scholarly journals Profile of physiotherapy intervention for Down syndrome children

2016 ◽  
Vol 29 (4) ◽  
pp. 693-701 ◽  
Author(s):  
Késia Damascena Winter de Morais ◽  
Geraldo Antonio Fiamenghi-Jr ◽  
Denise Campos ◽  
Silvana Maria Blascovi-Assis
Keyword(s):  
Down Syndrome ◽  
Motor Skills ◽  
Neural Plasticity ◽  
Metropolitan Areas ◽  
Genetic Disorder ◽  
The Internet ◽  
Structured Interviews ◽  
Physiotherapy Intervention ◽  
Specialized Institutions ◽  
Function Language

Abstract Introduction: Down Syndrome (DS) is a genetic disorder that causes global delay in development, including motor function, language and cognitive. Physiotherapy is offered from birth in order to stimulate the acquisition of motor skills. Early intervention presents most benefits, as neural plasticity is at its peak in the first months of life. Objective: This study aimed to investigate the profile of physiotherapy intervention for children with DS during their first three years in specialized institutions. Methods: Data for this qualitative study were collected through semi-structured interviews, with 11 physiotherapists who worked in São Paulo coastal and metropolitan areas. Results: Results indicate that, although most professionals use the internet as a means to being up-to-date, and doing specialized courses, not always in pediatric neurology, they felt safe to work in the area shortly after graduation, using the principles of Bobath Concept, characterized by 30-minute therapies, with a frequency of once to twice per week to guide treatment. Conclusion: Data should serve as a basis for parents' reflections, who must seek to know the experience of therapists who attend to their children, as well as institutions to encourage professionals to update their knowledge and search for appropriate expertise, in order to optimize therapy.

Orthodontic Aspects on the Chronological and Dental Age in Children with Down Syndrome

2018 ◽  
Vol 69 (1) ◽  
pp. 208-213
Author(s):  
Mariana Pacurar ◽  
Bogdan Dragomir ◽  
Alina Silvana Szalontay ◽  
Cristian Romanec
Keyword(s):  
Down Syndrome ◽  
Emotional Disorders ◽  
Metabolic Diseases ◽  
Genetic Disorder ◽  
Signs And Symptoms ◽  
Deciduous Teeth ◽  
Healthy Children ◽  
Dental Maturation ◽  
Children With Down Syndrome ◽  
The Family

Genetics is a key discipline in medicine, but also a clinical discipline with medical and social implications. The interest in reducing the number of genetic disorders and recognizing the risk of them repeating when a family confronts itself with a genetic anomaly becomes more and more important in the hierarchy of prophylactic emergencies. Presenting themselves as metabolic diseases (monogenic mutations) or malformations (polygenic and multifactorial heredity) because of their frequency, these disorders position themselves on an ascendant curve. They become difficult to deal with for the society, for the family and for the interested individual and cause emotional disorders. The Down syndrome is the most frequent type of genetic disorder. It is characterized by a specific set of signs and symptoms. People with Down syndrome require special medical care that, apart from the family, must include a team of doctors of various specializations and also a dentist. They are predisposed to hearing and sight disorders and thyroid problems as well. In 50% of the cases there are also anomalies of the heart, and the risk of leukaemia is 20 times higher. Some of them even develop an Alzheimer type dementia during their life. The people with Down syndrome can have an average IQ up to a moderate form of handicap. In particular, the studies on Down syndrome in dentistry are quite frequent, but they focus more on cavities, periodontal disease and hypodontia. In spite of this, the connection of Down syndrome and dental eruption is less studied. Consequently, the present study is intended to fill this missing part from the specialized literature, focusing on the relation between the Down syndrome and the chronological and dental ages in children. The health of the oral cavity is neglected in these patients, their parents focusing more on the treatment of the other systemic disorders of their children; the lack of interest is reflected in their poor oral hygiene.The trial group included 94 children with mixt dentition, aged between 6 and 12, divided as follows: 36 children with Down syndrome enrolled at the Educational Centre for Inclusive Education no. 1 of Tg. Mures and Alpha Transilvana Foundation. The chronology and the eruption sequences are subjected to certain variations and they are influenced by the presence of cavities, the premature loss or, on the contrary, the prolonged retention of deciduous teeth as well as dental anchylosis. Dental maturation is less subjected to variations, as it is a progressive, continuous and cumulative process. The presence of Down syndrome in children generates a delay in teeth eruption by 1.27 years compared to the data identified in the specialized literature and to the information obtained on the healthy children included in the study.

Infants with Down syndrome: Percentage and age for acquisition of gross motor skills

2013 ◽  
Vol 34 (3) ◽  
pp. 894-901 ◽  
Author(s):  
Karina Pereira ◽  
Renata Pedrolongo Basso ◽  
Ana Raquel Rodrigues Lindquist ◽  
Louise Gracelli Pereira da Silva ◽  
Eloisa Tudella
Keyword(s):  
Down Syndrome ◽  
Motor Skills ◽  
Gross Motor ◽  
Gross Motor Skills

scholarly journals Motivation for ‘Consumer–Producer‘ Interactions in Tourism: Disintermediation and Scope for Travel Agencies

2016 ◽  
Vol 11 (1) ◽  
pp. 31-45
Author(s):  
Fernandes Anthony Jovial ◽  
Alex Emy
Keyword(s):  
The Internet ◽  
Buying Behavior ◽  
Structured Interviews ◽  
Online Transactions ◽  
Travel Agents ◽  
Changing Trends ◽  
Travel Agencies ◽  
Online Travel

