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പ്രത്യേക പഠന പരിമിതി പിന്തുണാ കേന്ദ്രം ഒന്നാം ഘട്ട ക്ലാസുകൾ എടുക്കാൻ എത്തിച്ചേർന്ന എല്ലാ ഫാക്കൽറ്റിമാർക്കും ( രമ ,പദ്‌മജ ,വൈഷ്ണ , ആശാലത ,ഷീബ , ഡോ. അഞ്ജു,പ്രസീത ,നിത്യ ,ദിവ്യ ദാമോദരൻ, ബിജിമ , ഷിൽന , പവിത്രൻ, ദേവദാസ്,രാജേന്ദ്രൻ ) അഭിവാദ്യങ്ങൾ.

Wednesday, September 15, 2021

Unit end questions and answers-UNIT 1 DMLD

 Define and describe the Growth and Development

Growth is the progressive increase in the size of a child or parts of a child.

Development is the progressive acquisition of various skills (abilities) such as head support, speaking, learning, expressing the feelings etc...

Child development refers to the natural growth and learning that occurs in all children from birth to adulthood, including physical, intellectual, and social-emotional growth

.Let us see the difference between the ‘Growth’ and ‘Development’

Growth refers to an increase in size, height, weight etc. ./.Easily measured and observed /It is limited / Starts with birth to reach the maximum at maturity /  Concerned with various aspects and parts of body and behaviour as a whole / Quantitative change 

Development refers to improvement in the functioning of the body process / Cannot be measured easily’/A continuous unending process all through life /Limited to specific areas / Qualitative and Quantitative change .

Human development constitutes the development of different areas such as physical, motor, language and speech, emotional, social and cognitive developments. By the time the child reaches adulthood, the development of major areas will be completed. But the development of these areas of a person with learning disabilities can be affected or distorted. 

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What are the areas of development of a child ?


Areas of Development Human development constitutes the development of different areas such as physical, motor, language and speech, emotional, social and cognitive developments. By the time the child reaches adulthood, the development of major areas will be completed. But the development of these areas of a person with learning disabilities can be affected or distorted.

 a. Physical development: Physical development means changes in height and weight and associated changes in size and shape and the functioning of the body. Physical development influences child’s behaviour directly by determining what they can do and indirectly by influencing their attitudes towards self and others. Physical development provides children with the abilities they need to explore and interact with the world around them. 

b. Motor development: Motor development means the development of control over bodily movements through the coordinated activity of the nerve centres, the nerves and the muscles. It includes the Gross motor abilities and fine motor abilities which is crucial in the education process — writing, drawing, speech etc. Motor development is partially responsible for overcoming the helplessness of new-born infants. 

 c. Language and speech development: Language development is the process by which children come to understand and communicate language during early childhood. The thoughts and feelings can be communicated in any form of language (gestures, emotional expressions, speech or written language), but it is most commonly and most effectively done by speech. 

Speech development is the ability to use meaningful ideas through spoken words. Speech is a motor-mental skill. d. Emotional Development: Emotions are complex psychological and biological responses to internal and external stimuli. 

d.Emotional development can be defined as the ability to express, control, understand and accept one's emotions. All emotions play an important role in children’s lives through the influence they have on children’s personal and social adjustments. 

e. Social Development: It is the acquisition of the ability to behave in accordance with social expectations — control emotions, waiting patiently, making friends, sharing toys, taking care of others etc. The change of children into social, nonsocial or antisocial person depends mainly on learning, not on heredity. Young children develop these abilities in small increments over time. 

f. Cognitive or intellectual development: Cognitive development is the sum total of sensation, perception and cognition. Sensation means sensing something through sense organs. Perception gives additional meaning to sensing. Cognition is the process of thinking and knowing. 

The intellectual or cognitive development helps a person to memorize, imagine, communicate, perceive and to solve problem. It develops from birth until adulthood.

