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Young Children (young + child)
Kinds of Young Children Terms modified by Young Children Selected AbstractsUSING CHILD DEVELOPMENT RESEARCH TO MAKE APPROPRIATE CUSTODY AND ACCESS DECISIONS FOR YOUNG CHILDRENFAMILY COURT REVIEW, Issue 3 2000Joan B. Kelly Decisions regarding custody and access are most often made without reference to the research on child development, although this literature can be useful in conceptualizing children's needs after separation and divorce. Research on attachment processes, separation from attachment figures, and the roles of mothers and fathers in promoting psychosocial adjustment are reviewed in this article. It concludes with a discussion of the implications for young children's parenting schedules. [source] ,All Stories that Have Happy Endings Have a Bad Character': a Young Child Responds to Televisual TextsENGLISH IN EDUCATION, Issue 2 2001Sandra Smidt Abstract This piece arose out of the initially casual observations I made of my young granddaughter as she became involved in watching stories on videos. Over a period of two years these observations became more rigorous and detailed and the resulting work seeks to analyse what Hannah has been doing in her initial and repeated watchings of videos and what has passed between us when I have watched the videos with her or joined in with her observations and comments. [source] Allergic Contact Dermatitis to Chlorhexidine in a Very Young ChildPEDIATRIC DERMATOLOGY, Issue 5 2010Yannick Le Corre M.D. We report the observation of allergic contact dermatitis to chlorhexidine in a 23-month-old boy. [source] Influenza A in Young Children with Suspected Respiratory Syncytial Virus InfectionACADEMIC EMERGENCY MEDICINE, Issue 12 2003Marla J. Friedman DO Objectives: To determine the prevalence of influenza A in young children suspected of having respiratory syncytial virus (RSV) infection and to compare the clinical presentation of these patients with those who have proven RSV infection. Methods: Children younger than or at 36 months of age who presented to a pediatric emergency department (ED) with suspected RSV infection during the influenza A season of 2001,2002 were eligible. Eligible children had an RSV antigen test ordered as part of their initial clinical management. A consecutive sample of children was enrolled for prospective observational analysis. The main outcome measure was the prevalence of influenza A in young children with suspected RSV infection. The secondary outcome measure was a comparison of the clinical presentations, of the two groups. Results: During the study period, 420 patients presented for evaluation of respiratory illness. RSV tests were ordered on 251 patients. Of 197 eligible patients, 124 (63%) tested positive for RSV and 33 (17%) for influenza A. Influenza A patients were more likely to have temperatures at or above 39°C than RSV patients (36% vs. 15%; p = 0.01). RSV patients were more tachypneic (54 vs. 43 breaths/minute; p < 0.0001) and more often had wheezing (90% vs. 8%; p < 0.0001). Twenty influenza patients (61%) were hospitalized. Conclusions: This study found a high prevalence of influenza A in young children suspected of having RSV infection. Clinicians should consider influenza A in young febrile children presenting with respiratory illnesses. [source] The behaviour style observation system for young children predicts teacher-reported externalizing behaviour in middle childhoodINFANT AND CHILD DEVELOPMENT, Issue 4 2009Alexa Martin-Storey Abstract The Behaviour Style Observation System for Young Children (BSOS) was used to predict preschool-aged children's externalizing and internalizing behaviour problems in middle childhood, 3,5 years after the initial assessment. This observational measurement tool was designed to sample and assess young children's disruptive, non-compliant, and unresponsive behaviour, during a brief (11,min) observation in the child's home. In the current study, the BSOS was used to predict parent and teacher ratings of child behaviour problems after school entry in a longitudinal sample (N=81) of at-risk children at time 2. The BSOS predicted teacher-reported externalizing problems at time 2. In contrast, parent reports of behaviour problems, although correlated with repeated parent reports at time 2, were not significantly predictive of teacher-reported behaviour problems at school age. The BSOS was not associated with either parent or teacher reports of internalizing problems. These findings emphasize the importance and utility of using observational measures when examining the continuity of behaviour problems in young children over time. Copyright © 2009 John Wiley & Sons, Ltd. [source] Assessing Emergency Preparedness of Families