Pediatrician Referral Practices for Children Who Stutter

2020 ◽  
Vol 29 (3) ◽  
pp. 1404-1422
Author(s):  
Katherine L. Winters ◽  
Courtney T. Byrd
Keyword(s):  
Online Survey ◽  
Parent Report ◽  
Preschool Age ◽  
Professional Organizations ◽  
Referral Practices ◽  
Negative Communication ◽  
Two Factors ◽  
Case Vignettes ◽  
History Of ◽  
Overt Speech

Purpose Given the marked increase in evidence-based information regarding the nature/treatment of stuttering, coupled with the fact that pediatricians tend to be one of the initial points of contact for parents who suspect their preschool-age child may stutter, this study explored pediatricians' (a) accuracy in identifying children who may stutter and (b) likelihood of referring children who present with a profile indicative of stuttering to speech-language pathologists. Method Pediatricians recruited nationally through professional organizations completed a 5- to 7-min online survey that probed stuttering identification and referral practices via responses to experimental case vignettes. Each vignette featured a 4-year-old boy with a family history of stuttering whose mother reported signs of stuttering and manipulation of two factors: stuttering during the pediatrician visit (or not) and negative communication attitude (or not). Results Our findings suggest pediatricians' identification and referral of children who may stutter is largely prompted by observation of overt speech behaviors and/or negative communication attitude. Participants' gender, years in practice, and experience working with children who stutter did not influence likelihood of referral. Conclusions Results indicate pediatricians are less likely to implement a “wait and see” approach with young children who stutter today than in the past. Unlike other common child onset diagnoses, however, parent report of atypical behavior does not yield pediatrician referral to a specialist. Future education and advocacy efforts directed toward pediatricians should emphasize inclusion of factors other than direct observation of stuttering behavior that may warrant referral (e.g., parent report).

Kant and the Science of Logic

2018 ◽  
Author(s):  
Huaping Lu-Adler
Keyword(s):  
History Of Philosophy ◽  
Logical Pluralism ◽  
Philosophy Of Logic ◽  
Science Of Logic ◽  
Transcendental Logic ◽  
If Logic ◽  
General Logic ◽  
Two Factors ◽  
History Of ◽  
Philosophical Debates

This book is both a history of philosophy of logic told from the Kantian viewpoint and a reconstruction of Kant’s theory of logic from a historical perspective. Kant’s theory represents a turning point in a history of philosophical debates over the following questions: (1) Is logic a science, instrument, standard of assessment, or mixture of these? (2) If logic is a science, what is the subject matter that differentiates it from other sciences, particularly metaphysics? (3) If logic is a necessary instrument to all philosophical inquiries, how is it so entitled? (4) If logic is both a science and an instrument, how are these two roles related? Kant’s answer to these questions centers on three distinctions: general versus particular logic, pure versus applied logic, pure general logic versus transcendental logic. The true meaning and significance of each distinction becomes clear, this book argues, only if we consider two factors. First, Kant was mindful of various historical views on how logic relates to other branches of philosophy (viz. metaphysics and physics) and to the workings of common human understanding. Second, he first coined “transcendental logic” while struggling to secure metaphysics as a proper “science,” and this conceptual innovation would in turn have profound implications for his mature theory of logic. Against this backdrop, the book reassesses the place of Kant’s theory in the history of philosophy of logic and highlights certain issues that are still debated today, such as normativity of logic and the challenges posed by logical pluralism.

scholarly journals COVID-19 Vaccine Acceptance in Azuay Province, Ecuador: A Cross-Sectional Online Survey

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 678
Author(s):  
Julio Jaramillo-Monge ◽  
Michael Obimpeh ◽  
Bernardo Vega ◽  
David Acurio ◽  
Annelies Boven ◽  
...  
Keyword(s):  
Rural Areas ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Postgraduate Education ◽  
Effective Vaccine ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Vaccination Acceptance ◽  
History Of ◽  
High Level

