scholarly journals Analysis of diagnostic-therapeutic results after the first year of life in children of hearing disturbance risk groups

2018 ◽  
Vol 72 (3) ◽  
pp. 9-12
Author(s):  
Agnieszka Wiatr ◽  
Sebastian Kocoń ◽  
Patryk Hartwich ◽  
Paweł Stręk ◽  
Jacek Składzień ◽  
...  
Keyword(s):  
Nervous System ◽  
Down Syndrome ◽  
Cleft Palate ◽  
Risk Groups ◽  
First Year ◽  
Hearing Disorders ◽  
Children With Down Syndrome ◽  
Early Implementation ◽  
First Year Of Life ◽  
Congenital Cmv

Introduction: It is assumed that the critical period for diagnosis of hearing disorders is the baby's first three months of life and that appropriate course and implementation of treatment and/or rehabilitation should begin before a child is six months old. However various kinds of problems may occur during auditory screening of a child may exceed this interval. Aim: The aim of this study was an evaluation of auditory screening results for children over 12 months old with congenital hearing loss. Material and methods: Results from 250 children were analyzed retrospectively. The study group consisted of children between one and three months old observed between 2015-2016. For the purpose of this analysis we divided the patients into four groups: children with Down Syndrome, children with nervous system disorders , children with cleft palate or both cleft palate and lip and children with congenital CMV. To discuss performed diagnostics and treatment two groups of children were esteblished: • with implementation of appropriate course of treatment • without instituted treatment Results: 250 children were examined in Level III NICUs in the years 2015 – 2016. The highest proportion of children with the implemented course of proceedings, was in groups with children with congenital CMV (71.1%). The highest proportion of children substituted with a hearing prosthesis was observed in the group of children with Down Syndrome. The lowest proportion of children with the implemented course of proceedings, was in groups with children with cleft palate or both cleft palate and lip (41.6%). Conclusions: • Early implementation of treatment and/or rehabilitation in children with hearing disorders is crucial to prevent depression of speech and psychological development. I t is important in children with cleft palate or both cleft palate and lip even if surgical correction is discussed. • The highest proportion of children with the implemented course of proceedings, was in groups with children with congenital CMV. This children should be observed despite of right results of hearing tests. • In children with nervous system disorders 1 year period of observation is too short to exclude problems with hearing.

scholarly journals Stability of ABR Wave V Threshold in Early Hearing Diagnostics in Children from Selected Groups at Risk of Congenital Hearing Loss

2020 ◽  
Vol 74 (6) ◽  
pp. 1-5
Author(s):  
Sebastian Kocoń ◽  
Konrad Skórkiewicz ◽  
Paweł Stręk ◽  
Remigiusz Ziarno ◽  
Jacek Składzień ◽  
...  
Keyword(s):  
At Risk ◽  
Nervous System ◽  
Hearing Loss ◽  
Down Syndrome ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Risk Groups ◽  
First Year ◽  
Children With Down Syndrome ◽  
First Year Of Life

<b>Introduction:</b> Upon hearing that the “little” patient has trouble with hearing, we are mostly interested in the level of his hearing threshold. When the child is in the first year of life, results can only be achieved by means of ABR test. Subsequent control tests, especially in children from the hearing loss risk groups selected in this study, show that the obtained outcomes are subject to fluctuations. Their fluctuating nature is manifested by the instability of wave V threshold in subsequent diagnostic periods. Such variability often delays the implementation of the appropriate proceeding. Knowledge of the dissimilarity of behavior of the wave V threshold occurring in individual groups at risk of hearing loss allows for the correct interpretation of the obtained results, and thus, effective therapeutic measures. <br><b>Aim:</b> The aim of the paper is to analyze the stability of wave V threshold during the first year of life in children from selected risk groups for congenital hearing disorders. <br><b>Material and methods:</b> From the patient population of 2,114 individuals examined in 2015–2016 at a reference center participating in the Universal Neonatal Hearing Screening Program in 2015–2016, the results of 250 children were subjected to retrospective analysis. Furthermore, 4 groups of little patients were formed (children with Down syndrome; children with other diseases or damage to the nervous system; children with cleft palate or cleft lip and cleft palate; children with congenital cytomegaly) in whom diagnostic practice revealed variable results of the wave V threshold. We analyzed the results of tests obtained during the first year of the child’s life divided into 4 diagnostic periods. <br><b>Results:</b> The highest percentage of instability in the established threshold of wave V between individual diagnostic periods occurred in the group of children with cleft palate or cleft lip and cleft palate. In the group of children with Down syndrome, it was observed that the instability of the ABR test results decreased over time. In the group of children with other diseases or damage of the nervous system, the highest percentage of the lack of stable ABR wave V thresholds was observed between the 1st and 2nd as well the 1st and 4th diagnostic periods. On the other hand, in the group of children with congenital CMV, there was a relatively low percentage of instability of results. <br><b>Conclusions:</b> (1) Although the ABR test is a diagnostic standard, in particular groups of patients the study is burdened with high variability of measurement results in subsequent diagnostic periods. Such a group of patients are children with cleft palate or cleft lip and cleft palate; therefore, it must receive particular attention in treatment planning; (2) in selected groups at risk of hearing loss, due to the high percentage of children with hearing impairment (70%), the validity of performing newborn hearing screening tests was confirmed.

