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Developmental Scores (developmental + score)
Selected AbstractsMother,infant behavioral interactions in teenage and adult mothers during the first six months postpartum: Relations with infant developmentINFANT MENTAL HEALTH JOURNAL, Issue 5 2003Andrée Pomerleau The purpose of this study was to compare adolescent mothers' (high-risk group), at-risk adult mothers' (moderate-risk group), and no-risk adult mothers' (low-risk group) behavioral interactions at one and six months postpartum, and to examine the relationships between maternal behaviors and infant developmental scores on the Bayley scales. Results indicated that high-risk teenage mothers and moderate-risk adult mothers vocalized less and had lower contingency rating scores compared to low-risk adult mothers. Also, infants in the high-risk and moderate-risk groups obtained lower mental scores at six months compared to the low-risk group. Moderate stability across time was found for maternal vocalizations and infant scores on the mental scale. Maternal vocalizations and behavioral contingency rating scores at one month were associated with infants' six-month performance on the Bayley scales. Specific intervention strategies were discussed with the aim of targeting and improving early maternal behavioral patterns in at-risk groups. ©2003 Michigan Association for Infant Mental Health. [source] Postneonatal mental and motor development of infants exposed in utero to opioid drugsINFANT MENTAL HEALTH JOURNAL, Issue 3 2001Sydney L. Hans We compared the mental and motor development of 33 infants from innercity, African American families whose mothers used opioid drugs during pregnancy with that of 45 infants from demographically comparable families where the mothers were not users of opioids. We found that during the first 2 years of life, the children exposed to opioid drugs showed poorer functioning on Bayley Scales mental and psychomotor development indices as well as on Infant Behavior Record ratings of mental and motor functioning. Although both groups of children performed in the normal range during infancy, both groups showed sharp declines in their developmental scores during the second year of life relative to norms. The poorer performance of the opioid-exposed group in mental development was related to social-environmental risk factors; in psychomotor development, to reduced birth weight. © 2001 Michigan Association for Infant Mental Health. [source] Long-term outcome following pediatric liver transplantation for metabolic disordersPEDIATRIC TRANSPLANTATION, Issue 2 2010Terrell Stevenson Stevenson T, Millan MT, Wayman K, Berquist WE, Sarwal M, Johnston EE, Esquivel CO, Enns GM. Long-term outcome following pediatric liver transplantation for metabolic disorders. Pediatr Transplant 2010:14:268,275. © 2009 John Wiley & Sons, A/S. Abstract:, In order to determine long-term outcome, including survival, growth and development, following liver transplantation in children with metabolic disorders, we retrospectively reviewed charts of 54 children with metabolic disorders evaluated from 1989,2005 for presenting symptoms, transplantation timing and indications, survival, metabolic parameters, growth, and development. Thirty-three patients underwent liver transplantation (12 received combined liver,kidney transplants) at a median age of 21 months. At a median follow-up of 3.6 yr, patient survival was 100%, and liver and kidney allograft survival was 92%, and 100%, respectively. For the group as a whole, weight Z scores improved and body mass index at follow-up was in the normal range. Two yr post-transplantation, psychomotor development improved significantly (p < 0.01), but mental skills did not; however, both indices were in the low-normal range of development. When compared to patients with biliary atresia, children with metabolic disorders showed significantly lower mental developmental scores at one and two yr post-transplantation (p < 0.05), but psychomotor developmental scores were not significantly different. We conclude that, in patients with metabolic disorders meeting indications for transplantation, liver transplantation or combined liver,kidney transplantation (for those with accompanying renal failure) is associated with excellent long-term survival, improved growth, and improved psychomotor development. [source] Lung Transplantation in Infants and Toddlers from 1990 to 2004 at St. Louis Children's HospitalAMERICAN JOURNAL OF TRANSPLANTATION, Issue 4 2009A. Elizur In a retrospective, single-center cohort study, outcomes of infants and toddlers undergoing lung transplant at St. Louis Children's Hospital between 1990 and 2004 were compared to older children. Patients with cystic fibrosis (exclusively older children) and those who underwent heart,lung, liver,lung, single lung or a second transplantation were excluded from comparisons. One hundred nine lung transplants were compared. Thirty-six were in infants <1 year old, 26 in toddlers 1,3 years old and 47 in children >3 years old. Graft survival was similar for infants and toddlers (p = 0.35 and p = 0.3, respectively) compared to children over 3 years old at 1 and 3 years after transplant. Significantly more infants (p < 0.0001 and p = 0.003) and toddlers (p = 0.002 and p = 0.03) were free from acute rejection and bronchiolitis obliterans compared to older patients. While most infants and toddlers had only minimal lung function impairment, and achieved normal to mildly delayed developmental scores, somatic growth remained depressed 5 years after transplant. Lung transplantation in infants and young children carries similar survival rates to older children and adults. Further insights into the unique immunologic aspects of this group of patients may elucidate strategies to prevent acute and chronic rejection in all age groups. [source] Pain management during eye examinations for retinopathy of prematurity in preterm infants: a systematic reviewACTA PAEDIATRICA, Issue 3 2010X. Sun Abstract Aim:, To assess whether non-pharmacological and/or pharmacological measures lead to decreased pain during an eye examination in preterm infants. Methods:, . Design:, Systematic review. Subjects:, Premature infants meeting the criteria for screening eye examination for retinopathy. Intervention:, Databases were searched through the Ovid interface. Randomized and quasi-randomized controlled trials were included. Data were assessed independently by three reviewers. Main outcome measures:, Pain assessed by Premature Infant Pain Profile (PIPP) or physiological changes. Results:, Eight studies were included and grouped according to intervention: oral sucrose (group 1), anaesthetic eye drops (group 2) and non-pharmacological measures (group 3). For group 1, the mean PIPP score with sucrose was 1.38 (WMD) (95% CI: 0.41,2.35) lower than that of placebo (p = 0.005). For group 2, one study showed a reduction of two points on the PIPP score with topical proparacaine, whereas another showed no benefit. For group 3, developmental care improved developmental scores and salivary cortisol in one study. Conclusion:, Sucrose reduced pain during the eye examination, whereas the efficacy of proparacaine was not consistent in the studies included. However, PIPP scores remained relatively high in all the studies; thus further research is required to delineate better pain reduction strategies. [source] | ||||||||||