Index of references to London in Global Information Space with daily updates

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New headings with London from Top 1,000,000 websites extracted on 2020-07-24

# Headings H1-H6 Count
Shaftesbury London 16
Saturday – Paris to London – Libertine 12
Embassy in London 6
Pakistanis PoK activists sing Vande Mataram alongside Indians in London protest 5
Dry London Spirit 4
110 SUNRISE Crescent London N5V 4V8 4
27 ARDSLEY Road London N6G 3J4 4
3067 WHITE OAK Road London N6E1L7 4
56 BROOKSIDE Street London N5Z3J5 4
1571 CORONATION Drive London N6G 5N9 4
KRAGUJEVČANIN U LONDONU NEBOJŠA JOCIĆ – FILOZOF I BODIBILDER 4
Free Coaching programme is nice information for unemployed girls in London 4
Cambridge – London – Reading – Southampton 4
London News 4
London Thất Thủ 4
The Chinese social media giant TikTok may chose London as its main Headquarters 4
DLPC – All London amp Surrounding 3
Know about the Food That Help You to Fight Ageing from Ido Fishman Cooking Classes in London 3
London-based Agency Launches ‘Edtech 100’ to Celebrate MENA’s Edtech Efforts 3
School in Action at North London Collegiate School Dubai 3
Michelin Star Restaurants In London 3
Tower Bridge London 3
Trade show LondonEdge cancels 2020 events 3
Transport for London 3
UKLONDON NEWS 3
Learn to make healthy food for kids from Ido Fishman cooking classes in London 3
London Luton Plane Spotting Guide 3
London Art Galleries Slowly Stir Back to Life 3
Bammm… Sopir Truk Tewas Tertimpa Kayu Gelondongan yang Diangkutnya TKP Jalan Veteran 3
London Support HQ to Serve as ‘Beachhead’ for 3Forge Expansion 3
NCRIB President Dr Onigbogi bags CII London exceptional service award 3
Where to After London 3
Zac Efron Sweepstakes: Win A Trip To London 3
Best fresh fruit and vegetable deliveries in London 3
Queen Mary University of London to Offer Free Business Advice 3
2015 London Road مشاهدة فيلم كامل 3
Top 5 Open Air Cinema’s in London 3
Dubai London and Canada 3
Back in business: Our regular round-up of London’s reopened bars and restaurants 3
Baru Lahir Bayi di London Terinfeksi Virus Corona 3
Nước Hoa Mini BURBERRY LONDON EDP 45ML 2
Enera is a management consulting company specialized in the field of healthcare In our offices in Istanbul Ankara and London we employ dynamic teams comprised of highly skilled consultants and industry experts Combining our exceptional human resource with a global network we exclusively work on prestigious international projects in the MENA South Asia and EU regions 2
Travel Guides: A Personal Look Into Paris Rome and London with Kids 2
Case handphone – London 2
Tube Map London 2
Eritrea: The Shameful Undertakings of PFDJ Members in London 2
Are You Looking For a Tantric Massage in London 2
2020 Leventis Foundation Fellowships at University of London for young Nigerian 2
Excellent Selection Of Luxury Watches On Behalf Of Gamages Of London 2
Brexit threatens London’s position as Europe’s data capital 2
Saajan Teri Dulhan Moombahton Remix Dj Dalal London 2
London’s PioneeringFashion and Fash-TechBusiness Incubator 2
East London Business Directory 2
Best Buildings in London 2
Emergency locksmith in London 2
HUMANITARNA GRAĐANSKA AKCIJA UMMUSA – POMOZIMO NAJUGROŽENIJIM U LONDONU NEBOJŠA JOCIĆ – FILOZOF I BODIBILDER 2
TikTok Talks With British Government About Headquarters Coming to London 2
London Royal Ravens fall to Paris Legion in Semi-Final of CoD League London Home Series as Dallas Empire take first place 2
London – Practice Growth Workshop 2
Address : 427-431 London Road Sheffield S2 4HJ Tel : 01425 600129 Email: askbankruptcycouk 2
upcoming Parties at Cirque Le Soir London 2
FLY London Shoes: Graceful Fashion-Forward Comfort 2
Nicki Minaj Cuts London Bridge Scene from Video after Terror Attack 2
Stunning One Bedroom Walthamstow Central London 2
Перьевая ручка Parker Urban London Cab Black CT 20 212L 2
Welcome to Royal Lancaster London 2
London curtains in two positions 2
Live in London 2
With 5 locations to choose from including London Manchester Birmingham Liverpool and Bradford you are never too far from us 2
ShootMe! London Reality 2
London Road Sayers Common West Sussex BN6 9HS 2
Lần Đầu Tiên Sau 500 Năm Cảnh Vệ Tháp London Đối Mặt Với Sự Sa Thải Vì Dịch Bệnh 2
Transport for London Looks to Renewables to Power London’s Tube Network 2
LONDON 2
The 7 best things to do in London 2
The lovable Elite Independent Escort in London 2
London’s Southbank Centre invests in MDG ATMe haze generators 2
Dry London Spirit Case 2
London Square Bermondsey 2
MBE confirms October date for physical London event 2
Lil Wayne and Lauren London Finally Show Their Baby Boy to the World 2
Are you looking for a Tantric Massage in London 2
Pretty in Pink at The Ritz London 2
London ICE 2020 2
London Drawing amp Painting Course 2
play bingo in London 2
White London Printed Round Neck T-Shirt 2
Malta United States and Italy top league table of exhibitor nations as international industry prepares for ICE London 2
London Fashion Week announces provisional digital schedule 2
Top Georgian Companies listed on the London Stock Exchange 2
Man charged with murder of UK Cypriot Peter Petrou in North London 2
Nước hoa Burberry London for Men Eau de Toilette Spray 2
Where you’ve been dining out in London’s reopened restaurants 2
Body to Body Massage in London 2
From UK London 2
How London Royal Ravens ran a home series event from lockdown 2
European Jewels with London 9 Nights/ 10 Days 2
Hire Experienced Builders in London From Right Build Group Builders 2
Get Brighter Smile from London’s Best Dentists 2
أكشن فيلم London Has Fallen مترجم 2
Central London’s largest gym 2
Knezevic B Thompson L amp Thompson M Pilot project to ascertain the utility of Tower of London Test to assess outcomes of neurofeedback in clients with Asperger’s Syndrome Journal of Neurotherapy 143 3–19 2
You’ll Love Our Slippery Nuru Massages In London 2
5 Enjoyable and Quirky Fitness Activities to do in London 2
1920 London 2016 Bollywood Movie 2
Nước hoa Burberry London for Women Eau de Parfum Spray 2
TT kim loại thế giới ngày 24/7/2020: Giá đồng tại London giảm 2
10 Reasons Why Bloggers Should Attend WTM London 2016 2
La distillerie Bombay Sapphire un lieu éco-responsable étonnant au coeur de la campagne londonienne 2
London School of Commerce 2
