Development and implementation of a new service delivery model for children with disabilities : implications for DCD

There is a general consensus that new service delivery models are needed for children with developmental coordination disorder (DCD). Emerging principles to guide service delivery include the use of graduated levels of intensity and evidence-based services that focus on function and participation. Interdisciplinary, community-based service delivery models based on best practice principles are needed. In this case report, we propose the Apollo model as an example of an innovative service delivery model for children with DCD. We describe the context that led to the creation of a program for children with DCD, describe the service delivery model and services, and share lessons learned through implementation. The Apollo model has 5 components: first contact, service delivery coordination, community-, group- and individual-interventions. This model guided the development of a streamlined set of services offered to children with DCD, including early-intake to share educational information with families, community interventions, inter-disciplinary and occupational therapy groups and individual interventions. Following implementation of the Apollo model, waiting times decreased and numbers of children receiving services increased, without compromising service quality. Lessons learned are shared to facilitate development of other practice models to support children with DCD

A giant comet-like cloud of hydrogen escaping the warm Neptune-mass exoplanet GJ 436b

Exoplanets orbiting close to their parent stars could lose some fraction of their atmospheres because of the extreme irradiation. Atmospheric mass loss primarily affects low-mass exoplanets, leading to suggest that hot rocky planets might have begun as Neptune-like, but subsequently lost all of their atmospheres; however, no confident measurements have hitherto been available. The signature of this loss could be observed in the ultraviolet spectrum, when the planet and its escaping atmosphere transit the star, giving rise to deeper and longer transit signatures than in the optical spectrum. Here we report that in the ultraviolet the Neptune-mass exoplanet GJ 436b (also known as Gliese 436b) has transit depths of 56.3 +/- 3.5% (1 sigma), far beyond the 0.69% optical transit depth. The ultraviolet transits repeatedly start ~2 h before, and end >3 h after the ~1 h optical transit, which is substantially different from one previous claim (based on an inaccurate ephemeris). We infer from this that the planet is surrounded and trailed by a large exospheric cloud composed mainly of hydrogen atoms. We estimate a mass-loss rate in the range of ~10^8-10^9 g/s, which today is far too small to deplete the atmosphere of a Neptune-like planet in the lifetime of the parent star, but would have been much greater in the past.Comment: Published in Nature on 25 June 2015. Preprint is 28 pages, 12 figures, 2 table

Recruitment, use, and satisfaction with a web platform supporting families of children with suspected or diagnosed developmental coordination disorder: A randomized feasibility trial

Objectives. To determine the feasibility of recruiting families of children with suspected or diagnosed developmental coordination disorder (sdDCD) and explore their satisfaction with a web-based intervention Design. A feasibility randomized trial was conducted. Participants were the parents of 5-12-year-old children with sdDCD. The intervention group had access to online resources, group and private forums, and videoconferencing with a therapist. Main outcomes were recruitement and retention rates. Satisfaction was documented through a post-intervention survey and interview. Results. The recruitment rate was seven participants per month (n = 28 participants) and retention rate was 68%. Satisfaction was moderate. No differences in use and satisfaction were observed between groups. Participants formulated recommendations for improving the intervention, including targeting families earlier in the diagnosis process, and pre-scheduling meetings with therapists. Conclusions. This study demonstrated the feasibility of future trials, and highlighted avenues for improvement. Parent involvement during the development of the intervention is discussed at length. Abbreviations: DCD: Developmental Coordination Disorder; sdDCD: suspected or diagnosed Developmental Coordination Disorder; RCT: randomized-controled trial

Defects Characterization of HgCdTe and CdZnTe Compounds by Positron Annihilation Spectroscopy

International audienceInfrared cooled photodetectors must operate at higher temperatures to reduce their size, weight and power consumption (SWaP context). Their stability and image quality are then challenged by extra electrical activity of crystal defects. Knowledge of defect populations is mandatory to improve the material quality of the epitaxial Hg1−xCdxTe (MCT) active layer and the Cd1−xZnxTe (CZT) substrate. Positron annihilation spectroscopy with a slow positron beam was used to study near-surface open-volume defects profiles. Low- and high-momentum fractions (S,W) were used to characterize the Doppler broadening of the 511 keV electron-positron pair annihilation-line as a function of the positron implantation energy E. The results show that three regions can be identified beneath the surface of the as-grown non-optimized MCT layer. The quasi-linear relationship between the annihilation characteristics in the regions suggests that the defect populations mainly correspond to the same open-volume defect in different concentrations. The probed defect is thought to be related to the mercury vacancy. This hypothesis is discussed in an original way with near-surface elemental profiles using scanning transmission electron spectroscopy combined to energy dispersive x-ray spectroscopy (STEM-EDX). Afterwards, this approach is extended to CZT substrates showing that surface and bulk properties of those fabricated by LYNRED tend to match those that are state-of-the-art. A common open-volume defect is probed, in concentration estimated by Hall effect around 1015 cm−3 and thought to be related to the cadmium vacancy

Can growth hormone treatment improve growth in children with severe growth failure due to anorexia nervosa? A preliminary pilot study

Background/Aims: Growth failure is a difficult but key aspect of care in children with anorexia nervosa (AN). The effects of hGH therapy have not been studied. The aim was to investigate the effect of hGH treatment on height velocity (HV) in children with AN. Methods: We carried out a retrospective observational study. Ten girls diagnosed with AN at 10.0 ± 1.9 years, with prolonged severe growth failure (HV < 2.5 cm/year for at least 18 months) at the age of 13.3 ± 1.1 years and delayed puberty after nutritional rehabilitation, were treated with hGH (0.040 mg/kg/day) from a bone age of 10.9 ± 1.7 years until they reached adult height. Height and HV were measured before treatment and at 12-month intervals during treatment. Results: Mean body mass index SDS remained unchanged, but HV increased significantly, from a median of 1.0 (0.7–2.1) to 7.1 (6.0–9.5) cm/year after one year (P < 0.002) and 5.6 (4.8–6.2) cm/year after two years of treatment. Height SDS increased from −2.2 ± 1.3 to −1.6 ± 1.3 after one year (P < 0.002) and −1.1 ± 1.5 after two years of GH treatment. Adult height (−0.1 ± 1.0 SDS) was close to target height after 3.6 ± 1.4 years of GH treatment. Serum IGF-I levels increased significantly during treatment (P < 0.01). The treatment was well tolerated. Conclusions: This proof-of-concept study shows that hGH treatment is associated with significant improvements in linear growth in adolescents with AN and severe growth failure. A randomized placebo-controlled trial is required to determine the ultimate impact of GH treatment in patients with this severe, rare condition

Caius Gracchus : tragédie en trois actes /

"Prix, 1 livre, 5 sols."Martin & Walter. Révolution française. Auteurs,Mode of access: Internet

Discussion

Delaisi Geneviève, Lorber Judith, Ménard-Forrler Agnès, Fellous Michèle, Pitavy-Souques Danièle, Laborie Françoise, Quéré France, Bernheim Marianne, Hamard Marie-Claire, Comet Paule, Bateman-Novaes Simone, Bouaziz-Léger Emmeline. Discussion. In: Diplômées, n°146, 1988. France-USA. Comparaison des réactions de nos sociétés devant le progrès des connaissances et des techniques en biogénétique de la transmission de la vie : Séminaire AFFDU-Currier 3-4 mars 1988. pp. 200-205