Abstract Care for Individuals with Down Syndrome in the Central Bohemia Region This Diploma Thesis deals with the comparison of the used methods and the results in caring for children and adults diagnosed with Down syndrome in home environment and institutional conditions. A qualitative research was realized using the method of case studies in order to answer the research questions. Data collection was conducted by means of semi-structured interviews and data analysis. The research in families showed that an acceptance of a child with Down syndrome was influenced by several factors. The families were given professional support in many ways and the children were being educated. None of the adults with Down syndrome in the research sample was working in the open labour market, however, they all conducted meaningful activities adequate to their age. In most cases, the parents did not encourage their grown-up children with Down syndrome to become independent. The results of the second part of the research map the situation in institutional facilities. In the past individuals with Down syndrome used to be freed from compulsory school attendance in childhood, whereas at present, children with Down syndrome are being educated in these institutions. Various therapeutic activities are offered for adults, often merely as a means of passing leisure time, rather than as a form of activity appropriate for adults. Persons with Down syndrome do not have many opportunities for the integration into the majority society. For persons with Down syndrome, who are living in an institution, a contact with their family is very important and motivating. The study can be beneficial for parents of a child with Down syndrome. Furthermore it offers suggestions how to improve the support for the families, where a child with Down syndrome is raised, as well as suggestions for improving the quality of the institutional care.

Made available in DSpace on 2014-06-11T19:24:56Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-05-09Bitstream added on 2014-06-13T19:11:48Z : No. of bitstreams: 1 lopes_ia_me_mar.pdf: 636418 bytes, checksum: 7894806f3526080158063174860e2834 (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Unidade Ffc / Ao observamos, em escolas de Educação Infantil, crianças pequenas com síndrome de Down sem vivenciar a linguagem escrita, buscamos e não localizamos pesquisas que respondam a dúvidas sobre os sentidos que a criança pequena com síndrome de Down pode atribuir a essa linguagem, no contexto da Educação Infantil. Por compreendermos, a partir dos estudos emanados da Teoria Histórico-Cultural, que a criança pequena precisa vivenciar a escrita como uma necessidade, para percorrer o seu processo histórico de aquisição dessa linguagem, desenvolvemos uma pesquisa com o objetivo de descrever e compreender os sentidos atribuídos à escrita por uma criança pequena com síndrome de Down, bem como caracterizar a atuação pedagógica empregada em propostas de vivências dessa linguagem. Para tanto, em Atendimento Pedagógico de Suporte, a pesquisadora buscou promover tais vivências a uma criança pequena com síndrome de Down. Esses atendimentos foram filmados, e posteriormente, transcritos, por meio dos quais foram focalizados os sentidos relacionados à significação da escrita na atuação pedagógica. Os resultados da pesquisa apontam que a criança participante da pesquisa foi capaz de atribuir sentidos à escrita a partir dos modos como a vivenciou, o que decorreu de aspectos circunscritos aos Atendimentos Pedagógicos e também de questões macrossociais. / By observing, in Child Education schools, small children with Down syndrome living without written language, it was searched (but not found) for research that answer questions about the meanings that small children with Down syndrome can attribute to this language, in the context of Child Education. From studies based on the Historical-Cultural Theory, it is understood that small children need to experience writing as a necessity, to go through the historical processes of this language acquisition; therefore, it was conducted a survey aimed at describing and understanding the meanings attributed to writing by a small child with Down syndrome and also at characterizing the pedagogical performance in proposals of experiencing this language. To do so, in Educational Support Services, the researcher sought to promote such experiences to a small child with Down syndrome. These appointments were videotaped and later transcribed; by using them it was focused the meanings related to the writing signification in educational performance. The survey results indicate that the child taking part in the research was able to confer meaning to writing based on the experienced modes, which happened from aspects circumscribed to Pedagogical Appointments as well as macro-social issues.

