scholarly journals DEVELOPMENTAL DELAY IN 14 MONTH OLD BOY WITH GRADE I MALNUTRITION

2021 ◽  
Vol 10 (4) ◽  
pp. 3377-3379
Author(s):  
Om C. Wadhokar

When a child does not meet his or her developmental milestones within the predicted time or age, this is referred to as developmental delay. Developmental milestones are activities that certain children master or acquire at specific ages. Head balance, rolling, crawling, driving, and talking are a few examples. The mechanism of growth and the completion of such developmental milestones are referred to as child development. The patient was a 14 months old male child came to the hospital with complaint of inability to sit also he is unable to hold anything in his hand. As narrated by the mother the child was born to G2P1L1A1 mother at 9 months 5 days of gestation. The child has not yet attained gross motor milestone such as rolling over and no sit with support. The child attained immature pincer grasp at 12 months of age and has not attained mature pincer grasp. Social smile was attained at 6 months, stranger anxiety at 12 months and the child has not attained bye-bye. The child was alert to sounds by the age of 9 months .babbles at 10 months and says mama-dada at 12 months. The child is immunized till age. The marriage of the parents was non-consanguineous marriage. The child was born with a weight of 2.5 kg the mother had LSCS and breech delivery. The child did not cry immediately after birth. The child has history of fever after 3 months of delivery. The child is also interpreted as grade 1 mild malnutritious (71-80) %. Developmental delay and grade 1 mild malnutrition. The above study shows that Neck facilitation exercises in prone lying, Ice technique and proper brush technique for neck facilitation improves neck holding. Rolling facilitation in side lying position and proper handling positions helps in attaining milestones such as Rolling over. Facilitation of extension tone with vestibular rehabilitation helps to facilitate extensors. Family plays an important role in the management of such cases all the exercises should be properly explained to them for more improvement. Supporting the child while sitting, for example, might help him or her develop weight shifting, rotation, coordination, and balance.

Author(s):  
Laene Jeronimo Mendes ◽  
Alice Sá Carneiro Ribeiro ◽  
Larissa Gundes Toqueti ◽  
Lucieny Almohalha

