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AUTISM FIRST STEPS
AUTISM DAILY NEWSLETTER     
Sunday December 9, 2001  


INDEX:
*  NEW LEGAL ORGANIZATION FOR SPECIAL NEEDS CHILDREN
*  
Autism and Christmas
*  
Gene Triggers Stem Cell Differentiation
*  
Toxic Landscaping of Facilities for Developmentally Disabled Adults  
*  
Autistic comedian is a turn for the better
*  
Cuts threaten summer programs for disabled kids
*  
UNITED STATES DEPARTMENT OF EDUCATION
*  
Make A Victorian Fan Ornament
*   Make Eggshell Ornaments
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NEW LEGAL ORGANIZATION FOR SPECIAL NEEDS CHILDREN


I have some very important and exciting news! A new national legal
organization has just been established across Canada that is very important to the best interests of our children as well as all children with other special needs. This organization is "The Canadian Legal Network for Children with Special Needs".

The non-profit society is a group of concerned lawyers working together to
advance the rights of children with special needs and to enhance the legal remedies available to special needs children. The society accomplishes these goals through promoting quality legal representation and excellence in
advocacy, promoting implementation and enforcement of the UN Convention for the Rights of the Child, and encouraging lawyers and lay advocates to
increase their involvement and representation on behalf of children with
special needs.

In other words, The Canadian Legal Network for Children with Special Needs is an organization that will "level the playing field" and make it much easier for parents to find capable legal representation that is up to the task of challenging the formidable resources of government, whether it be a school district or a provincial ministry of education or health; the Legal Network is designed to further the rights of special needs children at all levels. It's noteworthy that the Constitution of the Canadian Legal Network for Children with Special Needs does not permit affiliation for lawyers who are employed by, or under contract to, government.

I could go on and on about the tremendous promise this new organization
holds out. Instead, you can download the brochure which describes their mandate in more detail.

Click here for brochure --> http://featbc.org/legalnetwork.pdf

Since Canadian provinces have their own jurisdiction over health care and
education, each province will eventually have its own affiliate of this new national organization. Initially, The Canadian Legal Network for Children with Special Needs is setting up its B.C. organization because lawyers
establishing the organization are based in B.C.; however, there already several lawyers across the country working on special needs cases who shortly will organize their respective provinces. FEAT BC is proud to be the charter member of The Canadian Legal Network and we encourage all members of this discussion group to become members of the network either as individuals, corporate or organizational members. We strongly urge all FEAT's across the country to step up to the plate and support this
vitally important special needs legal organization.

Many of you over the years have asked how you can help the cause. This is a historic; watershed opportunity to contribute to the welfare of every special needs child in B.C. and across Canada. By becoming a member and encouraging everyone who cares about your child to become a member, you will help lay the foundation for an organization that will, at long last, help families hold all levels of government accountable for special needs policies
that work against the best interests of our children's well being.


Address information:
The Canadian Legal Network for Children with Special Needs
114 - 990 Beach Avenue
Vancouver, B.C. V6Z 2N9
Ph. 604-689-8501

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Autism and Christmas


Having an autistic child is difficult.  During the holidays even more so.  To put a little humor in this difficult time, check out the song, "Autism and Christmas" from the cd "All God's Children Living with Autism" at www.AmyAmes.com   Hope it helps. Click on a song and listen to it.
1. All God's Children
2. A Brighter Day
3. Please Don't Cry
4. Christmas in My Heart
5. Baby Angel
6. Sammy James
7. Autism and Christmas
8. Children Are Our Mirror
9. Our Paths Have Crossed
10. Always in the Way
11. Not Sold in Stores
12. A Brighter Day (featuring guitarist Brooks Ausborn)

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Gene Triggers Stem Cell Differentiation

"What we can learn about the molecular events that trigger intestinal stem cells to differentiate could likely prove applicable to many other stem cells in other parts of the organism," said HHMI investigator Huda Zoghbi.

