THE INTERPLAY OF BIOLOGICAL AND ENVIRONMENTAL FACTORS IN A PRESCHOOL-AGE PATIENT WITH KLINEFELTER'S SYNDROME

PEDIATRICS ◽  
1973 ◽  
Vol 52 (1) ◽  
pp. 29-37
Author(s):  
Magda Campbell ◽  
Harry Breuer ◽  
Sandra R. Wolman

A 3-year-old male with 47XXY karyotype is presented as an example of how various genetic and environmental (including psychosocial) factors can contribute to delayed and/or disturbed behavior. The young preschool child's behavioral repertoire is so small, undifferentiated, and nonspecific that a variety of causes can evoke the same symptom(s) and behavior, and the danger of misdiagnosis, therefore, is great. Such disturbances may not be entirely or partially caused by a disturbed parent-child relationship. The pediatrician is usually the first to see such a young patient and in a position to initiate appropriate referrals for a complete diagnostic work-up, including cytological, hearing, and speech studies, not only for accurate diagnosis, but also for prognosis, treatment, and parental counseling.

Author(s):  
Antonino Saccà ◽  
Andrea Salonia

Erectile dysfunction (ED) has progressively emerged as an important sentinel marker of cardiovascular and overall health among men. A timely and accurate diagnosis of ED may thus represent a significant opportunity not only to diagnose the dysfunction per se, but also to comprehensively identify co-morbid and potentially life-threatening conditions. Basic work-up for a man seeking help for ED should start considering that ED may share several modifiable and unmodifiable common risk factors with cardiovascular disorders and other potential life-threatening conditions. Overall, most patients with ED can be adequately managed with a basic diagnostic work-up; this includes a comprehensive medical and sexual history, along with a physical examination and some laboratory tests. Conversely, only some selected patients may also need specific diagnostic tests.


PEDIATRICS ◽  
1948 ◽  
Vol 1 (5) ◽  
pp. 668-683
Author(s):  
LEO KANNER

Chairman Kanner: Every day of man's life constitutes a transition between yesterday and tomorrow, converging in the intrinsic values of the moment. The past and present continue to shape and modify directions and goals, mostly through quiet evolution, sometimes in lively spurts. One of the liveliest spurts occurs during adolescence, at a time when a person is no longer a child and not yet an adult. Many incisive changes take place in that period. Body growth, in a remarkable upward surge, attains its maximum for the individual. The physique assumes its characteristic configuration. Sexual development reaches procreative capacity. There is striving after emancipation from sheltered existence, a trend toward increasing self-dependence in thought and action. The sphere of interest and participation expands from the confines of home, neighborhood and school to the community at large. The choice of vocation, until then a playfully considered matter, becomes a real issue. Current standards and precepts are submitted to criticism not as yet leavened by the tests of experience. The established order is challenged boldly and then, after some struggle, appropriated gradually with more or less reservation. Adolescence, in our culture, is a great translator. It translates the language of parental direction, attitudes and behavior into an individualized idiom. This is much less evident in primitive cultures. One might go so far as to say that in primitive societies there is no conceptual equivalent for that which we call adolescence. Childhood ceases abruptly when, through a set of elaborate rites, it is transported into full-fledged adulthood. Tribal ritualism, rather than personal spontaneity determines status and function. In our social structure, a child is given several years in which he is to find his way from a more or less manipulated and regimented existence to the acquisition of initiative in a loosely competitive environment in which the taboos are blurred, the semantics are equivocal, and the variety of occupational, political and theologic choices offers opportunities for perplexities. The adolescent translator's dictionary is full of confusing synonyms and antonyms. A combination of inner soundness, wholesome parent-child relationship, and guidance from understanding adults, helps most adolescents to emerge safely from the groping and floundering which precede maturing stabilization.


Author(s):  
Roseanne Clark ◽  
Audrey Tluczek ◽  
Elizabeth C. Moore ◽  
Amber L. Evenson

This chapter reviews the theoretical foundations and empirical support for employing a relational perspective when assessing the mental health of an infant or toddler. A review of specific measures widely used in assessing the quality of affect and behavior in parent–child interactions, relationship quality, and parenting capacities (see Clark, Tluczek, Moore, & Evenson, 2019, Chapter 3) illustrates the importance of utilizing a parent–child relationship paradigm in the assessment of the mental health and social and emotional functioning of infants and young children. Although the term parent is used throughout the chapter, another significant caregiver who holds a parenting or primary caregiving role may be substituted as needed, such as a grandparent or foster parent.


