Children’s nutrition
Essential Fats (EFs), Secrets to Living Long and Well

 

 

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UNDER DEVELOPMENT

Organizations who have products or services are welcomed to send information to us. See contact us.

We need health professionals and volunteers to contribute relevant information and write.


Content

       Identifying a normal, delayed or advance child

Special products for children to enhance their well-being. Products for advanced, normal or developmentally delayed children.

 

Computer programs teach kids to narrow their behaviors to only the options that give the reward the computer program sets up.

It discourages creative play where any option is possible and the kid thinks about things differently and innovatively.

Too much computer play over time could make the kids brain connections too narrowed and their behavior too routinized.

 

Autism spectrum = many people have some autistic characteristics. Too shy, uncomfortable with peers, difficulty remembering faces. Some autistic children are good at other things, like solving complex mathematical equations. Is this to be discouraged? Is there something wrong with that?

Every person has their strengths and weaknesses. Some people are strong in math and poor in people skills. Some are strong in people skills but poor in science skills. Some have common sense but not book sense. Since when does every personality variation become a deficit?

 

 

 

 Children with special education needs. Laws, regulations, procedures for parents with children with special education needs. Specialeducation.

 What children should eat

 Inborn genetic defects of metabolism inborn

 Essential fat abnormalities in children chldefad. Includes case studies.

 Dyslipidemia (abnormal lipids) in children chlddysl
 Diagnosing essential fat abnormalities chldxefa

 Treating essential fat abnormalities chltxefa

 Vegetarian babies and children

 The fatty acid profile EFA-SRÔ
Ordering instructions are the same as for adults.

 delays in development age 0-3: the Early Intervention Program

 special education services for children with delays speciale

 Behavioral problems in children. Hyperactivity

 Adolescents

 Books I Toys I Weblinks/Resources

 

 


What children should eat

Coming soon:

§         Breast Feeding. Pros and cons of fatty acid additives. Should you use infant formulas with added fatty acids or the regular ones? Should you supplement your child with any special oils (we use soybean oil, rich in w3 and w6).

§         Soybean oil

§         Problems with current dietary recommendations.

 

Two factors are the key to a healthy and smart kid: eating well to provide the essential nutrients for optimal brain growth, and experiential learning to mold the brain cells to reach their fullest potential.

Eating well

A healthy diet for an adult is a healthy diet for the mother and for the child. Follow Dr. Siguel’s Natural Food Pyramid. Maintain ideal weight; eat mostly vegetables and several fruits per day; eat lean animal foods (fish, poultry, beef, eggs, pork, game), seeds and nuts. Eat whole grain cereals, but minimize intake of processed carbohydrates (breads, pasta, pastries). Use skim milk, but be careful (some people develop allergies or are lactose intolerant). If you suspect lactose intolerance, be tested and avoid lactose-containing products (most foods with dairy). Avoid highly processed foods containing mostly sweets and cooked or processed fats (which are rich in trans fatty acids and oxidized lipids and cholesterol). Pregnant or breastfeeding mothers need plenty of essential nutrients. This means eating larger portions of protein-rich foods high in essential fats. Some mothers need to supplement their diets with multivitamin + mineral tablets and oils rich in essential fats.

We often observe a paradoxical finding. One mother from a highly educated family feeds herself and her child all “natural,” “organic,” and presumably desirable foods found at upper class stores and restaurants (and pays high prices for them). Her child is OK. In contrast, a working class mother feeds herself and her child typical foods found at inexpensive restaurants. Her child speaks very well by age 1 1/2 and starts reading at age 3. What is the secret?

We looked carefully at many such “pairs” of mothers and children. Obviously, this is an observational study rather than a scientific experiment and our views may change later. We observed that ~5%-10% of children born to healthy mothers (those without alcohol, drug abuse, genetic disorders or pregnancy disorders) are extremely bright. Our hypothesis is that the mutations or gene changes that cause high intelligence are common. Most humans have most of the genes it takes to be smart and it takes a few random changes to activate the extra “push” to make a very smart kid.

Mothers who eat a variety of healthy natural foods and avoid unusual supplements (if it is expensive it is probably unusual) tend to provide their children all the nutrients needed to foster a great brain. They supplement their meals with talk and attention and simple education (teaching them words, sounds, numbers, etc.). There is no need for expensive educational toys or trainers. Mothers who spend considerable time reading about “super foods” and “intellectual training tools” may overload on some nutrients and miss others, or perhaps fail to perform the simpler tasks of reading and writing with their kids.