December 7, 2001— A gene that governs development of neuronal cells has now been shown to be involved in regulating differentiation of stem cells into secretory cells in the intestine.The research team, which included Howard Hughes Medical Institute investigator Huda Zoghbi, Qi Yang, Nessan Bermingham and Milton Finegold at Baylor College of Medicine, showed that the Math1 gene — which codes for a gene-activating protein called a transcription factor — is necessary for the differentiation of three kinds of intestinal cells from stem cells. The team published its findings in the December 7, 2001, issue of the journal Science.Previous work by Zoghbi and her colleagues revealed Math1's role in governing differentiation of neuronal cells, including sensory cells in the inner ear. "In the course of those earlier studies, we detected Math1 expression in the intestine," said Zoghbi. "Its function there was unknown. However, we knew that the gut has a nervous system of its own, so we thought Math1 might be important for components of that system," she said.To pinpoint the gene's activity, the researchers genetically engineered mice in which the coding region of the Math1 gene was replaced by an enzyme that would stain the cells expressing the gene in developing mouse embryos. They first examined mice with one copy of the functional Math1 gene, along with the stain-producing gene, to determine which cells expressed Math1."To our total surprise, we could not detect expression of the gene in the nervous system of the gut, but instead found it in the intestinal epithelium," said Zoghbi. These studies revealed that three kinds of secretory cells expressed Math1. These were goblet cells that secrete mucous important for food movement; enteroendocrine cells that secrete regulatory peptides, and Paneth cells that secrete microbe-fighting peptides. The researchers did not find Math1 expression in other intestinal cells, called enterocytes, which also arise from a common stem cell lineage. In contrast to secretory cells, enterocytes play a role in absorbing nutrients."When we studied the mutants with no Math1, we found that all three secretory cell types were missing," said Zoghbi. "This told us that Math1 was important for basic stem cell differentiation, and that Math1 -negative progenitor cells gave rise to the enterocytes, whereas Math1 -expressing cells give rise to goblet, enteroendocrine and Paneth cells," she said. "Researchers knew from previous work that one type of stem cell gives rise to all these cell types, but now we know that Math1 likely plays a key role in the decision whether to become a secretory or an absorptive cell."Additional studies revealed that the protein produced by the Math1 gene appears to regulate the Delta-Notch signaling pathway that governs endocrine cell differentiation. According to Zoghbi, the discovery of Math1's role constitutes a significant step toward understanding how intestinal stem cells differentiate."A few months ago all we knew was that in the gut there is a stem cell that is self-renewing and that gives rise to a variety of cell types," she said. "We had no clue what happens to make this stem cell into a mucous-secreting cell or a peptide-secreting cell, or an absorptive cell. Now we have Math1 to help us begin to build a framework of understanding of the cascade of events, involving many genes, that governs this process."Such an understanding could have considerable clinical importance, said Zoghbi. "These cells are important in our handling of metabolites absorbed from food and our response to infections," she said. "So, one could imagine a basic understanding of them leading to new treatments for such diseases as irritable bowel syndrome and other abnormalities of gut motility. Also, since these intestinal cells depend on these regulatory pathways to signal them to stop proliferating, understanding those pathways could yield insights into the mechanisms of colon cancers." In the longer term, said Zoghbi, understanding the regulatory control of intestinal stem cells could lead to treatments to regenerate damaged intestinal tissue."While it will take considerable work to get to that point, one could envision providing dormant stem cells with some regulatory factors to push them to proceed down a path of differentiation, to replace cells lost to injury," she said. Finally, she said, discoveries about intestinal stem cells could be generalizable to other stem cells."What we can learn about the molecular events that trigger intestinal stem cells to differentiate could likely prove applicable to many other stem cells in other parts of the organism," Zoghbi said. Photo: Pam Francis

http://www.hhmi.org/news/zoghbi4.html

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Toxic Landscaping of Facilities for Developmentally Disabled Adults  


To the Editor: Developmentally disabled adults are at a high risk for unintentional poisoning. Plant foliage surrounding residential facilities and day-training centers serving these adults may pose a significant potential poisoning hazard. During a 4-week period in August to September 2000, 4 unintentional plant poisonings of developmentally disabled adults, including 1 fatality, were reported to the Illinois Poison Center by such residential facilities.

