Cognitive, emotional, communicative, and motor development in children born from couple's gametes cryopreserved oocytes. A 20 years single-center experience.

OBJECTIVE: To study if social and emotional, communicative, cognitive, motor development of children born from cryopreserved oocytes are comparable to general population. DESIGN: Survey study. EXPOSURE: This is a single-center population study, focusing on all children born from cycles of in vitro fertilization of cryopreserved oocytes at Humanitas Fertility Center from January 1st,2003, until December 31st, 2021. MAIN OUTCOME MEASURES: General information about birth history were collected from all parents. Then, screening for developmental delay was performed by administration of a questionnaire, edited according to milestones set for age by the Center for Disease Control and Prevention. Primary outcomes included the percentage of children, for each age range, that reached related milestones. In children younger than 6 years of age, milestones were considered to be reached by each age-based population subgroup studied when ≥ 75 % of included children expressed the tested competences. RESULTS: A total of 355 live births fulfilled the inclusion and exclusion criteria and were included in the study. Results showed that each age-based population subgroup, younger than 6 years of age, scored ≥ 75 % in all the milestones included in the questionnaire. In preadolescents and adolescents, it was noted a decrease in unstructured in-person socializing. Indeed, milestones that scored the lowest values, based on parents' judgement, included tasks concerning peer-to-peer interaction (72.31%) and sexuality and sentimental relationships (63.08%). CONCLUSIONS: Results indicated that the achievement of emotional, communicative, cognitive, and motor milestones in infants, toddlers, and preschoolers was comparable to the general pediatric population. Similarly, emotional wellbeing and social engagement in school-aged children, preadolescents, and adolescents were in line with their peers.

Comparing the productive vocabularies of grey parrots (Psittacus erithacus) and young children.

Due to their outstanding ability of vocal imitation, parrots are often kept as pets. Research has shown that they do not just repeat human words. They can use words purposefully to label objects, persons, and animals, and they can even use conversational phrases in appropriate contexts. So far, the structure of pet parrots' vocabularies and the difference between them and human vocabulary acquisition has been studied only in one individual. This study quantitatively analyses parrot and child vocabularies in a larger sample using a vocabulary coding method suitable for assessing the vocabulary structure in both species. We have explored the composition of word-like sounds produced by 21 grey parrots (Psittacus erithacus) kept as pets in Czech- or Slovak-speaking homes, and compared it to the composition of early productive vocabularies of 21 children acquiring Czech (aged 8-18 months), who were matched to the parrots by vocabulary size. The results show that the 'vocabularies' of talking grey parrots and children differ: children use significantly more object labels, activity and situation labels, and emotional expressions, while parrots produce significantly more conversational expressions, greetings, and multiword utterances in general. These differences could reflect a strong link between learning spoken words and understanding the underlying concepts, an ability seemingly unique to human children (and absent in parrots), but also different communicative goals of the two species.

Developmental cascades of vocal turn-taking connect prelinguistic vocalizing with early language.

Conversational turn-taking is ubiquitously found in caregiver-infant interactions, and robustly predictive of infant communicative development. Over the first year, infants take quick adult-like vocal turns with caregivers. Many studies have documented the consistency of caregiver responsiveness and its influence on infant rapid language growth. However, few have examined how caregiver responsiveness facilitates extended vocal turn-taking in real-time with infants over the first year. The influence of prelinguistic vocal turn-taking on the emergence of language has also been under-investigated. We analyzed free-play sessions of 30 caregivers and their infants at both 5 and 10 months, and obtained infant language outcomes at 18 months. We examined the developmental consistency (group-level continuity and dyad-order stability) and change of infant volubility, caregiver responses to babbling in vocal, non-vocal and multimodal modalities, and the influence of modality on caregiver-infant vocal turn-taking. Caregiver contingent responsiveness to infant babbling at 5 months predicted vocal turn-taking at 10 months. Developmental increases in prelinguistic vocalizing and vocal turn-taking from 5 to 10 months predicted infant language outcomes at 18 months. At both 5 and 10 months, caregiver vocal responses were more effective in extending turn-taking than non-vocal or multimodal responses. In summary, prelinguistic vocal turn-taking, facilitated by caregiver vocal responsiveness, is positively related to the emergence of early language.