3.Specify the Stages of child Development with reference to children with birth defects or disabilities

In pregnancy, each part of the baby’s body forms at a specific time. During these times, the body can be very sensitive to damage caused by medications, alcohol or other harmful exposures. We call this specific time the “critical period of development” for that body part.

 The CPD (critical period of development) for the central nervous system is from the 3rd week to the 16th week of fetal growth.The development period for the heart is 3-6 weeks of fetal growth.Arms develop from the 4th to the 6th week of fetal growth.The CPD for the eyes is from the 4 1/2 week to the 8th week of fetal growth.The cpd for the legs is from the initial day of the 4th week to the the initial days of the 7th week of fetal growth. The CPD for teeth is 6th to 8th and for the palate ,it is the 6th to the initial days of the 12th week of fetal growth.The critical development period for the external genitala is the second half of the 8 th week to the first 3 quarters of the 12 the week.The CPD of the ears is from the 4th week ti the first half of the fetal growth.

In general, major defects of the body and internal organs are more likely to occur between 3 to 12 embryo / fetal weeks.Minor defects and functional defects including those affecting the brain are  likely to occur even later in pregnancy.

Evaluate a child’s development after birth

Postnatal and later periods of life have been classified in to various stages or planes by different experts. Commonly used terms and classifications are given below: 

 Neonatal ( newborn baby ) period: ages 0–4 weeks; 

 Infant: ages 4 weeks – 1 year/ (Infancy means the speechless period or before walking. So for some children, it may be extended up to 2 years )

  Toddler: ages 1–3 years -The word is derived from "to toddle", which means to walk unsteadily, like a child of this age. 

The toddler years are a time of great cognitive, emotional and social development.

  Preschooler: / Early childhood: ages 3–6 years; 

 Middle childhood: ages 6-8 years; 

 Later childhood: ages 8-12 years; 

(‘Childhood’ is the development stage between infancy and puberty)  Adolescent: ages 12–20 years; 

 Adult stage; ages 20- 45 years;

 Middle age stage: 45 -65 years; 

 Old age stage: ages 65 and above

The development of communication and language in a child is as follows : The child during the early stages of infancy cries when wet or hungry, coos when comfortable (3 months ), makes simple sounds by 6 months , uses sound for different things by 9 months, begins to use simple single words by one year , begins to use words together by 2 years, uses simple sentences to express ideas by 3 years to 5 years. If the child lags behind during any one of  these stages, parents should take steps to support the child without delay. Measures like speaking and singing to the child, consulting experts like speech therapists without delay is advocated.










Tuesday, September 14, 2021

MCQ 2 UNIT 1 DMLD

 MCQ 2 UNIT 1 DMLD

1. .......is the progressive acquisition of various skills (abilities) such as head

support, speaking, learning,...( Growth, Development,Heredity)

2.Human growth and behaviour is determined by the interaction of two factors—(heredity

and environment., growth  and development, heredity and development.)

3.Development proceeds from heteronomy to autonomy:(Yes / No)

4.Development occurs at the same rates for different parts of the

body.(Yes / No)

5.A trait is often determined by only one gene.(Yes / No)

6.In humans, mutations in FOXP2 cause the severe .......................

 disorder ( writing, reading ,speech and language)

7.CNS (Central Nervous System) develops generally from the ........week( 3rd, 4th,16th)

8.There is a ‘Baby Centre’ Mobile App to track the ........... growth

9.The development pattern of the prenatal child and postnatal

development. (monthly, daily, weekly)

10. Teeth develops only after the child is born. (yes / no)

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MCQ 1 QUESTIONS











MCQ2 ANSWERS.

Human growth and behaviour is determined by the interaction of two factors—heredity

and environment.

Development proceeds from heteronomy to autonomy:

Development occurs at different rates for different parts of the

body:

In humans, mutations in FOXP2 cause the severe speech and language disorder

CNS develops generally from the 3rd week.