Report of Cases



A 45-year-old developmentally disabled man was found unresponsive 1 hour after he was seen eating twigs and plants. Prehospital telemetry demonstrated asystole, and he was pronounced dead in the emergency department. Postmortem examination revealed 300 mL of mulch, grass, twigs, and pine needles resembling those of the yew plant (Taxus spp) in his stomach, and no other apparent cause of death. Toxicologic analysis of the bile and blood confirmed the presence of alkaloids from the yew plant.During this time, 3 other developmentally disabled adults, aged 20 to 50 years, were also admitted to emergency departments for plant ingestion. Two patients ingested leaves and berries from yew, while the third consumed honeysuckle berries. All were observed for 24 hours, and none had adverse effects.

Comment



Although plant ingestions represent the fourth most common call to poison centers, most ingestions are not associated with significant morbidity or mortality.1-3 However, 3 of these 4 cases involved the yew plant, a popular evergreen shrub containing toxic alkaloids that may cause sudden and potentially fatal cardiac toxicity.4, 5 Developmentally disabled adults may ingest large amounts of plants and other potentially toxic substances. Based on these 4 cases, we suggest identification and removal of all toxic plants from areas surrounding facilities for developmentally disabled persons.

Anthony Burda, RPh, DABAT
Mark B. Mycyk, MD
Michael Wahl, MD
Charlotte Zia, BS, CHES
Illinois Poison Center
Toxikon Consortium
Chicago

1. Krenzelok EP, Jacobsen TD, Aronis J. Those pesky berries . . . are they a source for concern? Vet Hum Toxicol. 1998;40:101-103. MEDLINE

2. Litowitz TL, Klein-Schwartz W, White S, et al. 2000 Annual Report of the American Association of Poison Control Centers toxic exposure surveillance system. Am J Emerg Med. 2001;19:337-395. MEDLINE

3. Krenzelok EP, Jacobsen TD, Aronis J. Is the yew really poisonous to you? J Toxicol Clin Toxicol. 1998;36:219-223. MEDLINE

4. Mycyk M, Burda A, Tsoutsias G, et al. A human fatality from "grazing" on a yew plant [abstract]. J Toxicol Clin Toxicol. 2001;39:550.

5. Van Ingen G, Visser R, Peltenburg H, Van Der Ark AM, Voortman M. Sudden unexpected death due to Taxus poisoning: a report of five cases, with review of the literature. Forensic Sci Int. 1992;56:81-87. MEDLINE
 
Letters Information  

Guidelines for Letters

Letters Section Editors: Stephen J. Lurie, MD, PhD, Senior Editor; Jody W. Zylke, MD, Contributing Editor.
 
http://jama.ama-assn.org/issues/current/ffull/jlt1205-7.html


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Autistic comedian is a turn for the better


