DEFECTOLOGICAL PRACTISE FROM THE PERSPECTIVE OF NEXT GENERATION GENETICS

  • Nevenka K Mihajlović Preschool Teacher Training College Krusevac
  • Milica Lj Mihajlović student, Univerzitet u Beogradu, Biološki fakultet
  • Ljubiša M Mihajlović Visoka škola strukovnih studija za obrazovanje vaspitača- Pirot
Keywords: defectological practice, EDUCATION, genetic diagnosis, defectology,

Abstract


Defectologists not only discover and study people with certain mental and physical disabilities they also help these people by giving them the opportunity to lead a normal life. From the aspect of modern human and molecular genetics the job of a defectologist should be associated with people who some form of a genetic defect, also known as a "genetic error"-mutation. This is the reason why a defectologist (in order to be a successful one) has to know what is nature and type of the mutation that patient has, in other words he must find out the genetic diagnosis of the patient. However, the practice in our the conditions such as ours is a little different, most of the times the diagnosis is incomplete and does not give information about the true cause of the problem, this means that it gives only information about the symptoms but not about the true origin of the problem. Due to this fact the main focus of a defectologist is to properly diagnose the problem from a genetic perspective. A proper genetic diagnosis involves finding out what genetic mutation lays at the heart of the disease(also the molecular mechanisms of the diseases should be known). This approach has two benefits: (A) successful treatment and rehabilitation of the patient and (B) figuring out the future perspective of the patient. The genetic diagnosis is discovered by a multidiscipline team of experts: genetic counselors, defectologists , doctors and psychologist. The first step in finding out the genetic diagnosis is evaluating the patient and his/her family, later on we can use a genetic once have an idea that the nature of patients condition is indeed genetic. This is why the education of defectologist is needed in order to for them to know about the genetic factors that influence the appearance and the development of the patient's condition. This form of education should allow defectologist to get a better understanding of the potential of modern genetic techniques in precisely determining the genetic bases of the disease. By doing so the quality of their work would be vastly improved and modernized.

Author Biographies

Nevenka K Mihajlović, Preschool Teacher Training College Krusevac
profesor strukovnih studija
Ljubiša M Mihajlović, Visoka škola strukovnih studija za obrazovanje vaspitača- Pirot
profesor strukovnih studija

References

Михајловић, Љ., & Михајловић, Н. (2009). Хумана генетика. Ћуприја: Висока медицинска школа струковних студија.

Ashley, E., Butte, A., Wheeler, M., Chen, R., Klein, T., Dewey, F., . . . Altman, R. (2010). Clinical assessment incorporating a personal genome. The Lancet, 375(9725), 1525-1535. doi:10.1016/S0140-6736(10)60452-7

Erickson, J.A., Kuzmich, L., Ormond, K.E., Gordon, E., Christman, M.F., Cho, M.K., & Levinson, D.F. (2014). Genetic Testing of Children for Predisposition to Mood Disorders: Anticipating the Clinical Issues. Journal of Genetic Counseling, 23(4), 566-577. doi:10.1007/s10897-014-9710-y

Gerlinger, M., Rowan, A.J., Horswell, S., Larkin, J., Endesfelder, D., Gronroos, E., . . . et al., (2012). Intratumor heterogeneity and branched evolution revealed by multiregion sequencing. N. Engl. J. Med., 366(10), 883-892. pmid:22397650. doi:10.1056/NEJMoa1113205

Harris, A., Kelly, S., & Wyatt, S. (2013). Counseling Customers: Emerging Roles for Genetic Counselors in the Direct-to-Consumer Genetic Testing Market. Journal of Genetic Counseling, 22(2), 277-288. doi:10.1007/s10897-012-9548-0

Keramitčievski, S. (1990). Opšta logopedija - sa istorijom logopedije i bazičnim logopedskim rečnikom. Beograd: Naučna knjiga.

Lupski, J., Reid, J., Gonzaga-Jauregui, C., Rio Deiros, D., Chen, D.Y., Nazareth, L., . . . Gibbs, R. (2010). Whole-Genome Sequencing in a Patient with Charcot-Marie-Tooth Neuropathy. New England Journal of Medicine, 362(13), 1181-1191. doi:10.1056/NEJMoa0908094

Mégarbané, A., Noguier, F., Stora, S., Manchon, L., Mircher, C., Bruno, R., & et al., (2013). The intellectual disability of trisomy 21: Differences in gene expression in a case series of patients with lower and higher IQ. European Journal of Human Genetics, 21(11), 1253-1259. doi:10.1038/ejhg.2013.24

Mihajlović, L., & Mihajlović, N.K. (2007). Martin-Bellov sindrom (fragilni X hromozom)– nasledjivanje, karakteristike i učestalost. U: Dani primenjene psihologije, Treća konferencija sa međunarodnim učešćem, Niš. Departman za psihologiju, Filozofski fakultet, Univerzitet u Nišu.324-340.

Mihajlović, L., Mihajlović, N.K., & Stanković, Ž. (2002). Principi kliničke genetike i genetičko savetovanje. Acta Medica Medianae, 41(6), 69-78.

Mihajlovic, L., Mihajlovic, N.K., & Zdravkovic, G. (2006). Genetic diagnosis-the future base of a successful treament, rehabilitation and prevention of psycho-physiolgical disorders. U: Multidisciplinar approaches in special education and rehabilitation; International Conference, Belgrade. 50-51.

Mihajlovic, L., Mihajlovic, N.K., & Zdravkovic, G. (2006). The knowledge of family‘s history-an important step in reducing the maniffestation risk of psycho-physiological disorders. U: Multidisciplinar approaches in special education and rehabilitation; International Conference, Belgrade. 51-52.

Roach, J.C., Glusman, G., Smit, A.F.A., Huff, C.D., Hubley, R., Shannon, P.T., . . . Galas, D.J. (2010). Analysis of genetic inheritance in a family quartet by whole-genome sequencing. Science, 328(5978), 636-639. pmid:20220176. doi:10.1126/science.1186802

Saunders, C., Miller, N., Soden, S., Dinwiddie, D., Noll, A., Alnadi, N., . . . Kingsmore, S. (2012). Rapid Whole-Genome Sequencing for Genetic Disease Diagnosis in Neonatal Intensive Care Units. Science Translational Medicine, 4(154), 135. doi:10.1126/scitranslmed.3004041

Stošljević, L., & Odović, G. (1996). Profesionalno osposobljavanje telesno invalidnih lica. Beograd: Zavod za udžbenike i nastavna sredstva.

Vissers, L.L.M., de Ligt, J., Gilissen, C., Janssen, I., Steehouwer, M., de Vries, P., . . . Veltman, J. (2010). A de novo paradigm for mental retardation. Nature Genetics, 42(12), 1109-1112. doi:10.1038/ng.712

Wolfberg, A.J. (2006). Genes on the Web - Direct-to-Consumer Marketing of Genetic Testing. New England Journal of Medicine, 355(6), 543-545. doi:10.1056/NEJMp068079

Published
2016/02/14
Section
Review Paper