Caring for Young Children With Diabetes and Other Chronic IllnessesJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2006Lynda G. Stallwood PURPOSE.,To help children with chronic illnesses and their caregivers assess emergency preparedness. CONCLUSIONS.,Little work has been done to ascertain patient adherence levels to these recommendations. Additionally, little is known about the seeking patterns of healthcare providers and/or changes in interventions based on certain elements of emergency preparedness, such as the presence of medical alert identification and an emergency kit. PRACTICE IMPLICATIONS.,,Healthcare providers must discover their patients' level of emergency preparedness and facilitate the acquisition and implementation of elements of emergency preparedness that meet their patients' needs. [source] Possible Role of Pseudoephedrine and Other Over-the-Counter Cold Medications in the Deaths of Very Young ChildrenJOURNAL OF FORENSIC SCIENCES, Issue 2 2007William E. Wingert Ph.D. ABSTRACT: The Philadelphia Medical Examiners Office has reported a series of 15 deaths between February 1999 and June 2005 of infants and toddlers 16 months and younger in which drugs commonly found in over-the-counter (OTC) cold medications were present. A total of 10 different drugs were detected: pseudoephedrine, dextromethorphan, acetaminophen, brompheniramine, carbinoxamine, chlorpheniramine, ethanol, doxylamine and the anticonvulsants, phenobarbital, and phenytoin. The drugs were confirmed and quantified by gas chromatography (GC)-mass spectrometry, with the exception of ethanol, which was analyzed by headspace GC and of phenobarbital and phenytoin that were quantified by GC with a nitrogen phosphorus detector. The most predominant drug was pseudoephedrine, which was found in all of the cases (blood concentration, n=14, range=0.10,17.0 mg/L, mean=3.34 mg/L) and was the sole drug detected in three cases. Acetaminophen was detected in blood from each of the five cases with sufficient sample. Other drugs (with frequency of detection) were dextromethorphan (five cases), carbinoxamine (four cases), chlorpheniramine (two cases) and brompheniramine, doxylamine, and ethanol (one case each). In the majority of the cases, toxicity from drugs found in easily available OTC medications was listed either as the direct cause of death or as a contributory factor. The manner of death was determined to be natural in only two of the cases. This postmortem study supports previous evidence that the administration of OTC cold medications to infants may, under some circumstances, be an unsafe practice and in some cases may even be fatal. The treating physicians and the general public need to be made more aware of the dangers of using OTC cold medications to treat very young children so that these types of tragedies might be avoided. [source] Demonstrably Awful: The Right to Life and the Selective Non-Treatment of Disabled Babies and Young ChildrenJOURNAL OF LAW AND SOCIETY, Issue 4 2004Janet Read Twenty-five years ago it was common practice to bring about the deaths of some children with learning disabilities or physical impairments. This paper considers a small number of landmark cases in the early 1980s that confronted this practice. These cases illustrate a process by which external forces (social, philosophical, political, and professional) moved through the legal system to effect a profound change outside that system , primarily in the (then) largely closed domain of medical conduct/practice. These cases are considered from a socio-legal perspective. In particular, the paper analyses the reasons why they surfaced at that time, the social and political contexts that shaped the judgments, and their legacy. [source] Educational Progress and Parenting Among Mexican Immigrant Mothers of Young ChildrenJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2010Robert Crosnoe This study examined the potential for educational investments in Mexican immigrant mothers to enhance their management of their children's pathways through the educational system in the United States, which often disadvantages them. We tested this hypothesis with data on 816 Mexican immigrant women and their children from the Early Childhood Longitudinal Study,Kindergarten Cohort (ECLS-K). The results suggest that mothers who pursued their own schooling over a 4-year period, regardless of whether they obtained a degree, increased their engagement with their children's schools during that same period. The results appear to be robust to a wide range of factors that select women into continuing education. [source] Families With Young Children: A Review of Research in the 1990sJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2000David H. Demo Research conducted in the