BY HELEN RUMBELOW

A YOUNG woman from Essex who suffers from a form of autism has broken new ground by having a comic play performed professionally. Most comedians draw on a fund of unhappy childhood experiences, but Nita Jackson’s condition, Asperger’s syndrome, meant that she grew up with such continual and violent bullying that she was on the verge of suicide. Help from the National Autistic Society (NAS) was the first step to saving her life, Nita, 18, said. The Times Christmas Appeal is aiming to raise money which the NAS needs to help more than a tiny fraction of children with autism. Diagnosis and support allowed Nita’s talent to flourish: her autobiographical novel is to be published in the new year after her sell-out run at the Brentwood Theatre in Essex two weeks ago. Instead of considering herself “a freak and a weirdo”, she can now poke fun at the curious ways of the “mainstreamers” or “neurotypicals” without her condition. Nita was fortunate because the NAS has the funds to help only 120 youngsters with autism to find work. For many of the hundreds of thousands of people like Nita with Asperger’s, there is no hope of a productive life and their usually high intelligence is wasted. “I knew something was wrong from the first moment because I remember an all-encompassing fear of the world, I was scared of everything and everyone,” she said at her home in Ilford, East London. “While the other kids found solace in friendship, I was coming home to my mum, saying, ‘How do I make friends?’ ” Nita had characteristics that are typical of Asperger’s, such as having to climb the school steps in ten seconds, or colour-coding all her possessions, which earnt her ridicule. By the time she was 14, she had changed school three times and the stress of isolation had reached breaking point. She said: “I thought I was insane. I seriously thought I should be locked up, and the bullying had become so bad that I couldn’t go into school any more. They would hold a knife to my throat, singe my hair, attack me with Bunsen burners.” Her mother, Carolann, said that at the end of one call to the NAS helpline, she knew what was wrong. “The NAS have been brilliant because there is no statutory provision for Asperger’s — it’s like it doesn’t exist,” she said. With support from the NAS, Nita performed well in her GCSEs and A levels and went on to do work experience with the scriptwriters’ workshop at the BBC. The charity also arranged work experience at the Brentwood Theatre where a producer heard about her writing and agreed to stage her first play, Detained. In the new year her book Standing Down, Falling Up will be published.

http://www.thetimes.co.uk/article/0,,2-2001563416,00.html

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Cuts threaten summer programs for disabled kids


BY CAROL MARBIN MILLER
cmarbin@herald.com A Broward battle last spring over the rights of disabled children to attend summer school may be joined statewide this year as school districts throughout Florida grapple with the effects of deep cuts to the state's budget.Last year, the parents of disabled students waged war against Broward officials after they tried to cut in half a six-week instructional program for exceptional students. The district relented and students were allowed to attend.This year, as lawmakers search for programs to trim as part of a $1.3 billion projected shortfall, many school districts are considering eliminating summer school altogether, which could put an end to extended school year programs for disabled children.The extended school year program, to which many students are entitled under federal law as part of their individual educational plans, allows children with learning disabilities to continue honing their skills -- and to retain skills they have already developed -- rather than risk regressing during a lengthy summer hiatus.In South Florida alone, the cuts could affect tens of thousands of children who receive special education.
`REALLY SCARY' ``It's really, really scary,'' said Jean Costa, an assistant public defender in Broward whose 7-year-old son, Dylan, is autistic and attends Parkside Elementary in Coral Springs.``Do I choose my job, or make sure my son is in the best environment possible?'' said Costa, who heads the Autism Society's Broward chapter. ``Do I sacrifice my minimal hopes and dreams that I can maximize my son's potential by putting him in an ineffective care situation for the summer?''
PROGRAMS `CRUCIAL' In a letter mailed to all Florida school districts recently, Gary H. Blumenthal, executive director of the Advocacy Center for Persons with Disabilities, called the extended school programs ``crucial'' to the education of children who need constant instruction to learn important skills.``The Center is currently assessing the intentions of Florida's school districts to determine the best course of action,'' said Blumenthal, who lobbied heavily last year for parents in Broward County.School officials in Miami-Dade County are studying how cuts will affect the district's summer programs for disabled students. At present, however, administrators have no plans for maintaining services with significantly fewer dollars.``There have been several meetings across the state addressing this issue,'' said Lourdes Camji, an instructional supervisor for Miami-Dade's exceptional student education program. ``Everyone is getting together to address exceptional students, but at this point nothing has been finalized.''
BROWARD CLASSES In Broward, administrators have told parents they intend to provide instruction next summer for disabled students, regardless of whether typically developing pupils have an opportunity to attend classes.``We have a whole plan,'' said Leah Kelly, the county's director of exceptional student education. Administrators have held several ``parent awareness'' workshops the last two months, and have dispatched employees to every school to discuss how cutbacks could affect students with disabilities.For children who are in mainstream classes during the regular school year, something may be missing, however, because summer school may not be available for typical children if the money disappears.School districts will do disabled students no favors by offering summer programs only for exceptional students, said Lilliam Rangel-Diaz, who heads the Miami-Dade-based Center for Education Advocacy. Most special-education students learn best in classrooms in which they are integrated with non-special education students, she said.
MONITORING PLANNED ``Extended school year is not supposed to be segregation, especially when children are included [in mainstream classrooms] throughout the school year,'' said Rangel-Diaz.The state will be monitoring what school districts do next summer, to make sure the rights of disabled children are not violated, said Joann Carrin, spokeswoman for the state Department of Education.``We do have to provide services to children whose needs are identified in [n individualized educational plan],'' she said.