There is a ‘Baby Centre’ Mobile App to track the weekly growth

development pattern of the pre natal child and post natal

development.

Teeth develops from the 6th  to 8th week of the Embryo.

Development is the progressive acquisition of various skills (abilities) such as head

support, speaking, learning,...

Monday, September 13, 2021

Notes 15 08 2021

 Notes 15 /08/2021 LESSON 2     

TEXT UNIT 1        A GENERAL OUTLOOK ON DMLD COURSE

1.4.6.Birth defects 

 1.5.Development after birth: 

1.5.1. Evaluation of a child’s Development 

1.5.2. Eriksons’s Stages of development and ‘Developmental Tasks’ 

 1.5.3.The 8 stages of psychosocial development

 1.6. Needs, Potentials, and Rights of Children 

1.6.1. The relationship between rights and needs 

1.6.2. How Needs become Rights? 

1.6.3. Areas of needs; 

 1.6.4. Maslow’s hierarchy theory of needs

 1.6.5. Educational applications of Maslow’s theory 

MY NOTES

1.4.6.Birth defects 

Birth defects  classified as “major” and minor

MAJOR# significant medical problems and need surgery or other treatment to repair. EG ...Heart defects, spina bifida, and clubfeet

“Minor” birth defects by themselves do not cause significant medical problems and usually do not require treatment or surgery. .... can also be variations of normal development.EG : Wide-set eyes and large ears 

**physical or structural changes. ..MAJOR AND MINOR

**“functional” defects...Eg :- Intellectual disability and hearing loss

 “functional” defects change how a part of the body works without changing its physical structure.  

 major defects of the body and internal organs are more likely to occur between 3 to 12 embryo / fetal weeks. ( 5 to 14 gestational weeks)  (weeks since the first day of your last period). .. the first trimester. Minor defects and functional defects including those affecting the brain LIKELY occur later in pregnancy. 

 1.5.Development after birth: 

Postnatal and later periods of life have been classified into various stages or planes by different experts. Commonly used terms and classifications are given below:

  Neonatal ( newborn baby ) period: ages 0–4 weeks; 

Infant: ages 4 weeks – 1 year/ (the speechless period or before walking. So for some children, it may be extended up to 2 years )

  Toddler: ages 1–3 years - great cognitive, emotional and social development.

  Preschooler: / Early child hood: ages 3–6 years; 

Middle childhood: ages 6-8 years; 

Later childhood: ages 8-12 years;

 (‘Childhood’ is the development stage between infancy and puberty) 

Adolescent : ages 12–20 years; 

Adult stage; ages 20- 45 years;

  Middle age stage: 45 -65 years; 

Old age stage: ages 65 and abov


1.5.1. Evaluation of a child’s Development 

Compare with the chart (REF TO THE TEXT)and find whether a child’s growth is normal or shows a developmental delay in Language, social development, attention, play etc.

1.5.2. Eriksons’s Stages of development and ‘Developmental Tasks’ 

 Erik Erikson has developed (1954,1958) in collaboration with his wife Joan Erikson, a comprehensive psychoanalytic theory of Psycho social development

### states that the human development happens in a predetermined order through eight stages from infancy to adulthood.

 According to Erikson’s theory the results from each stage, whether positive or negative, influences the results of succeeding stages (Erik Erikson: Childhood and Society)

 1.5.3.The 8 stages of psychosocial development

1.Trust vs. Mistrust,<1,6M

2.Autonomy vs. Shame,<3

3.Initiative vs. Guilt,<5

4.Industry vs. Inferiority,<12

5.Identity vs. Role Confusion,<18

6.Intimacy vs. Isolation,<40

7.Generative  vs. Stagnation, <65

8.Ego Integrity vs. Despair,65+

(hope,will,purpose,competency,fidelity,love , care and wisdom )


 1.6. Needs, Potentials, and Rights of Children 


The ultimate aim of development is to promote and enhance the health, wellbeing, and capacities of children. 