LONDONTraffic Stopping Bunny! 2
On Tuesday I passed on this London auction lot 2
The Best Sensual Massage in London 2
SEO Services London 2
Tiểu sử Marcos Alonso: Mũi tên bạc thành London 2
Is It the Right Time to Sell Your London 2
LIVE Forex Trading – LONDON Fri July 24th Free Education 2
Jet Supersonik Akan Lepas Landas pada Tahun 2021 Akan Membawa Anda dari London ke New York Hanya dalam 3 Jam 2
London: Ace of Clubs is 25 2
Outcall Tantric Massage in London 2
Dohrmann K Weisz N Schlee W Hartmann T amp Elbert T Neurofeedback for treating tinnitus Chapter in B Langguth G Hajak T Kleinjung A Cacace amp A R Moller Eds Progress in Brain Research Vol 166 London: Elsevier pp 473–485 2
Robo Investing London UK Europes 1 Wealth Event 9 – 11 September 2019 2
London Stock Exchange Group 2
Residential Architects London Pay Great Attention to Design and Planning! 2
The Establishment of the London Police Inspired the Creation of Detectives in British and American Crime Fiction 2
Brighton Waterfront Hotel Brighton London 2
Good News for Unemployed Women in London: Free Training Programme 2
Peter Gavin previews London Irish Wild Geese v Worthing Raiders 2
Schools of the university of London 2020 London college 1826 UCL 2
BURBERRY LONDON EDP Phiên bản mới nhất 100ml 2
The Sound of Old School Formula 1 Mapped in London 2
Are you looking for an Incall Tantric Massage in London 2
Imperial College London 1
เตียงนอน London ขนาด 35 ฟุต 1
Jo Malone London presenta Lost In Wonder una nueva coleccion inspirada en los ancestrales Jardines Colgantes 1
PROFESSIONAL PHOTOGRAPHER FOR WEDDING PRODUCT CONFERENCE amp EVENT PHOTOGRAPHY IN LONDON amp OUTER LONDON 1
Peruzzi Allegedly Defrauds Sexually Assault London Based Singer 1
London World Naked Bike Ride 2018 1
London Ambulance Service NHS Trust 1
All conferences London – Global 1
1st T20I England tour of South Africa at East London 1
Lauren Goodger Does a Bikini Photoshoot in London 1
At V P Associates Accountants Tax Advisors East Grinstead we will be delighted to hear from you even if you fall outside the stated catchment service area as we look to service more areas of East and West Sussex Surrey Kent and Greater London 1
London Irish Wild Geese 22 Worthing Raiders 19 1
AVADA CAFE LONDON INTRODUCES SPECIAL 10 DISCOUNT FOR STUDENTS 1
Atomic Loft Builder London » 1
“I have met some gorgeous girls through Skin London Tantric very happy with the service It’s good to finally find a professional service in London” 1
Das Schicksal Londons liegt in deinen Händen: Widerstand-Trailer zu Watch Dogs Legion veröffentlicht 1
2019 began with performing at The Sage Gateshead as part of BBC Introducing’s “New Year New Artist” show before releasing her powerful-pop single “Stronger” which only a month later had clocked up over 100000 streams on Spotify as well featuring as BBC London’s “Track of the Week” 1
Top 10 London Modelling Agencies 1
London Training Contract 2022 1
5 Best Restaurants In London For Fine Dining Lovers 1
Top Tips on Advertising Your Event Hire London 1
CMS ready to deal with emergencies as London’s hotels prepare to reopen 1
Kate ACEO amp Founder London 1
5 St John’s LaneLondonEC1M 4BHT: 020 3397 9832E: hellolonlogiccom 1
Die 10 besten Stadtviertel in London erkunden 1
Guaranteed AC Repair amp Plumbing Service in London 1
London Attacks and DIY-Terrorism: Security Implications to Sri Lanka 1
Laidback London 1
The Best Clothing Manufacturers in London 1
Life in London 1
Chelsea Barracks London 1
ICE London to donate £10000 to three gaming charities with visitor-led initiative 1
Made in London 1
Project: Ilona Rose House Client: Soho Estates Location: Greater London UK 1
London Courses 1
by Mike London Friday July 24 2020 12:00 am 1
London Lyrics In Hindi 1
An Introduction to the Playwright: William Shakespeare was a renowned English poet playwright and actor born in 1564 in Stratford-upon-Avon His birthday is most commonly celebrated on 23 April which is also believed to be the date he died in 1616 Shakespeare was a prolific writer during the Elizabethan and Jacobean ages of British theatre sometimes called the English Renaissance or the Early Modern Period Shakespeare’s plays are perhaps his most enduring legacy but they are not all he wrote Shakespeare’s poems also remain popular to this day Shakespeare’s Work: Shakespeare’s works include 38 plays 2 narrative poems 154 sonnets and a variety of other poems No original manuscripts of Shakespeare’s plays are known to exist today It is actually thanks to a group of actors from Shakespeare’s company that we have about half of the plays at all They collected them for publication after Shakespeare died preserving the plays These writings were brought together in what is known as the First Folio ‘Folio’ refers to the size of the paper used It contained 36 of his plays but none of his poetry Shakespeare’s legacy is as rich and diverse as his work his plays have spawned countless adaptations across multiple genres and cultures His plays have had an enduring presence on stage and film His writings have been compiled in various iterations of The Complete Works of William Shakespeare which include all of his plays sonnets and other poems William Shakespeare continues to be one of the most important literary figures of the English language Shakespeare’s Life: Records survive relating to William Shakespeare’s family Through these we can gain an understanding of the context of Shakespeare’s early life and the lives of his family members John Shakespeare married Mary Arden and together they had eight children John and Mary lost two daughters as infants so William became their eldest child John Shakespeare worked as a glove-maker but he also became an important figure in the town of Stratford by fulfilling civic positions His elevated status meant that he was even more likely to have sent his children including Shakespeare to the local grammar school John was awarded a coat of arms now displayed on the monument above the Shakespeare grave in Holy Trinity Church Versions of the Shakespeare coat of arms can also be seen on Shakespeare’s Birthplace outside of the Shakespeare Centre and above the entrance to Shakespeare’s New Place William Shakespeare would have lived with his family in their house on Henley Street until he turned eighteen When he was eighteen Shakespeare