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Then for each sentence, choose the answer that seems to describe you for the last 3 months. Read each phrase and decide if it is ?Not True or Hardly Ever True or ?Somewhat True or Sometimes True or ?Very True or Often True for you. Then for each sentence, fll in one circle that corresponds to the response that seems to describe you for the last 3 months. Read each statement carefully and decide if it is ?Not True or Hardly Ever True or ?Somewhat True or Sometimes True or ?Very True or Often True for your child. Then for each statement, fll in one circle that corresponds to the response that seems to describe your child for the last 3 months. Please respond to all statements as well as you can, even if some do not seem to concern your child. Any Early Not smiling in response to being smiled at, or making eye contact Red Flags? Impairments in Social Communication and Social Interaction three domains of impairment in this area should include A) defcits in social-emotional reciprocity, B) defcits in nonverbal communication for social interaction, and C) defcits in developing, maintaining, and understanding relationships. May ask for evaluation of intellect, academic progress, social and communication skills including pragmatic or social language, and occupational and adaptive function as all are relevant to the school setting. Parents of children with disabilities can also contact Parent Information Center at Individually evaluate/address any defcits in the following areas (might consider a formal autism evaluation): Speech and language defcits: consider referral to speech/language therapist Social skills defcits: consider social skills groups or a speech/language therapist Sensory sensitivities/motor abnormalities that impact function: consider referral to occupational or physical therapy Maladaptive behavior that afects function: consider referral to a behavioral therapist, psychologist, or psychiatrist Medical Evaluation: 1. Consider epilepsy if comorbid intellectual or global developmental delay, or decline in functioning. Monitor closely for treatable medical problems like ear infections and constipation which can worsen symptoms. Primary References: Johnson C, Myers S, Council on Children with Disabilities, ?Identifcation and Evaluation of Children with Autism Spectrum Disorders, Pediatrics 120(5): November 2007: 1183-1215. Myers S, Johnson C, Council on Children with Disabilities, ?Management of Children with Autism Spectrum Disorders, Pediatrics 120 (5), November 2007: 1162-1182. Intensive Goal is to teach pragmatic or social language skills, behavioral therapy and related training methods rewarding any steps child makes in this direction. The picture and communication skills and by reducing maladaptive exchange system lets the child and others point to behaviors. Speech/Language therapists are commonly available by establishing a baseline and monitoring progress, in most communities and/or schools. Parental involvement is a major factor in treatment success Social Skills Training: parents help identify target skills and behaviors, and. Social skills training often uses social stories, role-playing, and peer skills groups. The behavior is then modifed by changing distressed) to help children anticipate new events or these factors. Social skills training may become a Using Functional Analysis, and ?Autism Resources: primary focus of the school environment to teach Information for Families.
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Common Behavior Challenges Temper Tantrums A temper tantrum is a strong outburst of challenging behavior, such as whining, crying, screaming, kicking, hitting or breath-holding. Temper tantrums are common for preschoolers and toddlers as they try to gain more control over their lives. Children this age often lack the language skills to express their feelings and use temper tantrums to show frustration or anger. Temper tantrums often occur when a child is tired, hungry, uncomfortable or trying to get your attention. Shaking an infant or a child in a moment of frustration or anger can cause serious harm or death. Infants have weak neck muscles and heavy heads, and when an infant is shaken, the head fops back and forth, causing serious damage. Shaking an infant or a child can cause severe injury, resulting in problems ranging from brain damage to death. Remember, no matter how frustrated or angry you feel, never shake an infant or a child! After children have had a temper tantrum, praise their efforts to gain control of their feelings but do not reward bad behavior. As a babysitter, it is important for you to understand that children are allowed to express their feelings, even angry ones, but it is not okay for children to behave badly when they are angry. Although older children may stomp or slam a door in anger, school-age children are too old for temper tantrums. If a school-age child is having a temper tantrum, give him or her some time to gain control then try to? Breath-Holding Some children purposely hold their breath when they are having a temper tantrum as a way to gain control over the situation. A child who holds his or her breath on purpose is not in danger and this behavior should be ignored. However, some children may have a medical condition known as breath-holding spells. Children who have breath-holding spells may momentarily stop breathing in some stressful situations. If you know that the child you are babysitting has breath-holding spells, then during a spell, have the child lay fat on the foor or the ground. After the spell, briefy comfort the child and continue with the activity that was occurring prior to the breath-holding spell. If the child you are babysitting begins holding his or her breath and is not known to have breath-holding spells, care for the conditions you fnd. For excessive crying in infants due to cold, dress the infant warmly or adjust the temperature. The following techniques can help calm a crying baby: Gentle Motions Holding the infant in your arms, gently rock back and forth while standing or sitting in a rocking chair. Dance quietly with the infant using gentle up-and-down, back-and forth and side-to-side motions.