Thyroid autoimmunity in euthyroid pregnant women is associated with slower productive language acquisition: the Odense child cohort study.

Objective: Maternal thyroid autoimmunity and thyroid function in early pregnancy may impact fetal neurodevelopment. We aimed to investigate how thyroid autoimmunity and thyroid function in early pregnancy were associated with language acquisition in offspring at 12-36 months of age. Methods: This study was embedded in the prospective Odense child cohort. Mother-child dyads were excluded in case of maternal intake of thyroid medication during pregnancy. The parents completed MacArthur-Bates Communicative Development Inventories (MB-CDI) every third month to assess their offspring's productive vocabulary. All completed reports for each child were included in the analyses. Logistic growth curve models evaluated associations between MB-CDI scores and levels of maternal thyroid peroxidase antibodies (TPOAb), free thyroxine (FT4), and thyrotropin, respectively, measured in early pregnancy (median gestational week 12). All models were stratified by offspring sex and adjusted for maternal age, education, pre-pregnancy body mass index, parity, breastfeeding, and offspring age. Results: The study included 735 mother-child dyads. Children born to mothers with TPOAb ≥11 kIU/L, opposed to TPOAb <11 kIU/L, had a lower probability of producing words at age 18-36 months for girls (OR = 0.78, P < 0.001) and 33-36 months for boys (OR = 0.83, P < 0.001). The probability of producing words was higher in girls at 30-36 months of age with low-normal maternal FT4 vs high-normal FT4 (OR = 0.60, P < 0.001), and a similar trend was seen in boys. Results were ambiguous for thyrotropin. Conclusion: In women without known thyroid disease, TPOAb positivity in early pregnancy was negatively associated with productive vocabulary acquisition in girls and boys. This association was not mediated by a decreased thyroid function, as low-normal maternal FT4, unexpectedly, indicated better vocabulary acquisition. Our results support that maternal thyroid autoimmunity per se may affect fetal neurodevelopment.

Lexical skills and gesture use: A comparison between expressive and receptive/expressive late talkers.

BACKGROUND: Studies on late talkers (LTs) highlighted their heterogeneity and the relevance of describing different communicative profiles. AIMS: To examine lexical skills and gesture use in expressive (E-LTs) vs. receptive-expressive (R/E-LTs) LTs through a structured task. METHODS AND PROCEDURES: Forty-six 30-month-old screened LTs were distinguished into E-LTs (n= 35) and R/E-LTs (n= 11) according to their receptive skills. Lexical skills and gesture use were assessed with a Picture Naming Game by coding answer accuracy (correct, incorrect, no response), modality of expression (spoken, spoken-gestural, gestural), type of gestures (deictic, representational), and spoken-gestural answers' semantic relationship (complementary, equivalent, supplementary). OUTCOMES AND RESULTS: R/E-LTs showed lower scores than E-LTs for noun and predicate comprehension with fewer correct answers, and production with fewer correct and incorrect answers, and more no responses. R/E-LTs also exhibited lower scores in spoken answers, representational gestures, and equivalent spoken-gestural answers for noun production and in all spoken and gestural answers for predicate production. CONCLUSIONS AND IMPLICATIONS: Findings highlighted more impaired receptive and expressive lexical skills and lower gesture use in R/E-LTs compared to E-LTs, underlying the relevance of assessing both lexical and gestural skills through a structured task, besides parental questionnaires and developmental scales, to describe LTs' communicative profiles.

Early Communicative Development in Williams Syndrome: A Longitudinal Case Study.

Individuals with Williams Syndrome (WS) have a specific and atypical neuropsychological profile, where language is above what is expected for their mental age, although it shows a late onset. There exists only one longitudinal study in infants younger than 20 months old with WS about early language precursors (joint attention, referential and instrumental behaviors, pointing gesture, verbal tags). The aim of this investigation is to evaluate these precursors in a baby with WS (8 to 18 months). Seven sessions of systematic observation were performed (six at baby's home, one at the Early Childhood Assistance center). The Battelle Developmental Inventory was used to evaluate the baby's development in two occasions (12 and 18 months). The results show an atypical development, and he is 5-6 months under what is expected for his chronological age. Attention towards objects prevails over preference for faces, but this one tends to increase. The pointing gesture does not emerge at the end of the observation period and therefore follows the first words that appear. The implications for the comprehension of the early linguistic profile in WS are discussed, as well as the implications for specific intervention strategies in the context of early childhood care.

