A epilepsia é uma desordem cerebral definida por pelo menos duas crises não provocadas ocorrendo em um intervalo maior que 24 horas, uma crise não provocada e uma probabilidade de futuras crises similar ao risco de recorrência geral depois de duas crises não provocadas (pelo menos 60%) nos próximos 10 anos; ou o diagnóstico de uma síndrome epiléptica. Após o diagnóstico do tipo de epilepsia, existem situações em que o paciente não responde ao tratamento medicamentoso, apresentando pelo menos uma crise epiléptica por mês por um período mínimo de 2 anos. Se durante esse período, dois ou três diferentes fármacos antiepilépticos foram utilizados em monoterapia ou politerapia, e o paciente não obtém controle das crises, configura-se o quadro de epilepsia farmacorresistente. A intervenção cirúrgica é uma opção para essas crianças, atuando no controle das crises e, potencialmente no desenvolvimento neuropsicomotor. Neste estudo, avaliamos as variáveis clínicas como a idade de início da epilepsia, duração da epilepsia, frequência de crises, etiologia e a Escala de Comportamento Adaptativo de Vineland (ECAV) para caracterizar aspectos referentes aos domínios da comunicação, socialização, habilidades diárias e habilidades motoras, no período pré e pós-operatório de cirurgia de epilepsia. A nossa intenção foi determinar o impacto da cirurgia de epilepsia no desempenho dos pacientes nessas esferas avaliadas pela ECAV. Como resultados, encontramos que o grupo de participantes livre de crises após a cirurgia de epilepsia apresentou melhor desempenho cognitivo na segunda avaliação pós-operatória, quando comparado ao grupo que não teve controle de crises. A variável clínica duração da epilepsia influenciou a equivalência etária e as pontuações padrão da ECAV no período pré-operatório, sendo considerada determinante para o atraso neuropsicomotor dos pacientes submetidos à cirurgia de epilepsia. Quanto aos fatores preditivos de melhora das crises pós-operatórias, observou-se que Engel e cirurgia foram as variáveis consideradas significativas. A maioria dos pacientes (63,9%) na segunda avaliação pós-operatória ainda apresentou convulsões ou não obteve melhora. Nos achados da investigação sobre o impacto das crises em relação ao desenvolvimento neuropsicomotor na primeira avaliação 21,3 meses após a cirurgia, foi observado um ganho abaixo do esperado de apenas 4,4 meses na equivalência etária, não evidenciando melhora em curto prazo após a cirurgia, independente do controle de crises. Após 41,3 meses do procedimento cirúrgico os pacientes que apresentaram controle de crises tiveram ganhos adaptativos significativos de 15 meses na equivalência etária quando comparados com os que não apresentavam controle das crises. Nesses últimos pacientes, a equivalência etária permaneceu praticamente estável com um incremento de apenas 3 meses quando analisada as fases pré e pós - operatória / Epilepsy is a disease of the brain defined by at least two unprovoked seizures occurring 24 h apart, one unprovoked seizure and a probability of further seizures like the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years or diagnosis of an epilepsy syndrome. After epilepsy diagnosis, there are situations where patients do not respond to drug treatment, developing one seizure per month for a minimum of 2 years. If during this period two or three antiepileptic drugs different used as monotherapy or in combination, a condition known as drug-resistant epilepsy. Epilepsy surgery is an option for children with drug-resistant epilepsy acting on the seizure control seizures and, potentially on neuropsychomotor development. In this study, we evaluated clinical variables such as epilepsy age of onset, epilepsy duration, seizure frequency, etiology and adaptive behavior scale of Vineland to characterize aspects related to age equivalence through the domains of communication, socialization, daily skills and motor skills pre- and post-surgical period. Our intention was to determine the impact of epilepsy surgery on the performance of patients in these areas evaluated by Vineland. Thus, we found that the seizure free group participants showed better cognitive performance in the second evaluation, compared to the group that not seizure controlled. The clinical variable duration of epilepsy influenced the age equivalence and standard Vineland scores in the preoperative period, being considered determinant for the neuropsychomotor delay of patients submitted to epilepsy surgery. Regarding the predictive factors of improvement of postoperative crises, it was observed that Engel and surgery were the variables considered significant. The majority of the patients (63.9%) in the second postoperative evaluation still had seizures or did not improve. The findings of the research on the impact of crises on neuropsychomotor were that in the first evaluation 21.3 months after surgery there was a below-expected gain of only 4.4 months of age equivalence, not showing improvement in the short term after surgery, independent of control crisis. After 41.3 months of the surgical procedure, the patients presenting with seizure control had significant adaptive gains of 15 months when compared to those without seizure control. In the latter patients, the age equivalence remained practically stable with an increase of o preoperative only 3 months, analyzing the phases pre and postoperative evaluation

