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Anyone have experience w c1 c2 fusion? We have been advised to do this immediately. It was found by accident during ct for infection in face. Thx. Denise 

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-----Original Message-----

From:         Meir Weiss <[log in to unmask]>

Sender:       Cerebral Palsy List <[log in to unmask]>

Date:         Wed, 8 Dec 2010 11:47:03 

To: <[log in to unmask]>

Reply-To:     Cerebral Palsy List <[log in to unmask]>

Subject: FW: TODDLERS WITH AUTISM SHOW IMPROVED SOCIAL SKILLS FOLLOWING TARGETED INTERVENTION, FINDS NIH-SUPPORTED STUDY



-----Original Message-----

From: NIH news releases and news items [mailto:[log in to unmask]] On

Behalf Of NIH OLIB (NIH/OD)

Sent: December 08, 2010 09:17

To: [log in to unmask]

Subject: TODDLERS WITH AUTISM SHOW IMPROVED SOCIAL SKILLS FOLLOWING TARGETED

INTERVENTION, FINDS NIH-SUPPORTED STUDY



U.S. Department of Health and Human Services 

NATIONAL INSTITUTES OF HEALTH NIH News 

National Institute of Mental Health (NIMH) <http://www.nimh.nih.gov/>

Embargoed for Release: Wednesday, December 8, 2010, 5 a.m. EDT



CONTACT: Karin Lee, NIMH Press Office, 301-443-4536,

<e-mail:[log in to unmask]>



TODDLERS WITH AUTISM SHOW IMPROVED SOCIAL SKILLS FOLLOWING TARGETED

INTERVENTION, FINDS NIH-SUPPORTED STUDY



Targeting the core social deficits of autism spectrum disorders (ASD)

(http://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-pervasive-d

evelopmental-disorders/index.shtml) in early intervention programs yielded

sustained improvements in social and communication skills even in very young

children who have ASD, according to a study funded by the National Institute

of Mental Health (NIMH), part of the National Institutes of Health. The

study was published online Dec. 8, 2010, in the Journal of Child Psychology

and Psychiatry. 



Although some research suggests that ASD may be reliably diagnosed earlier

(http://www.nimh.nih.gov/science-news/2007/half-of-children-with-autism-may-

be-diagnosable-soon-after-their-first-birthday.shtml) than the current

average age of 3 years, few interventions have been tested in children

younger than 3.



During the course of typical development, children learn to interact with

others in socially meaningful ways. Measures of social communication

include:



-- Initiation of joint attention-spontaneously directing others' attention

to something of interest, such as by pointing or holding something up to

show for social purposes rather than to ask for help

-- Affect sharing-sharing emotions with others through facial expressions

paired with eye contact

-- Socially engaged imitation-imitating others' actions while showing social

connectedness through eye contact.



Deficits in such measures are hallmark symptoms of ASD and can severely

limit a child's ability to engage in and learn from interactions with others

or from the world around them.



"This new report is encouraging, as the effects on social behavior appear to

provide a scaffold for the development of skills beyond the research

setting," said NIMH Director Thomas R. Insel, M.D. "We need better early

interventions for the core deficits of autism."



Funded through the Studies to Advance Autism Research and Treatment (STAART)

Network

(http://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-pervasive-d

evelopmental-disorders/nih-initiatives/staart/index.shtml), Rebecca Landa,

Ph.D., of Kennedy Krieger Institute, Baltimore, and colleagues randomly

assigned 50 toddlers, ages 21-33 months old, who were diagnosed with ASD to

one of two six-month interventions: Interpersonal Synchrony (IS) or

Non-Interpersonal Synchrony (non-IS). Both interventions incorporated

classroom-based activities led by a trained intervention provider, and a

home-based component involving parents who received specialized education

and in-home training. 



The interventions were designed to encourage children to make frequent and

intentional efforts to engage others in communication or play. The single

difference between interventions was that the IS group received more

opportunities for joint attention, affect sharing, and socially engaged

imitation. The toddlers were assessed at the start and end of the

intervention and again six months later.



Children in both groups made improvements in social, cognitive and language

skills during the six-month intervention period. Children who received IS

made greater and more rapid gains than those in the non-IS group. The

researchers also noted that children in the IS group used their newly

acquired abilities with different people, locations, and type of activity.

This is noteworthy because children with ASD have particular difficulty

doing so.  They tend to use new skills mostly within familiar routines and

situations.



At the six-month follow-up, children in the IS group showed slower

improvements in social communication compared to when they were receiving

the intervention, but did not lose skills gained during the intervention

period. In contrast, children in the non-IS group showed reduced social

communication skills at follow-up compared to their performance during the

intervention period. 



"This is the first randomized controlled trial to examine an intervention

focused on core social deficits of ASD in toddlers, and the first to show

gains in these deficits resulting from intervention," said Landa. "Though

preliminary, our findings provide promising evidence that such a

supplementary curriculum can help improve social and communication skills in

children younger than 3 who have ASD."



The researchers received additional study funding from the Health Resources

and Services Administration. 



The mission of the NIMH is to transform the understanding and treatment of

mental illnesses through basic and clinical research, paving the way for

prevention, recovery and cure. For more information, visit the NIMH website

(http://www.nimh.nih.gov).



The National Institutes of Health (NIH) -- The Nation's Medical Research

Agency -- includes 27 Institutes and Centers and is a component of the U.S.

Department of Health and Human Services. It is the primary federal agency

for conducting and supporting basic, clinical and translational medical

research, and it investigates the causes, treatments, and cures for both

common and rare diseases. For more information about NIH and its programs,

visit <www.nih.gov>.

---------------------

REFERENCE:



Landa RJ, Holman KC, O'Neill AH, Stuart EA. Intervention Targeting

Development of Socially Synchronous Engagement in Toddlers with Autism

Spectrum Disorder: A Randomized Controlled Trial. J Ch Psychol Psychiatry.

2010 Dec 8. [epub ahead of print]

  

##



This NIH News Release is available online at:

<http://www.nih.gov/news/health/dec2010/nimh-08.htm>.



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