Pre-School Children's Possibility of Enhancing Learning Motivation in the Process of Learning Violin

Motivation has always been an essence of human actions derived from each individual’s goals, needs , interests, abilities, etc. Motivation formes from an early age, when a child starts to unerstand that something is necessary, important, and that he has to act to satisfy the need. Pre-school age group children are interested in surrounding world regarding new knowledge and skills which can be obtained and developed, therefore, by observating this age group, parent’s and/or teacher’s first steps in cognition and promotion of child’s learning motivation are taken.Promoting children’s motivation to learn during educational process is one of the most pressing pedagogical issues, especially nowadays when child loses primary desire to learn and explore under the influence of tehnology and widely available information resources. Therefore the issue of promoting learning motivation in pre-school age was designated to reasearch, because this is the period when the foundation of the whole future life is laid – considering learning, defining objectives and achieving goals.The objective of this research to explore pre-school children's possibility of enhancing learning motivation in the process of learning violin.

Changes in Total Number of Births and Birth Size during the 1995-2013: The Reflection of Socio-Economic Fluctuations in Lithuania?

The aim of the study was to examine changes of total number of births and birth weight of Lithuanian newborns during the 1995–2013 in relation to the national and regional socio-economic welfare and governmental maternity support. The present results were based on Lithuanian Medical Data of Births Register. Only data of single newborns of identifiable sex, whose mothers were citizens of Lithuania, were included into the present analysis, and total number of analysed cases was N=597091. The total number of births dramatically decreased during the 1995-2002, slightly increased in the 2007-2009, and decreased again in the 2010-2013. Diminishing index was in line with increase of unemployment rate and decline of total Lithuanian population. Increase in number of births was estimated only in the 2007-2009, when maternity benefits were increased very evidently. The significant differences of mean birth weight by year were observed: the decrease in boys’ weight was detected in the 2001-2003, and the decrease in girls’ weight was detected in the 1995-1996 and in the 2001-2003 (p<0.05). However, the increase in weight of both sexes was observed in the 2008-2010 (right after raised maternal allowance). The prevalence of low and suboptimal birth weight was the highest in the 2002 and the lowest – in the 2008-2010 years. The obvious regional differences in changes of total number of births and birth weight were estimated

Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards

Neonatal head circumference (HC) not only represents the brain size of Homo sapiens, but is also an important health risk indicator. Addressing a lack of comparative studies on head size and its variability in term and preterm neonates from different populations, we aimed to examine neonatal HC by gestation according to a regional reference and a global standard. Retrospective analysis of data on neonatal HC obtained from the Lithuanian Medical Birth Register from 2001 to 2015 (423 999 newborns of 24-42 gestational weeks). The varying distribution by gestation and sex was estimated using GAMLSS, and the results were compared with the INTERGROWTH-21st standard. Mean HC increased with gestation in both sexes, while its fractional variability fell. The 3rd percentile matched that for INTERGROWTH-21st at all gestations, while the 50th and 97th percentiles were similar up to 27 weeks, but a full channel width higher than INTERGROWTH-21st at term. INTERGROWTH-21st facilitates the evaluation of neonatal HC in early gestations, while in later gestations, the specific features of neonatal HC of a particular population tend to be more precisely represented by regional references

Regional references vs. international standards for assessing weight and length by gestational age in Lithuanian neonates

INTRODUCTION: There is no global consensus as to which standards are the most appropriate for the assessment of birth weight and length. The study aimed to compare the applicability of regional and global standards to the Lithuanian newborn population by sex and gestational age, based on the prevalence of small or large for gestational age (SGA/LGA). MATERIALS AND METHODS: Analysis was performed on neonatal length and weight data obtained from the Lithuanian Medical Birth Register from 1995 to 2015 (618,235 newborns of 24-42 gestational weeks). Their distributions by gestation and sex were estimated using generalized additive models for location, scale, and shape (GAMLSS), and the results were compared with the INTERGROWTH-21st (IG-21) standard to evaluate the prevalence of SGA/LGA (10th/90th centile) at different gestational ages. RESULTS: The difference in median length at term between the local reference and IG-21 was 3 cm-4 cm, while median weight at term differed by 200 g. The Lithuanian median weight at term was higher than in IG-21 by a full centile channel width, while the median length at term was higher by two channel widths. Based on the regional reference, the prevalence rates of SGA/LGA were 9.7%/10.1% for boys and 10.1%/9.9% for girls, close to the nominal 10%. Conversely, based on IG-21, the prevalence of SGA in boys/girls was less than half (4.1%/4.4%), while the prevalence of LGA was double (20.7%/19.1%). DISCUSSION: Regional population-based neonatal references represent Lithuanian neonatal weight and length much more accurately than the global standard IG-21 which provides the prevalence rates for SGA/LGA that differ from the true values by a factor of two

Changes in Total Number of Births and Birth Size during the 1995-2013: The Reflection of Socio-Economic Fluctuations in Lithuania?