El efecto de la pandemia sobre el desarrollo del lenguaje en los dos primeros años de vida / The effect of the pandemic on language development in the first two years of life

Antecedentes y objetivo: Los efectos que la pandemia por la COVID-19 ha podido tener en el desarrollo del lenguaje de la población infantil son todavía poco conocidos. En este estudio investigamos el efecto de la pandemia sobre el desarrollo del lenguaje evaluando el nivel de vocabulario y el nivel morfosintáctico en una muestra de niños y niñas de entre 18 y 31meses. Participantes y método: La muestra está compuesta por 153 niños y niñas de entre 18 y 31meses de edad. De estos participantes, 82 nacieron y se evaluaron antes de la pandemia (grupo PRE) y los otros 71 nacieron durante la pandemia y se evaluaron al final del curso 2021/2022, el último curso en el que se han mantenido medidas restrictivas derivadas de la pandemia en el contexto escolar (grupo POST). Los dos grupos de niños estaban igualados por edad y por nivel de estudios de las madres, y asistían a escuelas infantiles de similares características socioeconómicas. Resultados: Se observan puntuaciones más bajas tanto en nivel de vocabulario como de desarrollo morfosintáctico en los participantes del grupo POST que en los participantes del grupo PRE. Estos hallazgos son consistentes con los escasos estudios previos sobre el desarrollo lingüístico de los niños durante la pandemia. Conclusiones: Las medidas adoptadas durante la pandemia de la COVID-19 han tenido un impacto negativo en el desarrollo del lenguaje de los niños y niñas menores de 3años de edad. Es necesario prestar una atención especial a las necesidades de estos niños en el futuro próximo.(AU)

Background and objectives: The effects that the COVID-19 pandemic may have had on the language development of children are still poorly understood. In this study, we examine the effect of the pandemic on this development by analyzing the vocabulary and the morphosyntactic level in a sample of toddlers. Participants and method: One hundred and fifty-three boys and girls between 18 and 31months of age participated in the study. Of these participants, 82 were born and evaluated before the pandemic (PRE group) and the other 71 were born during the pandemic and were evaluated at the end of the 2021/2022 academic year, the last academic year in which restrictive measures derived from the pandemic were maintained in the schools (POST group). Both groups were matched by age and mother's educational level and attended nursery schools with similar socioeconomic characteristics. Results: We found lower scores both in vocabulary and morphosyntactic development in the POST group than in the PRE group. These findings are consistent with the scarce previous studies on children's language development during the pandemic. Conclusions: The measures adopted during the COVID-19 pandemic have had a negative impact on the language development of children under 3years of age. It is necessary to pay special attention to these children due to the needs they may require in the immediate future.(AU)

CURRENT PROBLEMS IN COMMUNICATIVE DEVELOPMENT OF CHILDREN WITH SPECIAL EDUCATIONAL NEEDS: UKRAINIAN AND EUROPEAN SCIENTIFIC CONTEXTS.

OBJECTIVE: The aim is to analyze the current problems in communicative development of children with special educational needs. PATIENTS AND METHODS: Materials and methods: The research used a number of scientific methods: general scientific (analysis, synthesis, generalization), historical, specific research, comparative-historical, and others, which ensured the selection and analysis of the source base, made it possible to determine the general trends in the study of the problem of the communicative development of the child, the achievements of Ukrainian and foreign scientists in the field of research on the language of children with special educational needs, to distinguish the common and the different in the scientific research of scientists. CONCLUSION: Conclusions: Updated studies of scientists from Ukraine, Poland, Sweden, Britain and other countries testify that communication skills are key in the language development of a preschool child, they form the basis without which the child's further education, socialization, etc. are impossible. Meanwhile, there is no unity among scientists in their views on the nature of language disorders and their classification. The contribution of domestic and foreign authors to the study of the communicative development of a child with speech difficulties is singled out.

