factory made sugary foods/snacks at age 1-2 years [(OR=3.061 (1.188-7.887) p=0.021] were associated with caries. Prolonged breastfeeding for more than 1 year and breastfeeding at night had no association with dental caries. Conclusion: The prevalence of dental caries was very low. Older age and frequent consumption of factory made sugary foods at age 1-2 years were associated with higher odds of developing dental caries. Prolonged breasfeeding and breastfeeding at night had no association with dental caries. Prevention of dental caries should be instituted as soon as primary teeth start erupting, especially through discouraging consumption of factory made sugary foods/snacks. PMID:28620634

  12. Calibration and Validation of a Wrist- and Hip-Worn Actigraph Accelerometer in 4-Year-Old Children

    PubMed Central

    Johansson, Elin; Larisch, Lisa-Marie; Marcus, Claude; Hagströmer, Maria

    2016-01-01

    Introduction To determine time spent at different physical activity intensities, accelerometers need calibration. The aim of this study was to develop and cross-validate intensity thresholds for the Actigraph GT3X+ accelerometer for wrist and hip placement in four-year-old children. Methods In total 30 children (49 months, SD 3.7) were recruited from five preschools in Stockholm. Equipped with an accelerometer on the wrist and another on the hip, children performed three indoor activities and one free-play session while being video recorded. Subsequently, physical activity intensity levels were coded every 5th second according to the Children’s Activity Rating Scale. Receiver Operating Characteristic (ROC) curves was used to develop wrist and hip intensity thresholds, the upper threshold for sedentary, and lower threshold for moderate-to-vigorous physical activity (MVPA), for the vertical axis (VA) and for the vector magnitude (VM). A leave-one-out method was used to cross-validate the thresholds. Results Intensity thresholds for wrist placement were ≤ 178 (VA) and ≤ 328 (VM) for sedentary and ≥ 871 (VA) and ≥ 1393 (VM) counts/5 seconds for MVPA. The corresponding thresholds for hip placement were ≤ 43 (VA) and ≤ 105 (VM) for sedentary and ≥ 290 (VA) and ≥ 512 (VM) for MVPA. The quadratic weighted Kappa was 0.92 (95% CI 0.91–0.93) (VA) and 0.95 (95% CI 0.94–0.96) (VM) for the wrist-worn accelerometer and 0.76 (98% CI 0.74–0.77) and 0.86 (95% CI 0.85–0.87) for the hip-worn. Conclusion Using wrist placement and the VM when measuring physical activity with accelerometry in 4-year-old children is recommended. PMID:27617962

  13. Ethnic background and television viewing time among 4-year-old preschool children: the generation R study.

    PubMed

    Wijtzes, Anne I; Jansen, Wilma; Jaddoe, Vincent W V; Moll, Henriëtte A; Tiemeier, Henning; Verhulst, Frank C; Hofman, Albert; Mackenbach, Johan P; Raat, Hein

    2013-02-01

    Children's television viewing has been associated with an increased risk of overweight and obesity. This study aims to assess the associations of ethnic background and acculturation characteristics with television viewing time in 4-year-old preschool children. The authors analyzed data from 3452 preschool children and their parents enrolled in the Generation R Study, a large, multiethnic, prospective birth cohort study in Rotterdam, the Netherlands. Multivariable logistic regression models were used to estimate odds ratios of watching television ≥2 hours/day and ≥1 hour/day for Turkish, Moroccan, and Surinamese children (reference group: native Dutch children), adjusted for family socioeconomic position. Effect modification by family socioeconomic position was also assessed. After adjustment for family socioeconomic position, Turkish children (adjusted odds ratio [aOR], 2.27; 95% confidence interval [CI], 1.56-3.30), Moroccan children (aOR, 1.68; 95% CI, 1.03-2.76), and Surinamese children (aOR, 3.12; 95% CI, 2.16-4.50) were significantly more likely to watch television ≥2 hours/day compared with native Dutch children. Stratified analyses showed greater disparity between ethnic minority groups and native Dutch children at higher educational levels. There were no significant associations between acculturation characteristics (i.e., generational status, age at immigration, and Dutch language skills) and children's television viewing time. Children from ethnic minority groups are at an increased risk for high levels of television viewing compared with native Dutch children, independent of family socioeconomic position. Interventions aimed to reduce television viewing time should target all children from ethnic minority groups.

  14. Correlates of home and neighbourhood-based physical activity in UK 3–4-year-old children

    PubMed Central

    Hesketh, Kathryn R.; van Sluijs, Esther M.F.

    2016-01-01

    Background: Identifying context-specific correlates of home- and neighbourhood-based physical activity in preschool-aged children may help improve intervention program development for these settings. Methods: A total of 153 3–4-year-old children were recruited through preschool settings in Cambridgeshire (January–July 2013). Children wore Actiheart accelerometers for ≤7 days to assess their sedentary time (ST), light-(LPA) and moderate- to vigorous-intensity physical activity (MVPA). A parent-completed questionnaire assessed correlates across the ecological model and the child’s preschool attendance during the measurement week. Only accelerometer data for times when children were at home were used. Multilevel models (Level 1: days; Level 2: child) examined associations between maternal-reported exposure variables and each outcome (children’s home- and neighbourhood-based ST, LPA and MVPA) (main analysis). Further analyses included the subsample of children with complete paternal correlates data (father analysis). Results: In the main analyses, children with older siblings engaged in less ST. Children whose mothers reported being ‘moderately inactive’ or ‘active’ (vs. inactive) engaged in less LPA, while children whose mothers worked >35 h week−1 engaged in less MVPA. More equipment at home was associated with lower LPA but greater MVPA. In the father analysis, father’s television viewing before 6 pm was associated with greater ST and less MVPA in children; the negative association between mother’s activity and children’s LPA was retained. Conclusion: Family demographics and parental behaviours appear to have the strongest association with children’s home- and neighbourhood-based ST, LPA and MVPA. This study further highlights the importance of examining both maternal and paternal behaviours. PMID:27175002

  15. Follow-up formula consumption in 3- to 4-year-olds and respiratory infections: an RCT.

    PubMed

    Li, Fei; Jin, Xingming; Liu, Bryan; Zhuang, Weihong; Scalabrin, Deolinda

    2014-06-01

    Children are vulnerable to diet inadequacies, which may affect immune function. Our objective was to determine if a follow-up formula (FUF) containing DHA, the prebiotics PDX and GOS, and yeast β-glucan affects incidence of respiratory infections and diarrheal disease in healthy children. In a double-blind, randomized, controlled, prospective trial, 3-4 year old children were fed 3 servings per day of either a FUF with 25 mg DHA, 1.2 g PDX/GOS, and 8.7 mg yeast β-glucan per serving or an unfortified, cow's milk-based beverage (control) for 28 weeks. Fecal and blood samples were collected to assess immune markers and iron/zinc status. Incidence of acute respiratory infections (ARI), diarrheal disease, and antibiotic treatment were obtained from medical records. The FUF group had fewer episodes and shorter duration of ARI (mean days [SE]; control = 4.3 [0.2]; FUF = 3.5 [0.2]; P = .007), less antibiotic use (n [%]; control = 21 [14%]; FUF = 8 [5%]; P = .01), and fewer missed days of day care due to illness. No diarrheal disease was diagnosed in either group. The FUF group had higher interleukin-10 and white blood cell count at the end of the study. There were no differences in hemoglobin, serum ferritin and zinc, or fecal secretory immunoglobulin A. Daily consumption of a FUF was associated with fewer episodes and shorter duration of ARI, as well as less antibiotic use. The children who consumed the FUF had increased interleukin-10 and white blood cells, suggesting an antiinflammatory mechanism and/or an increase of effector immune cells. Copyright © 2014 by the American Academy of Pediatrics.

  16. Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England.

    PubMed

    Baker, Ruth; Tata, Laila J; Kendrick, Denise; Burch, Tiffany; Kennedy, Mary; Orton, Elizabeth

    2016-11-01

    To describe patterns in thermal injury incidence and hospitalisations by age, gender, calendar year and socioeconomic status among 0-4 year olds in England for the period 1998-2013. 708,050 children with linked primary care and hospitalisation data from the Clinical Practice Research Datalink (CPRD) and Hospital Episode Statistics (HES), respectively. Incidence rates of all thermal injuries (identified in CPRD and/or HES), hospitalised thermal injuries, and serious thermal injuries (hospitalised for ≥72h). Adjusted incidence rate ratios (IRR) and 95% confidence intervals (95%CI), estimated using Poisson regression. Incidence rates of all thermal injuries, hospitalised thermal injuries, and serious thermal injuries were 59.5 per 10,000 person-years (95%CI 58.4-60.6), 11.3 (10.8-11.8) and 2.15 (1.95-2.37), respectively. Socioeconomic gradients, between the most and least deprived quintiles, were steepest for serious thermal injuries (IRR 3.17, 95%CI 2.53-3.96). Incidence of all thermal injuries (IRR 0.64, 95%CI 0.58-0.70) and serious thermal injuries (IRR 0.44, 95%CI 0.33-0.59) reduced between 1998/9 and 2012/13. Incidence rates of hospitalised thermal injuries did not significantly change over time. Incidence of all thermal injuries and those hospitalised for ≥72h reduced over time. Steep socioeconomic gradients support continued targeting of preventative interventions to those living in the most deprived areas. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Caries and background factors in Swedish 4-year-old children with special reference to immigrant status.

    PubMed

    Stecksén-Blicks, Christina; Hasslöf, Pamela; Kieri, Catarina; Widman, Kjerstin

    2014-11-01

    This study assesses the prevalence of caries and some background factors in 4-year-old children in the city of Umeå, northern Sweden, and compares this with data from earlier studies to reveal changes over time. Children from the catchment areas of three Public Dental Health Service clinics in Umeå (n = 224) born during the third quarter of 2008 were invited to undergo a clinical dental examination. Decayed surfaces (including both dentine and enamel, except for enamel lesions on buccal and lingual surfaces), missing and filled surfaces (dmfs) were recorded using the same methods and criteria as in a series of earlier studies performed between 1980-2007. Background data were collected in a case-history and a questionnaire. Results. The proportion of children with caries significantly decreased from 2007 (38%) to 2012 (22%) (p < 0.05). In addition, the distribution of dmfs differed significantly between these years (p < 0.05). More immigrant children had caries (42%) than non-immigrant children (15%) (p < 0.05). For children with caries, there were no significant changes in the distribution of dmfs between 1980-2012 (p > 0.05). An immigrant background was associated with a lower frequency of tooth brushing and a higher intake of ice cream, sweets and chocolate drinks (p < 0.05). Although the proportion of children with caries declined between 2007-2012, this decline was limited to non-immigrant children. Since 1980 the distribution of dmfs remained unchanged among children with caries. More research on interventions for changing oral health behaviours is needed, specifically for immigrant children.

  18. Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

    PubMed Central

    Bonino, Angela Yarnell; Leibold, Lori J.

    2017-01-01

    Collecting reliable behavioral data from toddlers and preschoolers is challenging. As a result, there are significant gaps in our understanding of human auditory development for these age groups. This paper describes an observer-based procedure for measuring hearing sensitivity with a two-interval, two-alternative forced-choice paradigm. Young children are trained to perform a play-based, motor response (e.g., putting a block in a bucket) whenever they hear a target signal. An experimenter observes the child's behavior and makes a judgment about whether the signal was presented during the first or second observation interval; the experimenter is blinded to the true signal interval, so this judgment is based solely on the child's behavior. These procedures were used to test 2 to 4 year-olds (n = 33) with no known hearing problems. The signal was a 1,000 Hz warble tone presented in quiet, and the signal level was adjusted to estimate a threshold corresponding to 71%-correct detection. A valid threshold was obtained for 82% of children. These results indicate that the two-interval procedure is both feasible and reliable for use with toddlers and preschoolers. The two-interval, observer-based procedure described in this paper is a powerful tool for evaluating hearing in young children because it guards against response bias on the part of the experimenter. PMID:28190058

  19. Children's Comprehension of Sentences with Focus Particles and the Role of Cognitive Control: An Eye Tracking Study with German-Learning 4-Year-Olds.

    PubMed

    Höhle, Barbara; Fritzsche, Tom; Müller, Anja

    2016-01-01

    Children's interpretations of sentences containing focus particles do not seem adult-like until school age. This study investigates how German 4-year-old children comprehend sentences with the focus particle 'nur' (only) by using different tasks and controlling for the impact of general cognitive abilities on performance measures. Two sentence types with 'only' in either pre-subject or pre-object position were presented. Eye gaze data and verbal responses were collected via the visual world paradigm combined with a sentence-picture verification task. While the eye tracking data revealed an adult-like pattern of focus particle processing, the sentence-picture verification replicated previous findings of poor comprehension, especially for 'only' in pre-subject position. A second study focused on the impact of general cognitive abilities on the outcomes of the verification task. Working memory was related to children's performance in both sentence types whereas inhibitory control was selectively related to the number of errors for sentences with 'only' in pre-subject position. These results suggest that children at the age of 4 years have the linguistic competence to correctly interpret sentences with focus particles, which--depending on specific task demands--may be masked by immature general cognitive abilities.

  20. Children’s Comprehension of Sentences with Focus Particles and the Role of Cognitive Control: An Eye Tracking Study with German-Learning 4-Year-Olds

    PubMed Central

    Höhle, Barbara; Fritzsche, Tom; Müller, Anja

    2016-01-01

    Children’s interpretations of sentences containing focus particles do not seem adult-like until school age. This study investigates how German 4-year-old children comprehend sentences with the focus particle ‘nur’ (only) by using different tasks and controlling for the impact of general cognitive abilities on performance measures. Two sentence types with ‘only’ in either pre-subject or pre-object position were presented. Eye gaze data and verbal responses were collected via the visual world paradigm combined with a sentence-picture verification task. While the eye tracking data revealed an adult-like pattern of focus particle processing, the sentence-picture verification replicated previous findings of poor comprehension, especially for ‘only’ in pre-subject position. A second study focused on the impact of general cognitive abilities on the outcomes of the verification task. Working memory was related to children’s performance in both sentence types whereas inhibitory control was selectively related to the number of errors for sentences with ‘only’ in pre-subject position. These results suggest that children at the age of 4 years have the linguistic competence to correctly interpret sentences with focus particles, which–depending on specific task demands–may be masked by immature general cognitive abilities. PMID:26930286

  1. Reading Faces: Differential Lateral Gaze Bias in Processing Canine and Human Facial Expressions in Dogs and 4-Year-Old Children

    PubMed Central

    Racca, Anaïs; Guo, Kun; Meints, Kerstin; Mills, Daniel S.

    2012-01-01

    Sensitivity to the emotions of others provides clear biological advantages. However, in the case of heterospecific relationships, such as that existing between dogs and humans, there are additional challenges since some elements of the expression of emotions are species-specific. Given that faces provide important visual cues for communicating emotional state in both humans and dogs, and that processing of emotions is subject to brain lateralisation, we investigated lateral gaze bias in adult dogs when presented with pictures of expressive human and dog faces. Our analysis revealed clear differences in laterality of eye movements in dogs towards conspecific faces according to the emotional valence of the expressions. Differences were also found towards human faces, but to a lesser extent. For comparative purpose, a similar experiment was also run with 4-year-old children and it was observed that they showed differential processing of facial expressions compared to dogs, suggesting a species-dependent engagement of the right or left hemisphere in processing emotions. PMID:22558335

  2. Does the Age and Familiarity of the Informant Group Influence the Tendency of 3- and 4-year-old Children to Conform?

    PubMed

    McGuigan, Nicola; Stevenson, Amy

    2016-01-01

    The authors' aim was to explore whether the age and the familiarity of the individuals comprising a group majority influenced the tendency of 3- and 4-year-old children to conform. Participants were presented with 2 variants of a novel task in which they were required to judge which of 3 line-drawn tigers had the greatest number of stripes. The participants made their judgments in 2 contexts, first after viewing 5 informants perform the task incorrectly, and second without viewing the responses of other individuals. The informants comprised a group of familiar children, a group of unfamiliar children, a group of familiar adults, or a group of unfamiliar adults. The results showed that the children displayed selective conformity with respect to informant age, readily adopting the incorrect response when it was indicated by an adult majority, but failing to do so when the same incorrect response was indicated by a majority of children. In contrast the familiarity of the individuals comprising the majority had little influence on the tendency of children to conform. These results suggest that children are not blanket conformists, rather they respond selectively depending on characteristics of the individuals comprising the group majority.

  3. Preadolescent Girls and the Presentation of Self: A Dramaturgical Perspective.

    ERIC Educational Resources Information Center

    Moore, Lori; MacKinnon, David

    2001-01-01

    Interviews and focus groups with five 9- and 10-year-old girls from rural Nova Scotia (Canada) clearly revealed the power and influence of the media in manipulating young girls' perceptions of themselves and others. Goffman's interactionist perspective of the "theatrical performance" provided a framework for the study. (Contains 47…

  4. Preadolescent Girls and the Presentation of Self: A Dramaturgical Perspective.

    ERIC Educational Resources Information Center

    Moore, Lori; MacKinnon, David

    2001-01-01

    Interviews and focus groups with five 9- and 10-year-old girls from rural Nova Scotia (Canada) clearly revealed the power and influence of the media in manipulating young girls' perceptions of themselves and others. Goffman's interactionist perspective of the "theatrical performance" provided a framework for the study. (Contains 47…

  5. Brief Report: An Evaluation of TAGteach Components to Decrease Toe-Walking in a 4-Year-Old Child with Autism

    ERIC Educational Resources Information Center

    Persicke, Angela; Jackson, Marianne; Adams, Amanda N.

    2014-01-01

    The current study evaluated the effectiveness of using a modified "TAGteach"™ procedure and correction to decrease toe-walking in a 4-year-old boy with autism. Two conditions were analyzed: correction alone and correction with an audible conditioned reinforcing stimulus. Correction alone produced minimal and inconsistent decreases in…

  6. Looking but Not Seeing: Atypical Visual Scanning and Recognition of Faces in 2 and 4-Year-Old Children with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Chawarska, Katarzyna; Shic, Frederick

    2009-01-01

    This study used eye-tracking to examine visual scanning and recognition of faces by 2- and 4-year-old children with autism spectrum disorder (ASD) (N = 44) and typically developing (TD) controls (N = 30). TD toddlers at both age levels scanned and recognized faces similarly. Toddlers with ASD looked increasingly away from faces with age,…

  7. Brief Report: An Evaluation of TAGteach Components to Decrease Toe-Walking in a 4-Year-Old Child with Autism

    ERIC Educational Resources Information Center

    Persicke, Angela; Jackson, Marianne; Adams, Amanda N.

    2014-01-01

    The current study evaluated the effectiveness of using a modified "TAGteach"™ procedure and correction to decrease toe-walking in a 4-year-old boy with autism. Two conditions were analyzed: correction alone and correction with an audible conditioned reinforcing stimulus. Correction alone produced minimal and inconsistent decreases in…

  8. The Everyday Mathematical Experiences and Understandings of Three, 4-Year-Old, African-American Children from Working-Class Backgrounds

    ERIC Educational Resources Information Center

    Benigno, Grace Marie R.

    2012-01-01

    This qualitative study examined the everyday mathematical experiences and understandings of three, 4-year-old, African-American children from working-class backgrounds. The study drew on Street, Baker, and Tomlin's (2005) broad, ideological model of mathematics as "social" and their analytic concepts of mathematical events (units of…

  9. The Everyday Mathematical Experiences and Understandings of Three, 4-Year-Old, African-American Children from Working-Class Backgrounds

    ERIC Educational Resources Information Center

    Benigno, Grace Marie R.

    2012-01-01

    This qualitative study examined the everyday mathematical experiences and understandings of three, 4-year-old, African-American children from working-class backgrounds. The study drew on Street, Baker, and Tomlin's (2005) broad, ideological model of mathematics as "social" and their analytic concepts of mathematical events (units of…

  10. Touch Window versus Power Pad: A Comparison of Response Rates by 3- and 4-Year-Old Handicapped and Nonhandicapped Children.

    ERIC Educational Resources Information Center

    Hertel, Cary; And Others

    This study investigated the effect of input devices on the use of a computer program by 3- and 4-year-old handicapped (n=9) and nonhandicapped (n=9) children in a small community in northwestern Kansas. Children used a software program that taught them how to understand colors and shapes. This program was used to collect data on the user's number…

  11. Lymphocutaneous sporotrichosis in an adolescent girl presenting as mycetoma.

    PubMed

    Tilak, Ragini; Kumari, Varsha; Bansal, Manish; Sharma, Taniya; Pandey, Shyam Sunder

    2012-09-01

    A 13-year-old girl presented with multiple painless purulent ulcers with raised borders on the medial aspect of the sole of her right foot associated with inguinal lymphadenopathy for the past 4 years. There was history of local trauma at the site prior to the formation of ulcers. There were no other significant associated signs or symptoms. The patient was initially treated with multiple antibiotics with minimal improvement. Fungal cultures of biopsy specimens demonstrated the presence of colonies of Sporothrix schenckii thus confirming the diagnosis of sporotrichosis. Oral itraconazole at the dose of 100 mg twice daily was initiated with marked response at 4 weeks. This case demonstrated a rare morphological presentation of the lymphocutaneous sporotrichosis as mycetoma. The possible diagnosis of sporotrichosis should be kept in mind in such a clinical presentation not responding to antibiotics. Cutaneous sporotrichosis should be diagnosed and treated as early as possible because untreated cases may disseminate to cause visceral involvement with fatal outcome in immunocompromised patients.

  12. Five-year-olds are willing, but 4-year-olds refuse, to trust informants who offer new and unfamiliar labels for parts of the body.

    PubMed

    Luu, Betty; Rosnay, Marc de; Harris, Paul L

    2013-10-01

    This study employed the selective trust paradigm to examine how children interpret novel labels when compared with labels they already know to be accurate or inaccurate within the biological domain. The participants--3-, 4-, and 5-year-olds (N=144)--were allocated to one of three conditions. In the accurate versus inaccurate condition, one informant labeled body parts correctly, whereas the other labeled them incorrectly (e.g., calling an eye an "arm"). In the accurate versus novel condition, one informant labeled body parts accurately, whereas the other provided novel labels (e.g., calling an eye a "roke"). Finally, in the inaccurate versus novel condition, one informant labeled body parts incorrectly, whereas the other offered novel labels. In subsequent test trials, the two informants provided conflicting labels for unfamiliar internal organs. In the accurate versus inaccurate condition, children sought and endorsed labels from the accurate informant. In the accurate versus novel condition, only 4- and 5-year-olds preferred the accurate informant, whereas 3-year-olds did not selectively prefer either informant. In the inaccurate versus novel condition, only 5-year-olds preferred the novel informant, whereas 3- and 4-year-olds did not demonstrate a selective preference. Results are supportive of previous studies suggesting that 3-year-olds are sensitive to inaccuracy and that 4-year-olds privilege accuracy. However, 3- and 4-year-olds appear to be unsure as to how the novel informant should be construed. In contrast, 5-year-olds appreciate that speakers offering new information are more trustworthy than those offering inaccurate information, but they are cautious in judging such informants as being "better" at providing that information. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. A Multi-Domain Model of Risk Factors for ODD Symptoms in a Community Sample of 4-Year-Olds

    ERIC Educational Resources Information Center

    Lavigne, John V.; Gouze, Karen R.; Hopkins, Joyce; Bryant, Fred B.; LeBailly, Susan A.

    2012-01-01

    Few studies have been designed to assess the pathways by which risk factors are associated with symptoms of psychopathology across multiple domains, including contextual factors, parental depression, parenting, and child characteristics. The present study examines a cross-sectional model of risk factors for symptoms of Oppositional Defiant…

  14. A Multi-Domain Model of Risk Factors for ODD Symptoms in a Community Sample of 4-Year-Olds

    ERIC Educational Resources Information Center

    Lavigne, John V.; Gouze, Karen R.; Hopkins, Joyce; Bryant, Fred B.; LeBailly, Susan A.

    2012-01-01

    Few studies have been designed to assess the pathways by which risk factors are associated with symptoms of psychopathology across multiple domains, including contextual factors, parental depression, parenting, and child characteristics. The present study examines a cross-sectional model of risk factors for symptoms of Oppositional Defiant…

  15. The Education of African American Girls and Women: Past to Present

    ERIC Educational Resources Information Center

    Thomas, Veronica G.; Jackson, Janine A.

    2007-01-01

    This article examines the education of African American girls and women. It begins with a look at scholarship on African American girls and women published in "The Journal of Negro Education" from its inception in 1932 to the present. Subsequently, a historical overview of the long, hard-fought struggles of educating this population for…

  16. Dorsal resection of a thoracic hemivertebra in a 4-year-old boy with endochondral gigantism. A case report.

    PubMed

    Zarghooni, Kourosh; Sobotrke, Rolf; Schmidt, Heinrich; Rollinghoff, Marc; Siewe, Jan; Eysel, Peer

    2010-10-01

    The authors present what appears to be the first case of congenital kyphosis due to a T12 hemivertebra in a four-year-old boy with endochondral gigantism syndrome of unknown origin. Because of his overgrowth, the patient had severe medical and orthopaedic problems and was almost immobile. Prior to surgery, he experienced a rapidly progressive thoracolumbar kyphosis to 600 (T10-L2). MRI of the brain and spine showed critical protraction of the spinal cord and myelopathy from compression at T12. Single-stage posterior resection of the hemivertebra with spinal shortening and dorsal transpedicular instrumentation of T10-L2 was performed. Although the bone tissue was cartilaginous and dysplastic, 420 (30%) correction was achieved along with decompression of the spinal canal. The patient experienced no neurological impairment post-operatively. At follow-up examination 1.5 year after surgery, the patient's movement disorder had improved markedly and he was able to stand and walk. This very rare case demonstrates that single-stage posterior hemivertebra resection and transpedicular instrumentation for correction of congenital kyphosis can be a safe and effective procedure even in a very challenging case.

  17. [Genotypic diversity of Streptococcus sobrinus in 3 to 4-year-old children suffering with severe early childhood caries].

    PubMed

    Qin, Xiu-rong; Zhou, Qiong; Qin, Man

    2009-06-01

    To evaluate the genotypic diversity of Streptococcus sobrinus (Ss) between children suffering with severe early childhood caries (S-ECC) and caries-free children by arbitrarily primed-polymerase chain reaction (AP-PCR). A total of 178 children aged from 42 to 54 months were recruited from 14 urban kindergartens. The S-ECC group contained 87 children with more than 5 decayed teeth, and the control group was composed of 91 caries-free children. Stimulated whole saliva was collected by chewing paraffin. All mutans streptococcus isolates were subcultured, biochemically characterised and identified by PCR as Streptococcus mutans (Sm) and Ss. Then the Ss isolates were genotyped by AP-PCR. The frequency of Ss detection was 18% in S-ECC children, which was significantly higher than 3% in caries-free children (P < 0.01). Twenty-two distinct genotypes of Ss were identified from 53 clinical isolates. In S-ECC group, one to three genotypes of Ss were detected in each saliva sample. Only one genotype of Ss was detected in all the caries-free children. One genotype of Ss were shared by three S-ECC children. The genotypes of isolates in S-ECC group were relate to decayed-missing-filled teeth (r = 0.50, P < 0. 05). The rate of Ss detection was significantly higher in S-ECC children than in caries-free children. Isolates of Ss displayed genetic polymorphism. The multi-genotypes of Ss was related to differences in caries susceptibility. Strains of Ss with same genotype were present in unrelated subjects.

  18. Refraction and visual acuity in a national Danish cohort of 4-year-old children of extremely preterm delivery.

    PubMed

    Fledelius, Hans C; Bangsgaard, Regitze; Slidsborg, Carina; laCour, Morten

    2015-06-01

    A recent threefold increase in laser treatment for advanced retinopathy of prematurity (ROP) triggered a nationwide preschool ophthalmic and developmental status among extremely preterm survivors. Here, we discuss refraction and visual acuity. Survivors (n = 178) from a national birth cohort (February 2004 to March 2006) of gestational age <28 weeks (PT) and 56 full-term (FT) controls attended for evaluation at age 4 years. Cycloplegic refraction and keratometry were achieved by Retinomax autokeratorefractor and visual acuities by symbol recognition (HOTV, logMAR). The refractive distribution presented a myopic tail (4.5%) and a hyperopic tail (11.9% ≥+2.5 D) as special preterm features, and corneas were more curved. Astigmatism and anisometropia were only marginally increased, and visual acuities were generally good. Best-corrected binocular median logMAR visual acuity was 0.1 in FT and 0.2 in PT, in Snellen equivalents 0.8 and 0.63. Snellen acuity ≤0.5 occurred across the ROP subgroups, but mainly in those with at least ROP stage 3. Two children had low vision. The overall fair outcome for refraction and function is in accordance with other recent northern Europe experience. The results differ in particular from the poorer ophthalmic outcomes reported in the pioneer US treatment studies (cryotherapy for ROP and ETROP). The diode laser ablations (n = 32) appeared effective in our series; except one child, all treated subjects had good or fair social vision at the age of 4 years. © 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  19. T-cell responses before and after the fifth consecutive acellular pertussis vaccination in 4-year-old Dutch children.

    PubMed

    Schure, Rose-Minke; Hendrikx, Lotte H; de Rond, Lia G H; Oztürk, Kemal; Sanders, Elisabeth A M; Berbers, Guy A M; Buisman, Anne-Marie

    2012-11-01

    Immunization with acellular pertussis vaccine (aP) induces higher specific antibody levels and fewer adverse reactions than does immunization with the whole-cell vaccine (wP). However, antibody levels in infants induced by both types of pertussis vaccines wane already after 1 year. Therefore, long-term T-cell responses upon vaccination might play a role in protection against pertussis. In a cross-sectional study (ISRCTN65428640), we investigated T-helper (Th) cell immune responses in wP- or aP-vaccinated children before and after an aP low-dose or high-dose preschool booster at 4 years of age in The Netherlands. T cells were stimulated with pertussis vaccine antigens. The numbers of gamma interferon-producing cells and Th1, Th2, Th17, and interleukin-10 (IL-10) cytokine concentrations were determined. In addition, pertussis-specific IgE levels were measured in plasma. Children being vaccinated with aP vaccinations at 2, 3, 4, and 11 months of age still showed higher pertussis-specific T-cell responses at 4 years of age than did wP-vaccinated children. These T-cell responses failed to show a typical increase in cytokine production after a fifth aP vaccination but remained high after a low-dose booster and seemed to decline even after a high-dose booster. Importantly, elevated IgE levels were induced after this booster vaccination. In contrast, wP-vaccinated children had only low prebooster T-cell responses, and these children showed a clear postbooster T-cell memory response even after a low-dose booster vaccine. Four high-dose aP vaccinations in infancy induce high T-cell responses still present even 3 years after vaccination and enhanced IgE responses after preschool booster vaccination. Therefore, studies of changes in vaccine dosage, timing of pertussis (booster) vaccinations, and the possible association with local side effects are necessary.

  20. The prevalence of turner syndrome in girls presenting with coarctation of the aorta.

    PubMed

    Wong, Sze Choong; Burgess, Trent; Cheung, Michael; Zacharin, Margaret

    2014-02-01

    To determine the prevalence of Turner syndrome in girls presenting with coarctation of the aorta (CoA). A total of 132 girls with known structural CoA was identified. Those girls who had no previous karyotype analysis performed were asked to participate in a research study in which a banded karyotype with 50-cell count was performed. Of 132 girls with CoA, 55 (41.7%) had karyotype analysis within 6 months of cardiac diagnosis. Three girls underwent karyotyping later because of clinical concerns. Of the 74 girls with CoA who had not had a karyotype, 38 (51.4%) consented to the study. Results were available for 37 girls. All were 46,XX. Five patients with Turner syndrome were identified in the 95 girls with CoA who had karyotype analysis (4 from early karyotype and 1 diagnosed later), which translated into a minimum prevalence of 5.3% of Turner syndrome in this group of girls with CoA. In addition, one infant with a 20-cell 46,XX karyotype had features of Turner syndrome. Our study demonstrated for the first time in a large cohort that 5.3% of girls presenting with CoA are found to have Turner syndrome when karyotyping is performed. Given the spectrum of preventable and treatable health problems after the diagnosis of Turner syndrome, we believe that all girls with CoA should have a karyotype analysis, ideally with at least 50-cell count, at the time of diagnosis of CoA. Copyright © 2014 Mosby, Inc. All rights reserved.

  1. Exploring production-perception relationships for 4-year-old children: A study of compensation strategies to a lip-tube perturbation

    NASA Astrophysics Data System (ADS)

    Menard, Lucie; Perrier, Pascal; Savariaux, Christophe

    2004-05-01

    The relationships between production and perception for 4-year-old children were examined through a study of compensation strategies to a lip-tube perturbation. Acoustic and perceptual analyses of the rounded vowel [u] produced by 12 4-year-old French speakers were conducted under two conditions: in normal condition and with a 15-mm-diam tube inserted between the lips. Recordings of isolated vowels were made in normal condition before any perturbation (N1), immediately upon insertion of the tube (P1), for each of the next 20 trials in this perturbed condition (P2), and in normal condition after the perturbed trials (N2). Results of the acoustic analyses reveal speaker-dependent alteration of F1, F2, and/or F0 in the perturbed conditions and after the removal of the tube. For some subjects, the tube introduced very little changes; for some others, an increase of F2 was observed in P1, which was generally at least partly compensated during the P2 repetitions. Perceptual data are used to determine optimal combinations of F0, F1, and F2 (in bark) related to these patterns. The data are compared to a previous study conducted with adults [Savariaux et al., J. Acoust. Soc. Am. 106, 381-393 (1999)].

  2. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part II: an explorative causal inference approach.

    PubMed

    La Bastide-Van Gemert, Sacha; Seggers, Jorien; Haadsma, Maaike L; Heineman, Maas Jan; Middelburg, Karin J; Roseboom, Tessa J; Schendelaar, Pamela; Hadders-Algra, Mijna; Van den Heuvel, Edwin R

    2014-03-01

    What causal relationships underlie the associations between ovarian stimulation, the IVF procedure, parental-, fertility- and child characteristics, and blood pressure (BP) and anthropometrics of 4-year-old IVF children? Causal models compatible with the data suggest the presence of positive direct effects of controlled ovarian hyperstimulation as applied in IVF (COH-IVF) on systolic blood pressure (SBP) percentiles and subscapular skinfold thickness. Increasing evidence suggests that IVF is associated with higher blood pressure and altered body fat distribution in offspring, but underlying mechanisms describing the causal relationships between the variables are largely unknown. In this assessor-blinded follow-up study, 194 children were assessed. The attrition rate until the 4-year-old assessment was 10%. We measured blood pressure and anthropometrics of 4-year-old singletons born following COH-IVF (n = 63), or born following modified natural cycle IVF (MNC-IVF, n = 52) or born to subfertile couples who conceived naturally (Sub-NC, n = 79). Primary outcome measures were the SBP and diastolic blood pressure (DBP) percentiles. Anthropometrics included triceps and subscapular skinfold thickness. Causal inference search algorithms and structural equation modeling were applied. Explorative analyses suggested a direct effect of COH on SBP percentiles and on subscapular skinfold thickness. This hypothesis needs confirmation with additional, preferably larger, studies. Search algorithms were used as explorative tools to generate hypotheses on the causal mechanisms underlying fertility treatment, blood pressure, anthropometrics and other variables. More studies using larger groups are needed to draw firm conclusions. Our findings are in line with other studies describing adverse effects of IVF on cardiometabolic outcome, but this is the first study suggesting a causal mechanism underlying this association. Perhaps ovarian hyperstimulation negatively influences

  3. Reliability and Validity of Food Frequency Questions to Assess Beverage and Food Group Intakes among Low-Income 2- to 4-Year-Old Children.

    PubMed

    Koleilat, Maria; Whaley, Shannon E

    2016-06-01

    Fruits, vegetables, sweetened foods, and beverages have been found to have positive and negative associations with obesity in early childhood, yet no rapid assessment tools are available to measure intake of these foods among preschoolers. This study examines the test-retest reliability and validity of a 10-item Child Food and Beverage Intake Questionnaire designed to assess fruits, vegetables, and sweetened foods and beverages intake among 2- to 4-year-old children. The Child Food and Beverage Intake Questionnaire was developed for use in periodic phone surveys conducted with low-income families with preschool-aged children. Seventy primary caregivers of 2- to 4-year-old children completed two Child Food and Beverage Intake Questionnaires within a 2-week period for test-retest reliability. Participants also completed three 24-hour recalls to allow assessment of validity. Intraclass correlations were used to examine test-retest reliability. Spearman rank correlation coefficients, Bland-Altman plots, and linear regression analyses were used to examine validity of the Child Food and Beverage Intake Questionnaire compared with three 24-hour recalls. Intraclass correlations between Child Food and Beverage Intake Questionnaire administrations ranged from 0.48 for sweetened drinks to 0.87 for regular sodas. Intraclass correlations for fruits, vegetables, and sweetened food were 0.56, 0.49, and 0.56, respectively. Spearman rank correlation coefficients ranged from 0.15 to 0.59 for beverages, with 0.46 for sugar-sweetened beverages. Spearman rank correlation coefficients for fruits, vegetables, and sweetened food were 0.30, 0.33, and 0.30, respectively. Although observation of the Bland-Altman plots and linear regression analyses showed a slight upward trend in mean differences, with increasing mean intake for five beverage groups, at least 90% of data plots fell within the limits of agreement for all food/beverage groups. The Child Food and Beverage Intake Questionnaire

  4. Internal carotid artery dissection after a roller coaster ride in a 4-year-old: case report and review of the literature.

    PubMed

    Nouh, Amre; Vela-Duarte, Daniel; Grobelny, Thomas; Hoganson, George; Pasquale, David; Biller, José

    2015-03-01

    Strokes associated with roller-coaster rides are unusual. A previously healthy 4-year-old boy developed acute onset of left-sided weakness when flying home from a trip to an amusement park. He had frequented two roller coaster rides the day prior. Upon evaluation, he was found to have an acute right middle cerebral artery territory infarction. Cerebral angiography showed dissection of the right cervical internal carotid artery and right middle cerebral artery occlusion involving the M1 segment. He was treated with aspirin. Evaluation for underlying connective tissue diseases was unremarkable. We speculate that repetitive forces of acceleration and deceleration may have led to a cervical internal carotid artery intimal tear, followed by thromboembolism. It remains uncertain what the threshold of susceptibility to repetitive rotational changes and tolerability to G forces in an otherwise healthy child truly is. Published by Elsevier Inc.

  5. Bilateral subthalamic nucleus deep brain stimulation for refractory total body dystonia secondary to metabolic autopallidotomy in a 4-year-old boy with infantile methylmalonic acidemia: case report.

    PubMed

    Chakraborti, Santo; Hasegawa, Harutomo; Lumsden, Daniel E; Ali, Wisam; Kaminska, Margaret; Lin, Jean-Pierre; Ashkan, Keyoumars

    2013-10-01

    The methylmalonic acidemias (MMAs) are a group of inborn errors of metabolism resulting in the accumulation of methylmalonic acid in body tissues and fluids. A recognized complication of MMA is bilateral liquefaction of the globus pallidi, resulting in a fulminant total body dystonia of childhood often refractory to medical treatment. This case of total body dystonia due to MMA in a 4-year-old boy had been medically refractory for 15 months. Complete metabolic destructive liquefaction of the pallidi, that is, autopallidotomy, necessitated an alternative, bilateral subthalamic nucleus (STN) target for deep brain stimulation (DBS) with a marked improvement in dystonia and reduction in pain. The case illustrates the efficacy of STN DBS in this condition and the technical challenges in targeting the STN in a small child.

  6. Mother's Perception of General Family Functioning and Sugar Consumption of 3- and 4-Year-Old Children: The East London Family Study.