Hospitalization, Breast-Milk Feeding, and Growth in Infants with Cleft Palate and Cleft Lip and Palate Born in Denmark

2008 ◽  
Vol 45 (6) ◽  
pp. 628-632 ◽  
Author(s):  
Lisa H. V. Smedegaard ◽  
Dorthe R. N. Marxen ◽  
Jette H. V. Moes ◽  
Eva N. Glassou ◽  
Cand Scientsan
Keyword(s):  
Breast Milk ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
First Year ◽  
Health Visitors ◽  
Facial Clefts ◽  
Growth References ◽  
First Year Of Life ◽  
Milk Feeding

Objective: To evaluate if the duration of postpartum hospitalization, duration of breast-milk feeding, and growth during the first year of life in infants with cleft lip and palate (CLP) and cleft palate (CP) are comparable to infants without facial clefts. Design: Prospective data collection using a registration chart developed by the authors. Setting: Special health care of infants with CLP/CP born in Denmark. Participants: All mature infants with CLP/CP born in 2003 and 2004 were included. Of 165 infants, 115 participated in the study. Intervention: In Denmark, parents of children with CLP/CP receive counseling. This counseling is managed by specially trained health visitors/nurses and is initiated at birth. The counseling seeks to support parents’ confidence in having an infant with CLP/CP and to initiate a relationship between the infant and the parents. Main Outcome Measures: Duration of postpartum hospitalization, duration of breast-milk feeding, and weight and length at birth, 5 months of age, and 12 months of age. Results: Hospitalization was 4 days and comparable to that of infants without CLP/CP. The infants with CLP/CP received breast milk but for a shorter period compared with infants without CLP/CP. Weights at birth, 5 months of age, and 12 months of age were identical with Danish growth references. Conclusion: The authors find the results satisfactory and believe that the counseling provided by the health visitors/nurses plays a part in the results.

Presurgical Orthopedics and Satisfaction in Motherhood: A Randomized Clinical Trial (dutchcleft)

2008 ◽  
Vol 45 (3) ◽  
pp. 284-288 ◽  
Author(s):  
Charlotte Prahl ◽  
Birte Prahl-Andersen ◽  
Martin A. Van't Hof ◽  
Anne M. Kuijpers-Jagtman
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Controlled Trial ◽  
First Year ◽  
Balanced Allocation ◽  
The Individual ◽  
First Year Of Life ◽  
Presurgical Orthopedics ◽  
Infant Orthopedics

Objective: To study the effect of infant orthopedics on satisfaction in motherhood. Design: Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Treatment allocation was concealed and was performed by means of a computerized balanced allocation method. Setting: Cleft palate centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands. Patients: Two groups of infants with complete unilateral cleft lip and palate and no other malformations. Interventions: Group IO+ (n  =  27) wore passive maxillary plates during the first year of life, group IO− (n  =  27) did not. Main Outcome Measure(s): Mean satisfaction scores were obtained from completed questionnaires at 6, 24, and 58 weeks of age. A 4-point scale was used (1  =  very satisfactory to 4  =  very unsatisfactory). Results: The range of the mean scores for the individual items on the questionnaires for both groups ranged between 1.1 and 2.4. No differences were found between groups. Mothers appear to be satisfied in motherhood, least satisfied with the available time for themselves, and very satisfied with hugging and walking their babies. No differences were found between groups. Conclusions: Results from the present study show that infant orthopedics, with a passive plate during the first year of life, in children with a unilateral cleft lip and palate has no influence on the mothers’ satisfaction in motherhood.

