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Children’s first words are remarkably consistent over languages and over time: They first talk about people (dada, mama), food (juice), body-parts (eye), clothing (sock), animals (dog), vehicles (car), toys (ball), household objects (key), routines (bye), and activities (uhoh, up). Their first productions emerge between 12 months and 24 months, and they attain some 50 words in production about 6 months later. Earlier claims about a vocabulary spurt may rather reflect increased motor skill that aids production. Do children learn to produce nouns before verbs? The proportions of nouns and verbs differ by context, e.g., toy play versus book reading. Spontaneous speech samples and parental checklists of vocabulary often differ. Overall, production lags behind comprehension. This leads to communicatively driven overextensions in production until 2;6 or so, as well as reliance on general purpose terms (do, go, that). As children add more words, they stop using earlier overextensions. Early word meanings are based on children’s existing conceptual and perceptual categories, based on their experience of the world so far. And as they take different perspectives, they begin to use of different words for the same referent (animal, dog, pug; do, mend).
The proportion of the population living into old age has been increasing worldwide. For the first time in history, there are more older people than children under 5 years of age. The task for public health is to understand the relationships between ageing, health and the environment (physical, social and economic) in which people live, to promote healthy ageing and prevent the disability and subsequent dependency that is often associated with growing old.
This chapter examines the factors that lead to ageing populations and explores the health, social and economic consequences of the change in the population structure. It then goes on to outline strategies that can lead to healthy ageing and other public health actions that could help to manage the challenges posed – and the opportunities afforded – by the relative and absolute increase in the number of older people.
Scholarship on global environmental assessments call for these organisations to become more reflexive to address challenges around participation, inclusivity of perspectives, and responsivity to the policy domains they inform. However, there has been less call for reflexivity in IPCC scholarship or closer examination of how routine concepts condition scholarly understanding by focusing on science and politics over other social dynamics. In this article, I suggest that scholarly reflexivity could advance new analytical approaches that provide practical insights for changing organisational structures. Through reflecting on my understanding of the IPCC, I develop actors, activities, and forms of authority as a new analytical framework for studying international organisations and knowledge bodies. Through its application, I describe the social order of the IPCC within and between the panel, the bureau, the technical support units, the secretariat and the authors, which is revealing of which actors, on the basis of what authority, have symbolic power over the writing of climate change. The fine-grained analysis of organisations enabled by this analytical framework reveals how dominance can and is being remade through intergovernmental relations and potentially, identifies avenues that managers of these bodies can pursue to challenge it.
Written by a team of experienced teachers of Spanish, this textbook is designed to lead the adult beginner to a comprehensive knowledge of Spanish, giving balanced attention to the four key language skills (speaking, listening, reading and writing). It puts language learning into its real-life context, by incorporating authentic materials such as newspaper articles, poems and songs. It contains a learner and a teacher guide and is intended to complement study both inside and outside the classroom, by providing pair and group activities, as well as materials for independent learning. It also includes helpful reference features, such as a guide to grammatical terms, verb tables, vocabulary lists and a pronunciation guide. This extensively updated second edition features extra exercises to support the acquisition of good pronunciation, and is accompanied by a web companion that hosts expansion exercises, activities, solutions and useful links for each unit, as well transcripts, and access to brand new recordings of all the audio examples found in the book.
Studies of happiness have examined the impact of demographics, personality and emotions accompanying daily activities on life satisfaction. We suggest that how people feel while contemplating aspects of their lives, including their weight, children and future prospects, is a promising yet uncharted territory within the internal landscape of life satisfaction. In a sample of 811 American women, we assessed women’s feelings when thinking about major life domains and frequency of thoughts about each domain. Regression and dominance analyses showed that emotional valence of thoughts about major life domains was an important predictor of current and prior life satisfaction, surpassing, in descending order, demographics, participants’ feelings during recent activities, and their neuroticism and extraversion scores. Domains thought about more frequently were often associated with greater emotional valence. These results suggest that life satisfaction may be improved by modifying emotional valence and frequency of thoughts about life domains. Moreover, these thoughts appear to be an important and relatively stable component of well-being worthy of further study.