We investigated the COVID-19 vaccination acceptance level in Azuay province, Ecuador through an online survey from 12th to 26th February (before the start of the COVID-19 vaccination campaign in Ecuador). Overall, 1219 respondents participated in the survey. The mean age was 32 ± 13 years; 693 participants (57%) were female. In total, 1109 (91%) of the participants indicated they were willing to be vaccinated with a COVID-19 vaccine, if the vaccine is at least 95% effective; 835 (68.5%) if it is 90% effective and 493 (40.5%) if it is 70% effective; 676 (55.5%) participants indicated they feared side effects and 237 (19.4%) thought the vaccine was not effective. Older age, having had a postgraduate education, a history of a negative COVID-19 test, a high level of worry of contracting COVID-19, believing that COVID-19 infection can be prevented with a vaccine and understanding there is currently an effective vaccine against COVID-19 were associated with higher vaccination acceptance. A vaccination education campaign will be needed to increase the knowledge of Ecuadorians about the COVID-19 vaccine and to increase their trust in the vaccine. People with a lower education level and living in rural areas may need to be targeted during such a campaign.

A Systematic Review of Assessments and Interventions for Chronic Pain in Young Children With or at High Risk for Cerebral Palsy

2021 ◽  
pp. 088307382199691
Author(s):  
Lisa Letzkus ◽  
Darcy Fehlings ◽  
Lauren Ayala ◽  
Rachel Byrne ◽  
Alison Gehred ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Pain ◽  
Cerebral Palsy ◽  
High Risk ◽  
Online Survey ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
Parent Report ◽  
Medical Cannabis ◽  
Nonpharmacologic Intervention

Background: Pain is common in children with cerebral palsy. The purpose of this systematic review was to evaluate the evidence regarding assessments and interventions for chronic pain in children aged ≤2 years with or at high risk for cerebral palsy. Methods: A comprehensive literature search was performed. Included articles were screened using PRISMA guidelines and quality of evidence was reviewed using best-evidence tools by independent reviewers. Using social media channels, an online survey was conducted to elicit parent preferences. Results: Six articles met criteria. Parent perception was an assessment option. Three pharmacologic interventions (gabapentin, medical cannabis, botulinum toxin type A) and 1 nonpharmacologic intervention were identified. Parent survey report parent-comfort and other nonpharmacologic interventions ranked as most preferable. Conclusion: A conditional GRADE recommendation was in favor of parent report for pain assessment. Clinical trials are sorely needed because of the lack of evidence for safety and efficacy of pharmacologic interventions.

scholarly journals The relationship between sensory reactivity, intolerance of uncertainty and anxiety subtypes in preschool-age autistic children

Autism ◽  
2021 ◽  
pp. 136236132110161
Author(s):  
Keren MacLennan ◽  
Timothy Rossow ◽  
Teresa Tavassoli
Keyword(s):  
Separation Anxiety ◽  
Intolerance Of Uncertainty ◽  
Parent Report ◽  
Preschool Age ◽  
Autistic Children ◽  
Sensory Reactivity ◽  
Mediation Analyses ◽  
Effective Interventions ◽  
Development Of Anxiety ◽  
Sensory Hyperreactivity