    PubMed

    Nanjappa, Sucharita; Hector, Mark; Marcenes, Wagner

    2015-01-01

    Frequent consumption of sugary foods is a common risk factor for chronic diseases such as dental caries and obesity. Dietary patterns are acquired at home during early life and form a blueprint for dietary behaviours in later life. A favourable family environment can provide a supportive context that enhances the adoption of healthy dietary habits. The aim of this study was to identify the contribution of general family functioning towards the frequent consumption of sugary foods by 3- and 4-year-old children in Outer North East London. The research question was explored with data from the East London Family study, which collected data through home visits from a representative sample of adults and children living in Outer North East London in 2008-2010. This study analysed data from 3- and 4-year-old children (n = 698) and their mothers and included logistic regression, conceptual hierarchical modelling and mediation analysis. The results showed that 17% of the sample consumed sugary foods more than 4 times per day, and that effective general family functioning may help reducing frequent consumption of sugary foods. There was a 67% reduction in children's frequent consumption of sugary foods with every unit increase in the general family functioning score. Mother's higher education may also help reduce the frequent consumption of sugary foods by children. The negative impact of mother's lower education was buffered by the effect of effective general family functioning. The study findings underscore the prospect of identifying factors that contribute to the acquisition of good dietary behaviours. © 2015 S. Karger AG, Basel.

  7. Validation of the mothers object relations scales in 2–4 year old children and comparison with the child–parent relationship scale

    PubMed Central

    2013-01-01

    Background The quality of the parent–child relationship has an important effect on a wide range of child outcomes. The evaluation of interventions to promote healthy parenting and family relationships is dependent on outcome measures which can quantify the quality of parent–child relationships. Between the Mothers’ Object Relations – Short Form (MORS-SF) scale for babies and the Child–parent Relationship Scale (C-PRS) there is an age gap where no validated scales are available. We report the development and testing of an adaptation of the MORS-SF; the MORS (Child) scale and its use in children from the age of 2 years to 4 years. This scale aims to capture the nature of the parent–child relationship in a form which is short enough to be used in population surveys and intervention evaluations. Methods Construct and criterion validity, item salience and internal consistency were assessed in a sample of 166 parents of children aged 2–4 years old and compared with that of the C-PRS. The performance of the MORS (Child) as part of a composite measure with the HOME inventory was compared with that of the C-PRS using data collected in a randomised controlled trial and the national evaluation of Sure Start. Results MORS (Child) performed well in children aged 2–4 with high construct and criterion validity, item salience and internal consistency. One item in the C-PRS failed to load on either subscale and parents found this scale slightly more difficult to complete than the MORS (Child). The two measures performed very similarly in a factor analysis with the HOME inventory producing almost identical loadings. Conclusions Adapting the MORS-SF for children aged 2–4 years old produces a scale to assess parent–child relationships that is easy to use and outperforms the more commonly used C-PRS in several respects. PMID:23518176

  8. Ethnic Differences in Symptom Presentation of Sexually Abused Girls

    ERIC Educational Resources Information Center

    Clear, Paul J.; Vincent, John P.; Harris, Gerald E.

    2006-01-01

    Although researchers have begun to examine the issue of ethnic and cultural factors in childhood sexual abuse (CSA), relatively little has been done to look at possible ethnic and cultural differences in psychological symptoms related to CSA. This study investigated the relationship between ethnicity and symptom presentation among Hispanic,…

  9. Severe vulvovaginitis as a presenting problem of type 2 diabetes in adolescent girls: a case series.

    PubMed

    Curran, Jacqueline; Hayward, Jenette; Sellers, Elizabeth; Dean, Heather

    2011-04-01

    This article describes the presentation of 4 adolescent girls who sought medical attention for severe vulvovaginitis and were subsequently found to have type 2 diabetes. Symptomatic vulvovaginitis is rare in adolescent girls, and its presence should alert health care providers to test for underlying hyperglycemia. These 4 girls represent 8.5% of the females with new-onset type 2 diabetes during a 3-year period (2007-2009). The 4 cases fulfilled the current Canadian Diabetes Association screening criteria for type 2 diabetes in youth, yet none of these girls had been screened. These cases highlight the need for better awareness of screening criteria for type 2 diabetes in adolescents. Consideration should be given in clinical practice guidelines to including the presence of unusual or severe infections as a risk factor for type 2 diabetes in youth.

  10. A web- and mobile phone-based intervention to prevent obesity in 4-year-olds (MINISTOP): a population-based randomized controlled trial.

    PubMed

    Delisle, Christine; Sandin, Sven; Forsum, Elisabet; Henriksson, Hanna; Trolle-Lagerros, Ylva; Larsson, Christel; Maddison, Ralph; Ortega, Francisco B; Ruiz, Jonatan R; Silfvernagel, Kristin; Timpka, Toomas; Löf, Marie

    2015-02-07

    Childhood obesity is an increasing health problem globally. Overweight and obesity may be established as early as 2-5 years of age, highlighting the need for evidence-based effective prevention and treatment programs early in life. In adults, mobile phone based interventions for weight management (mHealth) have demonstrated positive effects on body mass, however, their use in child populations has yet to be examined. The aim of this paper is to report the study design and methodology of the MINSTOP (Mobile-based Intervention Intended to Stop Obesity in Preschoolers) trial. A two-arm, parallel design randomized controlled trial in 300 healthy Swedish 4-year-olds is conducted. After baseline measures, parents are allocated to either an intervention- or control group. The 6- month mHealth intervention consists of a web-based application (the MINSTOP app) to help parents promote healthy eating and physical activity in children. MINISTOP is based on the Social Cognitive Theory and involves the delivery of a comprehensive, personalized program of information and text messages based on existing guidelines for a healthy diet and active lifestyle in pre-school children. Parents also register physical activity and intakes of candy, soft drinks, vegetables as well as fruits of their child and receive feedback through the application. Primary outcomes include body fatness and energy intake, while secondary outcomes are time spent in sedentary, moderate, and vigorous physical activity, physical fitness and intakes of fruits and vegetables, snacks, soft drinks and candy. Food and energy intake (Tool for Energy balance in Children, TECH), body fatness (pediatric option for BodPod), physical activity (Actigraph wGT3x-BT) and physical fitness (the PREFIT battery of five fitness tests) are measured at baseline, after the intervention (six months after baseline) and at follow-up (12 months after baseline). This novel study will evaluate the effectiveness of a mHealth program for

  11. The cortisol awakening response (CAR) in 2- to 4-year-old children: effects of acute nighttime sleep restriction, wake time, and daytime napping.

    PubMed

    Gribbin, Colleen E; Watamura, Sarah Enos; Cairns, Alyssa; Harsh, John R; Lebourgeois, Monique K

    2012-05-01

    The cortisol awakening response (CAR) is presumed critically important for healthy adaptation. The current literature, however, is hampered by systematic measurement difficulties relative to awakening, especially with young children. While reports suggest the CAR is smaller in children than adults, well-controlled research in early childhood is scarce. We examined whether robust CARs exist in 2- to 4-year-old children and if sleep restriction, wake timing, and napping influence the CAR (n = 7). During a 25-day in-home protocol, researchers collected four salivary cortisol samples (0, 15, 30, 45 min post-wake) following five polysomnographic sleep recordings on nonconsecutive days after 4 hr (morning nap), 7 hr (afternoon nap), 10 hr (evening nap), 13 hr (baseline night), and 16 hr (sleep restriction night) of wakefulness (20 samples/child). The CAR was robust after nighttime sleep, diminished after sleep restriction, and smaller but distinct after morning and afternoon (not evening) naps. Cortisol remained elevated 45 min after morning and afternoon naps. .

  12. Content of maternal open-ended questions and statements in reminiscing with their 4-year-olds: links with independence and interdependence orientation in European contexts.

    PubMed

    Tõugu, Pirko; Tulviste, Tiia; Schröder, Lisa; Keller, Heidi; De Geer, Boel

    2012-07-01

    Mother's open-ended questions and elaborative statements during reminiscing were analysed for their content (child agency, co-agency, non-social, and social context) in three cultural contexts. Participants were 115 mothers and their 4-year-old children: 35 dyads from Berlin, Germany, 42 from Stockholm, Sweden, and 38 from Tallinn, Estonia. Across samples the most prominent content was talk about non-social context followed by co-agency and child agency. Tallinn mothers asked the children to talk about themselves, and Berlin mothers asked the children to talk about themselves together with other people, more frequently than they talked about these contents themselves. The content was related to the cultural orientations of mothers assessed through questionnaires: the Berlin mothers whose independence/ interdependence ratio was higher talked less about other people and asked the children fewer questions about other people; the Stockholm mothers with a higher independence/interdependence ratio talked more about child agency. In Tallinn both correlations existed on a trend level. The results are discussed in the light of common conversational practices and mothers' orientation to independence and interdependence in these cultural contexts.

  13. Too cool? Symbolic but not iconic stimuli impair 4-year-old children's performance on the delay-of-gratification choice paradigm.

    PubMed

    Labuschagne, Lisa G; Cox, Taylor-Jane; Brown, Kaitlyn; Scarf, Damian

    2017-02-01

    A common method of improving the performance of children and non-human primates on the delay-of-gratification maintenance paradigm and measures of executive function (e.g., the Less is More task) is to represent the rewards subjects can acquire symbolically. This method, known as symbolic distancing, is thought to lower activation of the "hot" impulsive system and allow the "cool" rational system to dominate processing. Surprisingly, in contrast to its impact on the measures noted above, recent developmental and comparative studies have reported that symbolic distancing has a null or negative impact on performance on the delay-of-gratification choice paradigm. Here, we add to this literature by demonstrating that 4-year-old children's performance on the choice paradigm is impaired when symbolic stimuli, but not iconic stimuli (i.e., pictures of the rewards), are used to represent rewards. These data add to a growing body of comparative work demonstrating task manipulations have a similar impact on children and non-human primates and also support other research suggesting different decision making processes may underlie performance on the delay-of-gratification choice and maintenance paradigms.

  14. Denver Developmental Test Findings and their Relationship with Sociodemographic Variables in a Large Community Sample of 0-4-Year-Old Children.

    PubMed

    Çelikkiran, Seyhan; Bozkurt, Hasan; Coşkun, Murat

    2015-06-01

    The aim of this study was to investigate the prevalence of developmental problems and relationship with sociodemographic variables in a community sample of young children. Participants included 1000 children (558 males, 442 females, age range 1-48 months, mean 18.4 months, SD 7.8 months). Children were referred generally by their parents for developmental evaluation and consultation in response to a public announcement in a district area in Istanbul, Turkey. An interview form and the Denver Developmental Screening Test II (DDST) were used for sociodemographic data and developmental evaluation. The χ(2) test and Pearson's correlation test were used for data analysis. Seven hundred forty-one out of 1000 children (74.1%) had normal, 140 (14%) had risky, and 119 (11.9%) had abnormal findings on the DDST results. The probability of abnormal findings on the DDST results was significantly higher in males (p=0.003), the 2-4-year-old group (p<0.05), families with more than one child (p=0.001), consanguineous marriages (p<0.01), low parental educational levels and low household income (p<0.01), and in children without a history of breastfeeding (p=0.000). Immigration status and delivery mode did not have a significant effect on the probability of abnormal findings on the DDST results (p>0.05). Sociodemographic factors have a noteworthy impact on development. Determining these factors is important especially during the first years of life.

  15. Prevalence of obesity was related to HLA-DQ in 2-4-year-old children at genetic risk for type 1 diabetes.

    PubMed

    Yang, J; Lernmark, Å; Uusitalo, U M; Lynch, K F; Veijola, R; Winkler, C; Larsson, H E; Rewers, M; She, J-X; Ziegler, A G; Simell, O G; Hagopian, W A; Akolkar, B; Krischer, J P; Vehik, K

    2014-12-01

    Body size is postulated to modulate type 1 diabetes as either a trigger of islet autoimmunity or an accelerator to clinical onset after seroconversion. As overweight and obesity continue to rise among children, the aim of this study was to determine whether human leukocyte antigen DQ (HLA-DQ) genotypes may be related to body size among children genetically at risk for type 1 diabetes. Repeated measures of weight and height were collected from 5969 children 2-4 years of age enrolled in The Environmental Determinants of Diabetes in the Young prospective study. Overweight and obesity was determined by the International Obesity Task Force cutoff values that correspond to body mass index (BMI) of 25 and 30 kg m(-)(2) at age 18. The average BMI was comparable across specific HLA genotypes at every age point. The proportion of overweight was not different by HL A, but percent obesity varied by age with a decreasing trend among DQ2/8 carriers (P for trend=0.0315). A multivariable regression model suggested DQ2/2 was associated with higher obesity risk at age 4 (odds ratio, 2.41; 95% confidence interval, 1.21-4.80) after adjusting for the development of islet autoantibody and/or type 1 diabetes. The HLA-DQ2/2 genotype may predispose to obesity among 2-4-year-old children with genetic risk for type 1 diabetes.

  16. Genotypic diversity of Streptococcus mutans and Streptococcus sobrinus in 3-4-year-old children with severe caries or without caries.

    PubMed

    Zhou, Qiong; Qin, Xiurong; Qin, Man; Ge, Lihong

    2011-11-01

    BACKGROUND.  The genotypic diversity of both Streptococcus mutans and Streptococcus sobrinus in children with different caries experience remains unclear. AIM.  To investigate the genotypic diversity of S. mutans and S. sobrinus in children with severe early childhood caries (SECC) and in caries-free (CF) children. METHODS.  Stimulated saliva of 87 SECC and 91 CF children aged 3-4 years was collected and submitted to cultivation, and MS colonies were enumerated. The genomic fingerprint analysis of S. mutans and S. sobrinus was carried out using AP-PCR. RESULTS.  One to five genotypes of S. mutans were colonized in an oral cavity of SECC and CF children; 85.5% SECC children and 57.9% CF children harboured more than one genotype of S. mutans. One to three genotypes of S. sobrinus were detected from each SECC child; 31.25% SECC children harboured more than one genotype of S. sobrinus. And one genotype was colonized in each CF child. S. mutans isolates from different individuals displayed distinctive DNA fingerprints. CONCLUSIONS.  DNA fingerprints of S. mutans and S. sobrinus isolates from 3- to 4-year-old children displayed genetic polymorphism, and S. mutans has greater genetic diversity than S. sobrinus. SECC children harboured more genotypes of S. mutans and S. sobrinus than CF children. © 2011 The Authors. International Journal of Paediatric Dentistry © 2011 BSPD, IAPD and Blackwell Publishing Ltd.

  17. [Cauda equina meningioma in a girl: presentation of a case and review of the literature].

    PubMed

    Martín, R; Vázquez-Barquero, A; Pinto, I; Figols, J; Cerezal, L; Canga, A

    2002-04-01

    Meningiomas are unusual in childhood, and the intraspinal location is very uncommon. Those arising from lumbar dura matter are the most rare among spinal neoplasms of meningeal origin. We present the case of a 12-years-old girl with a cauda equina meningioma. As in previously reported cases, the initial complain was back pain with radicular irradiation. The girl had few neurological findings, with pyramidal signs of both lower limbs as single neurological impairment. She underwent surgical treatment through an open door laminoplasty and the tumour was completely removed without neurological deficit. After 2-year of follow-up she remains asymptomatic.

  18. Why Girl Students Achieve English Presentation Learning Significantly Better in Shanghai University of Engineering Science (SUES)

    ERIC Educational Resources Information Center

    Zhu, Wen; Liu, Zhixin

    2017-01-01

    In non literature major dominated university, it is obviously noted that girl students' English (as the second language) presentation scores often higher than boy students in the same teaching environment and evaluation system. A 397 samples' survey has been studied from the aspects of after school activities and sleep schedule to discuss if any…

  19. Parental feeding practices and associations with child weight status. Swedish validation of the Child Feeding Questionnaire finds parents of 4-year-olds less restrictive.

    PubMed

    Nowicka, Paulina; Sorjonen, Kimmo; Pietrobelli, Angelo; Flodmark, Carl-Erik; Faith, Myles S

    2014-10-01

    The Child Feeding Questionnaire (CFQ) assesses parental feeding attitudes, beliefs and practices concerned with child feeding and obesity proneness. The questionnaire has been developed in the U.S., and validation studies in other countries are limited. The aim of this study was to examine the psychometric properties of the CFQ in Sweden and the associations between parenting practices and children's weight status. Based on records from the Swedish population register, all mothers of 4-year-olds (n = 3007) from the third largest city in Sweden, Malmö, were contacted by mail. Those who returned the CFQ together with a background questionnaire (n = 876) received the CFQ again to enable test-retest evaluation; 564 mothers completed the CFQ twice. We used confirmatory factor analysis to test whether the original 7-factor model was supported. Good fit (CFI = 0.94, TLI = 0.95, RMSEA = 0.04, SRMR = 0.05) was obtained after minor modifications such as dropping 2 items on restriction and adding 3 error covariances. The internal reliability and the 2-week test-retest reliability were good. The scores on restriction were the lowest ever reported. When the influence of parenting practices on child BMI (dependent variable) was examined in a structural equation model (SEM), child BMI had a positive association with restriction and a negative association with pressure to eat. Restriction was positively influenced by concern about child weight. The second SEM treated parenting practices as dependent variables. Parental foreign origin and child BMI had direct effects on restriction, while pressure to eat was also influenced by parental education. While the results of the study support the usefulness of the CFQ in Sweden, carefully designed cross-cultural comparisons are needed to explain why the levels of restrictive feeding in Swedish families are the lowest reported. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. Sequential population study of the impact of earthquakes on the emotional and behavioural well-being of 4-year-olds in Canterbury, New Zealand.

    PubMed

    Thomson, Janine; Seers, Kara; Frampton, Chris; Hider, Phil; Moor, Stephanie

    2016-01-01

    Exposure to a large natural disaster can lead to behavioural disturbances, developmental delay and anxiety among young children. Although most children are resilient, some will develop mental health problems. Major earthquakes occurred in Canterbury, New Zealand, in September 2010 and February 2011. A community screening tool assessing behavioural and emotional problems in children, the Strengths and Difficulties Questionnaire, has been reported by parents (SDQ-P) and teachers (SDQ-T) of all 4-year-olds in the region since 2008. Mean total and subtest scores for the SDQ-P and SDQ-T were compared across periods before, during and after the earthquakes in sequential population cohorts of children. Comparisons across the periods were made in relation to the proportions of children defined by New Zealand norms as 'abnormal'. Results were also compared between zones considered to have been exposed to higher or lower impact from the earthquakes. Parent mean total SDQ scores did not change between periods before, during and after the earthquakes. Teacher mean SDQ total scores significantly reduced (improved) when compared between baseline and post-earthquake periods. Mean SDQ pro-social scores from both teachers and parents increased (strengthened) when compared between baseline and post-earthquake periods. Results did not significantly vary according to a measure of impact from the earthquakes. The main finding that a population-based measure of behavioural and emotional problems among children was not deleteriously impacted by the earthquakes is surprising and is not consistent with other research findings. Further work is needed to explore the health needs of children in Canterbury based on methodological improvements. © 2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  1. The iPad as a Research Tool for the Understanding of English Plurals by English, Chinese, and Other L1 Speaking 3- and 4-Year-Olds.

    PubMed

    Xu Rattanasone, Nan; Davies, Benjamin; Schembri, Tamara; Andronos, Fabia; Demuth, Katherine

    2016-01-01

    Learning about what young children with limited spoken language know about the grammar of their language is extremely challenging. Researchers have traditionally used looking behavior as a measure of language processing and to infer what overt choices children might make. However, these methods are expensive to setup, require specialized training, are time intensive for data analysis and can have considerable dropout rates. For these reasons, we have developed a forced choice task delivered on an iPad based on our eye-tracking studies with English monolinguals (Davies et al., 2016, under review). Using the iPad we investigated 3- and 4-year-olds' understanding of the English plural in preschool centers. The primary aim of the study was to provide evidence for the usefulness of the iPad as a language research tool. We evaluated the usefulness of the iPad with second language (L2) learning children who have limited L2 language skills. Studies with school aged Chinese-speaking children show below native performance on English inflectional morphology despite 5-6 years of immersion (Jia, 2003; Jia and Fuse, 2007; Paradis et al., 2016). However, it is unclear whether this is specific only to children who speak Chinese as their first language (L1) or if younger preschoolers will also show similar challenges. We tested three groups of preschoolers with different L1s (English, Chinese, and other languages). L1 Chinese children's performance was below both English monolinguals and children speaking Other L1 languages, providing evidence that English inflections are specifically challenging for Chinese-speaking children. The results provide further evidence to support previous eye-tracking findings with monolinguals and studies with older bilinguals. The study provides evidence for the usefulness of iPads as research tool for studying language acquisition. Implications for future application of the iPad as a teaching and intervention tool, and limitations for the method, are

  2. Denver Developmental Test Findings and their Relationship with Sociodemographic Variables in a Large Community Sample of 0–4-Year-Old Children

    PubMed Central

    ÇELİKKIRAN, Seyhan; BOZKURT, Hasan; COŞKUN, Murat

    2015-01-01

    Introduction The aim of this study was to investigate the prevalence of developmental problems and relationship with sociodemographic variables in a community sample of young children. Methods Participants included 1000 children (558 males, 442 females, age range 1–48 months, mean 18.4 months, SD 7.8 months). Children were referred generally by their parents for developmental evaluation and consultation in response to a public announcement in a district area in Istanbul, Turkey. An interview form and the Denver Developmental Screening Test II (DDST) were used for sociodemographic data and developmental evaluation. The χ2 test and Pearson’s correlation test were used for data analysis. Results Seven hundred forty-one out of 1000 children (74.1%) had normal, 140 (14%) had risky, and 119 (11.9%) had abnormal findings on the DDST results. The probability of abnormal findings on the DDST results was significantly higher in males (p=0.003), the 2–4-year-old group (p<0.05), families with more than one child (p=0.001), consanguineous marriages (p<0.01), low parental educational levels and low household income (p<0.01), and in children without a history of breastfeeding (p=0.000). Immigration status and delivery mode did not have a significant effect on the probability of abnormal findings on the DDST results (p>0.05). Conclusion Sociodemographic factors have a noteworthy impact on development. Determining these factors is important especially during the first years of life.

  3. Effects of Bifidobacterium lactis HN019 and prebiotic oligosaccharide added to milk on iron status, anemia, and growth among children 1 to 4 years old.

    PubMed

    Sazawal, Sunil; Dhingra, Usha; Hiremath, Girish; Sarkar, Archana; Dhingra, Pratibha; Dutta, Arup; Menon, Venugopal P; Black, Robert E

    2010-09-01

    To evaluate the effect of Bifidobacterium lactis HN019 and prebiotic-fortified milk on iron status, anemia, and growth among 1- to 4-year-old children. In a community-based double-masked, controlled trial in a periurban population, 624 children were enrolled and randomly allocated to receive either milk fortified with additional probiotic and prebiotic (n = 312) or control milk (n = 312) for 1 year. Probiotic and prebiotic milk contained an additional 1.9 x 10 colony-forming units per day of probiotic B lactis HN019 and 2.4 g/day of prebiotic oligosaccharides milk. Hematological parameters were estimated at baseline and at the end of the study. Height and weight measurements were recorded at baseline, mid study, and the end of the study. Difference of means and multivariate regression models was used to examine the effect of intervention. Both study groups were similar at baseline. Compliance was high (>85%) and did not vary by intervention groups. As compared with non-fortified milk, consumption of probiotic- and prebiotic-fortified milk for a period of 1 year reduced the risk of being anemic and iron deficient by 45% (95% CI 11%, 66%; P = 0.01) and increased weight gain by 0.13 kg/year (95% CI 0.03, 0.23; P = 0.02). Preschoolers are usually fed milk, which has good acceptance and can be easily fortified for delivery of probiotics. Consumption of B lactis HN019 and prebiotic-fortified milk resulted in a smaller number of iron-deficient preschoolers and increased weight gain.

  4. Total daily fluoride intake and the relative contributions of foods, drinks and toothpaste by 3- to 4-year-old children in the Gaza Strip - Palestine.

    PubMed

    Abuhaloob, Lamis; Maguire, Anne; Moynihan, Paula

    2015-03-01

    Children in Gaza Strip suffer from a high prevalence of dental fluorosis. To estimate and compare total daily fluoride (F) intake (TDFI) and investigate the relative contributions of different sources of F to TDFI, in 3- to 4-year-old children in Gaza Strip, exposed to low (<0.7 mg/litre), moderate (0.7-1.2 mg/litre) or high (>1.2 mg/litre) F concentrations in tap water. A 3-day food diary and samples of tap water, drinks, foods, toothpastes and toothbrushing expectorate were collected from 216 children receiving low (n = 81), moderate (n = 72) or high (n = 63) F concentrations in tap water. F concentration of samples was analysed using an F-ion-selective electrode. TDFI from all sources was estimated. Data were analysed by anova and Tukey's test. The mean (±SD) F concentration in low, moderate and high F tap waters was 0.21(±0.15), 0.91(±0.13) and 1.71(±0.35) mg/litre, respectively. Mean (±SD) TDFI was 0.02(±0.01), 0.04(±0.01) and 0.05(±0.03) mg/kg bw/day, respectively (P < 0.0001). Foods made the largest contribution (63.9%) to TDFI. Total daily fluoride (F) intake increased as F concentration in tap water increased. Foods were the primary source of F. Programmes for monitoring fluoride expose should consider the fluoride concentration of water used for food preparation and local dietary behaviours. © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Influence of social factors on sugary products behavior in 4-year-old children with regard to dental caries experience and information at child health centers.

    PubMed

    Kinnby, C G; Lanke, J; Lindén, A L; Widenheim, J; Granath, L

    1995-04-01

    The aim was to analyze the steering effects of 15 social factors on sugary products behavior at 4 years of age in 177 children. The parents had in most cases received information on dental health care at child health centers, with due respect to the level of caries among the children, who were classified as 'healthy' (no caries experience) (n = 83) or 'diseased' (caries experience) (n = 84). The parents filled in a mailed diet history form. Only sugary products unsuitable from a cariologic point of view were considered. The products were given scores reflecting the frequency of intake. The social factors were social background, family, information, and conceptual factors. By means of multiple regression analysis, explanatory values of the social variables for sugary products behavior were estimated. For the total material, 13% of the variance was explained by all variables combined. Among the social background factors, 'parents' age' was statistically significant (p < 0.05). Among family factors, 'day-care mainly at home' and 'oldest child' were the most important. All information factors proved to be nonsignificant. Of the conceptual factors, only 'importance of genetic factors' was statistically significant. For the healthy group 26% of the variance was explained by all variables. 'Mother's age', 'importance of genetic factors', and 'oldest child' were statistically significant. For the diseased group all variables were nonsignificant. Explanatory values were negligible. The important conclusions were that very few traditionally conceived social variables seem to influence 4-year-old children's sugar behavior. Parents of children with caries appear to be a heterogeneous group with an irrational behavior.

  6. Imperforate Hymen Presenting as Acute Urinary Retention in A 14-Year-Old Nigerian Girl

    PubMed Central

    Anselm, Obi O.; Ezegwui, Uzor H.

    2010-01-01

    Acute urinary retention in adolescent females is rare, just like imperforate hymen. We present a case of acute urinary retention secondary to imperforate hymen in a 14-year-old Nigerian girl. Its diagnosis and treatment are discussed with a brief review of literature. We highlight the need for a thorough evaluation in the female patient presenting with acute urinary retention, and also the need to provide better health facilities in rural areas in developing countries such as ours. PMID:22091343

  7. Imperforate hymen presenting as acute urinary retention in a 14-year-old nigerian girl.

    PubMed

    Anselm, Obi O; Ezegwui, Uzor H

    2010-07-01

    Acute urinary retention in adolescent females is rare, just like imperforate hymen. We present a case of acute urinary retention secondary to imperforate hymen in a 14-year-old Nigerian girl. Its diagnosis and treatment are discussed with a brief review of literature. We highlight the need for a thorough evaluation in the female patient presenting with acute urinary retention, and also the need to provide better health facilities in rural areas in developing countries such as ours.

  8. Differential diagnosis of double site intussusception in childhood: a 15-year-old girl presenting with bowel obstruction.

    PubMed

    Davidson, Joseph; Wright, Naomi Jane; Kufeji, Dorothy

    2015-11-18

    Abdominal pain in a teenage girl is common; however, thorough history and examination can often distinguish a more rare or sinister diagnosis. We present a case of a 15-year-old girl presenting with abdominal pain, who was subsequently diagnosed with double intussusception secondary to her previously unrecognised Peutz-Jeghers syndrome (PJS). 2015 BMJ Publishing Group Ltd.

  9. [Pheochromocytoma presenting with secondary enuresis in a 13-year-old girl].

    PubMed

    Zoido Garrote, Elia; Fernández Fernández, Marta; Álvarez Cañas, María C; García Aparicio, Cristina; Revilla Orias, María D; Martínez Badás, Juan P

    2017-08-01

    Pheochromocytoma is a rare tumor which is infrequent in children. Although the clinical presentation in children can be atypical, the classic symptoms are headache, sweating and tachycardia. Hypertension is often a constant sign in most patients. There are few cases in literature reporting pheochromocytoma presented with polyuria. We present a 13-year-old girl who came to the Pediatric Nephrologist due to a year of evolution of secondary enuresis. When her blood pressure was taken, she was above the 99th percentile that corresponds to her age and her height that is why she was admitted for treatment and diagnostic study. Sociedad Argentina de Pediatría.

  10. Antiphospholipid syndrome in a young Nigerian girl presenting with gangrenous toes.

    PubMed

    Anakwue, Raphael Chinedu; Chijioke, Chioli; Mbah, Anthony; Onuh, Augustine; Okwara, Christian

    2013-10-23

    We report on a 21-year-old Nigerian girl with toe gangrene, which is one of the most unlikely forms of presentation of antiphospholipid syndrome among Africans. The essence of this case report is to raise awareness that, although antiphospholipid syndrome typically presents in Africans in association with a pregnancy-related event or a neuropathology, it should be considered as a differential diagnosis in all African patients with unexplained vasculitis. A high index of suspicion and early treatment will prevent toe amputations and reduce mortality rates.

  11. Bi-atrial myxomas presenting as recurrent pulmonary emboli in a girl.

    PubMed Central

    Hanly, J.; de Buitleir, M.; Shaw, K.; Maurer, B.; FitzGerald, M. X.

    1984-01-01

    A 14-year-old girl whose sole presenting features were symptoms of pulmonary embolism, was found to have bi-atrial myxomas. The diagnosis was made preoperatively, and the patient had a successful outcome following elective surgery. The absence of other features such as systemic embolism, atrioventricular valvular obstruction, fever and constitutional symptoms makes this a most unusual case. Right atrial myxoma should be considered in any patient presenting with pulmonary embolism for which there is no obvious source. Images Fig. 1 Fig. 2 PMID:6709549

  12. A rare benign renal tumour presenting as polycythaemia in a teenage girl.

    PubMed

    Geoghegan, S; Fitzpatrick, J M; McGuire, B; O'Malley, K J; Shaw, C; Fabre, A

    2010-04-01

    We present the case of a 15-year-old girl who presented with polycythemia. CT abdomen revealed an enhancing mass in the upper pole of her left kidney with features suggestive of renal cell carcinoma. She underwent a laparoscopic radical nephrectomy. Histology demonstrated a well circumscribed, focally encapsulated, round blue cell tumour showing areas of microcalcifications and numerous psammoma bodies. Imunostaining showed diffuse positive staining for CD 57. This was consistent with a diagnosis of metanephric adenoma a rare benign epithelial renal tumour.

  13. Gene expression of desaturase (FADS1 and FADS2) and Elongase (ELOVL5) enzymes in peripheral blood: association with polyunsaturated fatty acid levels and atopic eczema in 4-year-old children.

    PubMed

    Chisaguano, Aida Maribel; Montes, Rosa; Pérez-Berezo, Teresa; Castellote, Ana Isabel; Guerendiain, Marcela; Bustamante, Mariona; Morales, Eva; García-Esteban, Raquel; Sunyer, Jordi; Franch, Angels; López-Sabater, M Carmen

    2013-01-01

    It is unknown if changes in the gene expression of the desaturase and elongase enzymes are associated with abnormal n-6 long chain polyunsaturated fatty acid (LC-PUFA) levels in children with atopic eczema (AE). We analyzed whether mRNA-expression of genes encoding key enzymes of LC-PUFA synthesis (FADS1, FADS2 and ELOVL5) is associated with circulating LC-PUFA levels and risk of AE in 4-year-old children. AE (n=20) and non-AE (n=104) children participating in the Sabadell cohort within the INfancia y Medio Ambiente (INMA) Project were included in the present study. RT-PCR with TaqMan Low-Density Array cards was used to measure the mRNA-expression of FADS1, FADS2 and ELOVL5. LC-PUFA levels were measured by fast gas chromatography in plasma phospholipids. The relationship of gene expression with LC-PUFA levels and enzyme activities was evaluated by Pearson's rank correlation coefficient, and logistic regression models were used to study its association with risk of developing AE. Children with AE had lower levels of several n-6 PUFA members, dihomo-γ-linolenic (DGLA) and arachidonic (AA) acids. mRNA-expression levels of FADS1 and 2 strongly correlated with DGLA levels and with D6D activity. FADS2 and ELOVL5 mRNA-expression levels were significantly lower in AE than in non-AE children (-40.30% and -20.36%; respectively), but no differences were found for FADS1. Changes in the mRNA-expression levels of FADS1 and 2 directly affect blood DGLA levels and D6D activity. This study suggests that lower mRNA-expressions of FADS2 and ELOVL5 are associated with higher risk of atopic eczema in young children.

  14. Gene Expression of Desaturase (FADS1 and FADS2) and Elongase (ELOVL5) Enzymes in Peripheral Blood: Association with Polyunsaturated Fatty Acid Levels and Atopic Eczema in 4-Year-Old Children

    PubMed Central

    Chisaguano, Aida Maribel; Montes, Rosa; Pérez-Berezo, Teresa; Castellote, Ana Isabel; Guerendiain, Marcela; Bustamante, Mariona; Morales, Eva; García-Esteban, Raquel; Sunyer, Jordi; Franch, Àngels; López-Sabater, M. Carmen

    2013-01-01

    Abstract Background It is unknown if changes in the gene expression of the desaturase and elongase enzymes are associated with abnormal n-6 long chain polyunsaturated fatty acid (LC-PUFA) levels in children with atopic eczema (AE). We analyzed whether mRNA-expression of genes encoding key enzymes of LC-PUFA synthesis (FADS1, FADS2 and ELOVL5) is associated with circulating LC-PUFA levels and risk of AE in 4-year-old children. Methods AE (n=20) and non-AE (n=104) children participating in the Sabadell cohort within the INfancia y Medio Ambiente (INMA) Project were included in the present study. RT-PCR with TaqMan Low-Density Array cards was used to measure the mRNA-expression of FADS1, FADS2 and ELOVL5. LC-PUFA levels were measured by fast gas chromatography in plasma phospholipids. The relationship of gene expression with LC-PUFA levels and enzyme activities was evaluated by Pearson’s rank correlation coefficient, and logistic regression models were used to study its association with risk of developing AE. Results Children with AE had lower levels of several n-6 PUFA members, dihomo-γ-linolenic (DGLA) and arachidonic (AA) acids. mRNA-expression levels of FADS1 and 2 strongly correlated with DGLA levels and with D6D activity. FADS2 and ELOVL5 mRNA-expression levels were significantly lower in AE than in non-AE children (-40.30% and -20.36%; respectively), but no differences were found for FADS1. Conclusions and Significance Changes in the mRNA-expression levels of FADS1 and 2 directly affect blood DGLA levels and D6D activity. This study suggests that lower mRNA-expressions of FADS2 and ELOVL5 are associated with higher risk of atopic eczema in young children. PMID:24167612

  15. Giant cell arteritis in a 12-year-old girl presenting with nephrotic syndrome.

    PubMed

    El-Sayed, Zeinab A; El-Awady, Hanaa M; Hassan, Zeinab E; Adham, Tamer M H; Mostafa, Hossam M; Elhefnawy, Nadia G

    2014-01-01

    Giant cell arteritis (GCA) is rare in children. The kidneys are generally spared. We present a case of GCA in a 12-year-old girl with severe headache and tender scalp especially over the right temporal area. The right superficial temporal artery was cord like and nodular and the pulsations were barely felt. Several small tender nodular swellings were felt in the occipital area. She had been previously diagnosed as a case of nephrotic syndrome due to underlying membranoproliferative glomerulonephritis. This report is aimed at drawing attention to this rare form of vasculitis in children aiming at decreasing its morbidities.

  16. Use of a Treatment Package in the Management of a Profoundly Mentally Retarded Girl's Pica and Self-Stimulation.

    ERIC Educational Resources Information Center

    Paniagua, Freddy A.; And Others

    1986-01-01

    Treatment involving verbal reprimands, physical restraint, response interruption, and positive practice overcorrection resulted in rapid and dramatic decreases in the levels of pica and self-stimulation of a 4-year-old profoundly retarded girl. (CL)

  17. Use of a Treatment Package in the Management of a Profoundly Mentally Retarded Girl's Pica and Self-Stimulation.

    ERIC Educational Resources Information Center

    Paniagua, Freddy A.; And Others

    1986-01-01

    Treatment involving verbal reprimands, physical restraint, response interruption, and positive practice overcorrection resulted in rapid and dramatic decreases in the levels of pica and self-stimulation of a 4-year-old profoundly retarded girl. (CL)

  18. Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis in a young Lebanese girl.

    PubMed

    Safadieh, Layal; Dabbagh, Omar

    2013-10-01

    Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is a recently recognized autoimmune neurologic disorder that presents with severe neuropsychiatric symptoms in previously healthy children. A 4-year-old Lebanese girl presented with new-onset behavioral changes, orofacial dyskinesias, fluctuation in consciousness, inability to walk, and mutism. Antibodies directed against NMDA receptors were detected in the patient's serum and cerebrospinal fluid. Prompt treatment with a single course of intravenous immunoglobulin resulted in early complete recovery. This is the first case report of a Middle Eastern child affected with this condition.

  19. Associations between maternal scaffolding and executive functioning in 3 and 4 year olds born very low birth weight and normal birth weight.

    PubMed

    Lowe, Jean; Erickson, Sarah J; MacLean, Peggy; Duvall, Susanne W; Ohls, Robin K; Duncan, Andrea F

    2014-10-01

    Deficits in executive function, including measures of working memory, inhibition and cognitive flexibility, have been documented in preschoolers born very low birth weight (VLBW) compared with preschoolers born normal birth weight (NBW). Maternal verbal scaffolding has been associated with positive outcomes for both at-risk and typically developing preschoolers. The purpose of this study was to examine associations between maternal verbal scaffolding, Verbal IQ (VIQ) and executive function measures in preschoolers born VLBW. A total of 64 VLBW and 40 NBW preschoolers ranging in age from 3 ½ to 4 years participated in the study. VIQ was measured with the Wechsler Preschool and Primary Scale of Intelligence - Third Edition. Executive function tests included the Bear Dragon, Gift Delay Peek, Reverse Categorization and Dimensional Change Card Sort-Separated Dimensions. Maternal verbal scaffolding was coded during a videotaped play session. Associations between maternal verbal scaffolding and preschoolers' measures of VIQ and executive function were compared. Covariates included test age, maternal education, and gender. Preschoolers born VLBW performed significantly worse on VIQ and all executive function measures compared to those born NBW. Maternal verbal scaffolding was associated with VIQ for VLBW preschoolers and Gift Delay Peek for the NBW group. Girls born VLBW outperformed boys born VLBW on VIQ and Bear Dragon. Integrating scaffolding skills training as part of parent-focused intervention may be both feasible and valuable for early verbal reasoning and EF development. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. The pathophysiological mechanisms of the onset of death through accidental hypothermia and the presentation of "The little match girl" case.

    PubMed

    Jeican, Ionuţ Isaia

    2014-01-01

    Hypothermia and death caused by hypothermia may be found in a number of fiction works, mainly in novels. In the well-known story "The Little Match Girl" by Hans Christian Andersen, one can notice that the descriptions of the phenomena occurring before the girl's death are in fact a literary presentation of the pathophysiological mechanisms of the onset of death through accidental hypothermia. This essay presents the medical aspects of the story written by Andersen.