Increase in accessibility to the internet and consumer’s faith in conducting online transactions, have paved way for a steady change in how consumers plan and buy their holidays. The role of traditional travel agents and online travel portals, as sources most knowledgeable about holiday destinations is on the wane due to the emergence of online reviewing platforms, and easily accessible and first-hand information from the service producers. Consumers today prefer to approach service producers such as resorts, restaurants, transport providers and guides to book their services. Given this scenario, this paper attempts to determine the catalyst for the changing trends in tourist buying behavior, the role of the internet and whether travel agents are aware of the said changes. The paper also looks at possible opportunities for travel agents to expand their products’ portfolio to maintain or increase their revenue in tandem with the changes in the industry. The study takes into consideration responses received from 75 tourists and structured interviews conducted with sixteen travel agents.

scholarly journals Institutional Drivers of Internet Voting Adoption in Ghana: A Qualitative Exploratory Studies

2020 ◽  
Author(s):  
Samuel Agbesi
Keyword(s):  
Political Parties ◽  
Thematic Analysis ◽  
Organizational Context ◽  
The Internet ◽  
Top Management ◽  
Management Support ◽  
Structured Interviews ◽  
Internet Voting ◽  
Voting System ◽  
The Government

Internet voting system adoption in elections can bring enormous benefits to an electoral process. Though few countries have adopted it for their legally binding elections, others have discontinued its use because of perceived vulnerabilities. But it has been argued that the benefits the internet voting system provide outweigh the perceived vulnerabilities. The main purpose of this study is to examine the drivers of the internet voting system from the organizational context. The study is purely qualitative using semi-structured interviews. The interview participants were top management of EC staff, political parties’ executives and experts who were purposively selected, and thematic analysis was used to extract patterns from the data collected. The main themes that emerged from the thematic analysis include pressure from political parties, pressure from the government, legal framework, financial readiness of EC, EC top management support, convenience, accuracy, and increase voter turnouts. The discussion of the findings and the implication of the results were discussed in the study.

Hurry Up and Wait: Oppositional Compliance and Networking around the State in Kuwait

2017 ◽  
Author(s):  
Deborah L. Wheeler
Keyword(s):  
Civic Engagement ◽  
New Media ◽  
Social Environment ◽  
Internet Use ◽  
Media Use ◽  
The Internet ◽  
Ethnographic Research ◽  
Structured Interviews ◽  
The Public ◽  
The World

In Chapter 4, data collected through ethnographic research and structured interviews are used to argue that new media tools when used, can profoundly alter social and political practices in Kuwait. Internet use removes inhibitions, gives the public a voice, encourages people to demand access to current, transparent news and information, and enables citizens to become more engaged and active in the world. In the words of one 55 year old female Kuwaiti participant, the Internet “opens the eyes of the younger generation and because of this, they find more freedom to exercise and they can compare freedom in their countries to that in other countries” (Interview, July 2009, Kuwait City). Explanations for the increasingly volatile political and social environment in Kuwait are explored in light of new media use. The persistence of patriarchy in spite of enhanced civic engagement reveals the puzzling nature of oppositional compliance in the emirate.

Automatic Computerized Diagnostic Tool for Down Syndrome Detection in Fetus

2019 ◽  
pp. 226-243
Author(s):  
Michael Dinesh Simon ◽  
Kavitha A. R.
Keyword(s):  
Down Syndrome ◽  
Diagnostic Tool ◽  
Chromosome Abnormality ◽  
Genetic Disorder ◽  
Nasal Bone ◽  
Training Phase ◽  
Phase Detection ◽  
Femur Length ◽  
Testing Phase ◽  
Two Phases

Down syndrome is a genetic disorder and the chromosome abnormality observed in humans that can cause physical and mental abnormalities. It can never be cured or rectified. Instead it has to be identified in the fetus and prevented from being born. Many ultrasonographic markers like nuchal fold, nasal bone hypoplasia, femur length, and EIF are considered to be the symptoms of Down syndrome in the fetus. This chapter deals with the creation of automatic and computerized diagnostic tool for Down syndrome detection based on EIF. The proposed system consists of two phases: 1) training phase and 2) testing phase. In training phase, the fetal images with EIF and Down syndrome is analyzed and characteristics of EIF are collected. In testing phase, detection of Down syndrome is performed on the fetal image with EIF based on the knowledge cluster obtained using ESOM. The performance of the proposed system is analyzed in terms of sensitivity, accuracy, and specificity.

scholarly journals Gambaran Erupsi Gigi Permanen pada Anak Sindrom Down Usia 10-16 Tahun di Sekolah Luar Biasa Kabupaten Jember

2018 ◽  
Vol 8 (1) ◽  
pp. 8
Author(s):  
Loly Anastasya Sinaga ◽  
Dwi Kartika Apriyono ◽  
Masniari Novita
Keyword(s):  
Down Syndrome ◽  
Special Needs ◽  
Physical Characteristic ◽  
Trisomy 21 ◽  
Genetic Disorder ◽  
Extra Chromosome ◽  
Descriptive Study ◽  
Chromosome 21 ◽  
Permanent Teeth ◽  
Intellectual Abilities

Background: Down Syndrome is a genetic disorder that occurs because of chromosome 21 has three chromosome (trisomy 21). The extra chromosome changes the genetic balance, physical characteristic, intellectual abilities, and physiological body function. Tooth eruption in Down Syndrome children typically delayed in both the timing and sequence of eruption up to two or three years. Objective: To observe the permanent teeth eruption in Down syndrome children at age 10-16 years old, boys and girls in Special Needs School in Jember. Materials and Methods: This research was a descriptive study with 7 subjects. Each subject was examined then calculated teeth that had emerged or functionally eruption with articualting paper. Result and Conclusion:  Both permanent teeth that is still partially erupted tooth (emerged/ EM) and had erupted perfectly (functionally eruption/ FE) delayed in eruption in Down Syndrome boys and girls at age 10-16 years old.

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