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58
students, 57 teachers: Cuba tackles autism
People's Weekly World - July 3
HAVANA - At the Dora Alonso school for
autistic children there are 58 students and 57 teachers. The
school is bright, colorful and clean. It is in the middle of a
campus full of schools. Once an army garrison during the
dictatorial rule of Fulgencio Batista, the campus is now a
living symbol of beating swords into ploughshares.
The young children and their teachers join hands in a big
circle and dance to the rhythmic Cuban music. They end the
outdoor dance session, surrounded by the lush tropical trees,
and go inside for classes.
The school is equipped with computers to help
speech-language acquisition, and classroom televisions are
tuned to the Cuban educational channel. Physical therapists
use combinations of massage therapies and equipment. I see a
balance beam, mats, balls and a small treadmill.
The music room has drums, a piano, a tape and CD player,
maracas and other instruments. The kids are playing rhythm
sticks and the teacher is counting out loud. They stop when we
come in. The teacher asks them to sing "Guantanamera," which
they do while she plays the piano.
Each class has a mirror. "Very important to have a mirror
in each classroom, so the child develops a sense of self,"
says Lorenzo Jorge Sosa, the school's director. One of the
students in the music room stops and stares at himself for a
minute or so.
The classrooms have books, toys, brightly colored pictures
and the children's artwork. Each child has his or her own box
of personal items with their photo on it, something that
reminds me of my own children's early years.
A behavioral psychiatrist is with one child who cannot sit
still. The boy does not talk. The psychiatrist is working with
him, one-on-one, to increase his ability to sit still and have
eye contact as well as acquire language. Sitting next to her
is a small, friendly dog. "Children often respond to the dog
more than to people," she says.
"This is not Cuba's first school for autism, but it does
have a unique program," Sosa says. "Our school has medical
professionals on staff, and works closely with doctors and
other specialists. We work with the families and community to
provide support and training. Our emphasis is to integrate the
children into wider society as a whole. We have the duty to
improve the children's quality of life."
Oh, and have I mentioned this? Everything is free of
charge.
Home comes to mind again, but not because of the
similarities. The words "free of charge" hit me hard.
Parents of U.S. school children with autism or other
disabilities have to pay out-of-pocket for many services. If
your child is in a U.S. public school, special education
services are supposed to be adequate and free, a hard-won
right. But as many parents, teachers and administrators know,
these services are expensive and the school's other budget
needs often compete. The federal government funds only 15
percent of special education costs, not the once promised 40
percent, and private schools are prohibitively expensive.
Cuban President Fidel Castro attended the opening of the
Escuela Dora Alonso in 2002. Castro told the audience that
there are about 600 million disabled people worldwide and less
than 3 percent receive some kind of attention. "In our
country," he said, "we have fought for and, fortunately,
succeeded in providing attention for all children with
problems."
I can't imagine our current president advocating for
children. As a matter of fact, George W. Bush's policies have
been a disaster for public education and children.
This is just a snapshot of the revolution in public
education taking place in Cuba. Imagine a country that faces
severe economic, political and social conditions, most of them
imposed by the U.S. blockade - yet is, as a society, working
to truly "leave no child behind."
I get emotional thinking about the possibilities in the
U.S. No wonder there are so many barriers to travel to Cuba, I
think: Americans may start to get socialist ideas for home.
I told the staff how moved I was by the school. And how
great it would be to have more Americans be able to go to Cuba
and have cooperative, neighborly relations.
But then I also think about the U.S. blockade and the new
restrictions imposed by the Bush administration. Another
emotion takes over. This time it's anger.
Terrie Albano is the editor of the People's Weekly World.
She recently traveled to Cuba as part of a Communist Party
delegation.
This article is part of a series based on that visit. She
can be reached at talbano@pww.org.
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'Quack
autism cures must end'
BBC News - June 27
A
new charity has pledged to stamp out "quack" interventions for
people with autism and similar disorders.
The Autism Intervention Research Trust
says it will fund studies to see which treatments work and
which ones do not.
Geoffrey Maddrell, its chairman, said there was no
scientific evidence to support some existing treatments.
He said the charity would also fund research into new ways
of treating autism and related disorders, which affect 500,000
Britons.
Scientifically evaluated
Mr Maddrell said independent research
was needed to help people with the condition.
"Hundreds of treatments and other methods of intervention
are available but few have been scientifically evaluated and
there are still large numbers for whom there is currently no
effective help.