Made available in DSpace on 2014-06-11T19:35:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-07-07Bitstream added on 2014-06-13T20:06:39Z : No. of bitstreams: 1 dotto_pp_dr_sjc.pdf: 4285690 bytes, checksum: ecfd6441fbc5f11ca356a3ef11cb7bfc (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O propósito no presente estudo foi verificar a existência da proporção áurea entre algumas medidas cefalométricas laterais de indivíduos com síndrome de Down (SD), bem como, observar se houve variações nas razões avaliadas em diferentes períodos de crescimento de acordo com a curva de crescimento puberal (CCP), e entre os sexos. Para tanto, foram analisadas 52 radiografias cefalométricas laterais e 52 radiografias de mão e punho de indivíduos com SD entre seis e 33 anos de idade. A divisão da amostra foi realizada no programa Curva de Crescimento 1.0 (Radiomemory®). Foram selecionados 16 segmentos craniofaciais, gerando 17 razões. As medidas foram calculadas no programa Radiocef 4.0 (Radiomemory®). O erro intra-examinador foi verificado pelo teste de Análise de Regressão Linear (r >0,95). Os resultados obtidos foram submetidos à Análise de Regressão Linear Múltipla e teste t de Student (5%). Das 17 razões, três apresentaram tendência à proporção áurea em todas as fases tanto para o sexo masculino quanto para o feminino (SAcrS/ N-Ena; S-AcrS/Ena-Enp e N-ASPt/Sf1/-C1MS). A razão NPOMxN/ Or-POMx-Or foi áurea para os dois sexos após o período do pico do surto de crescimento puberal. Em Po-N/Co-Go e Co-Gn/N-POMxN, a tendência foi verificada para o sexo feminino em todas as fases, quanto ao sexo masculino, houve variação na ocorrência durante as fases. Para Co-Gn/Go-Pog, essa tendência foi observada para o sexo masculino no final do crescimento. A razão Co-Go/Sf1/-C1MS apresentou variações na ocorrência para ambos os sexos. O autor concluiu que indivíduos com SD apresentaram algumas medidas do crânio em proporção áurea e que para algumas razões analisadas houve variações na ocorrência com relação às fases de crescimento e diferenças entre os sexos foram observadas. / The aim of the present study was to verify the presence of the golden proportion among some lateral cephalometric measurements of individuals with Down's syndrome (DS), as well as, to observe if there were variations in the appraised ratios at different growth phases in agreement with the Puberal Growth Curve (PGC), and between genders. There were used 52 lateral cephalometric X-rays and 52 hand and wrist X-rays from individuals with DS among six and 33 years old. The sample was divided using the software Curva de Crescimento 1.0 (Radiomemory®). It was selected 16 craniofacial segments, generating 17 ratios. The measurements were calculated by Radiocef 4.0 (Radiomemory®) program. The intra-examiner error was analyzed using the Linear Regression test (r >0,95). The results were analyzed using the Multiple Linear Regression test and the t-Student test (5%). Among the 17 ratios, three presented tendency to the golden proportion in all of the phases as much for males as for females (SAcrS/ N-Ena; S-AcrS/Ena-Enp and N-ASPt/Sf1/-C1MS). The ratio NPOMxN/ Or-POMx-Or was golden for both genders after the pubertal growth spurt. For the ratios Po-N/Co-Go and Co-Gn/N-POMxN, the tendency was verified for females in all of the phases, but for males there was found variation in the occurrence during the phases. For the ratio Co- Gn/Go-Pog, that tendency was observed for males in the final phase of the growth. The ratio Co-Go/Sf1/-C1MS presented variations in the occurrence for both genders. Author concluded that individuals with DS presented some measurements of the skull in golden proportion and variations was found for some analyzed ratios in occurrence regarding the growth phases and differences between genders.