Introdução: O bebê de risco é considerado como aquela criança que está exposta a fatores biológicos e/ou ambientais que interferem com o desenvolvimento infantil típico e impactam a aquisição das habilidades esperados para a faixa etária dos primeiros anos de vida. Objetivo: Avaliar o desenvolvimento motor de bebês pré-termo e a termo com risco de atraso no desenvolvimento atendidos em um ambulatório de pediatria. Métodos: Trata-se de um estudo descritivo de campo, com abordagem observacional. Foram avaliados 17 lactentes de quatro, seis e oito meses de idade, com risco de atraso no desenvolvimento por meio do consentimento dos pais. Os instrumentos para coleta de dados foram um roteiro elaborado pelas pesquisadoras com perguntas relacionadas à história passada e atual dos bebês e seus pais, e a Alberta Infant Motor Scale (AIMS) para avaliação do desenvolvimento motor. Resultados: Verificou-se que dois bebês apresentaram atraso no desenvolvimento motor, três eram suspeitos de atraso e doze tiveram desenvolvimento motor normal para a idade atual. Constatou-se que os bebês que estavam em intervenção terapêutica ocupacional precoce apresentaram desenvolvimento típico em comparação aos bebês que foram assistidos apenas no serviço de rotina pediátrica. Conclusão: Destaca-se a importância da estimulação precoce nos primeiros meses de vida para prematuros e de crianças com risco de atraso no desenvolvimento, uma vez que todos as crianças que estavam no programa de estimulação precoce e recebendo as intervenções de terapia ocupacional, apresentaram desenvolvimento motor adequado para a idade. AbstractIntroduction: The baby at risk is considered as that child who is exposed to biological and/or environmental factors that interfere with the typical child development and impact the acquisition of the skills expected for the age group of the first years of life. Objective: to evaluate developmental delays in premature infants and terms of risk of developmental delay seen in a pediatric outpatient clinic. Methods: This is a descriptive field study, with an observational approach. 17 infants of four, six and eight months of age were taxed, with risk of developmental delay through parental consent. The instruments for data collection were developed by researchers with questions related to the recent and current history of their parents and parents, and an AIMS (Alberta Infant Motor Scale) to assess the development of these engines. Results: It was found that two patients had delayed motor development, three were suspected of delayed development and had normal motor development for their current age. It was found that babies who were undergoing occupational therapeutic intervention started the typical development compared to babies who were seen only in the pediatric routine service. Conclusion: The importance of early stimulation in the first months of life for premature children and those at risk of developmental delay is highlighted, since all children as children who have had no early stimulation program and receive occupational therapy assessments, age-appropriate motor development.Keywords: Child Development; Early Intervention; Occupational Therapy. ResumenIntroducción: El bebé en riesgo se considera aquel niño que está expuesto a factores biológicos y / o ambientales que interfieren con el desarrollo típico del niño e impactan la adquisición de las habilidades esperadas para el grupo de edad de los primeros años de vida. Objetivo: Evaluar posibles retrasos motores en recién nacidos prematuros y a término con riesgo de retraso en el desarrollo atendidos en una clínica ambulatoria pediátrica. Métodos: Este es un estudio de campo con un enfoque observacional y descriptivo. Diecisiete bebés de cuatro, seis y ocho meses fueron evaluados, con riesgo de retraso en el desarrollo a través del consentimiento de los padres. Los instrumentos para la recolección de datos fuero unnguión desarrollado por los investigadores con preguntas relacionadas con la historia pasada y actual de los bebés y sus padres, y la Escala motora infantil de Alberta (AIMS) para evaluar el desarrollo motor. Resultados: Se descubrió que dos bebés tenían retraso en el desarrollo motor, treseransospechosos de retraso y doce tenía nun desarrollo motor normal para la edad actual. Se descubrió que los bebés que se sometían a una intervención terapéutica ocupacional temprana mostraronun desarrollo típico en comparación con los bebés que solo fueron atendidos en el servicio de rutina pediátrico. Conclusión: Se destaca la importancia de la estimulación tempranaen los primeros meses de vida para bebés prematuros y niños en riesgo de retraso del desarrollo, ya que todos los niños que esta banenel programa de estimulación temprana y que recibieron intervenciones de terapia ocupacional mostraron desarrollo motor apropiado para la edad.Palabras clave: Desarrollo infantil, estimulación temprana, terapia ocupacional.   


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Itay Tokatly Latzer ◽  
Zachi Grossman ◽  
Nimrod Sachs ◽  
Orr Yahal ◽  
Daniel Even-Zohar ◽  
...  

Abstract Background There is an increasing prevalence of developmental difficulties among Israeli children. We aimed to assess whether pediatricians are equipped to diagnose and manage them. Methods We assessed the knowledge of basic child development issues and availability of services and content of special education systems among a randomly selected national sample of residents and senior Israeli pediatricians. This was done via an 70-itemed survey developed especially for this study which consisted of seven main subjects: developmental milestones, global developmental delay, autism spectrum disorder, attention deficit hyperactivity disorder, protocol for referring to a child development institute, availability and facilities of special education systems, and medical conditions associated with developmental delay. Results A total of 310 pediatricians (an 86 % usable response rate) participated. The total median knowledge score was 32.1 % (IQR 17.8–53.5 %). Knowledge was significantly better among senior pediatricians (p < .001), those working in an office-based setting (p < .001), and those who were parents (p < .001) or had a family history of a developmental condition (p = .003). Most responders (94 %) felt that their resident training in child development was inadequate, and that they do not have sufficient access to resources and guidelines about child development and special education systems (80 %). Conclusions The gap in knowledge on topics of child development and special education systems among Israeli pediatricians stems from inadequacies in the current curricula of pediatric residencies. The alarmingly low scores of our survey on these issues call for prompt revamping of the syllabus to include them.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Masataka Matsumoto ◽  
Kazumi Kaneshiro ◽  
Kiyonobu Takatsuki