A epilepsia é uma desordem cerebral definida por pelo menos duas crises não provocadas ocorrendo em um intervalo maior que 24 horas, uma crise não provocada e uma probabilidade de futuras crises similar ao risco de recorrência geral depois de duas crises não provocadas (pelo menos 60%) nos próximos 10 anos; ou o diagnóstico de uma síndrome epiléptica. Após o diagnóstico do tipo de epilepsia, existem situações em que o paciente não responde ao tratamento medicamentoso, apresentando pelo menos uma crise epiléptica por mês por um período mínimo de 2 anos. Se durante esse período, dois ou três diferentes fármacos antiepilépticos foram utilizados em monoterapia ou politerapia, e o paciente não obtém controle das crises, configura-se o quadro de epilepsia farmacorresistente. A intervenção cirúrgica é uma opção para essas crianças, atuando no controle das crises e, potencialmente no desenvolvimento neuropsicomotor. Neste estudo, avaliamos as variáveis clínicas como a idade de início da epilepsia, duração da epilepsia, frequência de crises, etiologia e a Escala de Comportamento Adaptativo de Vineland (ECAV) para caracterizar aspectos referentes aos domínios da comunicação, socialização, habilidades diárias e habilidades motoras, no período pré e pós-operatório de cirurgia de epilepsia. A nossa intenção foi determinar o impacto da cirurgia de epilepsia no desempenho dos pacientes nessas esferas avaliadas pela ECAV. Como resultados, encontramos que o grupo de participantes livre de crises após a cirurgia de epilepsia apresentou melhor desempenho cognitivo na segunda avaliação pós-operatória, quando comparado ao grupo que não teve controle de crises. A variável clínica duração da epilepsia influenciou a equivalência etária e as pontuações padrão da ECAV no período pré-operatório, sendo considerada determinante para o atraso neuropsicomotor dos pacientes submetidos à cirurgia de epilepsia. Quanto aos fatores preditivos de melhora das crises pós-operatórias, observou-se que Engel e cirurgia foram as variáveis consideradas significativas. A maioria dos pacientes (63,9%) na segunda avaliação pós-operatória ainda apresentou convulsões ou não obteve melhora. Nos achados da investigação sobre o impacto das crises em relação ao desenvolvimento neuropsicomotor na primeira avaliação 21,3 meses após a cirurgia, foi observado um ganho abaixo do esperado de apenas 4,4 meses na equivalência etária, não evidenciando melhora em curto prazo após a cirurgia, independente do controle de crises. Após 41,3 meses do procedimento cirúrgico os pacientes que apresentaram controle de crises tiveram ganhos adaptativos significativos de 15 meses na equivalência etária quando comparados com os que não apresentavam controle das crises. Nesses últimos pacientes, a equivalência etária permaneceu praticamente estável com um incremento de apenas 3 meses quando analisada as fases pré e pós - operatória / Epilepsy is a disease of the brain defined by at least two unprovoked seizures occurring 24 h apart, one unprovoked seizure and a probability of further seizures like the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years or diagnosis of an epilepsy syndrome. After epilepsy diagnosis, there are situations where patients do not respond to drug treatment, developing one seizure per month for a minimum of 2 years. If during this period two or three antiepileptic drugs different used as monotherapy or in combination, a condition known as drug-resistant epilepsy. Epilepsy surgery is an option for children with drug-resistant epilepsy acting on the seizure control seizures and, potentially on neuropsychomotor development. In this study, we evaluated clinical variables such as epilepsy age of onset, epilepsy duration, seizure frequency, etiology and adaptive behavior scale of Vineland to characterize aspects related to age equivalence through the domains of communication, socialization, daily skills and motor skills pre- and post-surgical period. Our intention was to determine the impact of epilepsy surgery on the performance of patients in these areas evaluated by Vineland. Thus, we found that the seizure free group participants showed better cognitive performance in the second evaluation, compared to the group that not seizure controlled. The clinical variable duration of epilepsy influenced the age equivalence and standard Vineland scores in the preoperative period, being considered determinant for the neuropsychomotor delay of patients submitted to epilepsy surgery. Regarding the predictive factors of improvement of postoperative crises, it was observed that Engel and surgery were the variables considered significant. The majority of the patients (63.9%) in the second postoperative evaluation still had seizures or did not improve. The findings of the research on the impact of crises on neuropsychomotor were that in the first evaluation 21.3 months after surgery there was a below-expected gain of only 4.4 months of age equivalence, not showing improvement in the short term after surgery, independent of control crisis. After 41.3 months of the surgical procedure, the patients presenting with seizure control had significant adaptive gains of 15 months when compared to those without seizure control. In the latter patients, the age equivalence remained practically stable with an increase of o preoperative only 3 months, analyzing the phases pre and postoperative evaluation

