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Biomedical subjects

J N Simmons

Publications and source records attributed to J N Simmons.

4 recordsLinked to original sources

Young blind children: towards assessment for rehabilitation.

Traditional assumptions about assessment need to be rethought, recast or rejected when blind children are to be assessed. Given that blind children follow a unique developmental route, rehabilitation specialists must take account of the impact of blindness on children and think of them also as clinically a special population. Dependence on standardized tests for the primary information about any child is always suspect; with regard to a blind child it is irresponsible. The authors describe the characteristics of an approach that is both systemic and common-sense. They illustrate it by reference to a new procedure (The Simmons-Davidson Developmental Profile) and to a case study.

Blindness

Identification of nuchal cords during nonstress testing.

A reactive nonstress test (NST) has been demonstrated to be an excellent predictor of fetal well-being. Unfortunately, some fetuses continue to be lost, perhaps secondary to umbilical cord accidents. While examining this problem, we noted a unique "double variable," or "W pattern," on the NSTs of fetuses found at delivery to have a nuchal cord. In a prospective study to examine the accuracy of predicting the presence of a nuchal cord, 200 consecutive patients undergoing antepartum fetal heart rate testing were monitored for the occurrence of a W pattern on their NSTs. One hundred percent of the women with a W pattern delivered infants with at least one nuchal cord. In addition, the W pattern was associated with a higher incidence of five-minute Apgar scores of less than 7. The ability to identify infants with nuchal cords prior to delivery may be beneficial in identifying infants at increased risk of unexpected fetal distress or death.

Adult

Perspectives on intervention with young blind children.

Problems of early intervention with young blind children are analysed from a conceptual perspective. Mediation is linked to the unique developmental mode of blind children and the relationship illustrated through the analysis of some familiar problems in intervention.

Blindness

Mediating the environment: a case study approach.

Two case studies are presented as a means of examining aspects of mediating the environment for young blind children. Following the child's history, clinical observations are offered on each case. A general discussion highlights the salient requirements of mediation with children born blind.

Blindness