Laparoscopic Excision of Solitary Dysontogenetic Liver Cysts in Young Children: Technical Aspects and Outcome

Author(s):  
Andreas Schmidt ◽  
Joerg Fuchs ◽  
Ilias Tsiflikas ◽  
Verena Ellerkamp ◽  
Steven W. Warmann
2021 ◽  
Vol 100 (1) ◽  
pp. 253-258
Author(s):  
Yu.A. Kozlov ◽  
◽  
V.A. Novozhilov ◽  
I.N. Weber ◽  
A.A. Rasputin ◽  
...  

Congenital nonparasitic liver cysts in newborns are rare. Surgical excision of these formations is necessary to prevent complications. Reports of laparoscopic treatment of simple liver cysts in children are also rare. Authors present a series of endosurgical treatment of patients, numbering 3 children and coming from a single surgical center, and compare it with the literature data known to date. Data of 3 patients with nonparasitic liver cysts were collected at the Center for Neonatal Surgery, beginning in 2014. The analysis of the patient's demographic data and parameters of hepatic cysts (location, histological structure) is performed. Early and long-term results of laparoscopic operations were studied. All patients were newborns: 2 girls and 1 boy. The primary diagnosis was set during prenatal ultrasound examination. In all patients a complete resection of pathological liver formations was performed using laparoscopy. There were no complications during early postoperative period. In the long-term follow-up period, there were no disease recurrences. The study presents one of the largest series of laparoscopic excision of nonparasitic liver cysts in newborns. The study revealed that laparoscopy is a safe and effective method of treating of congenital hepatic cysts.


2017 ◽  
Author(s):  
◽  
Mark Mindry

This research deals with both the cultural and technical aspects of the use of controlled shadow in child portraiture. This study was contextualised by setting it in a theoretical framework of visual culture, and by exploring the connotations of shadow in western culture. The theoretical framework provided by visual culture suggested that the way in which shadow is interpreted is dependent on the context in which it is set, and, in the context of child portraiture in particular, shadow tends to be avoided in commercial shoots. As the commercial viability of photography depends on the public being comfortable with the images produced, child photographs are usually staged or touched up to ensure that no sinister or foreboding connotations might be conveyed by shadow. While the use of harsh shadow is generally not aesthetically pleasing, and obscures the very lineaments which personalise and animate images, it was the contention of this study that use of controlled shadow might add depth and character to portraiture, and has the potential to create aesthetically pleasing effects in child photography. The empirical work explored both the cultural and technical aspects of photography. The cultural aspects, relating to the potentially undesirable aspects of photography, were explored in questionnaires and surveys carried out with groups of practising professional photographers and parents of young children. The technical aspects were explored by developing a technique for achieving pleasing aesthetic effects in child portraiture by use of controlled shadow, using the soft shadows cast by natural objects or those associated with play. The results suggest that photographers would be willing to use a technique such as that developed, provided that the results were acceptable to their clients, and thus commercially viable; the parent responses suggest that clients would find child portraits with controlled shadow aesthetically pleasing.


1984 ◽  
Vol 15 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Moya L. Andrews ◽  
Sarah J. Tardy ◽  
Lisa G. Pasternak
Keyword(s):  

This paper presents an approach to voice therapy programming for young children who are hypernasal. Some general principles underlying the approach are presented and discussed.


1994 ◽  
Vol 3 (1) ◽  
pp. 79-88 ◽  
Author(s):  
Theresa A. Kouri

Lexical comprehension skills were examined in 20 young children (aged 28–45 months) with developmental delays (DD) and 20 children (aged 19–34 months) with normal development (ND). Each was assigned to either a story-like script condition or a simple ostensive labeling condition in which the names of three novel object and action items were presented over two experimental sessions. During the experimental sessions, receptive knowledge of the lexical items was assessed through a series of target and generalization probes. Results indicated that all children, irrespective of group status, acquired more lexical concepts in the ostensive labeling condition than in the story narrative condition. Overall, both groups acquired more object than action words, although subjects with ND comprehended more action words than subjects with DD. More target than generalization items were also comprehended by both groups. It is concluded that young children’s comprehension of new lexical concepts is facilitated more by a context in which simple ostensive labels accompany the presentation of specific objects and actions than one in which objects and actions are surrounded by thematic and event-related information. Various clinical applications focusing on the lexical training of young children with DD are discussed.


1996 ◽  
Vol 5 (4) ◽  
pp. 17-30 ◽  
Author(s):  
Diane Frome Loeb ◽  
Clifton Pye ◽  
Sean Redmond ◽  
Lori Zobel Richardson

The focus of assessment and intervention is often aimed at increasing the lexical skills of young children with language impairment. Frequently, the use of nouns is the center of the lexical assessment. As a result, the production of verbs is not fully evaluated or integrated into treatment in a way that accounts for their semantic and syntactic complexity. This paper presents a probe for eliciting verbs from children, describes its effectiveness, and discusses the utility of and problems associated with developing such a probe.


1997 ◽  
Vol 6 (4) ◽  
pp. 34-47 ◽  
Author(s):  
Steven H. Long ◽  
Lesley B. Olswang ◽  
Julianne Brian ◽  
Philip S. Dale

This study investigated whether young children with specific expressive language impairment (SELI) learn to combine words according to general positional rules or specific, grammatic relation rules. The language of 20 children with SELI (4 females, 16 males, mean age of 33 months, mean MLU of 1.34) was sampled weekly for 9 weeks. Sixteen of these children also received treatment for two-word combinations (agent+action or possessor+possession). Two different metrics were used to determine the productivity of combinatorial utterances. One metric assessed productivity based on positional consistency alone; another assessed productivity based on positional and semantic consistency. Data were analyzed session-by-session as well as cumulatively. The results suggest that these children learned to combine words according to grammatic relation rules. Results of the session-by-session analysis were less informative than those of the cumulative analysis. For children with SELI ready to make the transition to multiword utterances, these findings support a cumulative method of data collection and a treatment approach that targets specific grammatic relation rules rather than general word combinations.


2010 ◽  
Vol 20 (2) ◽  
pp. 42-50 ◽  
Author(s):  
Laura W. Plexico ◽  
Julie E. Cleary ◽  
Ashlynn McAlpine ◽  
Allison M. Plumb

This descriptive study evaluates the speech disfluencies of 8 verbal children between 3 and 5 years of age with autism spectrum disorders (ASD). Speech samples were collected for each child during standardized interactions. Percentage and types of disfluencies observed during speech samples are discussed. Although they did not have a clinical diagnosis of stuttering, all of the young children with ASD in this study produced disfluencies. In addition to stuttering-like disfluencies and other typical disfluencies, the children with ASD also produced atypical disfluencies, which usually are not observed in children with typically developing speech or developmental stuttering. (Yairi & Ambrose, 2005).


2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.


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