How congruent are parent reports on 3-4-year-old children's language skills with other sources of data?

Background: Parental report measures such as the MacArthur-Bates Communicative Development Inventories (CDIs) are frequently used to study communicative skills of children under 3 years of age. Less is known about the usability of such reports for assessing communication skills in older children due to their advanced language skills, and a higher variety of communicative partners and communication contexts. Aims: To assess the concurrent and predictive validity of the Estonian (E) CDI-III at ages 3;0 and 4;0 years. The first research goal was to examine its concurrent variability-associations with teacher reports and directly measured language skills. The second goal of the study was to investigate the predictive validity of parent reports-the degree to which parent-and teacher-reported language scores for children at age 3;0 are useful for predicting examiner-administered language comprehension and production scores 1 year later. Methods: Estonian monolingual children were investigated longitudinally at ages 3;0 (n = 104; M age = 35.77 months, SD = 0.84; 42% males) and 4;0 (n = 87; M age = 48.18 months, SD = 1.16; 42% males) years. Children were assessed with the parent-reported ECDI-III, with teacher-reported assessments on children's talkativeness, vocabulary size and grammatical skills, and the examiner-administered New Reynell Developmental Language Scales IV (NRDLS). Results: Results indicated significant positive relationships between the ECDI-III total scores, teacher reports, and directly measured language comprehension and production scores, demonstrating concurrent validity of parental reports of children language skills at both ages. When controlling for mothers' education, children's gender, and reported language difficulties, parental and teacher reports were predictive of language production scores, whereas only parental reports predicted comprehension scores 1 year later. None of the controls was predictive of later language comprehension and production scores. Conclusion: In sum, good concurrent and predictive validity of the ECDI-III shows that the instrument is a valid tool for assessing communicative skills in Estonian children. Results suggest that parent reports can offer useable information also about communicative skills of children older than three years.

What kind of information do early parental report instruments provide on language ability at 3;6 when used at 2;0? A longitudinal comparison study.

Introduction: Various parental report instruments are available for assessing children's language skills at the end of the second year. However, comparison studies on their usability are lacking, and it is also open to question what kind of information the instruments provide when used in a parallel manner. This longitudinal study investigated which of the available three parental report instruments, when used at 2;0 (year;month), provides the most representative information on language development at 3;6. In addition, since most of the parental report instruments available focus specifically on expressive language, the role of receptive language ability was also investigated when analyzing the explanatory value of parental report instruments. Methods: The participants were 68 typically developing children. At 2;0, language skills were measured using the following measures: the Infant-Toddler Checklist of the Communication and Symbolic Behavior Scales Developmental Profile (ITC), the Short Form and Long Form versions of the Finnish Communicative Development Inventories (FinCDI-SF, FinCDI-LF), and the Reynell Developmental Language Scales III (RDLS). The outcome measures were receptive/expressive/ general language ability at 3;6 measured using RDLS. Results: The results of parental report instruments were significantly and positively associated with language ability at 3;6. The correlation between the combined value of ITC and FinCDI-SF and later language ability was stronger than correlations for each measure separately. The regression models with the results of parental report instruments as predictors explained 18-22% (p < 0.00) of the variability in the total RDLS score. However, when receptive language ability at 2;0 was included in the models as a predictor, R2 increased considerably (46-48%, p < 0.00). Discussion: The results adduce the usability of parental report measures along with the importance of measuring receptive language skills at 2 years of age. In summary, this study provides important insights into the clinical evaluation of early language ability.

Parental reports on language development in toddlers and preschoolers based on the Croatian version of Communicative Development Inventories III.