2000 ◽  
Vol 4 (4) ◽  
pp. 205-207 ◽  
Author(s):  
Diya F. Mutasim ◽  
Brian B. Adams

Background: A thorough work-up is paramount in the accurate diagnosis of oral erosive diseases. Objective: A case of pemphigoid with negative direct immunofluorescence but positive indirect immunofluorescence is presented. Methods and Results: A 77-year-old man presented with erosions of the oral and glans mucosa and with esophageal stenosis. Histologic examination revealed nonspecific mucositis. Indirect immunofluorescence was characteristic of pemphigoid. Conclusion: This case illustrates the importance of performing a complete diagnostic work-up in the evaluation of patients with oral erosive disease.


Author(s):  
Camelia Augusta Rosu

Raising children is a challenge, as children grow, change, go through a series of evolutionary phases with different tasks and goals, which the parent often does not know. The child starts from the stage where his primary need is care until he has to detach from his parents to explore the world. Parental counseling is of fundamental importance regarding the physical, cognitive and psychosocial development of the child in the first years of life. The socio-economic status and the cultural context influence the way parents raise and educate their children. Many of the parents living in poverty and social exclusion, concerned about the conditions in which they live do not realize their parental style and its influence on the development of children, do not problematize the parent-child relationship and the importance of the first years of life for the formation of the child's personality. The article illustrates how through different sessions of parental counseling 50 Romani families from different marginalized communities in Alba Iulia were supported, in their educational role and in activating resources and skills for raising children. Families who have been parental counselors have become aware of the importance of children's education, the need to go to school, the value of attachment in building the parent-child relationship, and the future relationships that the child will have in the future, etc. Parental counseling offered parents a path through which to deepen, clarify, improve their educational style and family communication.


2020 ◽  
Vol 3 (1) ◽  
pp. 52-56
Author(s):  
Ekaterina Ermolova ◽  
Olga Shamshikova

Introduction: During the last 20 years, in Russia and in many EU countries, there has been significant change in the global social and cultural situation.  Individualistic tendencies rose sharply and there is a widespread destruction of the sense of belonging.  In this regard, the type of parent-child relationship is changing, which is one of the key dimension of the neuropsychological development of children.  There is a logical question for psychologists, teachers and parents, what types of parent-child relationships are constructive, that is, they favor normal neuropsychological development of children of preschool age (6-7 years).   Purpose: The purpose of the present work is to investigate correlation between types of parent-child relationships and indicators of neuropsychological development of children, as well as identifying constructive types of parent-child relationships for the normal neuropsychological development of children. Methodology: The study was conducted within the framework of the basic screening program (pre-school stage). The Order of the Ministry of health of the Russian Federation of 03.07.2000 № 241 On approval of the Medical card of the child for educational institutions (together with the Instruction on the procedure of an accounting form № 026/u-2000 (The Medical card of the child for educational institutions of preschool, primary, basic, secondary (complete) general education, primary and secondary vocational education, orphanages and boarding schools). Determination of the correspondence of neuropsychological development to the child's age was carried out according to the following indicators: thinking and speech; attention and memory; positive emotions and social contacts; sensorimotor development. Types of parental relationship was studied using the methodology of the Questionnaire “Parental relationship” (QPR), A.Y. Varga, V.V. Stolin. The sample was formed from 94 respondents who were screened in the framework of the basic screening program (preschool stage) at the health Center of the MC “Gubernia” in Novosibirsk. The study of determination of the type of parent-child relationship of 47 respondents (mothers) was conducted and the neuropsychic development of 47 children of preschool age in the families (6-7 years) was evaluated. Results and Discussion: The data obtained indicate that different types of parent-child relationship such as “Cooperation” and “Symbiosis” positively interrelated with different indicators (attention and memory; the development of positive emotions and the presence of significant experiences in children) of the child's neuropsychological development. Such types of parent-child relationship as “Infantilism” and “Acceptance-rejection” negatively interrelated with such indicators of child's neuropsychological development as attention and memory; thinking, speech and positive emotions and social contacts. Conclusion: Children in groups with a more “constructive” parental relationship type have higher cognitive scores and fewer behavioral problems. The materials of the study can be used by child psychologists in the evaluation of neuropsychological development of the child. The Bank of diagnostic techniques that quickly allow diagnosing the state of neuropsychic development of the child in relation to the type of parental relations and thereby increasing the effectiveness of its correction through work with parents is of practical importance


