Review of the literature on the currently available services for special needs children and early intervention programs in the Kingdom of Saudi Arabia, supports the fact that early intervention services for young special needs children and their families are very limited. The present study aims at determining the importance of early intervention services for children with special needs and their families. The study also aims to firstly identify the need for establishing more early intervention programs across the country as well as to give suggestions for effective utilization of the presently available services. Secondly, the study focuses on determining the needs o mothers of children with intellectual and physical impairments. Thirdly, the study aims to assess the extent to which the available services are benefiting the special needs children and their families. A descriptive research study was conducted on a sample of 27 mothers of young children with intellectual and physical impairments. Three questionnaires were designed and distributed to obtain information about the following issues: 1) the current early intervention services available for young. special needs children in the Kingdom of Saudi Arabia and the Gulf countries. 2) the background information of the families of the sample. 3) the needs of the mothers in the sample. The data was qualitatively analyzed and interpreted by comparing frequencies and their corresponding percentage values. Results of this study indicated that the majority of the mothers expressed severe and moderate need for more information about their child's impairment; and needed more services and intervention programs for their child. Results from the study also established a relationship between some of the socio-economic background variables and the different categories of needs. Finally, some of the needs of the mothers were met with the early intervention services provided by the centre where the study was conducted. / Inclusive Education / D.Ed.(Special Education)

Die Akkumulation von lipophilen und biologisch persistenten Chlorkohlenwasserstoffen in der Nahrungskette und die infolgedessen auftretende relativ hohe Belastung gestillter Säuglinge hat zu Besorgnissen hinsichtlich möglicher negativer Folgen für die Gesundheit dieser Kinder geführt. Ein Fokus der Arbeit ist Frage, ob der Kontamination von Humanmilch mit polychlorierten Dibenzo-p-dioxinen (PCDDs, 'Dioxine'), Dibenzofuranen (PCDFs, 'Furanen') und Biphenylen (PCBs) in Deutschland zu messbaren Veränderungen sensibler biologischer Parametern führt. Blut wurde im Alter von 11 Monaten von gestillten (für mindestens 4 Monate, n=80) und nicht gestillten Kindern (n=21) entnommen zur umfangreichen Untersuchung des Immunsystems, von biologischen Parametern im Plasma und von Parametern der Schilddrüsenfunktion. Die direkte Messung von PCDDs, PCDFs und PCBs im Plasma bei den Kindern und deren Müttern konnte die erwartete Akkumulation dieser Verbindungen bestätigen, die etwa 4-fach höheren Werten beim Kind (im Vergleich zu mütterlichen Werten) nach einer langen Stillperiode vom 40 Wochen entspricht. Es konnte keine signifikante Korrelation von den untersuchten biologischen Parametern mit den Fremdstoff-Konzentrationen gefunden werden. Somit konnten keine biologischen Effekte dieser in der Muttermilch ungewünschten Verbindungen nachgewiesen werden, und die bestehende Stillempfehlung konnte bekräftigt werden. Der zweite Fokus der Arbeit beschäftigt sich mit der Frage von biologischen Wirkungen bei zwei Frauen, die gegenüber der am meisten toxischen Dioxin-Verbindung exponiert wurden: 2,3,7,8-Tetrachlordibenzo-p-dioxin (TCDD). Diese Frauen hatten die höchsten je beim Menschen gemessenen Konzentrationen, eine der beiden leidet unter einer schweren Chlorakne. Es wurde ein breites Spektrum immunologischer Parameter untersucht sowie die Aktivität der Cytochrome P450 1A2 (CYP1A2) Aktivität in der Leber, die mit dem Koffein-Test gemessen wurde. Zum Vergleich wurden zwei Kontrollgruppen bestehend aus 30 Nichtrauchern bzw. 20 starken Rauchern untersucht unter Verwendung der gleichen Methoden. Die Ergebnisse des Koffein-Tests zeigen eine ca. 10-fach höhere CYP1A2-Aktivität bei den hoch TCDD-exponierten Frauen, während Tabakrauch (durchschnittlich 28 Zigaretten pro Tag) zu einem maximal 1,8-fachem Anstieg führte. Die immunologischen Untersuchungen zeigten keine Hinweise auf einen starken Einfluss von TCDD bei den hochexponierten Frauen. Es bestätigte sich, dass der Mensch relativ wenig sensibel ist in Hinblick auf die toxischen Effekte von TCDD. / The accumulation of lipophilic and biologically persistent chlorinated hydrocarbons in the food chain and the following relatively high exposure of breast-fed infants has caused concern about possible negative health effects in these children. One focus of the document is the question whether the contamination of human milk with polychlorinated dibenzo-p-dioxins (PCDDs, 'dioxins'), dibenzofurans (PCDFs, 'furans') and biphenyls (PCBs) in Germany leads to measurable changes of sensitive biological parameters. Blood was taken from breast-fed (for at least four months, n=80) and formula-fed infants (n=21) at the age of 11 months for extensive investigations regarding the immune system and biological parameters in plasma including those of the thyroid function. From direct measurements of PCDDs, PCDFs and PCBs in plasma of the children and their mothers, the expected accumulation of the compounds was confirmed, corresponding to about 4-times higher values in the infant (compared to maternal values) following a long duration of breast-feeding of 40 weeks. For the different biological parameters investigated, no significant correlation with concentrations of the xenobiotics was found. Therefore, biological effects of these unwanted compounds in human milk. could not be detected, and the existing recommendation for breast-feeding was emphasized. The second focus of the document is the investigation of biological changes in two women exposed to the most toxic dioxin: 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). These women had the highest concentrations of this compound ever measured in adults, one of them suffering from severe chloracne. A broad panel of immunological parameters was measured as well as hepatic cytochrome P450 1A2 (CYP1A2) activity using the caffeine test. For comparison, two age-matched control groups of 30 non-smokers and 20 heavy smokers were studied using the same methods. Results of caffeine tests showed an about 10-fold increase of CYP1A2 activity in the highly TCDD-exposed women, whereas tobacco smoke (28 cigarettes per day on average) was found to increase the activity 1.8-times maximally. Immunological investigations did not reveal a strong impact of TCDD in these highly exposed women. These results confirm that humans are relatively insensitive to the toxic effects of dioxins.