Introduction: Previous studies have focused on understanding parental attempts to record language development in children, across many typologically different languages. However, many of these studies restricted their assessment to children up to the age of 3 years. The aim of this paper was to move this boundary by examining language development in typically language developed children older than 3 years. Methods: Using the Croatian version of the Communicative Development Inventories III (CDI-III-HR), we investigated the contribution of parental reports of a child's lexical, grammatical, and metalinguistic awareness abilities to general language abilities assessed by clinicians. Participants included the parents of 151 children between the ages of 30 to 48 months, who completed the CDI-III-HR and reported on their child's language abilities. Results: Our results show that age is significantly associated with the lexical, grammatical, and metalinguistic awareness abilities of a child's language development. These findings confirm that all three abilities increase with age and that parents can perceive changes in a child's language development. The subsections of CDI-III-HR were moderately to strongly associated with each other, with the strongest association being between lexicon and grammar, suggesting that they remain closely related after the age of 30 months. Parental assessments of a child's language development are a better predictor of language production than language comprehension, with grammar making the most consistent and significant contribution. Discussion: This study confirms that the development of grammatical abilities is the most prominent skill between the ages of 30 to 48 months and that parents can observe the transition in the child's language development through their usage of grammar in words to grammar in sentences. Based on the selected sample of children, we discovered different patterns of parental success in assessing the child's language ability. These findings indicate that parents can act as valuable sources of information regarding the child's language abilities, but clinical assessments of early language development should consider many other formal sources of information in addition to parental reports.

[The effect of the pandemic on language development in the first two years of life]. / El efecto de la pandemia sobre el desarrollo del lenguaje en los dos primeros años de vida.

Background and objectives: The effects that the COVID-19 pandemic may have had on the language development of children are still poorly understood. In this study, we examine the effect of the pandemic on this development by analyzing the vocabulary and the morphosyntactic level in a sample of toddlers. Participants and method: One hundred and fifty-three boys and girls between 18 and 31 months of age participated in the study. Of these participants, 82 were born and evaluated before the pandemic (PRE group) and the other 71 were born during the pandemic and were evaluated at the end of the 2021/2022 academic year, the last academic year in which restrictive measures derived from the pandemic were maintained in the schools (POST group). Both groups were matched by age and mother's educational level and attended nursery schools with similar socioeconomic characteristics. Results: We found lower scores both in vocabulary and morphosyntactic development in the POST group than in the PRE group. These findings are consistent with the scarce previous studies on children's language development during the pandemic. Conclusions: The measures adopted during the COVID-19 pandemic have had a negative impact on the language development of children under 3 years of age. It is necessary to pay special attention to these children due to the needs they may require in the immediate future.

Association between prenatal or early postnatal exposure to perfluoroalkyl substances and language development in 18 to 36-month-old children from the Odense Child Cohort.

BACKGROUND: Perfluoroalkyl substances (PFAS) are persistent chemicals used in everyday consumer products leading to ubiquitous human exposure. Findings of impaired neurodevelopment after prenatal exposure to PFAS are contradictory and few studies have assessed the impact of postnatal PFAS exposure. Language development is a good early marker of neurodevelopment but only few studies have investigated this outcome separately. We therefore investigated the association between prenatal and early postnatal PFAS exposure and delayed language development in 18 to 36-month-old Danish children. METHODS: The Odense Child Cohort is a large prospective cohort. From 2010 to 2012 all newly pregnant women residing in the Municipality of Odense, Denmark was invited to participate. Concentration of perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), perfluorononanoic acid (PFNA) and perfluorodecanoic acid (PFDA) were assessed in maternal serum collected in the 1st trimester of pregnancy and in child serum at 18 months. Parents responded to the Danish adaption of the MacArthur-Bates Communicative Development Inventories (MB-CDI) when their child was between 18 and 36 months. Language scores were converted into sex and age specific percentile scores and dichotomized to represent language scores above or below the 15th percentile. We applied Multiple Imputation by Chained Equation and conducted logistic regressions investigating the association between prenatal and early postnatal PFAS exposure and language development adjusting for maternal age, pre-pregnancy BMI, education and respectively fish intake in pregnancy or childhood and duration of breastfeeding in early postnatal PFAS exposure models. RESULTS: We found no significant associations between neither prenatal nor early postnatal PFAS exposure and language development among 999 mother-child pairs. CONCLUSION: In this low-exposed cohort the finding of no association between early postnatal PFAS exposure and language development should be interpreted with caution as we were unable to separate the potential adverse effect of PFAS exposure from the well documented positive effect of breastfeeding on neurodevelopment. We, therefore, recommend assessment of child serum PFAS at an older age as development of the brain proceeds through childhood and even a small impact of PFAS on neurodevelopment would be of public health concern at population level due to the ubiquitous human exposure.