Abstract Background Xeroderma pigmentosum is a rare, autosomal-recessive photosensitive dermatosis. Patients with xeroderma pigmentosum have an impaired ability to repair deoxyribonucleic acid damage caused by ultraviolet rays, resulting in skin cancer. Patients with xeroderma pigmentosum are more susceptible to some cancers. We herein report a case of xeroderma pigmentosum accompanied by lung cancer. Case presentation The patient was a Japanese woman in her 70s with a family history of consanguineous marriage. Her medical history included squamous cell carcinoma and basal cell carcinoma, in addition to xeroderma pigmentosum. She presented with dry skin with small, pigmented spots, which were particularly focused around the areas exposed to sunlight. Chest computed tomography was conducted to assess for any evidence of metastatic skin carcinoma, and revealed a tumor in the left upper subpleural lobe of the lung. Consequently, she was referred to our department. Finally, we diagnosed lung adenocarcinoma (pT2aN0M1b: stage IVA). She had an epidermal growth factor receptor (EGFR) mutation (p.L858R). Treatment with an epidermal growth factor receptor tyrosine kinase inhibitor (gefitinib) was initiated, and the tumor gradually regressed. No side effects were observed. However, she later died from aspiration pneumonia. Conclusions Although xeroderma pigmentosum is rare, a history of consanguineous marriage should be verified. Because of the severe side effects of cisplatin and radiotherapy in xeroderma pigmentosum patients, the risks and benefits of treatment should be considered thoroughly.


2012 ◽  
Vol 114 (6) ◽  
pp. 1-10
Author(s):  
Barbara Beatty ◽  
Edward Zigler

In this article, Edward Zigler, interviewed by Barbara Beatty, talks about a turning point in the history of Head Start that reveals how policy choices, bureaucracy, and science came together when he was told to phase out the program in 1970. New to Washington, Zigler learned that President Richard M. Nixon's domestic policy advisor Daniel Patrick Moynihan, who had put forth the Family Assistance Plan, favored direct support for mothers and families over compensatory preschool education. Zigler saw how both the methodologically flawed 1969 Westinghouse study on the supposed fadeout of Head Start gains and Arthur Jensen's controversial 1969 article on the supposed failure of compensatory education became politicized and influenced arguments about Head Start's future. With President Nixon's veto of the 1971 Child Development Act, Zigler witnessed how competing policies, bureaucracies, and political ideologies could block support for universal child care and comprehensive services for children and families. After many years of consulting to Head Start and research on applied child development, he sees public schools as sites for coordination of social welfare programs that can improve access to high-quality health care, education, child care, and family services, as in his Schools for the 21st Century model.


2016 ◽  
Vol 12 (6) ◽  
pp. 97
Author(s):  
Abba Kaka H.Y ◽  
Salissou L. ◽  
Amza A. ◽  
Daou M.

Aniridia syndrome is a genetic anomaly affecting all ocular structures; it is transmitted by an autosomal dominant mode. In its isolated form aniridia is characterized by a hypoplasia of the iris frequently associated with other ocular anomalies. It the syndromic form it is associated to other systemic abnormalities. Authors are here reporting a case of aniridia associating: a corneal pannus, total aniridia, lens ectopia, and cataract found in a 14 years old girl. She also presented an atopic background with a positive family history of atopia. She is issued from a first degree consanguineous marriage. The management was multidisciplinary. In ophthalmology she underwent an intra-capsular extraction of the lens in both eyes with no intra-ocular lens implantation. Dermatological management was treatment of cuteanous lesions with emollients, corticoids and antihistamines drugs and ointments.


2017 ◽  
Vol 52 (1) ◽  
pp. 51 ◽  
Author(s):  
Dwi Susanti ◽  
Florentina Sustini

It’s Important to conduct child development screening regularly in primary health services, so child developmental delay cases can be detected and treated as early as possible. Child development screening program in Puskesmas should been carried out integrated with growth screening in Stimulation, Detection, and Early Intervention of Child Growth and Development (SDIDTK) Program. Aims of this study was to gathering informations about the implementation of child development screening activity conducted by Puskesmas Mojo. This was a cross sectional study with kualitatif method. Primary data taken from under 5 years old child’s mothers, kindergarten teachers, cadres, and health staff of Puskesmas Mojo. Secondary data gotten from PWS KIA report of Puskesmas Mojo.Results of SDIDTK activities in Puskesmas Mojo according to PWS KIA report, achieve 88.1% in 2013 and 95.2% in 2014. Child development screening activities done infrequenly in Posyandu. Routine activities of Posyandu was growth/nutrition screening. Child development screening activities done by visiting kindergarten school every 6 month but not every child getting development screen, only those who suspicious have developmental delay because of minimum number of staff and aids. Results of SDIDTK activities in Puskesmas Mojo only represents child growth screening activities.


