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PubMed2005

[Importance and usefulness of laryngological screening of the preschool children population in conductive hypoacusis diagnostics].

INTRODUCTION: Incidence of upper respiratory tract ailments among children between 2 and 9 years old is very common. Discreet symptoms, like low grade conductive hypoaccusis or articulation's disorders are ignore or imperceptible by parents. The survive of these disorders in the child's development stage has a direct influence on cognitive functions, speech and social development and progress in learning. The aim of the work was to prove the efficiency of laryngological screening among asymptomatic population of preschool children on the basis of comparison of two difference populations: for the first time examined (Szczecinek) and at regular intervals of one year (Wolsztyn). MATERIAL AND METHODS: In the town Szczecinek and in the town Wolsztyn laryngological screening among 1172 (762 and 410 respectively) children was carried out. All the participating individuals were fully laryngological examined and tested with tympanometric audiometry. RESULTS: On the base of these examinations in the town Wolsztyn the following was to state: 46 (11.2%) children were refered to surgical treatment. In this group in 31 (67.4%) pathological tympanometric curve b- and c- type were affirmed. 42 (10.2%) children were refered to conservative treatment. In the town Szczecinek 142 (18.6%) children were refered to surgical treatment. In this group in 81 (57%) pathological tympanometric curve b- and c- type were affirmed. 110 (14.4%) children were refered to conservative treatment. CONCLUSIONS: (1) Usefulness of laryngological screening was confirm of the proportion of laryngological findings in the population of healthy seeming children refered to treatment. (2) The screening role is higher at rural area by low acsses to ENT consultants. Every year repeated screening influence population health, conscious approaching the ENT healthcare.

Acoustic Impedance Tests↗
PubMed1989

[Hearing aid selection and fitting from the pediatric audiology viewpoint].

On the basis of certain fundamental data for pathological hearing in children and its effects on speech development an attempt is made to summarise the most important considerations regarding the primary choice of a device and the subsequent procedures of fitting to optimise the benefits over a range of ages, from the small infant to school age children. Selection criteria and adjustment parameters are discussed, showing that the hearing aid fitting procedure must be embeded in a complex matrix of requirements related to the development of speech as well as to the cognitive, emotional and social development of the children. As a rule, finding and preparing the "optimal" hearing aid for a child is a prolonged and often difficult process, which cannot be schemantically performed. The limitations of the available devices and the different procedures and philosophies of hearing aid selection and fitting strategies represented by various groups active in the field of pedaudiology in Germany and in other institutions are discussed, underlining the magnitude of task still to be fulfilled in the Federal Republic of Germany.

Child↗
PubMed1998

The effects of social support and education on health care costs after three years.

OBJECTIVE: To determine whether experimentally developed social support, education about appropriate use of the health care system, and their combination are effective in reducing health care costs for people with osteoarthritis at a 3-year followup assessment. METHOD: Three hundred sixty-three health maintenance organization members with osteoarthritis were randomly assigned to 1 of 3 intervention groups or to a control group. Two hundred fifty-six participants completed the 3-year assessment. Health status and health care use were assessed upon entering the study, and after 1, 2, and 3 years. RESULTS: Health care costs in the combined experimental groups were lower than those in the control group by $1,279/participant/year in year 3. There were no significant changes in health status between participants' entry into the study and the year 3 assessment. The 3 interventions had nearly equal effects on health status and health care costs. Implementation costs were least for the social support intervention, but the group that combined education and social support had less attrition and greater persistence. CONCLUSION: Interventions that target appropriate use of the health care system can be highly cost-effective without adversely affecting health status.

Aged↗
PubMed1993

Intelligence, behaviour and psychosocial development in Turner syndrome. A cross-sectional study of 50 pre-adolescent and adolescent girls (4-20 years).