This study investigated the relationship between the Vineland Social Maturity Scale (VSMS) and the Adaptive Behavior Scale (ABS) in their assessment of adaptive behavior. Both scales, the VSMS and the ABS, were administered to a randomized sample of male and female residents of varying degrees of mental retardation. The ABS and the VSMS were administered by those hospital staff who were most familiar with the members in the sample. The scores from the ABS and the scores from the VSMS were then correlated. Additional correlations were carried by matching the sub-categories of the VSMS with the domains of the ABS.The results of this study indicate that there exists a significant relationship between the Adaptive Behavior Scale and the Vineland Social Maturity Scale. In the assessment of adaptive behavior one scale may be substituted for the other in those situations where an overall index of adaptive behavior is required.One of the major differences between the two scales is that the Adaptive Behavior Scale provides an extensive survey of personality and behavior disorders which identify areas that prevent progress in adaptive growth. As the assessment of maladaptive behavior is a major concern in the management of the mentally retarded, the Adaptive Behavior Scale has been found to be the preferred scale in this investigation.

Thesis (Ph.D.)--Texas Woman's University, 2008. / Adviser: Karen Petty. Includes bibliographical references.

The current set of experiments examined the utility of implementing the Promoting the Emergence of Advanced Knowledge (PEAK) Relational Training System (Dixon, 2014a, 2014b), an empirically validated assessment and intervention guide developed for children diagnosed with autism spectrum disorder (ASD), within Intensive Behavioral Intervention (IBI). Experiment 1 examined the relationship between scores on the commonly used Vineland Adaptive Behavior Scales Second Edition (VABS-II) (Sparrow, Cicchetto, & Balla, 2005) and scores on the PEAK Direct Training (PEAK-DT) (Dixon, 2014a) and PEAK Generalization (PEAK-G) (Dixon, 2014b) program assessments to examine additional psychometric properties suggesting the potential utility for use within IBI services. Experiment 2 examined the extent to which the PEAK manual (Dixon, 2014b) or additional staff training increased PEAK discrete trial training (DTT) procedural integrity of staff providing IBI to children diagnosed with ASD. Experiment 3 examined the effects of PEAK-G curriculum and instruction on the advanced language skills of children with ASD receiving IBI services. Results suggest that PEAK may be a valid assessment tool and effective intervention guide for use in IBI. Also, the manual and other effective staff training procedures (e.g., feedback, behavioral skills training) effectively enhance PEAK-G DTT procedural integrity. Lastly, the set of experiments in the current paper contributes to the dissemination of empirically based, behavior-analytic research that contributes to practical assessments and advanced interventions for children diagnosed with ASD. Specifically, PEAK-G enhances the language repertoires of children diagnosed with ASD through direct contingencies and programming for generalization across generalization gradients.