  1. Hematocolpos causing severe urinary retention in an adolescent girl with imperforate hymen: an uncommon presentation.

    PubMed

    Gyimadu, Adam; Sayal, Berkan; Guven, Suleyman; Gunalp, G Serdar

    2009-09-01

    Hematocolpos is rarely presented as a pelvic mass which mechanically compresses the bladder and the urethra thereby causing urinary retention. A 12-year-old girl referred with the history of lower abdominal pain and retention of urine for 24 h. The patient had not started her menses yet. Three weeks before she also complained of discomfort on passing urine, frequency and urgency and was taken to a local outpatient clinic where she was given antibiotics with the diagnosis of urinary tract infection, she had also the history of intermittent urinary catheterization (three times before) in an emergency department because of acute severe urinary retention. Transabdominal ultrasonography revealed a pelvic semi-solid mass suggestive of hematocolpos. Pelvic examination revealed a pale blue imperforate hymen bulging from the vaginal introitus outwards. A cruciate incision was made over the hymen. Postoperative period was uneventful. In case of acute severe urinary retention in an adolescent girl, the clinicians should keep in mind that imperforate hymen may be a causative factor and this condition may easily be treated surgically.

  2. Parental modelling and prompting effects on acceptance of a novel fruit in 2-4-year-old children are dependent on children's food responsiveness.

    PubMed

    Blissett, Jackie; Bennett, Carmel; Fogel, Anna; Harris, Gillian; Higgs, Suzanne

    2016-02-14

    Few children consume the recommended portions of fruit or vegetables. This study examined the effects of parental physical prompting and parental modelling in children's acceptance of a novel fruit (NF) and examined the role of children's food-approach and food-avoidance traits on NF engagement and consumption. A total of 120 caregiver-child dyads (fifty-four girls, sixty-six boys) participated in this study. Dyads were allocated to one of the following three conditions: physical prompting but no modelling, physical prompting and modelling or a modelling only control condition. Dyads ate a standardised meal containing a portion of a fruit new to the child. Parents completed measures of children's food approach and avoidance. Willingness to try the NF was observed, and the amount of the NF consumed was measured. Physical prompting but no modelling resulted in greater physical refusal of the NF. There were main effects of enjoyment of food and food fussiness on acceptance. Food responsiveness interacted with condition such that children who were more food responsive had greater NF acceptance in the prompting and modelling conditions in comparison with the modelling only condition. In contrast, children with low food responsiveness had greater acceptance in the modelling control condition than in the prompting but no modelling condition. Physical prompting in the absence of modelling is likely to be detrimental to NF acceptance. Parental use of physical prompting strategies, in combination with modelling of NF intake, may facilitate acceptance of NF, but only in food-responsive children. Modelling consumption best promotes acceptance in children with low food responsiveness.

  3. Associations of Fat Mass and Fat-Free Mass with Physical Fitness in 4-Year-Old Children: Results from the MINISTOP Trial.

    PubMed

    Henriksson, Pontus; Cadenas-Sanchez, Cristina; Leppänen, Marja H; Delisle Nyström, Christine; Ortega, Francisco B; Pomeroy, Jeremy; Ruiz, Jonatan R; Löf, Marie

    2016-07-30

    Physical fitness is a powerful marker of health in youth. Studies in adolescents and adults suggest that higher fat mass is related to worse physical fitness. However, there is limited knowledge whether fat mass and fat-free mass are associated with physical fitness already in preschoolers. Baseline data from the MINISTOP (Mobile-based INtervention Intended to STop Obesity in Preschoolers) trial was utilized for this cross-sectional analysis. Body composition was assessed using air-displacement plethysmography. Fat mass index [fat mass (kg)/height² (m)] and fat-free mass index [fat-free mass (kg)/height² (m)] were used to provide height-adjusted measures of body composition. Physical fitness was measured using the PREFIT (FITness testing in PREschool children) battery, which assesses cardiorespiratory fitness, upper-body and lower-body muscular strength as well as motor fitness. In total, this study included 303 children (168 boys and 135 girls), who were on average 4.48 ± 0.15 years old. Higher fat mass index was associated with worse cardiorespiratory fitness (standardized β = -0.17, p = 0.002), lower-body muscular strength (β = -0.17, p = 0.003) and motor fitness (β = -0.21, p < 0.001) in regression analyses adjusted for age, sex and mutually adjusted for fat-mass index and fat-free mass index. Conversely, higher fat-free mass index was associated with better cardiorespiratory fitness (β = 0.18, p = 0.002), upper-body muscular strength (β = 0.39, p < 0.001), lower-body muscular strength (β = 0.22, p < 0.001) and motor fitness (β = 0.17, p = 0.004). Thus, fat mass and fat-free mass in preschoolers appear to have joint but opposite associations with physical fitness, an important marker for current and future health.

  4. Associations of Fat Mass and Fat-Free Mass with Physical Fitness in 4-Year-Old Children: Results from the MINISTOP Trial

    PubMed Central

    Henriksson, Pontus; Cadenas-Sanchez, Cristina; Leppänen, Marja H.; Delisle Nyström, Christine; Ortega, Francisco B.; Pomeroy, Jeremy; Ruiz, Jonatan R.; Löf, Marie

    2016-01-01

    Physical fitness is a powerful marker of health in youth. Studies in adolescents and adults suggest that higher fat mass is related to worse physical fitness. However, there is limited knowledge whether fat mass and fat-free mass are associated with physical fitness already in preschoolers. Baseline data from the MINISTOP (Mobile-based INtervention Intended to STop Obesity in Preschoolers) trial was utilized for this cross-sectional analysis. Body composition was assessed using air-displacement plethysmography. Fat mass index [fat mass (kg)/height2 (m)] and fat-free mass index [fat-free mass (kg)/height2 (m)] were used to provide height-adjusted measures of body composition. Physical fitness was measured using the PREFIT (FITness testing in PREschool children) battery, which assesses cardiorespiratory fitness, upper-body and lower-body muscular strength as well as motor fitness. In total, this study included 303 children (168 boys and 135 girls), who were on average 4.48 ± 0.15 years old. Higher fat mass index was associated with worse cardiorespiratory fitness (standardized β = −0.17, p = 0.002), lower-body muscular strength (β = −0.17, p = 0.003) and motor fitness (β = −0.21, p < 0.001) in regression analyses adjusted for age, sex and mutually adjusted for fat-mass index and fat-free mass index. Conversely, higher fat-free mass index was associated with better cardiorespiratory fitness (β = 0.18, p = 0.002), upper-body muscular strength (β = 0.39, p < 0.001), lower-body muscular strength (β = 0.22, p < 0.001) and motor fitness (β = 0.17, p = 0.004). Thus, fat mass and fat-free mass in preschoolers appear to have joint but opposite associations with physical fitness, an important marker for current and future health. PMID:27483320

  5. Ovarian granulosa cell tumor: An uncommon presentation with primary amenorrhea and virilization in a pubertal girl.

    PubMed

    Kota, Sunil Kumar; Gayatri, Kotni; Pani, Jaya Prakash; Meher, Lalit Kumar; Kota, Siva Krishna; Modi, Kirtikumar D

    2012-09-01

    A 16-year-old girl presented with primary amenorrhea and excess hair growth on her body and face for the last three years, along with pain and a mass in her lower abdomen for last one year. Examination revealed hirsutism and other virilizing features, with an irregular mass in the lower abdomen corresponding to 16 weeks'gestation. Serum testosterone was 320 ng / dl and ultrasonogram of the pelvis revealed a solid mass of 5 × 4 cm in the left adnexa. Suspecting it to be a virilizing tumor of the left ovary, the patient was subjected to staging laparotomy, which revealed stage 1a ovarian involvement amenable to surgical resection alone. Histopathological examination confirmed the diagnosis of granulosa cell tumor of the ovary. Postoperatively the serum testosterone returned to 40 ng / dl and her menstrual cycle started after two months of surgery.

  6. The story of a girl with weeping blood: Childhood depression with a rare presentation.

    PubMed

    Varalakshmi, B; Doshi, V Vimal; Sivalingam, D; Nambi, Shanthi

    2015-01-01

    Ms. V, a 10-year-old girl was referred to Child Psychiatry Department with complaints of bleeding from eyes for last 3 months. Bleeding was spontaneous, recurrent, painless, and self-limited. History revealed significant Psychological stressors, Temperamental Difficulties and Conflicts with Mother. Mental status examination revealed Depression in Ms. V. During hospital stay, Ms. V developed repeated bleeding episodes. The presence of hemoglobin is confirmed in the bleeding sample. Hematologic investigations and computed tomography brain were normal. Ms. V was started on Sertraline, Propranolol, and Clonazepam. Both Ms. V and her Mother were psycho-educated about the nature of the illness. Ms. V was discharged and under follow-up. This case is reported for the rarity of presentation (bleeding from Eyes) of a childhood Depression.

  7. Developmental transitions in presentations of externalizing problems among boys and girls at risk for child maltreatment

    PubMed Central

    VILLODAS, MIGUEL T.; LITROWNIK, ALAN J.; THOMPSON, RICHARD; JONES, DEBORAH; ROESCH, SCOTT C.; HUSSEY, JON M.; BLOCK, STEPHANIE; ENGLISH, DIANA J.; DUBOWITZ, HOWARD

    2015-01-01

    The present study examined the impact of children’s maltreatment experiences on the emergence of externalizing problem presentations among children during different developmental periods. The sample included 788 youth and their caregivers who participated in a multisite, prospective study of youth at-risk for maltreatment. Externalizing problems were assessed at ages 4, 8, and 12, and symptoms and diagnoses of attention-deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder were assessed at age 14, during interviews with youth and caregivers. Information about maltreatment allegations was coded from official records. Latent transition analysis identified three groups of youth with similar presentations of externalizing problems (“well adjusted,” “hyperactive/oppositional,” and “aggressive/rule-breaking”) and transitions between groups from ages 4, 8, and 12. A “defiant/deceitful” group also emerged at age 12. Girls were generally more likely to present as well adjusted than boys. Children with recent physical abuse allegations had an increased risk for aggressive/rule-breaking presentations during the preschool and preadolescent years, while children with sexual abuse or neglect allegations had lower probabilities of having well-adjusted presentations during middle childhood. These findings indicate that persistently severe aggressive conduct problems, which are related to the most concerning outcomes, can be identified early, particularly among neglected and physically and sexually abused children. PMID:25045912

  8. Fourteen-year-old girl with endobronchial carcinoid tumour presenting with asthma and lobar emphysema.

    PubMed

    Andersen, Julie Bjerglund; Mortensen, Jann; Damgaard, Karen; Skov, Marianne; Sparup, Jørgen; Petersen, Bodil Laub; Rechnitzer, Catherine; Borgwardt, Lise

    2010-04-01

    Bronchial carcinoid tumours seldom occur in children, and represent a rare cause of pulmonary obstruction. Because of low clinical suspicion and the variable ways of presentation, diagnosis may be delayed. We report on a patient with this tumour. It is hoped that increased awareness of the tumour can lead to earlier diagnosis. Report of a case. This case describes a 14-year-old previously healthy girl, presenting with asthma-like symptoms throughout 2 years, decreased lung function and emphysema in left lower lobe on chest x-ray. Computerized tomography (CT) showed an intraluminal process in the left main bronchus and emphysema in both the upper and lower left lobe and showed no signs of metastasis or spread to lung tissue. Bronchoscopy showed an inflammatory polyp. Surgical resection demonstrated a typical carcinoid tumour. Later control biopsy revealed no persisting malignant tissue. The asthma symptoms returned and a new bronchoscopy showed scarring and narrowing of the left bronchus. Treatment comprised of dilatation by bronchoscopy plus daily combination corticosteroids and beta-2-agonist inhalation and the symptoms improved. No signs of relapse 16 months postdiagnosis. The case clearly shows the delay, which is common in the diagnosis of children with bronchial carcinoid tumours. Symptoms of the obstructive nature of the tumour are variable and might present as emphysema seen on x-ray and CT. Carcinoid tumour should be considered in children with longstanding pulmonary symptoms with no response to conventional treatment. Prognosis is good but long-term follow up is needed.

  9. [Study on dietary patterns and its effect on infant health among left-behind children aged 1-4 years old with both parents working out in rural Anhui].

    PubMed

    Su, Puyu; Hu, Chuanlai; Li, Li; Zhang, Yukun; Pang, Pei; Cheng, Shi; Zheng, Haifeng

    2012-09-01

    To investigate dietary patterns of left-behind children aged 1-4 years old with both parents working out in rural Anhui, and to examine the relationship between dietary patterns and infant health. In total, 424 left-behind children aged 1-4 years old were selected from 12 villages in 2 counties of Anhui province, 212 were both parents working out and 212 were both parents not working out. Infant dietary patterns were evaluated by a self-developed questionnaire, the reliability and validity were also assessed. Physical development, peripheral blood hemoglobin, traces elements of zinc, urinary iodine, infant neuropsychological development were evaluated. Infant dietary patterns in rural areas could be divided into 4 types, traditional type, animal protein-based type, nutrition-based type and beverage-based type. The prevalence of high score of nutrition type and animal protein-based type of infant dietary patterns in left-behind children were significant lower than those in control group. The prevalence of malnutrition, nutritional anemia, zinc deficiency, iodine deficiency in left-behind children with both parents working out were higher than those of control group (4.7%, 19.8%, 46.2%, 21.7% vs 0.9%, 8.5%, 34.4% and 12.7%) (P < 0.05). The prevalence of mental retardation and mental edge were significant higher in left-behind children than those of control group (3.8%, 20.8 vs 1.9%, 10.4%). Among left-behind children aged 1-4 years old with both parents working out in rural area, the prevalence of malnutrition was higher in infant with low score of traditional type dietary, the prevalence of obesity was higher in infant with high score of traditional type dietary (chi2 = 18.725, P = 0.002). The prevalence of nutritional anemia, zinc deficiency, mental retardation and mental edge were higher in infant with low scores of animal protein-based type and nutrition-based type dietary (P < 0.05). The feeding patterns of left-behind children aged 1-4 years old with both

  10. Perceptual complexity and form class cues in novel word extension tasks: how 4-year-old children interpret adjectives and count nouns.

    PubMed

    Sandhofer, Catherine M; Smith, Linda B

    2004-06-01

    Two experiments examined the role of perceptual complexity, object familiarity and form class cues on how children interpret novel adjectives and count nouns. Four-year-old children participated in a forced-choice match-to-target task in which an exemplar was named with a novel word and children were asked to choose another one that matched the exemplar in either shape or material In experiment 1, 56 children were provided with lexical form class cues suggestive of adjectives. The results of Experiment 1 showed that perceptual complexity and not object familiarity determined whether children made material or shape matches. In Experiment 2, 56 children were provided with lexical form class cues suggestive of count nouns. The results of Experiment 2 showed that neither perceptual complexity nor object familiarity affected children's selections in the matching task. When provided with lexical form class cues suggestive of a count noun, children selected shape matches. Thus the results suggest that the perceptual properties of the objects presented to children coupled with the particular lexical form class cue determine which features of objects children attend to when interpreting novel words.

  11. Oral rehabilitation of a 4-year-old child with early childhood caries under general anaesthesia: a case report on long-term outcome.

    PubMed

    Cuadros Fernández, C; Armengol Olivares, A; Guinot Jimeno, F; Lorente Rodríguez, A I

    2014-07-01

    Young patients with early childhood caries (ECC) commonly undergo oral rehabilitation under general anaesthesia (GA), often because of problems with behaviour management. Children with a history of ECC are highly susceptible to the development of new caries, even after comprehensive oral rehabilitation. The present paper reports the case of a female patient, aged 4.1 years, with ECC who was referred for treatment to the Department of Paediatric Dentistry of the Universitat Internacional de Catalunya. On account of the requirement for extensive dental treatment, and because of behaviour management problems, her dentition was restored under GA. A combination of restorative approaches and techniques was used, including the placement of composite resins, preformed metal crown restorations, extractions, and space maintainers. The patient was followed for 24 months, both clinically and radiographically. Conclusion This case reflects the need to provide adequate support to children at high risk for ECC, together with their families by developing more acceptable and effective biological and behavioural interventions in order to reduce caries relapse after oral rehabilitation under GA.

  12. A modification of play audiometry to assess speech discrimination ability in severe-profoundly deaf 2- to 4-year-old children.

    PubMed

    Dawson, P W; Nott, P E; Clark, G M; Cowan, R S

    1998-10-01

    The aim was to develop an assessment procedure that was independent of language and speech production ability, to test speech feature discrimination in severe-profoundly deaf children 2 to 4 yr of age. The procedure being trialed was adapted from existing procedures. The child was required to respond with a game-like motor response to a "change" in a speech stimulus that was being presented repeatedly through a speaker. The change occurred at randomly determined times, and false alarm responses were measured during the waiting periods (while the child waited for the change). Two- to four-yr-old normally hearing children and hearing-impaired children using hearing aids and a group of 4-yr-old hearing-impaired children using cochlear implants were assessed on the task. More than 82% of the 3- and 4-yr-old normally hearing and hearing-impaired children were able to complete the testing for the eight speech sound contrasts within three 20 minute sessions. Fifty percent of the 2-yr-old normally hearing and hearing-impaired children were able to condition and complete the task. All of the normally hearing children who completed the task successfully discriminated all speech sound contrasts. The performance of the hearing-impaired children using hearing aids was influenced by the degree of hearing loss and the type of speech contrast being tested. Similarly, the average performance of the children using cochlear implants was better for easier contrasts such as /ba/bi/ with contrasting vowel formant cues. This procedure has potential for use as a reliable clinical and research tool for assessing the development of auditory discrimination ability in 2- to 4-yr-old severe-profoundly deaf children.

  13. Pallister Killian syndrome: unusual significant postnatal overgrowth in a girl with otherwise typical presentation.

    PubMed

    Frković, Sanda Huljev; Durisević, Ivana Tonković; Trcić, Ruzica Lasan; Sarnavka, Vladimir; Gornik, Kristina Crkvenac; Muzinić, Dubravka; Letica, Ljiljana; Barić, Ivo; Begović, Davor

    2010-03-01

    Pallister Killian syndrome (PKS) is a rare genetic disorder caused by tetrasomy of the short arm of chromosome 12, revealed usually in mosaic distribution of an extra i (12) (p10) chromosome in fibroblasts. The syndrome presents with a recognizable pattern of findings including pigmentary skin changes, coarse face, high forehead, sparse anterior scalp hair, hypertelorism, seizures and progressive psychomotor developmental delay. It was first described independently by Pallister in 1977 and by Killian and Teschler-Nikola in 1981. We report a case of 21 month old girl with PKS and significant overgrowth. Cytogenetic analysis was performed using the GTG banding technique. The karyotype of cultured lymphocytes was normal. The karyotype from skin fibroblasts was established as mosaic tetrasomy of 12p 47,XX,+i (12) (p10)/46,XX. The origin of the extra marker chromosome was determinated by fluorescence in situ hybridization with chromosome 12 specific DNA probes confirming that supernumerary marker is chromosome i (12p) in 68% of cells. Despite the excessive postnatal growth we found low serum growth hormone levels and reduced response to pharmacological stimulation test. This is also the first report of a postnatal patient in our country.

  14. Mixed connective tissue disease presenting with progressive scleroderma symptoms in a 10-year-old girl.

    PubMed

    Latuśkiewicz-Potemska, Joanna; Zygmunt, Agnieszka; Biernacka-Zielińska, Małgorzata; Stańczyk, Jerzy; Smolewska, Elżbieta

    2013-10-01

    Mixed connective tissue disease (MCTD) is a systemic inflammatory disease affecting connective tissue with the underlying autoimmunological mechanism. The core of MCTD is an appearance of symptoms of several other inflammatory diseases of connective tissue - systemic lupus erythematosus, systemic scleroderma, poly- or dermatomyositis, rheumatoid arthritis at the same time, accompanied by a high level of anti-ribonucleoprotein antibodies (anti-U1RNP). The disease was described more than 40 years ago by Sharp et al. During recent years, many efforts to better understand clinical and serological features of MCTD have been made. Diagnosis of MCTD can be difficult. Obligatory international diagnostic criteria are required to be fulfilled. Several versions of such criteria have been proposed, but the most widely used one was described by Kasukawa. There is no consensus about treatment - a choice of drugs depends on symptoms. We present a case of a 10-year-old girl with sclerodactyly and trophic damages of fingers accompanied by symptoms of Raynaud's phenomenon. After an almost 2-year course of the disease, a diagnosis of MCTD has been established.

  15. Progressive retinal degeneration in a girl with Knobloch syndrome who presented with signs of ocular albinism.

    PubMed

    Gradstein, Libe; Hansen, Ronald M; Cox, Gerald F; Altschwager, Pablo; Fulton, Anne B

    2017-04-01

    We report for the first time electroretinographic (ERG) evidence of progressive retinal abnormalities in a girl who presented in infancy with ocular features of albinism and gradually developed choroidal sclerosis and patchy retinal atrophy leading to a diagnosis of Knobloch syndrome (KS, OMIM 267750, COL18A1). At age 2 months, nystagmus and esotropia prompted ophthalmic evaluation. The appearance of choroidal sclerosis and atrophic retinal patches led to further evaluation at age 8 years. Genetics consultation was obtained in infancy and again at age 8 years as retinal findings evolved. Full field ERG responses in both scotopic and photopic conditions were recorded at both ages and compared to those in healthy control subjects. At age 2 months ERG response parameters were within normal limits for age and tyrosinase (TYR) gene sequencing revealed one novel mutation, p.S466F, and the temperature-sensitive polymorphism, p.R402Q, suggesting the diagnosis of oculocutaneous albinism type 1 (OCA1). At age 8 years, there was significant attenuation of both scotopic and photopic ERG responses. Genetic re-analysis led to the identification of a homozygous mutation, c.3213dupC, in the COL18A1 gene, thus confirming the diagnosis of Knobloch syndrome. Our patient with Knobloch syndrome developed abnormal ERG responses similar to those found in col18a1 knockout mice. Thus, we have documented progressive attenuation of the scotopic and photopic responses in KS.

  16. A comparison of proficiency levels in 4-year-old monolingual and trilingual speakers of Afrikaans, isiXhosa and South African English across SES boundaries, using LITMUS-CLT.

    PubMed

    Perold Potgieter, Anneke; Southwood, Frenette

    2016-01-01

    This study investigated how trilinguals fare on the cross-linguistic lexical tasks (CLT)-Afrikaans, -isiXhosa and -South African English (SAE) (cf. Haman et al., 2015) compared to monolingual controls, and whether the CLT-Afrikaans renders comparable results across socioeconomic status (SES) backgrounds. The LITMUS-CLTs were administered to 41 low SES 4-year-olds (11 trilinguals; 10 monolingual speakers of Afrikaans, isiXhosa and SAE) and the LITMUS-CLT-Afrikaans to 11 mid-SES 4-year-old monolinguals. Results (a) indicate that trilinguals' proficiency in their exposure-dominant language did not differ significantly from monolinguals' proficiency, but their proficiency in their additional two languages was significantly lower than monolinguals' proficiency; (b) reflect the extent, but not current amount, of exposure trilinguals had had over time to each of their languages; and (c) show that low and mid-SES monolinguals differed significantly on noun-related, but not verb-related, CLT measures. Possible reasons for and the clinical implications of these results are discussed.

  17. Carpal spasm in a girl as initial presentation of celiac disease: a case report.

    PubMed

    Ramosaj-Morina, Atifete; Keka-Sylaj, A; Hasbahta, V; Baloku-Zejnullahu, A; Azemi, M; Zunec, R

    2017-09-04

    Celiac disease is an immune-mediated disorder elicited by ingestion of gluten in genetically susceptible persons. This disorder is characterized by specific histological changes of the small intestine mucosa resulting in malabsorption. This case was written up as it was an unusual and dramatic presentation of celiac disease. We report the case of a 3-year-old Albanian girl who presented at our clinic with carpal spasms and hand paresthesia. A physical examination at admission revealed a relatively good general condition and body weight of 10.5 kg (10 percentile). Carpal spasms and paresthesias of her extremities were present. Neuromuscular irritability was demonstrated by positive Chvostek and Trousseau signs. Blood tests showed severe hypocalcemia with a total serum calcium of 1.2 mmol/L (normal range 2.12 to 2.55 mmol/L), ionized calcium of 0.87 (normal range 1.11 to 1.30 mmol/L), and 24-hour urine calcium excretion of 9.16 mmol (normal range female <6.2 mmol/day). Among other tests, screening for celiac disease was performed: antigliadin immunoglobulin A, anti-tissue transglutaminase, and anti-endomysial immunoglobulin A antibodies were positive. A duodenal biopsy revealed lymphocyte infiltration, crypt hyperplasia, and villous atrophy compatible with celiac disease grade IIIb according to the Marsh classification. Following the diagnosis of celiac disease, human leukocyte antigen typing was performed, giving a definite diagnosis of celiac disease. She was started on a gluten-free diet. Due to failure to follow a gluten-free diet, episodes of carpal spasms appeared again. Unfortunately, at the age of 7 years she presents with delayed psychophysical development. Although hypocalcemia is a common finding in celiac disease, hypocalcemic carpal spasm is a rare initial manifestation of the disease. Therefore, the possibility of celiac disease should be considered in patients with repeated carpal spasms that seem unduly difficult to treat. This should be

  18. Early Puberty in African-American Girls: Nutrition Past and Present.

    ERIC Educational Resources Information Center

    Talpade, Medha; Talpade, Salil

    2001-01-01

    Early sexual maturation is associated with many high-risk behaviors and a prediction was made that food consumption may contribute to early onset of puberty. A comparison was made between the eating habits of several generations of African-American women. Girls today were found to consume more calcium, grains, and meat then older women did in…

  19. Phase 1 and Phase 2 Studies of Salmonella enterica Serovar Paratyphi A O-Specific Polysaccharide-Tetanus Toxoid Conjugates in Adults, Teenagers, and 2- to 4-Year-Old Children in Vietnam

    PubMed Central

    Konadu, Edward Y.; Lin, Feng-Ying C.; Hó, Vô Anh; Thuy, Nguyen Thi Thanh; Van Bay, Phan; Thanh, Tran Cong; Khiem, Ha Ba; Trach, Dang Duc; Karpas, Arthur B.; Li, Jianping; Bryla, Dolores A.; Robbins, John B.; Szu, Shousun C.

    2000-01-01

    Salmonella enterica serovar Paratyphi A O-specific polysaccharide (O-SP) was activated with 1-cyano-4-dimethylaminopyridinium tetrafluoroborate (CDAP) and bound to tetanus toxoid (TT) with adipic acid dihydrazide as a linker (SPA-TT1) or directly (SPA-TT2). In mice, these two conjugates elicited high levels of immunoglobulin G (IgG) anti-lipopolysaccharide (LPS) in serum with bactericidal activity (E. Konadu, J. Shiloach, D. A. Bryla, J. B. Robbins, and S. C. Szu, Infect. Immun. 64:2709–2715, 1996). The safety and immunogenicity of the two conjugates were then evaluated sequentially in Vietnamese adults, teenagers, and 2- to 4-year-old children. None of the vaccinees experienced significant side effects, and all had preexisting LPS antibodies. At 4 weeks after injection, there were significant increases of the geometric mean IgG and IgM anti-LPS levels in the adults and teenagers: both conjugates elicited a greater than fourfold rise in the IgG anti-LPS level in serum in ≥80% of the volunteers. SPA-TT2 elicited slightly higher, though not statistically significantly, levels of IgG anti-LPS than did SPA-TT1 in these age groups. Accordingly, only SPA-TT2 was evaluated in the 2- to 4-year-old children. On a random basis, one or two injections were administered 6 weeks apart to the children. No significant side effects were observed, and the levels of preexisting anti-LPS in serum were similar in children of all ages. A significant rise in the IgG anti-LPS titer was elicited by the first injection (P = 0.0001); a second injection did not elicit a booster response. Representative sera from all groups had bactericidal activity that could be adsorbed by S. enterica serovar Paratyphi A LPS. PMID:10678970

  20. Cervical dysgenesis with transverse vaginal septum with imperforate hymen in an 11 year old girl presenting with acute abdomen.

    PubMed

    Gupta, Pratiksha; Gupta, Sangeeta; Jindal, Sunita; Chopra, Kanwaljeet; Sinha, Manjari; Arora, Anita

    2013-01-01

    This case highlights the importance of careful evaluation of girls presenting with imperforate hymen as this is accompanied by other female reproductive tract anomalies. It is of utmost importance that a correct timely diagnosis is made so that the right treatment can be chosen with the perspective of future fertility. Cervical dysgenesis associated with vaginal septum and imperforate hymen has not been reported in literature so far. Present case highlights the simple mode of management with a successful outcome.

  1. Supraorbital Blowin Fracture Presenting as an Ocular Dystopia in a Nine-Year-Old Girl

    PubMed Central

    Nallamothu, Ranganadh; Kallam, Shanmukha Reddy; Gunturu, Srikanth; Singh, Sukumar; Rachalapally, Vijay Kumar

    2013-01-01

    A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed. PMID:23956885

  2. Supraorbital blowin fracture presenting as an ocular dystopia in a nine-year-old girl.

    PubMed

    Nallamothu, Ranganadh; Kallam, Shanmukha Reddy; Gunturu, Srikanth; Singh, Sukumar; Rachalapally, Vijay Kumar

    2013-01-01

    A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed.

  3. A Case of Distal Vaginal Agenesis Presenting with Recurrent Urinary Tract Infection and Pyuria in a Prepubertal Girl.

    PubMed

    Dural, Ozlem; Ugurlucan, Funda Gungor; Yasa, Cenk; Bastu, Ercan; Eren, Hulya; Yuksel, Bahar; Celik, Serdal; Akhan, Suleyman Engin

    2017-02-01

    Isolated distal vaginal agenesis is a rare anomaly and mostly becomes symptomatic after menarche. We describe an unusual presentation of this anomaly in a prepubertal girl. An 11-year-old prepubertal girl presented with recurrent urinary tract infection, pyuria, and right-sided renal agenesis. The findings of perineal inspection, ultrasonography, and magnetic resonance imaging were consistent with a distal vaginal agenesis with pyometrocolpos. Discharging pyometrocolpos with dissection of the atretic portion and a pull-through vaginoplasty were performed. A cystoscopy showed no sign of a vesicovaginal or uterine fistula. This rare presentation of distal vaginal agenesis reminds us that congenital malformations of the female genital tract should be considered in patients with congenital anomalies of the urinary system and/or recurrent urinary tract infection, even during the prepubertal period. Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  4. Meralgia Paresthetica as a Presentation of Acute Appendicitis in a Girl With Acute Lymphoblastic Leukemia.

    PubMed

    Nishimura, Miho; Kodama, Yuichi; Fukano, Reiji; Okamura, Jun; Ogaki, Kippei; Sakaguchi, Yoshihisa; Migita, Masahiro; Inagaki, Jiro

    2015-04-01

    A 7-year-old girl with Philadelphia chromosome-positive acute lymphoblastic leukemia developed recurrent fever and meralgia paresthetica (MP) during chemotherapy, which resolved after administration of antibiotics. Five months after the onset of these symptoms, enhanced computed tomography showed a periappendiceal abscess extending into the psoas muscle. The cause of her fever and MP was thought to be appendicitis, which probably developed during induction chemotherapy but did not result in typical abdominal pain. Patients with recurrent fever and MP should be evaluated by imaging examinations including computed tomography to search for appendicitis.

  5. Imperforate hymen presenting with massive haematocolpos and acute urinary retention in a teenage girl: A case report.

    PubMed

    Mwampagatwa, Ipyana H; Mponda, Baraka A

    2012-10-01

    Imperforate hymen is relatively rare but it is the most frequently encountered obstructive anomaly of the female lower genital tract. The clinical presentation vary significantly from patient to patient depending on the age at diagnosis but in most cases the diagnosis is missed in early childhood and therefore the diagnosis is made after puberty when the patient present with haematocolpos, heamatometra.or both. When this happens, the presentation could even be tricky because the patient may presents with unlikely symptoms apart from cryptomenorhoea like, urinary retention or bowel obstruction or both. Here we present a 16 years old girl with imperforate hymen and presented with history of lower abdominal pain and distension associated with acute urinary retention. She was treated by hymenotomy and improved dramatically and was discharge 6th day post operatively. This case report is presented to address to clinicians the possibility of imperforate hymen with haematocolpos as a differential diagnosis in adolescent girls particularly those who have not started having their menses in their teens and present with acute urinary retention so that their external genitalia are carefully examined to exclude the possibility of imperforate hymen as a cause of acute urinary retention due to the haematocolpos.

  6. Gorham-Stout disease presenting with dyspnea and bone pain in a 9-year-old girl.

    PubMed

    Davalos, Eric A; Gandhi, Nishant M; Barank, David; Varma, Rajeev K

    2015-01-01

    Gorham-Stout (GS) disease is a rare bone disorder of unknown etiology that is characterized by local proliferation of small vascular or lymphatic channels, resulting in progressive osteolysis and bone resorption. The diagnosis of GS disease is one of exclusion, with radiography and histopathology playing key roles. We describe a 9-year-old girl who presented to us with dyspnea and bone pain. She was found to have a cystic mass of the upper extremity, multiple cystic bone lesions, multiple fractures of different ages, and pleural effusions. We review the radiologic images that helped establish the diagnosis of GS disease.

  7. “Pre-schoolers in the playground” an outdoor physical activity intervention for children aged 18 months to 4 years old: study protocol for a pilot cluster randomised controlled trial

    PubMed Central

    2013-01-01

    Background The pre-school years are considered critical for establishing healthy lifestyle behaviours such as physical activity. Levels of physical activity track through childhood into adulthood, thus establishing habitual physical activity early in life is vital. Time spent outdoors is associated with greater physical activity and playground interventions have been shown to increase physical activity in school aged children. There are few pre-school, playground-based interventions, and evaluations of these have found mixed results. A recent report published by the UK Chief Medical Officer (CMO) highlighted that new interventions to promote movement in the early years (0–5 years old) are needed. The aim of this study is to undertake a pilot cluster randomised controlled trial (RCT) of an outdoor playground-based physical activity intervention for parents and their children aged 18 months to 4 years old (“Pre-schoolers in the Playground”; PiP) and to assess the feasibility of conducting a full scale cluster RCT. The PiP intervention is grounded in behavioural theory (Social Cognitive Theory), and is in accordance with the CMO guidance for physical activity in the early years. It is informed by existing literature and data collected from focus groups with parents. Methods/Design One hundred and fifty pre-school children affiliated to 10 primary schools will be recruited. Schools will be randomised to either the PiP intervention arm or the control arm (usual practice). Children in the intervention arm will be invited to attend three 30 minute outdoor play sessions per week for 30 weeks (3 school terms) at the school. Feasibility will be assessed by examining recruitment rates, attendance, attrition, acceptability of the trial and of the PiP intervention to parents, fidelity of intervention implementation, capability and capacity for schools to deliver the intervention. Health outcomes and the feasibility of outcome measurement tools will be assessed. These

  8. Use of guidelines when planning home care of a girl with severe congenital myopathy.

    PubMed

    Gray, Kelly; Isaacs, David; Kilham, Henry; Tobin, Bernadette; Waters, Karen

    2016-01-01

    We use issues that arose in the management of a 4-year old girl with a congenital myopathy to consider the tension between respecting the choices and decisions of the child's parents and applying clinical practice guidelines that emphasise minimising risk to the child. This case raises the issue of when it is reasonable to override parents' choice of management options.

  9. Gene × environment effects of serotonin transporter, dopamine receptor D4, and monoamine oxidase A genes with contextual and parenting risk factors on symptoms of oppositional defiant disorder, anxiety, and depression in a community sample of 4-year-old children.

    PubMed

    Lavigne, John V; Herzing, Laura B K; Cook, Edwin H; Lebailly, Susan A; Gouze, Karen R; Hopkins, Joyce; Bryant, Fred B

    2013-05-01

    Genetic factors can play a key role in the multiple level of analyses approach to understanding the development of child psychopathology. The present study examined gene-environment correlations and gene × environment interactions for polymorphisms of three target genes, the serotonin transporter gene, the D4 dopamine receptor gene, and the monoamine oxidase A gene in relation to symptoms of anxiety, depression, and oppositional behavior. Saliva samples were collected from 175 non-Hispanic White, 4-year-old children. Psychosocial risk factors included socioeconomic status, life stress, caretaker depression, parental support, hostility, and scaffolding skills. In comparison with the short forms (s/s, s/l) of the serotonin transporter linked polymorphic repeat, the long form (l/l) was associated with greater increases in symptoms of oppositional defiant disorder in interaction with family stress and with greater increases in symptoms of child depression and anxiety in interaction with caretaker depression, family conflict, and socioeconomic status. In boys, low-activity monoamine oxidase A gene was associated with increases in child anxiety and depression in interaction with caretaker depression, hostility, family conflict, and family stress. The results highlight the important of gene-environment interplay in the development of symptoms of child psychopathology in young children.

  10. Osteopenia is present at an early age and worsens across the life span in girls and women with Rett syndrome

    USDA-ARS?s Scientific Manuscript database

    Girls and women with Rett syndrome (RTT) are at increased risk for osteopenia and skeletal fractures. Our objective was to characterize the natural history of bone mineralization in RTT girls and women across their life span and to identify genetic, nutritional, physical, hormonal, or inflammatory ...

  11. Autoimmune polyglandular endocrinopathy and anterior hypophysitis in a 14 year-old girl presenting with delayed puberty.

    PubMed

    Cemeroglu, A P; Böber, E; Dündar, B; Büyükgebiz, A

    2001-01-01

    We report a 14 year-old peripubertal girl who presented at our clinic with the primary complaint of delayed puberty. She was asymptomatic except for vague complaints of fatigue. Physical examination was significant for mucosal hyperpigmentation and lack of secondary sexual characteristics. Laboratory evaluation revealed a morning cortisol concentration of <0.1 microg/dl (normal range [n.r.]: 4.3-22.4 microg/dl) and a simultaneous ACTH concentration of 2 pg/ml (n.r. 25-62 pg/ml); FSH 66.8 IU/l (n.r. for age: 1-12.8 IU/l); LH 41.1 IU/l (n.r. for age: 1-12 IU/l); E2 38 pg/ml (n.r. for age: 7-60 pg/ml). She had a flat cortisol response to an ACTH stimulation test. MRI of the pituitary gland failed to reveal a lesion. Plasma renin activity, thyroid function tests, parathyroid hormone, prolactin, IGF-I, IGFBP-3 concentrations and serum electrolytes were normal. However, her urinary sodium concentration was high. She was diagnosed with autoimmune polyglandular endocrinopathy including ovarian failure, adrenal failure and autoimmune anterior hypophysitis presenting as isolated ACTH deficiency. We emphasize that autoimmune etiology should be considered in the differential diagnosis of delayed puberty and ovarian failure and that the presence of other endocrinopathies should be searched for even in asymptomatic patients.

  12. Demographic profile and future strategies for development of the girl child in India.

    PubMed

    Bhavan, S

    1995-01-01

    This article presents a demographic profile of female children in India: sex ratios, age structure, death rate, infant mortality, child mortality, and early marriage. The analysis is based on data from the 1981 and 1991 Censuses of India and the 1992 Sample Registration System. The sex ratio in 1991 was 927 females per 1000 males, which represents a declining sex ratio since 1901. Sex ratios by state during 1971-91 indicate a declining sex ratio in Bihar, followed by Manipur and 10 other states. Kerala was the only state with a favorable sex ratio of 1036 females per 1000 males in 1991. 4 states showed some improvement in the sex ratio. The percentage distribution of male and female population in various age groups under 14 years did not differ significantly in 1991. The highest proportion of children 0-4 years old was in Bihar, followed by Madhya Pradesh, Uttar Pradesh, and Haryana, in 1991. The lowest proportion of female children 0-4 years old was in Kerala and Tamil Nadu. The highest proportion of female children 5-9 years old was in Assam. The highest proportion of female children 10-14 years old was in Bihar. The highest proportion of male children 10-14 years old was in Haryana. Except for male children 0-4 years old, Kerala had the lowest proportion of children in all 3 age groups. Crude death rates in 1991 were 10.6 in rural areas to 7.1 in urban areas. Kerala had the lowest death rate, and Madhya Pradesh had the highest death rate. Female infants had higher mortality in Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh. Rajasthan had the highest female death rates and Madhya Pradesh had the highest male death rates in the ages 0-4 years. 9 states had a mean age at marriage lower than the national average. India's National Plan of Action for the 1990s for girl children stresses survival and protection, development, and special protection of vulnerable girls.

