Don't Wait and See!

Author(s):  
Emily Papazoglou

A “wait and see” approach may harm your child as you lose valuable time to get development back on track. The brain develops most rapidly in the first few years of life, which means that identifying and addressing areas of developmental concern early on is critical. The better you understand your child’s strengths and challenges, the more effectively you can help them thrive. For children with medical issues, you also will learn which skills are most vulnerable and how to proactively support their development. Full of practical advice, this book will teach you how to: (a) quickly recognize potential developmental issues; (b) obtain high-quality evaluations; (c) assemble a team and capitalize on their expertise; (d) maximize skill-building at home; and (e) avoid common pitfalls. Designed to be your companion as you navigate what can be a very isolating process, this book also serves to lower stress and build hope as you develop an action plan to help maximize your child’s potential.

Author(s):  
Emily Papazoglou

Early and intensive intervention is one of the most powerful tools we have to combat developmental disorders, but developmental issues are frequently identified much later than they should be, often because a “wait and see” approach is recommended during early childhood. The power of early intervention as one of the key tools to support your child’s development will be discussed. Developmental milestones are reviewed along with common patterns of development. Development may occur unevenly across skill areas and spurts in skill building are common, but regression, or loss of skills, is not. The higher risk of developmental issues in boys also will be discussed.


PEDIATRICS ◽  
1985 ◽  
Vol 76 (4) ◽  
pp. 612-613
Author(s):  
ROBERT C. WOODY

The increasing availability of videorecording cameras and cassette recorders now permits the visual documentation of medical events in children at home by parents. On two occasions recently, we asked families to videorecord their children's presumed seizure activity at home. In the first case, a 10-month-old white boy had frequent "spells" which by history appeared to be complex partial seizures. Routine awake and asleep EEG tracings were normal, and the family resisted hospital admission for financial reasons. Anticonvulsant medications were prescribed, and the family suggested that they borrow their parent's videocassette recorder to document their son's spells at home. Their videorecordings produced a high quality, permanent record of definite complex partial symptom activity clearly revealing eye deviation, nystagmus, and associated head and arm tonic activity.


PEDIATRICS ◽  
1964 ◽  
Vol 33 (3) ◽  
pp. 431-434
Author(s):  
Sidney Carter

FOR MOST PARENTS their child's first convulsion is a dramatic, frightening event which demands immediate medical attention. The physician, on the other hand, may see the patient after recovery from the attack and may tend to minimize the severity of the situation and assume a wait-and-see attitude before investigation and treatment are initiated. The convulsion is a symptom that indicates a disturbance of cerebral neurones. This disturbance may be the result of underlying organic disease of the brain, either fixed or progressive, or it may be an indication of a functional disturbance related to a circulatory or metabolic disorder. The first attack may be so mild that the child is unaffected but subsequent attacks may be prolonged, or result in status epilepicus, and produce a mild or severe degree of mental impairment. There is considerable evidence to indicate that anoxia associated with convulsions can cause brain damage and for this reason every child who has had a convulsion should be investigated and, with rare exception, placed on prophylactic daily anticonvulsant medication when no specific treatable condition is discovered. EVALUATION The first step in the study of a child who has a convulsion is to document its occurrence. Anxious parents are, as a rule, poor witnesses. Despite this, every effort should be made to obtain a description of the seizure, particularly premonitory symptoms, loss of consciousness, convulsive movements, duration of the attack, and the state of the patient following the attack. In infants breath-holding spells may simulate convulsive seizures. In breath-holding spells there is always a precipitating factor, usually a slight injury or some emotional disturbance which results in violent crying, ending suddenly in respiratory apnea. The cyanosis in such attacks appears before the loss of consciousness and convulsive movements.


2019 ◽  
Vol 8 (4) ◽  
pp. 2051-2054

Medical image processing is an important task in current scenario as more and more humans are diagnosed with various medical issues. Brain tumor (BT) is one of the problems that is increasing at a rapid rate and its early detection is important in increasing the survival rate of humans. Detection of tumor from Magnetic Resonance Image (MRI) of brain is very difficult when done manually and also time consuming. Further the tumors assume different shapes and may be present in any portion of the brain. Hence identification of the tumor poses an important task in the lives of human and it is necessary to identify its exact position in the brain and the affected regions. The proposed algorithm makes use of deep learning concepts for automatic segmentation of the tumor from the MRI brain images. The algorithm is implemented using MATLAB and an accuracy of 99.1% is achieved.


2017 ◽  
Author(s):  
Koen Kole ◽  
Tansu Celikel

AbstractThe heterogeneous organization of the mammalian neocortex poses a challenge to elucidate the molecular mechanisms underlying its physiological processes. Although high-throughput molecular methods are increasingly deployed in neuroscience, their anatomical specificity is often lacking. Here we introduce a targeted microdissection technique that enables extraction of high-quality RNA and proteins at high anatomical resolution from acutely prepared brain slices. We exemplify its utility by isolating single cortical columns and laminae from the mouse primary somatosensory (barrel) cortex. Tissues can be isolated from living slices in minutes, and the extracted RNA and protein are of sufficient quantity and quality to be used for RNA-sequencing and mass spectrometry. This technique will help to increase the anatomical specificity of molecular studies of the neocortex, and the brain in general as it is applicable to any brain structure that can be identified using optical landmarks in living slices.