http://www.miami.com/herald/content/news/local/broward/digdocs/071446.htm

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UNITED STATES DEPARTMENT OF EDUCATION
WASHINGTON, D.C. 20202

July 25, 2000

Dear Colleague:

On behalf of the Office for Civil Rights (OCR) and the Office of Special Education and Rehabilitative Services (OSERS) in the U.S. Department of Education, we are writing to you about a vital issue that affects students in school - harassment based on disability.  Our purpose in writing is to develop greater awareness of this issue, to remind interested persons of the legal and educational responsibilities that institutions have to prevent and appropriately respond to disability harassment, and to suggest measures that school officials should take to address this very serious problem.   This letter is not an exhaustive legal analysis.  Rather, it is intended to provide a useful overview of the existing legal and educational principles related to this important issue.

Why Disability Harassment Is Such an Important Issue

Through a variety of sources, both OCR and OSERS have become aware of concerns about disability harassment in elementary and secondary schools and colleges and universities.   In a series of conference calls with OSERS staff, for example, parents, disabled persons, and advocates for students with disabilities raised disability harassment as an issue that was very important to them.  OCR's complaint workload has reflected a steady pace of allegations regarding this issue, while the number of court cases involving allegations of disability harassment has risen.  OCR and OSERS recently conducted a joint focus group where we heard about the often devastating effects on students of disability harassment that ranged from abusive jokes, crude name-calling, threats, and bullying, to sexual and physical assault by teachers and other students.   

We take these concerns very seriously.  Disability harassment can have a profound impact on students, raise safety concerns, and erode efforts to ensure that students with disabilities have equal access to the myriad benefits that an education offers.  Indeed, harassment can seriously interfere with the ability of students with disabilities to receive the education critical to their advancement.  We are committed to doing all that we can to help prevent and respond to disability harassment and lessen the harm of any harassing conduct that has occurred.  We seek your support in a joint effort to address this critical issue and to promote such efforts among educators who deal with students daily.

What Laws Apply to Disability Harassment  

Schools, colleges, universities, and other educational institutions have a responsibility to ensure equal educational opportunities for all students, including students with disabilities.  This responsibility is based on Section 504 of the Rehabilitation Act of 1973 (Section 504) and Title II of the Americans with Disabilities Act of 1990 (Title II), which are enforced by OCR.  Section 504 covers all schools, school districts, and colleges and universities receiving federal funds.   Title II covers all state and local entities, including school districts and public institutions of higher education, whether or not they receive federal funds.   Disability harassment is a form of discrimination prohibited by Section 504 and Title II.   Both Section 504 and Title II provide parents and students with grievance procedures and due process remedies at the local level.  Individuals and organizations also may file complaints with OCR.