In this paper we report the findings and data on a cross-sectional study of 50 pre-adolescent and adolescent girls with Turner syndrome. We confirm the presence of a typical cognitive profile in the different age groups with normal verbal intelligence contrasting with lower results on performal IQ subtests, related to relative weaknesses on visuospatial subtests i.e. "Block Design" and "Object Assembly". 5% of the girls with a "classical" Turner syndrome karyotype (i.e. 2/40) were mentally retarded versus 30% (i.e. 3/10) in the group with "rare" karyotypic anomalies. We noted a positive influence of hormonal therapy on the visuospatial functioning. No evidence was found for a high risk for behavioural problems. Hyperactive behaviour was seen in the youngest patients contrasting with a tendency to hypoactivity around the age of normal puberty. Problems in social development were noted from the age of primary school on resulting in social immaturity and even isolation. A proposal for guidance of Turner girls during the different developmental periods is given.

Adolescent↗
PubMed2002

Social security in Africa: a brief review.

Africa is the poorest region of the world and has the youngest and least developed social security programs. Most Africans are not covered by social security programs. The high prevalence of HIV/AIDS in some sub-Saharan countries and internal armed conflicts in others have created difficult problems in some countries for social security programs. As a result, some countries do not have functioning social security programs. The social security programs that do exist in Africa are influenced by their colonial heritage, with the programs in English-speaking Africa differing from those in French-speaking Africa. Six different patterns of social security provision can be identified.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Yellow fever in Africa: public health impact and prospects for control in the 21st century.

In the last two decades, yellow fever re-emerged with vehemence to constitute a major public health problem in Africa. The disease has brought untold hardship and indescribable misery among different populations in Africa. It is one of Africa's stumbling blocks to economic and social development. Despite landmark achievements made in the understanding of the epidemiology of yellow fever disease and the availability of a safe and efficacious vaccine, yellow fever remains a major public health problem in both Africa and America where the disease affects annually an estimated 200,000 persons causing an estimated 30,000 deaths. Africa contributes more than 90% of global yellow fever morbidity and mortality. Apart from the severity in morbidity and mortality, which are grossly under reported, successive outbreaks of yellow fever and control measures have disrupted existing health care delivery services, overstretched scarce internal resources, fatigued donor assistance and resulted in gross wastage of vaccines. Recent epidemics of yellow fever in Africa have affected predominantly children under the age of fifteen years. Yellow fever disease can be easily controlled. Two examples from Africa suffice to illustrate this point. Between 1939 and 1952, yellow fever virtually disappeared in parts of Africa, where a systematic mass vaccination programme was in place. More recently, following the 1978-1979 yellow fever epidemic in the Gambia, a mass yellow fever vaccination programme was carried out, with a 97% coverage of the population over 6 months of age. Subsequently, yellow fever vaccination was added to the EPI Programme. The Gambia has since then maintained a coverage of over 80%, without a reported case of yellow fever, despite being surrounded by Senegal which experienced yellow fever outbreaks in 1995 and 1996. The resurgence of yellow fever in Africa and failure to control the disease has resulted from a combination of several factors, including: 1) collapse of health care delivery systems; 2) lack of appreciation of the full impact of yellow fever disease on the social and economic development of the affected communities; 3) insufficient political commitment to yellow fever control by governments of endemic countries; 4) poor or inadequate disease surveillance; 5) inappropriate disease control measures, and 6) preventable poverty coupled with misplaced priorities in resource allocation. Yellow fever can be controlled in Africa within the next 10 years, if African governments seize the initiative for yellow fever control by declaring an uncompromising resolve to control the disease, the governments back up their resolve with an unrelenting commitment and unwavering political will through adequate budgetary allocations for yellow fever control activities, and international organisations, such as WHO, UNICEF, GAVI, etc., provide support and technical leadership and guidance to yellow fever at risk countries. Over a ten-year period, of stage-by-stage mass yellow fever vaccination campaigns, integrated with successful routine immunisation, Africa can bring yellow fever under control. Subsequently, for yellow fever to cease being a public health problem, Africa must maintain at least an annual 80% yellow fever vaccine coverage of children under the age of 1 year, and sustain a reliable disease surveillance system with a responsive disease control programme. This can be achieved at an affordable annual expenditure of less than US$1.00 per person per year, with a reordering of priorities.