Be careful: your child will like what you eat

What you prefer to eat will influence what your children prefer to eat. Children imitate adults, particularly their parents. Your preferences may be obvious or implicit. When you eat junk food, you show preference for junk food. Your child learns this preference even if you try to teach the child to eat healthy foods. If you smoke or are overweight, you are teaching your child to prefer smoking or becoming overweight. We have seen that children of parents who eat well prefer vegetables to candy. Therefore it is very important that you eat healthy meals and teach your child to eat natural foods and avoid foods high in sugar and processed fat.

In one experiment, a psychologist set two bowls in front of children, one filled with tasty goldfish crackers, the other with raw broccoli. All children naturally prefer the goldfish crackers, but the experimenter in some tests made it clear she preferred the broccoli. When the experimenter said nothing, children preferred goldfish. When the experimenter showed she preferred the broccoli (by eating it), children also preferred broccoli. Thus, what you prefer to eat influences what your children prefer to eat.

Experiential Learning

You need to spend time with your kids to exercise their natural ability to learn. You start when your children are babies, by talking, playing, paying attention to them, etc. Continue as they get older with similar activities. Having your children play with expensive toys and/or videos or listen to Mozart is no substitute for the personal touch. The simplest toys are often the best, as long as the child actively plays with them. However, some toys are better than others to entertain and educate the child while helping develop more brain connections.

What it takes to grow up a very bright child

Coming soon: Foods to eat. Special supplements. Blood tests to determine whether you are missing any nutrients or you are on the right track. Invest today in your child’s future and you will save thousands in special teachers, psychologists and headaches for yourself.


Inborn genetic defects of metabolism

Many children are born with one or more genes that are very different in function from those of healthy children. When these genes produce abnormalities, we call them genetic disorders of metabolism.

Some children cannot make enough of an enzyme required to eliminate surplus substances, which then accumulate and cause disease. For example, in Refsum’s disease, phytanic acid accumulates. Eating foods without phytanic acid improves the disease. Other diseases are more complex, causing accumulation of undesirable substances and failure to utilize desirable substances. For example, in Adrenoleukodystrophy, very long chain fatty acids accumulate. No optimal treatment exists. In his book “EFAs in Health and Disease,” Dr. Siguel proposed a therapy using very long chain essential fats.

Many disorders involve inappropriate metabolism of amino acids, lipids, etc. Regardless of the genetic defect, practically all genetic disorders have associated abnormalities of essential fat metabolism. Dr. Siguel consulted and lectured on these matters at Children’s Hospital in Boston, MA. Dr. Siguel found treatable FA abnormalities in every child referred to him for analysis. Although correcting the FA abnormality will rarely correct the fundamental biochemical disorder, it is worthwhile to correct the abnormalities, particularly in mild cases of the disease when the child may live a reasonable life if his/her fatty acid abnormalities are corrected. These children often develop severe FA abnormalities because of the special diets used to treat their genetic disorder, or because the child is very “fuzzy” and eats an imbalanced diet.


Essential fat abnormalities in children

Children are likely to become deficient in essential fats because they require large amounts of essential fats and key nutrients to grow a large number of cells. Compared with adults, children need far more essential fats per kg of ideal body weight.

¡         Children have far greater needs for EFs than adults. Without substantial amounts of essential fats, children quickly become deficient and cannot grow normally. Lack of EFs inhibits cell growth because cells need plenty of EFs to form membranes and other cell components. Without EFs, neural connections become defective.

A common sign of insufficient EFs is dry skin and dermatitis. Once diagnosed, treatment may require intravenous lipids, topical applications of special oils, a change of foods, special supplements unique for each child, or a mother changing her diet to produce healthier breast milk.

In our experience, common diets that cause deficiencies of essential fats include:

¡         Diets similar to those recommended by adults;

¡         Low fat diets;

¡         Following the USDA nutritional guidelines exemplified by the USDA food pyramid when the diet contains many processed foods deprived of cells and essential fats;

¡         Eating a substantial portion of calories from breads, pastas, breakfast cereals advertised on TV, or similar products (they often contain few essential fats and may contain hydrogenated oil and/ or trans fatty acids).

¡         Failure to eat enough nutrient dense foods, enough protein, enough essential fats.