States and school districts also have a responsibility under Section 504, Title II, and the Individuals with Disabilities Education Act (IDEA),  which is enforced by OSERS, to ensure that a free appropriate public education (FAPE) is made available to eligible  students with disabilities.  Disability harassment may result in a denial of FAPE under these statutes.  Parents may initiate administrative due process procedures under IDEA, Section 504, or Title II to address a denial of FAPE, including a denial that results from disability harassment.  Individuals and organizations also may file complaints with OCR, alleging a denial of FAPE that results from disability harassment.  In addition, an individual or organization may file a complaint alleging a violation of IDEA under separate procedures with the state educational agency.   State compliance with IDEA
To See The Full Story:
http://www.ed.gov/PressReleases/07-2000/PolicyDisabilityharassment.doc
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Make A Victorian Fan Ornament

You will need:Ornament patternsScissorsSchool GlueCrayons or MarkersRibbon(Optional)Paper hole punchLaceRibbon roses
Step One - Print out Victorian Fan Ornament Patterns.
Victorian Fan Ornament Patterns  
Step Two - Cut out the fan pattern. You can color this if you wish, but traditionally this part would be white. Step Three - Cut out the circles at the bottom of the pattern or use a paper hole punch. Fold the fan pattern over and under to resemble a fan. Cut 2 pieces of ribbon about 10 inches long and thread them through them holes at the bottom of the fan. Tie a square knot (right over left and left over right, makes a square knot neat and tight) with the ribbon to keep the bottom of the fan together and then tie the ribbon in a neat bow. Tie another square knot to keep the bow in place. Tie the end of the ribbon together with a bow to hang the ornament. (Mom or Dad might want to help with all these knots.) Step Four - Cut out and color the rosebow. You can use whatever colors you want, but pastels are traditional. Glue the rosebow to the fan held upside down (this is the way it will hang). OR You can make a bow from lace and some ribbon roses (you can find these in craft stores) and glue this to the fan. Let the glue dry. Step Five - Hang your ornament on the Christmas tree and enjoy!!  
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Make Eggshell Ornaments

 


You Will Need:Lots of eggshellsA sharp pin or thumbtackSmall sharp scissorsOld Christmas cards or catalogsTacky glue or School glueRibbon, rick-rack, or metallic braid (1/8 inch size is best)Cotton Balls Patience  

Step One - Eat a lot of scrambled eggs or ask your neighbors to help collect shells. HOWEVER, you need to empty your eggshells very carefully. With the pin, poke a small hole in the bottom of the egg. Then, poke a larger hole (about 1/8 inch wide) in the top of the egg. Blow through the small hole so that the egg comes out the large hole into a bowl. Save your hollowed eggs in an egg carton as you collect them.
Step Two
- When you've collected plenty of shells, you're ready to start cutting holes in the front of the eggs with a very sharp pair of scissors. Cut holes large enough so that you are able to set a scene inside (see picture at the top of this page). Cut slowly and be patient. Sometimes it might help to poke a hole with the pin to get started. And if some eggs crack, they are very good for the compost pile!!
Step Three
- Cut pieces of ribbon or braid or whatever you've decided to use about four inches long. Fold the pieces in half and stick the ends through the large hole at the top to make a hanger. Glue into place, carefully. Let your hangers dry before going to Step Four. (If you're making a lot of eggs at once, set up a production line and the first egg will probably be ready by the time you've finished gluing hangers in the rest.)
Step Four
- Field test the amount of ribbon or braid or whatever that it takes to circle the egg hole in the front of the egg (see picture). Cut the ribbon and glue into place. Let the glue dry.
Step Five
- Now the fun begins. Search through old Christmas cards or catalogs for little pictures to set up scenes in the egg. Cut a rectangular background and glue into place. Glue a cotton ball at the bottom of the egg (pull the cotton apart a little first). Glue little trees or figures or whatever onto the cotton to create your scene. (Sometimes it helps to leave a little flap at the bottom of the figures to support the figures.) Let all the glue dry.
Step Six
- Hang your ornament on the tree and feel very proud of your work!!  
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Autism Awakening, Autism FIrst Steps Newsletter, or any staff do not endorse any individuals, groups or programs.  References regarding programs, meetings, resources, research, opinions, treatment, etc., should not be interpreted as an indication of endorsement.  They are provided for informational purposes only. This is an attempt to keep the nation advised to all diagnostic, treatment, therapy, educational,

options available as well as legislative autism updates and more.

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ALL INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR LEGAL ADVICE.  THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.