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              <text>&lt;a href="http://doi.org/10.1002/ajmg.a.33314" target="_blank" rel="noreferrer"&gt;http://doi.org/10.1002/ajmg.a.33314&lt;/a&gt;</text>
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                <text>Linking MECP2 and pain sensitivity: the example of Rett syndrome</text>
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                <text>American Journal Of Medical Genetics.Part A</text>
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                <text>2010</text>
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                <text>Child; Humans; Adult; Multivariate Analysis; adolescent; Preschool; Age Distribution; Methyl-CpG-Binding Protein 2/genetics; Mutation/genetics; Pain/complications/genetics; Rett Syndrome/complications/genetics</text>
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                <text>Downs J; Geranton SM; Bebbington A; Jacoby P; Bahi-Buisson N; Ravine D; Leonard H</text>
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                <text>Recent animal studies suggest links between MeCP2 function and sensitivity to pain. This study investigated the nature and prevalence of atypical pain responses in Rett syndrome and their relationships with specific MECP2 mutations. Families enrolled in the Australian Rett Syndrome Database (ARSD) and InterRett database participated in this study. Cases with a known MECP2 pathogenic mutation, whose families had completed a questionnaire on registration and had answered questions on pain sensitivity were included (n = 646). Logistic regression was used to analyze relationships between the atypical pain responses and genotype. Descriptions of decreased pain sensitivity were content analyzed. The prevalence estimate of reporting an abnormal pain response was 75.2% and a decreased sensitivity to pain was 65.0% in the population-based ARSD. Families of ARSD and InterRett subjects with a C-terminal (OR 2.6; 95% CI 0.8-8.0), p.R168X (OR 2.1; 95% CI 0.7-6.1), or p.R306C (OR 2.7; 95% CI 0.8-9.6) mutation were more likely to report decreased sensitivity to pain. Parents and carers described decreased and delayed responses in situations judged likely to cause pain such as injections, falls, trauma, and burns. This study has provided the first precise estimate of the prevalence of abnormal sensitivity to pain in Rett syndrome but specific relationships with genotype are not yet clear. Clinical practice should include a low threshold for the clinical assessment of potential injuries in Rett syndrome.</text>
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                <text>2010</text>
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                <text>&lt;a href="http://doi.org/10.1002/ajmg.a.33314" target="_blank" rel="noreferrer"&gt;10.1002/ajmg.a.33314&lt;/a&gt;</text>
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                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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                  <text>2024 Special Edition 1 - Parent Perspectives</text>
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              <text>&lt;a href="http://doi.org/10.1016/j.ridd.2020.103839" target="_blank" rel="noreferrer noopener"&gt; http://doi.org/10.1016/j.ridd.2020.103839&lt;/a&gt;</text>
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                <text>Using a trauma informed practice framework to enhance understanding of and identify support strategies for behavioural difficulties in young people with Prader-Willi syndrome</text>
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              <elementText elementTextId="152429">
                <text>Research in Developmental Disabilities</text>
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            <name>Date</name>
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                <text>2021</text>
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                <text>Behavioural support; Complex needs; Prader-Willi syndrome; Trauma informed practice</text>
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              <elementText elementTextId="152432">
                <text>Schofield C; Martin K; S Choong C; Gibson D; Skoss R; Downs J</text>
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                <text>Background Behavioural support for young people with Prader-Willi syndrome (PWS) is necessary in home and school environments. The Trauma Informed Practice (TIP) framework has been used to support young people with complex behavioural needs in school settings. Aims To identify parent and professional perspectives on behavioural challenges experienced by young people with PWS and strategies for supports, to inform understanding of how they are aligned with the TIP framework. Method Semi-structured interviews were conducted with eight families with a 12–21 year old child with PWS, four clinicians and two teachers to investigate the contexts and mechanisms associated with challenging, calm and productive behaviours. Data were analysed using directed content analysis, using TIP principles as a framework. Results Strategies to support young people with PWS aligned with the four overarching TIP Principles:Empowerment, voice and choice; Creating safe environments; Creating a collaborative environment; and Trustworthiness and transparency. Additional Novel domains included: Behavioural underpinnings, Modifying environments and Supporting family capacity. Conclusion These novel domains can be used to supplement the TIP framework for guidance on how to support young people with PWS. Health implications Development and implementation of strategies to reduce behavioural difficulties in young people with PWS through positive support mechanisms could improve function and social engagement within their families and communities.</text>
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                <text>&lt;a href="http://doi.org/10.1016/j.ridd.2020.103839" target="_blank" rel="noreferrer noopener"&gt;10.1016/j.ridd.2020.103839&lt;/a&gt;</text>
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            <description>Information about rights held in and over the resource</description>
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              <elementText elementTextId="152436">
                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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