  13. You Go Girl! A Road Map to Girl Power.

    ERIC Educational Resources Information Center

    Madison, Katie O'Dell

    1999-01-01

    Defines the who, what and where of"Girl Power" sources and presents an annotated bibliography of books for girls, print magazines, Web sites, and national organizations, as well as a select reading list for adults working with girls. (AEF)

  14. Idiopathic infantile arterial calcification in a 12-year-old girl presenting as chronic mesenteric ischemia: imaging findings and angioplasty results.

    PubMed

    Zhang, Edwin; Owen, Richard; Bruce, Garth; Wiebe, Sheldon

    2011-11-01

    We report an unusual case of chronic mesenteric ischemia presenting in a 12-year-old girl with idiopathic infantile arterial calcinosis (IIAC). This is the first reported case in the literature of chronic mesenteric ischemia in the setting of IIAC. The girl presented with a classical history of postprandial abdominal pain. Imaging demonstrated significant stenoses of the celiac axis, superior mesenteric artery (SMA) and inferior mesenteric artery (IMA). Angioplasty of the celiac axis and SMA was attempted, with successful dilation of the SMA only. At 3-, 6- and 12-month follow-ups, the child's symptoms had almost resolved. This case report has three important ramifications: chronic mesenteric ischemia is a possible clinical presentation in children with IACC, pre-angioplasty imaging is important in guiding treatment approach, and angioplasty was effective in this case of chronic mesenteric ischemia and offers hope for other similarly affected children.

  15. Case Presentation of a 23-Month-old Herpes Simplex Virus-infected Girl with Brain and Oesophageal Involvement

    PubMed Central

    Kasiri, Karam-Ali; Khoshdel, Abolfazl

    2015-01-01

    Herpes simplex virus (HSV) is the most common identifiable cause of serious or life threatening sporadic, endemic encephalitis. Typical HSV encephalitis in patients outside neonatal age is caused by HSV-1. A 23-month-old girl was referred to our hospital with a three-day history of fever, listlessness, slurred speech, and suspicious oesophageal foreign body impaction. Laboratory evaluations showed white blood cell count of 10900 /mm3 with 65% neutrophils. Upper endoscopy revealed diffuse severe ulceration in middle to distal third of oesophagus and no foreign body was found in oesophagus or stomach. Parenteral acyclovir was prescribed for herpes encephalitis in addition to antibiotics for central nervous system infection. Chest X-ray and brain MRI was unremarkable. Lumbar puncture revealed normal protein and glucose with 10 white cell count. She developed a raising liver enzyme tests. Total and direct bilirubin was 1.2 mg/dc and 0.2 mg/dc respectively. Because of neurological symptoms, acyclovir was adopted for our patient from the beginning. The girl did not respond to medication and died after 28 days. Progression of her disease prior to referral appears to contribute to the administered treatment inefficacy. Severe rapid progression of disease prior to referral and potential resistance to acyclovir could cause treatment failure. PMID:26155527

  16. Positive persistent visual symptoms (visual snow) presenting as a migraine variant in a 12-year-old girl.

    PubMed

    Simpson, Jane C; Goadsby, Peter J; Prabhakar, Prab

    2013-11-01

    Migraine is a common neurological disorder affecting children, in which the headache is often preceded or accompanied by a complex of neurological symptoms known as an aura. Persistent visual symptoms are rare, with typical visual aura sometimes being poorly distinguished from other visual disturbances. We describe the case of a 12-year-old girl who has experienced persistent, constant symptoms throughout the visual fields of white, bright, jagged spots and black and white flashes with sparkles and dots since May 2010. She also has palinopsia, squiggles, and photophobia. The child's drawing of her visual symptoms helps illustrate the case and illuminate her ordeal. The child's visual symptoms have so far been resistant to pharmacological therapy. Further insight is needed into this debilitating condition to allow effective management in the pediatric population. Copyright © 2013. Published by Elsevier Inc.

  17. Expanding Schooling Opportunities for 4-Year-Olds

    ERIC Educational Resources Information Center

    Leuven, Edwin; Lindahl, Mikael; Oosterbeek, Hessel; Webbink, Dinand

    2010-01-01

    We use a novel quasi-experimental strategy to estimate the effect of expanding early schooling enrollment possibilities on early achievement. It exploits two features of the school system in The Netherlands. The first is rolling admissions; children are allowed to start school immediately after their 4th birthday instead of at the beginning of the…

  18. Priming of Abstract Logical Representations in 4-Year-Olds

    ERIC Educational Resources Information Center

    Viau, Joshua; Lidz, Jeffrey; Musolino, Julien

    2010-01-01

    Though preschoolers in certain experimental contexts strongly prefer to interpret ambiguous sentences containing quantified NPs and negation on the basis of surface syntax (e.g., Musolino's 1998 "observation of isomorphism"), contextual manipulations can lead to more adult-like behavior. But is isomorphism a "purely" pragmatic phenomenon, as…

  19. Priming of Abstract Logical Representations in 4-Year-Olds

    ERIC Educational Resources Information Center

    Viau, Joshua; Lidz, Jeffrey; Musolino, Julien

    2010-01-01

    Though preschoolers in certain experimental contexts strongly prefer to interpret ambiguous sentences containing quantified NPs and negation on the basis of surface syntax (e.g., Musolino's 1998 "observation of isomorphism"), contextual manipulations can lead to more adult-like behavior. But is isomorphism a "purely" pragmatic phenomenon, as…

  20. Screening for Persistent Psychopathology in 4-Year-Old Children.

    PubMed

    Hamre Sveen, Trude; Berg-Nielsen, Turid Suzanne; Lydersen, Stian; Wichstrøm, Lars

    2016-10-01

    To inform primary care screening and preventive intervention efforts, the authors examined the screening efficiency of the parent version of the Strengths and Difficulties Questionnaire (SDQP4-16) for persistent disorders relative to transient disorders and its capacity to distinguish between the two. Persistence and transience in preschool-onset psychiatric disorders were identified by using data from a large population-based cohort study in Norwegian children initially assessed at age 4 and followed up at age 6 (n = 1038). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnoses at both time points were assigned by using the Preschool Age Psychiatric Assessment Interview, against which the SDQP4-16 was compared through receiver operating characteristics analysis. The screening efficiency for persistent disorders exceeded that for transient disorders with a specificity of 86.1%, a sensitivity of 79.3%, and an area under the curve value of 0.85. The SDQP4-16 was able to discriminate persistent disorders from transient disorders at an area under the curve value of 0.71. At the selected cutoff of 10, the negative predictive value was 99.6%, whereas the positive predictive value was 9.5%, partly due to the low prevalence (1.8%) of persistent disorders. The SDQP4-16 is a sensitive tool for detecting persistent psychiatric disorders in young children. However, a large proportion of positive screens are nonpersistent cases, as indicated by the high false-positive rate. Thus, the clinical utility of the SDQP4-16 in primary care screening for persistent disorders is uncertain, particularly in samples in which the rate of psychiatric disorders is low. Copyright © 2016 by the American Academy of Pediatrics.

  1. [Vulvovaginitis in young girls].

    PubMed

    Olejek, Anita; Kellas-Sleczka, Sylwia; Kozak-Darmas, Iwona; Bilska, Anna; Zamłyński, Jacek; Horak, Stanisław; Nowak, Leszek

    2009-12-01

    Vulvovaginitis is the most common cause of gynecological complaints in young girls. Factors which cause vulvovaginitis include, among other things, low level of sexual hormones (hypoestrogenism), the anatomical proximity of the rectum and delicate vulvar skin and vaginal mucosa. Usually vulvovaginitis in young girls is caused by non-specific factors. The aim of the study was to present the most frequent causes of vulvovaginitis in young girls.

  2. Reaching Girls

    ERIC Educational Resources Information Center

    Jacobs, Charlotte E.; Kuriloff, Peter J.; Cox, Amanda B.

    2014-01-01

    If educators want to engage girls in learning, they must align teaching practices with girls' specific needs. In a study modeled after Reichert and Hawley's study of boys, the authors learned that lessons with hands-on learning, elements of creativity, multimodal projects, and class discussions all worked to stimulate girls'…

  3. Reaching Girls

    ERIC Educational Resources Information Center

    Jacobs, Charlotte E.; Kuriloff, Peter J.; Cox, Amanda B.

    2014-01-01

    If educators want to engage girls in learning, they must align teaching practices with girls' specific needs. In a study modeled after Reichert and Hawley's study of boys, the authors learned that lessons with hands-on learning, elements of creativity, multimodal projects, and class discussions all worked to stimulate girls'…

  4. Lichen nitidus presenting with nail changes--case report and review of the literature.

    PubMed

    Tay, Evelyn Yuxin; Ho, Madeline Sheun Ling; Chandran, Nisha Suyien; Lee, Joyce Siong-See; Heng, Yee Kiat

    2015-01-01

    Lichen nitidus of the nail is rare and can precede the onset of skin lesions. Delayed diagnosis is common. We present an unusual case of lichen nitidus-associated nail changes that preceded the onset of skin lesions in a 4-year-old Indian girl. We also conduct a review of six other cases of lichen nitidus with nail involvement from the English-language literature. Clues to the diagnosis of lichen nitidus include violaceous or pigmentary changes of the nail fold and subtle lichenoid papules on the affected digits. Lichen nitidus of the nails appears to be less severe than nail changes of lichen planus and is generally self-limiting. Understanding the natural history of lichen nitidus of the nails will help physicians better counsel patients and their families.

  5. Vascular Ehlers-Danlos syndrome: a rare disorder presenting with focal convulsions.

    PubMed

    Ahmed, Shakeel; Ali, Syed Rehan; Nadeem, Naila; Hamid, Muhammad

    2014-11-01

    Vascular Ehlers-Danlos Syndrome (VEDS), previously called Ehlers-Danlos syndrome type-IV, is a heterogeneous group of heritable connective tissue disorders characterized by thin, translucent skin, easy bruising, arterial, intestinal, and/or uterine fragility. There is large vessel involvement that leads to arterial rupture often preceded by aneurysm, arteriovenous fistulae, or dissection. Noninvasive imaging studies such as CT angiography and MR angiography are preferred as diagnostic studies for this condition. We are reporting a 4 years old girl who was presented with right sided unilateral convulsions and hypertension. CT angiogram showed stenosis with post-stenotic dilatation of coeliac and superior mesenteric arteries. There were extensive calcified plaques with atherosclerotic changes in the segment of right common iliac artery with aneurysmal dilatation of celiac, superior mesenteric and common iliac artery. Radiological findings were consistent with vascular Ehlers-Danlos syndrome. She was successfully managed with anti-hypertensive and anticonvulsants.

  6. Strength Training for Girls.

    ERIC Educational Resources Information Center

    Connaughton, Daniel; Connaughton, Angela; Poor, Linda

    2001-01-01

    Strength training can be fun, safe, and appropriate for young girls and women and is an important component of any fitness program when combined with appropriate cardiovascular and flexibility activities. Concerns and misconceptions regarding girls' strength training are discussed, presenting general principles of strength training for children…

  7. Strength Training for Girls.

    ERIC Educational Resources Information Center

    Connaughton, Daniel; Connaughton, Angela; Poor, Linda

    2001-01-01

    Strength training can be fun, safe, and appropriate for young girls and women and is an important component of any fitness program when combined with appropriate cardiovascular and flexibility activities. Concerns and misconceptions regarding girls' strength training are discussed, presenting general principles of strength training for children…

  8. Blindness, dancing extremities, and corpus callosum and brain stem involvement: an unusual presentation of fulminant subacute sclerosing panencephalitis.

    PubMed

    Singhi, Pratibha; Saini, Arushi Gahlot; Sankhyan, Naveen; Gupta, Pankaj; Vyas, Sameer

    2015-01-01

    A 4-year-old girl presented with acute visual loss followed 2 weeks later with loss of speech and audition, fulminant neuroregression, and choreo-athetoid movements of extremities. Fundus showed bilateral chorioretinitis. Electroencephalography showed periodic complexes. Measles antibody titers were elevated in both serum and cerebrospinal fluid, consistent with subacute sclerosing panencephalitis. Neuroimaging showed discontiguous involvement of splenium of the corpus callosum and ventral pons with sparing of cortical white matter. Our case highlights the atypical clinical and radiologic presentations of subacute sclerosing panencephalitis. Pediatricians need to be aware that necrotizing chorioretinitis in a child and/or atypical brain stem changes could be the heralding feature of this condition in endemic countries.

  9. Attachment-Based Family Therapy with a 13-Year-Old Girl Presenting with High Risk for Suicide

    PubMed Central

    Krauthamer Ewing, E. Stephanie; Levy, Suzanne A.; Boamah-Wiafe, Linda; Kobak, Roger; Diamond, Guy

    2014-01-01

    This paper describes the application of Attachment-Based Family Therapy (ABFT) to the treatment of a 13-year old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The paper begins with an overview of ABFT, including 1) how attachment theory guides treatment; 2) the structure of the clinical model; and 3) the data that provide empirical support. A case example is then presented that exemplifies the primary clinical procedures used to reach therapeutic goals in ABFT, including attachment repair and autonomy/competence promotion. Weekly changes in suicide ideation and depression scores are presented. The paper concludes with a discussion about implications for family-based treatment of suicidal youth. PMID:25329356

  10. Attachment-Based Family Therapy With a 13-Year-Old Girl Presenting With High Risk for Suicide.

    PubMed

    Krauthamer Ewing, E Stephanie; Levy, Suzanne A; Boamah-Wiafe, Linda; Kobak, Roger; Diamond, Guy

    2016-01-01

    This article describes the application of Attachment-Based Family Therapy (ABFT) to the treatment of a 13-year-old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The article begins with an overview of ABFT, including (a) how attachment theory guides treatment; (b) the structure of the clinical model; and (c) the data that provide empirical support. A case example is then presented that exemplifies the primary clinical procedures used to reach therapeutic goals in ABFT, including attachment repair and autonomy/competence promotion. Weekly changes in suicide ideation and depression scores are presented. The article concludes with a discussion about implications for family-based treatment of suicidal youth.

  11. [Girls of today, women of tomorrow].

    PubMed

    Torres, C

    1996-01-01

    In many countries, girls are discriminated against in nutrition, education, health care, and other areas, to the detriment of their personal development. Nongovernmental organizations (NGOs) concerned with promoting women's rights have come to regard the problem of girls' rights as very serious. Attention to girls in the past was focused on adolescent pregnancy or on social problems such as violence or child prostitution. But in the view of the NGOs, gender equity will be impossible to achieve as long as discrimination against girls continues. In addition, limiting the opportunities of girls will inevitably limit their potential contributions to society. The UN General Assembly in September 1989 approved the Convention on the Rights of Children, the principal goals of which were to eliminate malnutrition, preventable diseases, and illiteracy. The World Conference on Children in 1990 was attended by representatives of over 150 countries, who specified concrete goals. Measurable progress has occurred. UNICEF estimates, for example, that 2.5 million fewer children died on 1996 than in 1990, but it is probable that over half of the children in Latin America and the Caribbean live in poverty. In 1990, nearly 1 million children under age 5 in the region died of preventable diseases, and some 7 million were estimated to be malnourished, 1 million seriously. Infant mortality rates indicate that most countries of the region have improved their health status, but the rate has apparently increased in Haiti, Bolivia, and Peru. The Pan American Health Organization and the Demographic and Health Surveys have accumulated data indicating that excess mortality has occurred among girls 1-4 years old in at least 9 countries of the region. Some evidence suggests that health care is less likely to be sought for girls than boys. Domestic violence and sexual abuse are a serious problem for girls and women, but many countries continue to avoid the issue. The 1993 UN Declaration of Human

  12. Bowel perforation presenting with acute abdominal pain and subcutaneous emphysema in a 14-year-old girl with an abandoned distal peritoneal shunt catheter: case report.

    PubMed

    Riccardello, Gerald J; Barr, Luke K; Bassani, Luigi

    2016-09-01

    The authors report the case of 14-year-old girl with a history of myelomeningocele and previously shunt-treated hydrocephalus who presented with right-sided abdominal pain and subcutaneous emphysema that developed over a 1-week period. A CT scan of the patient's abdomen revealed a retained distal ventriculoperitoneal (VP) catheter with air tracking from the catheter to the upper chest wall. Given the high suspicion of the catheter being intraluminal, an exploratory laparotomy was performed and revealed multiple jejunal perforations. The patient required a partial small-bowel resection and reanastomosis for complete removal of the retained catheter. Six other similar cases of bowel perforation occurring in patients with abandoned VP and subdural-peritoneal shunts have been reported. The authors analyzed these cases with regard to age of presentation, symptomatic presentation, management, morbidity, and mortality. While there was 0% mortality associated with bowel perforation secondary to a retained distal VP catheter, the morbidity was significantly high and included peritonitis and small bowel resection.

  13. Attracting Girls to Physics

    NASA Astrophysics Data System (ADS)

    Sandow, Barbara; Marks, Ann; Borg, Anne

    2009-04-01

    In most countries the number of girls studying physics, as well female physicists in academic positions, is still low. Active recruitment at all levels is essential to change this situation. In some countries a large proportion of students are female, but career progression is difficult. Highlighting the broad spectrum of career opportunities for those with physics qualifications is a major approach in attracting girls to physics. This paper presents findings, examples of best practices, and recommendations resulting from the workshop, Attracting Girls to Physics, organized as part of the Third IUPAP International Conference on Women in Physics, Seoul, 2008.

  14. Y's Girl: increasing body satisfaction among primary school girls.

    PubMed

    Ross, Amy; Paxton, Susan J; Rodgers, Rachel F

    2013-09-01

    To date, effective body image interventions for preadolescent school girls are lacking. The present study sought to evaluate the effectiveness of Y's Girl, a published body image curriculum specifically tailored for preadolescent school girls. A sample of 60 Grade 6 girls with a mean age of 11.25 (range of 11-12) years were allocated either to an intervention or control group and completed baseline and posttest measures of body image, thin-ideal internalization, body comparison, self-esteem, peer factors, and disordered eating. Findings revealed that, compared to the control group, girls receiving the intervention reported improved body image, thin-ideal internalization, body comparisons, and self-esteem at posttest 1 week after the intervention ended. Furthermore, changes in body satisfaction were moderated by initial levels of risk-factors. These findings provide initial support for Y's Girl as an effective, affordable body image intervention for preadolescent girls which can be implemented by teachers.

  15. Efficacy of thalidomide in a girl with inflammatory calcinosis, a severe complication of juvenile dermatomyositis

    PubMed Central

    2010-01-01

    We report a 14-year-old girl with juvenile dermatomyositis (JDM) complicated by severe inflammatory calcinosis successfully treated with thalidomide. She was diagnosed as JDM when she was 4 years old after a few months of increasing lethargy, muscle pain, muscle weakness, and rash. During three months, clinical manifestations and abnormal laboratory findings were effectively treated with oral prednisolone. However, calcinosis was recognized 18 months after disease onset. Generalized calcinosis rapidly progressed with high fever, multiple skin/subcutaneous inflammatory lesions, and increased level of CRP. Fifty mg/day (1.3 mg/kg day) of oral thalidomide was given for the first four weeks, and then the dose was increased to 75 mg/day. Clinical manifestations subsided, and inflammatory markers had clearly improved. Frequent high fever and local severe pain with calcinosis were suppressed. The levels of FDP-E, IgG, and tryglyceride, which were all elevated before the thalidomide treatment, were gradually returned to the normal range. Over the 18 months of observation up to the present, she has had no inflammatory calcinosis, or needed any hospitalization, although established calcium deposits still remain. Her condition became painless, less extensive and less inflammatory with the CRP level below 3.08 mg/dL. Recent examination by whole-body 18F-FDG-PET-CT over the 15 months of thalidomide treatment demonstrated fewer hot spots around the subcutaneous calcified lesions. PMID:20181085

  16. The relationship between controlling feeding practices and boys' and girls' eating in the absence of hunger.

    PubMed

    Harris, Holly; Mallan, Kimberley M; Nambiar, Smita; Daniels, Lynne A

    2014-12-01

    Parental controlling feeding practices have been directly associated with maladaptive child eating behaviors, such as eating in the absence of hunger (EAH). The aims of this study were to examine EAH in very young children (3-4years old) and to investigate the association between maternal controlling feeding practices and energy intake from a standardized selection of snacks consumed 'in the absence of hunger'. Thirty-seven mother-child dyads enrolled in the NOURISH RCT participated in a modified EAH protocol conducted in the child's home. All children displayed EAH, despite 80% reporting to be full or very full following completion of lunch 15min earlier. The relationships between maternal and child covariates and controlling feeding practices and EAH were examined using non-parametric tests, and were stratified by child gender. For boys only, pressure to eat was positively associated with EAH. Neither restriction nor monitoring practices were associated with EAH in either boys or girls. Overall, the present findings suggest that gender differences in the relationship between maternal feeding practices and children's eating behaviors emerge early and should be considered in future research and intervention design.

  17. A 3-Year-Old Girl with Recurrent Infections and Autoimmunity due to a STAT1 Gain-of-Function Mutation: The Expanding Clinical Presentation of Primary Immunodeficiencies

    PubMed Central

    Aldave Becerra, Juan Carlos; Cachay Rojas, Enrique

    2017-01-01

    We report a 3-year-old Peruvian girl, born to non-consanguineous parents. At the age of 8 months, she had a severe pneumonia complicated with empyema that required thoracic drainage and mechanical ventilation. Although no microorganisms were isolated, the patient recovered with broad-spectrum antibiotics. Since that date, she has presented multiple episodes of pneumonia and recurrent episodes of bronchospasm. At 1 year 5 months of age, the patient began with recurrent episodes of oropharyngeal, vaginal, and skin candidiasis, which improved transiently after using oral azole drugs. At 2.5 years of age, she was admitted with lupus-like syndrome, including serositis, hemolytic anemia, thrombocytopenia, and positive antinuclear (1:80) and dsDNA (1:10) autoantibodies. Available immunologic testing was not contributory. Imaging studies revealed bilateral ethmoidal sinusitis and mild hepatomegaly. Bone marrow analysis did not showed evidence of leukemia or myelodysplasia, while renal biopsy concluded mild mesangial proliferation. Genetic studies revealed a pathogenic heterozygous signal transducer and activator of transcription 1 gain-of-function mutation (WT/P293L). The clinical status and lung function of the patient has worsened progressively. She has not achieved an optimal response to therapy, including high-dose intravenous immunoglobulin, GM-CSF, prophylactic antibiotics and antifungal drugs, so we plan to perform hematopoietic stem cell transplantation. PMID:28367431

  18. Recurrent abdominal pain as the presentation of tumor necrosis factor receptor-associated periodic syndrome (TRAPS) in an Asian girl: a case report and review of the literature.

    PubMed

    Chen, Yun-Ju; Yu, Hsin-Hui; Yang, Yao-Hsu; Lau, Yu-Lung; Lee, Wen-I; Chiang, Bor-Luen

    2014-12-01

    Tumor necrosis factor receptor-associated periodic syndrome (TRAPS) is characterized by periodic fever, cutaneous rash, conjunctivitis, lymphadenopathy, abdominal pain, myalgia, and arthralgia. It is a rare autosomal dominant disease and strongly associated with heterozygous mutations in the tumor necrosis factor (TNF) receptor super family 1A (TNFRSF1A) gene. It is believed to be more common in Western countries than in Asian countries. Here, we present the case of a 14-year-old girl with periodic fever and abdominal pain with elevation of inflammatory markers for 2 years. After extensive work-up of infectious etiology with negative results, the diagnosis of TRAPS was made although no gene mutations were identified in the TNFRSF1A gene, MVK gene, and NALP3/CIAS1 gene. She had partial clinical response to corticosteroids and immunomodulatory agents. However, the treatment response to TNF-α inhibitor etanercept was dramatic. She has remained symptom free under regular weekly to biweekly etanercept treatment for 2 years. We also reviewed the related literature and summarized the data of 10 Asian cases of TRAPS.

  19. Fortuitous FISH diagnosis of an interstitial microdeletion (5)(q31.1q31.2) in a girl suspected to present a cri-du-chat syndrome.

    PubMed

    Mosca, A L; Callier, P; Leheup, B; Marle, N; Jalloul, M; Coffinet, L; Feillet, F; Valduga, M; Jonveaux, P; Mugneret, F

    2007-06-15

    Constitutional interstitial deletions of 5q are relatively rare and most are poorly characterized cytogenetically. Consequently a definite karyotype-phenotype correlation is difficult to establish. We report on a new case of a girl presenting with an abnormal cry, upslanting palpebral fissures, hypertelorism, anteverted nostrils, microretrognathia, growth retardation, and an adenoid cyst at the base of the tongue. The first suspected diagnosis was cri-du-chat syndrome because of the mewing cry. Standard cytogenetic analyses were interpreted as normal, but FISH studies using the probe of cri-du-chat syndrome with the control probe EGR1 (5q31.2)/D5S23 (Abbott) revealed a 5q31.2 microdeletion which was then confirmed by CGH-array (Abbott). FISH studies using PACs and BACs clones (Rocchi, Italia) enabled us to characterize the breakpoints of the deleted region. Cytogenetic analysis with FISH studies revealed a normal karyotype with normal 5q31 region in both parents. This case is compared with the other cases reported in the literature.

  20. Male gender identity in children with 46,XX DSD with congenital adrenal hyperplasia after delayed presentation in mid-childhood.

    PubMed

    Chowdhury, Tanvir Kabir; Laila, Kamrun; Hutson, John M; Banu, Tahmina

    2015-12-01

    Girls with congenital adrenal hyperplasia (CAH) diagnosed at birth have some masculine behaviors but rarely convert to male gender. In developing countries, however, diagnosis and treatment (with secondary androgen suppression) are delayed. We aimed to assess effect of delayed treatment of CAH on gender identity. As part of a cross-sectional, case-control study of children with disorders of sex development (DSD), there were 11 patients with CAH. Patients and caregivers answered a questionnaire about gender identity, and behavior was assessed by observing toy play. Patients were examined for Prader score and gender identity. Of 11 CAH patients initially raised as girls, 3 (27%) had converted to male gender at presentation (5, 9, 9years) (Prader 3, 4, 4). Of the remaining 8 patients, one 4-year-old (Prader 2) had a male gender identity score. The remaining girls (2-13years, mean 8.1) (Prader 1-3) had gender identity scores in the female range. One third (4/11) of CAH patients presenting in mid-childhood had male gender identity scores, and ¾ had assumed male gender role. Although social and cultural factors are important in developing countries, this result suggests that delayed treatment may trigger male gender identity, and delayed female genital surgery may be unwise. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Turtle Girls

    ERIC Educational Resources Information Center

    Nelson, Charles; Ponder, Jennifer

    2010-01-01

    The day the Turtle Girls received Montel's adoption papers, piercing screams ricocheted across the school grounds instantaneously and simultaneously--in that moment, each student felt the joy of civic stewardship. Read on to find out how a visit to The Turtle Hospital inspired a group of elementary students to create a club devoted to supporting…

  2. Turtle Girls

    ERIC Educational Resources Information Center

    Nelson, Charles; Ponder, Jennifer

    2010-01-01

    The day the Turtle Girls received Montel's adoption papers, piercing screams ricocheted across the school grounds instantaneously and simultaneously--in that moment, each student felt the joy of civic stewardship. Read on to find out how a visit to The Turtle Hospital inspired a group of elementary students to create a club devoted to supporting…

  3. Phthirus pubis infestation of the eyelashes and scalp hairs in a girl.

    PubMed

    Ikeda, Nariko; Nomoto, Hiroo; Hayasaka, Seiji; Nagaki, Yasunori

    2003-01-01

    A 4-year-old girl was seen because of foreign bodies on the eyelashes. Parasites and their nits were seen on the patient's eyelashes and scalp. Her parents denied having Phthirus pubis infection of the axillary, pubic, or body hair, despite confirmation of the infestation in their child. The parasites were removed and the lashes with nits were cut off at the base. The parasite was identified as P. pubis. The scalp was washed with phenothrin shampoo. One month later no P. pubis infestation was found. Removal of the parasites, cutting the lashes at the base, and using phenothrin shampoo on the scalp were effective in resolving phthiriasis.

  4. Decreasing Expulsions by a Child with a Feeding Disorder: Using a Brush to Present and Re-Present Food

    ERIC Educational Resources Information Center

    Girolami, Peter A.; Boscoe, James H.; Roscoe, Nicole

    2007-01-01

    Previous research has demonstrated that extinction in the form of re-presentation of expelled bites is an effective intervention for treating food expulsion. The current study compared the effectiveness of re-presenting expulsions with a spoon to re-presenting with a Nuk[R] brush for a 4-year-old boy with a feeding disorder. Fewer expulsions were…

  5. Puberty in girls

    MedlinePlus

    ... child - puberty in girls; Development - puberty in girls; Menstruation - puberty in girls; Breast development - puberty in girls ... also grow hair in your armpits. Get your period. See "menstrual periods" below. Get some pimples or ...

  6. [The importance of a law on time: presentation of a girl with biotinidase deficiency who was not picked up through the neonatal screening].

    PubMed

    Bay, Luisa B; de Pinho, Silvina; Eiroa, Hernán D; Otegui, Inés; Rodríguez, Romina

    2010-02-01

    In August 2008, the province of Buenos Aires had not adhered to the National law number 26279, that establishes the obligatory nature of the neonatal screening for biotinidase deficiency, among other diseases. In that date, a girl was born in Buenos Aires. She was admitted in the Hospital "J. P. Garrahan" with lethargy, metabolic acidosis, hiperlactacidemia, alopecia, conjuntivitis and scaly erythematous eruption in trunk, at 58 days of life, from a pediatric intensive care unit. Due to this clinic (13 days of evolution), a biotinidase assay in serum was done. This was abnormally low. She initiates treatment with biotin and the biochemical abnormalities revert quickly. If the neonatal screening had been done, this girl wouldn't have been exposed at risk of death, and a normal development would have been assure (by the presymptomatic beginning of the treatment), since the neurological injuries not always go back ad integrum.

  7. Imaging Girls: Visual Methodologies and Messages for Girls' Education

    ERIC Educational Resources Information Center

    Magno, Cathryn; Kirk, Jackie

    2008-01-01

    This article describes the use of visual methodologies to examine images of girls used by development agencies to portray and promote their work in girls' education, and provides a detailed discussion of three report cover images. It details the processes of methodology and tool development for the visual analysis and presents initial 'readings'…

  8. Imaging Girls: Visual Methodologies and Messages for Girls' Education

    ERIC Educational Resources Information Center

    Magno, Cathryn; Kirk, Jackie

    2008-01-01

    This article describes the use of visual methodologies to examine images of girls used by development agencies to portray and promote their work in girls' education, and provides a detailed discussion of three report cover images. It details the processes of methodology and tool development for the visual analysis and presents initial 'readings'…

  9. Homocystinuria: A rare condition presenting as stroke and megaloblastic anemia

    PubMed Central

    Bhardwaj, Parveen; Sharma, Ravi; Sharma, Minoo

    2010-01-01

    Homocystinuria is an inborn error of amino acid metabolism in which homocystine accumulates in the blood and produces a slowly evolving clinical syndrome. We are presenting a case of a 4-year-old female child who presented to us with stroke and also had megaloblastic anemia. She was diagnosed as having homocystinuria type-1, and she responded to treatment. PMID:21559159

  10. Homocystinuria: A rare condition presenting as stroke and megaloblastic anemia.

    PubMed

    Bhardwaj, Parveen; Sharma, Ravi; Sharma, Minoo

    2010-07-01

    Homocystinuria is an inborn error of amino acid metabolism in which homocystine accumulates in the blood and produces a slowly evolving clinical syndrome. We are presenting a case of a 4-year-old female child who presented to us with stroke and also had megaloblastic anemia. She was diagnosed as having homocystinuria type-1, and she responded to treatment.

  11. Attracting girls to physics

    NASA Astrophysics Data System (ADS)

    Borg, Anne; Sui, Manling

    2013-03-01

    Large regional differences remain in the number of girls studying physics and the number of female physicists in academic positions. While many countries struggle with attracting female students to university studies in physics, climbing the academic ladder is the main challenge for these women. Furthermore, for many female physicists the working climate is not very supportive. The workshop Attracting Girls to Physics, organized as part of the 4th IUPAP International Conference on Women in Physics, South Africa 2011, addressed attitudes among education-seeking teenagers and approaches for attracting young girls to physics through successful recruitment plans, including highlighting the broad spectrum of career opportunities for those with physics qualifications. The current paper presents findings, examples of best practices, and recommendations resulting from this workshop.

  12. Involving Girls in Program Evaluations: Girls Study Girls Inc.

    ERIC Educational Resources Information Center

    Kimball, Colette

    2005-01-01

    Based on an interview with Dr. PeiYao Chen, a research analyst with Girls Incorporated, this article explores how the "Girls Study Girls Inc." participatory research project was conducted, what it meant for those involved, and what other programs can learn from it.

  13. Attracting Girls Into Physics

    NASA Astrophysics Data System (ADS)

    Hosny, Hala M.; Kahil, Heba M.

    2005-10-01

    From our national statistics, it is evident that in the population of physicists there are considerably fewer women than men. Our role is to attract girls to physics and thus decrease this gap. The institutional structure in Egypt provides an equal opportunity for girls to study sciences, including physics. It is reckoned that girls refrain from studying physics due to a group of social and economic factors. We will discuss teaching physics at schools and present some ideas to develop it. The media should play a role in placing female physicists in the spotlight. Unfortunately, careers that require intellectual skills are considered men's careers. This necessitates that society changes the way it sees women and trusts more in their skills and talents. We therefore call for the cooperation of governmental and nongovernmental bodies, together with universities and the production sectors involved. This will ultimately lead to enhancing the entrepreneurial projects related to physics and technology on the one hand, and will encourage girls to find challenging opportunities on the other.

  14. [Legionella pneumophila pneumonia associated with the use of a home humidifier in an immunocompetent girl].

    PubMed

    Bonilla Escobar, Bertha Angélica; Montero Rubio, Juan Carlos; Martínez Juárez, Guadalupe

    2014-01-21

    Legionellosis is an uncommon cause of pneumonia in children and even more exceptionally in healthy children. The purpose of this study is to describe the procedure which led to the identification of an unusual source of legionella infection, in a healthy girl, and highlight the need to adopt preventive measures. A 4-year old girl without any risk factors was diagnosed of pneumonia caused by Legionella pneumophila serogroup 1. After investigating the environment, it was found that the source of the transmission was a home humidifier. Despite the fact that this equipment is classified with a low probability of spreading legionella, a lack of cleanliness and maintenance of these machines can increase the risk of transmission of the bacteria. Therefore, healthcare professionals must give adequate advice to their patients about the care of this equipment and how to use these machines properly. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  15. A review of eight cases of cavernous sinus thrombosis secondary to sphenoid sinusitis, including a12-year-old girl at the present department.

    PubMed

    Wang, Yun-Hu; Chen, Po-Yen; Ting, Pei-Ju; Huang, Fang-Liang

    2017-09-01

    Cavernous sinus thrombosis (CST) is a severe disease which can result from infection of any of the tissues drained by the cavernous sinus. We here review eight cases, including a 12-year-old girl, all secondary to sphenoid sinusitis. The clinical manifestations, laboratory data, imaging findings, pathogens, medications, surgical treatment and clinical outcomes were analyzed. All eight patients had headache and five of them fever. All cases were associated with one or more ophthalmic symptoms. In four cases, computed tomography/magnetic resonance imaging showed isolated sphenoid sinusitis. In three cases, streptococci were isolated from blood culture and two cases showed Staphylococcus aureus in blood and sinus cultures. In seven cases, surgery was undertaken. All eight subjects received antibiotics, and 5 were administered intravenous ceftriaxone and metronidazole. Six subjects received anticoagulation therapy and one received corticosteroids. No mortality was recorded. Three cases showed sequelae, including Lemierre syndrome, ophthalmic complaints, and cranial nerve paralysis. In conclusion, the management of CST should include intravenous antibiotic therapy, combined with endonasal sinus surgery.

  16. A girl with tuberous sclerosis complex presenting with severe epilepsy and electrical status epilepticus during sleep, and with high-functioning autism and mutism.

    PubMed

    Pacheva, Iliyana; Panov, Georgi; Gillberg, Christopher; Neville, Brian

    2014-06-01

    Most patients with tuberous sclerosis complex (TSC) suffer from epilepsy, and many have cognitive and behavioral problems like severe intellectual disability, autism, and hyperactivity. Only rare patients with TSC and autism have a normal intelligence quotient. We report a 13-year-old girl with definite TSC who had early-onset severe epilepsy, autistic behavior, and moderate developmental delay. By school age, however, she had normal intelligence; her intelligence quotient was at least 70 based on a Stanford-Binet test that she refused to complete. She showed good reading, writing, and language comprehension skills, and the special abilities of hyperlexia, hypermnesia, and hypercalculia. However, she did not speak. Criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, and her Childhood Autism Rating Scale score of 36 indicated mild to moderate autism. She had severe electroencephalographic abnormalities: hypsarrhythmia, multifocal or generalized epileptiform discharges, and electrical status epilepticus during sleep, with a continuous left temporal focus. Magnetic resonance imaging showed many cortical tubers in all brain lobes, and subependymal nodules. We discuss possible explanations for her lack of speech. Considered as speech apraxia, her mutism could be either a symptom of her TSC or a component of her autism. Another possibility is that long-lasting electrical status epilepticus during sleep led to her autistic behavior and language arrest. Still another possibility is that a disinhibited mammalian target of rapamycin (mTOR) pathway was at the root of all of her neuropsychiatric symptoms.