Learning how to learn from social feedback: The origins of early vocal development.

Infants' prelinguistic vocalizations reliably organize vocal turn-taking with social partners, creating opportunities for learning to produce the sound patterns of the ambient language. This social feedback loop supporting early vocal learning is well-documented, but its developmental origins have yet to be addressed. When do infants learn that their non-cry vocalizations influence others? To test developmental changes in infant vocal learning, we assessed the vocalizations of 2- and 5-month-old infants in a still-face interaction with an unfamiliar adult. During the still-face, infants who have learned the social efficacy of vocalizing increase their babbling rate. In addition, to assess the expectations for social responsiveness that infants build from their everyday experience, we recorded caregiver responsiveness to their infants' vocalizations during unstructured play. During the still-face, only 5-month-old infants showed an increase in vocalizing (a vocal extinction burst) indicating that they had learned to expect adult responses to their vocalizations. Caregiver responsiveness predicted the magnitude of the vocal extinction burst for 5-month-olds. Because 5-month-olds show a vocal extinction burst with unfamiliar adults, they must have generalized the social efficacy of their vocalizations beyond their familiar caregiver. Caregiver responsiveness to infant vocalizations during unstructured play was similar for 2- and 5-month-olds. Infants thus learn the social efficacy of their vocalizations between 2 and 5 months of age. During this time, infants build associations between their own non-cry sounds and the reactions of adults, which allows learning of the instrumental value of vocalizing.

Promoting early language development in the Arab world and Sustainable Development Goals 3, 4, 10 and 17.

PURPOSE: This commentary describes a multi-national project which addresses gaps in the design and delivery of health and education services in Arabic-speaking countries in relation to early language development, with a focus on Egypt, Jordan, Lebanon and the Palestinian Territories. This includes: (1) co-production with early years professionals and NGOs of approaches to support early language development; (2) development and standardisation of tools to identify monolingual and multilingual Arabic-speaking children at risk of poor language development; and (3) examination of language development in refugee communities. RESULT: The importance of inter-professional partnership and the inclusion of families in planning support for oral language development is highlighted. Arabic versions of the Communicative Development Inventory (CDI) Toddler were developed, and data collected from 1074 Egyptian, Jordanian and Palestinian monolingual infants aged 8-30 months. Data from 201 age-matched Palestinian infants in Lebanese refugee camps highlight inequalities resulting from limited maternal educational opportunities. Data from 230 multilingual Lebanese 2-year-olds enable the interpretation of CDI scores as a function of language exposure. CONCLUSION: This work contributes to the promotion of robust language development for all Arabic-speaking children. This commentary focusses on sustainable development goal (SDG) 3, SDG 4, SDG 10 and SDG 17.

Desarrollo linguo-comunicativo en el Inglés con fines profesionales. Un estudio de caso

Un apreciable impacto lo constituye el desarrollo linguo-comunicativo en el Inglés con fines profesionales del estomatólogo para la comunicación profesional, sus habilidades comunicativas mejoran con la práctica intensiva y extensiva del idioma extranjero, lo cual garantiza adaptar la comunicación a los contextos diversos (docencia, asistencia e investigación) y posibilita la construcción de un discurso basado en su producción oral. Presentamos el caso de una estomatóloga que ingresó en el curso de superación idiomática y descubrimos aptitudes para la lengua extranjera, se les realizaron pruebas orales y escritas en situaciones comunicativas profesionales y su trayectoria se elevó con su preparación hasta obtener los niveles B1 y B2 según el Marco Común Europeo de Referencia para las Lenguas y sus suscriptores. El desarrollo linguo-comunicativo en el Inglés con Fines Profesionales (IFP) en estomatología si no se entrena con sistematicidad implica una disminución en lo lingüístico-profesional estomatológica y reduce ampliamente el nivel científico actualizado por los resultados que el mundo de la ciencia estomatológica engloba en los circuitos internacionales de poder de información anglófonos. Ante la creciente demanda de la preparación idiomática para los profesionales de la salud de la provincia, se necesita evaluar y entrenar la capacidad lingüístico-profesional en los estomatólogos. El estudio de caso demuestra que con una intensiva y extensiva práctica del IFP se puede comunicar el estomatólogo en los contextos diversos (docencia, asistencia e investigación).