married Anne Hathaway who was twenty-six It was a rushed marriage because Anne was already pregnant at the time of the ceremony Together they had three children Their first daughter Susanna was born six months after the wedding and was later followed by twins Hamnet and Judith Hamnet died when he was just 11 years old Shakespeare in London: Shakespeare’s career jump-started in London When did he go there We do know Shakespeare’s twins were baptised in 1585 and Shakespeare established his reputation in London by 1592 But the intervening years are considered a mystery Scholars generally refer to these years as ‘The Lost Years’ During his time in London Shakespeare became a founding member of The Lord Chamberlain’s Men a company of actors The company would later become The King’s Men under the patronage of King James I from 1603 During his time in the company Shakespeare wrote many of his most famous tragedies such as King Lear and Macbeth as well as great romances like The Winter’s Tale and The Tempest New Place: In 1597 William Shakespeare bought a home called New Place in Stratford-upon-Avon Recent archaeological evidence discovered on the site of Shakespeare’s New Place shows that Shakespeare was only ever an intermittent lodger in London This suggests he divided his time between Stratford and London a two or three-day commute In his later years he may have spent more time in Stratford-upon-Avon than scholars previously thought Shakespeare died in Stratford-upon-Avon on 23 April 1616 at the age of 52 He is buried in the sanctuary of the parish church Holy Trinity Introduction to The Merchant of Venice: Written sometime between 1596 and 1598 The Merchant of Venice is classified as both an early Shakespearean comedy more specifically as a Christian comedy and as one of the Bard’s problem plays it is a work in which good triumphs over evil but serious themes are examined and some issues remain unresolved Its basic plot outline with the characters of the merchant the poor suitor the fair lady and the villainous Jew is found in a number of contemporary Italian story collections and Shakespeare borrowed several details such the choice of caskets that Portia inflicts on all her suitors from preexisting sources The Merchant of Venice’s Italian setting and marriage plot are typical of Shakespeare’s earlier comedies but the characters of Portia Shakespeare’s first great heroine and the unforgettable villain Shylock elevate this play to a new levelIn Merchant of Venice Shakespeare wove together two ancient folk tales one involving a vengeful greedy creditor trying to exact a pound of flesh the other involving a marriage suitor’s choice among three chests and thereby winning his or her mate Shakespeare’s treatment of the first standard plot scheme centers around the villain of Merchant the Jewish moneylender Shylock who seeks a literal pound of flesh from his Christian opposite the generous faithful Antonio Shakespeare’s version of the chest-choosing device revolves around the play’s Christian heroine Portia who steers her lover Bassanio toward the correct humble casket and then successfully defends his bosom friend Antonio from Shylock’s horrid legal suit In the modern post-Holocaust readings of Merchant the problem of anti-Semitism in the play has loomed large A close reading of the text must acknowledge that Shylock is a stereotypical caricature of a cruel money-obsessed medieval Jew but it also suggests that Shakespeare’s intentions in Merchant were not primarily anti-Semitic Indeed the dominant thematic complex in The Merchant of Venice is much more universal than specific religious or racial hatred it spins around the polarity between the surface attractiveness of gold and the Christian qualities of mercy and compassion that lie beneath the flesh List of Characters in The Merchant of Venice: Antonio: a merchant of Venice and intimate friend of Bassanio Salerio: friend to both Antonio and Bassanio Solanio: friend to both Antonio and Bassanio Bassanio: a young gentleman of Venice in financial difficulty suitor to Portia and intimate friend of Antonio Lorenzo: friend of Bassanio and Antonio Christian lover of the Jewish woman Jessica: daughter of Shylock Jewish lover of the Christian man Lorenzo Gratiano: friend of Bassanio and Antonio joins Bassanio’s expedition to Belmont romancer of Nerissa Portia: a wealthy heiress of Belmont she approves of Bassanio’s suit to her Nerissa: Portia’s waiting woman and confidante approves Gratiano’s advances Shylock: a Jewish moneylender of Venice Morocco: an African Prince and suitor to Portia Launcelot Gobbo: a clown comical member of the lower class ex-servant of Shylock who enters into Bassanio’s service Old Gobbo: Launcelot’s father nearly blind from age Leonardo: servant of Bassanio Jessica: daughter of Shylock Jewish lover of the Christian man Lorenzo Aragon: a prince suitor to Portia Tubal: a friend of Shylock a Jew of Venice Jailer: holds Antonio prisoner Balthasar: a servant of Portia The Duke of Venice: the highest authority in Venice Stephano: a messenger sent by Portia to Lorenzo and Jessica Various Magnificoes of Venice Officers of the Court Musicians Servants Messengers and Attendants Act I Scenes 1-3: Summary and Analysis Act I Scene 1 The Characters of the scene: Antonio: a merchant of Venice Salerio and Solanio: friends to Bassanio and Antonio Bassanio: a young gentleman of Venice friend of Antonio Lorenzo: friend of Bassanio and Antonio loves Jessica Gratiano: friend of Bassanio and Antonio Summary: 1
NDDIS Nigerian Communications Summit held in London 10th May 2018 1
Reni Eddo-Lodge et Emma Watson donnent des noms de femmes au métro londonien 1
Tom Cruise takes to the London skies in a helicopter wearing a cap and face mask 1
The ‘Where To’ Of Lavish London 1
gt SOLD lt ‘London Colour’ – Original painting on canvas 1
Relco London 1
Have a question Email us at Advisors Ltd 64 Rainhill Way Bow Church London E3 3JD UK is registered in England and Wales with company number 11775660 1
What to expect from your local London handyman 1
About Action West London 1
London 241 Kennington Lane SE11 5QU London United Kingdom 44 020 8658 9541 1
DJ Cuppy signs music deal with Platoon a London based record label Video 1
London 1963 ish 1
