Children with Developmental Coordination Disorder (DCD) often seem to possess a narrow repertoire of cognitive strategies. In particular, they have difficulties in learning and internalizing the rules and strategies t...Children with Developmental Coordination Disorder (DCD) often seem to possess a narrow repertoire of cognitive strategies. In particular, they have difficulties in learning and internalizing the rules and strategies that other people intuitively use to approach common everyday problems. As a result, they often appear to have organizational, planning, memory and learning difficulties. The article proposes using a Concept Map (CM) as a visual strategy to facilitate interaction between a child with DCD, his/her family and therapist, as reflected in Client Centred and cognitive approaches. The CM is used as a method of assisting the child to identify, develop and utilize cognitive strategies in order to manage daily tasks effectively, as a tool in organizing his own therapy and in order to encourage participation. A demonstration of the concept mapping usefulness is brought by a case report. Further uses of concept mapping as a useful strategy within the framework of intervention remain to be studied.展开更多
Background The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been unc...Background The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Surgery is the treatment of choice. Timely diagnostics are of utmost importance, albeit they might be challenging at times. Being so rare, case reports are currently the only relevant source of information about the condition. Therefore each published finding is of a clinical impact.case summary Our work describes the case of a 22 year-old patient, who developed idiopathic acute pancreatitis. A computed tomography scan discovered liquid collection between the antrum of the stomach and the head of the pancreas. Initially, the collection was thought to be a pancreatic pseudocyst. Endoscopic ultrasoundguided transgastric drainage showed to have only a temporary therapeutic effect. Magnetic resonance cholangiopancreatography showed an accessory pancreatic lobe with a separate duct system. The accessory pancreatic lobe exited the body of the pancreas andwas in contact with the cystic collection. The patient was indicated for surgical resection. Within the surgery, an en bloc resection of the accessory pancreatic lobe was performed with the antrum of the stomach containing the gastric duplication cyst. No complications were observed in the surgery or thereafter. In the five months follow-up period, the patient was completely symptom free. Histopathological findings confirmed the gastric duplication cyst communicating to accessory pancreatic lobe.conclusion This developmental defect is extremely rare. It can cause recurrent acute pancreatitis. Diagnostics are challenging. Surgery is treatment of choice.展开更多
目的:探索汉语发展性阅读障碍儿童的阅读特点。方法:整群抽取武汉市3所小学3-5年级儿童820人,根据ICD-10诊断标准,采取分层检测的策略筛查出阅读障碍儿童55名。按1∶2配比选取年龄、性别、家庭经济状况相似的正常儿童110名进行配对研究...目的:探索汉语发展性阅读障碍儿童的阅读特点。方法:整群抽取武汉市3所小学3-5年级儿童820人,根据ICD-10诊断标准,采取分层检测的策略筛查出阅读障碍儿童55名。按1∶2配比选取年龄、性别、家庭经济状况相似的正常儿童110名进行配对研究,采用儿童汉语阅读障碍量表(Dyslexia Checklist for Chinese Children,DCCC)对汉语发展性阅读障碍儿童和正常儿童的阅读特点进行评估。结果:汉语发展性阅读障碍的筛出率为6.7%;阅读障碍组儿童DCCC8因子得分均高于正常对照组儿童(15.2±3.7/10.1±3.3、21.6±3.7/13.4±4.9、16.1±3.5/10.6±3.7、16.8±3.6/11.7±3.1、15.9±3.9/11.5±3.5、21.4±4.3/14.5±4.6、14.9±3.7/9.4±2.8、23.2±4.4/15.9±4.7,P均<0.001)。回归分析表明,各个因素的OR值均具有显著性意义(P均<0.001),但只有听知觉进入方程(OR=2.00);DCCC各项得分的性别间比较显示,正常儿童男生各因子分数均高于女生(P<0.05),而阅读障碍儿童仅口语能力得分男生低于女生(15.3±3.7/17.8±4.1,t=-2.057,P=0.045)(P<0.05)。DCCC各项得分的年级间比较显示,正常儿童各因子得分年级间差异均有显著性,而阅读障碍儿童的听知觉、意义理解、书写技能、阅读习惯因子得分年级间差异有显著性,三年级各项得分均为最高。结论:汉语发展性阅读障碍儿童在阅读中各个环节均受损害,但以听知觉损害为主。展开更多
文摘Children with Developmental Coordination Disorder (DCD) often seem to possess a narrow repertoire of cognitive strategies. In particular, they have difficulties in learning and internalizing the rules and strategies that other people intuitively use to approach common everyday problems. As a result, they often appear to have organizational, planning, memory and learning difficulties. The article proposes using a Concept Map (CM) as a visual strategy to facilitate interaction between a child with DCD, his/her family and therapist, as reflected in Client Centred and cognitive approaches. The CM is used as a method of assisting the child to identify, develop and utilize cognitive strategies in order to manage daily tasks effectively, as a tool in organizing his own therapy and in order to encourage participation. A demonstration of the concept mapping usefulness is brought by a case report. Further uses of concept mapping as a useful strategy within the framework of intervention remain to be studied.
