Long‐Term Outcomes of Traumatic Brain Injury in Early Childhood

Mild traumatic brain injury (mTBI) is a leading cause of injury among children, with approximately 15% of children experiencing a TBI prior to 15 years of age. Acutely, mTBI has been associated with a range of cognitive, physical, emotional and behavioural impairments. However, few studies have examined outcomes beyond five years post injury, long before the developmental process is complete and the full extent of any deficits may manifest. Our group had the unique opportunity to use data from a longitudinal birth cohort of 1265 children (Christchurch Health and Development Study) to examine the long term outcomes of early injury (0–5 years). Information about these children, including mTBI events, had been collected at birth, 4 months and at yearly intervals until age 16, and again at ages 18, 21 and 25 years. We found that even after statistical control for a wide range of child and family confounds, children who had been hospitalized for an mTBI had increased inattention/hyperactivity and conduct as rated by mothers and teachers over ages 7–13 years. Increased rates of psychiatric disorders were over 14–16 years for those injured in the preschool, including symptoms consistent with Attention Deficit/Hyperactivity Disorder (ADHD), Odds Ratio = 4.6, Conduct Disorder (CD), Odds Ratio = 5.6 and Substance Abuse (Odds Ratio = 9.1). Over ages 21–25 ongoing behaviour problems were assessed using self‐reported arrests, violent offenses and property offenses. Compared to non‐injured individuals, mTBI groups were more likely to be arrested, involved in property, and violent offences. We controlled for a wide range of factors and there was still clear evidence of ongoing problems for individuals who had experienced a mTBI compared to their non injured counterparts. These findings provide compelling evidence of long term psychosocial and psychiatric outcomes following mTBI.     

根据血压昼夜节律选择服药时间控制血压晨峰

根据血压昼夜节律,观察给药时间对血压晨峰的影响。256例原发性高血压患者,经24h动态血压监测分为超杓型（n＝49）、杓型（n＝127）和非杓型（n＝80）3组;各组再分为清晨服药组和晚上服药组。用药6周,比较用药前后血压昼夜节律及血压晨峰的变化,发现在改变血压昼夜节律及降低血压晨峰方面,超杓型组清晨服药优于晚上服药,非杓型组晚上服药优于清晨服药;杓型组清晨服药与晚上服药均能降低晨峰值,提示根据个体血压昼夜节律选择服药时间能更好地控制血压晨峰。     

Who victimizes whom and who defends whom? A multivariate social network analysis of victimization,aggression, and defending in early childhood

The aim of this research was to investigate the interplay between victim‐aggressor relationships and defending relationships in early childhood to test the proposition that young aggressors are less selective than older children in their choice of vulnerable targets. Cross‐sectional multivariate statistical social network analyses (Exponential Random Graph Models) for a sample of 177 preschoolers from seven classes, 5‐ to 7‐years‐old, revealed that boys were more aggressive than girls, toward both boys and girls, whereas defending relationships were most often same‐sex. There was significant reciprocity in aggression, indicating that it was more often bidirectional rather than unidirectional. In addition, aggressors clearly defended each other when they shared their targets of aggression, whereas a marginally significant trend appeared for defending between victims who were victimized by the same aggressors. Furthermore, teacher‐rated dominance was positively associated with children's involvement in both aggression and victimization, and teacher‐rated insecurity was associated with less aggression, but not with victimization. These findings suggest that those who are reported as being victimized may retaliate, or be aggressive themselves, and do not display some of the vulnerabilities reported among older groups of victims. The findings are in line with the proposition that young aggressors are less strategic than older children in targeting vulnerable victims. The network approach to peer victimization and defending contributes to understanding the social processes facilitating the development of aggression in early childhood.     

EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross‐sectional design with a purpose‐built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self‐care and behavior management. The implications for developing interventions and engaging families are discussed.     

Are orthographic rules used by children with and without writing disabilities? / ¿Utilizan las reglas ortográficas los niños con y sin dificultades de aprendizaje en la escritura de palabras?