Sensory reactivity differences are a diagnostic criterion of autism. Sensory hyperreactivity has been linked to intolerance of uncertainty and anxiety in autistic children. However, research is yet to explore the mediating relationships or sensory hyporeactivity, seeking and anxiety subtypes in preschool-age autistic children. Therefore, we aimed to elucidate the relationships between sensory reactivity, intolerance of uncertainty and anxiety subtypes in a heterogeneous group of 54 preschool-age autistic children, age 3–5 years, using observation and parent-report assessments. Correlational analysis found sensory hyperreactivity, intolerance of uncertainty and total anxiety were significantly intercorrelated. In addition, sensory hyperreactivity was significantly correlated with separation anxiety when controlling for autism traits. Serial mediation analyses indicated significant full mediation between sensory hyperreactivity and anxiety through intolerance of uncertainty, and significant full mediation between sensory hyperreactivity and intolerance of uncertainty through anxiety. Our results suggest that sensory hyperreactivity is a key early factor in the development of anxiety, and supports that intolerance of uncertainty is an important interrelated construct in the development and maintenance of anxiety in autism. Our findings have important implications for the development of effective interventions. However, due to limitations with the measures, our research also highlights a pressing need for objective assessments of anxiety and intolerance of uncertainty that can be used with preschool-age autistic children. Lay abstract This study found links between greater sensory hyperreactivity (e.g., over-sensitive to sensory input), intolerance of uncertainty and anxiety, including separation anxiety, in autistic pre-schoolers. Sensory hyperreactivity may predict both anxiety and intolerance of uncertainty, and anxiety and intolerance of uncertainty may both be mutually important, mediating factors. These findings have implications for early anxiety interventions. But there is a pressing need for objective assessments that can be used with preschool-age autistic children.

JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

2020 ◽  
pp. 089011712098240
Author(s):  
Kim Pulvers ◽  
John B. Correa ◽  
Paul Krebs ◽  
Omar El Shahawy ◽  
Crystal Marez ◽  
...  
Keyword(s):  
College Student ◽  
Undergraduate Students ◽  
Online Survey ◽  
Self Report ◽  
Cross Sectional ◽  
Quit Attempt ◽  
Lower Confidence ◽  
Perceived Difficulty ◽  
Quit Attempts ◽  
History Of

Purpose: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. Design: Cross-sectional study from a self-administered online survey. Setting: Two public southern California universities. Participants: A total of 1,001 undergraduate students completed the survey from February to May 2019. Measures: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. Analysis: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. Results: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). Conclusions: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.

Analysis of Technology Acceptance Model (TAM) for Financial Literacy on Kids Application Technology

2021 ◽  
Vol 12 (3) ◽  
pp. 1004-1010
Author(s):  
Nurhanani Romli Et.al
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Financial Literacy ◽  
Formal Education ◽  
Preschool Age ◽  
Application Technology ◽  
Use Of Technology ◽  
Two Factors ◽  
Technology Applications ◽  
Acceptance Model

Financial literacy was very important to be introduced since the early children. In Malaysia, the children began to start for formal education of the stage in preschool. This paper will discuss about the acceptance of technology as a method to teach that kids for financial literacy. With the development in technology at present, using of teaching based on technology was very important for all levels including children at preschool age. The Technology Acceptance Model (TAM) was widely used in studies related to the use of technology applications in society. There are two factors variables that will test on this paper. The first one was perceived useful and the second one was easy to use. Quantitative method will be used to collect all of data. The questionnaire survey was distributed to a total of 136 respondents which it’s have been use the financial literacy application incorporated as a tools to teach the kids. Findings of the study indicate the importance of technology as a medium to teach kids regarding the financial literacy.

scholarly journals Anger in infancy and its implications: History of attachment in mother–child and father–child relationships as a moderator of risk

2018 ◽  
Vol 31 (04) ◽  
pp. 1353-1366 ◽  
Author(s):  
Rebecca L. Brock ◽  
Grazyna Kochanska
Keyword(s):  
Preschool Age ◽  
Complex Nature ◽  
School Age ◽  
Strange Situation ◽  
Car Seat ◽  
Early School ◽  
History Of ◽  
Early School Age ◽  
The Impact ◽  
Parent Child