基金Supported by Czech Ministry of Defence,Project MO 1012
文摘Background The combination of a gastric duplication cyst and duplicated part of the pancreas is an extremely rare developmental defect. The incidence in the population, or the clinical impact thereof, has not been uncovered. Symptoms are unspecific. Surgery is the treatment of choice. Timely diagnostics are of utmost importance, albeit they might be challenging at times. Being so rare, case reports are currently the only relevant source of information about the condition. Therefore each published finding is of a clinical impact.case summary Our work describes the case of a 22 year-old patient, who developed idiopathic acute pancreatitis. A computed tomography scan discovered liquid collection between the antrum of the stomach and the head of the pancreas. Initially, the collection was thought to be a pancreatic pseudocyst. Endoscopic ultrasoundguided transgastric drainage showed to have only a temporary therapeutic effect. Magnetic resonance cholangiopancreatography showed an accessory pancreatic lobe with a separate duct system. The accessory pancreatic lobe exited the body of the pancreas andwas in contact with the cystic collection. The patient was indicated for surgical resection. Within the surgery, an en bloc resection of the accessory pancreatic lobe was performed with the antrum of the stomach containing the gastric duplication cyst. No complications were observed in the surgery or thereafter. In the five months follow-up period, the patient was completely symptom free. Histopathological findings confirmed the gastric duplication cyst communicating to accessory pancreatic lobe.conclusion This developmental defect is extremely rare. It can cause recurrent acute pancreatitis. Diagnostics are challenging. Surgery is treatment of choice.
文摘目的:探索汉语发展性阅读障碍儿童的阅读特点。方法:整群抽取武汉市3所小学3-5年级儿童820人,根据ICD-10诊断标准,采取分层检测的策略筛查出阅读障碍儿童55名。按1∶2配比选取年龄、性别、家庭经济状况相似的正常儿童110名进行配对研究,采用儿童汉语阅读障碍量表(Dyslexia Checklist for Chinese Children,DCCC)对汉语发展性阅读障碍儿童和正常儿童的阅读特点进行评估。结果:汉语发展性阅读障碍的筛出率为6.7%;阅读障碍组儿童DCCC8因子得分均高于正常对照组儿童(15.2±3.7/10.1±3.3、21.6±3.7/13.4±4.9、16.1±3.5/10.6±3.7、16.8±3.6/11.7±3.1、15.9±3.9/11.5±3.5、21.4±4.3/14.5±4.6、14.9±3.7/9.4±2.8、23.2±4.4/15.9±4.7,P均<0.001)。回归分析表明,各个因素的OR值均具有显著性意义(P均<0.001),但只有听知觉进入方程(OR=2.00);DCCC各项得分的性别间比较显示,正常儿童男生各因子分数均高于女生(P<0.05),而阅读障碍儿童仅口语能力得分男生低于女生(15.3±3.7/17.8±4.1,t=-2.057,P=0.045)(P<0.05)。DCCC各项得分的年级间比较显示,正常儿童各因子得分年级间差异均有显著性,而阅读障碍儿童的听知觉、意义理解、书写技能、阅读习惯因子得分年级间差异有显著性,三年级各项得分均为最高。结论:汉语发展性阅读障碍儿童在阅读中各个环节均受损害,但以听知觉损害为主。