What to do before having blood tests

When one has a problem or does not feel well, it is natural to seek blood testing to diagnose the problem. However, there are tens of thousands of tests available, and nobody has enough blood or money to cover all useful tests. Thus, we must carefully identify the few tests that will provide us with the information we need. Before doing any blood tests, we must correct factors that can produce misleading test results or provide us with obvious answers.

Minor notes: Dr. Siguel rarely provides medical diagnosis or treatment to patients. When he does, it is only in states where he is licensed. Consultations on medical science are provided to licensed providers. For privacy reasons, the cases presented here are composites intentionally distorted so they do not represent real people.

Case Study: Mrs. NQ

Mrs. NQ is a 26 year old mother of a 1 year old boy. She is 5’ 7” tall (without shoes) and weighs 128 lbs. She exercises regularly, about 1 hour every day. She is muscular and has < 20% body fat. Her preferred weight before getting pregnant was ~ 116 lbs. Guys consider her extremely attractive and slim, even at her current weight.

Mrs. NQ eats healthy meals which comply with USDA food guidelines. She eats plenty of vegetables and fruit every day, lean meats, and whole grain foods. She takes weekly vitamin and mineral supplements. However, her skin is dry and she is concerned that she is deficient in essential fats. Her son seems fine, but she is concerned that she may not be providing enough essential fats to him. She breastfed exclusively for more than 6 months, and still frequently breastfeeds. She requested the EFA-SRÔ fatty acid profile for herself and her son.

Before doing the test, Mrs. NQ’s doctor requested some advice. We suggested  that she keep a daily food record, including the amounts of specific ingredients of foods and their composition for protein, fat and calories (to get a quick overview of key intake). We asked her to keep careful records of supplements (vitamins and minerals are quite different in composition), breads, bagels, pastries, cakes, meats, eggs (including size), specific vegetables, etc. Small variations in any one of these foods may account for significant variability in nutrient intake. We suggested Mrs. NQ contact a nutritionist and use a sophisticated nutrition evaluation system to evaluate her food log and provide a computerized and comprehensive report on her nutrition intake over one week. One must be careful because many computer services do not consider the specific nutrient intake of the particular foods you eat, instead using generic composition for many foods.

Mrs. NQ’s weekly diet was evaluated by a nutritionist who carefully estimated her intake of two key nutrients-- protein and w3 + w6 essential fats. Although it is easy to obtain a rough but useful estimation of protein intake, nutrition evaluation reports are not usually set up to accurately evaluate essential fat intake, and this can only be estimated by a trained nutritionist. The nutritionist’s evaluation showed that Mrs. NQ’s protein intake was low considering her height, muscle size, breast feeding, and ideal weight. Her diet, like many American diets, included many foods with cooked or processed fat. She just ate too many processed foods. Thus, her intake of healthy essential fats was probably well below what it appeared to be from the amounts of fat she ate. Many of the essential fats in her foods were probably not useful to her body as essential fats, because they were not in the “natural” form that the body prefers.

Based on her nutritional evaluation, Mrs. NQ was asked to eat more protein from foods such as egg whites before doing further blood tests. However, because she wanted to know her current nutritional status before starting a new diet, and because she could afford it, a battery of tests were ordered to measure her current state, including tests for blood cell status (RBC counts, size, reticulocyte count, etc.), tests for organ function, lipid tests, and a fatty acid profile of her blood (both plasma and red cells) and breast milk. The fatty acid profiles cost between $395 and $1100 each for plasma and RBCs, and the lipid tests, blood cell tests, organ tests, breast milk, etc. cost hundreds more. Blood tests were not ordered in her son to spare him the small trauma of blood testing at this time. See blood tests for further information. We waited for the tests results (~ 6 weeks) before starting a new treatment, in case some of the tests needed to be repeated. She was not in any immediate danger and therefore she could wait.

The results came back as suspected. Her lipid profile was abnormal for her age. Her cholesterol was too high, her HDL cholesterol was too low, her triglycerides were high, and her reticulocyte count was slightly elevated (suggesting that her RBCs were not optimal and were dying too soon) even though she had no biochemical evidence of anemia using the conventional hemoglobin (Hb) and hematocrit (Hct) tests. Although her lipids were not abnormal enough for her to be considered at “high risk” for heart disease, and some doctors would have considered those test results “normal” (that is, similar to those of many other women her age), we thought that she was far from optimal. It was decided that much could be done to improve her life span and IQ, as well as to improve the well being of her current and future children.

