Intersubjectivity: Conceptual Considerations in Meaning-Making With a Clinical Illustration

This manuscript explores intersubjectivity through a conceptual construct for meaning-making that emphasizes three major interrelated elements–meaning making in interaction, making meaning with the body as well as the mind, and meaning making within an open dynamic system. These three elements are present in the literature on intersubjectivity with a wide range of terms used to describe various theoretical formulations. One objective of this manuscript is to illustrate how such a construct can be useful to understand the meaning-making observed in psychoanalysis, such as in the treatment of a young child on the autistic spectrum. The challenges in establishing an intersubjective state with a child on the autistic spectrum serve to highlight important features of intersubjectivity. As an important background to this clinical illustration, we illustrate the construct with the scientific paradigm of the well-known face-to-face still-face.

Early Intervention to Preschool Transition for Children Who Are Deaf or Hard-of-Hearing: A TEAM Approach

Parents, teachers, and administrators report concerns and challenges related to the transition from early intervention (EI) to preschool for children who are deaf/hard-of-hearing. The goal of the current article is to assist teachers, administrators, and specialists involved in the transition of a young child who is deaf/hard-of-hearing from EI into preschool. The TEAM approach involves Transition planning, establishing an Educational team, determining and providing appropriate Accommodations, and Making connections for continued success. Although the TEAM approach may apply to all young children transitioning, the focus of this article is on addressing the unique needs of this particular population. Recommendations and resources are provided.

Infant and Young child feeding practice and associated factors among 0-23 months of children in irrigated and non-irrigated area of Dangila district, North West of Ethiopia

Background Infant and young child feeding practice is a cornerstone of care for child development mentally and growth physically. Failure to proper infant and young child feeding practice is associated with increased risk of childhood morbidity and mortality. Objective To assess the prevalence of infant and young child feeding practice among 0-23 months of age children in irrigated and non-irrigated area of Dangila Woreda, North-west Ethiopia, 2021. Methods Community based comparative cross-sectional study was conducted from Dec 1, 2020 to Jun 1, 2021 with a total of 823 mothers who have infant and young children 0-23monthes of age in 9 selected Keebles were included in the study. Stratified sampling technic was implemented to select irrigated and non- irrigated kebeles and study units. Data was collected by face to face interview method. bivariate and multivariate analysis were used, variables with p<0.05, was taken as statistically significant and independently associated with infant and young child feeding practice. Adjusted odds ratio along with 95% confidence interval was used to assess the strength of the association. Result Among 823 households visited, 802 participants gave complete responses with response rate of 97.4%. The overall prevalence infant and young child feeding practice was 62.5%, of these 72.8%(95%CI: 67.5%, 76.1%)from irrigated and 52.2%(95%CI: 47.8%, 57.4%), from non-irrigated area had good practice of IYCF. Moreover, the study identified that ANC (AOR= 2.138, 95% CI: 1.085, 4.210), knowledge (AOR= 2.43, 95% CI: 0.275, 0.612), attitude (AOR= 1.687, 95% CI: 1.129, 2.520), PNC (AOR= 1.606, 95% CI: 1.154, 2.360) and women’s decision making (AOR= 1.941, 95% CI: 1.305, 2.888) were significant predictor for IYCF among 0-23months of age children. Conclusion The overall prevalence of infant and young child feeding practice was (62.5%) in the study area and had shown significant variation between irrigated and non-irrigated area. Infant and young child feeding practice is high as compared previous study. Women’s decision making, ANC follow up, PNC follow up, attitude and knowledge were identified as the intervention areas..

Building foundations for the future: A case study with LTA Youth

This article discusses modern challenges experienced when developing tennis players including low levels of physical literacy. It then outlines the needs of a young child and learning strategies that can be used. A brief overview of some practical strategies for engaging early years participants, using a player-centred approach, are shared using examples from LTA Youth with explanations of how each exercise integrates key principles to attract and retain early years participants.

Healthcare Providers in Africa Face HIV and AIDS Challenges in Providing Services to a Key Population: Infant and Young Child Feeding

There is agreement on the benefits of exclusive breastfeeding for 6 months and the introduction of appropriate complementary foods at 6 months, followed by continued breastfeeding, for all infants. However, infant, and young child feeding (IYCF) guidelines for HIV-positive mothers have changed on a regular basis since 2000. Considering new HIV treatment guidelines, implementation challenges, and knowledge gaps, this article investigates issues and Evidence related to IYCF for the prevention and care of paediatric HIV in resource-limited settings. The effectiveness of antiretroviral medications (ARVs) in decreasing the incidence of HIV transmission from mother to child prompted WHO to urge countries to support either avoidance or treatment. Significant progress has been made in terms of preserving the lives of moms but also decreasing the spread of HIV among children, but long-term political, financial, and scientific commitment is essential for ensuring effective postnatal HIV prevention programs and providing for the nutritional requirements of HIV-exposed and HIV-infected infants.

Niemann-pick disease: Type A presenting as a case of protein energy malnutrition

We hereby report a rare case of a young child with Niemann-Pick disease who had multiple hospital admissions due to repeated gastrointestinal and respiratory tract infections. The disease is overall quite rare in our population however, our case highlights the fact that in any young child with repeated infections of unknown etiology, this condition should be considered and evaluated.