  17. A Girl Like You

    ERIC Educational Resources Information Center

    Stanistreet, Paul

    2008-01-01

    This article presents a profile of author Gilda O'Neill and a description of how she became a writer. She left school at 15 after being told by a teacher that "girls like her" never became writers. Now a best-selling author, she hopes her work will inspire others to regain the love of learning they lost at school. She always knew that stories…

  18. A Girl Like You

    ERIC Educational Resources Information Center

    Stanistreet, Paul

    2008-01-01

    This article presents a profile of author Gilda O'Neill and a description of how she became a writer. She left school at 15 after being told by a teacher that "girls like her" never became writers. Now a best-selling author, she hopes her work will inspire others to regain the love of learning they lost at school. She always knew that stories…

  19. Dysosteosclerosis Presents as an “Osteoclast-Poor” Form of Osteopetrosis: Comprehensive Investigation of a 3-Year-Old Girl and Literature Review

    PubMed Central

    Whyte, Michael P; Wenkert, Deborah; McAlister, William H; Novack, Deborah V; Nenninger, Angie R; Zhang, Xiafang; Huskey, Margaret; Mumm, Steven

    2010-01-01

    Dysosteosclerosis (DSS), an extremely rare dense bone disease, features short stature and fractures and sometimes optic atrophy, cranial nerve palsy, developmental delay, and failure of tooth eruption in infancy or early childhood consistent with osteopetrosis (OPT). Bone histology during childhood shows unresorbed primary spongiosa from deficient osteoclast action. Additionally, there is remarkable progressive flattening of all vertebrae and, by adolescence, paradoxical metaphyseal osteopenia with thin cortical bone. Reports of consanguinity indicate autosomal recessive inheritance, yet more affected males than females suggest X-linked recessive inheritance. We investigated a nonconsanguineous girl with DSS. Osteosclerosis was discovered at age 7 months. Our studies, spanning ages 11 to 44 months, showed weight at approximately 50th percentile, and length diminishing from approximately 30th percentile to –2.3 SD. Head circumference was +4 SD. The patient had frontal bossing, blue sclera, normal teeth, genu valgum, and unremarkable joints. Radiographs showed orbital and facial sclerosis, basilar thickening, bone-in-bone appearance of the pelvis, sclerotic long bone ends, and fractures of ribs and extremities. Progressive metaphyseal widening occurred as vertebrae changed from ovoid to flattened and became beaked anteriorly. A hemogram was normal. Consistent with OPT, serum parathyroid hormone (PTH) concentrations reflected dietary calcium levels. Serum bone alkaline phosphatase, osteocalcin, and TRACP-5b were subnormal. The iliac crest contained excessive primary spongiosa and no osteoclasts. No mutations were identified in the splice sites or exons for the genes encoding chloride channel 7, T-cell immune regulator 1, OPT-associated transmembrane protein 1, and monocyte colony-stimulating factor (M-CSF) and its receptor C-FMS, ANKH, OPG, RANK, and RANKL. Genomic copy-number microarray was unrevealing. Hence, DSS is a distinctive OPT of unknown etiology featuring

  20. Preadolescent Violence among Girls

    ERIC Educational Resources Information Center

    Boyer, Wanda

    2010-01-01

    This research study explored preadolescent girl-to-girl violence based on the perceptions of the victim at 14 years of age and those of her family. Using a heuristic research design (Moustakas, 1990), this constant comparative analysis of multiple data sources found (a) a clearly delineated progression of girl-to-girl violence, (b) blindness…

  1. Preadolescent Violence among Girls

    ERIC Educational Resources Information Center

    Boyer, Wanda

    2010-01-01

    This research study explored preadolescent girl-to-girl violence based on the perceptions of the victim at 14 years of age and those of her family. Using a heuristic research design (Moustakas, 1990), this constant comparative analysis of multiple data sources found (a) a clearly delineated progression of girl-to-girl violence, (b) blindness…

  2. Girls' Aggressive Behavior

    ERIC Educational Resources Information Center

    Owens, Larry; Shute, Rosalyn; Slee, Phillip

    2004-01-01

    In contrast to boys' bullying behavior which is often overt and easily visible, girls' aggression is usually indirect and covert. Less research has been conducted on the types of bullying that girls usually engage in. Using focus groups composed of teenaged girls, Dr. Owens and colleagues examine the nature of teenage girls' indirect aggression.

  3. [Neuroblastoma presenting as obstructive jaundice].

    PubMed

    García de Andoin Barandiaran, N; Lassaletta Atienza, A; Scaglione Ríos, C; Contra Martín, T; Madero López, L

    2006-01-01

    Obstructive jaundice as a presentation of abdominal tumors in childhood is extremely rare. To date, only 4 cases of neuroblastoma causing obstructive jaundice at diagnosis have been reported in children. We report a 4-year-old boy who presented to the emergency department with abdominal pain, jaundice, choluria and acholia. A diagnosis of unresectable, nonmetastatic neuroblastoma was made. Chemotherapy reduced the size of the tumor and relieved the symptoms of obstructive jaundice without the need for decompressive surgery. Abdominal tumors should be included in the differential diagnoses of obstructive jaundice in childhood.

  4. Decreasing expulsions by a child with a feeding disorder: using a brush to present and re-present food.

    PubMed

    Girolami, Peter A; Boscoe, James H; Roscoe, Nicole

    2007-01-01

    Previous research has demonstrated that extinction in the form of re-presentation of expelled bites is an effective intervention for treating food expulsion. The current study compared the effectiveness of re-presenting expulsions with a spoon to re-presenting with a Nuk brush for a 4-year-old boy with a feeding disorder. Fewer expulsions were observed when using the brush for re-presentation, and further reductions were observed when the brush was also used for initial presentations.

  5. Renal Presentation in Pediatric Acute Leukemia: Report of 2 Cases.

    PubMed

    Sherief, Laila M; Azab, Seham F; Zakaria, Marwa M; Kamal, Naglaa M; Abd Elbasset Aly, Maha; Ali, Adel; Abd Alhady, Mohamed

    2015-09-01

    Renal enlargement at time of diagnosis of acute leukemia is very unusual. We here in report 2 pediatric cases of acute leukemia who had their renal affection as the first presenting symptom with no evidences of blast cells in blood smear and none of classical presentation of acute leukemia. The first case is a 4-year-old girl who presented with pallor and abdominal enlargement. Magnetic resonance imaging showed bilateral symmetrical homogenous enlarged kidneys suggestive of infiltration. Complete blood picture (CBC) revealed white blood count 11 × 10⁹/L, hemoglobin 8.7 g/dL and platelet count 197 × 10⁹/L. Bone marrow aspiration was performed, and diagnosed precursor B-cell ALL was made. The child had an excellent response to modified CCG 1991 standard risk protocol of chemotherapy with sustained remission, but unfortunately relapsed 11 month after the end of therapy. The second child was 13-month old, presented with pallor, vomiting, abdominal enlargement, and oliguria 2 days before admission. Initial CBC showed bicytopenia, elevated blood urea, creatinine, and serum uric acid, while abdominal ultrasonography revealed bilateral renal enlargement. Bone marrow examination was done and showed 92% blast of biphenotypic nature. So, biphynotypic leukemia with bilateral renal enlargement and acute renal failure was subsequently diagnosed. The patients admitted to ICU and received supportive care and prednisolone. Renal function normalized and chemotherapy was started. The child achieved complete remission with marked reduction of kidney size but, unfortunately she died from sepsis in consolidation phase of therapy. This case demonstrates an unusual early renal enlargement in childhood acute leukemia. Renal involvement of acute leukemia should be considered in child presenting with unexplained bilateral renal enlargement with or without renal function abnormalities and bone marrow examination should be included in the workup.

  6. Girls back off mathematics again: the views and experiences of girls in computer-based mathematics

    NASA Astrophysics Data System (ADS)

    Vale, Colleen

    2002-12-01

    The views and experiences of girls in two co-educational mathematics classrooms in which computers were regularly used were researched. Data were collected by observation and videotaping of lessons, questionnaire, and interviews of students and the teachers. In this paper case studies of six girls are presented. Their `stories' reveal a diversity of experiences and views and multiple gender identities. High achieving girls persisted as "outsiders within," other girls "backed off", and exceptional girls challenged gender stereotypes. Implications for social justice in mathematics in the age of the super highway are discussed.

  7. Atypical severe combined immunodeficiency caused by a novel homozygous mutation in Rag1 gene in a girl who presented with pyoderma gangrenosum: a case report and literature review.

    PubMed

    Patiroglu, Turkan; Akar, H Haluk; Gilmour, Kimberly; Ozdemir, M Akif; Bibi, Shahnaz; Henriquez, Frances; Burns, Siobhan O; Unal, Ekrem

    2014-10-01

    Severe combined immunodeficiency (SCID) is a heterogeneous group of inherited defects involving the development of T- and/or B-lymphocytes. We report a female with atypical severe combined immunodeficiency caused by a novel homozygous mutation at cDNA position 2290 (c.2290C > T) in exon 2 of the RAG1 gene. The patient presented with bronchopneumonia, pyoderma gangrenosum (PG), pancytopenia and splenomegaly. She presented to us with pancytopenia and splenomegaly at the age of 11. Her condition was complicated by PG on left lower ankle at the age of 12. She experienced bronchopneumonia at the age of 15. She was diagnosed with RAG1 deficiency at the age of 16. Her immunological presentation included leucopenia and diminished number of B cells.

  8. Avoidance of a potential tracheoinnominate fistula by innominate artery re-implantation in a four year old girl with tracheostomy dependence and Pfeiffer syndrome.

    PubMed

    Olson, Michael D; Boesch, R Paul; Duncan, Audra A; Cofer, Shelagh A

    2016-02-01

    A 4 year old tracheostomy dependent girl with Pfeiffer syndrome was noted on bronchoscopy to have a pulsatile tracheostomal mass. CT chest angiography was consistent with the innominate artery crossing anterior to the trachea and superior to the sternal notch. The patient underwent reimplantation of the innominate artery via a median sternotomy approach. Tracheoinnominate fistula is a potentially devastating complication of tracheostomy. We report discovery of a near tracheoinnominate fistula in order to highlight the importance of regular interval surveillance endoscopy in tracheostomy dependent children and to discuss a preventative surgical intervention employed in prevention of this potentially devastating complication.

  9. Girls and ADHD

    MedlinePlus

    ... Content Article Body The fact that many more boys than girls are diagnosed with ADHD—at a ratio of ... even when their symptoms are the same as boys’, and girls are less likely than boys to receive sufficient ...

  10. Plasmodium vivax malaria presenting with severe thrombocytopenia, cerebral complications and hydrocephalus.

    PubMed

    Harish, Rekha; Gupta, Sanjeev

    2009-05-01

    Two cases of a one and 4 year old child of plasmodium vivax malaria are reported in association with CNS complications. Both presented with encephalopathy and seizures. One had severe thrombocytopenia, massive intracranial bleed and hydrocephalus requiring shunt surgery while the other had gastrointestinal manifestations, encephalopathy and hydrocephalus. Both responded to quinine but are left with sequelae.

  11. Development of Young Children's Understanding that the Recent Past Is Causally Bound to the Present.

    ERIC Educational Resources Information Center

    Povinelli, Daniel J.; Landry, Anita M.; Theall, Laura A.; Clark, Britten R.; Castille, Conni M.

    1999-01-01

    Six experiments examined young children's understanding that very recent past events determine the present. Found that 4-year-olds, but not 3-year-olds, could locate a puppet they had observed being hidden either through a videotape or using a verbal analog of the task. When children observed 2 events in which they participated, only 5-year-olds…

  12. A Novel Frameshift Mutation of the ALDOB Gene in a Korean Girl Presenting with Recurrent Hepatitis Diagnosed as Hereditary Fructose Intolerance.

    PubMed

    Choi, Hae-Won; Lee, Yeoun Joo; Oh, Seak Hee; Kim, Kyung Mo; Ryu, Jeong-Min; Lee, Beom Hee; Kim, Gu-Hwan; Yoo, Han-Wook

    2012-01-01

    Hereditary fructose intolerance is an autosomal recessive disorder that is caused by a deficiency in fructose-1-phosphate aldolase (Aldolase B). Children can present with hypoglycemia, jaundice, elevated liver enzymes and hepatomegaly after intake of dietary fructose. Long-term intake of fructose in undiagnosed patients can result in hepatic failure or renal failure. We experienced a case of hereditary fructose intolerance presenting as recurrent hepatitis-like episodes. Detailed evaluation of her dietary habits revealed her avoidance of sweetened foods and fruits. Genetic analysis of ALDOB revealed that she is a homozygote for a novel frameshifting mutation c[758_759insT]+[758_759insT] (p.[val25 3fsX24]+[val253fsX24]). This report is the first of a Korean patient diagnosed with hereditary fructose intolerance using only molecular testing without undergoing intravenous fructose tolerance test or enzyme assay.

  13. Successful surgical management of New Onset Refractory Status Epilepticus (NORSE) presenting with gelastic seizures in a 3 year old girl.

    PubMed

    Marashly, Ahmad; Lew, Sean; Koop, Jennifer

    2017-01-01

    Gelastic seizures (GS) are typically associated with hypothalamic hamartomas and present during childhood. However it is now known that GS can be found in focal epilepsies arising from other regions in the brain, including mesial and neocortical frontal, temporal and parietal regions. GS have rarely been described as the presenting manifestation of New Onset Refractory Status Epilepticus (NORSE). In this article we describe a previously healthy 3-year-old who presented with an explosive onset of GS that were refractory to multiple anti-seizure medications. These seizures arose from the right frontal region. An extensive metabolic and immunological evaluation was negative. Her brain magnetic resonance imaging (MRI) was negative, however the Positron Emission Tomography (PET) scan showed a hypermetabolic region in the right frontal inferior gyrus. She underwent a depth electrode evaluation that revealed a widespread irritative zone involving the PET "lesion" as well as mesial and neocortical regions in the right frontal lobe. The seizure onset zone was widespread and non-localizable. However the GS were associated with a clear ictal epileptiform discharge on invasive EEG arising from the depth of the superior frontal gyrus, which was not overlapping with the PET hypermetabolic region. She underwent a right frontal lobectomy sparing the primary motor region in the pre-central gyrus. She has remained seizure free for 15 months since. The pathological analysis showed focal cortical dysplasia type II in the region of the PET scan hypermetabolism. This case expands the clinical spectrum of GS to include cases of NORSE. Additionally the case highlights the role of resective surgery in GS presenting as NORSE and the potentially excellent outcome that can be achieved by early intervention.

  14. Epistaxis as a Common Presenting Symptom of Glanzmann's Thrombasthenia, a Rare Qualitative Platelet Disorder: Illustrative Case Examples

    PubMed Central

    Chitlur, Meera; Lam, Derek; Sarnaik, Syana; Rajpurkar, Madhvi; Cooper, David L.; Gunawardena, Sriya

    2017-01-01

    Children often present to emergency departments (EDs) with uncontrollable nose bleeding. Although usually due to benign etiologies, epistaxis may be the presenting symptom of an inherited bleeding disorder. Whereas most bleeding disorders are detected through standard hematologic assessments, diagnosing rare platelet function disorders may be challenging. Here we present two case reports and review diagnostic and management challenges of platelet function disorders with a focus on Glanzmann's thrombasthenia (GT). Patient 1 was a 4-year-old boy with uncontrolled epistaxis. His medical history included frequent and easy bruising. Previous laboratory evaluation revealed only mild microcytic anemia. An otolaryngologist stopped the bleeding, and referral to a pediatric hematologist led to the definitive diagnosis of GT. Patient 2 was a 2.5-year-old girl with severe epistaxis and a history of milder recurrent epistaxis. She had a bruise on her abdomen with a palpable hematoma and many scattered petechiae. Previous assessments revealed no demonstrable hemostatic anomalies. Platelet aggregation studies were performed following referral to a pediatric hematologist, leading to the diagnosis of GT. As evidenced by these cases, the ED physician may often be the first to evaluate severe or recurrent epistaxis and should recognize indications for coagulation testing and hematology consultation/referral for advanced hematologic assessments. PMID:28299211

  15. The Rural Girls in Science Program

    ERIC Educational Resources Information Center

    Ginorio, Angela B.; Fournier, Janice; Frevert, Katie

    2004-01-01

    The rural girls in science program presented a comprehensive model of the entire scientific process. National Science Foundation funded a program, which targeted girls in rural schools serving American Indian or Latina, who are less fortunate than American students of Washington State.

  16. Girls and war: an extra vulnerability.

    PubMed

    Black, M

    1998-01-01

    It is no longer possible to consider the raping of girls as an isolated atrocity of war. In Uganda, guerrilla forces have kidnapped 6000-10,000 children and have forced the "most desirable" girls to become "wives" of warlords. Girls who manage to escape are deeply traumatized and suffer ill health as well as possible social ostracism. In refugee camps, recognition that adolescent girls face special risks of rape and of engaging in the informal prostitution that may expose them to HIV/AIDS has led to the introduction of new measures to increase female security. Families in refugee camps in Burundi and Somalia protect female honor by submitting their daughters to very early marriage, which also abuses the girls' rights. Girls conscripted to military groups are forced to transport materials, cook, or help loot villages. In conditions of war, even girls who remain at home protected by their families must assume extra responsibilities, especially if men go off to fight leaving women with the agricultural and livestock burdens. Girls will be the first children withdrawn from school to help keep the household afloat. Girls and women are also expected to tend those wounded by the very war that destroys the health care services that are vital to meet women's reproductive needs. Efforts are being made to identify rape as a specific war crime, and these efforts should be extended to the kidnapping and forced recruitment of children into combat roles. Moral codes must be reestablished, even if they are only nominal at present.

  17. A girl with 1p36 deletion syndrome and congenital fiber type disproportion myopathy.

    PubMed

    Okamoto, Nobuhiko; Toribe, Yasuhisa; Nakajima, Tohru; Okinaga, Takeshi; Kurosawa, Kenji; Nonaka, Ikuya; Shimokawa, Osamu; Matsumoto, Noamichi

    2002-01-01

    Chromosome 1p36 deletion syndrome is characterized by hypotonia, moderate to severe developmental and growth retardation, and characteristic craniofacial dysmorphism. Muscle hypotonia and delayed motor development are almost constant features of the syndrome. We report a 4-year-old Japanese girl with 1p36 deletion syndrome whose muscle pathology showed congenital fiber type disproportion (CFTD) myopathy. This is the first case report of 1p36 deletion associated with CFTD. This association may indicate that one of the CFTD loci is located at 1p36. Ski proto-oncogene -/- mice have phenotypes that resemble some of the features observed in patients with 1p36 deletion syndrome. Because fluorescent in situ hybridization analysis revealed that the human SKI gene is deleted in our patient, some genes in 1p36, including SKI proto-oncogene, may be involved in muscle hypotonia and delayed motor development in this syndrome.

  18. Genital tuberculosis in adolescent girls from low socioeconomic status with acute ectopic pregnancy presenting at a tertiary care hospital in urban Northern India: are we missing an opportunity to treat?

    PubMed

    Banerjee, Ananya; Prateek, Shashi; Malik, Sunita; Dhingra, Deepali

    2012-12-01

    Predominant etiology of ectopic gestation is tubal damage, notably salpingitis, which may be of tubercular etiology. To compare the incidence of genital tuberculosis (GTB) in two groups of adolescent patients: one undergoing surgery for acute ectopic pregnancy, the other undergoing suction evacuation for spontaneous miscarriage and to evaluate GTB as a risk factor for ectopic pregnancy in adolescent girls from low socioeconomic status presenting to a tertiary care hospital in Northern India. Prospective case-control study with 17 adolescent subjects from low socioeconomic status with acute presentation of ectopic pregnancy (group 1, study) undergoing laparotomy with 20 adolescent subjects with spontaneous miscarriage (group 2, control) undergoing suction evacuation. Subjects were tested for presence of GTB by presence of tubercular granuloma and/or positive growth on BACTEC radiometric assay from sample obtained from endometrial aspirate and products of conception in groups 1 and 2, respectively. Incidence of GTB was 35.29% (6 out of 17) in the study group compared with 5% in the control group (1 out of 20) (P=0.03). The sample size of this pilot study is too small to arrive at the definite conclusion whether GTB is risk factor for acute ectopic in this population of patients. Larger studies are needed to validate this hypothesis. However, in the presence of risk factors/suggestive intraoperative findings, testing for TB in this set of population presenting with ectopic pregnancy may be justified to prevent further morbidity by initiating anti-tubercular therapy in high prevalence areas.

  19. Parent's Guide to Girls' Sports.

    ERIC Educational Resources Information Center

    Tutko, Thomas

    This pamphlet provides guidelines for parents in encouraging their daughters to participate in and enjoy athletic activities. Brief discussions are presented on: (1) the value of sport; (2) girls' needs at different age levels; (3) guidelines for supportive behavior; (4) special needs of the female athlete; (5) parent/child/coach relationship; (6)…

  20. Parent's Guide to Girls' Sports.

    ERIC Educational Resources Information Center

    Tutko, Thomas

    This pamphlet provides guidelines for parents in encouraging their daughters to participate in and enjoy athletic activities. Brief discussions are presented on: (1) the value of sport; (2) girls' needs at different age levels; (3) guidelines for supportive behavior; (4) special needs of the female athlete; (5) parent/child/coach relationship; (6)…

  1. Girls' Bodies, Drama and Unruliness

    ERIC Educational Resources Information Center

    Ramsay, Alison

    2014-01-01

    This article examines some of the performance outcomes from a practised-based research project that took place with adolescent girls attending an after-school drama club. Participants experimented with slapstick humour in a series of workshops, before presenting their own devised physical comedy performance for a live audience. Comic performances…

  2. Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003.

    PubMed

    Leininger, Robert E; Knox, Christy L; Comstock, R Dawn

    2007-02-01

    As soccer participation in the United States increases, so does the number of children at risk for injury. To examine pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003. Descriptive epidemiology study. A descriptive analysis of nationally representative, pediatric, soccer-related injury data from the US Consumer Product Safety Commission's National Electronic Injury Surveillance System. Among those 2 to 18 years of age, a nationally estimated 1597528 soccer-related injuries presented to US emergency departments from 1990 to 2003. Mean age was 13.2 years (range, 2-18 years); 58.6% were male. From 1990 to 2003, there was an increase in the absolute number of injuries among girls (P < .0001). The wrist/finger/hand (20.3%), ankle (18.2%), and knee (11.4%) were the most commonly injured body parts. The most common diagnoses were sprain/strain (35.9%), contusion/abrasion (24.1%), and fracture (23.2%). Boys were more likely to have face and head/neck injuries (17.7%; relative risk, 1.40; 95% confidence interval, 1.32-1.49; P < .01) and lacerations/punctures (7.5%; relative risk, 3.31; 95% confidence interval, 2.93-3.74; P < .01) than were girls (12.7% and 2.3%, respectively). Girls were more likely to have ankle injuries (21.8%; relative risk, 1.38; 95% confidence interval, 1.33-1.45; P < .01) and knee injuries (12.9%; relative risk, 1.25; 95% confidence interval, 1.15-1.35; P < .01) than were boys (15.7% and 10.4%, respectively). Girls were more likely to have sprains or strains (42.4%) than were boys (31.3%; relative risk, 1.36; 95% confidence interval, 1.31-1.40; P < .01). Children 2 to 4 years old sustained a higher proportion of face and head/neck injuries (41.0%) than did older children (15.5%; relative risk, 2.65; 95% confidence interval, 2.09-3.36; P < .01). When comparing these data to available national statistics that estimate participation in youth soccer, true injury rates may actually be decreasing for boys and girls

  3. Music Therapy: A Therapeutic Intervention for Girls with Rett Syndrome.

    ERIC Educational Resources Information Center

    Coleman, Kathleen A.

    The paper reviews music therapy, the educational background of music therapists, music therapy's various settings, and its use as an intervention with girls with Rett Syndrome. Sample music therapy programs for three girls (aged 5, 14, and 20 years) with Rett Syndrome are presented. The sample programs provide: student descriptions; the girls'…

  4. What's Sexy? Adolescent Girls Discuss Confidence, Danger, and Media Influence

    ERIC Educational Resources Information Center

    Lamb, Sharon; Farmer, Kaelin M.; Kosterina, Elena; Lambe Sariñana, Susan; Plocha, Aleksandra; Randazzo, Renee

    2016-01-01

    Building on qualitative research about sexualisation by media and culture and the impact on girls' development, in this article we present a discourse analysis of three focus groups of teen girls of colour and of diverse ethnicities asked to talk about sexiness. We focus on the ways the girls both support and resist hegemonic discourses about…

  5. What's Sexy? Adolescent Girls Discuss Confidence, Danger, and Media Influence

    ERIC Educational Resources Information Center

    Lamb, Sharon; Farmer, Kaelin M.; Kosterina, Elena; Lambe Sariñana, Susan; Plocha, Aleksandra; Randazzo, Renee

    2016-01-01

    Building on qualitative research about sexualisation by media and culture and the impact on girls' development, in this article we present a discourse analysis of three focus groups of teen girls of colour and of diverse ethnicities asked to talk about sexiness. We focus on the ways the girls both support and resist hegemonic discourses about…

  6. Late Adolescent Girls' Sexual Experiences and Sexual Satisfaction

    ERIC Educational Resources Information Center

    Impett, Emily A.; Tolman, Deborah L.

    2006-01-01

    This study presented and tested a model of sexual satisfaction for late adolescent girls. In this model, sexual self-concept and approach sexual motives were tested as predictors of adolescent girls' sexual satisfaction with their most recent experience of sexual intercourse. A total of 116 girls in 12th grade (ages 16-19) completed measures of…

  7. Taxometric Analyses of Specific Language Impairment in 3- And 4-Year-Old Children.

    ERIC Educational Resources Information Center

    Dollaghan, Christine A.

    2004-01-01

    Specific language impairment (SLI), like many diagnostic labels for complex behavioral conditions, is often assumed to define a category of children who differ not only in degree but also in kind from children developing language normally. Although this assumption has important implications for theoretical models and clinical approaches, its…

  8. Fighting Obesity in 4-Year-Olds--"Move to Improve/Catch the Energy"

    ERIC Educational Resources Information Center

    Fritz, Kristine

    2007-01-01

    According to the Centers for Disease Control and Prevention, research indicates that today's children are not getting enough physical activity. One solution to this problem is to integrate other subjects into physical education. This article describes a successful physical education program for Pre-K children implemented at the Sheboygan Area…

  9. Fatal Anaphylactic Shock Ceftriaxone-Induced in a 4-Year-Old Child.

    PubMed

    Calapai, Gioacchino; Imbesi, Selene; Ventura-Spagnolo, Elvira; Cafeo, Viviana; Milone, Livio; Navarra, Michele; Gangemi, Sebastiano

    2016-01-01

    One of the most used cephalosporin in clinical practice is ceftriaxone. Anaphylaxis due to the administration of ceftriaxone is considered a rare event. Here, we report a case of fatal anaphylactic shock after the administration of ceftriaxone in a child who had tolerated the drug in past exposures. The allergic pathogenesis is sustained by the clinical data (short time between the inoculation of the drug and the onset of the symptoms; past exposure to the same molecule and probable sensitization) and the postmortem examination findings (polivisceral congestion and intense eosinophilia found in the histological examination).

  10. Situational Changes in Self-Awareness Influence 3- and 4-Year-Olds' Self-Regulation

    ERIC Educational Resources Information Center

    Ross, J.; Anderson, J. R.; Campbell, R. N.

    2011-01-01

    In adults, heightened self-awareness leads to adherence to socially valued norms, whereas lowered self-awareness is associated with antinormative behavior. Levels of self-awareness are influenced by environmental cues such as mirrors. Do situational changes in self-awareness also have an impact on preschoolers' self-regulation? Adherence to a…

  11. Preferences of healthy and unhealthy foods among 3 to 4 year old children in Mexico.

    PubMed

    De Lira-Garcia, Cynthia; Bacardi-Gascon, Montserrat; Jimenez-Cruz, Arturo

    2012-01-01

    To evaluate the preference of healthy and unhealthy foods among pre-school children attending daycare and its association with that of their parents, body mass index and socio-demographic variables. We asked children and parents to depict their food preferences through 54 pictures of different food items. The association between the preferences and socio-demographic variables was done using the Phi correlation, chi-squared, Fisher's correlation, as well as univariate and multivariable logistic regression. Two-hundred and sixty-five parent-child pairs participated in the study. Ice cream, potato chips and lollypops were the foods most preferred by children. On the other hand, quince jelly, coffee and avocado were the least preferred. Overweight and obese children had a higher preference for quince jelly, preserved fruits, and vegetable soup. With univariate logistic regression, children of low-income homes (OR= 2.56, p=0.007) and attending public daycare centers (OR= 6.2, p=0.0001) preferred less healthy fruits. When the father's education was added in a multivariable model including family income, only children whose fathers had <=9 years of education showed a higher preference for less healthy food. When parent's education, family income, and parent's preference for healthy foods were included to the model only children attending public daycares were more likely to prefer healthy foods. The foods most preferred by children have a high caloric density. The children's body mass index, their parent's monthly income, the father's education and the type of daycare they attended were associated with the preference of healthy or unhealthy foods.

  12. Detecting language disorders in 4-year-old French children. An application of the ERTL-4.

    PubMed

    Maeder, C; Roy, B

    2000-03-01

    This paper discusses the development of the ERTL-4 (Epreuve de repérage des troubles du langage lors du bilan medical de l'enfant de quatre ans), a measure developed in Nancy, France specifically for the purpose of identifying children with language difficulties in the 3.9-4.6 years age range. The test has been designed to identify 10-15% of the population and allows the assessing primary care doctor to ascertain whether difficulties occur in language, voice, fluency, hearing or perception on the basis of a 5-min assessment.

  13. Cognitive Imitation in Typically-Developing 3- and 4-Year Olds and Individuals with Autism

    ERIC Educational Resources Information Center

    Subiaul, Francys; Lurie, Herbert; Romansky, Kathryn; Klein, Tovah; Holmes, David; Terrace, Herbert

    2007-01-01

    Individuals diagnosed with autism suffer from numerous social, affective and linguistic impairments. It has also been suggested that they have a global imitation deficit. That hypothesis, however, is compromised by the fact that individuals with autism suffer from various motor impairments. Here we describe an experiment on cognitive imitation, a…

  14. Cognitive Imitation in Typically-Developing 3- and 4-Year Olds and Individuals with Autism

    ERIC Educational Resources Information Center

    Subiaul, Francys; Lurie, Herbert; Romansky, Kathryn; Klein, Tovah; Holmes, David; Terrace, Herbert

    2007-01-01

    Individuals diagnosed with autism suffer from numerous social, affective and linguistic impairments. It has also been suggested that they have a global imitation deficit. That hypothesis, however, is compromised by the fact that individuals with autism suffer from various motor impairments. Here we describe an experiment on cognitive imitation, a…

  15. Investigation of 4-year-old stabilised/solidified and accelerated carbonated contaminated soil.

    PubMed

    Antemir, A; Hills, C D; Carey, P J; Magnié, M-C; Polettini, A

    2010-09-15

    The investigation of the pilot-scale application of two different stabilisation/solidification (S/S) techniques was carried out at a former fireworks and low explosives manufacturing site in SE England. Cores and granular samples were recovered from uncovered accelerated carbonated (ACT) and cement-treated soils (S/S) after 4 years to evaluate field-performance with time. Samples were prepared for microstructural examination and leaching testing. The results indicated that the cement-treated soil was progressively carbonated over time, whereas the mineralogy of the carbonated soil remained essentially unchanged. Distinct microstructures were developed in the two soils. Although Pb, Zn and Cu leached less from the carbonated soil, these metals were adequately immobilised by both treatments. Geochemical modeling of pH-dependent leaching data suggested that the retention of trace metals resulted from different immobilisation mechanisms operating in the two soils examined.

  16. Word Order and Information Structure in Czech 3- and 4-Year-Olds' Comprehension

    ERIC Educational Resources Information Center

    Smolík, Filip

    2015-01-01

    This article reports on an experiment that examined the comprehension of transitive sentences in Czech children and its relationship to case marking, word order and information structure. A total of 107 Czech children aged 2;9-4;5 were tested for comprehension of noun-verb-noun sentences in which word order and given-new status of individual nouns…

  17. Intelligibility of 4 year old children with and without cerebral palsy

    PubMed Central

    Hustad, Katherine C.; Schueler, Brynn; Schultz, Laurel; DuHadway, Caitlin

    2012-01-01

    Purpose We examined speech intelligibility in typically developing (TD) children and three groups of children with cerebral palsy (CP) who were classified into speech / language profile groups following Hustad et al. (2010). Questions addressed differences in transcription intelligibility scores among groups, the effects of utterance length on intelligibility, the relationship between ordinal ratings of intelligibility and orthographic transcription intelligibility scores, and the difference between parent and naïve listener ordinal ratings. Method Speech samples varying in length from 1–7 words were elicited from 23 children with CP (mean age 54.3 months) and 20 typically developing children (mean age 55.1 months). 215 naïve listeners made orthographic transcriptions and ordinal ratings of intelligibility. Parent ordinal ratings of intelligibility were obtained from a previous study (Hustad et al., 2010). Results Intelligibility varied with speech / language profile group and utterance length, with different patterns observed by profile group. Ratings of intelligibility by parents and naïve listeners did not differ and were both highly correlated with transcription intelligibility scores. Conclusions Intelligibility was reduced for all groups of children with CP relative to TD children, suggesting the importance of speech-language intervention and the need for research investigating variables associated with changes in intelligibility in children. PMID:22232403

  18. A Measure of Inspection Time in 4-Year-Old Children: The Benny Bee IT Task

    ERIC Educational Resources Information Center

    Williams, Sarah E.; Turley, Christopher; Nettelbeck, Ted; Burns, Nicholas R.

    2009-01-01

    Inspection time (IT) measures speed of information processing without the confounding influence of motor speed. While IT has been found to relate to cognitive abilities in adults and older children, no measure of IT has been validated for use with children younger than 6 years. This study examined the validity of a new measure of IT for preschool…

  19. Magnesium metabolism in 4-year-old to 8-year-old children

    USDA-ARS?s Scientific Manuscript database

    Magnesium (Mg) is a key factor in bone health, but few studies have evaluated Mg intake or absorption and their relationship with bone mineral content (BMC) or bone mineral density (BMD) in children. We measured Mg intake, absorption, and urinary excretion in a group of children 4 to 8 years of age....

  20. Limitations in 4-Year-Old Children's Sensitivity to the Spacing among Facial Features

    ERIC Educational Resources Information Center

    Mondloch, Catherine J.; Thomson, Kendra

    2008-01-01

    Four-year-olds' sensitivity to differences among faces in the spacing of features was tested under 4 task conditions: judging distinctiveness when the external contour was visible and when it was occluded, simultaneous match-to-sample, and recognizing the face of a friend. In each task, the foil differed only in the spacing of features, and…

  1. Magnesium metabolism in 4-year-old to 8-year-old children.

    PubMed

    Abrams, Steven A; Chen, Zhensheng; Hawthorne, Keli M

    2014-01-01

    Magnesium (Mg) is a key factor in bone health, but few studies have evaluated Mg intake or absorption and their relationship with bone mineral content (BMC) or bone mineral density (BMD) in children. We measured Mg intake, absorption, and urinary excretion in a group of children 4 to 8 years of age. Mg absorption was determined using a dual-tracer stable isotope technique, with (25) Mg given intravenously and (26) Mg given orally. We found a small, but significantly greater Mg absorption efficiency (percentage absorption) in males than females (67% ± 12% versus 60% ± 8%, p = 0.02) but no difference in estimated net Mg retention (average of 37 mg/d in both males and females). Relating dietary Mg intake to estimated Mg retention showed that an intake of 133 mg/d, slightly above the current estimated average requirement (EAR) of 110 mg/d, led to a net average retention of 10 mg/d, the likely minimum growth-related need for this age group. Covariate analysis showed that Mg intake and total Mg absorption, but not calcium intake or total absorption were significantly associated with both total body BMC and BMD. These results suggest that usual Mg intakes in small children in the United States meet dietary requirements in most but not all children. Within the usual range of children's diets in the United States, dietary Mg intake and absorption may be important, relatively unrecognized factors in bone health. © 2014 American Society for Bone and Mineral Research.

  2. Noise Equally Degrades Central Auditory Processing in 2- and 4-Year-Old Children.

    PubMed

    Niemitalo-Haapola, Elina; Haapala, Sini; Kujala, Teija; Raappana, Antti; Kujala, Tiia; Jansson-Verkasalo, Eira

    2017-08-16

    The aim of this study was to investigate developmental and noise-induced changes in central auditory processing indexed by event-related potentials in typically developing children. P1, N2, and N4 responses as well as mismatch negativities (MMNs) were recorded for standard syllables and consonants, frequency, intensity, vowel, and vowel duration changes in silent and noisy conditions in the same 14 children at the ages of 2 and 4 years. The P1 and N2 latencies decreased and the N2, N4, and MMN amplitudes increased with development of the children. The amplitude changes were strongest at frontal electrodes. At both ages, background noise decreased the P1 amplitude, increased the N2 amplitude, and shortened the N4 latency. The noise-induced amplitude changes of P1, N2, and N4 were strongest frontally. Furthermore, background noise degraded the MMN. At both ages, MMN was significantly elicited only by the consonant change, and at the age of 4 years, also by the vowel duration change during noise. Developmental changes indexing maturation of central auditory processing were found from every response studied. Noise degraded sound encoding and echoic memory and impaired auditory discrimination at both ages. The older children were as vulnerable to the impact of noise as the younger children. https://doi.org/10.23641/asha.5233939.

  3. Gait parameters associated with balance in healthy 2- to 4-year-old children.

    PubMed

    Guffey, Keegan; Regier, Michael; Mancinelli, Corrie; Pergami, Paola

    2016-01-01

    The use of validated measurements of gait and balance are crucial to establish baseline function and assess effectiveness of therapeutic interventions. Gait in children changes with motor development requiring frequent observations to effectively track progress. Standardized baseline spatiotemporal measurements and a greater understanding of the relationship between gait and balance would provide important feedback to clinicians regarding the effectiveness of rehabilitation and guide treatment modifications. 84 subjects (2.0-4.9 years) walked along the GAITRite(®), a walkway that records spatiotemporal parameters. The Pediatric Balance Scale (PBS) was administered to assess balance. Comparison of spatiotemporal parameter means between age groups showed trends associated with motor development similar to the ones described in the literature such as decreased cadence and increased step/stride length with increasing age. However, no significant differences in normalized spatiotemporal parameters were found between age groups. Age, leg length, cadence, step/stride length, step/stance time, and single/double support time showed significant correlation with balance scores. When the parameters were grouped into spatial, temporal, and age-related components using principal components analysis and included in a multiple regression model, they significantly predicted 51% of the balance score variance. Age-related components most strongly predicted balance outcomes. We suggest that balance can potentially be evaluated by assessment of spatial, temporal, and age-related characteristics of gait such as step length, cadence, and leg length. This suggests the possibility of developing new gait measurement technology that could provide functional assessment and track improvements during rehabilitation regimens. If the same model can be applied to monitor treatment efficacy in children with gait abnormalities remains to be addressed.

  4. Response of 1- to 4-Year-Old Upland Hardwood Stands to Stocking and Site Manipulations

    Treesearch

    Jamie L. Schuler; Daniel J. Robison

    2002-01-01

    The growth and development of very young natural even-aged hardwood stands is not well understood. The relative importance of biotic and abiotic constraints such as overstocking, herbaceous competition, tree nutrition, and pest impacts have not been widely studied in these types of stands. Earlier work has demonstrated significant tree growth response (2- to 20-fold)...

  5. Comparing three short questionnaires to detect psychosocial problems among 3 to 4-year olds.

    PubMed

    Theunissen, Meinou H C; Vogels, Anton G C; de Wolff, Marianne S; Crone, Mathilde R; Reijneveld, Sijmen A

    2015-07-16

    Validated questionnaires help community pediatric services to identify psychosocial problems. Our aim was to assess which of three short questionnaires was most suitable for this identification among pre-school children. We included 1,650 children (response 64 %) aged 3-4 years undergoing routine well-child health assessments in 18 services across the Netherlands. Child healthcare professionals (CHPs) interviewed and examined children and parents. Parents were randomized regarding filling out the Strengths and Difficulties Questionnaire (SDQ) or the KIPPPI, a Dutch-origin questionnaire. In addition, all filled out the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) and the Child Behavior Checklist (CBCL). We assessed the internal consistency and validity of each questionnaire, with CBCL and treatment status as criteria, and the degree to which each questionnaire could improve identification based solely on clinical assessment. The internal consistency of the total problems scale of each questionnaire was satisfactory, Cronbach's alphas varied between 0.75 and 0.98. Only the SDQ discriminated sufficiently between children with and without problems as measured by the CBCL (sensitivity = 0.76 at a cut-off point with specificity = 0.90), in contrast to the other two questionnaires (with sensitivity indices varying between 0.51-0.63). Similar results were found for the treatment status criterion, although sensitivity was lower for all questionnaires. The SDQ seemed to add most to the identification of psychosocial problems by CHPs, but the differences between the SDQ and the ASQ:SE were not statistically significant. The SDQ is the best tool for the identification of psychosocial problems in pre-school children by community paediatric services.

