Behavioral intervention and prevention of feeding difficulties in infants and toddlers

Although eating is considered an automatic physiologic process, many children experience feeding difficulties. The purpose of this paper is to provide a framework for assessment, treatment and prevention of feeding difficulties in children. Identification and treatment of any factors actively interfering with feeding success is a critical cornerstone for effective behavioral interventions for feeding. Using variables that comprise the structure of a meal, this paper discusses how these variables might be manipulated in behavioral interventions for feeding problems. Recommendations for prevention of feeding problems are also presented

The Transformation of Men into Masquerades and Indian Madras into Masquerade Cloth in Buguma, Nigeria

The Kalahari Ijo people of the Niger Delta area of southeastern Nigeria use a group of dark indigo-blue cloths with white patterning to cover the faces of masquerade performers. Subsumed under the name of alubite (masquerade cloth) are at least three distinct types: (1) ukara cloth, an indigo-resist of imported muslin, stitched and dyed by Igbo craftsmen, (2) alubite cloth, a gauze-weave, also an indigo-resist, but of unknown provenance, and (3) pelete bite, an Indian madras from which threads are cut and pulled by Kalahari women to form a new pattern. The first two types of cloth apparently come from non-Kalahari sources. The third, pelete bite, transforms dark blue and white imported madras, using local technology, into a patterned masquerade cloth for which there is a cultural demand. We focus on this transformation, examining particular types of Indian madras considered appropriate for this adaptation and the ways that these cloths are altered (i.e., cut and pulled), their relationship in color and design to ukara and to the other alubite cloths, and the significance of the triangular motif, alu, for depicting water spirits in masquerade performances

The Transformation of Men into Masquerades and Indian Madras into Masquerade Cloth in Buguma, Nigeria

The Kalahari Ijo people of the Niger Delta area of southeastern Nigeria use a group of dark indigo-blue cloths with white patterning to cover the faces of masquerade performers. Subsumed under the name of alubite (masquerade cloth) are at least three distinct types: (1) ukara cloth, an indigo-resist of imported muslin, stitched and dyed by Igbo craftsmen, (2) alubite cloth, a gauze-weave, also an indigo-resist, but of unknown provenance, and (3) pelete bite, an Indian madras from which threads are cut and pulled by Kalahari women to form a new pattern. The first two types of cloth apparently come from non-Kalahari sources. The third, pelete bite, transforms dark blue and white imported madras, using local technology, into a patterned masquerade cloth for which there is a cultural demand. We focus on this transformation, examining particular types of Indian madras considered appropriate for this adaptation and the ways that these cloths are altered (i.e., cut and pulled), their relationship in color and design to ukara and to the other alubite cloths, and the significance of the triangular motif, alu, for depicting water spirits in masquerade performances

The Transformation of Men into Masquerades and Indian Madras into Masquerade Cloth in Buguma, Nigeria

The Kalahari Ijo people of the Niger Delta area of southeastern Nigeria use a group of dark indigo-blue cloths with white patterning to cover the faces of masquerade performers. Subsumed under the name of alubite (masquerade cloth) are at least three distinct types: (1) ukara cloth, an indigo-resist of imported muslin, stitched and dyed by Igbo craftsmen, (2) alubite cloth, a gauze-weave, also an indigo-resist, but of unknown provenance, and (3) pelete bite, an Indian madras from which threads are cut and pulled by Kalahari women to form a new pattern. The first two types of cloth apparently come from non-Kalahari sources. The third, pelete bite, transforms dark blue and white imported madras, using local technology, into a patterned masquerade cloth for which there is a cultural demand. We focus on this transformation, examining particular types of Indian madras considered appropriate for this adaptation and the ways that these cloths are altered (i.e., cut and pulled), their relationship in color and design to ukara and to the other alubite cloths, and the significance of the triangular motif, alu, for depicting water spirits in masquerade performances

Early oral-motor interventions for pediatric feeding problems: What, when and how

Children with developmental delays often have feeding difficulties resulting from oral-motor problems. Based on both clinical experience and a review of published studies, oral-motor interventions have been shown to be effective in improving the oral function of preterm infants and children with neuromotor disorders, such as cerebral palsy. However, oral-motor problems may be under identified in other populations of children with developmental difficulties. The purpose of this paper is to provide a conceptual framework for understanding oral-motor skill development and problems that can occur in any infant and young child and to review oral-motor treatment techniques and their empirical support

Exploring Parents’ Experiences of Raising a Child with Sensorimotor Impairments and Expectations for Leisure Participation

Background: The objective of this descriptive study was to study parents’ experiences of raising a child with sensorimotor impairments and how leisure pursuits impact their expectations of their children. The development and participation in leisure activities is different for these children and could affect the parents’ hopes and dreams for their child’s future. Method: Six children between 5 and 8 years of age, with sensorimotor impairments, participated in a movement program that was held for eight sessions at an outpatient pediatric clinic to address praxis and sensory processing impairments. Six parent dyads were interviewed during the fifth, sixth, seventh, or eighth session of the program. Areas addressed in the semi-structured interviews included parenting challenges, school experiences, and sensorimotor impairments effect on the child’s leisure participation. Results: Five themes emerged following the interviews: (a) nobody prepares you for sensory problems, (b) positive and negative school support, (c) when they already feel left out or behind, (d) I know the team sports are 100% sensory, and (e) life challenges. Conclusion: The parents provided the practitioners with insight into their everyday lives, and this information is essential for making occupational therapy services more family-centered

Relationship between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-Sectional Observation Study.