past decade on families with young children concentrated on 5 broad topics: (a) the transition to parenthood; (b) the importance of maternal sensitivity for children's attachment security and subsequent adjustment and social competence; (c) the effectiveness of particular parenting styles and practices; (d) interparental, familial, and broader societal factors influencing parenting behaviors and child adjustment; and (e) the impact of family structure and household composition on children's well-being. Our review documents substantial diversity in family structures, parenting arrangements, and childrearing values and practices both within and across ethnic and racial groups. Collectively, the evidence suggests that in most families with young children, parents and children seem to be doing well. We conclude that substantial work is required to expand the study of families with young children beyond mother-child dyads in White, middle-class, two-parent, first-marriage families. [source] Oral Health of Young Children in Mississippi Delta Child Care Centers: A Second Look at Early Childhood Caries Risk AssessmentJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2008Linda H. Southward PhD Abstract Objectives: To identify the predictors of early childhood caries and urgent dental treatment need among primarily African-American children in child care centers in the Delta region of Mississippi. The purpose of this study was to replicate predictors of caries and urgent dental treatment needs that were identified in an earlier study conducted in Delta child care centers and to assess additional caries risk factors not collected in the original study. Methods: Children in 19 child care centers were examined by the dentists, and the parents provided data on oral health practices, oral health history, and on children's oral health-related quality of life (QOL). The dentists also assessed visible plaque and tested levels of mutans streptococci. Predictors of caries and treatment need among children 24 to 71 months of age were examined using logistic regression. Results: Two parent predictors of caries identified in the earlier study (parent flossing and soft/sugary drink consumption) were not predictive in the current study. Parent history of abscess continued to predict their child's urgent need for treatment. Young children's level of salivary mutans streptococci, maxillary incisor visible plaque, and parents' reports of child oral health-related QOL measures predicted the presence of both caries and urgent treatment need. Some expected predictors, such as frequency of child's toothbrushing, were not predictive of caries. Conclusions: Parental abscess and parent's report of the child's oral health-related QOL are risk indicators for poor oral health outcomes that could be used by nondental personnel to identify young children in need of early preventive intervention and dental referral. [source] Three Years of Italian Experience of an Educational Program for Parents of Young Children Affected by Atopic Dermatitis: Improving Knowledge Produces Lower Anxiety Levels in Parents of Children with Atopic DermatitisPEDIATRIC DERMATOLOGY, Issue 1 2009Giampaolo Ricci M.D. As atopic dermatitis affects 10% of the pediatric population, pediatricians and dermatologists spend much time on the treatment of this disease, which requires a multidisciplinary approach. To improve the quality of life of children and families affected by atopic dermatitis we have offered an educational program to the parents of young children affected by the disease. The program consists of six meetings at weekly intervals involving a pediatric allergist, a dermatologist, and a psychologist. Our experience has been positive. This type of program may help to improve the quality of life of families with children affected by atopic dermatitis. Lower levels of anxiety were observed among parents at the end of the program. We believe that educational programs of this type, in association with conventional treatment, can be useful in the long term management of the disease. They may be considered to improve the quality of life of the family and children and to create more interaction and compliance between physicians, parents, and children. [source] Serum Concentration of IL-18 Correlates with Disease Extent in Young Children with Atopic DermatitisPEDIATRIC DERMATOLOGY, Issue 6 2004Kam Lun Ellis Hon F.A.A.P. Previous studies have suggested that IL-18 may be an inflammatory marker for atopic dermatitis (AD). The purpose of our study was to test whether the serum concentration of IL-18 is a useful inflammatory marker for assessing AD severity in young children. Nineteen AD patients with a median age of 2.2 years (interquartile range 0.7,4.6 years) were recruited. The