2021 ◽  
Vol 74 ◽  
pp. 7-18
Author(s):  
Suh Chen HSIAO

A needy family is the underprivileged group in the society, in which children and youths growing in a needy family are the most underprivileged group, who have no choice and could not overcome it by themselves. Effects of poverty on children contain malnutrition or disorder, more chronic diseases, higher epidemic disease infection rate, high accident rate, low study preparation, low learning achievement, high social emotion and behavior problems, high risk of domestic violence, and bad parent-child relationship. Discussions about poverty are often related to social exclusion. Some people regard social exclusion as the division of poor people; social exclusion is not simply a result, but a dynamic process; social exclusion is not the result of inequality, but the behavior to separate people and group due to systems. Aiming at disadvantaged youths in southern Taiwan, random sampling is adopted to distribute 450 copies of questionnaire, and 348 valid copies are retrieved, with the retrieval rate 77%. The retrieved questionnaire data are analyzed with statistics software. The research results show significantly negative correlations between environmental protective factor of resilience and social exclusion, remarkably negative correlations between social exclusion and hope, and notably positive correlations between environmental protective factor of resilience and hope. According to the results to propose suggestions, it is expected to provide various environmental factors in the growing process of youths for reinforcing youths’ confidence and cultivate the resilience.


2016 ◽  
Vol 25 (142) ◽  
pp. 372-380 ◽  
Author(s):  
Sanjay Mehta ◽  
Jean-Luc Vachiéry

Pulmonary hypertension (PH) is a complex condition that can occur as a result of a wide range of disorders, including left heart disease, lung disease and chronic pulmonary thromboembolism. Contemporary PH patients are older and frequently have a multitude of comorbidities that may contribute to or simply coincide with their PH. Identifying the cause of PH in these complicated patients can be challenging but is essential, given that the aetiology of the disease has a significant impact on the management options available. In this article, we present two cases that highlight the difficulties involved in obtaining a precise diagnosis of the cause of PH within the setting of multiple comorbidities. The importance of performing a comprehensive, multidimensional diagnostic work-up is demonstrated, in addition to the need to specifically consider cardiopulmonary haemodynamic data in the context of the wider clinical picture. The article also illustrates why achieving an accurate diagnosis is necessary for optimal patient management. This may involve treatment of comorbidities as a priority, which can ameliorate the severity of PH, obviating the need to consider PH-targeted medical treatment.


2010 ◽  
Vol 26 (4) ◽  
pp. 256-262 ◽  
Author(s):  
Ulrike Petermann ◽  
Franz Petermann ◽  
Ina Schreyer

The Strengths and Difficulties Questionnaire (SDQ) is a screening instrument that addresses positive and negative behavioral attributes of children and adolescents. Although this questionnaire has been used in Germany to gather information from parents and teachers of preschoolers, few studies exist that verify the validity of the German SDQ for this age. In the present study, teacher ratings were collected for 282 children aged 36 to 60 months (boys = 156; girls = 126). Likewise, teacher ratings were collected with another German checklist for behavior problems and behavior disorders at preschool age (Verhaltensbeurteilungsbogen für Vorschulkinder, VBV 3–6). Moreover, children’s developmental status was assessed. Evaluation included correlation analysis as well as canonical correlation analysis to assess the multivariate relationship between the set of SDQ variables and the set of VBV variables. Discriminant analyses were used to clarify which SDQ variables are useful to differentiate between children with or without developmental delay in a multivariate model. The results of correlation and discriminant analyses underline the validity of the SDQ for preschoolers. According to these results, the German teacher SDQ is recommended as a convenient and valid screening instrument to assess positive and negative behavior of preschool age children.


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