 International Institute for Child Rights and Development grouped the needs of children into four broad categories: 

1.Physical needs: 

2.Social, economic and cultural needs:

3.Psychological, including Intellectual, emotional, and volitional* needs: 

(volitional-abilities and skills to make a conscious choice or decision)

4.Spiritual needs: 

1.6.1. The relationship between rights and needs 

 Needs become Rights.

Children’s needs are universal.

The fulfilment of all needs is essential for children’s optimal health and development:

Children cannot fulfil their needs without adult support:

Acceptance of the premise that adults have responsibilities or obligations to meet children’s needs and rights:

 the UN Convention on the Rights of the Child.-

1.6.2. How Needs become Rights? 

Human needs are obvious. ( Eg Food, shelter, safety, companionship, maybe going on to sex, a family.)

 neeeds -biological and psychological requirements whose lack will cause humans to suffer badly or die.

 Human rights are those that we demand for ourselves and are required therefore to offer to others. 

----philosophical concepts granted by other humans.


1.6.3. Areas of needs; 

Shelter -physical

Opportunities for play and friendships-social,economical &cultural

 A stable and loving family environment, whether the biological or a substitute family-psychological needs

Exploration and appreciation of the nature of life-spiritual needs

 1.6.4. Maslow’s hierarchy theory of needs

Humanist Psychologist Abraham Maslow (1943, 1954) stated that people are motivated to achieve certain needs and that some needs take precedence over others. Our most basic need is for physical survival, and this will be the first thing that motivates our behaviour. Once that level is fulfilled the next level up is what motivates us, and so on.

 It is important to note that Maslow's (1943, 1954) five-stage model has been expanded to include cognitive and aesthetic needs (Maslow, 1970a) and later transcendence needs (Maslow, 1970b)4

 1. Biological and physiological needs ( Basic needs )- air, food, drink, shelter, warmth, sex, sleep, etc.  

2. Safety needs - protection from elements, security, order, law, stability, etc.

3. Love and belongingness needs - friendship, intimacy, trust, and acceptance, receiving and giving affection and love. Affiliating, being part of a group (family, friends, work). 

4. Esteem needs - which Maslow classified into two categories: (i) esteem for oneself (dignity, achievement, mastery, and independence) and (ii) the desire for reputation or respect from others (e.g., status, prestige).

 5. Cognitive needs - knowledge and understanding, curiosity, exploration, need for meaning and predictability. 

6. Aesthetic needs - appreciation and search for beauty, balance, form, etc. 

7. Self-actualization needs - realizing personal potential, self-fulfilment, seeking personal growth and peak experiences. 

8. Transcendence needs - A person is motivated by values which transcend beyond the personal self (e.g., mystical experiences and certain experiences with nature, aesthetic experiences, sexual experiences, service to others, the pursuit of science, religious faith, etc.).


 1.6.5. Educational applications of Maslow’s theory 

Maslow's (1962) hierarchy of needs theory has made a major contribution to teaching and classroom management in schools. 

Rather than reducing behavior to a response in the environment, Maslow (1970a) adopts a holistic approach to education and learning.

Eg: a tired and hungry student will find it difficult to focus on learning. (Before a student's cognitive needs can be met, they must first fulfill their basic physiological needs.)