severity of AD was clinically determined using the Scoring Atopic Dermatitis (SCORAD) index. Their SCORAD score was 23.9 (range 18.6,34.8). Serum IL-18 levels were determined by sandwich enzyme immunoassay. The median serum concentration of IL-18 was 394 pg/ml (interquartile range 204,612 pg/ml). Serum IL-18 levels correlated with SCORAD scores (r = 0.502, p = 0.029) and their extent component (r = 0.633, p = 0.004). When compared with mild disease with low SCORAD scores, the serum concentration in moderate to severe disease was significantly higher (p = 0.014). We concluded that serum IL-18 concentration is elevated in young children with AD. It may be a useful inflammatory marker that correlates with the extent component of AD in particular, and differentiates mild disease from more severe disease when used for assessing AD severity in young children. [source] Supporting Healthy Relationships Between Young Children and Their ParentsTHE BROWN UNIVERSITY CHILD AND ADOLESCENT BEHAVIOR LETTER, Issue S5 2007Article first published online: 9 APR 200 No abstract is available for this article. [source] The Teaching Pyramid: A Model for Supporting Social Competence and Preventing Challenging Behavior in Young ChildrenTHE BROWN UNIVERSITY CHILD AND ADOLESCENT BEHAVIOR LETTER, Issue S9 2006Article first published online: 14 AUG 200 No abstract is available for this article. [source] Practitioner Review: The Role of Direct Observation in the Assessment of Young ChildrenTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 7 2001A. D. Pellegrini In this review I examine the role of play and assessment in the lives of young children. These two seemingly opposing constructs are first defined. Next, I address a particularly important form of assessment, "high stakes" assessment, and argue that if it must be used, we should use a variety of assessment methods. One such method that I discuss in great detail is the use of direct observations of children's play. Examples of reliable and valid inferences about children's social cognitive functioning made with this family of methods are provided. Two specific observational instruments (one for observing play in the classroom and one for observing play in the playground) are presented. Recommendations for their use by practitioners are made. [source] Electrophysiologic Effects of Placing Cochlear Implant Electrodes in a Perimodiolar Position in Young Children,THE LARYNGOSCOPE, Issue 1 2004Phillip A. Wackym MD Abstract Objective The purpose of this study was to intraoperatively record the electrically evoked auditory brainstem response (EABR) before and after placement of the electrode positioning system (EPS) (CII Bionic Ear with HiFocus I cochlear implant electrode array) as well as before and after stylet removal (Nucleus Contour cochlear implant electrode array). It was hypothesized that physiologic changes would occur after perimodiolar positioning of the electrode array and these changes would be evident from the EABR recordings. Study Design Consecutive young (11,36 month old) pediatric cochlear implant recipients (n = 17) had intraoperative EABRs recorded from three intracochlear electrodes that represented apical, medial, and basal locations. Wave V amplitudes and thresholds were studied relative to electrode location and pre- versus postperimodiolar positioning. These evoked potential measures were analyzed for statistical significance. Setting Tertiary referral children's hospital/medical college. Results Wave V thresholds of the EABR were lower, and amplitudes were larger after perimodiolar positioning, although the changes were dependent on electrode location and implant design. Statistically significant decreases in EABR wave V threshold and increases in suprathreshold wave V amplitude were found for the basal electrode for the CII Bionic Ear HiFocus I and for the apical electrode for the Nucleus Contour. Conclusions Placement of either the CII Bionic Ear HiFocus I or Nucleus Contour cochlear implant electrode array in the perimodiolar position in young children resulted in less electrical current necessary to stimulate the auditory system. Changes in electrophysiologic thresholds and amplitudes, measured with EABR, indicate that the electrode array is placed closer to the modiolus with both electrode designs. [source] Is There a Case in Favour of Predictive Genetic Testing in Young Children?BIOETHICS, Issue 1 2001Stephen Robertson Genetic testing technology has brought the ability to predict the onset of diseases many years before symptoms appear and the use of such predictive testing is now widespread. The medical fraternity has met the application of this practice to children with caution. The justification for their predominantly prohibitive stance has revolved around