Este estudo teve como objetivo descrever o processo de construção do discurso narrativo em crianças com Síndrome de Down, demonstrando as características existentes na narrativa relacionando a perspectiva estrutural de Labov (1972) e interacional de Perroni(1992), compreendendo, assim, os processos que subjazem à capacidade de narrar dos sujeitos com Síndrome de Down e as semelhanças e diferenças existentes entre relatos pessoais e histórias. Participaram deste estudo três crianças entre 8 e 12 anos de idade com Síndrome de Down, alunos da Escola Especial Ulisses Pernambucano, local da coleta dos dados. Os dados foram transversais, durante o semestre escolar, através de registros quinzenais de vídeo. Observou-se a construção das narrativas de crianças com Síndrome de Down nas situações interativas em sala de aula de recontagem de história e relato de experiência pessoal. Os resultados mostram que a perspectiva estrutural não dá conta do processo construtivo evidenciado nos dados analisados; já uma perspectiva interacionista permite compreender a riqueza dos processos envolvidos na construção das narrativas pelas crianças ao longo do tempo / This study aimed to describe the process of construction of narrative speech in children with Downs Syndrome, by showing the existing characteristics in narrative, relating Labovs structural perspective (1972) to perronis interactional pespective (1992), comprehending, this way, the processes that compox the ability of speech of people with Downs Syndrome and the similarities and differences that exist between personal reports and stories. Students with Downs Syndrome, aging between 8-12 years old and enrolled at Ulisses Pernambucano Special School, where data was collected. This data was transversal, throughout school semester,and collected by video recordings twice a month. The narrative construction of these children was observed in interactive situations in storytelling and self-reporting classrooms. The results show that the structural perspective is not enough for the constructive process found at the analyzed data; however, an interactional perspective allows to understand the richness of the involved processes in the narrative constructions by these children on and on

O objetivo do presente estudo foi investigar, através de uma abordagem qualitativa, o envolvimento paterno e a experiência da paternidade no contexto da Síndrome de Down (SD). Mais especificamente, procurou-se compreender o impacto que a SD exerce sobre este envolvimento e experiência. Para tanto, foram entrevistados seis pais de crianças com SD, cujos filhos tinham idades entre 9 meses e 3 anos e 3 meses. Os resultados revelaram que os pais participavam ativamente das atividades e cuidados relativos aos filhos, sendo responsáveis por diversas tarefas concernentes a eles, embora o tempo disponível para estar com eles sofra restrições em função do trabalho. Apesar das dificuldades e preocupações que enfrentavam sobre o futuro do filho e sobre a relação com eles, os participantes avaliaram positivamente as suas experiências de paternidade. Discute-se a importância do desenvolvimento de ações que auxiliem não somente os pais, mas também as mães e o restante do sistema familiar, a lidar melhor com as particularidades advindas desta experiência, ajudando a proporcionar uma melhor qualidade de vida para estas famílias. / The aim of the present study was to investigate, through a qualitative approach, paternal involvement and paternal experience in the Down Syndrome (DS) context. More specifically, it aimed to understand the DS impact over this involvement and experience. Six parents of children with DS were interviewed, whose children were between 9 months and 3 years and 3 months. The results demonstrated that parents had been participating actively in children’s activities and caretaking, being responsible for several tasks, although the available time to be with them was restricted because of their jobs. In spite of the difficulties, the participants evaluated positively their paternal experiences. The importance of the developing policies that aid not only the fathers, but also mothers and remaining members of the family system, is discussed, with the intention of working better with the particularities of their lives, helping to provide a better life quality for these families.

The purpose of this study is to examine the effects of bilingualism in short-term memory (STM) compared to monolingualism with individuals who have Down syndrome. Five tasks were used for STM skills comparison between monolingual and bilingual participants. Sixteen participants between the ages of 13 to 37 were included in this study. Participants were divided based on their language groups. The experimental tasks consisted of non-verbal activities to examine visual (RVDLT) and spatial (Corsi) STM; as well as three verbal STM tasks (RAVLT, WMS, and Digits). The results showed that bilinguals acquired higher overall correct responses, with a significant difference found in visual STM performance and a trend towards significance in verbal logical STM. Thus, the findings of this study support the bilingual advantage theory. This study will enhance understanding in memory capacity of bilingual individuals with Down syndrome for potential implications to put into practice in clinical intervention strategies.