FT Partners The Only Investment BankFocused Exclusively on FinTech San Francisco New York London 1
Recapitulando o HCS London 2017 1
Modern Residential Architecture London Service has Extensive Idea About Building Codes… 1
TikTok Plans to Move Headquarters to London 1
Rosacea London – Your Guide to This Long Term Skin Condition 1
Best places to watch Sports in London 1
London property prices prop up UK average: Cebr 1
Security Guard London 1
Anirudh Rao Legal Counsel Infosys London on LLM from GWU and job at the World Bank 1
16 reasons to visit BOROUGH MARKETSLONDON 1
MCM Comic London cancelled in response to coronavirus pandemic 1
We are a contemporary music school in SE London 1
Windrush Generation Making History in the London Elections — The Backstory 1
London Dreams 1
Amber Heard Arriving Court To Face Johnny Depp In London 𝐉𝐮𝐥𝐲 𝟏𝟑 𝟐𝟎𝟐𝟎 1
YGAM to confirm future strategy at ICE London showcase 1
Club London in the Georgian and Regency Eras 1
Urbanista Add ANC to New London Wireless Earphones 1
So much AWESOME awaits at London Comic Con! 1
Amber Heard Arriving Court To Face Johnny Depp In London┊𝐉𝐮𝐥𝐲 𝟏𝟎 𝟐𝟎𝟐𝟎 1
London campus 1
Simplified map of London 1
London Has Fallen Full Movie In Hindi Watch Online Hd 1
Images of London landmarks 1
Hypnotherapy Diploma Course – London 1
Trinny London opens doors to London pop-up 1
Selecting the Right Conference Venue in London Victoria England 1
Prospects supports over 185000 people a year through the National Careers Service in London and the West Midlands 1
We are simply the best As a result we have been voted London’s number one trusted sensual agency Find out why 1
135 St John Street London RHE 7LK United Kingdom 1
BTC Excel Invest INC is registered with the Blue Islands Monetary Authority CIMA Licence No 8837119061 Richmond AvenueLondonzipcode: N1 0LX 1
Yardley London Imperial Sandal Wood 1
London’s Top 10 Luxury Shops 1
Fundraise for Action West London 1
Webtrekk auf der NOAH Conference 2018 in London 1
What do I pack for my London Kensington trip 1
Interactive map shows how many people have died from coronavirus in each postcode as it is revealed the Covid-19 death rate in the North West was TRIPLE that of London in June 1
Our Top 5 London Pubs- It’s All About The Atmosphere 1
Satva Softech – App Developer London 1
Blockchain: Money Conference – London England 1
Sharia Patrols in London Revisited 1
Top 10 Best Tourist Attractions in London 1
London Labs 1
Уникальный Range Rover London Hyundai Santa Fe 1
First non-Korean British K-Pop Star Oli London makes Korean… 1
Gatsby Starter London 1
My London: Ahrash and Nyisha Akbari-Kalhur – CHIN CHIN Founders 1
My London: Alexandra Shulman – Writer and Commentator 1
The CTO’s Magic Triangle: Tech Process People LondonCTOs – June 2015 1
London 2009 1
FDH GOING GLOBAL!NEW OFFICE IN LONDON UK 1
Harber London Leather Desk Mat REVIEW 1
For In-Home Tuition in London and Online Tuition Worldwide 1
London Art Short Courses 1
The ethical fashion factory for sustainable “Made in London” brands 1
Latest News View more news local London estate agents 1
TT kim loại thế giới ngày 24/7/2020: Giá đồng tại London giảm 24/07/2020 10:49:14 1
Brian Reade London columnist 1
Шариковая ручка Parker Jotter SE 2017 London Architecture Classical Red 1
Dubai amp London 1
Upcoming London restaurants – hot new openings coming soon 1
The Top 40 – London’s best restaurants 1
SPIN London Bicycle Festival 3rd – 5th May 1
London Coin Galleries 1
Clarion Gaming to announce beneficiaries of the Consumer Protection Zone sponsorship on opening day of ICE London 1
APC: The Obstinate Journey to Shame via London – By Pius Adesanmi 1
QampA Response from Helen Cargill Head of Open Research Libraries amp Collections King’s College London 1
“Thank you for recommending the best masseuses in London always excellent and reliable service Looking forward to the next booking” 1
BORIVOJE BOROVIĆ: NAROD VIŠE NE MOŽE DA IZDRŽI OVOLIKI KRIMINAL I U LONDONU NEBOJŠA JOCIĆ – FILOZOF I BODIBILDER 1
Trilogía Seasons of Betrayal 1/ 2/ 3 – Bethany-Kris amp London Miller 1
Hotels to London 1
I love to take pleasure in the time with hot chicks through cheap London escorts 1
Sian Welby in a Pink Mini Skirt Exits Capital Breakfast Show in London 1
Paris Brüssel London – Auf den Spuren des Philosophen aus Trier 1
Daniel Hodge Founder amp CEO of DCH Property Group London UK 1
London Paris Venice Florence Rome Itinerary 1
London’s best rooftop bars and restaurants 1
Commercial and domestic waste clearance amp disposal services in South London 1
London on a Budget – Our Day Trip 1
Tebbotron – London United Kingdom 1
A Food Guide For London 1
Jules Verne wrote about it Phileas Fogg was his hero who completed the journey Michael Palin did it for TV And now we’ve done it alsoWhat do we all have in commonWe’ve all travelled around the world without flying Yes it really is possible It’s a fabulous journey and not just one for novels or tv documentaries Anyone can do it Our journey took us from London to Moscow Beijing Xian Nanjing Shanghai Osaka Tokyo Vancouver Seattle Florida Madeira – to name just a few placesWe crossed two oceans and several continentsFollow our amazing trip and get inspired to try it for yourself 1
Guest iin London Torrent Download Movie Links 1
Action West London 1
The London Film School 1
Hit and Run: Time to Make London’s Streets Safer 1
Konstantinos Vassilis Petrides is Professor of Psychology and Psychometrics at University College London and the founding director of the London Psychometric Laboratory 1
DigiWheel set to redefine the gaming entertainment experience with official launch at ICE London 1
Consumer Protection Zone sponsors donate record £65000 for gambling charity ahead of ICE London 1
Katy is a musical director and pianist based in London 1
Cómo ver Gangs of London: transmite el d 1
FULLER’S LONDON PRIDE BİRA TADIM NOTU 1
Honored as A Global League Indian University Skill Tree Great Place to Study 2014-16 at House of Commons London 1
LIVE REVIEW: Testament O2 Forum Kentish Town London 1
Build Your Side Hustle – Online Course powered by Pearson College London and Studio Zao 1
Kirkland Signature London Dry Gin 1
Carlton London steadily expands in India May 18 2018 READ MORE 1
Massive fire in west London restaurant and bakery sees 80 firefighters battling flames that throw up column of smoke visible for miles 1