In Chapter 6, we defend the difference-making thesis of Causal Mechanism, that is, the view that mechanisms are underpinned by networks of difference-making relations, by showing that difference-making is more fundamental than production in understanding mechanistic causation. Our argument is two-fold. First, we criticise Stuart Glennan’s claim that mechanisms can be viewed as the truth-makers of counterfactuals and argue that counterfactuals should be viewed as metaphysically more fundamental. Second, we argue against the view that the productivity of mechanisms requires thinking of them as involving activities, qua a different ontic category. We criticise two different routes to activities: Glennan’s top-down approach and Phyllis Illari and Jon Williamson’s bottom-up approach. Given these difficulties with activities and mechanistic production, it seems more promising to start with difference-making and give an account of mechanisms in terms of it.
Questionnaires documenting children's bilingual experience have been used frequently in research on language and cognitive development. However, there has been little investigation of the comparability between these tools. In this review, we (i) provide a list of available questionnaires used to quantify bilingual experience in children; (ii) identify the components of bilingual experience documented across questionnaires; and (iii) discuss the comparability of the measures used to operationalise these components. In doing so, we review 48 questionnaires and identify 32 overarching constructs, manifested as 194 components, and we calculate the frequency with which they are documented. Finally, by focusing on a subset of overarching constructs (language exposure and use, activities, and current language skills), we observe high variability in how they are operationalised across tools. These findings highlight the need for greater transparency in how we document bilingualism and for more comparable measures.
The association between everyday activities, health and subjective wellbeing in older adults has mostly been examined using different activities as separate variables. Which activities are likely to come together in individuals’ daily time-use patterns, or in what context, has not yet been analysed. This study looks at a broad range of spontaneously reported activities, their location and social context to identify latent behavioural classes. The data used in the study came from a sample of 200 non-institutionalised adults aged 65 and above. Activity data were collected using the Experience Sampling Method. Generalised structural equation modelling was used to identify the classes. Three distinctive behavioural classes, representing different lifestyles, emerged: passive domiciliary, active functional and social recreational. They constituted 30, 53 and 17 per cent of the sample, respectively. Class membership was related to individuals’ age, education and selected dimensions of health measured using the Nottingham Health Profile: energy levels and emotional response. There was consistency between the objectively measured class and an individual's subjective assessment of their physical and emotional health. While both class membership and subjective wellbeing were associated with health, the relationship between class and wellbeing was weak and fully explained by socio-demographic and health-related variables.
The field of psychiatry extends from diagnosis to treatment, including prevention and various cognitive behavioral and emotional disorders.
Objectives
To study the activity of Mahdia’s psychiatric department in order to improve its outcomes.
Methods
This study was retrospective based on reporting data of the inpatients during 3 years (2016-2018) and then analyzing them.
Results
This study involved 395 patients with an average age 36.6 years. The sex ratio M/F was 1.58. The prevalence of the disorders was more marked with the low socio-economic level, school failure and unemployment. 37% had a family psychiatry history and schizophrenia was the most common. 75.5% had a personal psychiatric history and 16.8% had a history of suicide attempt. Schizophrenia (28%), Bipolar Disorder (22.1%) and Depression (14.7%) were the main conditions. The majority 79.2% had irregular medical follow-up, 44% had poor therapeutic adherence. The majority 86.6% were hospitalized without consent. The most common reason was aggression and the average length of stay was 19.47 days. The mean duration of parenteral therapy was 4.38 days. Electro-convulsive therapy was indicated for only 16 patients. Typical antipsychotics were the most prescribed 37.4%. The exit treatment was monotherapy in 14.3% and polytherapy in 83.4%. The exit destination was home in 98% and the obligation follow-up was only indicated in 2.8% (11patients).
Conclusions
This study is at the heart of psychiatric news with many questions around these coercive practices at legal and ethical level, particularly respect for freedom, legitimacy of these measures, patients’ safety and the quality of the treatments.
Marshall’s contribution to welfare economics is often summarized in the analytical tools developed in his Principles of Economics. This paper places Marshall’s views on welfare or rather ‘wellbeing’ in more broad perspective including his notes on ‘Economic Progress’; how Marshall thought of ‘economic, as well as the moral, wellbeing’, in his ‘high theme of economic progress’ or ‘organic life-growth’. It shows how he thought of the progress and ‘wellbeing’, economic as well as ‘physical, mental and moral’, in relation to ‘standards of life’ and to ‘quality of life’, ‘fullness of life’; and it aims to shed a fresh light to reconsider the welfare economic thought of Marshall.
