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  • Volume 1, Issue 2
    Short Communications
    Nicola Grove*
    Storysharing® is a new approach that teaches children and adults with moderate, severe or profound intel-lectual disabilities to actively tell stories of personal experience. Previous research suggests that cognitive limitations are seen as an absolute barrier to the ability to narrate; however, this assumption arises from the adoption of analytic, literacy orientated frameworks to narrative development. By contrast, Storysharing® emphasizes co-constructed participation from a social constructionist perspective. Examples are provided from two research studies that illustrate how the approach can benefit young people with intellectual impairments and communication difficulties.
    Case Report
    Laura Collins, Jill Meade, and Elizabeth Secord*
    New cases of perinatal HIV transmission are very rare in the United States and other developed countries, but this fact sometimes contributes to decreased vigilance for new cases. Missed opportunities for prevention still exist and have increased somewhat with the increase in incidence in acquired HIV in adolescent and young adults. There are also issues relating to the aging perinatal patients who are now in their 20’s and 30’s and have multiple drug resistance and adherence issues particular to their HIV. These case presentations address some of the issues.
    Photios Anninos*, Athanasios Chatzimichael, Adam Adamopoulos, Athanasia Kotini, and Nicolaos Tsagas
    Magnetoencephalographic (MEG) recordings from 8 autistic children, 4 boys and 4 girls, with ages 5-12 years old (mean ± SD: 8.5 ± 2.3) were obtained using a whole-head 122-channel MEG system in a magnetically shielded room. Pico-Tesla transcranial magnetic stimulation (pT-TMS) was applied on the above patients with magnetic field amplitude (1-7.5pT) and frequency the alpha – rhythm of each patient (8-13Hz). A significant improvement was found in 6 out of 8 patients (75%). It was also observed an increase of alpha activity in autistic children at the end of one month after pT-TMS treatment at home. The application of pT-TMS has the potential to be a non invasive, secure and significant modality in the managing of autistic children. Of course, more studies in a larger population are needed before firm conclusions can be drawn.
    Research Article
    Jose Manuel Sanz-Mengibar* and Fernando Santonja-Medina
    Purpose: To understand the role of gross motor function and sagittal spinal curves in subjects with typical development (TD) and those with Cerebral Palsy.
    Method: Inclinometer measurements during Sit a Reach test from 76 TD children, and 55 with CP were plotted with their gross motor level: Thoracic kyphosis (SR Thoracic kyphosis), lumbar curve (SR Lumbar curve) and Lumbo-horizontal angle (L-H fx).
    Results: LS correlates only with SR thoracic kyphosis in both groups (0.498; p<0.001) and this curve does not depend on the age (DT -0.271; p<0.001 and CP 0.306; p<0.01). In children with TD, L-H fx correlates with age (0.553; p<0.001) and not with LS (0.2556; p<0.001).
    Conclusions: SR Thoracic and lumbar curves explain locomotor skills in children with TD, while pelvic flexion is related to age. In children with CP, only SR Thoracic curve is related to the locomotor stage while the lumbar spine and pelvis adapt atypically.
    Silvestre Garcia de la Puente*, Sara Alejandra Solorzano Morales, Rosalba Flores Garcia, and Jose Luis Arredondo Garcia
    Premature cardiovascular disease is related to childhood hyperlipidemia. The carotid intima-media thickness (cIMT) is used as a surrogate marker of arteriosclerosis. In hyperlipidemic children, this parameter is found to increase.
    Objectives: To compare cIMT in children with and without hyperlipidemia, to correlate cIMT with other variables (age, serum lipids, C reactive protein, and blood pressure) and to describe cIMT percentiles in Mexican children. 1.2. Methods
    This was an observational, analytic, prospective, cross-sectional, single-blind study conducted in children, aged 2 to 17 years, that were attended at the National Institute of Pediatrics, where cIMT of hyperlipidemic children (≥ 5.17 mmol/L total plasma cholesterol) was compared with that of normal children (≤ 4.4 mmol/L). cIMT and other relevant variables were assessed. Sample size was calculated at 81 patients per group, considering predicted cIMT values.
    Results: Hyperlipidemic children had higher median cIMT than paired controls (0.5 mm and 0.45 mm, respectively, p<0.001). In multivariate analysis, adjusted for confounders, hypercholesterolemia (B coefficient 0.036, CI 95% 0.016-0.055, p = 0.0004), age (B coefficient 0.004, CI 95% 0.001-0.006, p=0.003), and diastolic blood pressure (B coefficient 0.001, CI 95% 0.000004-0.002, p=0.051) were significantly correlated to cIMT.
    Conclusions: Regardless of the cause of hyperlipidemia, it was found that cIMT increased in children with hyperlipidemia and that the variables associated with this increase are hypercholesterolemia, age, and diastolic blood pressure.
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