Down syndrome, or Trisomy 21, is the most commonly occurring genetic condition, and yet there exists a great deal of misinformation and misconception about the lived experience and value of Down syndrome in society. Its construction as a disability is deeply intertwined with racist rhetoric and, despite changes in language, this construction of Down syndrome as a racialized disability category has immense implications in clinical and prenatal genetic counseling settings. This thesis seeks to examine the past and present of Down syndrome in conversation with reproductive justice, disability justice, and the current norms of practice in genetic counseling. In doing so, this thesis makes recommendations towards a disability-centered and actively counter-eugenic genetic counseling practice.

Made available in DSpace on 2014-06-11T19:27:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-04-23Bitstream added on 2014-06-13T20:17:10Z : No. of bitstreams: 1 messias_lpa_me_araca.pdf: 396179 bytes, checksum: 7ab8325928adf5a9ec2e467e4b72278a (MD5) / O objetivo do presente estudo foi avaliar a ocorrência dos principais microrganismos periodontopatogênicos e dois viruses herpéticos na saliva e no biofilme microbiano supra e subgengival de 50 crianças e adolescentes com Síndrome de Down, através de métodos moleculares, comparando com um grupo de indivíduos de um grupo controle que não apresentam a síndrome. Espécimes clínicos foram coletados desses pacientes após avaliação das condições sócio-econômicas e comportamentais. A microbiota bucal dos pacientes foi caracterizada através da obtenção de amostras do biofilme subgengival, supragengival e saliva, as quais foram transportadas para o laboratório de Microbiologia e Imunologia da FOA-UNESP para detecção dos principais patógenos por PCR. As características de saúde periodontal foram avaliadas segundo índices específicos. A possibilidade de inter-relações entre os diferentes microrganismos foi determinada através dos testes de Qui-quadrado, teste exato de Fisher e Mann-Whitney. Verificou-se que as condições de saúde periodontal das crianças e adolescentes portadores de Síndrome de Down não diferia significativamente do grupo controle. A ocorrência das espécies microbianas anaeróbias e microaerófilas mais associadas ao ambiente periodontal foi semelhante nos dois grupos de crianças e adolescentes, independentemente da condição gengival, com modesto aumento na ocorrência de Prevotella intermedia e Enterobacteriaceae na saliva dos pacientes sindrômicos, o mesmo ocorrendo com Enterobacteriaceae, Campylobacter rectus, Prevotella nigrescens e gênero Pseudomonas no biofilme supragengival e P. intermedia no biofilme subgengival de pacientes sindrômicos sadios e pseudomonados naqueles com gengivite. A microbiota associada às diferentes condições periodontais nos dois grupos também evidenciou pequenas diferenças, mas confirma o papel... / This study aimed to evaluate the occurrence of the major periodontal pathogens and two herpetic viruses in saliva and dental biofilm from 50 children and adolescents with Down’s syndrome through molecular tools, comparing with those of individuals of a control group who did not present this syndrome. Clinical samples were collected from patients soon after evaluation of socioeconomic and behavioral conditions. The oral microflora was characterized by mean of samples of supragingival and subgingival biofilm and saliva, which were transferred to Microbiology and Immunology Laboratory at FOA-UNESP for detection of the major pathogens by PCR. Periodontal conditions were evaluated through specific indexes. The possibility of relationship between different