Africa↗
PubMed1984

Culture and development of everyday social explanation.

The impact of cultural meaning systems on the development of everyday social explanation is explored in a cross-cultural investigation undertaken among Indian and American adults and children (ages 8, 11, and 15 year). It is demonstrated that at older ages Americans make greater reference to general dispositions and less reference to contextual factors in explanation than do Hindus . References to general dispositions also undergo a much greater developmental increase among Americans than among Hindus , whereas references to contextual factors show the opposite pattern of developmental change. Evidence suggests that these cross-cultural and developmental differences result from contrasting cultural conceptions of the person acquired over development in the two cultures rather than from cognitive., experiential, or informational differences between attributors . Discussion focuses on theoretical implications of such a demonstration for understanding: (a) the importance of integrating semantic with structural considerations in theories of social attribution, (b) the need to develop nonteleological frameworks for interpreting age and cultural diversity in conceptualization, and (c) the role of cultural communication in the acquisition of everyday social knowledge.

Adolescent↗
PubMed2007

The development of infant discrimination of affect in multimodal and unimodal stimulation: The role of intersensory redundancy.

This research examined the developmental course of infants' ability to perceive affect in bimodal (audiovisual) and unimodal (auditory and visual) displays of a woman speaking. According to the intersensory redundancy hypothesis (L. E. Bahrick, R. Lickliter, & R. Flom, 2004), detection of amodal properties is facilitated in multimodal stimulation and attenuated in unimodal stimulation. Later in development, however, attention becomes more flexible, and amodal properties can be perceived in both multimodal and unimodal stimulation. The authors tested these predictions by assessing 3-, 4-, 5-, and 7-month-olds' discrimination of affect. Results demonstrated that in bimodal stimulation, discrimination of affect emerged by 4 months and remained stable across age. However, in unimodal stimulation, detection of affect emerged gradually, with sensitivity to auditory stimulation emerging at 5 months and visual stimulation at 7 months. Further temporal synchrony between faces and voices was necessary for younger infants' discrimination of affect. Across development, infants first perceive affect in multimodal stimulation through detecting amodal properties, and later their perception of affect is extended to unimodal auditory and visual stimulation. Implications for social development, including joint attention and social referencing, are considered.

Affect↗
PubMed1993

Beverage alcohol as a constraint to development in the Third World.

The patterns of production and consumption of beverage alcohol throughout the Third World pose a constraint to economic and social development. A multidisciplinary academic literature has arisen in response to this phenomenon. It has done so over two rather distinct time periods. The first began to take shape during the 1970s and continued through the mid to late 1980s. It gave rise to a set of three rather discrete foci: 1) on developing theoretical frameworks across academic disciplines, 2) on identifying beverage alcohol's development impact, and 3) on the generating and implementing of alcohol policies. Since the 1980s the literature has maintained those foci, but contributions to the literature did a more complete job of integrating them into more complete (and less discrete) treatments.

Alcoholic Beverages↗
PubMed1998

[A prerequisite to the development of community health: the mobilization of professionals and residents in Saint-Herblain].

In 1990-1991, the city of Saint-Herblain (Loire-Atlantique) has been involved in a method of a social development of the area. As part of it, an health project has been made in order to associate the residents. Through a question: "what is health as for you?", residents and professionals have expressed themselves about the neighbourhood sources before identifying the problems and difficulties. This "positive" method has let a dynamics to be carried out and professionals and inhabitants go on participating in it.

Attitude of Health Personnel↗
PubMed2006

Developmental trajectories of adolescent popularity: a growth curve modelling analysis.