The aim of the study was to examine changes of total number of births and birth weight of Lithuanian newborns during the 1995–2013 in relation to the national and regional socio-economic welfare and governmental maternity support. The present results were based on Lithuanian Medical Data of Births Register. Only data of single newborns of identifiable sex, whose mothers were citizens of Lithuania, were included into the present analysis, and total number of analysed cases was N=597091. The total number of births dramatically decreased during the 1995-2002, slightly increased in the 2007-2009, and decreased again in the 2010-2013. Diminishing index was in line with increase of unemployment rate and decline of total Lithuanian population. Increase in number of births was estimated only in the 2007-2009, when maternity benefits were increased very evidently. The significant differences of mean birth weight by year were observed: the decrease in boys’ weight was detected in the 2001-2003, and the decrease in girls’ weight was detected in the 1995-1996 and in the 2001-2003 (p<0.05). However, the increase in weight of both sexes was observed in the 2008-2010 (right after raised maternal allowance). The prevalence of low and suboptimal birth weight was the highest in the 2002 and the lowest – in the 2008-2010 years. The obvious regional differences in changes of total number of births and birth weight were estimated

Perinatal health monitoring through a European lens: eight lessons from the Euro-Peristat report on 2015 births

International audienceNo abstract availabl

Regional references vs. international standards for assessing weight and length by gestational age in Lithuanian neonates

Introduction: There is no global consensus as to which standards are the most appropriate for the assessment of birth weight and length. The study aimed to compare the applicability of regional and global standards to the Lithuanian newborn population by sex and gestational age, based on the prevalence of small or large for gestational age (SGA/LGA). Materials and Methods: Analysis was performed on neonatal length and weight data obtained from the Lithuanian Medical Birth Register from 1995 to 2015 (618,235 newborns of 24–42 gestational weeks). Their distributions by gestation and sex were estimated using generalized additive models for location, scale, and shape (GAMLSS), and the results were compared with the INTERGROWTH-21st (IG-21) standard to evaluate the prevalence of SGA/LGA (10th/90th centile) at different gestational ages. Results: The difference in median length at term between the local reference and IG-21 was 3 cm–4 cm, while median weight at term differed by 200 g. The Lithuanian median weight at term was higher than in IG-21 by a full centile channel width, while the median length at term was higher by two channel widths. Based on the regional reference, the prevalence rates of SGA/LGA were 9.7%/10.1% for boys and 10.1%/9.9% for girls, close to the nominal 10%. Conversely, based on IG-21, the prevalence of SGA in boys/girls was less than half (4.1%/4.4%), while the prevalence of LGA was double (20.7%/19.1%). Discussion: Regional population-based neonatal references represent Lithuanian neonatal weight and length much more accurately than the global standard IG-21 which provides the prevalence rates for SGA/LGA that differ from the true values by a factor of two

International versus national growth charts for identifying small and large-for-gestational age newborns: A population-based study in 15 European countries

Background To inform the on-going debate about the use of universal prescriptive versus national intrauterine growth charts, we compared perinatal mortality for small and large-for-gestational-age (SGA/LGA) infants according to international and national charts in Europe. Methods We classified singleton births from 33 to 42 weeks of gestation in 2010 and 2014 from 15 countries (N = 1,475,457) as SGA (birthweight 90th percentile) using the international Intergrowth-21st newborn standards and national charts based on the customised charts methodology. We computed sex-adjusted odds ratios (aOR) for stillbirth, neonatal and extended perinatal mortality by this classification using multilevel models. Findings SGA and LGA prevalence using national charts were near 10% in all countries, but varied according to international charts with a north to south gradient (3.0% to 10.1% and 24.9% to 8.0%, respectively). Compared with appropriate for gestational age (AGA) infants by both charts, risk of perinatal mortality was increased for SGA by both charts (aOR[95% confidence interval (CI)]=6.1 [5.6–6.7]) and infants reclassified by international charts from SGA to AGA (2.7 [2.3–3.1]), but decreased for those reclassified from AGA to LGA (0.6 [0.4–0.7]). Results were similar for stillbirth and neonatal death. Interpretation Using international instead of national charts in Europe could lead to growth restricted infants being reclassified as having normal growth, while infants with low risks of mortality could be reclassified as having excessive growth. Funding InfAct Joint Action, CHAFEA Grant n°801,553 and EU/EFPIA Innovative Medicines Initiative 2 Joint Undertaking ConcePTION grant n°821,520. AH received a PhD grant from EHESP