Jonge mensen hebben steeds meer behoefte aan loopbaancompetenties. Dat vraagt van docenten dat ze zich anders gaan opstellen. Want zij praten nog steeds te veel tegen leerlingen in plaats van met leerlingen.
In dit inspirerende interview met Danae kom ik erachter welke vormen van nieuwsgierigheid er bestaan en wat deze verschillende vormen van nieuwsgierigheid voor ons kunnen betekenen. We praten over de invloed van nieuwsgierigheid op jouw hersenen en vitaliteit, de gemakken en ongemakken van een nieuwsgierige geest en hoe je door middel van nieuwsgierigheid je authentieke ik kunt vinden. Dit interview is interessant voor iedereen die alles uit zijn leven wil halen en de wereld een stukje mooier wil maken. Geniet!
Introduction: Bruxism is a repetitive masticatory muscle activity that may cause substantial morbidity and reduce the quality of life in children with profound intellectual and multiple disabilities. Assessment methods most commonly used were caregiver reporting and dental examination, This systematic review with meta-analysis aims to determine the prevalence of bruxism in children with profound intellectual and multiple disabilities and to describe the currently used assessment methods for bruxism in this population. Methods: We conducted a systematic review and meta-analysis using a multi-component search strategy. We used a random effects model to calculate the prevalence and 95 % confidence intervals for each study, for all studies combined, and specifically for Rett syndrome (RS), cerebral palsy (CP), Down syndrome (DS), and “other disorders (primarily Angelman syndrome and Prader–Willi syndrome).” Results: The prevalence for the entire group based on a random effects model was found to be 49 % (95 %CI 41–57 %) with high heterogeneity (I2 = 93 %, p < 0.01), for RS 74 % (95 %CI 53–88 %, I2 = 84 %, p < 0.01), CP 48 % (95 %CI 38–57 %, I2 = 86 %, p < 0.01), DS 40 % (95 %CI 33–47 %, I2 = 60 %, p < 0.01) and “other disorders” 40 % (95 %CI 18–67 %, I2 = 98 %, p < 0.01). The group prevalences were not equal, indicating a significant difference (P-value = 0.03), with a notably higher likelihood of RS. Conclusion: We observed a five-fold increased likelihood of bruxism in children with profound intellectual and multiple disabilities. The disorder with the highest prevalence was Rett syndrome, with a seven-fold increased likelihood of bruxism. The increased likelihood of bruxism in this vulnerable group of children demands clinicians pay heed to this substantial morbidity.