Erikson, a follower of Freud's, synthesized both Freud's and his own theories to create what is known as the "psychosocial" stages of human development, which span from birth to death, and focuses on "tasks" at each stage that must be accomplished to successfully navigate life's challenges


Multiple Choice Questions

MCQ1  MCQ2

NOTES : LESSON 1  .......................  LESSON 3




Sunday, September 12, 2021

LESSON 3;UNIT-1; DMLD

      TEXT UNIT 1

A GENERAL OUTLOOK ON DMLD COURSE

 (CLICK HERE FOR QUESTIONS MCQ-1)

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ANSWERS TO  MCQ-1 ; UNIT - 1  ; DMLD

(1). canonical ;  (2). 50 ;  (3). 4 ;  (4) .50 ;  (5). 16-17; (6) .Erikson ; (7). First ; (8).4 ;  (9). 20 ; (10) .9

MCQ -2;UNIT 1,DMLD

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Notes- 11/09/2021 : click here for a  VIDEO

PREVIOUS CLASS notes

31 /07/2021 DMLD MODULE 1 VIDEO

15/08/2021  MY NOTES (video not available till now)

FINAL PART OF CHAPTER 1 : TEXT 1.7 TO THE END

1.7 Trivandrum Development Screening Chart for Children Aged 0-3 Year 

1.8. Developmental milestones and delays

1.8.1. Mile stone check lists 

 1.8.2. Assessment of Growth and Development 

1.8.3. Average growth measurements of normal children.

 1.8.4. Length/ Height Growth Pattern

 1.8.5. Measuring the mid upper arm circumference (MUAC) 

1.8.6. Mid Upper Arm Circumference Growth Pattern

 1.8.7. Growth Monitoring 

1.8.8. Weight Growth Pattern 

1.8.9. Importance of Growth Monitoring: 

1.8.10. Assessment of development 


MY NOTES

TEXT 1.7 Trivandrum Developmental Screening Chart (TDSC)6 

* designed and developed the Child Development Centre, SAT Hospital, Medical College, Trivandrum. 

* helps as a simple tool for the early detection of development delay and to start intervention program to prevent onward progression to disability. 

#This can be easily understood by the community health worker, parents and should cover all developmental domains. 

1.8 Developmental milestones and delays

. Assessment of Growth and Development

 weight,  height,  head circumference,  mid upper arm circumference (MUAC) and the  eruption of teeth

# use reliable equipment # use correct measurement techniques

infants weighed using beam balance or spring balance

# should have an idea about small weights and measures. ( Eg: - what is the average weight of an egg/ lemon ? Practise weighing kitchen items using spring balances.

# check the difference in the reading of the balances for small changes in weights (using known weights )

# remove wet / heavy clothes/ napkins etc..,

Average growth measurements of normal children.

Try to keep these data by heart.( refer charts given in the text )

Eg: By birth - a child average minimum weight 2.5 kg , length - 50 cm

The formula for average weight of a child above 4 years- ( age + 3) x 2.2 kg

growth monitoring  to be done weekly / monthly / bi monthly

Measuring the length of a child 

We don't use the term height for children. we measure their length by sliding scales.

occiput( word used in the chart)-ഓക്‌സിപ്പ റ്റ് - തലയുടെ പിൻഭാഗം 

Measuring the Head Circumference

Head Circumference Growth Pattern

Length/ Height Growth Pattern

term baby- full term baby, motherr having completed 39 weeks of pregnancy( more ideas early term baby/ late term baby - given  in the text )

mastoid process-ചെവിയുടെ പിന്നിലുള്ള ഭാഗം 


Measuring the mid upper arm circumference (MUAC) 

------measured using a tape or string in the absence of a tape.

.... Mid Upper Arm Circumference Growth Pattern 

...Growth Monitoring

... Weight Growth Pattern

......Combined Height and weight chart of WHO :  REFER THE TEXT






printed chart of percentiles

The meaning of percentile-  

Eg - 5th percentile

ആകെയുള്ള 100 ൽ ഏറ്റവും താഴെയുള്ള 5 കുട്ടികളുടെ data

...Interpretation of the growth curve

normal should be parallel to the curve in the printed chart.

. Importance of Growth Monitoring:

 Health workers and parents should monitor the growth of children for the following reasons  For early detection of abnormal growth and development

  To facilitate the early treatment or correction of any conditions that may be causing abnormal growth and development.