Learning science through an inquiry approach involves children asking questions, exploring and investigating phenomena through the manipulation of materials, gaining experiences and making observations, and developing explanations for those experiences. This approach has many advantages, including engagement in science, enhancing scientific concepts and skills, supporting the use of evidence and allowing children to experience working like scientists. This chapter describes inquiry-based science learning and the components of the scientific inquiry process. Various practical activities that can be used to enhance children’s scientific inquiry skills are also presented.
In the context of demographic aging, preventing autonomy loss is a major issue. Adapting care systems to help keep seniors at home is a daily challenge. “La Mutualité Française”, a national mutual insurance company, has implemented in one of its healthcare services an innovative program to strengthen well-being: “The Well-Being Autonomy Pole.” This program comprises five Prevention and Support Care components and hypothesizes that strengthening the well-being of elderly people already suffering from physical limitations would prevent their autonomy decline. The originality of this program is its focus on elderly people who have rarely been studied in terms of preventing autonomy loss, given their existing functional limitations. A first evaluation was carried out over three months to verify the methodological feasibility of an impact assessment and to provide preliminary results on the effectiveness of the program. Key findings suggest improved levels of self-esteem, physical well-being, psychological autonomy and decreased anxiety. Methodological limitations of this first feasibility assessment and perspectives for future research are discussed.
Montessori-based interventions (MBIs) were developed to promote guided participation in meaningful activities by people with dementia patients. In this study, we assessed nursing home volunteers’ fidelity to an MBI, relying primarily on a qualitative descriptive design. We completed a deductive content analysis of eight volunteer interviews using the Conceptual Framework for Intervention Fidelity. We also calculated average volunteer and resident scores on the Visiting Quality Questionnaire (VQQ), which assesses volunteers’ and residents’ perceptions of visits. We found good evidence that volunteers attended scheduled visits, made use of pre-designed activities, and attended to training recommendations. Most reported enjoying the visits (VQQ $ \overline{x} $ = 6.12, standard deviation [SD] = 0.75) and receiving a positive response from residents (VQQ $ \overline{x} $ = 5.46, SD = 0.88). Nevertheless, use of pre-designed activities and response to the MBI was lower for volunteers working with residents who had late-stage dementia. Therefore, overall, fidelity depended on the cognitive status of the resident.
The development and expansion of communication skills occurs across our entire lifespan. However, the foundations are established in our early years. In this chapter, we define communication and distinguish between different types of communication. We describe stages in the development of communication skills in the early years, explore the key achievements associated with each stage, and identify features that may indicate concerns at each stage. Finally, we discuss the links between oral and written communication skills and we suggest strategies for stimulating and supporting communication development across the early years.
A Round Table discussion on the future of Laboratory Astrophysics and the role of IAU Commission B5 was held on the fourth day of the conference to discuss how the IAU Laboratory Astrophysics Commission (B5) can best support the astronomy community and help promote laboratory astrophysics.
To explore the aspects of daily life that give people with young-onset dementia (YOD) a sense of usefulness.
Methods:
Eighteen people with YOD and 21 informal caregivers participated in this qualitative study. Participants were recruited from specialized day-care centers for people with YOD in the Netherlands. Four focus groups were conducted with people with YOD, and four with informal caregivers. Focus groups were audio-recorded, transcribed, and analyzed using inductive content analysis.
Results:
Four themes emerged from the analysis: (1) staying engaged, (2) loss in daily life, (3) coping and adaptation, and (4) external support. Staying engaged in activities that provide a sense of usefulness or participating in leisure and recreational activities as much as possible in daily life emerged as the key theme. Retaining a sense of usefulness was considered both important and possible by having social roles or participating in functional activities. The importance of activities providing a sense of usefulness seemed to decrease over time, while the need for pleasant activities seemed to increase. Experienced loss, coping, adaptation, and available external support are important parts of the context in which the person with YOD tries to engage in daily life as much as possible. Active coping styles and external support appear to play a facilitating role in staying engaged.
Conclusions:
It is important for people with YOD to have the opportunity to feel useful; especially in the early stages of the condition. Caregivers should be educated in ways to enhance a sense of usefulness and engagement in daily life for people with YOD.