Although Mrs. NQ’s protein-related tests came out within the normal reference ranges, we knew those tests are almost always normal, except when patients are extremely ill, because the body maintains total protein blood levels within narrow ranges. We knew from her nutritional evaluation that she was not eating enough protein. Her breast milk did not have enough w6 essential fats but had plenty of w3 essential fats.

Mrs. NQ was asked to follow a vegetarian diet for 4 weeks, to take one tablespoon of soybean oil and one tablespoon of flax seeds per day, to take one multivitamin with minerals with 100% of the RDA 3 times per week, to supplement her diet with 5 egg whites per day, and to eat tofu and a wide range of vegetables. Because she would not be eating meats or fish, she needed extra doses of protein from egg whites. Her son was to follow a similar diet and eat more breast milk. She was asked to discontinue a wide range of other nutritional supplements.

After 6 weeks on this diet, both Mrs. NQ and her son got fatty acid profiles and lipid profiles. Mrs. NQ had slightly more essential fats than before, and her lipid profile had improved. Her son had enough w3 essential fats but not enough of w6 essential fats (this is not a common finding, but it occurs in many people). Based on these sets of test results, it was determined that Mrs. NQ had a substantial deficiency of essential fats. She would need to increase her intake from lean meats and fish, supplemented with some egg whites, tofu, and natural foods rich in protein. She needed to cut down her intake of foods with processed fats.

After 6 more months on her new diet, Mrs. NQ noticed a significant improvement. Her lips were no longer dry or chapped, her skin felt softer, and she looked younger and less tired. More specifics on her diagnosis and treatment are found in Dr. Siguel’s new books. See EFA Books.

 

Case Study: Mrs. BZ

Mrs. BZ is a happily married woman with two young daughters-- one 8 years old and the other 3 years old. Mrs. BZ is highly educated and intelligent and cares greatly for her family and children. All her family members are slim and eat foods she considers healthy.

Mrs. BZ noticed that her skin is very dry and so is the skin of one of her daughters. Since she could not afford to spend thousands of dollars on blood tests, she worked out a compromise with her doctor; they would use a probability model to select the tests most likely to identify the most significant abnormalities, thereby minimizing blood drawings and blood tests.

After a discussion with her pediatrician and her primary care doctor, Mrs. BZ. began to keep a careful diary of her families’ food intake. It helps to evaluate the whole family because one member often eats foods on the table or left by other family members, but fails to remember eating those foods. When one family member eats junk food, the odds are high that other members eat it too.

A review of Mrs. BZ’s diary indicated some possible food allergies, but mostly found that the diet contained many foods that are traditionally considered “healthy,” but which research by Dr. Siguel and others have shown are not adequate. Because she and her daughters avoid red meat and eggs, they are at risk of developing iron, B12, folate, biotin, and choline deficiency (among other nutrients). They need to eat more natural foods rich in cells. Unless there is a known reason to avoid whole eggs (such as well-documented egg allergies), she should eat a few eggs each week. (Even people with egg allergies usually tolerate egg whites. However, this must be determined on an individual basis.)

Mrs. BZ was asked to increase her family’s intake of lean protein and essential fats, and to make substantial changes in the supplements they were taking. Instead of a wide range of supplements, she was told to simplify her life, eat more natural foods, and take only a weekly supplement of multivitamins and minerals (100% RDA, 3-5 times per week).

After 6 weeks on this diet, fatty acid profiles (done only whole plasma, not RBCs, to save money) were ordered for Mrs. BZ and her daughter. If she could afford them, we would also order fatty acid profiles done on RBCs. If her lipids were severely abnormal, or she had a family history of a disease consistent with an essential fat abnormality, she would be recommended to have her fatty acids measured in RBCs.

Based on her blood tests, Mrs. BZ’s diet was optimized to include mixtures of lean meats, vegetables rich in cells, fruits, and a few whole-grain cereals. She was also given various equivalent mixtures of oils to try according to her personal preferences. Rather than using expensive and specialized oils such as fish oils and evening primrose oils, her test results indicated that she would benefit from less expensive and more stable oils such as soybean oil, walnut oil, safflower oil, flax seeds, sunflower seeds, and pumpkin seeds.