"In many instances, exaggerated or misleading claims are
made for specific approaches.
"In the UK, only 8% of autism research activity is
currently concerned with intervention and the new research
trust has been established to address this vital need".
The new charity has the backing of the UK's National
Autistic Society.
"With raised awareness of the autistic spectrum, we have
seen a marked increase in the number and type of interventions
but have very little scientific evidence as to their
usefulness," said Richard Mills, its director of research.
"There are also many people affected by autism out there
who are struggling to have any kind of quality of life and for
whom current ways of working seem to make little positive
difference."
The government also gave the new charity its backing.
"We recognise the importance of good quality research into
autism and welcome all initiatives which aim to improve our
knowledge and understanding of autistic spectrum disorders,"
said Health Minister Stephen Ladyman.
"We wish the Autism Intervention Research Trust every
success in their work."
Treatment with Strattera makes children with ADHD fall
asleep faster
News-Medical.net - June 29
Twice daily treatment with Strattera®
(atomoxetine HCl), approved for the treatment of
attention-deficit/hyperactivity disorder (ADHD), showed
children with ADHD fell asleep faster (12.1 minutes relative
to baseline versus 39.2 minutes relative to baseline,
p<.001) compared to three-times daily treatment with
methylphenidate, according to study results presented at the
Associated Professional Sleep Societies meeting. The results
were based on comparisons before treatment and during
treatment.
Parent and child diaries also showed that children on
Strattera had less difficulty getting out of bed in the
morning versus children taking methylphenidate. Additionally,
parent diaries showed children on Strattera were less
irritable compared to methylphenidate.
"Sleep difficulties related to methylphenidate therapy can
represent a considerable source of concern for patients and
families of children with ADHD," said study author Judith
Owens, M.D., MPH, Child and Family Psychiatry, Rhode Island
Hospital, Providence, R.I. "The availability of an effective
medication option that may help patients to fall asleep faster
is useful in the treatment of ADHD."
Although patients had a greater decrease in the number of
wake bouts (episodes of wakening) with methylphenidate (-1.3
for Strattera patients compared to baseline versus -4.4 for
methylphenidate patients compared to baseline, p=.011),
Strattera allowed patients to sleep longer relative to
methylphenidate (-15.3 minutes compared to baseline vs.. -29.6
minutes compared to baseline, p=.016).
A total of 85 children were randomized to a double blind,
cross over trial in which participants were treated with
Strattera or methylphenidate for seven weeks and then
alternated therapy. A portion of three patients' data was
removed as they had difficulty utilizing the monitors. After
collecting baseline measures, children were treated with
Strattera (mean dose 1.56 mg/kg) or methylphenidate (mean dose
1.12 mg/kg) for seven weeks each, separated by a washout
period. Relative to baseline, the data indicated that
methylphenidate increased time to sleep onset significantly
more than Strattera -12.1 minutes for Strattera vs.. 39.2
minutes for methylphenidate, p<.001. For children and
adolescents, maximum approved label dosing for Strattera is
1.4 mg/kg/day or 100 mg, whichever is less.
"When kids get the sleep they need, they may be less
irritable. This may impact a variety of settings - at home, at
school, and in social situations," said A.J. Allen, M.D.,
Ph.D., Lilly Research Laboratories, Eli Lilly and Company.
Study: Even low levels of lead highly dangerous
By SCRIPPS HOWARD - QCTimes.com - July 1
A growing body of research suggests that
childhood lead poisoning is far more harmful - and its effects
on society more profound - than was commonly understood just a
few years ago.
Many scientists now believe that even low levels of lead
that are under the government's official safety threshold can
significantly reduce IQ in children. Spread across the
population, these low level exposures may be depressing the
intelligence of society at large.
While it has been known for a century that lead is harmful,
especially to children because their brains are still
developing, scientists are measuring subtle but significant
damage at much lower levels than previously studied.
And, while studies of effects of lead on children have
historically focused on intelligence, scientists are also
coming to believe that lead's impact on behavior may be just
as significant.
Scientists say it is likely that lead
may be a factor in attention disorders, juvenile delinquency,
violent criminal behavior, drug abuse, alcoholism, teen
pregnancy, learning disabilities like dyslexia and possibly
major psychiatric disorders such as schizophrenia.