Growth curve modelling was used to examine developmental trajectories of sociometric and perceived popularity across eight years in adolescence, and the effects of gender, overt aggression, and relational aggression on these trajectories. Participants were 303 initially popular students (167 girls, 136 boys) for whom sociometric data were available in Grades 5-12. The popularity and aggression constructs were stable but non-overlapping developmental dimensions. Growth curve models were run with SAS MIXED in the framework of the multilevel model for change [Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis. Oxford, UK: Oxford University Press]. Sociometric popularity showed a linear change trajectory; perceived popularity showed nonlinear change. Overt aggression predicted low sociometric popularity but an increase in perceived popularity in the second half of the study. Relational aggression predicted a decrease in sociometric popularity, especially for girls, and continued high-perceived popularity for both genders. The effect of relational aggression on perceived popularity was the strongest around the transition from middle to high school. The importance of growth curve models for understanding adolescent social development was discussed, as well as specific issues and challenges of growth curve analyses with sociometric data.

Adolescent↗
PubMedDate not supplied

[Public sector and social and health policy reforms. An inventory on the eve of the new millennium].

This study reflects on reforms in health systems and social policies within the framework of the so-called public sector reforms. The point of departure is a review of various explanations for the crisis in the Welfare State, present in the literature from the 1990s. Social policies, at the heart of the crisis, are heavily challenged. What we intend to demonstrate is that this argument plays a specific role, that of introducing neoliberal changes into economic policy, in which the economic tools used generate abstention by the state from the social sphere, deregulation of national economies in favor of the free market, and the fundamentally oversized role of the international financial market. Within this context we analyze the social security and health system reforms. The final part of the article deals with current difficulties in social policies, focusing the debate on a mapping of possible alternatives for developing social and health policies.

Health Care Reform↗
PubMed2002

[Centenary of the Health Council of the Netherlands. IV. Infectious diseases].

Many advisory reports of the Health Council of the Netherlands in the past century have dealt, directly or indirectly, with infectious diseases. One example is vaccination against smallpox. At the start of the last century, advice on this subject was important: initially, vaccination was compulsory by law, but people became increasingly aware of the associated side effects. A second example is immunisation against acute anterior poliomyelitis, which became a reality during the fifties. The advice also contained a discussion of which vaccine should be chosen: the inactivated 'dead' (Salk) form or the attenuated 'live' form (Sabin). Due to sound national organisation and associated logistics, a high level of vaccination was (and still is) achieved and the clinical disease known as polio disappeared from the Netherlands. Food-borne infections form the third example. The effect of the advice published by the Council on this subject (from 1960 onwards) has been limited, for a large part due to the significant economic consequences of the proposals for beef farming. The developments in the field of infectious diseases, immunology and vaccinology, together with social developments make it likely that in the coming years the Council will also frequently be asked for advice in the field of infectious diseases and the fight against them.

Communicable Disease Control↗
PubMed1986

Children in competitive sports--a multi-disciplinary approach.

This article is divided into two parts: Part 1 consists of the position stand of The Canadian Association of Applied Sport Sciences on the involvement of children in competitive sports, and Part II presents scientific background and rationale pertinent to the position statements. Each part is divided into major categories reflecting the multi-disciplinary concerns of the participation of pre- and post-pubescent children in sport situations at all levels. Psychological considerations focus on the child learning a sense of competence and control through sport participation. Success in a sport should not be based solely on winning, but on one's own performance and attained goals. Sport involvement can provide one important avenue for a child's social development. Non-aggressive behaviour and a constructive problem-solving approach should be encouraged. Any form of discrimination towards sport participation or competition should be discouraged. From the physiological and medical point of view, it should be recognized that each child is different in his/her response and tolerance to exercise due to a great range of variability in growth rates, anthropometric indices, gender and state of health, even in children of a similar chronological age. Younger prepubertal children should be encouraged to participate in a wide variety of motor skills, whereas older post-pubertal children can become more specialized in their training and sport participation. A child's performance and adaptation to training should not be directly compared to an adult's as significant differences exist, especially during the years of accelerated growth. Environmental exercise tolerance is also more limited to children than adults. In younger children repetitive heavy loading of the musculoskeletal system should be approached with caution. With proper equipment design and usage, and rule modifications, serious injuries can be avoided. Medical disabilities should be evaluated on an individual basis and should not necessarily preclude a child's participation. Teachers, parents and coaches should have a thorough understanding of the implications of children involved in sports and adhere to the recommendations reviewed in this statement.

