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Many autistic children experience changes in core symptom severity across middle childhood, when co-occurring mental health conditions emerge. We evaluated this relationship in 75 autistic children from 6 to 11 years old. Autism symptom severity change was evaluated for total autism symptoms using the autism diagnostic observation schedule calibrated severity score, as well as social-communication symptoms calibrated severity score, and restricted/repetitive behaviors calibrated severity score. Children were grouped based on their symptom severity change patterns. Mental health symptoms (attention-deficit hyperactivity disorder, anxiety, disruptive behavior problems) were assessed via parental interview and questionnaire and compared across the groups. Co-occurring mental health symptoms were more strongly associated with change in social-communication symptom or restricted/repetitive behavior severity than with total autism symptom severity. Two relevant groups were identified. The social-communication symptom-increasing-severity-group (21.3%) had elevated and increasing levels of anxiety, attention-deficit hyperactivity disorder, and disruptive behavior problems compared with children with stable social-communication symptom severity. The restricted/repetitive behavior-decreasing-severity-group (22.7%) had elevated and increasing levels of anxiety; 94% of these children met criteria for an anxiety disorder. Autism symptom severity change during middle childhood is associated with co-occurring mental health symptoms. Children that increase in social-communication symptom severity are also likely to demonstrate greater psychopathology, while decreases in restricted/repetitive behavior severity are associated with higher levels of anxiety.

This study examined the effects of a professional development program for teachers of social sciences for English learners. Results from pre- and post-measures of social sciences content indicated greater improvement in student achievement in these areas when scores from students from teachers who had gone through the training were compared with those that did not. There was also a correlation found between the level of use among the teachers with training and the level of achievement of their students. Perhaps most intriguing in the findings is the level of implementation of certain identified strategies from professional development seminars that were observed. The increase in achievement scores might suggest that teachers were effective in applying the strategies learned. Yet, the level of implementation of those strategies was minimal at best, reaching only a level 3 out of a possible six. Additional research needs to be conducted to explore the relative ratio of student achievement to the level of implementation of strategies employed by target teachers. (Contains 3 tables.)

Previous investigations found that a subset of children with autism spectrum disorder (ASD) in California possessed plasma autoantibodies that reacted intensely with brain interneurons or other neural profiles. Moreover, for several cohorts of American women, maternal autoantibody reactivity to specific fetal brain proteins was highly specific to mothers of children with ASD. We sought to determine whether children and their mothers from a regionally specific cohort from the Basque Country of Spain demonstrated similar reactivity. Some children's plasma reacted to interneurons, beaded axons or other neural profiles with no difference in the occurrence of these antibodies in children with or without ASD. Findings on the maternal antibodies confirmed previous research; plasma reactivity to fetal brain a combination of proteins at 37 and 73 kDa or 39 and 73 kDa was found exclusively in mothers of children with ASD.

Background: The purpose of this study is to compare the mental health risk profile and health utilization behaviors of adolescent school-based health center (SBHC) users and nonusers and discuss the role that SBHCs can play in addressing adolescent health needs. Methods: The sample included 4640 students in grades 9 and 11 who completed the California Healthy Kids Survey between fall 2000 and spring 2005 at 4 high schools in Alameda County, California. Chi-squared tests of significance and multivariate logistic regression were used to compare characteristics of SBHC users and nonusers and identify demographic, health status, and behavioral characteristics predictive of SBHC use. Results: Controlling for demographic variables and general health status, students who reported frequent feelings of sadness, trouble sleeping, suicide ideation, alcohol or marijuana use, the recent loss of a close friend or relationship, or other difficult life event were significantly more likely to seek SBHC services than their peers. Neither health insurance status nor a student's "usual" source of health care was predictive of general SBHC use, but being on public assistance or having no insurance was predictive of a student seeking SBHC mental health services. Conclusions: These findings suggest that SBHCs are able to attract students with the most serious mental health concerns and can play an important role in meeting needs that might otherwise go unmet. The provision of SBHC mental health services in particular may fill a need among adolescents with public or no insurance. (Contains 3 tables.)

This article illustrates effective instructional strategies for English Language learners. (Contains 5 figures.)

A 4-year science education project in a rural southern California elementary school involved kit- and inquiry-based science instruction, including the use of science notebooks. Evaluations of fourth- and sixth-grade students in the program for 0-4 years found that English-learners with longer program participation had increased achievement scores in science, writing, reading, and mathematics. (Author/SV)

By focusing on advantages inherent in what are typically considered disadvantages for rural schools, 14 rural, southern California school districts cooperated in implementing a successful inquiry-based elementary science program. Isolation and low population density resulted in a stable teaching force familiar with the community, and the area's low income facilitated grant writing. Staff development issues are discussed. (TD)

Despite strong evidence of high stress among oncology nursing staffs, few empirical intervention studies have been attempted. This study involved a pilot project to combine two anxiety-reducing aids--group support and the provision of pertinent information--into a single format for maximum stress reduction. Weekly groups producing both support and information lasted 8 months and covered a wide range of topics. Both unstructured and didactic sessions were used. Pre- and postquestionnaires were distributed to each participant to assess ward atmosphere, attitudes about cancer, and level of stress. Participants expressed great satisfaction with the project, but their enthusiasm was not supported by statistical evaluation. Various methodological and programmatic aspects that may account for the discrepancy between anecdotal and statistical results are discussed.