scholarly journals Characteristics and Efficacy of Play Therapy Interventions in Visually Impaired Children and Adolescents: A Systematic Review Study

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Fatemeh Ghasemifard ◽  
Hooshang Mirzaie ◽  
Mehdi Jafari Oori ◽  
Abbas Riazi

Background: Visual impairment can hinder achieving developmental markers in children. Various studies have examined the effectiveness of play therapy in children with visual impairment. However, lack of a comprehensive review study that examined the characteristics and overall effectiveness of these interventions, led to conducting of the present study. Objectives: This study aimed to provide strong evidence on the characteristics and efficacy of play therapy interventions in children and adolescents (0-21 years) with visual impairment. Methods: Our literature searching was done with English and Persian keywords obtained from Mesh in the Cochrane, PubMed, Scopus, Web of Science, Magiran, Iran Medex, Iranian Archive for Scientific Documents Center (IASD), Iranian National Library (INL), Google and Google Scholar, until 2020. The selection process of articles was according to PRISMA. Text data was analyzed by convention content analysis. Additionally, the modified Downs and Black Checklist was used to assess the quality of primary studies. Results: From 1763 articles, finally nine were analyzed which met the inclusion criteria. The major findings were presented in the categories of on participants, implementation, measurements, and efficacy of interventions. All subjects were with visual impairment, without severe physical or cognitive impairment. Play interventions were done by children, or with operational children and their caregivers or parents. Play therapy interventions were in two forms of computer/video based game and child-therapist/parent based game, which were conducted in different settings resembling home, school, or sport camp conditions. Data were gathered by observation of researchers and reports of children using different questionnaires. All of the interventions were effective in improving cognitive, visual, physical, communicative and vestibular skills of the children. Conclusions: Despite the comprehensive efficacy of play therapy intervention in children with visual impairment, few studies have been conducted in this field. Considering multi-biases such as missing control of confounders, more high quality standard studies are needed to further evaluate the effectiveness of play therapy in children with visual impairments.

2019 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Nazanin Reza Zadeh Mottaghi ◽  
Mahmoud Talkhabi

This study compares the national curriculum of Iran and the UK to find out how the educational system indeveloping countries such as Iran can be improved. Because of implementing thinking skills and cognitive education,the educational system in the UK benefits from a high-quality standard. The science of mind, brain, educationintroduces some principles to improve teaching and learning methods and provide thoughtful and lifelong learnersfor the societies. In this study, we specified the main parts of the national curriculum in both countries and selectedsome of the principles to determine whether these two countries apply them in their national curriculum. Some ofthese principles focus on some significant issues: teaching models, the use of Meta-discipline and HolisticTechniques, authentic learning experiences, use of products, processing and progressing Evaluations, developingexplicit learning objectives, how to benefit from thinking and reflective practices, using collaborative and democraticactivities, preparing students to set personal objectives, giving themselves feedbacks, technology and flippedclassrooms, and beginning Year- Round Schooling. The results show that Iran needs more precise and detailedlearning objectives in its curriculum, use of democratic and collaborative activities with academics and students,develop thinking and reflective practices which play vital roles in upgrading the educational system. Moreover, it issuggested that the UK and Iran should consider embedded evaluations and flipped classrooms to meet the needs ofnew generation of learners.


Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 186
Author(s):  
Valeria Calcaterra ◽  
Giacomo Biganzoli ◽  
Gloria Pelizzo ◽  
Hellas Cena ◽  
Alessandra Rizzuto ◽  
...  

Background: The prevalence of pediatric metabolic syndrome is usually closely linked to overweight and obesity; however, this condition has also been described in children with disabilities. We performed a multivariate pattern analysis of metabolic profiles in neurologically impaired children and adolescents in order to reveal patterns and crucial biomarkers among highly interrelated variables. Patients and methods: We retrospectively reviewed 44 cases of patients (25M/19F, mean age 12.9 ± 8.0) with severe disabilities. Clinical and anthropometric parameters, body composition, blood pressure, and metabolic and endocrinological assessment (fasting blood glucose, insulin, total cholesterol, high-density lipoprotein cholesterol, triglycerides, glutamic oxaloacetic transaminase, glutamate pyruvate transaminase, gamma-glutamyl transpeptidase) were recorded in all patients. As a control group, we evaluated 120 healthy children and adolescents (61M/59F, mean age 12.9 ± 2.7). Results: In the univariate analysis, the children-with-disabilities group showed a more dispersed distribution, thus with higher variability of the features related to glucose metabolism and insulin resistance (IR) compared to the healthy controls. The principal component (PC1), which emerged from the PC analysis conducted on the merged dataset and characterized by these variables, was crucial in describing the differences between the children-with-disabilities group and controls. Conclusion: Children and adolescents with disabilities displayed a different metabolic profile compared to controls. Metabolic syndrome (MetS), particularly glucose metabolism and IR, is a crucial point to consider in the treatment and care of this fragile pediatric population. Early detection of the interrelated variables and intervention on these modifiable risk factors for metabolic disturbances play a central role in pediatric health and life expectancy in patients with a severe disability.