An appreciable impact is the linguo-communicative development in English for professional purposes of the stomatologist for professional communication, their communicative skills improve with the intensive and extensive practice of the foreign language, which guarantees to adapt communication to different contexts (teaching, assistance and research) and enables the construction of a discourse based on their oral production. We present the case of a stomatologist who entered the language improvement course and we discovered foreign language skills, oral and written tests were carried out in professional communicative situations and her career rose with her preparation to obtain levels B1 and B2 according to the Common European Framework of Reference for Languages and its subscribers. The linguo-communicative development in English for Professional Purposes (IFP) in stomatology if it is not trained systematically implies a decrease in the linguistic-professional stomatology and greatly reduces the scientific level updated by the results that the world of stomatological science encompasses in the international circuits of English-speaking information power. Given the growing demand for language preparation for health professionals in the province, it is necessary to evaluate and train the linguistic-professional capacity in stomatologists. The case study demonstrates that with an intensive and extensive practice of the IFP the stomatologist can communicate in the different contexts (teaching, assistance and research).

Um impacto apreciável é o desenvolvimento linguo-comunicativo em inglês para fins profissionais do estomatologista para a comunicação profissional, suas habilidades comunicativas melhoram com a prática intensiva e extensiva da língua estrangeira, o que garante a adaptação da comunicação a diferentes contextos (ensino, assistência e pesquisa) e possibilita a construção de um discurso a partir de sua produção oral. Apresentamos o caso de uma estomatóloga que ingressou no curso de aperfeiçoamento linguístico e descobrimos habilidades em língua estrangeira, testes orais e escritos foram realizados em situações comunicativas profissionais e sua carreira aumentou com sua preparação para obter os níveis B1 e B2 de acordo com o Quadro Europeu Comum de Referência para Línguas e seus assinantes. O desenvolvimento linguo-comunicativo em Inglês para Fins Profissionais (IFP) em estomatologia, se não for treinado sistematicamente, implica uma diminuição da estomatologia linguístico-profissional e reduz sobremaneira o nível científico, atualizado pelos resultados que o mundo da ciência estomatológica engloba nos circuitos internacionais de poder informacional de língua inglesa. Dada a crescente demanda de preparação linguística para os profissionais de saúde na província, faz-se necessário avaliar e treinar a capacidade linguístico-profissional em estomatologistas. O estudo de caso demonstra que com uma prática intensiva e extensiva do IFP o estomatologista pode se comunicar nos diferentes contextos (ensino, assistência e pesquisa).

Influence of Respiratory Tract Infections on Vocabulary Growth in Relation to Child's Sex: The STEPS Study.

Common health issues have been less examined in studies of early language development, particularly in relation to the child's sex. Respiratory tract infections, often complicated by acute otitis media, are common in children during the first years of life, when early vocabulary development takes place. The present study, conducted in Finland, aimed to investigate whether possible associations between recurrent respiratory tract infections, background factors, and vocabulary growth differ in boys and girls aged 13 to 24 months. The participants (N = 462, 248 boys and 214 girls) were followed for respiratory tract infections and acute otitis media from 0 to 23 months of age. The parents completed daily symptom diaries of respiratory symptoms, physician visits, and diagnoses. The expressive vocabulary was measured with parental reports. We found that recurrent respiratory tract infections were not associated with slower vocabulary development in boys or girls. In fact, boys with recurrent respiratory tract infections had more vocabulary growth during the second year than boys who were less sick. We found that vocabulary growth was associated differently with respiratory tract infections and background factors as a function of the child's sex. The vocabulary growth of boys seems to be more influenced by environmental factors than that of girls.

Neurodevelopment Outcome in Children with Fetal Growth Restriction at Six Years of Age: A Retrospective Cohort Study.