Trina Camacho-London Vice President – Global Sales for Hyatt USA 1
London 1918 You are newly-turned Vampyr Dr Jonathan Reid As a doctor you must find a cure to save the city’s flu-ravaged citizens As a Vampyr you are cursed to feed on those you vowed to heal Will you embrace the monster within Survive and fight against Vampyr hunters undead skals and other supernatural creatures Use your unholy powers to manipulate and delve into the lives of those around you to decide who will be your next victim Struggle to live with your decisions your actions will save or doom London 1
Fellowship of the Royal College of Physicians of London FRCP – London 1
YardVPS – Los Angeles Dallas Ashburn London Amsterdam Johannesburg and Taipei – 50 1st 1
Download Film From London To bali 2017 Full Movie Mp4 1
JOE GIACOMET – LONDON ADVERTISING amp PORTRAIT PHOTOGRAPHER / CINEMAGRAPH MAKER 1
ICE London’s latest eco initiative marks ‘major breakthrough’ for exhibition industry 1
Giá Kim loại London – LME 1
Unit 171372 Old StreetLondon EC1V 9LTReino Unido 1
3 Must See Castles Near London 1
UK Seizes Cocaine at London Gateway in Sophisticated Smuggling Effort 1
Japanese girl incall or hotel visiting massage and escort London and Heathrow 1
Makeup Revolution London Baking Powder Πούδρα σε σκόνη 32 gr Απόχρωση Banana Deep 1
Art Courses in London or Live Online 1
cheap london used laptops 1
Lighting Designer – London 1
Emily is a very talented graphic designer with London agency experience She always delivers and cares passionately about getting the best result for her clients as well as delivering a fantastic customer experience I can’t recommend Emily highly enough 1
London – United Kingdom 1
Peter Gavin previews Worthing Raiders away to London Irish Wild Geese 1
Most Exciting Clubs in London 1
MCM London Comic Con October 2019 – Shinichiro Watanabe amp Motonobu Hori “Carole 1
Welcome to London Gatwick 1
DevOps Enterprise Summit London – VIRTUAL // 23-25 June Register 1
Lipsy London 1
London Bakery 1
MOBILE MASSAGE LONDON’S PREMIUM ON DEMAND MASSAGE SERVICE 1
Eco-friendly amp professional junk removal service in London 1
London Exhibition MASTERS 1
The Londoner Pub 1
Jo Malone London 香港官方網店 1
Anglian Industrial Estate London – UK 1
Top Solicitors in the Heart of London 1
Banksy spray paints sneezing rats in the London Underground 1
Solicitor / Associate – Construction – Southampton or London 1
London Gatwick 1
London-based with a flagship store in the heart of Chelsea Ancienne Ambiance is a luxury goods brand inspired by the ancient world 1
London Airport Transport 1
Tree crushes three pedestrians who are rushed to hospital after it falls on them in east London 1
Tracking when London restaurants are reopening for dine-in customers 1
How To Dress Like Londoner: Look Like A Real British Girl 1
Non -Brand کیف هندزفری مدل London 1
U-Boat in London! 1
Why Uber can no longer operate in London 1
In this series of blog posts I share our trip to Italy with you This was one of my favourite train tours We visited Florence Naples Pompeii and Turin and saw some amazing sights We took the scenic route from London to Naples via Zurich and the Bernina Express It was definitely worth the in a day 1
Soho London 1
King’s College London 1
Royal London Asset Management selects TradingScreen to Drive Returns for Investors 1
WORK EARN SAVE EAST LONDONSOUTH AFRICA 1
London Flight 1
Senior Cloud Platform Engineer : North London : Fully Remote 1
SKOK V LONDON 1
London to Host Major Cryptocurrency Event: Blockchain International Show London 1
Oxford World Media is formed by a group of content creators based in Oxford and London We are passionate about creating high standard visual contents create the perfect fit media contents for your social media 1
London’s Gardening thrill on new release ‘Second Sight’ 1
Chauffeur services in London 1
London’s Best Michelin Meals on Wheels 1
Currently I am a Web Engineer at Google I define myself as a Hybrid Web Developer Programmer Technical Consultant and Analyst with a creative twist who loves to innovate inspire and simplify solutions Based in London and Bristol in the UK 1
London Weather 1
Private nutrition consultations in Weymouth Street London amp Bath Somerset 1
Types of services available from your local London based Handyman include: 1
Standing By—A Walk Through London’s Dark Theatres in the Time of Pandemic 1
POPS LONDON – Architecture Competition 1
Join Sebastien Goasguen at the London Enterprise Tech Meetup on Serverless Monday June 15 at 7:00 PM BST 1
The Clash bring ‘London Calling’ to Paris in rare footage from 1980 1
London: Circa 1968 1
SONECO FEATURED AT IET LONDON: SAVOY PLACE EXHIBITION 1
Get on Guestlist of Tape London 1
Guest iin London Torrent Movie Download 2017 1
Nightclubs London 1
Pierre is a Founding Partner and Chief Executive Officer of Alpha Blue Ocean an international alternative investment firm having representations in London Geneva and Victoria He leads the investment strategy and represents the company on all fronts 1
Kape Barako Warung Kopi Dadakan di London 1
Amber Heard Leaving Royal Courts of Justice In London July 21 2020 1
Accountants In East London 1
London Stocks Retreat on Mixed Earnings Sino-US Tensions 1
Milo Bailey the cavapoo from London UK 1
Our services for the London property market: 1
Banksy pretends to be cleaner to paint pro-mask graffiti on The London Underground 1
Case handphone – LONDON 1
Zwift Tour Of London 1
Private GP London 1
What to See in London if You Have Just One Day 1
Links of London: New Collection Wildlife Charms 1
PHOTOS: President Buhari in London with visiting PDP governors 1
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Beth’s debut single ‘Clone’ received one million radio plays in the USA alone After being championed by Gaby Roslin on BBC London Beth’s following self-release “Boy” received an exclusive premiere on BBC Radio 2 1
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PAST SHOWS: Hammarkullen Konsthall Gothenburg 2015 EVOLVER cinema Stockholm 2015 AIR Gallery NY July 1 – July 26th 2015 Turf Projects London 10th July – 1st August 2015 Coaxial LA July 18th 2015 Click here for my TV interview for the Mexican educational broadcast television network Canal Once For my curatorial work please click the links below: SVILOVA VITA ROSEN 1