Retirees' encounter with time has long interested social scientists, especially the negotiation of such an open-ended status. Pursuing theoretical suggestions that daily activities anchor a narrative of self-identity, this project examined the coherence of retirees' representations of their time use. Information is drawn from interviews with 30 retirees in the Midwestern United States of America who were invited to discuss their daily lives and activities. The retirees valued time sovereignty and accounted for their time use by describing schedules of activities in some detail. Daily time was not presented as improvised but rather as structured into routines. Recurring behaviours flowed from situations and structures in which people were implicated, such as body care and living with others. Even in replies to a specific question about the preceding day, people slipped into language about what they typically do. Retirees' ready narratives about routines were also accounts of who they are not. Our findings suggest, first, that daily routines are instrumental for retirees in economising thought and behaviour. Second, the assertion of a routine is an assurance that one's life is ordered and proceeds with purpose, thus solving the task of time. Third, routines can be a means to signal conformity with ideals of active ageing.
Despite mounting evidence that principles of palliative care are appropriate in care for individuals with dementia they are often not applied. As a result, patients with dementia are often exposed to burdensome interventions that have little or no benefit and are not provided with psychosocial treatments.
Methods:
Recommendations for applying palliative care principles in caring for people with dementia are provided, based on the WHO definition of palliative care, our clinical experience and some key literature reports.
Results:
People with a diagnosis of an irreversible dementia such as Alzheimer's disease (AD) and their families are rarely informed that this is a terminal disease and palliative care principles are not discussed with them. They are applicable early in the course of illness when the person can still make end-of-life decisions. Palliative care can be used in conjunction with other therapies and services, such as hospice care that provide relief from pain and other distressing symptoms. The care should include keeping people with dementia involved in meaningful activities which decrease or eliminate behavioral symptoms of dementia.
Conclusions:
Educating families and professionals about palliative care is important as many professionals and non-professionals believe that this approach intends to hasten death, instead of affirming life and regarding dying as a normal process. Living, not just existing, with a dementing illness involves encouraging the person to continue to be involved in meaningful activities. Medical interventions should be compatible with goals of care and balance benefits and burdens for each intervention taking into consideration severity of dementia.
Occupation remains an unmet need in long-term dementia care. To increase residents’ occupation, knowledge of types of occupation related to wellbeing, and organizational and environmental characteristics encouraging involvement in these types of occupation, is indispensable.
Methods:
In this explorative study, Dementia Care Mapping was used to study involvement in different types of occupation and wellbeing among 57 residents of 10 dementia care facilities. For each type of occupation, mean experienced wellbeing was studied. Occupation types with high mean wellbeing scores were classified as “wellbeing-enhancing occupation.” Care facilities were ranked according to the mean time residents spent in types of wellbeing-enhancing occupation. Using information on staff-to-resident ratio, individual space, and items of the Physical Environment Evaluation Component of Dementia Care Mapping, organizational and environmental characteristics of the facilities were compared to study their relationship with wellbeing-enhancing occupation.
Results:
Reminiscence, leisure, expression, and vocational occupation had greatest potential to enhance wellbeing, but these types were seldom offered. Much variation existed in the extent to which wellbeing-enhancing occupation was provided. Long-term care facilities that did so more frequently generally had a more homelike atmosphere, supported social interaction through the environment, and had no central activity program.
Conclusions:
This study suggests that it is possible to engage residents in wellbeing-enhancing occupation, within current means of budget and staff. The physical environment and care organization might play a role, but the key factor seems to equip staff with skills to integrate wellbeing-enhancing occupation into care practice.
The objective of this study is to describe the relationships between grandchildren and their favourite grandparents, by studying the socialization styles used by latter and the shared activities undertaken. The participants were 360 children between 10 and 12 years old, who completed the grandparent-grandchild relationship questionnaire of Rico, Serra and Viguer (2001) and the socialization questionnaire of Rey and Ruiz (1990). The results demonstrate the importance of gender and family line in the selection of the favourite grandparent, differences being shown in the types of shared activities and in socialization styles. It is concluded that in the majority of cases the profile of the favourite grandparent is the maternal grandmother, retired or a house wife, aged between 60-70, who lives in the same city as his/her grandchild, and who has contact with them several times a week. Furthermore, favourite grandparents get more involved with granddaughters than with grandsons, both in support and care activities and in cultural-recreational activities, and they primarily employ a democratic style. However, there are differences depending on the gender of the grandchild, with democratic principles being used more with girls and authoritarian ones with boys.