microorganisms and clinical conditions were determined through Chi-Square test, Fisher’s exact test and Mann-Whitney test. It was verified that periodontal conditions of children and adolescents with Down’s syndrome did not differ significantly from the control group conditions. The occurrence of anaerobes and microaerophiles associated with periodontal environment was similar in both groups of children and adolescents, regardless of the gingival condition, with modest increase in the occurrence of Prevotella intermedia and Enterobacteriaceae in the saliva of patients syndromic patients, the same occurred with Enterobacteriaceae, Campylobacter rectus, Prevotella nigrescens and genus Pseudomonas in the supragingival biofilm and P. intermedia in subgingival biofilm of periodontally healthy patients and pseudomonads in syndromic patients with gingivitis. The microbiota associated with different periodontal conditions in both groups showed minor differences, but confirms the role of strict anaerobes in this process as well as the role of and cytomegalovirus and Epstein-Barr virus, while in syndromic patients, besides these... (Complete abstract click electronic access below)

Made available in DSpace on 2014-06-11T19:27:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2002-03-08Bitstream added on 2014-06-13T20:17:10Z : No. of bitstreams: 1 jesus_cm_me_arafo.pdf: 199618 bytes, checksum: d0ce2867f80614585999c16e15edac52 (MD5) / Por meio de exames clínicos e análises laboratoriais, o presente trabalho avaliou a prevalência de cárie dentária e a relação entre os fatores presença de cárie dental, biofilme bacteriano visível e contagem de Streptococcus grupo mutans em crianças com idade entre 12 e 48 meses, sendo 26 portadoras (grupo teste) e 142 não portadoras da síndrome de Down (grupo controle). A prevalência de cárie dentária no grupo teste foi de 15,38% e no grupo controle de 31,69%. No grupo controle houve aumento estatisticamente significativo do índice ceo-d e dos níveis de Streptococcus grupo mutans a partir dos 36 meses de idade. Nos dois grupos, com o aumento da idade, aumentou o número de crianças colonizadas por Streptococcus grupo mutans. Foi observada dependência estatisticamente significativa entre a presença de lesão cárie dentária e altos níveis de Streptococcus do grupo mutans tanto no grupo teste quanto no grupo controle. Houve também correlação positiva estatisticamente significativa entre a presença de lesão de cárie dentária e a presença de biofilme bacteriano visível, e entre a presença de biofilme bacteriano visível e altos níveis de Streptococcus do grupo mutans apenas no grupo controle. / This study evaluated the dental caries prevalence and the relationship among dental caries, visible bacterial biofilm and mutans streptococci counts in children with Down syndrome (test-group=26) and in health children (control-group=142), aged from 12 to 48 months. The caries prevalence was 15.38% in the test group and 31.69% in the control-group. The dmf-t index and the mutans streptococci levels had a significant statistic increase after 36 months of age in the control group. The number of children who harbored mutans streptococci had a significant increased with age in all children (test and control groups). In both groups dental caries and high levels of mutans streptococci presented a strong positive correlation. High positive correlation was also observed between visible bacterial biofilm and dental caries lesions and between visible bacterial biofilm and high levels of mutans streptococci in the control-group, but not in the test-group. Keywords: Down syndrome, dental caries, mutans streptococci, biofilm.