2018 ◽  
Author(s):  
Sandra G. Hassink

Help children with weight concerns by giving their parents the clear-cut information on nutrition and fitness that they need. Dr. Hassink's plan will help families meet their goals with details on diet and physical activity for at home, in school, and in the community.


Author(s):  
Susmita Halder ◽  
Akash Kumar Mahato

This chapter focuses on cognitive functions and impairment in the elderly; its implications in daily functioning with inputs on differences in the existing literature. The chapter further focuses on the diagnostic and assessment issues and intervention strategies. Ageing is an inevitable phase of life and encompasses changes in physical, psychological and social realms of an individual. Concern with the dwindling health and presence of any medical issues make the geriatric population prone to develop mental health conditions. Poor memory and reduced functional ability is one of the common complaints from older adults coming to psychiatric or neurology clinics. Cognitive functions have been well documented regarding their role in daily functioning of an individual. With growing age of the brain; while some cognitive functions do slow down; some of the functions do evolve better with experience. In this context, it is important to differentiate between normal age related cognitive changes and symptoms of any degenerative disease.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
M. G. Oosterveld-Vlug ◽  
B. Custers ◽  
J. Hofstede ◽  
G. A. Donker ◽  
P. M. Rijken ◽  
...  

Abstract Background In the Netherlands, general practitioners (GPs) and community nurses play a central role in the palliative care for home-dwelling patients with advanced cancer and their relatives. To optimize the palliative care provision at home, it is important to have insight in the elements that patients and relatives consider essential for high-quality palliative care, and whether these essentials are present in the actual care they receive. Methods Qualitative semi-structured interviews were conducted with 13 patients with advanced cancer and 14 relatives. The participants discussed their experiences with the care and support they received from the GP and community nurses, and their views on met and unmet needs. Interview data were analysed according to the principles of thematic analysis. Results Patients as well as relatives considered it important that their GP and community nursing staff are medically proficient, available, person-focused and proactive. Also, proper information transfer between care professionals and clear procedures when asking for certain resources or services were considered essential for good palliative care at home. Most interviewees indicated that these essential elements were generally present in the care they received. However, the requirements of ‘proper information transfer between professionals’ and ‘clear and rapid procedures’ were mentioned as more difficult to meet in actual practice. Patients and relatives also emphasized that an alert and assertive attitude on their own part was vital in ensuring they received the care they need. They expressed worries about other people who are less vigilant regarding the care they receive, or who have no family to support them in this. Conclusions Medical proficiency, availability, a focus on the person, proper information transfer between professionals, clear procedures and proactivity on the part of GPs and community nursing staff are considered essential for good palliative care at home. Improvements are particularly warranted with regard to collaboration and information transfer between professionals, and current bureaucratic procedures. It is important for care professionals to ensure that the identified essential elements for high-quality palliative care at home are met, particularly for patients and relatives who are not so alert and assertive.


Philosophy ◽  
1986 ◽  
Vol 61 (236) ◽  
pp. 215-228 ◽  
Author(s):  
A. W. Price
Keyword(s):  

How, in pursuit of ontological neutrality, should one talk about values? I propose to say: there are values. Those three words do nothing to define within what kind of conception of a world values are at home.1 I take it that the ‘realist’ must have more to say about values and their world (just as a mathematical Platonist does not simply say ‘There are numbers’). I recognize that an ‘anti-realist’ may prefer to talk of value-terms (perhaps with a blind eye to values not so labelled); I ask him to wait and see whether taking the linguistic turn is the only way to put values in their place (also whether values deserve to be singled out for relegation).


2020 ◽  
Vol 2 (1) ◽  
pp. 7
Author(s):  
Alexander N. Kalashnikov ◽  
Ali Elyounsi ◽  
Alan Holloway

The COVID-19 pandemic imposed various restrictions on the accessibility of conventional teaching laboratories. Enabling learning and experimenting at home became necessary to support the practical element of students’ learning. Unfortunately, it is not viable to provide or share a fully featured sensor lab to every student because of the prohibitive costs involved. Therefore, repurposing electronic devices that are common to students can bring about the sought-after practical learning experience without the hefty price tag. In distinction to the conventional lab instruments, however, consumer-grade devices are not designed for use with external sensors and/or electronic circuitry. They are not professionally maintained, do not undergo periodic safety tests, and are not calibrated. Nevertheless, nearly all modern computers, laptops, tablets or smartphones are equipped with high-quality audio inputs and outputs that can generate and record signals in the audible frequency range (20 Hz–20 kHz). Despite cutting off the direct currents completely, this range might be sufficient for working with a variety of sensors. In this presentation we look at the possibilities of making sure that such repurposing by design prevents any potential harm to the learner and to her or his personal equipment. These features seem essential for unsupervised lone experimenting and avoiding damage to expensive devices.


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