Suchergebnisse

National analysis of violence against LGBTI + children in Poland. As with all countries participating in the project, the research design assumed three information sources: an online survey, interviews with stakeholders and workshops with LGBT+ youth. The workshops were to take place in April 2020. Due to the COVID-19 pandemic, in March 2020 the Polish government began to implement social distancing procedures in order to restrict the infection rate. Among other, meetings of more than two people were temporarily banned. In these circumstances the workshops were cancelled and the remaining interviews were carried out online over Skype (with voice and video transmission) in order to maintain social distancing procedures ; Projecte "Diversity and childhood: changing social attitudes towards gender diversity in children across Europe", finançat pel Programa de Drets, Igualtat i Ciutadania (2014-2020) de la Unió Europea (REC-RDAP-GBV-AG-2018-856680)

AbstractFifteen‐month‐olds have difficulty detecting differences between novel words differing in a single vowel. Previous work showed that Australian English (AusE) infants habituated to the word‐object pair DEET detected an auditory switch to DIT and DOOT in Canadian English (CanE) but not in their native AusE (Escudero et al., ). The authors speculated that this may be because the vowel inherent spectral change variation (VISC) in AusE DEET is larger than in CanE DEET. We investigated whether VISC leads to difficulty in encoding phonetic detail during early word learning, and whether this difficulty dissipates with age. In Experiment 1, we familiarized AusE‐learning 15‐month‐olds to AusE DIT, which contains smaller VISC than AusE DEET. Unlike infants familiarized with AusE DEET (Escudero et al., ), infants detected a switch to DEET and DOOT. In Experiment 2, we familiarized AusE‐learning 17‐month‐olds to AusE DEET. This time, infants detected a switch to DOOT, and marginally detected a switch to DIT. Our acoustic analysis showed that AusE DEET and DOOT are differentiated by the second vowel formant, while DEET and DIT can only be distinguished by their changing dynamic properties throughout the vowel trajectory. Thus, by 17 months, AusE infants can encode highly dynamic acoustic properties, enabling them to learn the novel vowel minimal pairs that are difficult at 15 months. These findings suggest that the development of word learning is shaped by the phonetic properties of the specific word minimal pair.

BACKGROUND: Gastroparesis is a condition characterized by epigastric symptoms and delayed gastric emptying (GE) rate in the absence of any mechanical obstruction. The condition is challenging in clinical practice by the lack of guidance concerning diagnosis and management of gastroparesis. METHODS: A Delphi consensus was undertaken by 40 experts from 19 European countries who conducted a literature summary and voting process on 89 statements. Quality of evidence was evaluated using grading of recommendations assessment, development, and evaluation criteria. Consensus (defined as ≥80% agreement) was reached for 25 statements. RESULTS: The European consensus defined gastroparesis as the presence of symptoms associated with delayed GE in the absence of mechanical obstruction. Nausea and vomiting were identified as cardinal symptoms, with often coexisting postprandial distress syndrome symptoms of dyspepsia. The true epidemiology of gastroparesis is not known in detail, but diabetes, gastric surgery, certain neurological and connective tissue diseases, and the use of certain drugs recognized as risk factors. While the panel agreed that severely impaired gastric motor function is present in these patients, there was no consensus on underlying pathophysiology. The panel agreed that an upper endoscopy and a GE test are required for diagnosis. Only dietary therapy, dopamine‐2 antagonists and 5‐HT(4) receptor agonists were considered appropriate therapies, in addition to nutritional support in case of severe weight loss. No consensus was reached on the use of proton pump inhibitors, other classes of antiemetics or prokinetics, neuromodulators, complimentary, psychological, or more invasive therapies. Finally, there was consensus that gastroparesis adversely impacts on quality of life and healthcare costs and that the long‐term prognosis of gastroparesis depends on the cause. CONCLUSIONS AND INFERENCES: A multinational group of European experts summarized the current state of consensus on definition, symptom ...

Background: Gastroparesis is a condition characterized by epigastric symptoms and delayed gastric emptying (GE) rate in the absence of any mechanical obstruction. The condition is challenging in clinical practice by the lack of guidance concerning diagnosis and management of gastroparesis. Methods: A Delphi consensus was undertaken by 40 experts from 19 European countries who conducted a literature summary and voting process on 89 statements. Quality of evidence was evaluated using grading of recommendations assessment, development, and evaluation criteria. Consensus (defined as ≥80% agreement) was reached for 25 statements. Results: The European consensus defined gastroparesis as the presence of symptoms associated with delayed GE in the absence of mechanical obstruction. Nausea and vomiting were identified as cardinal symptoms, with often coexisting postprandial distress syndrome symptoms of dyspepsia. The true epidemiology of gastroparesis is not known in detail, but diabetes, gastric surgery, certain neurological and connective tissue diseases, and the use of certain drugs recognized as risk factors. While the panel agreed that severely impaired gastric motor function is present in these patients, there was no consensus on underlying pathophysiology. The panel agreed that an upper endoscopy and a GE test are required for diagnosis. Only dietary therapy, dopamine‐2 antagonists and 5‐HT4 receptor agonists were considered appropriate therapies, in addition to nutritional support in case of severe weight loss. No consensus was reached on the use of proton pump inhibitors, other classes of antiemetics or prokinetics, neuromodulators, complimentary, psychological, or more invasive therapies. Finally, there was consensus that gastroparesis adversely impacts on quality of life and healthcare costs and that the long‐term prognosis of gastroparesis depends on the cause. Conclusions and Inferences: A multinational group of European experts summarized the current state of consensus on definition, symptom ...