the lack of a readily identifiable medical benefit in the face of potential psychological harms to the child. We argue that predictive testing can have important psychosocial benefits and that the interests of the child have been construed too narrowly. Proponents of a prohibitive stance also argue that testing in childhood breaches the child's future right to make the same decision as an autonomous adult and to maintain this information as confidential. We argue that predictive genetic testing of children is not necessarily a violation of the child's future autonomy. Indeed, in some cases, such testing may facilitate the development of autonomy in the maturing child. We argue that parents are generally best placed to judge what is in their own child's overall interests, and that a parental request for testing after appropriate genetic counselling should be respected unless there is clear evidence that the child will be harmed in an overall sense as a result of testing. [source] The Effects of the 1999 Turkish Earthquake on Young Children: Analyzing Traumatized Children's Completion of Short StoriesCHILD DEVELOPMENT, Issue 4 2010Elif Celebi Oncu The purpose of this exploratory study was to determine whether projective techniques could identify long-term consequences among children stemming from exposure to a traumatic event. The first group of children (n = 53; 26 female, 27 male) experienced 2 major earthquakes at age 7, 3 months apart, in Turkey, while a similarly matched control group (n = 50; 25 female, 25 male) did not. Both groups of children (current age: 9) completed a series of short stories related to disastrous events. Results indicated that the traumatized group evinced a range of trauma-related symptoms 2 years after experiencing the earthquakes. [source] Development of Mutual Responsiveness Between Parents and Their Young ChildrenCHILD DEVELOPMENT, Issue 6 2004Grazyna Kochanska This comprehensive study of mutual responsiveness examined 102 mothers and 102 fathers interacting with their children at 7 and 15 months. Responsiveness was studied from developmental and individual differences perspectives, and assessed using macroscopic ratings and microscopic event coding. The latter captured parents' reactions to children's negative, positive, and physical bids, and children's reactions to parents' social-interactive bids, mood regulation attempts, and influence attempts. Responsiveness depended on bid type and child age, and reflected developmental changes in children, parents, and relationships. Mothers were more responsive than fathers; children were equally responsive to both parents and coherent in their responsiveness. Ratings revealed dyadic mutuality and longitudinal continuity of responsiveness. Parent,child responsiveness from 7 to 15 months was consistent with assumptions of a parent-driven process. [source] Neural Correlates of Face and Object Recognition in Young Children with Autism Spectrum Disorder, Developmental Delay, and Typical DevelopmentCHILD DEVELOPMENT, Issue 3 2002Geraldine Dawson This study utilized electroencephalographic recordings to examine whether young children with autism spectrum disorder (ASD) have impaired face recognition ability. High-density brain event-related potentials (ERPs) were recorded to photos of the child's mother's face versus an unfamiliar female face and photos of a favorite versus an unfamiliar toy from children with ASD, children with typical development, and children with developmental delay, all 3 to 4 years of age (N= 118). Typically developing children showed ERP amplitude differences in two components, P400 and Nc, to a familiar versus an unfamiliar face, and to a familiar versus an unfamiliar object. In contrast, children with ASD failed to show differences in ERPs to a familiar versus an unfamiliar face, but they did show P400 and Nc amplitude differences to a familiar versus an unfamiliar object. Developmentally delayed children showed significant ERP amplitude differences for the positive slow wave for both faces and objects. These data suggest that autism is associated with face recognition impairment that is manifest early in life. [source] Neurocognitive Function and Joint Attention Ability in Young Children with Autism Spectrum Disorder Versus Developmental DelayCHILD DEVELOPMENT, Issue 2 2002Geraldine Dawson Studies have shown that young children with autism are not impaired on prefrontal tasks relative to what would be expected for their mental age, raising questions about the executive dysfunction hypothesis of autism. These studies did not include ventromedial prefrontal tasks, however. The present study examined whether young children with autism spectrum disorder (ASD) are impaired on ventromedial prefrontal tasks, and whether