Comparison of computed tomography and chest radiography in the detection of rib fractures in abused infants

PURPOSE: Chest radiographs (CXR) are the standard method for evaluating rib fractures in abused infants. Computed tomography (CT) is a sensitive method to detect rib fractures. The purpose of this study was to compare CT and CXR in the evaluation of rib fractures in abused infants. METHODS: This retrospective study included all 12 abused infants identified from 1999 to 2004 who had rib fractures and both CXR and CT (8 abdomen CTs, 4 chest CTs). CT exams had been performed for clinical indications, and were obtained within one day of the CXR. Studies were reviewed by two pediatric radiologists to determine the number, locations, and approximate ages of the rib fractures. A total of 225 ribs were completely (192) or partially (33) seen by CT, and the matched ribs on CXR were used for the analysis. RESULTS: The mean patient age was 2.5 months (1.2-5.6), with seven females and five males. While 131 fractures were visualized by CT, only 79 were seen by CXR (p<.001). One patient had fractures only seen by CT. There were significantly (p<.05) more early subacute (24 vs. 4), subacute (47 vs. 26), and old fractures (4 vs. 0) seen by CT than by CXR. Anterior (42 vs. 11), anterolateral (21 vs. 12), posterolateral (9 vs. 3) and posterior (39 vs. 24) fractures were better seen by CT than by CXR (p<.01). Bilateral fractures were detected more often by CT (11) than by CXR (6). CONCLUSIONS: While this study group is small, these findings suggest that CT is better than CXR in visualizing rib fractures in abused infants.     

Impact of a computer-based intervention in Chilean children at risk of manifesting reading difficulties / Impacto de una intervención basada en ordenador en niños chilenos con riesgo de manifestar dificultades lectoras

Reading difficulties have reached a prevalence of 3–10% in school-age children. Those who present these difficulties avoid reading and benefit very little from school-based learning opportunities, resulting in maladjustments, dropping out of school and having to repeat grades. Presented here are the results of an intervention based on a computer game intended for explicit phonic training in first-grade school children at risk of possessing reading difficulties. Fifty-six children from a low socioeconomic status (SES) and 31 children from a high socioeconomic status, divided into two groups (control and experimental), participated in the study. After the intervention, participants from the low-SES experimental group had enhanced their skills regarding letter sound recognition, whereas the high-SES experimental group had improved their naming speed. The results are discussed in light of the impact of interventions based on computer games and of the importance of the development of sublexical skills in children at risk of manifesting reading difficulties in transparent orthographies.     

Spontaneous recovery after extinction of a conditioned taste aversion

Four experiments examined whether or not spontaneous recovery could occur after extinction in the conditioned taste-aversion paradigm. After three extinction trials, spontaneous recovery was obtained over an 18-day retention interval (Experiments 1, 2, and 3). The effect was not due to changes in the unconditioned preference for saccharin over the retention interval (Experiment 2) or to an increase in a nonextinguished aversion over time, as indicated by tests with both the original, nonextinguished aversion (Experiment 1) and with a weaker one (Experiment 3). Spontaneous recovery was not obtained when extinction was overtrained (eight trials) and a 49-day retention interval was used (Experiment 4). However, saccharin intake at asymptote reached the level of baseline water intake, and not the highly preferred level shown by never-conditioned controls. Results of all four experiments suggest that extinction does not return an averted taste to the status of an unconditioned one.     

Young Nunga males at play and playing up: the look and the talk

This paper explores how Foucault's concept of the panopticon, power and knowledge impacts on the identity of young Nunga males in a secondary educational institution. I argue that the regulation of the Nunga body in schools is embedded in the discursive formations of knowledge about Indigenous people and the workings of power that are tied up in discipline, surveillance and management of bodies in schools. Through the Indigenous concepts of ‘play’, ‘playing up’/‘stylin’ up’, I draw attention to Nunga males' resistance to surveillance and management in the schooling environment through understanding themselves as Nungas and their performance of identity through the popular culture of rap to turn the surveillance gaze back upon itself. For young Nunga males turning the gaze back on itself is an act of constructive defiance that allows them a space to explore their own identities through performance rather than through the knowledge production constructed by the hegemonic racialised institution of the school.     

The Development of Health Knowledge in Low-Income Mexican-American Children

Children growing up in poverty are at risk for various health problems. For low-income, Mexican-American children, these risks include obesity, diabetes, and accidental injuries, 3 conditions that can largely be prevented by healthy life-styles. Despite the potential for prevention through education leading to health-promoting behaviors, very little is known about the development of health knowledge in this population. The present study examined low-income, Mexican-American children's understanding of the relation between health behavior and health status in 3 areas: nutrition, hygiene, and safety. 79 children (41 boys, 38 girls) ages 4 to 8 years participated. Children's knowledge was assessed in a structured play situation conducted in a laboratory setting. Results revealed that children knew the least about the relation between food consumption and their health, and knew the most about beneficial and harmful practices in the areas of safety and hygiene. Age and gender differences were also significant, with girls and older children more likely to provide elaborate and complex rationales for their responses. Implications of the findings for understanding the role of cognitive development and experience in the development of health knowledge are considered.     

Privileged Identity Exploration: Examining Counselor Trainees' Reactions to Difficult Dialogues

In this qualitative study, the authors examined master's‐level counselor trainees' reactions to difficult dialogues in the classroom regarding racism, heterosexism/homophobia, and ableism over a 3‐year period. Using the Consensual Qualitative Research method as introduced by C. E. Hill, B. J. Thompson, and E. N. Williams (1997), the data analysis team analyzed narrative and reaction papers submitted during a didactic course on multiculturalism. Behavioral reactions were identified that form the basis for this study: denial, deflection, rationalization, intellectualization, principium, false envy, minimization, and benevolence.