Psychological distress remains a major challenge in cancer care. The complexity of psychological symptoms in cancer patients requires multifaceted symptom management tailored to individual patient characteristics and active patient involvement. We assessed the relationship between resilience, psychological distress and physical activity in cancer patients to elucidate potential moderators of the identified relationships. A cross-sectional observational study to assess the prevalence of symptoms and supportive care needs of oncology patients undergoing chemotherapy, radiotherapy or chemo-radiation therapy in a tertiary oncology service. Resilience was assessed using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10), social support was evaluated using the 12-item Multidimensional Scale of Perceived Social Support (MSPSS) and both psychological distress and activity level were measured using corresponding subscales of the Rotterdam Symptom Checklist (RSCL). Socio-demographic and medical data were extracted from patient medical records. Correlation analyses were performed and structural equation modeling was employed to assess the associations between resilience, psychological distress and activity level as well as selected socio-demographic variables. Data from 343 patients were included in the analysis. Our revised model demonstrated an acceptable fit to the data (χ2(163) = 313.76, p = .000, comparative fit index (CFI) = .942, Tucker-Lewis index (TLI) = .923, root mean square error of approximation (RMSEA) = .053, 90% CI [.044.062]). Resilience was negatively associated with psychological distress (β = -.59), and positively associated with activity level (β = .20). The relationship between resilience and psychological distress was moderated by age (β = -0.33) but not social support (β = .10, p = .12). Cancer patients with higher resilience, particularly older patients, experience lower psychological distress. Patients with higher resilience are physically more active. Evaluating levels of resilience in cancer patients then tailoring targeted interventions to facilitate resilience may help improve the effectiveness of psychological symptom management interventions

The M33 Variable Star Population Revealed by Spitzer

We analyze five epochs of Spitzer Space Telescope/Infrared Array Camera (IRAC) observations of the nearby spiral galaxy M33. Each epoch covered nearly a square degree at 3.6, 4.5, and 8.0 microns. The point source catalog from the full dataset contains 37,650 stars. The stars have luminosities characteristic of the asymptotic giant branch and can be separated into oxygen-rich and carbon-rich populations by their [3.6] - [4.5] colors. The [3.6] - [8.0] colors indicate that over 80% of the stars detected at 8.0 microns have dust shells. Photometric comparison of epochs using conservative criteria yields a catalog of 2,923 variable stars. These variables are most likely long-period variables amidst an evolved stellar population. At least one-third of the identified carbon stars are variable.Comment: Accepted for publication in ApJ. See published article for full resolution figures and electronic table

A Heuristic Image Search Algorithm for Active Shape Model Segmentation of the Caudate Nucleus and Hippocampus in Brain MR Images of Children with FASD

Magnetic Resonance Imaging provides a non-invasive means to study the neural correlates of Fetal Alcohol Spectrum Disorder (FASD) - the most common form of preventable mental retardation worldwide. One approach aims to detect brain abnormalities through an assessment of volume and shape of two sub-cortical structures, the caudate nucleus and hippocampus. We present a method for automatically segmenting these structures from high-resolution MR images captured as part of an ongoing study into the neural correlates of FASD. Our method incorporates an Active Shape Model, which is used to learn shape variation from manually segmented training data. A modified discrete Geometrically Deformable Model is used to generate point correspondence between training models. An ASM is then created from the landmark points. Experiments were conducted on the image search phase of ASM segmentation, in order to find the technique best suited to segmentation of the hippocampus and caudate nucleus. Various popular image search techniques were tested, including an edge detection method and a method based on grey profile Mahalanobis distance measurement. A novel heuristic image search method was also developed and tested. This heuristic method improves image segmentation by taking advantage of characteristics specific to the target data, such as a relatively homogeneous tissue colour in target structures. Results show that ASMs that use the heuristic image search technique produce the most accurate segmentations. An ASM constructed using this technique will enable researchers to quickly, reliably, and automatically segment test data for use in the FASD study

Organization of Multinational Activities and Ownership Structure

We develop a model in which multinational investors decide about the modes of organization, the locations of production, and the markets to be served. Foreign investments are driven by market-seeking and cost-reducing motives. We further assume that investors face costs of control that vary among sectors and increase in distance. The results show that (i) production intensive sectors are more likely to operate a foreign business independent of the investment motive, (ii) that distance may have a non-monotonous effect on the likelihood of horizontal investments, and (iii) that globalization, if understood as reducing distance, leads to more integration