performance on such tasks is correlated with a core autism symptom, joint attention ability. Seventy-two 3- to 4-year-old children with ASD, 34 3- to 4-year-old developmentally delayed children, and 39 12- to 46-month-old typically developing children, matched on mental age, were administered ventromedial and dorsolateral prefrontal tasks and joint attention tasks. Children with ASD performed similarly to comparison groups on all executive function tasks, indicating that at this early age, there is no autism-specific pattern of executive dysfunction. Ventromedial, but not dorsolateral, prefrontal task performance was strongly correlated with joint attention ability, however. The ventromedial prefrontal cortex is hypothesized to play a role in the development of joint attention and possibly some aspects of the autistic syndrome. [source] What is Important to Young Children Who Have Cancer While in Hospital?CHILDREN & SOCIETY, Issue 2 2009Susie Aldiss This paper reports on a participatory research project exploring children's experiences and views of cancer care services. It focusses on findings from interviews conducted with 10 children aged four and five years old. Play and puppets were used to help children express their views. The themes elicited reveal important aspects of hospital care for young children, such as having ,lots of toys' available and that ,mummy and daddy are near'. The use of play and puppets as a data-collection method is discussed, along with the implications of findings for the care and support of young children who have cancer. [source] Joined-Up Services for Young Children and Their Families: Papering Over the Cracks or Re-Constructing the Foundations?CHILDREN & SOCIETY, Issue 2 2007Jo Warin The idea that services can be provided for young children within their families in a seamless way that serves the interests of children and families simultaneously is problematic. A theoretical flaw underpinning the ideal of integrated services is that families are assumed to be homogenous units. This article explores competing goals for children and families by examining data from the evaluation of three Early Excellence Centres in the north of England piloted by the Department for Education and Employment from 1999 to 2002. The article recommends that extended childcare services should be clearly targeted to the needs of the child-within-the-family, thereby providing a clear theoretical foundation for re-conceptualising joined-up services. © 2006 The Author(s). Journal compilation © 2006 National Children's Bureau. [source] Time, Space and Gender: Understanding ,Problem' Behaviour in Young ChildrenCHILDREN & SOCIETY, Issue 2 2007Jane Brown The following article reports on a small-scale, exploratory study of aggressive and ,problem' behaviour in pre-school children. This project was conceived in the wider context of anxieties about childhood and New Labour's policy focus on ,anti-social' behaviour in children. Based on interviews with nursery staff and parents in addition to participant observation undertaken in nursery playrooms, this article examines the relevance of time, space and gender for understanding problem behaviour in young children. Taking a social constructionist perspective and drawing on Foucault's ideas in particular, it examines the social processes which regulate and normalise behaviour in young children. © 2006 The Author(s) Journal compilation © 2006 National Children's Bureau. [source] Young children have difficulty ascribing true beliefsDEVELOPMENTAL SCIENCE, Issue 3 2005Kevin J. Riggs Using the format of a false belief task (Wimmer & Perner, 1983), we investigated the ability of 88 3- and 4-year-olds to ascribe a previously held true belief to a story protagonist. In an unexpected transfer task, children found true belief ascription as difficult as false belief ascription even though they could answer memory questions about story details. Results are discussed in relation to theoretical accounts of theory of mind development that stress the importance of understanding the falsity of belief, and those accounts that stress the importance of information or executive processes. [source] Young children who abandon error behaviourally still have to free themselves mentally: a retrospective test for inhibition in intuitive physicsDEVELOPMENTAL SCIENCE, Issue 3 2004Norman H. Freeman When preschoolers overcome persistent error, subsequent patterns of correct choices may identify how the error had been overcome. Children who no longer misrepresented a ball rolling down a bent tube as though it could only fall vertically, were asked sometimes to approach and sometimes to avoid where the ball landed. All children showed requisite task-switching flexibility. The pattern of 4-year-olds' correct