No description available.

The four novels - The Floating Opera, The End of the Road, White Noise, and Vineland - are representative of the cultural shift away from traditional moral concepts after World War II. Popular culture has increasingly become the guiding force for the continuation of American society, and in Don DeLillo�s White Noise, popular culture and its creation of myth (according to the author�s representation of America) has become embedded in the system and life of contemporary America. John Barth�s novel The End of the Road and its predecessor The Floating Opera are important in any discussion of the role of popular culture and popular mythology in post-war America. They both appear to signal an end to sincere intellectual thought or debate, and the notion of imposing a rational moral world upon the social landscape surrounding the individual. The Floating Opera explores the common tendency of society to avoid difficult intellectual struggles, and the central character and first-person narrator ultimately realises that questions about the nature of existence are of no objective value. In The End of the Road the character Jacob Horner adopts a superficial reflection of pre-existing rules and social conventions. Together these novels reflect much of what is at present understood as the postmodern aesthetic, and are indicative of many of the changes in America that were about to occur. The Floating Opera was published in 1956 and The End of the Road was published in 1958, but they are still highly relevant beyond the period in which they were written. White Noise (1984) portrays a system founded on the Hollywood mythology, and the superficial reflection of pre-existing rules and social conventions found in The End of the Road. The novel revolves around the experiences of the narrator, Jack Gladney, a university lecturer who teaches Hitler studies at Blacksmith College, and his wife Babette. The course which he teaches on Hitler is influenced by Hollywood myth, and the novel portrays a consumer-based society that has lost much of the firm moral basis which traditional religious concepts formerly supplied. The role of television, Hollywood, and the idea of simulation are all explored throughout the novel and are important forces in any examination of post-war American society. Finally, in Vineland (1990) the social upheavals which occurred during the late �60s and early �70s are explored from the perspective of the 1980s. The novel refers to a vast array of images and icons from popular culture, and the brief youth rebellion, in the late �60s, which failed to inspire any final social revolution. The result of this failed social revolution is a landscape of popular culture in modern America, where Godzilla leaves footprints in Japan and popular mythology from television or pulp novels coincides with everyday life. There are references in typical Pynchonesque fashion to those who must necessarily be orchestrating these social and cultural alterations, but they, as specific individuals, remain anonymous or hidden from the scope of the author (although, as in White Noise, there are deliberate references to the CIA and other agencies or departments within the U.S. Federal Government). Vineland is important, therefore, both as an account of the social changes which occurred in America between the late �60s and �80s, and the increasing role of popular culture in America. These four novels form the basis of an exploration of the role of popular mythology and popular culture in post-war America. They form a clear progression, and allow a detailed analysis of the social and cultural changes which contemporary America has undergone since the end of World War II.