Congenital Cricopharyngeal Achalasia

1977 ◽  
Vol 86 (5) ◽  
pp. 603-610 ◽  
Author(s):  
Timothy J. Reichert ◽  
Charles D. Bluestone ◽  
William K. Sieber ◽  
Sylvan E. Stool ◽  
Anne M. Sieber
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Conservative Management ◽  
Esophageal Motility ◽  
First Year ◽  
Cricopharyngeal Myotomy ◽  
Associated Diseases ◽  
The Central Nervous System ◽  
Esophageal Dysfunction ◽  
First Year Of Life

Fifteen infants with congenital cricopharyngeal achalasia are reviewed. Although most of the patients had symptoms at birth, the diagnosis was frequently not confirmed until later in the first year of life. While four of the infants had only cricopharyngeal achalasia, 11 had associated diseases related to the central nervous system. Those patients without associated diseases improved spontaneously with conservative management; most of the infants with other abnormalities also improved, although their clinical progress was slower and more complicated. In three of the patients, the symptoms were persistent and there were two deaths related to associated diseases. Cricopharyngeal myotomy was performed on two children with only moderate improvement in symptoms. Congenital cricopharyngeal achalasia is more common than formerly recognized. When suspected, an esophagram with tele- or cineradiography is essential to confirm the diagnosis. Esophageal motility studies will quantify changes and also evaluate lower esophageal dysfunction not easily identified on esophagrams.

scholarly journals Prognostic risk algorithm of the development of microecology disorders of mucous in children of industrial r

2013 ◽  
Vol 3 (1(7)) ◽  
pp. 37-39
Author(s):  
Y.G. Resnichenko ◽  
M.O. Yartzeva
Keyword(s):  
Nervous System ◽  
Food Allergy ◽  
Respiratory Diseases ◽  
First Year ◽  
Mixed Feeding ◽  
Early Introduction ◽  
Risk Algorithm ◽  
The Family ◽  
Acute Respiratory Diseases ◽  
First Year Of Life

Algorithm of prognostic risk of the development of microecology disorders of mucous in children from industrial region is presented in the article. The influence of the early introduction of formula feeding and using of the mixed feeding, the low socio-economical situation of the family, the presence of anemia, food allergy, nervous system disorders during the first year of life, frequent acute respiratory diseases and the using of antibiotics which is leading to dysbiosis manifestation is ascertained.

scholarly journals Adenohypophyseal function in children aged under 1 born to mothers in whom pregnancy was induced

1996 ◽  
Vol 42 (1) ◽  
pp. 9-11
Author(s):  
A. A. Afonin ◽  
V. I. Orlov ◽  
Yu. A. Knyazev ◽  
E. P. Rymanhevskaya ◽  
L. A. Polschikova ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Follicle Stimulating Hormone ◽  
First Year ◽  
Polycystic Ovaries ◽  
Somatotropic Hormone ◽  
Hormonal Function ◽  
System A ◽  
The Central Nervous System ◽  
First Year Of Life

A total of 143 children born to mothers who suffered from various forms of endocrine sterility and in whom pregnancy was induced were examined. The levels of somatotropic hormone, prolactin, luteotropic hormone, and follicle-stimulating hormone were measured in the blood on days 1, 3, 6 of life and at the age of 3, 6, and 12 months. The hormones were radioimmunoassayed and measured by imnmnofluorescent methods. The results indicate marked disorders of the adenohypophyseal function in these children, these disorders persisting through the first year of life. The most evident shifts of hormonal parameters are observed in children born to mothers with primary disorders of ovarian hormonal function, particularly so in cases with the polycystic ovaries syndrome, and in children with perinatal involvement of the central nervous system. A high correlation between adenohypophyseal and peripheral gland hormone levels and the concentration of somatotropic hormone was detected.