Dyslipidemia (abnormal lipids) in children

Some children are born with genetic changes that cause them to have abnormal lipids and give them an increased tendency to develop premature heart disease. Because the very long term (> 20 years) effects of lipid lowering drugs are not known, it is suggested that these drugs not be used in children. Instead, a special diet developed by Dr. Siguel may correct the problem. Watch this section and our section on lipid disorders for more information.

Children of relatively normal weight for their height and age who have elevated lipids may have genetic factors that encourage abnormal lipids. Children of parents with abnormal lipids likely due to genetic factors ought to be tested as soon as possible to determine whether or not they also have abnormal lipids. We propose testing cord blood and blood lipids at 1 month, and then repeating, perhaps every year, depending on test results. Early diagnosis is critical because we now have sophisticated technology to diagnose lipid abnormalities which may require special diets. Failure to diagnose and treat appropriately may deprive the new child of nutrients essential to the development of the brain and other organs. The results could be premature heart disease, slightly less than optimal brain development, etc. Perhaps instead of scoring 95% in SATs, the child will score 60%. Or the child may be a little hyperactive because some of the brain connections are defective. Or s/he could have a heart attack at the age of 60 instead of 95.

 


Diagnosing essential fat abnormalities

Diagnosing EF abnormalities is more difficult in children than in adults. In children, what appears to be normal may actually be abnormal, and what appears to be abnormal may merely be a consequence of growth. It is easy to confuse a mild variation in fatty acid profiles or a deficiency induced by improper eating with a genetic abnormality. Many children today eat poorly. Children with undesirable behaviors often eat unbalanced diets. The result is often a deficiency of key vitamins and minerals and a deficiency of essential fats. Rather than ordering expensive, painful and sophisticated blood testing, a nutritionist or an educated parent can evaluate what the child eats and recommend a better diet and appropriate supplements. After several months on an adequate diet, it may be desirable to do blood testing to identify a biochemical defect. But be careful of scams, because it is easy to point out deficiencies that merely reflect poor eating and should have been corrected before any blood testing is done.

 

Dr. Siguel classifies deficiencies or abnormalities in several categories according to their major cause:

¡         Children with genetic disorders that impair fatty acid metabolism;

¡         Children with acquired disorders due to poor diets;

¡         Children with a disease that impairs fatty acid absorption or metabolism, such as diabetes, gastrointestinal disease, cystic fibrosis, and celiac disease.

 

Within each category, the child may have a relative or absolute deficiency of insufficiency. Diagnosis is tricky because there are wide normal references and one must compare multiple fatty acids concurrently to determine whether the values are due to normal metabolic fluctuations, growth and dietary intake, or a biochemical abnormality. Because children are quite small compared to adults, fatty acid values can fluctuate dramatically within a few days. In breastfeeding mothers, one wants to analyze breast milk shortly after 5 days of birth to determine if the milk has enough essential fats. Blood testing of the mother should be done during pregnancy to insure adequate supply of essential fats to the baby.

 


Treating essential fat abnormalities

EF abnormalities should be treated as soon as possible using the largest amount of EFs that can be used given a child’s age and size.

Treatment is complex and depends on the results of fatty acid profiles. In general, children may need to supplement their diets with foods rich in essential fats. In some cases they may require specialty oils, such as evening primrose oil, flax seeds or flax seed oil, or fish oils. Children with severe fat malabsorption may require intravenous lipids to give intestinal cells an opportunity to grow and regenerate.


Vegetarian babies and children

There are three types of vegetarians: "vegans” (no animal-derived foods), “lacto-vegetarians” (people who include milk and milk products), and “lacto-ovo-vegetarians” (people who include milk, milk products, and eggs). Each diet requires special expertise and may need supplements to prevent nutritional deficiencies.

Be careful when introducing solid foods to a breastfed baby. Breast milk of a well-fed mother is rich in all the essential nutrients that the baby needs, including essential fats, folate, and B12. These nutrients accumulate in the tissues of the baby and are available to supplement the diet if it becomes deficient. Thus, breast milk may be so good that it takes years for nutritional deficiencies to develop (the years required to exhaust the built-up supplies). For this reason, when a baby (or a child or an adult) goes on a nutrient-deficiency diet, the effects may not be apparent for years. For example, an adult may have ~ 5 years supply of vitamin B12 and several years supply of essential fats. It would take several years for abnormalities to appear when he eats a B12 deficient diet, or a low fat, essential fat deficient diet.