2019 ◽  
Vol 1 (2) ◽  
pp. 10
Author(s):  
Amany A. Mohamed ◽  
Aml S. A. Abdelrahem ◽  
Sanaa M. Ahmed

Background: Visual impairment and blindness are significant ophthalmic disorders around the world. Behavioral problems in visually impaired children considered as one of the most serious health problems. Aim: The study aimed to assess behavioral problems among visually impaired children studying at a special school for blindness and assess the association between behavioral problems scores and selected demographic variables of studied children. Methods: The research design adopted for this study was descriptive correlational design. Sample: A purposive sample composed of one hundred and one (101) parents of children with visual impairment. Setting: The children studying at El Nour School for blindness in Minia city. Tools: The data were collected using the parents' interview questionnaire and Child Behavior Checklist/4-18 (CBCL/4-18). Results: Withdrawn syndrome represented the highest clinical level among the studied children, followed by clinical aggressive behavior. Also, less than a fifth of them had clinical internalizing problems, and 17.8% of them had clinical externalizing problems. A highly statistically significant correlation revealed between the score of total behavior syndromes and age of studied children. Conclusion: Visually impaired children had problems in the total social competence score and all its subscales. About one-third of them had borderline and clinical problems regarding total score of behavioral syndromes. Also, internalized and externalized problems had reported. The study recommended further intervention studies are necessary, which include parents' class about behavioral problems of visually impaired children and methods to limit its effect on children life.


1995 ◽  
Vol 38 (5-6) ◽  
Author(s):  
E. Guidoboni ◽  
P. Riva ◽  
V. Petrini ◽  
A. Madini Moretti ◽  
G. Lombardini

A crucial problenl for seismic archeology is how to recognize seismic effects and how to date them. On an experimental basis. we proposed that the problem be reversed, and that we begin at the other end: i.e. by analyzing already known seismic effects on ancient structures, testified by written sources. to be able to .calibrate>> the types or possible observations and any subsequent elaborations. The choice of the walls of Noto was suggested by the fact that Noto was abandoned following the earthquake of l693 (I,= XI MCS. Me 7.5) which had already been studied in depth as part of an ING research programme (1988-92). Moreover, just after recent research, this event proved to be reconstructed with a high quality standard. Photogrammetric measurements were made on several parts of the town walls to plot a numerical model aimed at ascertaining specific aspects of the earthquake damage. An estimate of the ground acceleration during the earthquake has been attempted via non-linear finite-element analyses of a building located by the main city gate. The analyses show that. in order to obtain the building vault collapse, a ground acceleration of 0.5 to 0.7 g had to be reached during the earthquake. This result, typical of a strong earthquake such as the one of 1693, proves that an approach based on finite element analysis and a sound engineering judgment Inay be systematically applied to historical earthquake sites to obtain some estimates of ground acceleration in historical earthquakes. On the whole, this work aimed at starting up the second development phase of the great event of 1693 of which the macroseismic erfects are known. In the meantime, some possibilities of tackling structural analyses in seismic archaeology are being explored.


Author(s):  
Orlando Jorge M TORRES ◽  
Eduardo de Souza M FERNANDES ◽  
Rodrigo Rodrigues VASQUES ◽  
Fabio Luís WAECHTER ◽  
Paulo Cezar G. AMARAL ◽  
...  

ABSTRACT Background: Pancreatoduodenectomy is a technically challenging surgical procedure with an incidence of postoperative complications ranging from 30% to 61%. The procedure requires a high level of experience, and to minimize surgery-related complications and mortality, a high-quality standard surgery is imperative. Aim: To understand the Brazilian practice patterns for pancreatoduodenectomy. Method: A questionnaire was designed to obtain an overview of the surgical practice in pancreatic cancer, specific training, and experience in pancreatoduodenectomy. The survey was sent to members who declared an interest in pancreatic surgery. Results: A total of 60 questionnaires were sent, and 52 have returned (86.7%). The Southeast had the most survey respondents, with 25 surgeons (48.0%). Only two surgeons (3.9%) performed more than 50% of their pancreatoduodenectomies by laparoscopy. A classic Whipple procedure was performed by 24 surgeons (46.2%) and a standard International Study Group on Pancreatic Surgery lymphadenectomy by 43 surgeons (82.7%). For reconstruction, pancreaticojejunostomy was performed by 49 surgeons (94.2%), single limb technique by 41(78.9%), duct-to-mucosa anastomosis by 38 (73.1%), internal trans-anastomotic stenting by 26 (50.0%), antecolic route of gastric reconstruction by 39 (75.0%), and Braun enteroenterostomy was performed by only six surgeons (11.5%). Prophylactic abdominal drainage was performed by all surgeons, and somatostatin analogues were utilized by six surgeons (11.5%). Early postoperative enteral nutrition was routine for 22 surgeons (42.3%), and 34 surgeons (65.4%) reported routine use of a nasogastric suction tube. Conclusion: Heterogeneity was observed in the pancreatoduodenectomy practice patterns of surgeons in Brazil, some of them in contrast with established evidence in the literature.


2019 ◽  
Vol 10 ◽  
Author(s):  
Valeria Calcaterra ◽  
Hellas Cena ◽  
Annalisa De Silvestri ◽  
Vincenza Girgenti ◽  
Denisia Bommarito ◽  
...  

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