scholarly journals Assessing Neo-Natal Mortality Trends in Pakistan: An Insight Using Equity Lens

2020 ◽  
Author(s):  
Zainab Dawood ◽  
Naeem Majeed
Keyword(s):  
Neonatal Mortality ◽  
Urban Areas ◽  
Wealth Quintile ◽  
Risk Groups ◽  
First Year ◽  
Mortality Trends ◽  
Microsoft Excel ◽  
Graph Type ◽  
Natal Mortality ◽  
First Year Of Life

Abstract Background: Almost 2.5 million children died in the first year of life in the year 2017. These account for almost half of the total deaths of children under the age of five years. Overall, child mortality has declined over the past two decades. Comparatively, the pace of decline in neonatal mortality has remained much slow. Significant inequalities in health across a number of dimensions – including wealth, ethnicity, and geography – continue to exist both between and within countries, and these contribute to neonatal mortality. This study aims to quantify the magnitude of inequalities in neonatal mortality trends by wealth quintile and place of residence with province wise segregation. Methods: The study was done using raw data from the last three Pakistan Demographic & Health Surveys (20017-18, 2012-13 and 2006-7). The concentration curves were drawn in Microsoft Excel 365 using scatter plot as graph type while the frequencies were calculated using SPSS 24. Results: The situation of inequity across provinces and in rural vs urban areas has slightly declined, however, gross inequities continue to exist.Conclusions: Presentation of outcomes data, such as neonatal mortality in various wealth quintiles is an effective way to highlight the inequities amongst income groups as it highlights the vulnerable and at-risk groups. In other countries, rural-urban distribution, or ethnic groups may also reflect similar differences and help in identifying high-risk groups.

The role of external factors in realizing of the natural progress of the child’s motor development within the first year of life

2021 ◽  
Vol 2 (3) ◽  
pp. 119-136
Author(s):  
Galina S. Lupandina-Bolotova ◽  
Aliya A. Revina ◽  
Dmitry A. Ignatov
Keyword(s):  
Nervous System ◽  
Treatment Group ◽  
Motor Skills ◽  
Motor Development ◽  
Control Group ◽  
First Year ◽  
Functional Disorders ◽  
First Year Of Life ◽  
Stimulation Of

Introduction. The development of a child in the first year of life provides the basis for their further harmonious growth. Motor development occurs in parallel with the ongoing gradual development of the nervous system. The transition to a new motor milestone is associated with the emergence of new skills; therefore, stimulation of motor development should occur in accordance with the next milestone of the nervous system development. Intervention in the natural process of the skills gaining without considering the developmental nervous system milestone leads to a change in the trajectory of motor progress of the child. Aim of the study was to assess the significance of individual elements of motor development for the function of balance and walking, as well as to identify the role of non-physiologic (contradicting motor ontogenesis) stimulation of motor skills in the evolvement of non-optimal motor patterns and impaired balance and walking function. Materials and methods. In total, 43 children aged ≥ 12 months admitted to the «Consultative Diagnostic Department» of the Federal State Autonomous Institution «National Medical Research Center for Children’s Health» of the Ministry of Health of Russia were examined within the framework of dispensary observation in the period from December 2016 to June 2019. The assessment of motor development was carried out according to the tests and questionnaires developed. The children were divided into two groups: the treatment group, in which the intervention was carried out, and the control group. Results. The frequency of realization of physiological patterns in children in the treatment group was 65.5%, and in the control group was 89.6%. The occurrence of the functional disorders of the musculoskeletal system was as follows: pathological functional kyphosis in the lumbar spine in children in the treatment group occurred in 73.1%, and in the control group in 26.9%; sitting on the sacrum occurred in 73.1% in the treatment group, and 26.9 % in the control group; impaired coordination in the treatment group occurred in 53.9%, and in 46.1% in the control group; decreased balance function in the treatment group occurred in 61.5%, and in 38.5% in the control group. Conclusion. Correct interaction with a child in the first year of life, in combination with physiological stimulation corresponding to the developmental milestones of the nervous system, allows the child to implement their motor skills in a timely manner, without disrupting the natural sequence of motor development, and minimizes the risks of functional disorders of the musculoskeletal system.

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