OBJECTIVE: This study aimed to describe neurodevelopment in fetal growth restriction children at the age of six. Secondly, we tried to demonstrate influencing factors that can improve or exacerbate this development, as well as predictive factors that might select a population at risk to assist with early childhood support. METHOD: It was a study of 70 children affected with FGR. FGR was based on these definitions: birth weight below the 3rd percentile or birth weight below the 10th percentile with an abnormal hemodynamic Doppler study. Neurodevelopment was assessed at 6 years old by means of Batelle Development Inventory. A global development quotient under a 100 score was considered a neurodevelopment delay. All variables regarding pregnancy care, delivery episode, postpartum, neonatal care, sociodemographic issues, and the need for support in the first years were studied. RESULTS: The mean gestational age at diagnosis was 33.14 weeks (standard deviation (SD = 4.31), with 32.9% of early-onset diagnoses. The mean gestational age at delivery was 35.61 (SD = 3.21), and the cesarean rate was 64.3%. The average age of the children at the moment of the evaluation was 76.20-month-old (SD = 3.70). The mean global development quotient was 97.28 (SD = 13.97). We were able to record a 57.1% of global development delay. In the cases of cognition, only 17.1% of the children registered a delay. Motor and communication skills were the most frequently affected. We discovered that socioeconomic status was positively related to the global development quotient, as well as both gestational age at delivery and middle cerebral artery pulsatility index was positively related to the global development quotient. CONCLUSIONS: We found a higher neurodevelopment delay rate (57.1%). We could relate a higher gestational age at delivery and a higher MCA percentile with better global neurodevelopment quotients.

Do Spoken Vocabulary and Gestural Production Distinguish Children with Transient Language Delay from Children Who Will Show Developmental Language Disorder? A Pilot Study.

The literature on the role of gestures in children with language delay (LD) is partial and controversial. The present study explores gestural production and modality of expression in children with LD and semantic and temporal relationships between gestures and words in gesture + word combinations. Thirty-three children participated (mean age, 26 months), who were recruited through a screening programme for LD. Cognitive skills, lexical abilities, and the use of spontaneous gestures in a naming task were evaluated when the children were 32 months old. When the children were 78 months old, their parents were interviewed to collect information about an eventual diagnosis of developmental language disorder (DLD). According to these data, the children fell into three groups: children with typical development (n = 13), children with LD who did not show DLD (transient LD; n = 9), and children with LD who showed DLD (n = 11). No significant differences emerged between the three groups for cognitive and lexical skills (comprehension and production), for number of gestures spontaneously produced, and for the sematic relationships between gestures and words. Differences emerged in the modality of expression, where children with transient LD produced more unimodal gestural utterances than typical-development children, and in the temporal relationships between gestures and words, where the children who would show DLD provided more frequent representational gestures before the spoken answer than typical-development children. We suggest a different function for gestures in children with T-LD, who used representational gestures to replace the spoken word they were not yet able to produce, and in children with LD-DLD, who used representational gestures to access spoken words.

Suitability of vocabulary assessments: Comparing child scores and parent perspectives on communicative inventories for Aboriginal families in Western Sydney.

Purpose: Standardised testing tools within an Aboriginal Australian context have been found to produce inaccurate results due to language and cultural differences. The primary aim of the study is to compare Aboriginal children's scores in urban NSW across two language assessment tools: the Early Language Inventory (ERLI) and the Australian English Communicative Development Inventory, short form (OZI-SF). These tools are vocabulary checklists for children aged approximately 12-30 months. OZI-SF is an Australian tool for mainstream use and ERLI has been developed with and for Aboriginal families, but not in urban contexts, so its suitability there is unknown, given the great cultural and linguistic diversity among Aboriginal people across Australia. The second aim is to identify which tool is more culturally appropriate for urban Aboriginal families through parent perspectives.Method: Overall, 30 parents (of 31 children) participated in the study to complete the ERLI, and 14 parents from this sample completed both the ERLI and OZI-SF and interviews to explore child scores and parent perspectives, in a mixed methods approach.Result: Aboriginal children (N = 14) scored higher on the ERLI than the OZI-SF. Gender and age were significant contributors to the scores as scores were higher for older children and higher for girls than boys. In answer to the second aim, four themes emerged to explain parental perspectives and their preference for the ERLI, which supported connection to culture and language.Conclusion: Findings have implications for paediatric language assessments with urban Aboriginal families in clinical, educational and research settings.