The influence of external stimulation on airflow detection by children with asthma

Abstract

The relevance and significance of the concept of a ‘competition of cues’ for the understanding of symptom perception in childhood asthma was investigated during detection of externally applied resistive loads on breathing. The concept predicts that subjects would respond less frequently and less accurately during external stimulation. The sample consisted of 36 children with and 36 without asthma, aged 7-18 years. Detection of airflow was measured in a neutral and in an external stimulation condition. The children breathed through a facemask and responded to changes in airflow by pressing a button. The stimulus presented and withdrawn was analogous to a decrease in lung function (Forced Expiratory Volume in one second) of 39%. Accuracy of detection of airflow was defined as correct minus false positive responses to load stimuli.

The results showed that children with and without asthma responded significantly less frequently during external stimulation than in the neutral condition. However, the accuracy of detection among non-asthmatics was not affected by external stimulation. Children with asthma responded significantly more accurately during external stimulation. The results are discussed in the light of children's accuracy to perceive actual airways obstruction.     

The Second Vatican Council 50th anniversary: visions and re-visions

On 21 November 2014, the 50th anniversary of the solemn promulgation of Lumen Gentium and Unitatis Redintegratio was celebrated. Between ‘aggiornamento’ and ‘ressourcement’ the Catholic Church had been striving to understand itself and its Tradition more precisely, in order to be newly relevant, lastingly true and authoritative in the future ? an indispensible task, if the gospel were to be proclaimed to the contemporary world, but not an easy one. It is little wonder that this completion of the Council's endeavours was preceded by its so-called ‘black week’. Questions remain as to the outcome of it all, and the articles assembled in this issue assess the reception of these two conciliar texts after 50 years. Where do the achievements lie? Where are the shortcomings? Where do questions need to be asked today that reach beyond the horizon of Vatican II?     

The ecumenical vision of Pope Francis: journeying together as fellow pilgrims − ‘the mystery of unity has already begun’

After reviewing some of the unique ecumenical steps taken by Pope Francis, this article examines briefly the three ecumenical paragraphs in Evangelii Gaudium. It presents them in the wider context of this post-synodal exhortation, of the ecumenical gestures and testimonies of Pope Francis, the ecumenical orientation of the Catholic Church and the ecumenical movement as such. It concludes with an outlook on a newly emerging ecumenical paradigm.     

Most Precious Blood: pilgrimage and veneration of the relic in Weingarten and Mantua

This contribution reflects on the indissoluble connection between Christ and the Church which becomes tangible in his redeeming blood. It gives an overview of the papal teaching on the veneration of the Precious Blood and explores what the connections, parallelisms and differences are that exist between Mantua and Weingarten regarding the devotion to parts of the same relic.     

Screening for Specific Language Impairment in Preschool Children: Evaluating a Screening Procedure Including the Token Test

Specific language impairment (SLI) comprises impairments in receptive and/or expressive language. Aim of this study was to evaluate a screening for SLI. 61 children with SLI (SLI-children, age-range 4–6 years) and 61 matched typically developing controls were tested for receptive language ability (Token Test—TT) and for intelligence (Wechsler Preschool-and-Primary-Scale-of-Intelligence—WPPSI). Group differences were analyzed using t tests, as well as direct and stepwise discriminant analyses. The predictive value of the WPPSI with respect to TT performance was analyzed using regression analyses. SLI-children performed significantly worse on both TT and WPPSI (\(p \le .0001\)). The TT alone yielded an overall classification rate of 79%, the TT and the WPPSI together yielded an overall classification rate of 80%. TT performance was significantly predicted by verbal intelligence in SLI-children and nonverbal intelligence in controls whilst WPPSI subtest arithmetic was predictive in both groups. Without further research, the Token Test cannot be seen as a valid and sufficient tool for the screening of SLI in preschool children but rather as a tool for the assessment of more general intellectual capacities. SLI-children at this age already show impairments typically associated with SLI which indicates the necessity of early developmental support or training. Token Test performance is possibly an indicator for a more general developmental factor rather than an exclusive indicator for language difficulties.     

The trend toward spirituality in the workplace: overview and implications for career counseling

The author provides career counselors with an overview of the trend toward spirituality in the workplace and examines its potential pros and cons for workers. The growing openness in organizations to explore work from a spiritual perspective provides a new tool to the career practitioner. Career counselors can help clients draw on their spirituality as another resource for negotiating the increasingly complex world of work.     

Conceptualizing ‘social capital’ for health promotion in small local communities: a micro‐qualitative study

This paper reports on a micro‐qualitative case study of peoples' experiences of local community life in a south‐east English town. This material is used as the basis for a critical discussion of the suitability of Putnam's notion of social capital as a conceptual tool for the design and evaluation of ‘community strengthening’ policies and interventions. The study was motivated by a concern that too much debate about social capital has been conducted by academics and policy‐makers in a top‐down manner, with inadequate attention to the realities of life in the local communities that they refer to. Three‐hour semi‐structured interviews were conducted with 37 residents in two less affluent wards in our town of interest. Informants—half men and half women, and spread across the 15–75 age group—were encouraged to talk about their personal experiences of local community life. Interview findings are presented within the ‘norm’ categories of trust, neighbourliness and reciprocal help and support, and the ‘network’ categories of participation in informal networks, voluntary groupings and community activist groupings. Our case study points to a number of ways in which Putnam's concept needs to be refined if it is to inform ‘community strengthening’ policies and interventions in England. Far more notice needs to be taken of the role played by informal networks of friends and neighbours in the construction of local community life. Attention also needs to be given to the complex and shifting geographical spread of peoples' significant social networks. Putnam's conceptualization of cohesive local communities and his unitary notions of trust and local identity may also be unduly essentialist. In our particular communities of interest, they failed to capture the fluidity of local community norms and networks in a rapidly changing society. They also failed to do justice to the extent to which social distinctions—such as age, gender, ethnicity and housing tenure—shape and constrain the way in which people create, sustain and access social capital. Copyright © 2001 John Wiley & Sons, Ltd.     

Dating Violence Prevention: A Didactic Support Group for Young Women

The authors discuss the social problem of dating violence and present a didactic support group model designed to empower young women to see themselves as “choice makers” with the ability to make informed decisions in their own best interest. They also present research findings that support the content of the group model and articulate some of their experiences in conducting this group in both high school and college settings. Finally, they discuss the potential impact of the group according to feedback from participants.