Transforming engagement: a case study of building intrinsic motivation in a child with autism

This longitudinal case study of a 10‐year‐old girl with autism and severe communication impairment measures the impact of the MORE (Means, Opportunities, Reasons and Expectations) approach to enhancing engagement and communication. Through detailed observation of video data over a period of 28 months, engagement behaviours including interaction with adults and following adult directions increased, while resistant behaviours such as kicking, hitting and pushing adults away decreased. Fluctuation between different ‘states’ demonstrated that the frequency and duration of engagement was influenced by the MORE approach and an emphasis on developing intrinsic motivation. In order to enable further efficacy research, core features of the intervention and the changes in engagement over time are described.     

Hyperhomocysteinemia,MMPs and Cochlear Function: A Short Review

Hyperhomocysteinemia (HHCY) has been demonstrated to affect cochlear microvasculature as well as cochlear epithelial cells directly, with a resultant alteration of the expression of matrix metalloproteinases (MMPs) and their inhibitors, tissue inhibitors of metalloproteinases (TIMPs). Hence, ascertaining the optimum concentration of MMPs and TIMPs in the cochlea could help to inhibit hearing loss due to HHCY by the administration of appropriate MMP inhibitors, Since infections/inflammations as well as ototoxic antibiotics have a similar mechanism of otic pathology, the cochlear damage they cause could also be similarly prevented.     

Children's responses to everyday marital conflict tactics in the home

Mothers' and fathers' reports of marital conflicts in the home were obtained (n = 1,638 and 1,281 conflicts, respectively), including conflicts in front of the children (n = 580 and 377, respectively). Participants were 116 families with children 8 to 16 years old (M = 10.82 years, SD = 2.17; 58 boys, 58 girls). Children's emotional responses indicated distinctions between distressing conflict tactics (i.e., threat, personal insult, verbal hostility, defensiveness, nonverbal hostility, marital withdrawal, physical distress) and those that increased their emotional security (i.e., calm discussion, support, affection). Analyses based on cross-reporter informants of parental conflict and child responses strengthened confidence in the findings. Conflict tactics were related to marital functioning, and children's emotional reactions during marital conflicts were associated with their adjustment.     

International Communication

TRACING NEW ORBITS: COOPERATION AND COMPETITION IN GLOBAL SATELLITE DEVELOPMENT edited by Donna A. Demac (New York: Columbia University Press, 1986—$35.00)

ISSUES IN INTERNATIONAL TELECOMMUNICATIONS: GOVERNMENT REGULATION OF COMSAT by Leland L. Johnson (Santa Monica, CA: Rand Corp., 1987—price not given, paper)

TECHNOLOGICAL FRONTIERS AND FOREIGN RELATIONS edited by Anne G. Keatley (1985—$19.95, paper, 306 pp.)

THE COMPETITIVE STATUS OF THE U.S. ELECTRONICS INDUSTRY: A STUDY OF THE INFLUENCES OF TECHNOLOGY IN DETERMINING INTERNATIONAL INDUSTRIAL COMPETITIVE ADVANTAGE (1984—$10.95, 126 pp.)

THE POLITICAL ECONOMY OF INTERNATIONAL TECHNOLOGY TRANSFER edited by John R. McIntyre and Daniel S. Papp (Westport, CT: Quorum Books/Greenwood Press, 1986—$45.00)

SCIENCE AND TECHNOLOGY IN THE USA by Albert Teich and Jill Pace (Detroit: Gale Research, 1986—$95)     

The Impact of Caregiving Disruptions of Previously Institutionalized Children on Multiple Outcomes in Late Childhood

This study examined disruptions in caregiving, as well as the association of these disruptions, with cognitive, behavioral, and social outcomes at age 12 in a sample of 136 Romanian children who were abandoned to institutions as infants and who experienced a range of subsequent types of care. Children were found to experience significantly more caregiving disruptions (CGD) earlier in life than later in childhood. More frequent CGD predicted increases in externalizing and internalizing behavior problems at age 12. Results are discussed in terms of the association between CGD and the long-term development of children who have experienced institutional rearing.     

Validity and feasibility of an obstacle course to assess fundamental movement skills in a pre-school setting

Failure to master age-appropriate fundamental movement skills (FMS) at a young age can limit motor skill competence affecting health. Assessments often have issues with feasibility and implementation in a field setting. As such, the purpose of this study was to investigate the validity and feasibility of the Athletic Skills Track (AST), in a pre-school setting. For the validation study sixty-five 3–6 year old children (25 boys and 40 girls) from five pre-schools across Adelaide, Australia participated. Correlations and linear regression analysis (adjusted for age and gender) were used to investigate the association between the time to complete the AST and the raw score of the Test of Gross Motor Development 2 (TGMD-2). For the feasibility study pre-school staff completed a semi-structured interview regarding the feasibility of the AST. The AST took less than a minute per child and the TGMD-2 around 20 minutes for two children. There was a strong negative correlation (r = ?0.63, p < 0.01) between the AST scores and the TGMD-2 scores. All five staff reported strengths of the AST to be its short administration time, setup and appropriateness. These results suggest that the AST could be a feasible and valid method of FMS assessment in Australian pre-schools.     

Knowledge of general practitioners on dementia and mild cognitive impairment: a cross-sectional,questionnaire study from Hungary

General practitioners (GPs) play a pivotal role in dementia recognition, yet research suggests that dementia often remains undetected in primary care. Lack of knowledge might be a major contributing factor to low recognition rates. Our objective was to address a gap in the scientific literature by exploring GPs’ knowledge on dementia and mild cognitive impairment (MCI) for the first time in Hungary by conducting a cross-sectional, questionnaire study among practicing GPs. Recruitment of the participants (n = 402) took place at mandatory postgraduate training courses and at national GP-conferences; the applied questionnaire was self-administered and contained both open-ended and fixed-response questions.

Results showed that GPs highlighted vascular and metabolic factors (38.3% of the answer items) and unhealthy lifestyle (29.1% of the answer items) as dementia risk factors. They perceived vascular dementia as the most common dementia form, followed by Alzheimer’s disease. Almost half of the respondents (44.9%) were not familiar with MCI. Most GPs identified memory problems (98.4%) and personality change (83.2%) as the leading symptoms of dementia.

In summary, GPs demonstrated adequate knowledge on areas more relevant to their practices and scope of duties (risk and preventive factors, main types and symptoms of dementia); however, uncertainties were uncovered regarding epidemiology, MCI, and pharmacological therapy. As only one-fifth (19.4%) of the GPs could participate recently in dementia-focused trainings, continued education might be beneficial to improve dementia detection rates in primary care.