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The spine may curve to the left or right (scoliosis) or it may curve outwards (kyphosis). Diagram of curves of the spine Normal curves Kyphosis Scoliosis Curving of the spine can cause back pain and stifness. The exact link between Chiari malformations, syringomyelia and curving of the spine is not clear. In some people, treating the Chiari malformation and syringomyelia may stop any abnormal curving of the spine from getting worse. Spina bifda is a condition where the spinal column and the spinal canal don?t completely close up before birth. The coverings of the spinal cord and sometimes the spinal cord itself can bulge out through the gap. Tethered cord syndrome this is a condition where the bottom end of the spinal cord is abnormally fxed or held down to the tailbone (sacrum) at the end of the spine. This stops the cord from moving naturally and can lead to it getting stretched and damaged. Although the condition is usually discovered in childhood, some people may not develop symptoms until they are adults. These symptoms may include problems with the bladder, bowel or with sexual function. The condition can be treated with surgery (see page 28 in our section on Surgery). Within our bodies, connective tissues provide stability and support and are present in the ligaments, tendons, cartilage, organs, skin and bones. This can cause problems such as joint hypermobility (joints bending or moving further than they should) and stretchy, fragile skin. The treatment of these patients might involve physiotherapy, pain management and sometimes surgery. Type I Chiari malformations are sometimes discovered by chance when a person is having scans to investigate a diferent problem. During the scan you will be asked to lie on a scanner table while the scanner rotates around your head and neck. The headphones allow the hospital staf to talk to you while you are in the scanner. If you think you will feel anxious or uncomfortable in the confned space of the scanner tunnel you should tell the staf before the scan. You should also tell them if you unexpectedly feel anxious just before you are due to enter the scanner tunnel. This is a medical way of saying that the cerebellar tonsils are not in the usual position, and are extending down into the spinal canal. A diagnosis of Chiari malformation is usually made when the cerebellar tonsils are extending more than 5mm below the foramen magnum (the opening at the base of the skull). However, this measurement is not always a good indicator of the symptoms a person will have.
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In each of these cases, the law should mark the uses that are protected, and the presumption should be that other uses are not protected. But as we are currently seeing in the context of the Internet, the uncertainty about the scope of protection, and the incentives to protect existing architectures of revenue, combined with a strong copyright, weaken the process of innovation. The law could remedy this problem either by removing protection beyond the part explicitly drawn or by granting reuse rights upon certain statutory conditions. Either way, the effect would be to free a great deal of culture to others to cultivate. There is no other policy issue that better teaches the lessons of this book than the battles around the sharing of music. It drove demand for access to the Internet more powerfully than any other single application. It may well be the application that drives demand for regulations that in the end kill innovation on the network. The aim of copyright, with respect to content in general and music in particular, is to create the incentives for music to be composed, performed, and, most importantly, spread. The law does this by giving an exclusive right to a composer to control public performances of his work, and to a performing artist to control copies of her performance. File-sharing networks complicate this model by enabling the spread of content for which the performer has not been paid. There are many who are using file-sharing networks to get access to content that is no longer sold but is still under copyright or that would have been too cumbersome to buy off the Net. There are many who are using file-sharing networks to get access to content that is not copyrighted or to get access that the copyright owner plainly endorses. The eagerness with which the law aims to eliminate type A, moreover, should depend upon the magnitude of type B. I assume, in other words, that type A sharing is significantly greater than type B, and is the dominant use of sharing networks. Nonetheless, there is a crucial fact about the current technological context that we must keep in mind if we are to understand how the law should respond. It is addictive today because it is the easiest way to gain access to a broad range of content. Today, access to the Internet is cumbersome and slow-we in the United States are lucky to have internet service at 1. But it will become a reality, and that means the way we get access to the Internet today is a technology in transition. The question should be, what law will we require when the network becomes the network it is clearly becoming? That network is one in which every machine with electricity is essentially on the Net; where everywhere you are-except maybe the desert or the Rockies-you can instantaneously be connected to the Internet. Imagine the Internet as easy to get as the best cell-phone service, where with the flip of a device, you are connected. In that world, it will be extremely easy to connect to services that give you access to content on the fly-such as Internet radio, content that is streamed to the user when the user demands.
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