Submitted by Izabel Franco (izabel-franco@ufscar.br) on 2016-10-03T12:41:06Z No. of bitstreams: 1 DissARPO.pdf: 1947949 bytes, checksum: 5561b7ba208439b4f917c569b639235d (MD5) / Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-10T18:47:49Z (GMT) No. of bitstreams: 1 DissARPO.pdf: 1947949 bytes, checksum: 5561b7ba208439b4f917c569b639235d (MD5) / Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-10T18:47:58Z (GMT) No. of bitstreams: 1 DissARPO.pdf: 1947949 bytes, checksum: 5561b7ba208439b4f917c569b639235d (MD5) / Made available in DSpace on 2016-10-10T18:48:10Z (GMT). No. of bitstreams: 1 DissARPO.pdf: 1947949 bytes, checksum: 5561b7ba208439b4f917c569b639235d (MD5) Previous issue date: 2016-02-23 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Down syndrome is a genetic alteration that results in some specific characteristics, for example, the delayed motor development and hypotonia. Stimulate motor skills of people with Down syndrome is very important to promote benefits such as autonomy, independence, resourcefulness and motor. Among the alternatives to provide this stimulus, this research worked with badminton, characterized as a racket sport responsible for stimulating the manipulative skills of its practitioners. This study aimed to analyze the effects of a badminton program in manipulative skills involved in this mode in adolescents with Down syndrome, and had the specific objective to describe the teaching strategies and learning resources used in badminton training for adolescents with Down syndrome and analyze the individual performance of each participant. Thus, a multiple baseline design was used to verify that the proposed activities of teaching influenced in learning the forehand skills; backhand; and serve. The teaching program was applied twice a week, lasting 30 minutes in which, each session consisted of three activities. The student took the 16 educational sessions to learn the proposed skills, and activities have been proven effective for teaching the forehand and backhand, however, the withdrawal of skill the student has achieved only 20% correct. Student B also needed 16 sessions and activities were effective for all three skills. In contrast, the pupil C, 18 needed teaching sessions, even though the student has taken longer to perform the forehand, the activities were effective for the three skills teaching. The elaborate badminton program highlighted some pedagogical resources that assisted learning of the participants, like balls of various sizes and different rackets. As teaching strategies include offering students the opportunity to choose the material to be used, demonstration, and the gradual removal by launching the shuttle for the hit. We conclude that the training program was effective to teach manipulative skills badminton students with Down syndrome, and teaching strategies and teaching resources facilitate the teaching - learning, thus making the sport accessible to the public concerned . / A síndrome de Down é uma alteração genética que resulta em algumas caraterísticas específicas, como por exemplo, o atraso no desenvolvimento motor e a hipotonia. Estimular as capacidades motoras das pessoas com síndrome de Down é muito importante por promover benefícios como autonomia, independência, e desenvoltura motora. Entre as alternativas para oferecer esse estímulo, na presente pesquisa trabalhou-se com o badminton, caracterizado como um esporte de raquete responsável por estimular as habilidades manipulativas de seus praticantes. O presente estudo objetivou analisar os efeitos de um programa de badminton nas habilidades manipulativas envolvidas nesta modalidade em adolescentes com síndrome de Down, e teve como objetivo específico descrever as estratégias de ensino e os recursos pedagógicos utilizados no ensino do badminton para adolescentes com síndrome de Down, e analisar o desempenho individual de cada participante. Para tanto, utilizou-se um delineamento de linha de base múltipla para verificar se as atividades de ensino propostas influenciaram no aprendizado das habilidades de forehand,backhand, e saque. O programa de ensino foi aplicado duas vezes por semana, com a duração de 30 minutos, nos quais, cada sessão era composta por três atividades. O aluno A precisou de 11 sessões de ensino para aprender as habilidades propostas, e as atividades mostraram-se efetivas para o ensino do forehand e do backhand, entretanto, na habilidade do saque o aluno conseguiu atingir apenas 20% de acertos. O aluno B também precisou de 11 sessões, e as atividades foram efetivas para as três habilidades. Em contrapartida, a aluna C, precisou de 13 sessões de ensino, embora a aluna tenha demorado mais para executar o forehand, as atividades foram eficazes para o ensino das três habilidades. O programa de badminton elaborado destacou alguns recursos pedagógicos que auxiliaram no aprendizado dos participantes, como bolas de diversos tamanhos e raquetes diferentes. Como estratégias de ensino, destacam-se oferecer ao aluno a oportunidade de escolher o material a ser utilizado, a demonstração, e o afastamento progressivo ao lançar a peteca para a rebatida. Conclui-se que o programa de ensino foi eficaz para ensinar as habilidades manipulativas do badminton aos alunos com síndrome de Down, e que estratégias de ensino e recursos pedagógicos facilitaram o processo de ensino-aprendizado, tornando assim, o esporte mais acessível ao público em questão.