  6. Association of maternal characteristics and behaviours with 4-year-old children's dietary patterns.

    PubMed

    Durão, Catarina; Severo, Milton; Oliveira, Andreia; Moreira, Pedro; Guerra, António; Barros, Henrique; Lopes, Carla

    2017-04-01

    This study examined the association of family and maternal characteristics with preschool children's dietary patterns. Trained interviewers evaluated subsample 3422 mothers and children enrolled in the population-based birth cohort Generation XXI (Porto, Portugal, 2005-2006). Maternal characteristics and behaviours (exercise, smoking habits, diet and child-feeding practices) and family characteristics were evaluated. Maternal diet was classified by a dietary score, and children's dietary patterns were identified by latent class analysis. Odds ratios (OR) and confidence intervals (95% CI) were estimated by multinomial regression models. The analysis was based on a framework with four conceptual levels: maternal socio-economic position (SEP) at 12 years, maternal socio-economic and demographic characteristics at child's delivery, family characteristics and maternal behaviours at child's 4 years. Three dietary patterns were identified in children: high in energy-dense foods (EDF); low in foods typically consumed at main meals and intermediate in snacks (Snacking); higher in healthy foods; and lower in unhealthy ones (Healthier, reference). Lower maternal SEP had an overall effect on children's diet (low vs. high SEP; EDF, OR = 1.76, 95% CI: 1.42-2.18; Snacking, OR = 1.73, 95% CI: 1.27-2.35), while maternal education was directly associated with it (≤9 vs. >12 schooling years, EDF, OR = 2.19, 95% CI: 1.70-2.81; Snacking, OR = 2.22, 95% CI: 1.82-3.55). Children whose mothers had worse dietary score were significantly more likely to follow unhealthier patterns (first vs. fourth quartile; EDF, OR = 9.94, 95% CI: 7.35-13.44, P-trend < 0.001; Snacking, OR = 4.21, 95% CI: 2.94-6.05, P-trend < 0.001). Maternal diet was the key factor associated with children's diet, above and beyond socio-economic and demographic characteristics, accounting for one-third of the determination coefficient of the fully adjusted model. At preschool age, interventions should give a particular focus on maternal diet and low SEP groups. © 2016 John Wiley & Sons.

  7. Intelligibility of 4-Year-Old Children with and without Cerebral Palsy

    ERIC Educational Resources Information Center

    Hustad, Katherine C.; Schueler, Brynn; Schultz, Laurel; DuHadway, Caitlin

    2012-01-01

    Purpose: The authors examined speech intelligibility in typically developing (TD) children and 3 groups of children with cerebral palsy (CP) who were classified into speech/language profile groups following Hustad, Gorton, and Lee (2010). Questions addressed differences in transcription intelligibility scores among groups, the effects of utterance…

  8. [Hypovitaminosis D and associated factors in 4-year old children in northern Spain].

    PubMed

    Rodríguez-Dehli, Ana Cristina; Riaño-Galán, Isolina; Fernández-Somoano, Ana; Navarrete-Muñoz, Eva María; Espada, Mercedes; Vioque, Jesús; Tardón, Adonina

    2017-04-01

    Vitamin D is an essential prohormone in calcium and phosphorus homeostasis. Recent studies show a high frequency of insufficiency/deficiency of vitamin D in the general population worldwide. Our objective was to estimate the prevalence of circulating vitamin D [25(OH)D3] deficiency and insufficiency in children and examine the associated factors. A total of 283 children, participants in the cohort INMA-Asturias, were studied. The 25(OH)D3 concentrations were quantified by high performance liquid chromatography. The prevalence of deficiency [25(OH)D3<20 ng/ml] and insufficiency [20-29.9 ng/ml] of vitamin D was estimated. Distribution of 25(OH)D3 for month of extraction of specimen, ingestion, and other factors were analysed. The mean 25(OH)D3 was 20.1 ng/ml (range 2.7-49.8), with 8.8% ≥ 30 ng/ml, 38.5% from 20-20.9 ng/ml, and 52.7%<20 ng/ml. Seasonal variation was found, with lower values in winter. There was no relationship between plasma levels and intake of vitamin D (median 2.7μg/day, range 0.81-12.62), time outdoors (mean 3hours, range: 0:21-6:55), or BMI or gender, but there was one found with the mother's levels during gestation. There is a high prevalence of vitamin D deficiency/insufficiency in children at 4 years. Solar exposure might not be enough in our region. Healthy children should be encouraged to follow adequate outdoor activities with associated sun exposure. Due the deficit of intake in childhood, recommendations are needed about a varied diet with vitamin D-containing foods in this age group, especially during the winter, and assessing the need of vitamin D supplementation in children at risk. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Herbicide Release of 4 Year Old, Naturally Regenerated Bottomland Oaks -- 10 Year Results

    Treesearch

    Larry E. Nix

    2004-01-01

    In 1989 two clearcut, naturally regenerated bottomland hardwood stands near the Congaree River in South Carolina were found to contain nearly 2000 red oak (Quercus pagoda Raf. and Q. shumardii Buckley) seedlings per acre. By age 4, these oak seedlings were quickly being overtopped by competitive sprouts, vines, and fast growing...

  10. Situational Changes in Self-Awareness Influence 3- and 4-Year-Olds' Self-Regulation

    ERIC Educational Resources Information Center

    Ross, J.; Anderson, J. R.; Campbell, R. N.

    2011-01-01

    In adults, heightened self-awareness leads to adherence to socially valued norms, whereas lowered self-awareness is associated with antinormative behavior. Levels of self-awareness are influenced by environmental cues such as mirrors. Do situational changes in self-awareness also have an impact on preschoolers' self-regulation? Adherence to a…

  11. [MusicPlayTherapy--a parent-child psychotherapy for children 0-4 years old].

    PubMed

    Stumptner, Katrin; Thomsen, Cornelia

    2005-10-01

    The early stage of building up the parent-child relationship is especially important. It is the basis for the child's development of the ability to relate to others and his or her further emotional, social and cognitive development. In this important early phase various risk factors may alienate parents from their intuitive parental competence towards their children. Such interaction problems indicate an intervention in the form of parent-children psychotherapy. This constitutes an entry point for the concept of MusicPlayTherapy (MPT): The early relationship is characterized mainly by complex communication sequences that address the senses at all levels. Therefore, the MPT concept integrates music as medium to communicate and opens up a playing space for play that allows emotions and experiences to be expressed. The components of music such as rhythm, sound, and melody stimulate babies and toddlers to express, play, and communicate preverbally. We work with the child and a parent in the MusicPlayTherapy sessions. Parents learn again to play and thereby learn to reach their children emotionally and to communicate with them. We complement the therapy sessions by counselling sessions with both parents.

  12. Recurrent inguinal hernia in a preschool girl treated laparoscopically with a preperitoneal transabdominal technique and polypropylene mesh: an alternative in complex cases.

    PubMed

    Weber-Sanchez, A; Weber-Alvarez, P; Garteiz-Martinez, D

    2012-02-01

    We report the case of a 4-year-old girl treated by a laparoscopic transabdominal preperitoneal (TAPP) technique with polypropylene mesh in whom a primary contralateral hernia was found and repaired, closing the orifice with a suture. This 4-year-old female had a medical history of clubfoot treated by surgery during her first year of age, ureteral reimplantation because of stenosis, and laparoscopic cholecystectomy because of hydrocholecystis. She had recurrence 1 year after a conventional inguinal herniorraphy and was treated by the TAPP technique with polypropylene mesh. A primary contralateral hernia was found and repaired, and the orifice was closed with a suture. The child's acceptance of the procedure was good, and the postoperative evolution was uneventful, requiring minimal analgesia in the first 24 h. She was discharged the following day. Two years later, there have been no recurrences, and the girl is developing and carrying out activities in a normal way. The open technique remains the gold standard for hernioplasty in children, but laparoscopy may be an option, and it is possible that in some special cases, the use of mesh to reinforce the inguinal wall using the TAPP technique, although it is controversial, may be justified.

  13. Girls Incorporated of Alameda County at 50: a voice for girls (1958-2008).

    PubMed

    Terrazas, Cecilia; Schwartz, Sara L; Austin, Michael J

    2011-01-01

    Girls Incorporated of Alameda County is nonprofit human service organization that has delivered education, counseling, and advocacy services to girls aged 6 to 18 for 50 years. The organization began as a small, local girls club and has grown into a large multi-faceted service delivery organization attached to a national governing body. The history of Girls Incorporated of Alameda County introduces struggles in relation to external and internal factors that altered the way that the agency financed and managed and exemplifies the important role of nonprofit leadership. The organization's many accomplishments have also presented multiple challenges, particularly related to the changing roles of women in American society.

  14. Delayed puberty in girls

    MedlinePlus

    ... hormones. These changes normally begin to appear in girls between ages 8 to 14 years old. With delayed puberty, these changes either don't occur, or if they do, they don't progress normally. Delayed puberty is more common in boys than in girls. Causes In most cases of delayed puberty, growth ...

  15. Protecting Black Girls

    ERIC Educational Resources Information Center

    Morris, Monique W.

    2016-01-01

    Statistics show that black girls in U.S. K-12 public schools are overrepresented among students who face disciplinary approaches (such as suspensions) that exclude or even criminalize them. Morris explains how black girls face conditions that make them vulnerable to a phenomenon she calls "school to confinement pathways"--conditions like…

  16. Girls Leading Outward

    ERIC Educational Resources Information Center

    Hamed, Heather; Reyes, Jazmin; Moceri, Dominic C.; Morana, Laura; Elias, Maurice J.

    2011-01-01

    The authors describe a program implemented in Red Bank Middle School in New Jersey to help at-risk, minority middle school girls realize their leadership potential. The GLO (Girls Leading Outward) program was developed by the Developing Safe and Civil Schools Project at Rutgers University and is facilitated by university students. Selected middle…

  17. Protecting Black Girls

    ERIC Educational Resources Information Center

    Morris, Monique W.

    2016-01-01

    Statistics show that black girls in U.S. K-12 public schools are overrepresented among students who face disciplinary approaches (such as suspensions) that exclude or even criminalize them. Morris explains how black girls face conditions that make them vulnerable to a phenomenon she calls "school to confinement pathways"--conditions like…

  18. Boys, Girls, and Microcomputing.

    ERIC Educational Resources Information Center

    Lage, Elizabeth

    1991-01-01

    Reports results of an impressions formation test and survey of elementary and junior high school students. Indicates that younger students viewed technical fields favorably for either sex, whereas older students viewed the fields negatively for girls. Attributes a decline in interest among adolescent girls in computers in part to the normative…

  19. Girls in Education.

    ERIC Educational Resources Information Center

    MacAulay, Desmond, Ed.

    1984-01-01

    Girls are only one of several groups that governments in Australia, as in other parts of the world, have recognized as suffering educational disadvantage. The problems of other groups are clear-cut and appropriate action plainly indicated. But in the case of girls, the causes are far more complex, entrenched in society, and education systems have…

  20. Social Aggression among Girls.

    ERIC Educational Resources Information Center

    Underwood, Marion K.

    Noting recent interest in girls' social or "relational" aggression, this volume offers a balanced, scholarly analysis of scientific knowledge in this area. The book integrates current research on emotion regulation, gender, and peer relations, to examine how girls are socialized to experience and express anger and aggression from infancy…

  1. Girls Leading Outward

    ERIC Educational Resources Information Center

    Hamed, Heather; Reyes, Jazmin; Moceri, Dominic C.; Morana, Laura; Elias, Maurice J.

    2011-01-01

    The authors describe a program implemented in Red Bank Middle School in New Jersey to help at-risk, minority middle school girls realize their leadership potential. The GLO (Girls Leading Outward) program was developed by the Developing Safe and Civil Schools Project at Rutgers University and is facilitated by university students. Selected middle…

  2. Social Aggression among Girls.

    ERIC Educational Resources Information Center

    Underwood, Marion K.

    Noting recent interest in girls' social or "relational" aggression, this volume offers a balanced, scholarly analysis of scientific knowledge in this area. The book integrates current research on emotion regulation, gender, and peer relations, to examine how girls are socialized to experience and express anger and aggression from infancy…

  3. Girls, girls, girls: Gender composition and female school choice

    PubMed Central

    Schneeweis, Nicole; Zweimüller, Martina

    2012-01-01

    Gender segregation in employment may be explained by women's reluctance to choose technical occupations. However, the foundations for career choices are laid much earlier. Educational experts claim that female students are doing better in math and science and are more likely to choose these subjects if they are in single-sex classes. One possible explanation is that coeducational settings reinforce gender stereotypes. In this paper, we identify the causal impact of the gender composition in coeducational classes on the choice of school type for female students. Using natural variation in the gender composition of adjacent cohorts within schools, we show that girls are less likely to choose a traditionally female dominated school type and more likely to choose a male dominated school type at the age of 14 if they were exposed to a higher share of girls in previous grades. PMID:24850996

  4. Future Girls, Transcendent Femininities and New Pedagogies: Toward Girls' Hybrid Bodies?

    ERIC Educational Resources Information Center

    Azzarito, Laura

    2010-01-01

    Media provides a material site for girls' identity formation and presents conflicting images of femininity, which challenge young women's self-expression and physicality development. The "problem" with girls' physicality has not been resolved, but rather complicated by discourses of new femininities in sport, fitness and health promoted…

  5. Future Girls, Transcendent Femininities and New Pedagogies: Toward Girls' Hybrid Bodies?

    ERIC Educational Resources Information Center

    Azzarito, Laura

    2010-01-01

    Media provides a material site for girls' identity formation and presents conflicting images of femininity, which challenge young women's self-expression and physicality development. The "problem" with girls' physicality has not been resolved, but rather complicated by discourses of new femininities in sport, fitness and health promoted…

  6. A Ray of Hope for Girls in Trouble: Alternative Education Services in a Singapore Girls' Home

    ERIC Educational Resources Information Center

    Zhang, Kaili Chen; Wu, Deirdra I-Hwey

    2009-01-01

    This paper provides a trans-cultural perspective of emotional/behavioral difficulties and a brief overview of the subculture of today's young adolescent girls. Features of successful alternative education services provided at a Singapore girls' home are also presented. This paper concludes with a consideration of implications for teachers and…

  7. Girl prostitution in India.

    PubMed

    Mukhopadhyay, K K

    1995-01-01

    This article discusses the nature, magnitude, causes, and consequences of female child prostitution in India and offers measures for control and prevention of girl prostitution. Data are obtained from the 6-city study of prostitution and the author's own research. An estimated 85% of all prostitutes in Calcutta and Delhi entered the work at an early age. The numbers are rising. The promotion of tourism is linked with prostitution. Girl prostitutes are primarily located in low-middle income areas and business districts and are known by officials. Brothel keepers regularly recruit young girls. An estimated 33% of prostitutes are young girls. In Bangalore, Calcutta, Delhi, and Hyderabad, there are an estimated 10,000 girl prostitutes. UNICEF estimates about 300,000 child prostitutes. Girl prostitutes are grouped as common prostitutes, singers and dancers, call girls, religious prostitutes or devdasi, and caged brothel prostitutes. Religious prostitutes are mainly found in the South. Caged ones are found in Bombay. A little over 50% of prostitutes come from other countries, such as Nepal and Bangladesh. The girls tend to come from urban slums and poor rural areas. High prostitute supply regions include Andhra Pradesh, Karnataka, Maharashtra, Uttar Pradesh, Tamil Nadu, and West Bengel states. About 85% are Hindus, and about 66% are from scheduled castes and tribes. Bangalore and Bombay have a higher proportion of girl prostitutes. The causes of prostitution include ill treatment by parents, bad company, family prostitutes, social customs, inability to arrange marriage, lack of sex education, media, prior incest and rape, early marriage and desertion, lack of recreational facilities, ignorance, and acceptance of prostitution. Economic causes include poverty and economic distress. Psychological causes include desire for physical pleasure, greed, and dejection. Most enter involuntarily. A brief profile is given of the life of a prostitute.

  8. Health and human rights of adolescent girls in Afghanistan.

    PubMed

    Heisler, M; Rasekh, Z; Iacopino, V

    1999-01-01

    Physicians for Human Rights (PHR) conducted a study in early 1998 to assess the health and human rights conditions of Afghan women and girls living under the Taliban regime in Kabul. This paper highlights the concerns and experiences of adolescent girls in Kabul, includes a brief overview of the political situation in Afghanistan and Taliban policies toward women and girls, and presents findings from interviews with adolescent girls and women with adolescent daughters. It concludes with a discussion of current international standards for the protection of women's and girls' rights and the crucial role of health professionals in helping defend these rights.

  9. Girls and violence: a review of the literature.

    PubMed

    Herrman, Judith W; Silverstein, Joni

    2012-01-01

    Violence and its prevention are key issues in community health nursing. Significant concern and controversy surrounds the current involvement of girls as witnesses, offenders, and victims of violence. This article provides a review of the literature about girls and violence, including the girls' roles as offenders, victims, and witnesses, predictors of violence, consequences associated with violence, and potential ideas for violence prevention. This information paves the way for a subsequent manuscript presenting a review of the literature about girls' perceptions of violence and its prevention and the results of a focus group study designed to determine girls' thoughts about community violence and prevention. Copyright © Taylor & Francis Group, LLC

  10. Boys as Only-Children and Girls as Only-Children--Parental Gendered Expectations of the Only-Child in the Nuclear Chinese Family in Present-Day China

    ERIC Educational Resources Information Center

    Liu, Fengshu

    2006-01-01

    Studies on the effect of only-child status on girls' education indicate that the only-child policy has had an unintended consequence of engendering a child-centered culture with a strong belief and shared interest among the urban community in educating the only-child regardless of the child's sex. As the distribution of education by sex is…

  11. Boys as Only-Children and Girls as Only-Children--Parental Gendered Expectations of the Only-Child in the Nuclear Chinese Family in Present-Day China

    ERIC Educational Resources Information Center

    Liu, Fengshu

    2006-01-01

    Studies on the effect of only-child status on girls' education indicate that the only-child policy has had an unintended consequence of engendering a child-centered culture with a strong belief and shared interest among the urban community in educating the only-child regardless of the child's sex. As the distribution of education by sex is…

  12. Girls, Cars, and Science

    NASA Astrophysics Data System (ADS)

    Parks, Beth

    2005-03-01

    For the past two summers, I have run an NSF-funded residential camp for girls ages 14-17. This camp is designed to stimulate girls' interest in science by building on their interest in automobiles. The girls spend half the day in hands-on work with cars at Morrisville State College. The other half of the day is dedicated to laboratory exercises at Colgate University that have been designed to help girls learn the science behind the operation of cars. While it is impossible to assess the long-range impact of this program after only two years, the results seem promising. I will discuss the camp program, with particular emphasis on the laboratory experiments that have been developed, which could easily be incorporated into standard high school or college laboratories.

  13. A Girl Is No Girl Is a Girl_: Girls-Work after Queer Theory

    ERIC Educational Resources Information Center

    Busche, Mart

    2013-01-01

    This contribution gives an overview over 40 years of girls-work in Germany. It highlights certain topics and theoretical implications and emphasises especially the realisation of queer theory and deconstructivism in the last 10 years. (Contains 4 notes.)

  14. Girls underestimate maths ability

    NASA Astrophysics Data System (ADS)

    2017-05-01

    A study by psychologists in the US has found that high-school girls rate their competence in mathematics lower than boys, even for those with similar abilities (Front. Psychol. 10.3389/fpsyg.2017.00386).

  15. A Girl Is No Girl Is a Girl_: Girls-Work after Queer Theory

    ERIC Educational Resources Information Center

    Busche, Mart

    2013-01-01

    This contribution gives an overview over 40 years of girls-work in Germany. It highlights certain topics and theoretical implications and emphasises especially the realisation of queer theory and deconstructivism in the last 10 years. (Contains 4 notes.)

  16. Changing Girls' Education in Peru.

    ERIC Educational Resources Information Center

    Heyman, Cory; Brush, Lorie; Provasnik, Stephen; Fanning, Marina; Lent, Drew; De Wilde, Johan

    Access to quality education is a problem for all rural children in Peru, but especially for rural girls, who complete primary school at far lower rates than other Peruvian children. In 1998, USAID launched the Girls' Education Activity (GEA) in Peru, also known as New Horizons for Girls' Education, which aims to increase girls' completion of…

  17. Outdoor Education in Girl Scouting.

    ERIC Educational Resources Information Center

    Kennedy, Carolyn L.

    This book was written to help Girl Scout leaders prepare themselves and the girls with whom they work to enjoy outdoor experiences together. It complements the age-level handbook and leaders' guide, and training provided by the local Girl Scout council. The book contains nine chapters. The first chapter lists age-level characteristics of girls,…

  18. Outdoor Education in Girl Scouting.

    ERIC Educational Resources Information Center

    Kennedy, Carolyn L.

    This book was written to help Girl Scout leaders prepare themselves and the girls with whom they work to enjoy outdoor experiences together. It complements the age-level handbook and leaders' guide, and training provided by the local Girl Scout council. The book contains nine chapters. The first chapter lists age-level characteristics of girls,…

  19. Galactocele in a Prepubertal Girl.

    PubMed

    Alaniz, Veronica I; Jeudy, Myrlene; Pearlman, Mark; Quint, Elisabeth H

    2017-08-01

    Galactoceles have been previously described as an unusual cause of benign breast enlargement in male infants and children. A 3-year-old prepubertal girl presented with a right-sided breast mass and was found to have a 4.4-cm hypoechoic cyst on ultrasound imaging with otherwise normal endocrine studies including prolactin levels. She underwent cyst aspiration which revealed milky fluid. Fat globules were identified with microscopic examination, confirming the diagnosis of a galactocele. Aspiration resolved the mass. The etiology of galactoceles in nonlactating women is poorly understood. Traditionally, treatment of these benign cysts in male children has been surgical excision. In prepubertal girls, conservative management by surveillance or needle aspiration is warranted to prevent damage to developing breast tissue. Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  20. Fighting like a girl fighting like a guy: gender identity, ideology, and girls at early adolescence.

    PubMed

    Brown, Lyn Mikel; Tappan, Mark B

    2008-01-01

    In this chapter we explore the phenomenon of "girls fighting like guys" by listening to adolescent girls' justification for physical fighting with other girls. We argue that physical girlfighting is a particular kind of gendered performance--a performance of identity that expresses, at least in part, an answer to the question, "Who am I?"--that both perpetuates and challenges the usual notions of masculinity and femininity and the differential power associated with these discourses. We present a sociocultural approach to identity that we believe not only holds promise for helping us to understand girl-fighting behavior but also highlights the clear interrelationship between social identity and personal identity. We conclude by highlighting several implications of this analysis for those who work with girls (and boys) in educational and clinical settings.

  1. "Girls Are Worse": Drama Queens, Ghetto Girls, Tomboys, and the Meaning of Girl Fights

    ERIC Educational Resources Information Center

    Waldron, Linda M.

    2011-01-01

    This article uses a race-class-gender intersectional approach to analyze qualitative interviews with girls at two public high schools to better understand a common perception that "girls are worse" when it comes to school fights. Several different understandings of why girls fight emerged from the data. On one hand, girls' perception of…

  2. "Girls Are Worse": Drama Queens, Ghetto Girls, Tomboys, and the Meaning of Girl Fights

    ERIC Educational Resources Information Center

    Waldron, Linda M.

    2011-01-01

    This article uses a race-class-gender intersectional approach to analyze qualitative interviews with girls at two public high schools to better understand a common perception that "girls are worse" when it comes to school fights. Several different understandings of why girls fight emerged from the data. On one hand, girls' perception of…

  3. Building positive life skills the Smart Girls way: evaluation of a school-based sexual responsibility program for adolescent girls.

    PubMed

    Graves, Kelly N; Sentner, Annette; Workman, Jean; Mackey, Wanda

    2011-05-01

    In response to the public health epidemic of teenage pregnancy, the present study investigated a new, gender-specific, school-based approach to adolescent pregnancy prevention for middle school girls called Smart Girls Life Skills Training(©) (Smart Girls). Participants included 854 students (633, experimental group; 221, control group) across three time points to assess change in social sexuality expectations, personal/self sexuality expectations, perceived susceptibility, and parent-adolescent communication. Girls who received the Smart Girls curriculum increased their personal/self sexuality expectations and improved some aspects of their parent-adolescent communication compared to control group participants. The evaluation provides initial evidence that Smart Girls is at least partially effective at changing personal/self sexuality expectations and parent-adolescent communication for middle school girls. Implications, recommendations, and next steps for school-based teen pregnancy prevention programs are offered.

  4. Girls Study Girls Inc.: engaging girls in evaluation through participatory action research.

    PubMed

    Chen, Peiyao; Weiss, Faedra Lazar; Nicholson, Heather Johnston

    2010-09-01

    Between 2004 and 2007, Girls Incorporated conducted research about the experience of five affiliates from different parts of the United States as they engaged with girls in Girls Study Girls Inc., a participatory evaluation project that explored the meaning and impact of Girls Inc. environments and uncovered ways such environments can be improved. We describe the context and motivation for using participatory action research [PAR] in Girls Inc. environments and discuss the relevance and importance of PAR for organizations that empower girls and young women. We explain the process of training and engaging Girls Inc. members in research, discuss the effectiveness of Girls Study Girls Inc. as an evaluation strategy, and conclude this article with lessons learned and recommendations for using PAR in evaluating youth development programs.

  5. Girl-to-Girl Violence: The Voice of the Victims

    ERIC Educational Resources Information Center

    Boyer, Wanda

    2008-01-01

    School violence is not gender-exclusive to boys; girls are also capable of violence. Research shows that girl-to-girl violence stems from competition for male attention and tends to be relational in nature, which typically takes the form of social alienation, spreading of rumors, and otherwise manipulating the victim's peer group. By proactively…

  6. Girl-to-Girl Violence: The Voice of the Victims

    ERIC Educational Resources Information Center

    Boyer, Wanda

    2008-01-01

    School violence is not gender-exclusive to boys; girls are also capable of violence. Research shows that girl-to-girl violence stems from competition for male attention and tends to be relational in nature, which typically takes the form of social alienation, spreading of rumors, and otherwise manipulating the victim's peer group. By proactively…

  7. Digital Media and "Girling" at an Elite Girls' School

    ERIC Educational Resources Information Center

    Charles, Claire

    2007-01-01

    In this article, I draw on Judith Butler's notion of performativity to investigate the role of digital technologies in processes of gendered subjectification (or "girling") in elite girls' education. Elite girls' schooling is a site where the potential of digital technologies in mediating student-led constructions and explorations of…

  8. Digital Media and "Girling" at an Elite Girls' School

    ERIC Educational Resources Information Center

    Charles, Claire

    2007-01-01

    In this article, I draw on Judith Butler's notion of performativity to investigate the role of digital technologies in processes of gendered subjectification (or "girling") in elite girls' education. Elite girls' schooling is a site where the potential of digital technologies in mediating student-led constructions and explorations of…

  9. The Girl Game Company: Engaging Latina Girls in Information Technology

    ERIC Educational Resources Information Center

    Denner, Jill; Bean, Steve; Martinez, Jacob

    2009-01-01

    This article describes the Girl Game Company's involvement in teaching Latina girls to design and program computer games while building a network of support to help them pursue IT courses and careers. Afterschool programs like the Girl Game Company can fill an important gap by providing opportunities for underserved youth to build IT fluency. A…

  10. Adolescent girls speak about violence in their community.

    PubMed

    Flores, Roseanne L

    2006-11-01

    Adolescent girls growing up in urban environments have been placed at increased risk for being exposed to violence in their communities. Yet few studies have examined their perceptions of the risk factors, violence, and the pressures they face on a daily basis. The present research describes two adolescent girls' perspectives concerning the challenges, fears, hopes, risks, and pressures they have experienced growing up in their community. The results have implications for violence intervention and prevention programs with adolescent girls living in urban environments.

  11. GO-GIRL Response

    ERIC Educational Resources Information Center

    Brown, Enora

    2010-01-01

    The GO-GIRL Program is a unique project, characterized by its ability to bring together pivotal elements within a youth-intervention program and foster collaboration between university and local communities in large and moderate-size urban areas through service learning. Designed to bolster the social-skill development, educational outcomes, and…

  12. The Goose Girl Strategy.

    ERIC Educational Resources Information Center

    Harris, Janice H.

    1989-01-01

    Uses fairy tale of the goose girl to explain administrative behaviors designed to keep well-intentioned, misguided females away from the action. Notes that in administration it is necessary to be more assertive, that one must recognize the differences between the demands and privileges of the administrative and nonadministrative tasks. (NB)

  13. Of Boys and Girls

    ERIC Educational Resources Information Center

    Warburton, Edward C.

    2009-01-01

    In the past decade, much has been written about threats to boys' and girls' healthy participation in dance. This Viewpoints essay considers some of the causes and proposed remedies, which focus almost exclusively on the roles and responsibilities of dance educators and administrators. I suggest that what is missing from recent research,…

  14. Stage Costumes for Girls.

    ERIC Educational Resources Information Center

    Greenhowe, Jean

    This book contains full instructions for making 14 costumes for girls to fit any sizes up to about 147 cm (4 feet 10 inches) in height. All the garments can be made to fit any child's individual measurements without the need of complicated pattern pieces. Simple basic shapes such as rectangles and circles are used for the patterns and the only…

  15. Academe's New Girl Network

    ERIC Educational Resources Information Center

    Stent, Angela

    1978-01-01

    A "networking" processing pioneered by the Committee for the Concerns of Women in New England Colleges and Universities, which is establishing a New Girl network to compete with and eventually mesh with the Old Boy system, is described. Lobbying and conference efforts of HERS (Higher Education Resource Services) are reported. (LBH)

  16. Of Boys and Girls

    ERIC Educational Resources Information Center

    Warburton, Edward C.

    2009-01-01

    In the past decade, much has been written about threats to boys' and girls' healthy participation in dance. This Viewpoints essay considers some of the causes and proposed remedies, which focus almost exclusively on the roles and responsibilities of dance educators and administrators. I suggest that what is missing from recent research,…

  17. Girls in Science

    ERIC Educational Resources Information Center

    McLaughlin, Robin

    2005-01-01

    Three years ago, the San Diego Zoo embarked on a new crusade--to introduce opportunities in the scientific realm to a small, diverse population of girls at a local inner-city, low-income junior high school. Researchers from the National Council for Research on Women found that mentoring programs and the opportunity to perform active science are…

  18. Girls in Science

    ERIC Educational Resources Information Center

    McLaughlin, Robin

    2005-01-01

    Three years ago, the San Diego Zoo embarked on a new crusade--to introduce opportunities in the scientific realm to a small, diverse population of girls at a local inner-city, low-income junior high school. Researchers from the National Council for Research on Women found that mentoring programs and the opportunity to perform active science are…

  19. The Goose Girl Strategy.

    ERIC Educational Resources Information Center

    Harris, Janice H.

    1989-01-01

    Uses fairy tale of the goose girl to explain administrative behaviors designed to keep well-intentioned, misguided females away from the action. Notes that in administration it is necessary to be more assertive, that one must recognize the differences between the demands and privileges of the administrative and nonadministrative tasks. (NB)

  20. Japanese Girls and Guns

    ERIC Educational Resources Information Center

    Stone, Laurie

    2007-01-01

    Prior to a teaching assignment at Miyazaki Women's Junior College in 1993, the author accepted a 6-month contract to teach in the women's high school of the Miyazaki Educational Institute. In this article, she shares her first-day experience with a class of fifteen Miyazaki Girls' High School freshmen on their first lesson, a question-and-answer…

  1. Girls and Physics Education.

    ERIC Educational Resources Information Center

    Ormerod, M. B.; And Others

    1979-01-01

    Secondary school students' attitudes toward science or the sciences were determined with specially constructed scales and from records relating to student enrollment in science courses. Emphasis is placed on factors which influence girls to enroll in physical science courses vs biological science courses. (SA)

  2. Girls' Favorite TV Females.

    ERIC Educational Resources Information Center

    Lull, James

    1980-01-01

    Reports results of a survey in which 200 teenaged girls indicated which television woman was like them, which one they would like to be like, which would be the best friend and the best mother, which women exhibited the most control over their situations, and which female television star most resembled the "typical American female." (GT)

  3. Boys & Girls Clubs of America

    MedlinePlus

    ... with Chicago teen center renovation 03/03/2017 Kaplan and Boys & Girls Clubs of America Launch Campaign ... award Boys & Girls Clubs of America with a Kaplan test prep course for every 1,000 free ...

  4. Boys & Girls Clubs of America

    MedlinePlus

    ... Cause Donate Now Retailers Team Up to Support Boys & Girls Clubs of America During Holiday Season Sixteen ... back to nation’s leading advocate for youth MORE» Boys & Girls Clubs of America and the UPS Foundation ...

  5. Scientific Temper among Academically High and Low Achieving Adolescent Girls

    ERIC Educational Resources Information Center

    Kour, Sunmeet

    2015-01-01

    The present study was undertaken to compare the scientific temper of high and low achieving adolescent girl students. Random sampling technique was used to draw the sample from various high schools of District Srinagar. The sample for the present study consisted of 120 school going adolescent girls (60 high and 60 low achievers). Data was…

  6. The Efficacy and Appropriateness of the Commonwealth's Present Entrance Age Requirements for Kindergarten Attendance. Report of the Board of Education to the Governor and the General Assembly of Virginia. House Document No. 20.

    ERIC Educational Resources Information Center

    Virginia State Dept. of Education, Richmond.

    In response to Virginia's House Joint Resolution 436, the State's Department of Education recommends that: (1) the present entrance age be maintained until 1995, when voluntary programs for at-risk 4-year-olds become available; (2) the discretionary period (October 31-December 31) be discontinued when voluntary programs for at-risk 4-year-olds…

  7. The lived experience of girl-to-girl aggression in marginalized girls.

    PubMed

    Zenz Adamshick, Pamela

    2010-04-01

    Girl-to-girl aggression is increasingly being recognized as a health problem, and the number of teenage girls involved in serious fighting is on the rise. Research on the experiences of girl-to-girl aggression in marginalized girls who are out of the mainstream because of poor relationship skills and physical aggression is notably absent, yet this group is at heightened risk for persistent violence. In this study I used the interpretive phenomenological approach to study the lived experience of girl-to-girl aggression in girls who were marginalized and attending an alternative school because of physically aggressive behavior. Data were collected over a 4-month period by means of in-depth interviews and field notes. For this population, girl-to-girl aggression provided self-protection, expressed girls' identity, and was also a means to finding attachment, connection, and friendship. These findings have multidisciplinary implications for interventions with physically aggressive girls, including mentoring programs, in-school support groups, and exploration of a paradigm shift in the use of alternative schools.

  8. Helping Girls Who Hate PE

    ERIC Educational Resources Information Center

    Curriculum Review, 2008

    2008-01-01

    A new website is helping girls who doubt their athletic abilities: www.ihategymclass.com. The website encourages girls through articles and an advice column, where girls can bring issues related to sports that they might be embarrassed to take to peers or a physical education teacher. Website founder Heather E. Schwartz says she wanted to reach…

  9. Reproductive health awareness among adolescent girls in rural Bangladesh.

    PubMed

    Uddin, Md Jashim; Choudhury, Abdul Mannan

    2008-01-01

    This article presents the status of rural Bangladeshi adolescent girls' awareness about reproductive health. Analysis of data revealed that a sizable proportion of adolescent girls had incorrect knowledge or misconceptions about the fertile period, reproduction, sexually transmitted diseases, and HIV/AIDS. Age, education either of adolescents or their mothers, residence, and exposure to mass media were the significant predictors of adolescent girls' knowledge about reproductive health. Strong efforts are needed to improve awareness and to clarify misconceptions about reproductive health. Improved access to mass media and education could improve rural Bangladeshi adolescent girls' awareness about reproductive health.

  10. Puberty and Girls' Sexuality: Why Hormones Are Not the Complete Answer

    ERIC Educational Resources Information Center

    Graber, Julia A.; Sontag, Lisa M.

    2006-01-01

    The psychosocial impact of puberty on changes in girls' feelings about their bodies and their sexuality is discussed. We present a model of girls' sexuality development that incorporates puberty, self, and peer systems. (Contains 2 figures.)

  11. Pubertal Timing and Its Link to Behavioral and Emotional Problems among "At-Risk" African American Adolescent Girls

    ERIC Educational Resources Information Center

    Carter, Rona; Jaccard, James; Silverman, Wendy K.; Pina, Armando A.

    2009-01-01

    Using an "at-risk" sample of African American girls, the present study examined the link between girls' retrospective reports of pubertal timing, girls' perceived relative pubertal timing, and their behavioral and emotional problems as rated by the girls themselves (N = 102; 11-17 years), as well as teachers and parents. Structural equation…

  12. FLEDGE-ling: A Science Program for Girls.

    ERIC Educational Resources Information Center

    Bartsch, Ingrid; Snow, Eleanour; Bell, Susan

    1998-01-01

    Presents the planning, implementation, and assessment of a four-week summer program entitled Florida Education in Geology and Ecology: FLEDGE-ling Camp for Girls. Exit surveys and follow-up interviews proved that girls learned most from field and hands-on activities. Outcomes included a change in view of science and scientists and an increase in…

  13. Motor Competence in 11-Year-Old Boys and Girls

    ERIC Educational Resources Information Center

    Vedul-Kjelsås, Vigdis; Stensdotter, Ann-Katrin; Sigmundsson, Hermundur

    2013-01-01

    By using the Movement Assessment Battery (MABC), the present study investigated possible gender differences in several tasks of motor competence in children. The sample included 67 Norwegian sixth-grade children (Girls N?=?29; Boys?=?39). Boys' performance exceeds that of girls in ball skills and in one of the balance skills. No differences were…

  14. Motor Competence in 11-Year-Old Boys and Girls

    ERIC Educational Resources Information Center

    Vedul-Kjelsås, Vigdis; Stensdotter, Ann-Katrin; Sigmundsson, Hermundur

    2013-01-01

    By using the Movement Assessment Battery (MABC), the present study investigated possible gender differences in several tasks of motor competence in children. The sample included 67 Norwegian sixth-grade children (Girls N?=?29; Boys?=?39). Boys' performance exceeds that of girls in ball skills and in one of the balance skills. No differences were…

  15. Raising Their Voices: The Politics of Girls' Anger.

    ERIC Educational Resources Information Center

    Brown, Lyn Mikel

    Challenging conventional characterization of teenage girlhood as a wasteland of depression, low self-esteem, and passive victimhood, this book presents accounts of young girls showing how their voices are shaped and constrained by socioeconomic class. Based on a year-long study involving conversations with white adolescent girls from the working…

  16. A Great Balancing Act: Equitable Education for Girls and Boys.

    ERIC Educational Resources Information Center

    Chapman, Anne

    This book presents recent research-based information about educationally relevant gender-related differences between girls and boys and how they are taught and perceived in society. The book offers practical suggestions on how to avoid trammeling either girls or boys, how to overcome negative aspects of gender-stereotyping, and how to maximize…

  17. The All-American Girls' Baseball League, 1943-1954.

    ERIC Educational Resources Information Center

    Fidler, Merrie A.

    This presentation provides an historical sketch of the All-American Girls' Baseball League (AAGBBL). The League was created in 1942 as the All-American Girls' Softball League, by Philip K. Wrigley. He initiated the League as a non-profit organization governed by a board of three trustees. Mr. Wrigley's basic motivation for creating the AAGSBL was…

  18. Breast carcinoma in a prepubertal girl

    PubMed Central

    Ahmed, Syed Tausif; Singh, Sudipto Kumar; Mukherjee, Tanmoy; Banerjee, Manju

    2014-01-01

    Breast carcinoma is a very rare disease in children. We present a rare case of breast cancer in an 11-year-old prepubertal girl. Clinically, it was a case of locally advanced breast cancer (T4bN1M0). The core biopsy report showed adenocarcinoma of the not otherwise specified (NOS) variety (oestrogen receptor-negative, progesterone receptor-negative and human epidermal growth factor receptor 2-negative). Diagnosis was late in this case due to lack of suspicion. A modified radical mastectomy was considered to be adequate treatment. Histologically, it was adenocarcinoma NOS, which is rare in young girls (the secretory type being more common). Incidence, differential diagnoses, investigation and management of breast carcinoma in young girls are discussed. The purpose of reporting this case is to highlight that prevention and early detection of breast carcinoma in children is very important. PMID:24810441

  19. Cholas, Mexican-American Girls, and Gangs.

    ERIC Educational Resources Information Center

    Harris, Mary G.