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Yes you can Provided that your invite is addressed to the Saudi embassy in London something we can check then we can certainly obtain the visa for you If you are not residing in the UK then you can still complete the information and use an international courier service to send it to us in London When complete we will use international courier 1 to 2 days to send it back We receive applications for British and EU passport holders from all over the world including the USA Singapore Middle east countries all EU countries Asia and Africa 1
I had bought this saree in 2018 while in USA but was not able to wear it for any occasion Moved to London later and still never got an option to wear it I am so glad!! Today I got to wear this saree for Pongal 2020 first pongal with my son! Couldn’t have been better than this! Thank you Pashudh for creating this beautiful saree The colour combination is a delight and the saree is so soft it made me feel very comfortable 1
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Theo phân loại của DSM-IV Rối loạn phát triển lan tỏa bao gồm: -Rối loạn tự kỷ Autistic Disorder -Rối loạn Rett Rett’s Disorder -Rối loạn Asperger Asperger’s Disorder -Rối loạn tan rã trẻ em Childhood Disintegrative Disorder -Rối loạn phát triển lan tỏa không đặc hiệu khác Vì rối loạn tự kỷ không phải là một rối loạn đơn lẻ mà nó bao gồm một loạt những hội chứng có những đặc điểm chung nên người ta còn gọi là “Rối loạn phổ tự kỷ” Dưới đây sẽ trình bày 2 rối loạn điển hình với trẻ em tự kỷ nhất đó là Rối loạn tự kỷ và về Rối loạn Asperger RỐI LOẠN TỰ KỶ Định nghĩa: Rối loạn tự kỷ là những rối loạn phát triển lan tỏa xuất hiện sớm ở trẻ thơ Nó biểu hiện một sự suy giảm nổi bật và kéo dài trong 3 lĩnh vực: tương tác xã hội lệch lạc trong giao tiếp và hành vi hứng thú theo một mô hình hạn chế hoặc rập khuôn Sự khác thường trong các chức năng ở 3 lĩnh vực nêu trên còn được coi là “bộ ba thiếu sót” rối loạn này thường biểu hiện ở thời kỳ trước 3 tuổi và có khoảng 70 trẻ rối loạn tự kỷ có chậm phát triển tâm thần Rối loạn tự kỷ được Leo Kanner Mỹ mô tả 11 trường hợp đầu tiên vào năm 1943 Đặc điểm lâm sàng Tuổi khởi phát: Khởi phát của rối loạn tự kỷ hầu hết là trước 3 tuổi Cha mẹ bắt đầu quan tâm lo lắng đến trẻ vào 12 – 18 tháng tuổi khi thấy ngôn ngữ trẻ không phát triển Hầu hết cha mẹ quan tâm lo lắng rõ rệt vào lúc trẻ 2 tuổi và 3 tuổi Nếu sau 3 tuổi trẻ mới khởi phát bệnh thì được chẩn đoán là tự kỷ không điển hình Lúc đầu hầu hết cha mẹ lo lắng rằng con mình bị điếc nhưng rồi cha mẹ nhận thấy rằng trẻ có đáp ứng với tiếng động trong môi trường điều này chứng tỏ không phải trẻ bị điếc Đôi khi cha mẹ cho biết trẻ phát triển “khá tốt” như biết làm một số điều theo yêu cầu và cũng có một ít hứng thú trong mối tương tác xã hội Khoảng 20 – 25 trường hợp cha mẹ cho biết trẻ đã phát triển một số ngôn ngữ và sau đó giữ ở mức độ đó hoặc mất đi Bộ ba thiếu sót – Suy giảm chất lượng trong tương tác xã hội: Ở trẻ nhỏ phát triển bình thường trẻ có hứng thú đặc biệt với môi trường xã hội và tương tác xã hội Khuynh hướng này là nền tảng quan trọng cho sự phát triển các kỹ năng khác Đối với trẻ tự kỷ khuôn mặt con người ít hoặc không gây hứng thú với chúng Trẻ có khó khăn trong mối tương tác xã hội hay nói cách khác trẻ khó khăn trong việc hiểu xã hội và hành vi xã hội Cụ thể là trẻ khó khăn trong việc hiểu hành vi của các bạn mình không thể “đọc” được các ý định của bạn Ở những trẻ phát triển bình thường điều này không cần phải dạy trẻ có thể tự làm một cách dễ dàng Với trẻ rối loạn phổ tự kỷ sự suy nghĩ của người khác hay ý kiến của người khác có thể rất ít hoặc không có tác dụng đối với trẻ Trong khi đó trẻ có thể nói và làm chính xác điều gì khi trẻ muốn Trẻ rối loạn phổ tự kỷ khó chơi và giao tiếp một cách hiệu quả với trẻ em khác Trẻ không tham gia các trò chơi bình thường của tuổi trẻ thơ sự bắt chước khó khăn thiếu các kỹ thuật chơi thông thường Khi người lớn không hiểu vấn đề tự kỷ của trẻ có thể cho là trẻ hư hỏng không vâng lời lười biếng trong khi thực ra trẻ không hiểu tình huống nhiệm vụ hoặc không đọc được ý định và cảm xúc của người lớn một cách chính xác – Suy giảm chất lượng trong giao tiếp ngôn ngữ miệng và trò chơi: Có tới 50 trẻ rối loạn tự kỷ không biết nói Thông thường trẻ bình thường biết phát ra những âm thanh bi ba bi bô còn ở trẻ tự kỷ ít khi có hoặc hoàn toàn không có Trẻ nhỏ tự kỷ có thể nắm tay cha mẹ hướng đến đối tượng mà nó muốn nhưng nó không biết dùng giao tiếp mắt để cho biết ý muốn Do trẻ tự kỷ chỉ hiểu nghĩa đen không hiểu nghĩa bóng nghĩa ẩn dụ nên trẻ không lĩnh hội được ý định của người nói chuyện với mình điều này khiến trẻ tự kỷ cảm thấy rất bối rối Bởi vậy lời nói đùa hài hước châm biếm có thể khiến trẻ lúng túng rối loạn Trẻ tự kỷ không có động cơ thúc đẩy để tham gia giao tiếp không có cố gắng để giao tiếp qua các phương tiện phi ngôn ngữ Trong khi ở trẻ bị câm/điếc để khắc phục thiếu sót về ngôn ngữ trẻ cố gắng dùng các hình thức phi ngôn ngữ để giao tiếp Khi trẻ rối loạn tự kỷ nói ngôn ngữ của chúng đặc biệt khác thường thể hiện như sau: trẻ có thể nhại lại những gì chúng đã nghe trẻ kém linh hoạt không nhận thức được sự thay đổi vai ngôi người nói nên lẽ ra phải thay đổi đại từ nhân xưng trẻ lại không làm được Điều này dẫn đến sự đảo lộn đại từ thí dụ tự xưng mình là “nó” Lời nói của trẻ không có sự tương hỗ lẫn nhau Trẻ có thể đưa ra lời nói mà không có ý nghĩa giao tiếp Trong khi ngữ pháp và hình thái ngôn ngữ khá dư thừa thì vốn từ và ngữ nghĩa lại rất thấp Thường ngữ điệu của giọng nói đơn điệu đều đều buồn tẻ giống như người máy Sự yếu kém trong các trò chơi thể hiện trẻ không có khả năng tham gia các kiểu chơi tượng trưng tưởng tượng Với đồ chơi trẻ thường thăm dò khía cạnh không phải là chức năng của đồ vật Thí dụ nếm hoặc ngửi đồ vật xoay tròn bánh xe… Để khắc phục thiếu sót trên phải dạy trẻ về mục đích giao tiếp biết sử dụng các phương tiện để truyền đạt giao tiếp cho phù hợp với trẻ như dùng hình vẽ tranh ảnh điệu bộ cử chỉ nói hoặc viết và dạy cách thức để truyền đạt chúng – Hoạt động và hứng thú hạn chế rõ rệt: Ở thiếu sót này cũng có thể nói là trẻ rối loạn tự kỷ có yếu kém về suy nghĩ và ứng xử linh hoạt tùy theo tình huống Trẻ rối loạn tự kỷ thường khó chịu đựng nổi sự thay đổi những thói quen thường ngày Thí dụ nếu ta cố gắng làm