  To provide an opportunity for giving health education and advice for the prevention of malnutrition.


Assessment of development

 Developmental assessment is the process of mapping a child’s performance compared with children of similar age. The comparison group is obtained from a representative sample of the population that the child comes from. 

Screening of children

involves examination of all aspects of development,

 including 

#social/emotional behavior, 

#vision and hearing, 

#motor skills and coordination,

 #cognitive abilities, 

 #language and speech. 


free   Milestone Tracker   app 

developed by Centre for disease control and prevention (CDC) U.S

#WEB MD 

#sample ‘developmental milestones chart’of children from early childhood to adolescence at:http://www.rsd.k12.pa.us/Downloads/Development_Chart_for_Booklet.pdf

# Activity1.4. 

Collect different developmental / milestone checklists for Indian children and compare them to know the areas included in them.8,9,10. Compare with the Milestone Tracker app also

SUMMARY

In human growth and development, heredity and environment plays important roles.

# If the environment is suitable, the development will reach to the maximum extent which is determined by the heredity.

# There are different aspects of development like physical development, motor development, language and speech development, emotional development, social development and cognitive or intellectual development. 

#Suitable tools and check lists are available to monitor the growth and find out if there is any delay or disorder happens.

ASSIGNMENTS

# will be given in the next class... there will be 3 assignments....

#assigmments must be written by hand on lined papers.

# average  400 words ...minimum 4/5 pages.....

.....practical and internship BY SMALL  GROUPS based on the first unit will commence from OCTOBER


UNIT END QUESTIONS DISCUSSED

Instructions given

# WRITE ANSWERS TO THE UNIT END QUESTIONS AND PRACTISE

# MUST LEARN MILESTONE DEVPT DATA BYHEART

# PRACTISE MULTIPLE CHOICE QUESTIONS (MCQ) AS FAR AS POSSIBLE

.....

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MCQ-1 ; UNIT - 1 DMLD

MCQ-1 ; UNIT - 1(Based on Notes: DMLD  11 09 2021)     TEXT UNIT 1

A GENERAL OUTLOOK ON DMLD COURSE

SUMMARY OF THE LESSON

1.7 Trivandrum Development Screening Chart for Children Aged 0-3 Year 

1.8. Developmental milestones and delays

1.8.1. Mile stone check lists 

 1.8.2. Assessment of Growth and Development 

1.8.3. Average growth measurements of normal children.

 1.8.4. Length/ Height Growth Pattern

 1.8.5. Measuring the mid upper arm circumference (MUAC) 

1.8.6. Mid Upper Arm Circumference Growth Pattern

 1.8.7. Growth Monitoring 

1.8.8. Weight Growth Pattern 

1.8.9. Importance of Growth Monitoring: 

1.8.10. Assessment of development 

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QUESTIONS

1. One  CV SOUND may be  called a......... sound.( biblical, canonical, undifferentiated, differentiated )

2. The average weight of an egg is ...gm ( 25, 50, 80,100 )

3. Expected weight is usually calculated for children from.....years. ( 2 , 4 , 5 , 6 )

4. An average term baby is ........ cm long.( 50 , 60 , 80 , 28 )

5. The mid-upper arm circumference of well-nourished children range....... cm in the period 1-5 years.

( 13-15 , 11-12 , 16-17, 13-17 )

6. . We must be aware of the needs potentials and rights of children and Eight stages of the psychosocial development described by.........(  Maslow , Erikson , WHO , Pavlov )

7 .  Gestational age begins with the ........ day of a woman’s last menstrual period.(first , last, tenth, second )

8. Denver Developmental Screening Test (DDST) is a commonly-used screening tool for children aged -------(  4,7,10,14 )   

9.The  average weight of a child  of 6 years is .......( 18,19, 20, 21 ).

10. An infant usually begins to imitate at the age of .....months ( 6,9, 12, 15)


CLICK HERE FOR ANSWERS