    1994-01-01

    Interviews with 21 present and former female gang members illustrate the lives of Mexican American girls in the gang milieu of the San Fernando Valley (Los Angeles, California). Gang structure, activities, and reasons for joining are discussed, along with the gang as a source of support. (SLD)

  20. Book Series Helps Girls Fight Obesity

    ERIC Educational Resources Information Center

    Curriculum Review, 2009

    2009-01-01

    The most recent National Health and Nutrition Examination Survey (NHANES) data (2003-2004) revealed that approximately 18% of children 6-to-19 years old are overweight. The Beacon Street Girls brand was specifically designed to entertain while providing healthy role models and positive messages. This article presents a study that tested whether an…

  1. Sex Equity: Increasing Girls' Use of Computers.

    ERIC Educational Resources Information Center

    Lockheed, Marlaine E.; Frakt, Steven B.

    1984-01-01

    Indicates that although computer science has been free of male domination, the stereotype of computers as male machines is emerging with increasing growth in microcomputer use by children. Factors that account for this development and some strategies teachers can adopt to equalize computer use by boys and girls are presented. (MBR)

  2. Facilitating Career Development for Girls and Women.

    ERIC Educational Resources Information Center

    National Vocational Guidance Association, Washington, DC.

    Selections from papers given at a 1973 workshop held at Appalachian State University, Boone, North Carolina, are presented. Seventy-nine participants gathered to search out new insights into the changing world of girls and women. A forword by Carl McDaniels and an introduction by Thelma Lennon precede the 12 papers, which include: (1) Historical…

  3. Book Series Helps Girls Fight Obesity

    ERIC Educational Resources Information Center

    Curriculum Review, 2009

    2009-01-01

    The most recent National Health and Nutrition Examination Survey (NHANES) data (2003-2004) revealed that approximately 18% of children 6-to-19 years old are overweight. The Beacon Street Girls brand was specifically designed to entertain while providing healthy role models and positive messages. This article presents a study that tested whether an…

  4. Where the Ocean Meets the Girl Guides, Exploring the Interface Between Teaching Science and Using Specialized Programs to Engage Girls in Ocean Literacy

    NASA Astrophysics Data System (ADS)

    Pelz, M. S.; Ewing, N.; Davidson, E.; Hoeberechts, M.

    2016-02-01

    This presentation focuses on Ocean Aware, a joint project between Ocean Networks Canada (ONC) and the British Columbia Girl Guides Canada (Girl Guides). On World Oceans Day 2014, Girl Guides launched a new challenge to its members: "Are you Ocean Aware?" To answer this question, girls of any age can now earn their Ocean Aware Challenge crest. Ocean Networks Canada (ONC), an initiative of the University of Victoria, operates cabled ocean observatories which supply continuous power and Internet connectivity to a broad suite of subsea instruments from the coast to the deep sea. This Internet connectivity permits researchers, students and members of the public to download freely available data on their computers anywhere around the globe, in near real-time. Girl Guides provides a safe, all-girl environment that invites girls to challenge themselves, to find their voice, meet new friends, have fun and make a difference in the world. Girl Guides strives to ensure that girls and women from all walks of life, identities and lived experiences feel a sense of belonging and can fully participate. Girl Guides of Canada is a member of the World Association of Girl Guides and Girl Scouts. Through a partnership between ONC and Girl Guides, Ocean Aware was created to promote ocean literacy and ocean technology to thousands of Guiders in British Columbia and beyond. One of the most interesting challenges was to present STEM learning outcomes in such a way that they are accessible to girls, facilitators, and communities that are both on the coast and inland. With a creative eye to the preforming arts, hands-on experiments, interactive experiences and games, this challenge successfully brings the 7 Principles of Ocean Literacy to any girl, in any community. In this presentation we will share some of the strategies, challenges and impacts of creating a successful program that engages a large audience in ocean science through a novel partnership.

  5. Some Problems of Sexual Growth in Adolescent Underprivileged Unwed Black Girls

    PubMed Central

    James, W. F. Bernell; James, Pauline M.; Walker, Edgar

    1977-01-01

    The adolescent female experiences many problems associated with sexual growth. These are greatly compounded in underprivileged black girls, particularly the unwed. Meharry Medical College has established comprehensive programs for the management of special health problems involving adolescent girls. This study presents an overview and statistical study of the psychological and psychosocial forces that confront these underprivileged girls. PMID:904015

  6. Counseling Adolescent Girls for Body Image Resilience: Strategies for School Counselors

    ERIC Educational Resources Information Center

    Choate, Laura Hensley

    2007-01-01

    Because body image dissatisfaction is such a pervasive problem in adolescent girls, school counselors need to develop effective prevention programs in this area. In this article, a model to promote girls' body image resilience is presented. The model identifies five protective factors that contribute to girls' abilities to resist sociocultural…

  7. Learning to Negotiate Sexual Relationships: A Girls' School in Tanzania as a Restrictive and Agentic Site

    ERIC Educational Resources Information Center

    Willemsen, Laura Wangsness; DeJaeghere, Joan

    2015-01-01

    Literature on schooling in Africa often frames sexual relationships as threatening girls' educational participation, health, and general well-being. Schooling practices aimed at sheltering girls reflect the prevalence of discourses emphasising danger and abstinence. This article presents the case of one all-girls school in Tanzania which provides…

  8. Learning to Negotiate Sexual Relationships: A Girls' School in Tanzania as a Restrictive and Agentic Site

    ERIC Educational Resources Information Center

    Willemsen, Laura Wangsness; DeJaeghere, Joan

    2015-01-01

    Literature on schooling in Africa often frames sexual relationships as threatening girls' educational participation, health, and general well-being. Schooling practices aimed at sheltering girls reflect the prevalence of discourses emphasising danger and abstinence. This article presents the case of one all-girls school in Tanzania which provides…

  9. Literacy Clubs for At-Risk Girls. A Series of Solutions and Strategies, Number 12.

    ERIC Educational Resources Information Center

    Naff, Bea; Fones, Shelley

    Presenting the idea that girls need the ability to approach passages of text with a critical, resistant eye that sees what values, social codes, or political agendas the passages communicate, a literacy club for at-risk girls within the school setting can enable girls to read and write their ways into richer selves by exploring and generating…

  10. Counseling Adolescent Girls for Body Image Resilience: Strategies for School Counselors

    ERIC Educational Resources Information Center

    Choate, Laura Hensley

    2007-01-01

    Because body image dissatisfaction is such a pervasive problem in adolescent girls, school counselors need to develop effective prevention programs in this area. In this article, a model to promote girls' body image resilience is presented. The model identifies five protective factors that contribute to girls' abilities to resist sociocultural…

  11. Baseline and Modulated Acoustic Startle Responses in Adolescent Girls with Posttraumatic Stress Disorder

    ERIC Educational Resources Information Center

    Lipschitz, Deborah S.; Mayes, Linda M.; Rasmusson, Ann M.; Anyan, Walter; Billingslea, Eileen; Gueorguieva, Ralitza; Southwick, Steven M.

    2005-01-01

    Objective: To assess baseline and modulated acoustic startle responses in adolescent girls with posttraumatic stress disorder (PTSD). Method: Twenty-eight adolescent girls with PTSD and 23 healthy control girls were recruited for participation in the study. Acoustic stimuli were bursts of white noise of 104 dB presented biaurally through…

  12. Sex Differences in Language Across Early Childhood: Family Socioeconomic Status does not Impact Boys and Girls Equally

    PubMed Central

    Barbu, Stéphanie; Nardy, Aurélie; Chevrot, Jean-Pierre; Guellaï, Bahia; Glas, Ludivine; Juhel, Jacques; Lemasson, Alban

    2015-01-01

    Child sex and family socioeconomic status (SES) have been repeatedly identified as a source of inter-individual variation in language development; yet their interactions have rarely been explored. While sex differences are the focus of a renewed interest concerning emerging language skills, data remain scarce and are not consistent across preschool years. The questions of whether family SES impacts boys and girls equally, as well as of the consistency of these differences throughout early childhood, remain open. We evaluated consistency of sex differences across SES and age by focusing on how children (N = 262), from 2;6 to 6;4 years old, from two contrasting social backgrounds, acquire a frequent phonological alternation in French – the liaison. By using a picture naming task eliciting the production of obligatory liaisons, we found evidence of sex differences over the preschool years in low-SES children, but not between high-SES boys and girls whose performances were very similar. Low-SES boys’ performances were the poorest whereas low-SES girls’ performances were intermediate, that is, lower than those of high-SES children of both sexes but higher than those of low-SES boys. Although all children’s mastery of obligatory liaisons progressed with age, our findings showed a significant impeding effect of low-SES, especially for boys. PMID:26696938

  13. Context, Confidence and the Able Girl.

    ERIC Educational Resources Information Center

    Jones, L. G.; Jones, L. P.

    1989-01-01

    To measure level of confidence in mathematics and science of girls, 87 girls and 73 boys in third year of British secondary school were asked whether they could answer four questions correctly; girls also estimated boys' and girls' probable responses. A model for raising consciousness of girls about their level of self-confidence and factors that…

  14. Girl Scouts settle complaints over reluctance to admit girl.

    PubMed

    1999-12-24

    The Girl Scouts have settled a claim of discrimination made against New York's Adirondack Girl Scout Council and the national Girl Scouts organization for refusing admittance of a third-grader into the Brownies because of her HIV infection. The settlement occurred without adjudication on the key point of whether volunteer-based organizations such as the Girl Scouts are places of public accommodation under the New York Human Rights Act. The parties agreed that the Adirondack council will revise its HIV policy so that volunteers know they cannot deny admission to HIV-positive candidates; that the council will educate its troop leaders and staff on HIV transmission, universal precautions, and the organization's policy of nondiscrimination; and that the national Girl Scouts' organization will continue to investigate any allegations of HIV discrimination against applicants.

  15. Girl child in rural India.

    PubMed

    Devendra, K

    1995-01-01

    This article discusses the status of the girl child in rural India. Rural children lack the advantages of modern amenities and facilities, such as transportation, electricity, media, hygiene, health care, and access to education. A young girl's status is related to her mother's status. Women are valued the most when a son is born. Girl children are considered an economic liability in child care costs, dowry costs, and marriage support. Since the 1970s, dowry demands have increased. Daughters must meet the demands of prospective in-law for education and dowry even after marriage. The attitudes of parents, families, and society encourage sex-selective abortion, infanticide, abuse in childhood, and domestic violence in adulthood. It was reported in 1994 that a woman is molested every 26 minutes and raped every 52 minutes. The government of India developed an action plan in 1992 for developing the girl child. Rural girl children spend their time cooking, cleaning, fetching wood and water, caring for children, and working in the fields sowing, transplanting, and weeding. Girl children contribute over 20% of total work at home. The only advantage a girl child has in rural areas is visibility. The greatest disadvantage is that her mother, who faced neglect herself, discriminates against her. Increasingly girl children contribute income to their household from Beedi making, gem polishing, embroidering, or paper bag making. Sometimes girls and boys work in hazardous occupations. Gender disparity is evident in school enrollment, drop out rates, literacy, and employment. In 1994, India passed a universal female education bill that offers parents incentives for access and punishment for keeping a girl out of school. Communities need to create a demand for rural girl children's education.

  16. Brief report: Suicidal ideation in adolescent girls: Impact of race.

    PubMed

    LaVome Robinson, W; Droege, Jocelyn R; Hipwell, Alison E; Stepp, Stephanie D; Keenan, Kate

    2016-12-01

    In the present study, we examine the unique and interactive effects of race (African American or European American) and depression on suicidal ideation, controlling for poverty, within a representative sample of adolescent girls. A community sample of 2450 girls (43.9% African American) participating in the longitudinal Pittsburgh Girls Study (PGS) was interviewed annually about depression symptoms and suicidal ideation, from ages 10-15 years. Caregivers reported on the girls' racial/ethnic background and the family's receipt of public assistance. Race and depression scores explained unique variance in suicidal ideation; receipt of public assistance did not. Endorsement and recurrence of suicidal ideation was more likely for African American than European American girls: there was a nearly two-fold increase in the likelihood of reporting frequent thoughts of death or suicide as a function of race. Of the 255 girls reporting recurrent suicidal ideation, 65.9% were African American. An interaction effect between race and depression symptoms was observed, such that African American girls were more likely to report suicidal ideation at lower levels of depression severity. The findings indicate that race is a critical factor for understanding, preventing, and treating suicidal ideation in girls. Copyright © 2016 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  17. Imperforate hymen: cause of lower abdominal pain in teenage girls.

    PubMed

    Mou, J W C; Tang, P M Y; Chan, K W; Tam, Y H; Lee, K H

    2009-11-01

    Imperforate hymen is a relatively rare congenital anomaly. However, it is not an uncommon cause of lower abdominal pain presenting in teenage girls. Without careful history taking and thorough examination, the condition can be missed easily. We report an imperforate hymen presenting as abdominal pain in three teenage girls aged 12, 12 and 13 years, respectively, within a six-month period. The presentation was reviewed and the various types of hymenotomy were discussed.

  18. Girls in Distress in Israel.

    ERIC Educational Resources Information Center

    Steiner, Yosepha

    The typical girl in distress in Israel comes from a Jewish family of oriental origin. Her distress is partially due to the strains of immigrating to Israel from, in most cases, North Africa. Authority models in distressed girls' families feature either the role of the father as the commanding familial authority figure; the mother as the dominant…

  19. The "Right" Sexuality for Girls

    ERIC Educational Resources Information Center

    Lamb, Sharon

    2008-01-01

    Feminist researchers in psychology and education have been theorizing about the kind of sexuality girls ought to have. They are not afraid to investigate morality and what makes a good life. While they explore the meaning and cultural context of girls' sexual development, the good sexual life they describe may be an elusive ideal that, in the end,…

  20. Adolescent Girls Face the Future.

    ERIC Educational Resources Information Center

    Jaffee, Lynn; Bergeron, Suzie

    1994-01-01

    This article is the final report on a study of adolescent girls which explored the relationship between physical activity and self-esteem. Two earlier phases of the study collected data on girls aged 9 to 12 years (n=76) and aged 12 to 17 years (n=67). A questionnaire explored: (1) confidence and perceived competence; (2) sports and activity…

  1. Are Girls Behaving like Boys?

    ERIC Educational Resources Information Center

    Arnott, Rosie

    2008-01-01

    This article explores some of the issues that have given rise to the perception of an increase in aggressive behaviour by females. It asserts that merely comparing girls' behaviour with that of boys, especially the claim that "girls are behaving like boys", trivialises the very real issues associated with females and aggression. This paper will…

  2. The "Right" Sexuality for Girls

    ERIC Educational Resources Information Center

    Lamb, Sharon

    2008-01-01

    Feminist researchers in psychology and education have been theorizing about the kind of sexuality girls ought to have. They are not afraid to investigate morality and what makes a good life. While they explore the meaning and cultural context of girls' sexual development, the good sexual life they describe may be an elusive ideal that, in the end,…

  3. Changing Girls' Education in Guatemala.

    ERIC Educational Resources Information Center

    Provasnik, Stephen; Brush, Lorie; Heyman, Cory; Fanning, Marina; Lent, Drew; De Wilde, Johan

    Guatemala's school completion rates are among the lowest in Latin America and are particularly low in rural indigenous areas ravaged by 36 years of civil conflict. In 1997, USAID launched the Girls' Education Activity, known as Proyecto Global in Guatemala, to increase the percentage of girls who complete fifth grade, especially in rural areas and…

  4. Vulvovaginitis in prepubertal girls

    PubMed Central

    Stricker, T; Navratil, F; Sennhauser, F

    2003-01-01

    This retrospective study evaluated the clinical features and findings in bacterial cultures and in microscopic examination of vaginal secretions in 80 prepubertal girls, aged 2–12 years, with vulvovaginitis. Vaginal secretions were obtained directly from the vagina with a sterile catheter carefully inserted into the vagina. Pathogenic bacteria were isolated in 36% of cases. In 59% of these cases the isolated pathogen was group A ß-haemolytic streptococcus. Candida was not found in any of the patients. The finding of leucocytes in vaginal secretions as an indicator for growth of pathogenic bacteria had a sensitivity of 83% and a specificity of 59%. Antimicrobial treatment should therefore be based on bacteriological findings of vaginal secretions and not on the presence of leucocytes alone. PMID:12651758

  5. Urinary tract infection in girls - aftercare

    MedlinePlus

    ... improve within 1 to 2 days in most girls. The advice below may not be as accurate for girls with more complex problems. ... The following steps can help prevent UTIs in girls: Avoid giving your child bubble baths. Have your ...

  6. Girls Being Quiet: A Problem for Foreign Language Classrooms?

    ERIC Educational Resources Information Center

    Sunderland, Jane

    1998-01-01

    Discusses gendered-discourse in the foreign language classroom. Presents research suggesting that boys do not necessarily always dominate and that girls create learning opportunities for themselves and are able to utilize those provided by the teacher. (Author/VWL)

  7. Cool Girls, Inc.: promoting the positive development of urban preadolescent and early adolescent girls.

    PubMed

    Kuperminc, Gabriel P; Thomason, Jessica; DiMeo, Michelle; Broomfield-Massey, Kimberley

    2011-08-01

    The past two decades have seen a transformation in youth programming toward a comprehensive positive youth development (YD) framework. Cool Girls, Inc., a YD program, focuses on improving girls' life chances by promoting positive behaviors and attitudes in multiple domains. These include self-concept, academic orientation, future orientation, and healthy behaviors. The present study uses a quasi-experimental, non-equivalent comparison group design to examine short-term effects of participation in Cool Girls, Inc. on multiple indicators of each of these domains. Participants were predominately African American and included 86 program participants and 89 comparisons in grades 4-8. Self-report questionnaires were administered at pretest (September-October) and posttest (April-May) of the 2005-2006 academic school year. We hypothesized that program participants would show improvements across domains of self-concept, academic orientation, future orientation, and healthy behavior. Relative to comparisons, program participants experienced gains in scholastic competence, hope for the future, and physical activity. Cool Girls participants with a mentor experienced significant gains in social acceptance and body image relative to other Cool Girls and were more than four times as likely to have expectations of avoiding drug use in the future. The role of mentoring as well as the study's practical significance, strengths, and limitations are discussed.

  8. Girls' Science Investigations (GSI) New Haven Curriculum and Educational Method

    NASA Astrophysics Data System (ADS)

    Hilton, Sheena; Fleming, Bonnie

    2009-05-01

    Girls' Science Investigations (GSI) New Haven is a program which aims at encouraging middle school girls to pursue careers in science. To accomplish this goal, each day at GSI features a different area of science; ``the material world,'' ``the chemical world,'' and ``the electromagnetic world'' are examples of the sessions held during the past two years. Every session features a short explanation of the science topic given by a volunteer and a variety of hands-on activities, which allow the girls to experiment with and absorb the concepts presented in the short presentations. Activities are selected based on their ability to visualize the concepts under study. The education philosophy of GSI is that if the students have the opportunity to perform science experiments themselves, rather than just watching others do it, and enjoy performing these experiments, then the students will be more confident in their ability to succeed in a scientific field. Thus, in addition to encouraging girls to learn as much science as they can, the volunteers work to ensure that the girls enjoy the program as well. By giving the girls the opportunity to explore science in a fun and exciting way, the girls begin to see themselves as capable of becoming scientists and are more inclined to pursue science in the future.

  9. Educating for the future: adolescent girls' health and education in West Bengal, India.

    PubMed

    Rees, Chris A; Long, Katelyn N; Gray, Bobbi; West, Joshua H; Chanani, Sheila; Spielberg, Freya; Crookston, Benjamin T

    2012-01-01

    Adolescent girls in India carry a disproportionate burden of health and social risks; girls that do not finish secondary education are more likely to have an earlier age of sexual initiation, engage in risky sexual behavior, and consequentially be at greater risk of dying from pregnancy-related causes. This paper presents a comparison of girls in school and girls not in school from 665 participants in rural West Bengal, India. The social cognitive theory (SCT), a comprehensive theoretical model, was used as a framework to describe the personal, behavioral, and environmental factors affecting the lives of these adolescent girls. There were significant differences between girls in and out of school in all three categories of the SCT; girls in school were more likely to have heard of sexually transmitted diseases or infections than girls not in school (p<0.0001). Girls in school were also more likely than girls not in school to boil water before drinking (p=0.0078), and girls in school lived in dwellings with 2.3 rooms on average, whereas girls not in school lived in dwellings with only 1.7 rooms (p<0.0001). Indian adolescent girls who are not in school are disadvantaged both economically and by their lack of health knowledge and proper health behaviors when compared with girls who are still in school. In addition, to programs to keep girls in school, efforts should also be made to provide informal education to girls not in school to improve their health knowledge and behaviors.

  10. Attracting Girls into Physics (abstract)

    NASA Astrophysics Data System (ADS)

    Gadalla, Afaf

    2009-04-01

    A recent international study of women in physics showed that enrollment in physics and science is declining for both males and females and that women are severely underrepresented in careers requiring a strong physics background. The gender gap begins early in the pipeline, from the first grade. Girls are treated differently than boys at home and in society in ways that often hinder their chances for success. They have fewer freedoms, are discouraged from accessing resources or being adventurous, have far less exposure to problem solving, and are not encouraged to choose their lives. In order to motivate more girl students to study physics in the Assiut governorate of Egypt, the Assiut Alliance for the Women and Assiut Education District collaborated in renovating the education of physics in middle and secondary school classrooms. A program that helps in increasing the number of girls in science and physics has been designed in which informal groupings are organized at middle and secondary schools to involve girls in the training and experiences needed to attract and encourage girls to learn physics. During implementation of the program at some schools, girls, because they had not been trained in problem-solving as boys, appeared not to be as facile in abstracting the ideas of physics, and that was the primary reason for girls dropping out of science and physics. This could be overcome by holding a topical physics and technology summer school under the supervision of the Assiut Alliance for the Women.

  11. Asymptomatic bacteriuria in preadolescent girls.

    PubMed

    Macías, Alejandro E; Trujillo, Gloria P; Dubey, Luis A; Ramírez, Omar A; Arreguín, Virginia; Muñoz, Juan M; Macías, Juan H; Mosqueda, Juan L

    2013-01-01

    The detection of asymptomatic bacteriuria in preadolescent girls may be important due to its effects on subsequent pregnancies. To describe the prevalence of asymptomatic bacteriuria in preadolescent girls and the value of the nitrite test for screening. Cross-sectional study in girls aged 9 to 13 years. Bacteriuria was defined as the growth of > 100,000 CFU/mL in 2 consecutive urine specimens. Three hundred and twenty seven girls were included. Asymptomatic bacteriuria was found in 7 girls, so the prevalence was 2.1% (95% CI, 1 to 4.4%). Escherichia coli was the isolated agent in all the cases. Focused interrogatory found history of urinary symptoms in 6 girls. The utility values of the nitrite test were: sensitivity, 1; specificity, 0.9; positive likelihood ratio, 10; and negative predictive value, 1. The prevalence of asymptomatic bacteriuria in preadolescent girls in this Mexican study is similar to the one reported internationally; it is reasonable to consider its early detection to avoid its effects on future pregnancies. Nitrite test seems to be good for screening.

  12. Girls Back Off Mathematics Again: The Views and Experiences of Girls in Computer-Based Mathematics.

    ERIC Educational Resources Information Center

    Vale, Colleen

    2002-01-01

    Presents the views and experiences of six girls in two co-educational mathematics classrooms in which computers were regularly used. Indicates a diversity of experiences and views and multiple gender identities. Discusses implications for social justice in mathematics in the age of the information super highway. (Author/KHR)

  13. Brave New Girls: Creative Ideas To Help Girls Be Confident, Healthy, & Happy.

    ERIC Educational Resources Information Center

    Gadeberg, Jeanette

    This guide, designed to help girls learn more about themselves and what they want from life, presents self-esteem exercises and coping skills. It opens with questions about self-discovery and what is important to them. Some examples of voicing one's opinion and making good decisions are also offered. Recognizing and dealing with different feelings…

  14. [Social inequalities in health in 4 year-old children in the Hauts-de-Seine (France)].

    PubMed

    Bois, C; Guillemot, G

    2013-06-01

    The social effects on health described in France on newborn and 5- to 6-year-old children suggest the existence of a social gradient among the youngest children. The favoured, though unequal, social situation of the department of the Hauts-de-Seine (France), makes it particularly adapted to this study. A survey, conducted in 2010 by the departmental service of maternal and infantile protection (PMI) on a representative sample of 1227 children, who received check-ups in their first or second year of nursery school, reveals a significant increase of overweight (from 4.6 to 16.5%), of language disorders (from 8.3 to 25.3%), of the orientations to specialized consultations (from 20.6 to 36.6%), according to the socioprofessional category of the father or the social affiliation of the children in the following subgroups: children speaking or understanding a foreign language (36.6% of the sample), children schooled in priority educational zones (equivalent to education achievement zones in UK, 13.6%), children with limited social health coverage (13.4%). In contrast, the BCG and hepatitis B vaccinal coverage is systematically higher in these various groups. The multivariate analysis investigates for each health problem its links with these various subgroups, and with previous child care experiences, and PMI medical consultations. This study suggests therefore further prospects for different actions according to health problems or regarding vaccinal strategy. The development of such routine indicators of disadvantage should allow territorial health services to target their actions towards the decrease of social disparities in health and to check a posteriori the efficiency of the public systems, which have been implemented.

  15. The Effect of Plausible versus Implausible Balance Scale Feedback on the Expectancies of 3- to 4-Year-Old Children

    ERIC Educational Resources Information Center

    Schrauf, Cornelia; Call, Josep; Pauen, Sabina

    2011-01-01

    Previous studies (Case, 1985; Siegler, 1981) have shown that children under the age of 5 years have little understanding of balance scales when required to encode the influence of weight or distance from the fulcrum. More recently, however, Halford, Andrews, Dalton, Boag, and Zielinski (2002) noted that an understanding based on weight alone is…

  16. INTRAUTERINE EXPOSURE TO POLYCYCLIC AROMATIC HYDROCARBONS, FINE PARTICULATE MATTER AND EARLY WHEEZE. PROSPECTIVE BIRTH COHORT STUDY IN 4-YEAR OLDS

    PubMed Central

    Jedrychowski, Wieslaw A.; Perera, Frederica P.; Maugeri, Umberto; Mrozek-Budzyn, Dorota; Mroz, Elzbieta; Klimaszewska-Rembiasz, Maria; Flak, Elzbieta; Edwards, Susan; Spengler, John; Jacek, Ryszard; Sowa, Agata

    2013-01-01

    The main goal of the study was to determine the relationship between prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) measured by PAH-DNA adducts in umbilical cord blood and early wheeze. The level of PAH-DNA adducts in the cord blood is assumed to reflect the cumulative dose of PAHs absorbed by the fetus over the prenatal period. The effect of prenatal PAH exposure on respiratory health measured by the incidence rate ratio (IRR) for the number of wheezing days in the subsequent four year follow-up was adjusted for potential confounding factors such as personal prenatal exposure to fine particulate matter (PM2.5), environmental tobacco smoke (ETS), gender of child, maternal characteristics (age, education and atopy), parity, and mold/dampness in the home. The study sample includes 339 newborns of non-smoking mothers 18-35 years of age and free from chronic diseases, who were recruited from ambulatory prenatal clinics in the first or second trimester of pregnancy. The number of wheezing days during the first two years of life was positively associated with prenatal level of PAH-DNA adducts (IRR = 1.69, 95%CI = 1.52 – 1.88), prenatal particulate matter (PM2.5) level dichotomized by the median (IRR = 1.38; 95%CI: 1.25 – 1.51), maternal atopy (IRR = 1.43; 95%CI: 1.29 – 1.58), moldy/damp house (IRR = 1.43; 95%CI: 1.27 – 1.61). The level of maternal education and maternal age at delivery were inversely associated with the IRRs for wheeze. The significant association between frequency of wheeze and the level of prenatal environmental hazards (PAHs and PM2.5) was not observed at ages 3 or 4 years. Although the frequency of wheezing at ages 3 or 4 years was no longer associated with prenatal exposure to PAHs and PM2.5, its occurrence depended on the presence of wheezing in the first two years of life, which nearly tripled the risk of wheezing in later life. In conclusion, the findings may suggest that driving force for early wheezing (<24 months of age) are different to those leading to later onset of wheeze. As we reported no synergistic effects between prenatal PAH (measured by PAH-DNA adducts) and PM2.5 exposures on early wheeze, this suggests the two exposures may exert independent effects via different biological mechanism on wheeze. PMID:20444151

  17. A Prosodically Controlled Word and Nonword Repetition Task for 2- To 4-Year-Olds: Evidence from Typically Developing Children.

    ERIC Educational Resources Information Center

    Roy, Penny; Chiat, Shula

    2004-01-01

    An association has been found between nonword repetition and language skills in school-age children with both typical and atypical language development (C. Dollaghan & T. F. Campbell, 1998; S. Ellis Weismer et al., 2000; S. E. Gathercole & A. D. Baddeley, 1990; J. W. Montgomery, 2002). This raises the possibility that younger children's repetition…

  18. False belief understanding and “cool” inhibitory control in 3-and 4-years-old Italian children

    PubMed Central

    Bellagamba, Francesca; Addessi, Elsa; Focaroli, Valentina; Pecora, Giulia; Maggiorelli, Valentina; Pace, Beatrice; Paglieri, Fabio

    2015-01-01

    During preschool years, major developments occur in both executive function and theory of mind (ToM), and several studies have demonstrated a correlation between these processes. Research on the development of inhibitory control (IC) has distinguished between more cognitive, “cool” aspects of self-control, measured by conflict tasks, that require inhibiting an habitual response to generate an arbitrary one, and “hot,” affective aspects, such as affective decision making, measured by delay tasks, that require inhibition of a prepotent response. The aim of this study was to investigate the relations between 3- and 4-year-olds’ performance on a task measuring false belief understanding, the most widely used index of ToM in preschoolers, and three tasks measuring cognitive versus affective aspects of IC. To this end, we tested 101 Italian preschool children in four tasks: (a) the Unexpected Content False Belief task, (b) the Conflict task (a simplified version of the Day–Night Stroop task), (c) the Delay task, and (d) the Delay Choice task. Children’s receptive vocabulary was assessed by the Peabody Picture Vocabulary test. Children’s performance in the False Belief task was significantly related only to performance in the Conflict task, controlling for vocabulary and age. Importantly, children’s performance in the Conflict task did not significantly correlate with their performance in the Delay task or in the Delay Choice task, suggesting that these tasks measure different components of IC. The dissociation between the Conflict and the Delay tasks may indicate that monitoring and regulating a cool process (as flexible categorization) may involve different abilities than monitoring and regulating a hot process (not touching an available and highly attractive stimulus or choosing between a smaller immediate option and a larger delayed one). Moreover, our findings support the view that “cool” aspects of IC and ToM are interrelated, extending to an Italian sample of children previous findings on an association between self-control and ToM. PMID:26175700

  19. The Effect of Verbal Reminders on Memory Reactivation in 2-, 3-, and 4-Year-Old Children

    ERIC Educational Resources Information Center

    Imuta, Kana; Scarf, Damian; Hayne, Harlene

    2013-01-01

    For adults, verbal reminders provide a powerful key to unlock our memories. For example, a simple question, such as "Do you remember your wedding day?" can reactivate rich memories of the past, allowing us to recall experiences that may have occurred days, weeks, and even decades earlier. The ability to use another person's language to…

  20. Associations between grip strength of parents and their 4 year old children: findings from the Southampton Women’s Survey

    PubMed Central

    Inskip, Hazel; Macdonald-Wallis, Corrie; Kapasi, Tasneem; Robinson, Siân; Godfrey, Keith; Cooper, Cyrus; Harvey, Nicholas; Sayer, Avan Aihie

    2013-01-01

    Summary Relationships between birthweight and grip strength throughout the lifecourse suggest that early influences on the growth and development of muscle are important for long-term muscle function. However, little is known about parental influences on children’s grip strength. We have explored this in the Southampton Women’s Survey, a prospective general population cohort study from before conception through childhood. Grip strength was measured using a Jamar handgrip dynamometer in the mother at 19 weeks’ gestation and her partner, and in the child at age four years. Pre-pregnancy heights and weights were measured in the mothers; reported weights and measured heights were available for the fathers. Complete data on parents and children were available for 444 trios. In univariate analyses, both parents’ grip strengths were significantly associated with that of the child (r=0.17, p<0.001 for mothers, r=0.15, p=0.002 for fathers). These correlations were similar to that between the grip strength of the mothers and the father (r=0.17, P<0.001). In the multivariate model, after adjustment for child’s height and physical activity, the correlations with the child’s grip strength were attenuated, being 0.10 (P=0.02) and 0.11 (P=0.01) for mothers’ and fathers’ grip strength respectively. The findings show that grip strength of both parents is associated with that of their child, indicating that heritable influences and the shared family environment influence the development of muscle strength. This contributes to our understanding of the role of heritable and environmental factors on early muscle growth and development, which are important for muscle function across the lifecourse. PMID:22150705

  1. Perceptual, Motor, Memory, and Quantitative Elements of Language Behavior: Differences Between 3- and 4-Year-Old Performance.

    ERIC Educational Resources Information Center

    McLoughlin, Caven S.; Gullo, Dominic F.

    1982-01-01

    To examine language performance and its subskills, the McCarthy Scales of Children's Abilities were administered to 30 three- and four-year-old children. The contradictory findings of verbal performance examined by age suggests that component skills contributing to verbal language behavior may vary significantly with age in the preschool years.…

  2. Words Are Not Merely Features: Only Consistently Applied Nouns Guide 4-Year-Olds' Inferences about Object Categories

    ERIC Educational Resources Information Center

    Graham, Susan A.; Booth, Amy E.; Waxman, Sandra R.

    2012-01-01

    Although there is considerable evidence that nouns highlight category-based commonalities, including both those that are perceptually available and those that reflect underlying conceptual similarity, some have claimed that words function merely as features of objects. Here, we directly test these alternative accounts. Four-year-olds (n = 140)…

  3. Subtypes of Severe Speech and Language Impairments: Psychometric Evidence from 4-Year-Old Children in the Netherlands.

    ERIC Educational Resources Information Center

    van Daal, John; Verhoeven, Ludo; van Balkom, Hans

    2004-01-01

    Most, if not all, of the studies of subtypes of children with language impairments have been conducted with English-speaking children. The possibility and validity of identified subtypes for non-English clinical populations are, as yet, unknown. This study was designed to provide cross-linguistic evidence of language subtypes. A broad battery of…

  4. Poverty as a Predictor of 4-Year-Olds' Executive Function: New Perspectives on Models of Differential Susceptibility

    ERIC Educational Resources Information Center

    Raver, C. Cybele; Blair, Clancy; Willoughby, Michael

    2013-01-01

    In a predominantly low-income, population-based longitudinal sample of 1,259 children followed from birth, results suggest that chronic exposure to poverty and the strains of financial hardship were each uniquely predictive of young children's performance on measures of executive functioning. Results suggest that temperament-based vulnerability…

  5. The Effect of Verbal Reminders on Memory Reactivation in 2-, 3-, and 4-Year-Old Children

    ERIC Educational Resources Information Center

    Imuta, Kana; Scarf, Damian; Hayne, Harlene

    2013-01-01

    For adults, verbal reminders provide a powerful key to unlock our memories. For example, a simple question, such as "Do you remember your wedding day?" can reactivate rich memories of the past, allowing us to recall experiences that may have occurred days, weeks, and even decades earlier. The ability to use another person's language to…

  6. Development of the time course for processing conflict: an event-related potentials study with 4 year olds and adults

    PubMed Central

    Rueda, M Rosario; Posner, Michael I; Rothbart, Mary K; Davis-Stober, Clintin P

    2004-01-01

    Background Tasks involving conflict are widely used to study executive attention. In the flanker task, a target stimulus is surrounded by distracting information that can be congruent or incongruent with the correct response. Developmental differences in the time course of brain activations involved in conflict processing were examined for 22 four year old children and 18 adults. Subjects performed a child-friendly flanker task while their brain activity was registered using a high-density electroencephalography system. Results General differences were found in the amplitude and time course of event-related potentials (ERPs) between children and adults that are consistent with their differences in reaction time. In addition, the congruency of flankers affected both the amplitude and latency of some of the ERP components. These effects were delayed and sustained for longer periods of time in the children compared to the adults. Conclusions These differences constitute neural correlates of children's greater difficulty in monitoring and resolving conflict in this and similar tasks. PMID:15500693

  7. Imitation as a mechanism in cognitive development: a cross-cultural investigation of 4-year-old children's rule learning.

    PubMed

    Wang, Zhidan; Williamson, Rebecca A; Meltzoff, Andrew N

    2015-01-01

    Children learn about the social and physical world by observing other people's acts. This experiment tests both Chinese and American children's learning of a rule. For theoretical reasons we chose the rule of categorizing objects by the weight. Children, age 4 years, saw an adult heft four visually-identical objects and sort them into two bins based on an invisible property-the object's weight. Children who saw this categorization behavior were more likely to sort those objects by weight than were children who saw control actions using the same objects and the same bins. Crucially, children also generalized to a novel set of objects with no further demonstration, suggesting rule learning. We also report that high-fidelity imitation of the adult's "hefting" acts may give children crucial experience with the objects' weights, which could then be used to infer the more abstract rule. The connection of perception, action, and cognition was found in children from both cultures, which leads to broad implications for how the imitation of adults' acts functions as a lever in cognitive development.

  8. Early Childhood Educators' Use of Language-Support Practices with 4-Year-Old Children in Child Care Centers

    ERIC Educational Resources Information Center

    Bouchard, Caroline; Bigras, Nathalie; Cantin, Gilles; Coutu, Sylvain; Blain-Briere, Benedicte; Eryasa, Joell; Charron, Annie; Brunson, Liesette

    2010-01-01

    The importance of encouraging language skills in early childhood has been well documented. Educators who are responsible for children in daycare services have many opportunities to use rich and stimulating educational practices that support language acquisition. The purpose of this study was to assess the language-support practices used by 22…

  9. Subtypes of Severe Speech and Language Impairments: Psychometric Evidence from 4-Year-Old Children in the Netherlands.

    ERIC Educational Resources Information Center

    van Daal, John; Verhoeven, Ludo; van Balkom, Hans

    2004-01-01

    Most, if not all, of the studies of subtypes of children with language impairments have been conducted with English-speaking children. The possibility and validity of identified subtypes for non-English clinical populations are, as yet, unknown. This study was designed to provide cross-linguistic evidence of language subtypes. A broad battery of…

  10. Body Mass Index (BMI) and child temperament: ethnic and gender differences among 3 and 4 year olds

    USDA-ARS?s Scientific Manuscript database

    Limited early research suggests that children with a more difficult temperament (i.e., withdrawing, high intensity, predominate negative mood) by ages 4-5 are more likely to have excessive weight gain by ages 8-9 compared with children with opposite temperaments. We examined this relationship among ...