choices among different places showed unnecessary avoidance of any place that would previously have tempted them into a vertical-approach error, 5-year-olds rebounded into a reversal, and 7-year-olds were flexible. The data attest to an inhibition mechanism, ruling out competing possibilities. [source] The relationships between parenting stress, parenting behaviour and preschoolers' social competence and behaviour problems in the classroomINFANT AND CHILD DEVELOPMENT, Issue 2 2005Laura Gutermuth Anthony Abstract Young children develop social and emotional competence through interactions with others in the two major contexts in which they spend time: home and preschool. This study examined whether parenting stress in the home context is related to the children's behaviour while in preschool. Previous research has suggested that parenting stress negatively influences parenting behaviour, which in turn has been shown to impact children's development. This study examined the direct relationship between parenting stress and children's behaviour in two types of preschool programmes: private day care centres and Head Start. Parenting stress was significantly related to teacher ratings of social competence, internalizing behaviours, and externalizing behaviours, and the effects of parenting behaviour do not appear to mediate this relationship. Parenting stress was most strongly related to children's social competence. Parents' reports of expectations for their child's behaviour appear to weakly moderate the relationship between externalizing behaviour and parenting stress. This study suggests that examination of a parent's level of stress, in addition to parenting practices, may be important in research and interventions with preschool children's behaviour and social competence. Copyright © 2005 John Wiley & Sons, Ltd. [source] Penetrating injuries in children: Is there a message?JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 5 2002AJA Holland Objectives: To determine the frequency, management and outcome of penetrating trauma in children. Methods: A retrospective review of penetrating injuries in children under 16 years of age admitted to the Children's Hospital at Westmead (CHW), and deaths reported to the New South Wales Paediatric Trauma Death (NPTD) Registry, from January 1988 to December 2000. Patient details, circumstances of trauma, injuries identified, management and outcome were recorded. Results: Thirty-four children were admitted to the CHW with penetrating injuries during the 13-year period. This represented 0.2% of all trauma admissions, but 3% of those children with major trauma. The injury typically involved a male, school-age child that fell onto a sharp object or was assaulted with a knife or firearm by a parent or person known to them. Twenty-five children (75%) required operative intervention for their injuries and 14 survivors (42%) suffered long-term morbidity. Thirty children were reported to the NPTD Registry over the same interval, accounting for 2.3% of all trauma deaths in New South Wales. Of these, a significant minority was injured by falls from a mower or a tractor towing a machine with blades. Conclusions: Penetrating injuries are uncommon, but cause serious injury in children. There are two clear groups: (i) those dead at the scene or moribund on arrival, in whom prevention must be the main aim; and (ii) those with stable vital signs. Penetrating wounds should be explored in the operating theatre to exclude major injury. Young children should not ride on mowers or tractors. [source] Young children at risk of literacy difficulties: factors predicting recovery from risk following phonologically based interventionJOURNAL OF RESEARCH IN READING, Issue 3 2007Helen E. Whiteley This longitudinal project identified young children at risk of literacy difficulties and asked why some of these children fail to benefit from phonologically based intervention. Reception class children were screened to identify a group at risk of literacy difficulties and a matched group of children not at risk. Profiles were compiled for each child including measures of reading, spelling, memory, rapid naming, vocabulary and phonological awareness. A daily, 15-week, small group intervention was implemented with 67 at-risk children. Those who had not made progress in their literacy following this intervention participated in a second, individually administered intervention. The results indicate that letter knowledge and expressive vocabulary are key factors mediating a child's ability to benefit from a phonologically based intervention. Findings are discussed in the context of a lexical restructuring account of the development of spoken word recognition. [source] | ||||||||||||||||||||||||||||||||||||||||||||||