INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Similarity neighborhoods of spoken two-syllable words: retroactive effects on multiple activation

This research examines the recognition of two-syllable spoken words and the means by which the auditory word recognition process deals with ambiguous stimulus information. The experiments reported here investigate the influence of individual syllables within two-syllable words on the recognition of each other. Specifically, perceptual identification of two-syllable words comprised of two monosyllabic words (spondees) was examined. Individual syllables within a spondee were characterized as either "easy" or "hard" depending on the syllable's neighborhood characteristics; an easy syllable was defined as a high-frequency word in a sparse neighborhood of low-frequency words, and a hard syllable as a low-frequency word in a high-density, high-frequency neighborhood. In Experiment 1, stimuli were created by splicing together recordings of the component syllables of the spondee, thus equating for syllable stress. Additional experiments tested the perceptual identification of naturally produced spondees, spliced nonwords, and monosyllables alone. Neighborhood structure had a strong effect on identification in all experiments. In addition, identification performance for spondees with a hard-easy syllable pattern was higher than for spondees with an easy-hard syllable pattern, indicating a primarily retroactive pattern of influence in spoken word recognition. Results strongly suggest that word recognition involves multiple activation and delayed commitment, thus ensuring accurate and efficient recognition.     

DISORDERED EATING AND PERCEPTIONS OF CHILDHOOD ABUSE AMONG WOMEN IN A PRIMARY CARE SETTING

Research has demonstrated links between sexual abuse and disordered eating among women in college student and mental health samples. Little is known about such relationships among women from other samples or the relationship between other forms of childhood abuse as well as disordered eating (vomiting, starvation, laxative abuse). Prevalence of disordered eating was significantly higher among women who indicated a perceived childhood history of sexual, physical, or emotional abuse or who had personally witnessed violence.     

Folic acid and the prevention of neural tube defects: A position paper of the national society of genetic counselors

Considerable scientific evidence demonstrates the reduction in risk for neural tube defects (NTDs) associated with maternal preconceptional folic acid supplementation. The National Society of Genetic Counselors (NSGC) endorses the U.S. Public Health Service recommendations for folic acid supplementation at the 0.4 mg level for women in the general population and at the 4.0 mg level for women at high or increased risk for NTD pregnancies for at least 4 weeks prior to active pursuit of conception. We encourage targeted educational efforts and surveillance to assess results of this dietary supplementation. The NSGC further urges the Food and Drug Administration to fortify staple foodstuffs with folic acid for a population-based approach to minimize the number of NTD births.     

The width of the auditory filter in children

Because young children have poorer auditory temporal resolution than older children, they ought to have, according to the inverse relation between temporal and frequency resolution, narrower auditory filters than older children. Therefore, the auditory filters of two 6-year-olds, two 10-year-olds, and two adults were measured by having them detect a 400-ms sinusoid (500, 1000, or 3000 Hz) centered in a spectral notch in a band of noise. The signal power for 71% correct was determined as a function of notch width with the two-alternative, forced-choice procedure. The principal results showed a significant decrease in signal power with age and a significant interaction between age and notch width. The best-fitting parameters of a model of the auditory filter showed that the filter was significantly wider for the 6-year-olds than for the 10-year-olds or the adults.