Athletic Injuries↗
PubMed1998

Feelings and attitudes of gifted students.

Differences between the self-perceptions of gifted high school freshmen (n = 62) and nongifted peers (n = 162) were assessed regarding intimacy with family and peers, social support, family responsibilities, self-esteem, depression, and risk-taking behavior. Gifted students perceived themselves as being more intimate with friends, assuming fewer family responsibilities, and taking more risks (both sports- and danger-related risks). Contrary to the literature suggesting delays in the social development of gifted students, these data indicate that gifted students may be socially precocious when compared with their nongifted peers. Gifted students and their teachers were also administered the Perceptions about Giftedness Scale. Gifted students reported feeling the same as, or better than, their peers about their academic and social skills, and their teachers closely agreed. However, the teachers rated the gifted students as being less happy than the students rated themselves.

Achievement↗
PubMed1983

[Does slight brain damage in early childhood have significance for adult psychiatry? Results of a catamnestic study].

Does mild brain damage sustained during early childhood represent a predisposition to particular forms of abnormal mental and/or social development during early adulthood? Selected results yielded by a longitudinal study on 96 former patients who had been diagnosed as suffering from slight brain damage sustained during early childhood are presented. The psychological aspects (intelligence and concentration) and sociological aspects (formal and vocational education, criminality) investigated were found to have been determined to a decisive degree by milieu and social factors. The results are discussed in the theoretical context provided by the acquisition concept with a view to therapeutic considerations.

Adolescent↗
PubMed2004

Early detection of core deficits in autism.

The goal of this review of the research literature is to discuss approaches to the early detection of autism in infancy. Early detection would enable diagnoses to be made before 18 months of age rather than at 24-30 months, the age where diagnoses start to be made now. After summarizing the criteria for a deficit to be considered "core" to the disorder, the literature on research strategies used in early detection is examined. In order to guide the design of future studies, the review then turns to an overview of what is known about the processes of early social development in typically developing children that underlie the domains in which core deficits are manifested in young children with autism. The social domains covered in the review are those that show development in typically developing infants below 18 months of age: dyadic interaction and imitation; emotion discrimination; and attachment. The review concludes that all of these areas are worthy of investigation in young children, particularly those at higher risk of showing some of the core deficits of autism such as the infant siblings of children with autism.

Affect↗
PubMedDate not supplied

Functional autonomy measurement system: development of a social subscale.

The purpose of this study was to develop a subscale assessing social functioning for the functional autonomy measurement system (SMAF). The development of this new dimension was based on consultations (focus groups and nominal groups) of experts from different health care disciplines in Quebec, Canada, and France. Two interrater reliability studies were carried out with older people presenting a loss of functional autonomy and living either in an institution or at home. With the focus groups, the experts clarified the definition of social functioning and identified the factors involved. The nominal groups were used to construct a subscale composed of six items. The results of the first interrater reliability study showed a mean agreement percentage of 60% for the subscale and an intraclass correlation coefficient (ICC) of 0.70 (CI: 0.57-0.80). The results of the second interrater reliability study showed higher coefficients with an agreement percentage of 74% for the subscale and an ICC of 0.83 (CI: 0.61-0.93). These preliminary results demonstrate that the new social functioning subscale has good reliability, but more studies are needed to show its validity. The new SMAF, including the social functioning subscale, should help clinicians and researchers to obtain a comprehensive profile of functional autonomy. It could also contribute to the improvement of health care for older people.

Aged↗