Review of the literature on the currently available services for special needs children and early intervention programs in the Kingdom of Saudi Arabia, supports the fact that early intervention services for young special needs children and their families are very limited. The present study aims at determining the importance of early intervention services for children with special needs and their families. The study also aims to firstly identify the need for establishing more early intervention programs across the country as well as to give suggestions for effective utilization of the presently available services. Secondly, the study focuses on determining the needs o mothers of children with intellectual and physical impairments. Thirdly, the study aims to assess the extent to which the available services are benefiting the special needs children and their families. A descriptive research study was conducted on a sample of 27 mothers of young children with intellectual and physical impairments. Three questionnaires were designed and distributed to obtain information about the following issues: 1) the current early intervention services available for young. special needs children in the Kingdom of Saudi Arabia and the Gulf countries. 2) the background information of the families of the sample. 3) the needs of the mothers in the sample. The data was qualitatively analyzed and interpreted by comparing frequencies and their corresponding percentage values. Results of this study indicated that the majority of the mothers expressed severe and moderate need for more information about their child's impairment; and needed more services and intervention programs for their child. Results from the study also established a relationship between some of the socio-economic background variables and the different categories of needs. Finally, some of the needs of the mothers were met with the early intervention services provided by the centre where the study was conducted. / Inclusive Education / D.Ed.(Special Education)

This dissertation investigates the literary and cinematic use of the child’s perspective to present the Mexican Revolution and the Spanish Civil War and their aftermath in several Mexican, Spanish, and international (Mexican-Spanish collaborative) narratives of the 20th and early 21st Centuries written by adult authors and filmmakers, and targeted for adult audiences. The Mexican narratives are Cartucho and Las manos de mamá by Nellie Campobello, Balún Canán by Rosario Castellanos, and Bandidos, a film by Luis Estrada; selected Spanish works are El espíritu de la colmena by Víctor Erice, Cría cuervos by Carlos Saura, and El sur by Adelaida García Morales; and both international works are films by Guillermo del Toro, El espinazo del diablo and El laberinto del fauno. I attempt to determine the textual or cinematic function of the child as first person (homodiegetic) narrative viewer in these works, and I study the different ways in which this child’s point of view is constructed in order to depict the overwhelming tragedy of war. I note patterns and diversities in subject matter presented by the narrative voice, and observe the characteristics of the child narrative viewer’s world and priorities (as presented by the authors and filmmakers), paying careful attention to how each perceives and understands his or her country’s violent upheaval and its aftermath. The theoretical framework of this investigation draws mainly from trauma theory, Gothic studies, and the tradition of the fairy tale. I illustrate how within the war narrative in addition to the author’s/filmmaker’s desire to recreate the sentiment that a child would evoke in adult readers and viewers, the child narrative viewer is employed for three main reasons: to play upon or against preexisting notions of the child’s innocence; to represent (possibly subversively) the nation; and as therapeutic means of returning to a paradise lost or creating a paradise never experienced. / text