thay đổi trình tự thông thường của một số hoạt động của trẻ trẻ có thể xuất hiện sự đau buồn thê thảm Thay đổi một thói quen hay môi trường có thể gây ra sự chống đối quyết liệt hoặc lúng túng rối loạn Trẻ không chơi với đồ chơi theo cách thức thông thường mà thường xoay tròn hoặc đập đập vỗ vỗ vào đồ vật Trẻ cũng thích xem những phần chuyển động của đồ chơi hay máy móc trong thời gian rất lâu và với sự hứng thú rất tăng Thí dụ trẻ rất thích những đồ vật xoay tròn như xem rất lâu cái quạt trần quay Trẻ tỏ ra hứng thú với hành động lặp đi lặp lại như thu lượm những sợi dây nhớ những con số nhắc đi nhắc lại những từ những câu nhất định Đặc biệt trẻ có thể bắt chước điều chúng đã quan sát để chơi như chơi làm người dơi hay siêu nhân nhưng không thể cùng chơi tưởng tượng với người bạn khác Trẻ có khuynh hướng gắn bó với một số chất liệu đồ vật cứng hơn là vật mềm Trẻ thích một loại đồ vật nào đó về hình thức hơn là sự đặc biệt hoặc tầm quan trọng của đồ vật và luôn giữ chúng bên mình Trẻ có các vận động kỳ dị rập khuôn như đi trên đầu ngón chân búng búng ngón tay quay quay người…một cách thích thú dễ chịu – Những đặc điểm kết hợp : Về nhận thức: Trước đây Kanner cho rằng trẻ rối loạn tự kỷ có tiềm năng nhận thức tốt ngày nay người ta thấy không phải như vậy Khoảng 75 – 80 trẻ tự kỷ có chậm phát triển tâm thần trong đó khoảng 30 mức độ nhẹ đến trung bình và khoảng 45 mức độ nặng đến rất nặng Trẻ có thiếu sót đáng kể trong các lập luận trừu tượng những thông tin khái niệm miệng các kỹ năng tổng hợp thành một hệ thống “Không có khả năng hình dung ra cái cây từ những cái lá” Trong khi đó trẻ có khả năng học vẹt nhận thức được từng phần riêng lẻ cụ thể mà không đòi hỏi phải suy luận tổng thể Một đặc điểm khá đặc biệt là trẻ rối loạn tự kỷ có khả năng đặc biệt ở một số lĩnh vực riêng lẻ Thí dụ trẻ có thể đọc những chữ và những con số phức tạp tuy hiểu biết ý nghĩa về chúng rất kém Trẻ có thể học thuộc lòng các danh sách hoặc các thông tin không quan trọng có thể tính toán lịch ngày tháng có thể phát triển kỹ năng không gian – thị giác như vẽ hoặc phát triển các kỹ năng âm nhạc như phân biệt độ cao thấp của các nốt nhạc và có thể chơi các mẩu nhạc sau khi chỉ nghe một lần Đó là sự thiếu cân đối trong học vấn Sự bất thường về hành vi vận động: Vận động bất thường đặc trưng của trẻ tự kỷ là những vận động rập khuôn như đập đập tay đung đưa thân thể vặn vẹo ngón tay vẫy vẫy trước mắt lặp lại động tác của người khác và các vận động kỳ quặc thiếu mục đích khác Những rối loạn vận động này thường ở 3 – 4 tuổi ít gặp ở tuổi lớn hơn và vị thành niên Những đáp ứng không bình thường với những kích thích cảm giác: Trẻ em rối loạn tự kỷ có đặc trưng ở cả hai khía cạnh là tăng nhạy cảm và giảm nhạy cảm với kích thích cảm giác Trẻ có thể rất nhạy cảm với tiếng động thí dụ bịt tai lại khi nghe tiếng máy hút bụi hoặc tiếng chó sủa Những trẻ khác lại không nghe như phớt lờ với tiếng động lớn nhưng lại bị lôi cuốn bởi tiếng tích tắc yếu ớt của đồng hồ đeo tay hoặc âm thanh vò nhàu tờ giấy Một số trẻ có thể sợ ánh sáng chói nhưng số khác lại thích thú với kích thích ánh sáng như thích nhìn đối tượng tiến lên và lùi lại trước mắt chúng Có trẻ tăng nhạy cảm với cảm giác xúc giác như rất thích sờ vào những thớ vải mịn nhưng có trẻ lại giảm nhạy cảm với cảm giác xúc giác như không biết đau Có khi trẻ không hề khóc trước chấn thương khá nặng Những rối loạn giấc ngủ và ăn uống: Những rối loạn về giấc ngủ và ăn uống có thể gây phiền toái lớn cho gia đình trong suốt thời thơ ấu của trẻ Trẻ tự kỷ thường vận động nhiều trong khi ngủ và thức giấc về đêm trong thời gian dài Rối loạn ăn uống liên quan đến việc trẻ ghét một số thức ăn nhất định do vẻ nhìn bề ngoài màu sắc hoặc mùi vị thức ăn Trẻ thường khăng khăng chỉ ăn một số ít loại thức ăn nhất định và từ chối ăn món mới lạ Rối loạn cảm xúc: Điều phổ biến ở trẻ tự kỷ là khó di chuyển cảm xúc và biểu lộ cảm xúc không phù hợp với tình huống xã hội Một số trẻ biểu hiện thay đổi khí sắc một cách đột ngột và cười khóc hoặc cười một mình không có lý do rõ ràng Trẻ lớn hơn có thể biểu hiện lo âu hoặc trầm cảm Hành vi tự gây tổn thương và công kích người khác: Trẻ nhỏ tự kỷ có thể cắn bàn tay hay cổ tay mình đến chảy máu và thành chai sẹo Trẻ cũng có thể tự véo da kéo tai hoặc tự đánh mình Đặc biệt ở trẻ kèm chậm phát triển tâm thần thì tự đập đầu khiến phải dùng mũ bảo hiểm hoặc các biện pháp bảo vệ khác Trẻ thường biểu hiện tính khí giận dữ khi phản ứng lại với những điều yêu cầu trẻ phải tuân theo thay đổi thói quen hoặc các sự kiện chúng không mong đợi khác Rối loạn co giật: Động kinh xảy ra trong khoảng 10 – 35 trẻ rối loạn tự kỷ Cơn co giật có thể xảy ra ở tất cả các lứa tuổi nhưng nhiều nhất ở tuổi thơ ấu sớm và tuổi vị thành niên Cơn khởi phát liên quan đến tình trạng bệnh xấu hơn Những đặc điểm cơ thể: Trẻ tự kỷ có tỷ lệ cao hơn về dị tật tai Dịch tễ học Tỷ lệ: Nghiên cứu dịch tễ học đầu tiên tiến hành năm 1966 tại Tây Bắc London là 45/10000 trong trẻ từ 8 – 10 tuổi Các nghiên cứu sau đó: 4 – 5/10000 trẻ Nhiều nước cho thấy: 2 – 4/10000 trẻ Tỷ lệ theo giới tính: Nam nhiều hơn nữ: 35 – 4 nam/ 1 nữ Tầng lớp xã hội: Trong nghiên cứu của Kanner cho thấy có mối liên quan giữa tự kỷ và tình trạng kinh tế xã hội cao Tuy nhiên một số tác giả khác nghiên cứu sau đó không thấy mối liên quan này Nguyên nhân Các lý thuyết về tâm lý xã hội: Qua nghiên cứu nguyên gốc của Kanner các yếu tố cảm xúc có thể liên quan đến phát sinh chứng tự kỷ khiến người ta kết luận rằng chứng bệnh gây ra do một người mẹ “tủ lạnh” người không đáp ứng nhu cầu cảm xúc của trẻ em Tác giả Bruno Bettelheim đã đề nghị liệu pháp tâm lý sâu cho mẹ và con hoặc đôi khi phải di chuyển trẻ em khỏi gia đình để cố gắng chữa trị cho trẻ Tuy nhiên không có bằng chứng cho thấy cố gắng như vậy là có hiệu quả Những nghiên cứu trước đây đã khiến những người mẹ bị chấn thương tâm lý vì bị trách cứ và đổ lỗi cho tình trạng con cái của họ Các lý thuyết sinh học: Hiện tại có một sự nhất trí rằng rối loạn tự kỷ là một hội chứng hành vi được gây ra bởi một hoặc nhiều yếu tố đang hoạt động trong hệ thần kinh trung ương Tuy nhiên sự bất thường sinh học nền tảng của rối loạn tự kỷ chưa được biết Các yếu tố gene: Ấn tượng trước đây là các yếu tố di truyền không có vai trò trong bệnh sinh tự kỷ Ngày nay vai trò của yếu tố gene trong tự kỷ đang ngày càng thấy rõ hơn Tuy