AbstractGrowing research has documented distinct developmental sequelae in insecure and secure parent–child relationships, supporting a model of early attachment as moderating future developmental processes rather than, or in addition to, a source of direct effects. We explored maladaptive developmental implications of infants’ anger proneness in 102 community families. Anger was assessed in infancy through observations in the Car Seat episode and parents’ ratings. Children's security with parents was assessed in the Strange Situation paradigm at 15 months. At preschool age, child negativity (defiance and negative affect) was observed in interactions with the parent, and at early school age, oppositionality was rated by parents and teachers. Security was unrelated to infant anger; however, it moderated associations between infant anger and future maladaptive outcomes, such that highly angry infants embarked on a negative trajectory in insecure, but not in secure, parent–child dyads. For insecure, but not secure, mother–child dyads, infants’ mother-rated anger predicted negativity at preschool age. For insecure, but not secure, father–child dyads, infants’ anger in the Car Seat predicted father- and teacher-rated oppositional behavior at early school age. Results highlight the developmentally complex nature of the impact of attachment, depending on the relationship with mother versus father, type of measure, and timing of effects.

scholarly journals A short history of climate change

2020 ◽  
Vol 246 ◽  
pp. 00002
Author(s):  
Dirk Notz
Keyword(s):  
Climate Change ◽  
Energy Production ◽  
Short History ◽  
Unique Challenge ◽  
Climate Conditions ◽  
The Earth ◽  
Two Factors ◽  
History Of ◽  
Natural Climate ◽  
First Time

The flux of energy through the climate system determines the living conditions of our planet. In this contribution, I outline the main processes regulating this flux of energy, how these processes have changed throughout Earth history, and how today they are changing by human activities, in particular by activities related to energy production. The changes in the climate state of our planet, which have been ongoing ever since the formation of the Earth some 5 billion years ago, have shaped the world we live in today. Yet, today’s climate change is special in two overarching ways. First, it is the first time that a major climate change is globally affecting a civilisation that is perfectly adapted to thousands of years of stable climate conditions. Second, today’s climate change is occurring at a rate much faster than preceding natural climate changes. In combination, these two factors make today’s climate change a unique challenge to humankind, with direct consequences of future energy production as outlined in the other contributions to this volume.

scholarly journals Malay Version of Moral Identity Scale: A Cross-Cultural Validation In Malaysian Youth

2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Nasir Yusoff ◽  
Muaz Haqim Shaharum ◽  
Yee Cheng Kueh
Keyword(s):  
Online Survey ◽  
Discriminant Validity ◽  
Moral Identity ◽  
Intraclass Correlation ◽  
Cross Cultural ◽  
Cultural Bias ◽  
Final Model ◽  
Language Version ◽  
Two Factors ◽  
Health Related

Introduction: The Moral Identity Scale (MIS) measures the construct of moral identity – internalization and symbolization. This study aims to translate and validate the original English version of MIS to the Malay language version.  Methods: The 10 items of MIS (five items of symbolization and five items of internalization) were translated to the Malay language through forward and backward procedures.  A total of 388 youth-aged participants were involved in this online survey.  Participants’ age ranged from 18-24 years old.  More than half were females.  Results: The construct of moral identity was maintained with the re-modeling of internalization.  The final model suggested retaining the three internalization items and five symbolization items.  Discriminant validity and the construct reliability of the two factors were satisfactory (symbolization=0.81, internalization=0.69).  Internal consistencies indicated acceptable Cronbach’s alpha values for both symbolization (0.85) and internalization (0.81).  Test-retest Intraclass Correlation Coefficient (ICC) was good and satisfactory (internalization=0.79 and symbolization=0.81).  Conclusion: The Malay version of MIS is a reliable tool and free from cultural bias which is useful to be applied in a public health-related program.

scholarly journals Resilience, well-being, depression symptoms and concussion levels in equestrian athletes

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Annika McGivern ◽  
Stephen Shannon ◽  
Gavin Breslin
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Well Being ◽  
Depression Symptoms ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Mental Health Support ◽  
History Of

Purpose This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being. Design/methodology/approach In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being. Findings In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores. Practical implications Findings highlight the need for mental health promotion and support in equestrian sport. Social implications Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being. Originality/value This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.

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