The four novels - The Floating Opera, The End of the Road, White Noise, and Vineland - are representative of the cultural shift away from traditional moral concepts after World War II. Popular culture has increasingly become the guiding force for the continuation of American society, and in Don DeLillo�s White Noise, popular culture and its creation of myth (according to the author�s representation of America) has become embedded in the system and life of contemporary America. John Barth�s novel The End of the Road and its predecessor The Floating Opera are important in any discussion of the role of popular culture and popular mythology in post-war America. They both appear to signal an end to sincere intellectual thought or debate, and the notion of imposing a rational moral world upon the social landscape surrounding the individual. The Floating Opera explores the common tendency of society to avoid difficult intellectual struggles, and the central character and first-person narrator ultimately realises that questions about the nature of existence are of no objective value. In The End of the Road the character Jacob Horner adopts a superficial reflection of pre-existing rules and social conventions. Together these novels reflect much of what is at present understood as the postmodern aesthetic, and are indicative of many of the changes in America that were about to occur. The Floating Opera was published in 1956 and The End of the Road was published in 1958, but they are still highly relevant beyond the period in which they were written. White Noise (1984) portrays a system founded on the Hollywood mythology, and the superficial reflection of pre-existing rules and social conventions found in The End of the Road. The novel revolves around the experiences of the narrator, Jack Gladney, a university lecturer who teaches Hitler studies at Blacksmith College, and his wife Babette. The course which he teaches on Hitler is influenced by Hollywood myth, and the novel portrays a consumer-based society that has lost much of the firm moral basis which traditional religious concepts formerly supplied. The role of television, Hollywood, and the idea of simulation are all explored throughout the novel and are important forces in any examination of post-war American society. Finally, in Vineland (1990) the social upheavals which occurred during the late �60s and early �70s are explored from the perspective of the 1980s. The novel refers to a vast array of images and icons from popular culture, and the brief youth rebellion, in the late �60s, which failed to inspire any final social revolution. The result of this failed social revolution is a landscape of popular culture in modern America, where Godzilla leaves footprints in Japan and popular mythology from television or pulp novels coincides with everyday life. There are references in typical Pynchonesque fashion to those who must necessarily be orchestrating these social and cultural alterations, but they, as specific individuals, remain anonymous or hidden from the scope of the author (although, as in White Noise, there are deliberate references to the CIA and other agencies or departments within the U.S. Federal Government). Vineland is important, therefore, both as an account of the social changes which occurred in America between the late �60s and �80s, and the increasing role of popular culture in America. These four novels form the basis of an exploration of the role of popular mythology and popular culture in post-war America. They form a clear progression, and allow a detailed analysis of the social and cultural changes which contemporary America has undergone since the end of World War II.

No description available.

The purpose of this study was to explore and describe themes of resilience in the expressions and behaviours of six-year-old children with regard to the mother-child relationship, where the mothers are infected with HIV&AIDS. Themes of resilience were investigated within the framework of positive psychology. A study of limited scope was conducted from a phenomenological paradigm. I followed a mixed method methodological paradigm based on a case study design. I purposefully selected eleven six-year-old participants whose mothers are infected with HIV&AIDS from a five-year randomised control trail study (Kgolo Mmogo). Qualitative data collection methods included the transcriptions of structured baseline interviews relating to the Kinaesthetic Family Drawing (KFD), as well as the KFD per se. I utilised the scores from the Vineland Adaptive Behavior Scale (Vineland) as uantitative data collection strategy. The transcriptions were analysed by means of an inductive thematic analysis. For the analysis of the KFD I developed and piloted a framework of analysis. The raw scores from the Vineland were compared with the appropriate age norms and compared with themes of resilience identified from the KFD as well as the transcripts of the interviews. I identified both internal and external resources of resilience. The findings of my study illustrate the presence of themes of resilience as well as non-resilience within the participants and the mother-child relationships. More factors of resilience (protective factors) than non-resilience (risk factors) were identified. Secondly, it seems possible to use the KFD with the Vineland when exploring resilience as insights from both mother and child participants are measured. The integrated results from the different data sources indicate that although the results of the KFD and the transcriptions did not correlate with the results obtained from the Vineland, the results from the different data sources supplement one another. The use of the KFD as a measure to generate data related to resilience made it possible to evaluate adaptation and resilience in a specific cultural context unlike the Vineland. The results from the data sources indicate resilience and/or non-resilience in the mother-child relationship in terms of three categories namely, protective factors (Expressive Language Skills, Interpersonal Relationships and Play and Leisure Time), risk factors (Coping Skills and Gross Motor Skills) and a balance between protective and risk factors (Receptive Language, Daily Living Skills, personal and domestic, as well as Fine Motor Skills). It is feasible to use the KFD as a measure to identify themes of resilience and non-resilience when the drawing is accompanied by an interview. / Dissertation (MEd)--University of Pretoria, 2010. / Educational Psychology / unrestricted