nhiên mô hình đặc hiệu của di truyền còn chưa rõ Các yếu tố chu sinh: Một số nghiên cứu đã chỉ ra tỷ lệ tăng lên của những biến chứng trước khi sinh khi sinh và mới sinh trong rối loạn tự kỷ Nhiều quan sát thấy rằng có một cái gì đó không bình thường ghi nhận ở trẻ lúc sinh điều này phản ánh hoạt động của các yếu tố gen và chu sinh Gene tác động với yếu tố sinh sản tạo ra triệu chứng tự kỷ RỐI LOẠN ASPERGER Rối loạn được Hans Asperger Áo mô tả năm 1944 về những trẻ tự kỷ có ngôn ngữ nói tương đối tốt thậm chí có khả năng dùng nó cho giao tiếp Đó là một mẫu tự kỷ nhẹ trung gian giữa tự kỷ và bình thường Khởi phát sau 2 tuổi MỘT SỐ VẤN ĐỀ TRONG NHÌN NHẬN VỀ TRẺ RỐI LOẠN TỰ KỶ Sức mạnh ưu thế của trẻ: Thường chúng ta quan niệm chưa thật đúng đắn khi cho rằng trẻ tự kỷ có thiếu sót xã hội nên tập trung đơn thuần và cực đoan mang tính áp đặt vào sửa chữa cho trẻ Đúng ra chúng ta phải hiểu trẻ trên bối cảnh kỹ năng của trẻ để làm sao truyền đạt cho trẻ phương tiện và cách thức giao tiếp hiệu quả hơn Chúng ta hiểu trẻ có thế mạnh như thế nào Thường là: Trẻ có khả năng tập trung vào chi tiết hoặc nhìn thế giới theo cách thức khác thường có khả năng trong nghệ thuật âm nhạc hay thơ ca trẻ có khả năng tập trung lâu vào hoạt động đơn lẻ nếu nó hứng thú với trẻ Trẻ có khả năng xử lý thông tin thị giác tốt hơn thông tin thính giác Do chú ý thu gọn vào nhiệm vụ nên trẻ có thể đạt thành tích cao về kỹ năng hoặc công việc có thể vượt qua giới hạn mà người bình thường dễ mệt mỏi Có thể thành công ở những lĩnh vực sử dụng ngôn ngữ kỹ thuật hay toán học Thí dụ khoa học kỹ thuật âm nhạc công nghệ thông tin… Vấn đề chẩn đoán trẻ tự kỷ: Hầu hết trẻ rối loạn phổ tự kỷ phát triển bệnh trong 3 năm đầu của cuộc sống Người ta có thể nhận biết và chẩn đoán trẻ rối loạn tự kỷ ở 18 tháng tuổi nhưng thực tế trong thực hành chẩn đoán hiếm khi được đưa ra trước 24 tháng tuổi Với những trẻ mà có một số kỹ năng phát triển phù hợp ở lứa tuổi thông thường hoặc tiến bộ hơn trẻ đồng lứa trong một số lĩnh vực như tính toán đọc chính xác trí nhớ sự kiện…thì rối loạn tự kỷ không được nhận biết Do vậy khi trẻ đến tuổi đi học mới được phát hiện chẩn đoán Có một số trường hợp trẻ được chẩn đoán sau 11 tuổi do các nhà chuyên môn không phát hiện ra Nhiều người lớn tự kỷ không được chẩn đoán hoặc đến nay mới được chẩn đoán là “rối loạn phổ tự kỷ ở người lớn” Trong thực hành lâm sàng những loại hành vi mà các nhà chuyên môn tìm kiếm cho chẩn đoán rối loạn phổ tự kỷ thường là: Chậm hoặc không có ngôn ngữ nói Nhưng không đúng cho tất cả trẻ Sử dụng bất thường về ngôn ngữ Thí dụ nói ngược đại từ nhân xưng lặp lại kéo dài những từ của người khác nói vượt xa tuổi sử dụng Hiện tượng này ví như “chơi” với âm thanh Khó khăn trong việc chơi với trẻ em khác Không giao tiếp bằng mắt một cách thích hợp với người khác Có các hành động và hứng thú bất thường Không biết dùng ngón tay để chỉ trong truyền đạt giao tiếp Đáp ứng một cách bất thường với âm thanh hình ảnh và các loại vật chất nhất định Chống lại mạnh mẽ nếu ai làm thay đổi các thói quen thường ngày của trẻ Để đưa ra một chẩn đoán cần quan sát chi tiết trẻ sinh hoạt ở nhà trong các tình huống kết hợp báo cáo đầy đủ tiền sử của trẻ từ khi mang thai đến hiện tại Cần khám xét loại trừ các bệnh thực thể khác như động kinh rối loạn năng lực học tập các bệnh tai mắt… Tiên lượng trẻ tự kỷ khi trưởng thành: Có những người cho rằng trẻ tự kỷ khi lớn lên sẽ khỏi bệnh hoặc không còn dấu hiệu bệnh Tuy nhiên ngày nay qua những nghiên cứu dài hạn cho thấy đại đa số trẻ lớn lên vẫn tiếp tục biểu hiện những đặc điểm liên quan đến rối loạn phổ tự kỷ suốt cả cuộc đời Khi trẻ lớn lên sự hiểu biết xã hội khả năng giao tiếp và hành vi xã hội thích hợp hơn Những kỹ năng của trẻ được cải thiện thông sự dạy dỗ và hỗ trợ thích hợp Những tiến bộ này tiếp tục suốt thời trưởng thành Một số lớn có thể sống một cách độc lập có đối tác làm việc trong những công việc không cần mức độ hiểu biết và tương tác xã hội cao Một số khác có thể sống cuộc sống riêng bán độc lập có sự trợ giúp của gia đình hay dịch vụ chăm sóc khác Cần nhớ rằng nhưng người này dù có thể sống hoạt động như nêu trên nhưng họ rất dễ bị stress khi phải duy trì “sự tuân thủ” trong cuộc sống Vì vậy cần trợ giúp họ về phát triển các chiến lược chống đỡ với stress Vấn đề hóa dược: Không có thuốc đặc hiệu cho rối loạn tự kỷ Một số trẻ lớn có chuyển biến khi dùng liều nhỏ thuốc giải lo âu Thuốc khiến họ có thể thực hiện tốt kỹ năng sống trong tình trạng hay môi trường xã hội dễ khơi gợi lo âu – Có khi người ta dùng thuốc kiểm soát hành vi nhưng rất cẩn thận khi dùng liều quá cao dùng không thích hợp dễ gây tác dụng phụ ngắn hạn hay dài hạn TÀI LIỆU THAM KHẢO 1 Jones G Jordan R Morgan H 2001 All about autistic spectrum disorders The mental health foundation UK office London 2 Volkmar FR Klin A 2000 Pervasive Developmental Disorders Kaplan amp Sadock’s comprehensive textbook of psychiatry Lippincott Williams amp Wilkins Philadelphia PA 19106 USA vol2:2659-2677 3 Lê Khanh 2004 Trẻ tự kỷ những thiên thần bất hạnh NXB Phụ nữ 4 Notbohm E 2010 Mười điều trẻ tự kỷ mong muốn bạn biết NXB Đại học sư phạm TPHCM người dịch: Minh Đăng 5 Viện bảo vệ sức khỏe trẻ em Việt nam 1995 Chăm sóc sức khỏe tâm thần trẻ em và vị thành niên Lớp tập huấn tại Bệnh viện Tâm thần Biên hòa 1
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DANH MỤC TÀI LIỆU THAM KHẢO 1 Volkmar FR Paul R Klin A Cohen D 2005 Handbook of Autism and Pervasive Developmental Disorders Volume Two Published by John Wiley amp Sons Inc USA 2 Powers MD 2000 Children with Autism Woodbine House USA 3 Câu lạc bộ gia đình có trẻ tự kỷ Trung tâm đào tạo và phát triển giáo dục đặc biệt Viện Nhi Quốc Gia 2003 Vì tương lai trẻ tự kỷ Hà Nội 4 5 Howlin P Baron-Cohen S and Hadwin J 1999 Teaching Children with Autism to Mind-Read John Wiley and Sons Publishing USA 6 Võ Nguyễn Tinh Vân 2002 Để hiểu chứng tự kỷ Nxb Bamboo Australia 7 Wing L 1998 The Autistic Spectrum Constable and Company Limited London 8 Lovaas O I 1981 The Me Book Proed An International Publisher USA 9 Slater A and Bremner G 2003 An Introduction to Developmental Psychology Blackwell Publishing UK 10 Sussman F 1999 More Than Words The Hanen Centre Canada 11 Siegel B 2003 Helping Children With Autism Learn Oxford University Press USA 1
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