  11. Gains in Fluid Intelligence after Training Non-Verbal Reasoning in 4-Year-Old Children: A Controlled, Randomized Study

    ERIC Educational Resources Information Center

    Bergman Nutley, Sissela; Soderqvist, Stina; Bryde, Sara; Thorell, Lisa B.; Humphreys, Keith; Klingberg, Torkel

    2011-01-01

    Fluid intelligence (Gf) predicts performance on a wide range of cognitive activities, and children with impaired Gf often experience academic difficulties. Previous attempts to improve Gf have been hampered by poor control conditions and single outcome measures. It is thus still an open question whether Gf can be improved by training. This study…

  12. Classification of speech and language profiles in 4-year old children with cerebral palsy: A prospective preliminary study

    PubMed Central

    Hustad, Katherine C.; Gorton, Kristin; Lee, Jimin

    2010-01-01

    Purpose Little is known about the speech and language abilities of children with cerebral palsy (CP) and there is currently no system for classifying speech and language profiles. Such a system would have epidemiological value and would have the potential to advance the development of interventions that improve outcomes. In this study, we propose and test a preliminary speech and language classification system by quantifying how well speech and language data differentiate among children classified into different hypothesized profile groups. Method Speech and language assessment data were collected in a laboratory setting from 34 children with CP (18 males; 16 females) who were a mean age of 54 months (SD 1.8 months). Measures of interest were vowel area, speech rate, language comprehension scores, and speech intelligibility ratings. Results Canonical discriminant function analysis showed that three functions accounted for 100% of the variance among profile groups, with speech variables accounting for 93% of the variance. Classification agreement varied from 74% to 97% using four different classification paradigms. Conclusions Results provide preliminary support for the classification of speech and language abilities of children with CP into four initial profile groups. Further research is necessary to validate the full classification system. PMID:20643795

  13. Identification of an obese eating style in 4-year-old children born at high and low risk for obesity.

    PubMed

    Berkowitz, Robert I; Moore, Renee' H; Faith, Myles S; Stallings, Virginia A; Kral, Tanja V E; Stunkard, Albert J

    2010-03-01

    This study tested whether children's eating behavior and parental feeding prompts during a laboratory test meal differ among children born at high risk (HR) or low risk (LR) for obesity and are associated with excess child weight gain. At 4 years of age, 32 HR children (mean maternal prepregnancy BMI = 30.4 kg/m(2)) and 29 LR children (maternal BMI = 19.6 kg/m(2)) consumed a test meal in which their eating behavior was assessed, including rate of caloric consumption, mouthfuls/min, and requests for food. Parental prompts for the child to eat also were measured at year 4, and child body composition was measured at ages 4 and 6 years. T-tests, and logistic and multiple regression analyses tested study aims. Results indicated that HR and LR children did not differ in eating rate or parental feeding prompts. Greater maternal BMI, child mouthfuls of food/min, and total caloric intake/min during the test meal predicted an increased risk of being overweight or obese at age 6, whereas greater active mealtime was associated with a reduced risk of being overweight or obese. Regression analyses indicated that only mouthfuls of food/min predicted changes in BMI from 4 to 6 years, and mouthfuls of food/min and gender predicted 2-year changes in sum of skinfolds and total body fat. Thus, a rapid eating style, characterized by increased mouthfuls of food/min, may be a behavioral marker for the development of childhood obesity.

  14. Genital ulceration in a 4 year old--a case of safeguarding? From social services to pathology...

    PubMed

    Roche, Emma; Pandya, Nikila; Munthali, Lamios; Atra, Ayad

    2012-06-21

    This case of genital ulceration and social concerns in a preschool aged child was highly suspicious for child sexual abuse. However, the lesions presumed to be herpes simplex did not respond to antiviral medication. Specialist input from paediatric oncology and endocrinology resulted in a rare diagnosis of langerhans cell histiocytosis. Furthermore, the complication of diabetes insipidus later developed, making this the youngest child described to our knowledge with vulval lesions of langerhans cell histiocytosis and a central nervous system complication.

  15. Poverty as a Predictor of 4-Year-Olds' Executive Function: New Perspectives on Models of Differential Susceptibility

    ERIC Educational Resources Information Center

    Raver, C. Cybele; Blair, Clancy; Willoughby, Michael

    2013-01-01

    In a predominantly low-income, population-based longitudinal sample of 1,259 children followed from birth, results suggest that chronic exposure to poverty and the strains of financial hardship were each uniquely predictive of young children's performance on measures of executive functioning. Results suggest that temperament-based vulnerability…

  16. Classification of Speech and Language Profiles in 4-Year-Old Children with Cerebral Palsy: A Prospective Preliminary Study

    ERIC Educational Resources Information Center

    Hustad, Katherine C.; Gorton, Kristin; Lee, Jimin

    2010-01-01

    Purpose: In this study, the authors proposed and tested a preliminary speech and language classification system for children with cerebral palsy. Method: Speech and language assessment data were collected in a laboratory setting from 34 children with cerebral palsy (CP; 18 male, 16 female) with a mean age of 54 months (SD = 1.8). Measures of…

  17. Associations between grip strength of parents and their 4-year-old children: findings from the Southampton Women's Survey.

    PubMed

    Inskip, Hazel; Macdonald-Wallis, Corrie; Kapasi, Tasneem; Robinson, Siân; Godfrey, Keith; Cooper, Cyrus; Harvey, Nicholas; Sayer, Avan Aihie

    2012-01-01

    Relationships between birthweight and grip strength throughout the life course suggest that early influences on the growth and development of muscle are important for long-term muscle function. However, little is known about parental influences on children's grip strength. We have explored this in the Southampton Women's Survey, a prospective general population cohort study from before conception through childhood. Grip strength was measured using a Jamar handgrip dynamometer in the mother at 19 weeks' gestation and her partner, and in the child at age 4 years. Pre-pregnancy heights and weights were measured in the mothers; reported weights and measured heights were available for the fathers. Complete data on parents and children were available for 444 trios. In univariable analyses, both parents' grip strengths were significantly associated with that of the child (r = 0.17, P < 0.001 for mothers; r = 0.15, P = 0.002 for fathers). These correlations were similar to that between the grip strength of the mothers and the fathers (r = 0.17, P < 0.001). In the multivariable model, after adjustment for child's height and physical activity, the correlations with the child's grip strength were attenuated, being 0.10 (P = 0.02) and 0.11 (P = 0.01) for mothers' and fathers' grip strength respectively. The findings show that grip strength of each parent is associated with that of the child, indicating that heritable influences and the shared family environment influence the development of muscle strength. This contributes to our understanding of the role of heritable and environmental factors on early muscle growth and development, which are important for muscle function across the life course.

  18. Words Are Not Merely Features: Only Consistently Applied Nouns Guide 4-Year-Olds' Inferences about Object Categories

    ERIC Educational Resources Information Center

    Graham, Susan A.; Booth, Amy E.; Waxman, Sandra R.

    2012-01-01

    Although there is considerable evidence that nouns highlight category-based commonalities, including both those that are perceptually available and those that reflect underlying conceptual similarity, some have claimed that words function merely as features of objects. Here, we directly test these alternative accounts. Four-year-olds (n = 140)…

  19. Identification of an Obese Eating Style in 4-year-old Children Born at High and Low Risk for Obesity

    PubMed Central

    Berkowitz, Robert I.; Moore, Renee’ H.; Faith, Myles S.; Stallings, Virginia A.; Kral, Tanja V.E.; Stunkard, Albert J.

    2010-01-01

    This study tested whether children’s eating behavior and parental feeding prompts during a laboratory test meal differ among children born at high risk (HR) or low risk (LR) for obesity and are associated with excess child weight gain. At 4 years of age, 32 HR children (mean maternal prepregnancy BMI = 30.4 kg/m2) and 29 LR children (maternal BMI = 19.6 kg/m2) consumed a test meal in which their eating behavior was assessed, including rate of caloric consumption, mouthfuls/min, and requests for food. Parental prompts for the child to eat also were measured at year 4, and child body composition was measured at ages 4 and 6 years. T-tests, and logistic and multiple regression analyses tested study aims. Results indicated that HR and LR children did not differ in eating rate or parental feeding prompts. Greater maternal BMI, child mouthfuls of food/min, and total caloric intake/min during the test meal predicted an increased risk of being overweight or obese at age 6, whereas greater active mealtime was associated with a reduced risk of being overweight or obese. Regression analyses indicated that only mouthfuls of food/min predicted changes in BMI from 4 to 6 years, and mouthfuls of food/min and gender predicted 2-year changes in sum of skinfolds and total body fat. Thus, a rapid eating style, characterized by increased mouthfuls of food/min, may be a behavioral marker for the development of childhood obesity. PMID:19779474

  20. Classification of Speech and Language Profiles in 4-Year-Old Children with Cerebral Palsy: A Prospective Preliminary Study

    ERIC Educational Resources Information Center

    Hustad, Katherine C.; Gorton, Kristin; Lee, Jimin

    2010-01-01

    Purpose: In this study, the authors proposed and tested a preliminary speech and language classification system for children with cerebral palsy. Method: Speech and language assessment data were collected in a laboratory setting from 34 children with cerebral palsy (CP; 18 male, 16 female) with a mean age of 54 months (SD = 1.8). Measures of…

  1. Children’s Spatial Representations: 3- and 4-Year-Olds are Affected by Irrelevant Peripheral References

    PubMed Central

    Krüger, Markus; Jahn, Georg

    2015-01-01

    Children as young as 3 years can remember an object’s location within an arrangement and can retrieve it from a novel viewpoint (Nardini et al., 2006). However, this ability is impaired if the arrangement is rotated to compensate for the novel viewpoint, or, if the arrangement is rotated and children stand still. There are two dominant explanations for this phenomenon: self-motion induces an automatic spatial updating process which is beneficial if children move around the arrangement, but misleading if the children’s movement is matched by the arrangement and not activated if children stand still and only the arrangement is moved (see spatial updating; Simons and Wang, 1998). Another explanation concerns reference frames: spatial representations might depend on peripheral spatial relations concerning the surrounding room instead on proximal relations within the arrangement, even if these proximal relations are sufficient or more informative. To evaluate these possibilities, we rotated children (N = 120) aged between 3 and 6 years with an occluded arrangement. When the arrangement was in misalignment to the surrounding room, 3- and 4-year-olds’ spatial memory was impaired and 5-year-olds’ was lightly impaired suggesting that they relied on peripheral references of the surrounding room for retrieval. In contrast, 6-years-olds’ spatial representation seemed robust against misalignment indicating a successful integration of spatial representations. PMID:26617537

  2. Bridging Differences -- how Social Relationships and Racial Diversity Matter in a Girls' Technology Program

    NASA Astrophysics Data System (ADS)

    Kekelis, Linda S.; Ancheta, Rebecca Wepsic; Heber, Etta; Countryman, Jeri

    In this article, we explore an understudied dimension of girls' single-sex education - how social relationships and racial diversity impact the educational environment for girls, and how teachers may best address these concerns. Findings are presented from a 3-year qualitative study of girls' experiences in a single-sex technology program. Girls valued the all-girls aspect of the programs, and friendships formed the foundation of their social experiences. Girls' friendship groups influenced their experiences and eventually their success in the after school technology programs. When friendship groups were observed to be racially homogeneous, they created challenges for including and supporting a racially diverse student membership. Our responses to the challenges that cultural differences and tensions present are outlined, along with recommendations for helping girls bridge these differences.

  3. Bad little girls.

    PubMed

    Maggini, Carlo

    2008-04-01

    The characters, in little girl style, who more and more often appear in advertisements, glossy magazines, television programs and megastores, and who can be encountered in the streets of many cities, are not the product of an ephimerous fashion dictated by the logic of the market. They come from far away, disquieting and erotic, and have crossed all the cultures of the western world, fascinating and disconcerting the soul with their power of seduction. They are the nymphs of Greek mythology, and not even the gods were able to resist them, knowing very well that their bodies are a place of knowledge that could lead to insanity. The paradox of the nymph is that possessing her means being possessed. After an overview of the myth of possession by nymphs, the author discusses certain illustrious figures of western culture of the 19th and 20th century possessed by a nymph: Aby Warburg, Martin Heidegger, Carl Gustav Jung, Henrik Ibsen and Emil Cioran. In all of them the possession by a nymph unfolded in keeping with the myth: intellectual fervor was common to all, insanity in Warburg, rapacious egotism in Heidegger and Jung, and a metamorphosis of Weltanshaung in Ibsen and Cioran. Nonetheless, they all, in their encounter with a nymph, laid bare their multifaceted identities, the muddy depths and the "heart of darkness" of their souls.

  4. Girls Online Feeling Out of Bounds: Girl Scout Research Institute Study on Teenage Girls and the Internet.

    ERIC Educational Resources Information Center

    Dewey, Lisa

    2002-01-01

    A study of girls' Internet usage collected data from 1,246 girls aged 13-18 via focus groups, personal journals, and surveys. Many girls didn't know how to react to situations like pornography or sexual harassment in chat room conversations. Girls wanted proactive involvement from adults, not just prohibitive advice, on navigating the Internet.…

  5. Girls Online Feeling Out of Bounds: Girl Scout Research Institute Study on Teenage Girls and the Internet.

    ERIC Educational Resources Information Center

    Dewey, Lisa

    2002-01-01

    A study of girls' Internet usage collected data from 1,246 girls aged 13-18 via focus groups, personal journals, and surveys. Many girls didn't know how to react to situations like pornography or sexual harassment in chat room conversations. Girls wanted proactive involvement from adults, not just prohibitive advice, on navigating the Internet.…

  6. Microchimerism of male origin in a cohort of Danish girls.

    PubMed

    Müller, Amanda Cecilie; Jakobsen, Marianne Antonius; Barington, Torben; Vaag, Allan Arthur; Grunnet, Louise Groth; Olsen, Sjurdur Frodi; Kamper-Jørgensen, Mads

    2015-10-02

    Male microchimerism, the presence of a small number of male cells, in women has been attributed to prior pregnancies. However, male microchimerism has also been reported in women with only daughters, in nulliparous women and prepubertal girls suggesting that other sources of male microchimerism must exist. The aim of the present study was to examine the presence of male microchimerism in a cohort of healthy nulliparous Danish girls aged 10-15 y using DNA extracted from cells from whole blood (buffy coats) and report the association with potential sources of male cells. A total of 154 girls were studied of which 21 (13.6%) tested positive for male microchimerism. There was a tendency that girls were more likely to test positive for male microchimerism if their mothers previously had received transfusion, had given birth to a son or had had a spontaneous abortion. Furthermore, the oldest girls were more likely to test positive for male microchimerism. However, less than half of microchimerism positivity was attributable to these factors. In conclusion, data suggest that male microchimerism in young girls may originate from an older brother either full born or from a discontinued pregnancy or from transfusion during pregnancy. We speculate that sexual intercourse may be important but other sources of male cells likely exist in young girls.

  7. Writing Like a Good Girl

    ERIC Educational Resources Information Center

    Sitler, Helen Collins

    2008-01-01

    In a montage of genres, Helen Collins Sitler illuminates the subtle yet powerful, often detrimental messages we send to girls that silence their public and private voices and diminish their opportunities to question and learn.

  8. Concerns Girls Have about Puberty

    MedlinePlus

    ... a girl to be surprised by her first menstrual cycle, not knowing what is happening or why. Remember, ... physical exercises or medication. Discuss hygiene related to menstrual cycles. Be certain your daughter has the supplies she ...

  9. Understanding Girls' Circle as an Intervention on Perceived Social Support, Body Image, Self-Efficacy, Locus of Control, and Self-Esteem

    ERIC Educational Resources Information Center

    Steese, Stephanie; Dollette, Maya; Phillips, William; Hossfeld, Elizabeth; Matthews, Gail; Taormina, Giovanna

    2006-01-01

    The Girls' Circle is a support group for adolescent girls developed by Beth Hossfeld and Giovanna Taormina as a unique program that addresses the needs of girls by focusing on increasing connections, building empathic skills, and developing resiliency. The present study evaluates the effectiveness of the Girls' Circle intervention on improving…

  10. Understanding Girls' Circle as an Intervention on Perceived Social Support, Body Image, Self-Efficacy, Locus of Control, and Self-Esteem

    ERIC Educational Resources Information Center

    Steese, Stephanie; Dollette, Maya; Phillips, William; Hossfeld, Elizabeth; Matthews, Gail; Taormina, Giovanna

    2006-01-01

    The Girls' Circle is a support group for adolescent girls developed by Beth Hossfeld and Giovanna Taormina as a unique program that addresses the needs of girls by focusing on increasing connections, building empathic skills, and developing resiliency. The present study evaluates the effectiveness of the Girls' Circle intervention on improving…

  11. Girl child and sexual victimisation.

    PubMed

    Krishna, K P

    1995-01-01

    This article offers 12 suggestions for improving the protection of sexually victimized children and discusses the extent, form, causes, and consequences of sexual victimization of female children in India. Female victimization includes child marriage, polygamy, rape, incest, and kidnapping for immoral purposes. A female child is victimized from birth to maturity. Girls are born into a secondary status and married off. If her dowry is meager, a girl is subjected to ridicule, criticism, or denigration. The number of prosecuted sex offenses against girls and the number of reported sex offenses increased during 1980-89. However, most sex offenses are unreported. About 63% of rape cases pertain to girls 16-30 years old. Only 18% of rape cases occur among women over age 30. During 1971-89, kidnapping increased by over 79%. Most kidnapping involves girls 3-16 years old and is connected with prostitution, begging, sexual gratification, unemployment, extreme poverty, broken homes, and antisocial surroundings. One study in 1991 found that 48% of adolescent school girls had been molested. Another study in 1985 found that 54.29% of rape victims were 7-16 years old, and 3.27% were under 7 years old. 53.88% were unmarried, and 45.32% were married. Most of the victims were unemployed, dependents, or students. Most rapists are known by the victims. The rapist and the victims tend to come from middle or lower socioeconomic classes. Brother-sister incest is about 5 times more common than father-daughter incest. The literature suggests that children are sexually abused for pleasure or material gain. A current city study found that 15% of prostitutes were under 15 years old; 24.5% were 16-18 years old. Girls enter prostitution through a temple devdasi life, abduction, regular employment, and initiation by parents and brothel keepers. Marriage victimizes girls who marry at an early age or with a poor dowry.

  12. Early-onset anorexia nervosa in girls with Asperger syndrome

    PubMed Central

    Dudova, Iva; Kocourkova, Jana; Koutek, Jiri

    2015-01-01

    Eating disorders frequently occur in conjunction with autism spectrum disorders, posing diagnostic and therapeutic difficulties. The comorbidity of anorexia nervosa and Asperger syndrome is a significant clinical complication and has been associated with a poorer prognosis. The authors are presenting the cases of an eleven-year-old girl and a five-and-a-half-year-old girl with comorbid eating disorders and Asperger syndrome. PMID:26170676

  13. Early-onset anorexia nervosa in girls with Asperger syndrome.

    PubMed

    Dudova, Iva; Kocourkova, Jana; Koutek, Jiri

    2015-01-01

    Eating disorders frequently occur in conjunction with autism spectrum disorders, posing diagnostic and therapeutic difficulties. The comorbidity of anorexia nervosa and Asperger syndrome is a significant clinical complication and has been associated with a poorer prognosis. The authors are presenting the cases of an eleven-year-old girl and a five-and-a-half-year-old girl with comorbid eating disorders and Asperger syndrome.

  14. The impact of obesity on hyperandrogenemia in Korean girls

    PubMed Central

    Kang, Min Jae; Yang, Seung

    2016-01-01

    Purpose As metabolic complication and polycystic ovarian syndrome due to childhood obesity is rising, the role of hyperandrogenemia (HA) and hyperinsulinism is receiving attention. The aims of this study were to investigate the presence of obvious HA according to pubertal status and to find potential etiologic determinants of HA in Korean obese (OB) girls. Methods We analyzed 91 girls aged 6–17 years (prepuberty, n=54; puberty, n=37). Each girl was classified as being either normal weight (NW) or OB. Anthropometric measurements were obtained and blood test was performed early in the morning after at least 8 hours of fasting to measure glucose, insulin, total testosterone, sex hormone-binding globulin, dehydroepiandrosterone sulfate (DHEAS), luteinizing hormone (LH), follicular-stimulating hormone, estradiol, and progesterone. Results The plasma levels of free testosterone (FT) and DHEAS were markedly higher in OB girls compared to NW girls in puberty (FT, P=0.009; DHEAS, P=0.046) but not in prepuberty (FT, P=0.183; DHEAS, P=0.052). Hyperinsulinemia and high homeostasis model assessment of insulin resistance (HOMA-IR) values were found regardless of pubertal status in OB girls. The significant related factor to HA in puberty was the body mass index Z-score (P=0.003). But HOMA-IR, LH, and progesterone levels were not relevant to HA in pubertal girls. Conclusion OB prepubertal girls did not show HA in the present study but they should be regularly monitored because they already had hyperinsulinemia. OB pubertal girls had significant HA and hyperinsulinemia, and obesity per se was the most important factor for HA. PMID:28164075

  15. Aspiring Girls: Great Expectations or Impossible Dreams?

    ERIC Educational Resources Information Center

    Richards, Gill; Posnett, Carol

    2012-01-01

    This study explores girls' aspirations for their future. The context was an ex-coalmining area where concerns had been raised by the local authority about the levels of girls' achievement. The focus of the research was the views of Year 6 girls as they prepared for their transition to secondary school and Year 11 girls as they prepared for their…

  16. Physical activity behavior and related characteristics of highly-active 8th grade girls

    PubMed Central

    Taverno Ross, Sharon E.; Dowda, Marsha; Beets, Michael W.; Pate, Russell R.

    2013-01-01

    Purpose While girls are generally less physically active than boys, some girls regularly engage in high levels of physical activity (PA); however, very little is known about these girls and how they differ from those who are less physically active. This study examined the PA behavior and related characteristics of highly-active adolescent girls and compared them with those who are less active. Methods Data from 1,866 8th grade girls from 6 field centers across the U.S. participating in the Trial of Activity for Adolescent Girls (TAAG) were included in the present analysis. Mixed model ANOVAs examined differences in sociodemographic, anthropometric, psychosocial, and physical activity (accelerometry and self-report) variables between high- and low-active girls; effect sizes were calculated for the differences. Results High-active girls were taller, had lower BMIs and body fat, and were less sedentary. High-active girls scored higher on self-efficacy, enjoyment of PA, self-management strategies, outcome-expectancy value, and support from family and friends than low-active girls. Low-active girls participated in more leisure-time and educational sedentary activities than high-active girls. High-active girls participated in more PA classes/lessons outside of school, team sports, and individual sports. They were also more likely to participate in sports in an organized setting in the community or at school than low-active girls. Conclusions Health promotion efforts should focus on decreasing the amount of time girls spend in sedentary activities and replacing that time with organized PA opportunities; such efforts should seek to minimize perceived barriers and increase self-efficacy and support for PA. PMID:23384978

  17. Gender, ethnicity and race in incarcerated and detained youth: services and policy implications for girls.

    PubMed

    Stein, L A R; Clair, Mary; Rossi, Joseph S; Martin, Rosemarie A; Cancilliere, Mary Kathryn; Clarke, Jennifer G

    2015-03-01

    While work has been conducted on gender differences to inform gender-specific programming, relatively little work has been done regarding racial and ethnic differences among incarcerated and detained girls in particular. This is an important gap, considering gender, race, and ethnicity may be important factors in responding to the needs of incarcerated and detained girls within the Risk-Needs-Responsivity (RNR) model. We hypothesize girls will show relatively more pathology than boys, and that White girls will show relatively more pathology as compared to girls of other groups. Implications of findings for services delivery and policy are presented. Data were collected on N = 657 youth using structured interview and record review. Analyses included χ2 and t tests. As compared to boys, girls were older at first arrest yet younger during most lock-up, received poorer grades, experienced more family difficulty, and more were lesbian/bisexual. As compared to minority girls, White girls began hard drugs at a younger age, had more conduct disorder symptoms, and more frequently experienced parental difficulty and abuse. Age-appropriate programming that addresses family difficulty and sexuality is needed for girls. As compared to White girls, reentry planning may more readily rely on family support for minority girls. Systems should consider use of actuarial methods in order to reduce bias in making placement decisions. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  18. Gender, Ethnicity and Race in Incarcerated and Detained Youth: Services and Policy Implications for Girls

    PubMed Central

    Stein, L.A.R.; Clair, Mary; Rossi, Joseph; Martin, Rosemarie; Cancilliere, Mary Kathryn; Clarke, Jennifer G.

    2014-01-01

    Objective While work has been conducted on gender differences to inform gender-specific programming, relatively little work has been done regarding racial and ethnic differences among incarcerated and detained girls in particular. This is an important gap, considering gender, race and ethnicity may be important factors in responding to the needs of incarcerated and detained girls within the Risk-Needs-Responsivity (RNR) model. We hypothesize girls will show relatively more pathology than boys, and that White girls will show relatively more pathology as compared to girls of other groups. Implications of findings for services delivery and policy are presented. Methods Data were collected on N=657 youth using structured interview and record review. Analyses included χ2 and t-tests. Results As compared to boys, girls were older at first arrest yet younger during most lock-up, received poorer grades, experienced more family difficulty, and more were lesbian/bisexual. As compared to minority girls, White girls began hard drugs at a younger age, had more conduct disorder symptoms, and more frequently experienced parental difficulty and abuse. Conclusions and Implications for Practice Age-appropriate programming that addresses family difficulty and sexuality is needed for girls. As compared to White girls, re-entry planning may more readily rely on family support for minority girls. Systems should consider use of actuarial methods in order to reduce bias in making placement decisions. PMID:25180525

  19. Preadolescent Clues to Understanding Depression in Girls

    PubMed Central

    Keenan, Kate; Hipwell, Alison E.

    2010-01-01

    Between the ages of 10 and 15, increases in depression among girls result in a rate that is twice as high as the rate of depression in boys. This sex difference remains throughout early and middle adulthood. Prior to early adolescence, there is essentially no sex difference in the rate of depression. The aim of the present review is to examine whether the preadolescent period is a time during which precursors to depression in girls can be identified. First, existing areas of research on explaining sex differences in depression, including cognitive and affiliative style and the socialization of emotion, are reviewed. Second, the hypothesis that for some girls, preadolescent precursors to depression take the form of excessive empathy, compliance and regulation of negative emotions is articulated. Third, ways of building on existing models by including the proposed preadolescent precursors are proposed. Finally, approaches to testing the hypotheses that individual differences in these domains during preadolescence may explain later individual differences in adolescent onset depression are explored. PMID:15984082

  20. Does Barbie Make Girls Want to be Thin? The Effect of Experimental Exposure to Images of Dolls on the Body Image of 5- to 8-Year-Old Girls

    ERIC Educational Resources Information Center

    Dittmar, Helga; Halliwell, Emma; Ive, Suzanne

    2006-01-01

    The ubiquitous Barbie doll was examined in the present study as a possible cause for young girls' body dissatisfaction. A total of 162 girls, from age 5 to age 8, were exposed to images of either Barbie dolls, Emme dolls (U.S. size 16), or no dolls (baseline control) and then completed assessments of body image. Girls exposed to Barbie reported…

  1. Does Barbie Make Girls Want to be Thin? The Effect of Experimental Exposure to Images of Dolls on the Body Image of 5- to 8-Year-Old Girls

    ERIC Educational Resources Information Center

    Dittmar, Helga; Halliwell, Emma; Ive, Suzanne

    2006-01-01

    The ubiquitous Barbie doll was examined in the present study as a possible cause for young girls' body dissatisfaction. A total of 162 girls, from age 5 to age 8, were exposed to images of either Barbie dolls, Emme dolls (U.S. size 16), or no dolls (baseline control) and then completed assessments of body image. Girls exposed to Barbie reported…

  2. [Dieting among girls from Hordaland].

    PubMed

    Skeie, Guri; Klepp, Knut-Inge

    2002-08-10

    Dieting is highly prevalent among girls and women. The purpose of this article is to study the stability of dieting in a cohort of young females from age 13 until age 21, and to relate their dieting behaviour to their body mass index. Participants took part in the Norwegian Longitudinal Health Behaviour Study. In 1990, a representative sample of 13-year-old school children from Hordaland County were invited to participate. A total of 414 girls participated at baseline, and 253 (61%) also participated at ages 15, 18 and 21 years. Height, weight and attempts to loose weight were collected through self-reports. At age 14, 40% reported dieting during the past year; the proportion stayed stable with increasing age. Dieting at later ages was much more prevalent in girls who had dieted at age 14 than in those who had not. In the 13 to 21 year cohort, 18% reported dieting on all the three main measuring points. While these girls had a higher body mass index than their non-dieting peers, only 30% of them could be characterised as overweight. Dieting is highly prevalent among adolescent girls and a stable feature in the life of many of them.

  3. Juvenile dermatomyositis in a Nigerian girl.

    PubMed

    Adelowo, Olufemi; Nwankwo, Madu; Olaosebikan, Hakeem

    2014-04-04

    Juvenile dermatomyositis is an autoimmune connective tissue disease occurring in children less than 16 years old. It is part of a heterogeneous group of muscle diseases called idiopathic Iiflammatory myopathies. It had previously been reported in black Africans resident in UK. However, there is no documented case reported from Africa. The index sign of heliotrope rashes is often difficult to visualise in the black skin. An 11-year-old Nigerian girl presenting with clinical, laboratory and histopathological features of juvenile dermatomyositis is presented here. It is hoped that this case will heighten the index of suspicion of this condition among medical practitioners in Africa.

  4. Girl child and family in Maharashtra.

    PubMed

    Pandey, D

    1995-01-01

    This article discusses the problems of the girl child at the family level in India. Analysis is based on a field study in Maharashtra state and other studies included in a government report on the "Girl Child and the Family." The family context strongly impacts child growth and development. Evidence indicates that a girl child faces discrimination and inequality. Every sixth female death is attributed to gender discrimination. Household tasks prevent girls' school enrollment. Children learn role expectations at home. Daughters are taught their duties and obligations as if they were a piece of property. 25% of the parents in the sample considered a girl's birth with indifference and unhappiness. In 11% of cases, girls were not immunized at all. Breast feeding was short. 31.8% of mothers and 25% of in-laws expected the girl's birth to be a boy. 98.2% of mothers did not rely on sex determination of the fetus. Almost 60% of households did not restrict smiling or crying among boys or girls. 70% restricted laughing loudly. 42.4% restricted only girls' laughing out loud. 17% restricted girls' smiling or crying. 46.5% restricted girls' movement to the house. 42% did not allow daughters to speak to the opposite sex. 17% restricted access to the market for daughters. Girls were encouraged to cook, stitch, and dance. 60% of girls preferred to spend time with girl friends. Boys had better access to movies. 57% of girls spent time on housework. 47% became gender aware from mass media. Most felt frightened at menstruation. 88% of girls thought that all should equally attain the same level of education. Girls received an equal share of food and health care. 87% of girls did not work for wages. Those who worked did not control their income.

  5. Rare case of an abdominal mass presenting as acute abdomen: torsion of the vermiform appendix.

    PubMed

    Kilincaslan, Huseyin; Gedik, Ahmet Hakan; Bilici, Mustafa; Cakir, Secil

    2013-04-01

    Torsion of the vermiform appendix is a rarely observed acute abdominal emergency. The clinical manifestations are similar to acute appendicitis. It should be included in the differential diagnosis if a patient presents with intermittent abdominal pain and an acute abdominal emergency. Here, we describe a 4-year-old male patient with a mass located in the right lower abdominal quadrant, whose clinical findings were consistent with an acute abdomen. The gangrenous appendix was found in the pelvic cavity and its stump was twisted clockwise. A 1.5-cm fecalith was detected in the appendix lumen and appendectomy was performed. © 2013 The Authors. Pediatrics International © 2013 Japan Pediatric Society.

  6. Where the girls aren't: High school girls and advanced placement physics enrollment

    NASA Astrophysics Data System (ADS)

    Barton, Susan O'brien

    During the high school years, when many students first have some choice in course selection, research indicates that girls choose to enroll in more math and science courses, take more advanced placement courses, and take more honors courses in English, biology, chemistry, mathematics, and foreign languages than ever before. Yet, not only are boys more likely to take all of the three core science courses (biology, chemistry, and physics), boys enroll in advanced placement physics approximately three times as often as do girls. This study examines the perceptions, attitudes, and aspirations of thirty high school girls enrolled in senior-level science electives in an attempt to understand their high school science course choices, and what factors were influencing them. This is a qualitative investigation employing constructivist grounded theory methods. There are two main contributions of this study. First, it presents a new conceptual and analytical framework to investigate the problem of why some high school girls do not enroll in physics coursework. This framework is grounded in the data and is comprised of three existing feminist perspectives along the liberal/radical continuum of feminist thought. Second, this study illuminates a complex set of reasons why participants avoided high school physics (particularly advanced placement physics) coursework. These reasons emerged as three broad categories related to: (a) a lack of connectedness with physics curriculum and instruction; (b) prior negative experiences with physics and math classroom climates; and (c) future academic goals and career aspirations. Taken together, the findings of this study indicate that the problem of high school girls and physics enrollment---particularly advanced placement physics enrollment---is a problem that cannot be evaluated or considered from one perspective.

  7. Girls Just Being Girls? Mediating Relational Aggression and Victimization

    ERIC Educational Resources Information Center

    Radliff, Kisha M.; Joseph, Laurice M.

    2011-01-01

    Although physical aggression has received much attention in the literature, relational aggression has only been explored in the past decade or so. This is problematic given that relational aggression is increasingly prevalent among middle school girls and has become a cause for alarm, as this phenomenon leads to several negative psychological,…

  8. Measurement characteristics of activity-related psychosocial measures in 8- to 10-year-old African-American girls in the Girls health Enrichment Multisite Study (GEMS)

    USDA-ARS?s Scientific Manuscript database

    BACKGROUND: This paper presents reliability and validity analyses of physical activity-related psychosocial questionnaires completed by 8- to 10-year-old African-American girls at baseline and follow-up assessments of pilot intervention studies in the Girls health Enrichment Multi-site Study (GEMS)....

  9. The State of Hispanic Girls.

    ERIC Educational Resources Information Center

    National Coalition of Hispanic Health and Human Services Organizations.

    In 1998, a series of focus groups was held to explore the factors that promote resilience among Hispanic girls. At least 4 focus groups, composed of no less than 6 and no more than 15 participants, were conducted at each of the 6 urban sites. In spite of the variations in Hispanic subgroup membership of the focus group participants, the findings…

  10. Making Science Appeal to Girls

    ERIC Educational Resources Information Center

    McCrea, Bridget

    2011-01-01

    It is no secret that many girls seem disinterested in science, technology, engineering, and mathematics (STEM), but strategies for building their interest are sometimes elusive. Because STEM career paths are not always perceived as "natural" for women, educators do no't always push their female students to explore these educational areas. As a…

  11. Making Science Appeal to Girls

    ERIC Educational Resources Information Center

    McCrea, Bridget

    2011-01-01

    It is no secret that many girls seem disinterested in science, technology, engineering, and mathematics (STEM), but strategies for building their interest are sometimes elusive. Because STEM career paths are not always perceived as "natural" for women, educators do no't always push their female students to explore these educational areas. As a…

  12. "Good Morning Boys and Girls"

    ERIC Educational Resources Information Center

    Bigler, Rebecca S.

    2005-01-01

    It happens every day across the nation: Teachers welcome their students to class by saying, "Good morning, boys and girls." It is one of countless ways teachers highlight gender with their speech and behavior. Unfortunately, teachers' use of gender to label students and organize the classroom can have negative consequences. New research in the…

  13. Abdominal pain and nausea in a 12-year-old girl.

    PubMed

    Walters, Randall; Bowen, Denise J

    2016-04-01

    Girls presenting with lower abdominal pain have a broad differential diagnosis. Transabdominal ultrasound should be performed in all girls presenting in the ED with lower abdominal pain. If ovarian torsion is suspected, surgical intervention should be initiated quickly to preserve the viability of the ovary.

  14. Incestuous rape: a cause for hysterical seizures in four adolescent girls.

    PubMed

    Gross, M

    1979-10-01

    Four cases are presented of hysterical seizures in adolescent girls as a consequence of forced incestuous relationships with their fathers. It is suggested that, for all girls presented to the clinician with symptoms of hysterical seizures, a detailed history should be taken to explore for the possibility of incest.

  15. How can we enhance girls' interest in scientific topics?

    PubMed

    Kerger, Sylvie; Martin, Romain; Brunner, Martin

    2011-12-01

    Girls are considerably less interested in scientific subjects than boys. One reason may be that scientific subjects are considered to be genuinely masculine. Thus, being interested in science may threaten the self-perception of girls as well as the femininity of their self-image. If scientific topics that are considered to be stereotypically feminine were chosen, however, this potential threat might be overcome which, in turn, might lead to an increase in girls' interest in science. This hypothesis was empirically tested by means of two studies. Participants were 294 (Study 1) and 190 (Study 2) Grade 8 to Grade 9 students. Gender differences in students' interest in masculine and feminine topics were investigated for a range of scientific concepts (Study 1) as well as for a given scientific concept (Study 2) for four scientific subjects (i.e., biology, physics, information technology, and statistics), respectively. Both studies indicated that the mean level of girls' scientific interest was higher when scientific concepts were presented in the context of feminine topics and boys' level of scientific interests was higher when scientific concepts were presented in the context of masculine topics. Girls' interest in science could be substantially increased by presenting scientific concepts in the context of feminine topics. Gender differences as well as individual differences in the level of interest in scientific topics may be taken into account by creating learning environments in which students could select the context in which a certain scientific concept is embedded. ©2011 The British Psychological Society.

  16. Color naming by boys and girls.

    PubMed

    Machen, V

    2002-02-01

    The present study describes a field experiment conducted to test the hypothesis that color naming varies for 56 adolescent boys and 39 girls. No standard color chart such as Munsell, Pantone, or Crayola was used. Instead, subjects identified 15 computer-generated color samples assigned a score based on thescale devised by Rich in 1977 of four color descriptor categories. Findings differed from those of most previous studies, in which women aged over 16 years showed a more elaborate color vocabulary than men. Among the 14- to 16-yr.-old subjects, there was no significant difference in color naming.

  17. Primary haemophagocytic syndrome in a young girl.

    PubMed

    Sasidharan, P K; Prasanth Varghese, C; Sandeep, P; Sreejith, R; Shaan, Mohammed; Shiji, P V; Satish, H; Feroz, M

    2011-01-01

    Haemophagocytic syndrome is a life-threatening systemic illness characterized by an uncontrolled inflammatory response. Patients present with fever, hepatosplenomegaly, jaundice and liver dysfunction, neurological manifestations and often pancytopenla. Bone marrow, lymph node, hepatic or splenic biopsy shows macrophages with Ingested blood cells or their precursors. Laboratory markers include elevated triglycerides and ferritin, low fibrinogen with normal or low erythrocyte sedimentation rate (ESR). Familial haemophagocytic lymphohistiocytosis (HLH) is an autosomal recessive disorder. Secondary haemophagocytic syndrome results from infections, malignancy and collagen vascular disorders. We describe a young girl with primary haemophagocytic syndrome.

  18. Catamenial psychosis in an adolescent girl

    PubMed Central

    Fernando, Myra Deanne; Grizzaffi, Joseph; Crapanzano, Kathleen A; Jones, Glenn N

    2014-01-01

    We report the case of an adolescent girl who was 14 years old at initial presentation. A shy, immature and timid individual, she began to have recurring, progressive episodes characterised by insomnia, paranoia, distorted thinking and mood instability with a mix of depressive and manic-like symptoms. An extensive medical work up was unrevealing. Her family noted a pattern that coincided with her menstrual cycle. An endocrine consult was obtained, and the diagnosis of catamenial psychosis was performed. After treatment with leuprolide, resulting in a shutdown of the hypothalamic-pituitary-ovarian axis, the patient’s symptoms were resolved completely. PMID:25422338

  19. Fasciolopsiasis in a five year old girl.

    PubMed

    Naher, B S; Shahid, A T; Khan, K A; Nargis, S; Hoque, M M

    2013-04-01

    A 5 year old girl hailing from Keraniganj, presented with the complaints of fever, periumbilical pain and vomiting. In vomitus, Fasciolopsis buski worm in adult form was identified by naked eye examination. In stool, ova of Fasciolopsis buski were also observed under microscope. Clinically she was pale and had hepatomegaly. Microcytic hypochromic anaemia with normal liver function test was found on lab investigation. She was diagnosed as a case of Fasciolopsiasis and treated with Praziquantel and on follow up visit she was found to be free of symptom.

  20. Comparing Neuropsychological Profiles between Girls with Asperger's Disorder and Girls with Learning Disabilities

    ERIC Educational Resources Information Center

    McKnight, Megan E.; Culotta, Vincent P.

    2012-01-01

    Research examining neuropsychological profiles of girls with Asperger's disorder (AD) is sparse. In this study, we sought to characterize neurocognitive profiles of girls with AD compared to girls with learning disabilities (LD). Two groups of school-age girls referred for neuropsychological assessment participated in the study. A total of 23…