Although the case is not conclusive, many scientists
believe lead exposure is a significant cause of attention
deficit hyperactivity disorder (ADHD). Both lead and ADHD are
strongly associated with failure in school and delinquency.
Lead's toxic legacy over the past century and continuing
today rivals that of tobacco or asbestos, said David Rosner, a
Columbia University professor and co-author of "Deceit and
Denial: The Deadly Politics of Industrial Pollution," a
history of the lead and plastics industries. While lead
poisoning is often perceived as a problem that has been
conquered, families across the country are still discovering
its dangers first hand.
In Redmond, Ore., Kara Burkhart's
4-year-old son, Colton, was hospitalized last summer with lead
levels in his blood 13 times greater than the government says
is safe after swallowing a nickel-sized gumball-machine toy
made with lead. Doctors tell the Burkharts that Colton will
have to battle lead's effects all his life.
Mark and Charlene Sirca's 104-year-old dream home in
Bethesda, Ohio, turned into a nightmare when one of the
couple's 2-year-old triplets ate paint chips while playing on
the front porch. His lead level soared 150 percent above what
is considered safe and he recently suffered a seizure.
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Autistic
Teens Create Website for People with Asperger's Syndrome
eMediaWire
Two teens with Asperger's Syndrome, a
form of autism, have created a website called WrongPlanet.net
for others who have the disorder.
(PRWEB) July 1, 2004 -- Two teens with Asperger's Syndrome,
Dan Grover of Vermont and Alexander Plank of Virginia, have
announced WrongPlanet.net, a community website for other
individuals with the syndrome.
Asperger's Syndrome is a high functioning form of autism.
Individuals who have it typically exhibit problems with social
understanding and reading body language, and sometimes a host
of other symptoms, but usually have very strong interests and
obsessions. "This makes a lot of kids - and adults - who have
it," said cofounder Dan Grover, "feel like they're living on
the wrong planet."
The teens have launched their website, called
WrongPlanet.net http://www.wrongplanet.net ,
aiming to provide an online resource and community for those
who have the disorder. While a myriad of other Asperger's
resources exist, the teens say, the websites out there do not
fit the task.
"Most of the existing resources are aimed at helping
parents and educators, while others encourage a hatred towards
the largely neurotypical society. We need to have a forum
where our goal is to try to coexist better in this world, not
isolate ourselves from it," said Alexander Plank, cofounder.
"Really what the goal is," Dan added, "is to alleviate those
with Asperger's from this pressure that they need to conform
to fit in. What is best is to learn how to use your uniqueness
to your advantage and find your place in the world."
In addition to its forums and chatroom, the site has weekly
polls, a blog (or web journal) feature for all members, and a
content system that lets members submit their own poetry,
stories, and articles. There is also a news system, to keep
the site updated with the latest news that is likely to be
useful to those with Asperger's.
The articles section contains articles written by Dan,
Alex, and several others. Topics include coping skills, social
skills, tips for sleeping, anxiety, bullying, and others
specifically geared towards those with Asperger's.
The teens have been working hard over the past two weeks on
the website. Alex and Dan had to communicate through instant
message, being many miles apart from one another. "It's been
challenging at times," Grover reflected, "with Alex and I
working on the site's code at the same time. We had to be
careful not to step on each other's toes!" The two, after
having worked extensively on the site, its programming,
graphics, and content, now feel it's ready to announce to the
world.
The site is powered by PHP-Nuke, an open source online
community software program that utilizes PHP and the MySQL
database system. "But it's much more," Alex was quick to add,"
than the standard PHP-nuke package. Dan and I have added many
features and refined what the software comes with
out-of-the-box."
Later to join the efforts was another autistic teen, Ashley
Bernard. "The boys put a lot of work into the website," she
said," and I spent plenty of time helping them with ideas. I
think that many people with Asperger's and other autistic
disorders will benefit from the information and fun of the
website."
The website was launched last Friday, and since then it has
already enjoyed an overwhelming amount of success. "In just
three days since the launch," Grover said, "we've gotten over
50 members, and that figure is rising fast. People like the
website a lot. We've never had that sort of success with any
of our sites, both Alex and I."
The teens, who are looking forward to meeting more new
members of their site, have one final message, "We hope that
many aspies [people with Asperger's come to our site and it
helps them cope better in the world; we've spent a great deal
of time and effort on making this project close to perfect."
The text of this press release is placed into the public
domain.
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