Thus, even if the baby appears to grow well on a vegetarian diet, s/he may develop deficiencies several years later.

Vegans do not eat any animal products. Babies can use soy-based instead of milk-based formula (which may be healthy for all types of babies).

It is very important to eat a variety of foods well balanced to obtain necessary protein, vitamins and minerals. The child may require vitamin or mineral supplements. Use natural foods with natural fats; feeding low fat foods may deprive the child of essential fats.

Lacto-vegetarians include dairy foods but not eggs. They may be able to eat more protein (from the milk) and some vitamins and calcium included with milk, but otherwise they will need supplements like vegans.

Lacto-ovo-vegetarians eat eggs which are very rich in nutrients and essential fats. Young babies may develop an allergy to eggs.

 

We plan to expand this section substantially next year. Vegetarians need to follow strict diets to insure that they provide all nutrients vital to a baby’s growth and development.

 


Behavioral problems in children. Hyperactivity

Diet, behavior and ADHD

Several foods have been associated with hyperactivity. Changing the diet may not help everybody, but it may help many children. As one child (presumably with ADHD) said (quoting J. Brody, The New York Times, Nov 2, 1999), “I would rather be different because of what I eat than because of how I behave.” Visit http://www.cspinet.org/ for further material on diet and behavior.

Contrary to popular belief, merely eating more sugar is not likely to make the child hyperactive. The child usually eats too many foods that contain sugar and other ingredients, and not enough healthy foods. The foods high in sweeteners contain chocolate, hydrogenated fats, coloring, etc. and they displace healthy foods and nutrients from the diet.

We suggest that all children eat natural diets based on foods as close to their natural origin as possible. Examples include most vegetables, fruits, lean meats, and eggs. We suggest reduced intake of grains (even whole grains) because of possible allergic reactions to gluten and other ingredients, and reduced intake of dairy products (because of possible inability to digest lactose or the high content of fat). These issues must be resolved for each person.

There is no reason to eat many sweeteners, processed fat (cooked fat or cooked cholesterol from overcooked eggs), or highly processed carbohydrates. This means avoiding most desserts, pasta, and breads. Instead of noodles with cheese, a common meal for children, we suggest vegetables, fruits, and lean meats.

Other substances to avoid include artificial color and flavors, spices, coffee, tea, chocolate, and all candies. Also avoid so-called “energy bars” or food supplements by similar names, because they contain mostly processed carbohydrates and fat (under various names such as sucrose, fructose, syrup, brown sugar, partially hydrogenated oil, etc).

Most of the children we have seen with hyperactive or related behavioral problems ate foods poor in nutrients and rich in calories, processed carbohydrates and fat, and artificial ingredients. We suggest the child start eating more natural foods, perhaps with a daily supplement of a multivitamin and mineral (with 100% RDA), an oil such as soybean oil (to provide essential fatty acids), and more fruits (or juices) to provide more vitamin C. Blood testing is rarely required or useful except for occasional tests for essential fats. In our experience, most parents who pay for expensive nutritional blood testing are wasting their money. What they child needs to do is to eat better, not to have more tests to determine if he/she needs to eat better. If your house is on fire, you no longer need a smoke detector or to send samples to the lab to find our how hot the fire is. You first task is to find a fire extinguisher and call the fire department.

 


Adolescents

@@coming soon

 

 


Books

Tell us about books that your kids enjoy and why.

 

Toys

Tell us about toys that your kids like to play with and why.

 

Web Links/ Resources

 Find out if you have an attention disorder     http://www.hometova.com/

 Interactive web adventure for children from imagination press          http://www.kidspsych.org/index1.html

 Comprehensive Screening and Treatment Monitoring Checklists for ADHD and many other emotional and behavioral disorders. Child and Adolescent symptom inventories.   http://www.checkmateplus.com/

 American Institutes for Research (AIR) is an independent, not-for profit corporation with >50 years experience in education-related research and development projects. Researches child development, child care, and early childhood education. For more info, contact Patti Hellyer, Director of Human Resources Development, Pelavin Research Center, 1000 Thomas Jefferson St NW, Suite 400, Washington DC 20007. Ph (202) 944-5300; Fax (202) 944-5454.

 

 


 

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© 1998 Edward Siguel. All rights reserved

© 1999 Edward Siguel. All rights reserved

© 2002 Edward Siguel. All rights reserved

modified 1/15/02