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                <text>Infant handling and disruptions in the neonatal intensive care unit are environmental stressors over which nurses have the most control. Two of the major goals of developmental care are individualizing care by decreasing infant disruptions and handling by caregivers, and modulating or attenuating infant responses to the care they receive.</text>
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                <text>Touch is one of the first sensory systems to develop and is a primary channel for early learning. The theories of Piaget, Kulka et al, and Bruner demonstrate its importance in the development of cognition, motor ability and feelings of competence. Touch has been used therapeutically to improve abilities in premature and institutionalized children and conversely, deficiencies in the tactile system have been associated with academic problems and attention problems in school aged children. In spite of the apparent importance of touch there are few tests of tactile functions and those that exist have questionable psychometric soundness. This study explored the test-retest reliability and the construct and concurrent validity of the tactile tests in the Southern California Sensory Integration Tests (SCSIT) and the tactile functions section of the Luria Nebraska Neuropsychological Battery Children's Revision ((C)LNNB) on 30 8-year-old normal children and 30 children with learning disabilities (LD). Results indicated that the SCSIT Tactile Battery and the (C)LNNB tactile test are reliable. A test-retest reliability coefficient of .86 was obtained for both tests. Individual tests of the SCSIT and subsections of (C)LNNB are less reliable than either test given as a whole. Construct validity for both tests is good. T-tests were applied to the scores of the SCSIT battery as well as the (C)LNNB test. Without exception a significant difference was found between LD and normal scores. Furthermore, a discriminant analysis correctly classified 90% of the children tested as LD or normal. Concurrent validity between the two tests was .73. These results have implications for evaluation, teaching and remediation of children with LD and give new support to an organic based definition of LD.</text>
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                <text>This study assessed music as reinforcement for non-nutritive sucking of 12 premature infants born at an average gestation of 29.3 weeks and an average birthweight of 1111.9 g. At the time of the study, the infants' average post conception age was 35.5 weeks, and their average weight was 1747.3 g. A pacifier was fitted with a pressure transducer so that a sufficient suck activated frequency and duration signals as well as 10 seconds of recorded music consisting of lullabies sung by female vocalists. A 14-minute ABAB study design included a silence baseline for 2 minutes, 5 minutes of contingent music, 2 minutes of silence, and 5 minutes of contingent music. Frequency data were recorded for each 5-second interval in which the duration light was activated for at least 3 seconds. Results demonstrated that sucking rates during the periods of contingent music were 2.43 times greater than baseline (silence) sucking rates. In this study, music, contributed significantly to the development of non-nutritive sucking of premature infants.</text>
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