2016 ◽  
Vol 4 (1) ◽  
pp. 182 ◽  
Author(s):  
Goli Sri Charan ◽  
Jayant Vagha

Background: Birth history gives important information in children with developmental delay. Developmental challenge in children is an emerging problem across the globe, which is largely associated with improved neonatal survival. The present study highlights the importance of birth history in children with developmental delay in our hospital. The objective of this study was to study the perinatal events in children with developmental delay.Methods: Observational descriptive study was conducted on children between 6 months to 5 years who were admitted in Pediatric wards with suspected history of developmental delay. DDST II scale was performed on these children and children who failed on Denver II scale were recruited into the study. Birth history was noted in detail, if available, documentation of birth events was asked for and noted. Developmental history with developmental quotient (DQ), were noted in detail.Results: 135 children had developmental delay, 113 (83.70%) were born by vaginal delivery and 22 (16.30%) were born by caesarian section, 46 (34.18%) had no cry at birth and remaining 89 (65.92%) had normal cry at birth. 104 (77.04%) were born by term gestation and 31 (22.96%) were born preterm. Birth weight was normal in 78 (57.7%) children, LBW was seen 47 (34.81%) and 5 children each with VLBW and ELBW and 35 (25.93%) were IUGR. On comparing the children born gestational age and birth body weight with all four domains, there was no significant difference.Conclusions: Global developmental delay was more common in children born at preterm, low birth weight, IUGR and children who had birth asphyxia. Birth weight and gestational age did not significantly affect any particular domain of development. 


2021 ◽  
Author(s):  
Lisa P Deliu ◽  
Deeshpaul Jadir ◽  
Abhishek Ghosh ◽  
Savraj S Grewal

The regulation of ribosome function is a conserved mechanism of growth control. While studies in single cell systems have defined how ribosomes contribute to cell growth, the mechanisms that link ribosome function to organismal growth are less clear. Here we explore this issue using Drosophila Minutes, a class of heterozygous mutants for ribosomal proteins (Rps). These animals exhibit a delay in larval development caused by decreased production of the steroid hormone ecdysone, the main regulator of larval maturation. We found that this developmental delay is not caused by decreases in either global ribosome numbers or translation rates. Instead, we show that they are due in part to loss of Rp function specifically in a subset of serotonin (5-HT) neurons that innervate the prothoracic gland to control ecdysone production. We found that these 5-HT neurons have defective secretion in Minute animals, and that overexpression of synaptic vesicle proteins in 5-HTergic cells can partially reverse the Minute developmental delay. These results identify a cell-specific role for ribosomal function in the neuroendocrine control of animal growth and development.


Author(s):  
Laura Baylot Casey ◽  
Kay C. Reeves ◽  
Elisabeth C. Conner

Child development experts have been raising alarms about the increasingly didactic and test-driven path of early childhood education as many programs eliminate play from their schedules. This limits the potential of technology use in play which is a natural combination for young children as play technologies become globally accepted as leisure time and learning activities. Play and technology both have their unique place in society and are often thought of as two separate entities. However, in today’s technology driven world, the separateness of the two is no longer as apparent as the two are beginning to blend. This blend is exciting but leaves educators with questions. Specifically, questions related to the following: (a) How do educators ensure that the child is challenged in every developmental domain and (b) How do educators create and facilitate opportunities for exposure to the traditional stages of play while also making sure that the child stays abreast of the latest and greatest technological advances? This chapter begins with the history of play and walks the reader to the issues educators are facing when technology and play merge.


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