Journal 11/17

1. Efficacy of behavior modification and yoga among the adolescent
2. Anthropometry & dental caries among intellectually disabled
3. An understanding of basic mathematical concepts by students with mild intellectual disabilities through the use of online digital games
4. Degree of intellectual disability, socio-demographic factors and manual dexterity as determinants of the periodontal status of intellectually disabled (ID) individuals
5. Swimming together - A splendid experience
6. Sentence discontinuous constituents and implicit learning limitations in Down Syndrome
7. Beyond the organization. Burnout and psychogeriatric work in the globalisation era
8. The broken mirror

2. Anthropometry & dental caries among intellectually disabled

Background and objectives: Intellectually disabled (ID) children are at a high risk for developing malnutrition which results in poor oral health. The aim of the present study is to assess and compare the anthropometric measures and oral health status of intellectually disabled and normal children.

Methods: A case-control study was conducted from March to May 2015, among 2-5 year old ID children in Sriganganagar, Rajasthan, India. The study sample comprised of 150 cases and controls each. The data was recorded during a face to face interview by two examiners (k= 0.81). A proforma gathered information regarding the type of disability, socio-demographic factors, sweet score and oral hygiene habits. The socio-economic status (SES) was assessed according to the revised Kuppuswamy’s SES scale. The clinical examination included anthropometric measures and the dmft index.

Results: In the study group 71 (47.33%), 45 (30%) and 34 (22.6%) children had mild, moderate and severe disability, respectively. Around 95 (63.3%) of the parents were graduates or had higher education qualification. Around 88 (58.70%) subjects were living in a nuclear family. A significant difference was reported among cases and controls in relation to Body Mass Index and sugar scores (p<0.05). The dmft was found to be greater among cases compared to controls with respect to underweight and normal weight categories (p<0.05).

Conclusions The present paired study uncovered the poor nutritional and oral health status of the ID children as compared to their siblings which was influenced by the disability and Intelligence Quotient levels. Due to limitations in intellectual functioning and adaptive behavior of ID children there is an urgent need of strategies to be implemented by the public health dentist towards making a balance between oral and nutritional health status of this group, including health education for their parents or guardians.

4. Degree of intellectual disability, socio-demographic factors and manual dexterity as determinants of the periodontal status of intellectually disabled (ID) individuals

Objectives: This study aims to assess the degree of intellectual disability, socio-demographic factors and manual dexterity as determinants of the periodontal state of the intellectually disabled (ID) of the north western part of India.

Methods: A cross-sectional study of questionnaires was carried out between 150 subjects via face-to-face interviews by two examiners (k = 0.86), on the type of disability, socio-demographic factors and oral hygiene habits. Clinical examination was conducted for manual dexterity and periodontal health assessment.

Results: There were no statistically significant differences between the ID subgroups in terms of gender, number of siblings, income, habits, visit to the dentist, reason for visit to the dentist and manual dexterity of brushing.

The mean plaque, gingival and CPITN score scores of severely disabled subjects were significantly higher.

Conclusions: Periodontal health is a major problem for schoolchildren with disabilities; Therefore, oral health promotion programs should target institutions and parents of children with disabilities

6. Sentence discontinuous constituents and implicit learning limitations in Down Syndrome

Children with Down syndrome experiment specific difficulties in morphosyntactical development. In particular, they demonstrate marked shortcomings in handling discontinuous constituents in sentences. It is suggested that these shortcomings stem from a conjugated deficit in some aspects of implicit procedural learning and relational semantics.Recommendations are made for rehabilitative intervention.

8. The broken mirror

This work is based on a nine month clinical experience in a adult psychiatric day hospital. I was participating in a talking group made up of patients with very different pathologies. I’ve decided to center this work on a patient in particular: Julien. On one hand, his way of seeing life seemed to be a lot different from mine, which was raising my interest. One the other hand, the countertransference he caused on the group and myself was also raising my interest. Julien is a carrier of the Asperger syndrome, trouble of the autistic spectrum. This syndrome is characterised by a lack of social comprehension, a limited capacity to communicate with others and a strong interest for a field in particular. Social learning of people with Asperger syndrome could be compared to scholar learning considering the time, focus and energy it demands (Attwood, 2006).

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