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Planning Past the Data: Making use of Testimonies in order to Humanize Pedagogy upon Dark-colored Wellness.
49%) and pain (0.47%). Conclusions There is a lack of high quality studies in children. Turbinate surgery in children is a safe technique with low complication rates. The available evidence suggests improvement in subjective outcomes after turbinate surgery in children. We cannot make a formal recommendation of a surgical technique in children given the lack of high quality studies, and since comparison between available papers is not possible. Although the evidence at our disposal is weak, it suggests that the safest techniques are MAIT, radiofrequency, coblation and laser.Objective The present study investigates if children with cochlear implants (CI) are associated with delayed development of Theory of Mind (ToM) and the differences in gain of ToM ability with respect to age, language and other aspects of CI. Methods One-hundred-eleven children with participation of their hearing parents, aged between 36 months and 132 months, who had congenital profound bilateral deafness and were unilateral CI users; plus 99 healthy children underwent 'Peabody Picture Vocabulary' and 'Sally-Anne' tests. A total of 77 children with CI (mean age 76.51 months, 31 girls and 46 boys) and 82 healthy children (mean age 72.41 months, 47 girls and 35 boys) were included in the analyses. Analytic comparisons were created between the controls and children with CI and between subgroups of CI users by univariate and multivariate analysis. The effects of age of hearing aid use, age of CI surgery, duration of CI use, language scores and the presence of risk factors, early rehabilitation with hearing aid and CI on the ToM development were analyzed. Results The Sally-Anne test success rates of 67.1% were significantly higher in controls than that of children with CI (49.4%) (p 0.05). However, multivariate analysis presented the higher language scores as the only significant independent variable that has impact on the success in Sally-Anne test (p less then 0.05). Conclusion The results revealed that among all children, who did better in ToM were older in age and better in language skills. selleck products Children with CI also performed better in false-belief test depending on their language scores. Early CI surgery, older age, and hence longer CI use can provide a well-developed ToM for children with CI.Objectives Many infants in the neonatal intensive care unit (NICU) require prolonged periods of respiratory support. Microlaryngoscopy and bronchoscopy (MLB) is performed to evaluate for airway pathology and facilitate decision-making regarding further airway interventions or tracheostomy. The objectives of this study are to describe the operative findings of MLB performed on infants in the NICU and determine which pre-operative characteristics or operative findings are predictive of the need for tracheostomy. Methods The medical records of preterm inpatients in the NICU at a single tertiary care hospital who underwent MLB between January 1, 2013 and January 7, 2016 were reviewed. Baseline and demographic characteristics and intra-operative findings were compared between patients who underwent tracheostomy and those who were successfully weaned from respiratory support. Results Seventy-three preterm patients underwent MLB for respiratory failure, of whom 41 (56.2%) underwent tracheostomy. Patients who underwent tracheostomy had lower mean gestational age (27.4 vs. 30.5 weeks), higher prevalence of bronchopulmonary dysplasia (73.2% vs. 37.5%), lower mean birth weight (1.1 kg vs. 1.6 kg), and a greater number of extubation events (5.2 vs. 3.0) than those who weaned from respiratory support. Abnormal MLB findings were common in both groups, though no single MLB finding differed significantly between groups. Conclusions Preterm infants in the NICU with gestational age ≤30 weeks, birth weight less then 1.5 kg, severe pulmonary disease, and who have failed more than 3 extubation attempts are more likely to require tracheostomy.Objective to assess the morphosyntactic aspect of language in Egyptian children after 5 years of using unilateral cochlear implants and studying the factors that affect their progress the chronological age, the age of implantation, the gender, and the duration of using cochlear implant. Also, to assess which of the subcategories of the morphosyntax are affected to help in designing a suitable rehabilitation program. Materials and methods 36 Egyptian children using unilateral cochlear implants regularly were enrolled in this cross-sectional study. During the assessment, the chronological age of all children was ranged from 6 years, 7 months to 11 years, 9 months, the duration of using cochlear implants of all children was at least 5 years. The morphosyntactic aspect of language as a part of the REAL scale (Receptive Expressive Arabic Language Scale) was applied by expert Phoniatricians. Results Morphosyntactic score was affected negatively by the chronological age, on the other hand, it was not affected by the age of implantation, the gender, or the duration of using cochlear implant. Conclusion After 5 years of regular rehabilitation of Egyptian children using unilateral cochlear implants, the morphosyntactic profile can be described as still low compared to normal children. These children have developed many items in morphosyntactic aspects like possessiveness, derivative adjectives, and passive tense but still have a defect especially in male plural formation, past tense, adjectives, and irregular plural formation.The European eel has recently been included on the Red List of the International Union for Conservation of Nature (IUCN) as a critically endangered species. The rearing of Anguilla larvae is seen as a key bottleneck to the mass production of glass eels since very little ecological information is available regarding their natural nutrition. Studies of digestive physiology and ontogenetic development in eel larvae could provide useful information for solving some of the puzzles regarding larval fish culture. The aim of this study was to characterize the ontogeny of pancreatic enzymes (trypsin, lipase and amylase) and a peptide hormone regulator of pancreatic secretion (cholecystokinin) in terms of gene expression in European eel larvae from day 0 (P0) of hatching to 5, 10, 15 and 20 days post hatching during fasting. The results in the present study showed that all the genes selected were present, with different levels of expression and increasing trends, during larval development. At P0, the increase in the gene expression of lipase and amylase was higher than that of trypsin and cholecystokinin, confirming that enzymatic activity began before mouth opening and that larvae, provided with a complete enzymatic set, might have the capacity of digesting and absorbing various nutrients.
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