The aim of this study was to explore whether children with and without learning difficulties use orthographic rules to write words. To study this, two types of tasks from the Early Grade Writing Assessment (EGWA) test were used: (1) a dictation task which included pseudowords with an implicit orthographic rule; and (2) a dictation task which included words with arbitrary, unregulated orthography. An initial sample of 1,447 students from grades 1 to 3 of elementary school was selected. The results showed that the variables task type and grade were significant when explaining the differences found between the groups. These findings are discussed from the perspective of the orthographic representations self-teaching hypothesis as related to the orthographic depth hypothesis, associated with the orthographic transparency of Spanish.     

ATTACKS ON LINKING OR A DRIVE TO COMMUNICATE? TOLERATING THE PARADOX

The notion of attacks on linking, as described by Bion, may depict a patient's drive to communicate the internalization of a destructive relationship between a primary object and an infant. This may be enacted between patient and analyst in the here and now of the analysis, whereby fragmentation and numbing of thinking may point to a primitive catastrophe relived in the psychoanalytic setting. The patient's material may seem incoherent, but incoherence might be the communication the patient is unconsciously trying to convey. Thus, the notion of attacks on linking depicts a paradoxical, caesural experience in which the attack on linking is itself a link.     

Angels: a bridge to a spiritual pedagogy?

This article is the result of an Early Childhood Care and Education undergraduate pilot project through a university on the West Coast of Canada. It weaves together poststructural interpretations and a hermeneutic phenomenological recounting of an experience of inquiring about angels with young children. The angel inquiry became a point of entry into a holistic spiritual pedagogy that attends to the whole of a matter, while also paying attention to the significance of each part. Contributing to the interpretations made in this study is Ted Aoki’s philosophy of the space between where the planned curriculum and the lived curriculum (or lived experiences) meet in a third and overlapping tensional space; Max van Manen’s emphasis on lived experiences as ‘breathing meaning’ also contribute to the choices and interpretations made. Blended through the study are the understandings of Tobin Hart and Kate Adams from their investigations of children’s lived experiences with mystical unseen worlds. The area of invisible mystery proves to be more delicate to negotiate than the world of physical embodiments and the world of complete fantasy of the mind; this is the area of the spiritual – the meeting of body and mind with a third and overlapping space. This space goes by many names and many definitions, but ultimately remains indefinable and intangible. But during the pilot project, meaning did come through the inquiring and through the themes that emerged of ‘who we are’ in relation to angels; race, gender and the role of nurturer; and familial angel ownership. Children yearn for allowing spaces to safely express these ideas about, and experiences with, mystery worlds. It is the connection with the inner life through small moments and engagements with the big life questions that the entangling of the physical, the mental and the spiritual creates the intuitive, integrated heart space of a holistic spiritual pedagogy.     

Spirituality and child protection in early childhood education: a strengths approach

In recent international and Australian early childhood curriculum guidelines and child-protection policies, the need for teachers of young children to foster spirituality has been highlighted. However, what this might mean in practice has not been widely explored. This article addresses the more controversial issue of spiritual abuse and the right of children to protection in terms of spiritual development. We present a critique of current definitions taken from research and policy documents. Qualitative data provide the research background. Vignettes are presented to give examples of what spiritual harm might look like in practice. Finally, a strengths-based approach is introduced and strategies are suggested in order to explore the potential of the Strengths Approach (a social justice approach originating from social service practice) to aid early years’ teachers to create spiritually protective learning environments. This approach recognises and values children’s holistic development and wellbeing and supports them to appreciate, engage with and question the world around them with a resilient spirit.     

Louis Couturat,modern logic,and the international auxiliary language

ABSTRACT

To some extent, the early twentieth century revival of universal languages was the work of logicians and mathematicians. Pioneers of modern logic such as Frege, Russell and Peano wanted to overcome the diversity and deficiencies of natural languages. Through the rigour of formal logic, they aimed at providing scientific thinking with a reliable medium free from the ambiguity and inconsistencies of ordinary language. This article shows some interconnections between modern logic and the search for a common tongue that would unite scientists and people of all nations. The French mathematician and philosopher Louis Couturat is a key figure in understanding the interplay between these two movements. Through his work in composing the Ido language as an alternative to Esperanto, Couturat gave a new life to the Leibnizian idea of a universal characteristics. In addition, his multifaceted work provides a valuable insight into some political implications of early analytic philosophy.