- Mental health care for parents of babies with congenital heart disease during intensive care unit admission: Systematic review and statement of best practice. [Journal Article]Early Hum Dev 2019; :104837EH
- CONCLUSIONS: Stronger evidence for the efficacy of mental health interventions to buffer the effects of intensive care unit admission for parents of infants with CHD is urgently needed. Robust, high-quality trials are lacking, despite the established need and demand, and health policies prioritizing parent mental health care in the context of early childhood adversity are needed.
- [Psychomotor and Cognitive Development and Quality of Life in Children and Adolescents with Congenital Heart Defect]. [Journal Article]Klin Padiatr 2019; 231(4):183-190KP
- Children with congenital heart disease (CHD) are at significant risk of psychomotor and cognitive developmental disorders, with negative effects on psychosocial and academic performance and quality of life. Innate characteristics such as genetic abnormalities, type and severity of CHD and socioeconomic factors are the most important risk factors. Prenatally, hypoperfusion or hypoxia can cause dev…
Children with congenital heart disease (CHD) are at significant risk of psychomotor and cognitive developmental disorders, with negative effects on psychosocial and academic performance and quality of life. Innate characteristics such as genetic abnormalities, type and severity of CHD and socioeconomic factors are the most important risk factors. Prenatally, hypoperfusion or hypoxia can cause developmental and maturation disorders of the brain, thus promoting postpartum lesions of the more vulnerable brain substance and neurodevelopmental disorders. The high-risk group includes primarily infants requiring open heart surgery. Specific phenotypic characteristics of development emerge at different ages: in early childhood motor and linguistic articulation deficits; at school age impaired speech and language, attention, memory, visual-spatial, executive, and motor skills, often associated with academic deficits, and emotional or social issues; in adolescence executive, psychosocial and psychiatric disorders and impaired quality of life; in adulthood, neurocognitive, psychosocial and problems of self-management and professional perspective. Physical and social functioning, psychomotor development and mental health are key factors for quality of life. The German Society of Pediatric Cardiology demands detailed serial neuropsychological examinations at the age of 2 and 5 years, before puberty and before adulthood, for the high-risk group of children with CHD operated on in infant age in order to detect and to treat partial performance disorders at an early stage.
- Male sex is an independent risk factor for poor neurodevelopmental outcome at 20 months' corrected age, in human milk-fed very preterm infants: a cohort study. [Journal Article]Einstein (Sao Paulo) 2019; 17(3):eAO4607E
- CONCLUSIONS: In human milk-fed very preterm infants, males had a significantly lower mental and psychomotor developmental indexes score at 20 months' corrected age, adjusted for gestational age and measured energy intake.
- Feeding difficulties and eating disorders in pediatric patients with cancer. [Journal Article]Bol Med Hosp Infant Mex 2019; 76(3):113-119BM
- CONCLUSIONS: Over 90% of the studied population demonstrated at least one eating disorder or feeding difficulty. The principal effect is inadequate nutritional intake due to limited appetite and fear of feeding, which can result in undernutrition. For this reason, the identification of alterations in nutrition processes should be part of the comprehensive assessment of cancer patients.
- Residential exposure to green space and early childhood neurodevelopment. [Journal Article]Environ Int 2019; 128:70-76EI
- CONCLUSIONS: Exposure to higher levels of residential surrounding green spaces was associated with better early childhood neurodevelopment. The association between exposure to green space and early childhood psychomotor development might be partly explained by reduced levels of traffic-related air pollution.
- Influence of Parenteral Nutrition Delivery Techniques on Growth and Neurodevelopment of Very Low Birth Weight Newborns: A Randomized Trial. [Randomized Controlled Trial]Medicina (Kaunas) 2019; 55(4)M
- Background and Objectives: In very low birth weight (VLBW) newborns, parenteral nutrition (PN) is delivered via a peripheral venous catheter (PVC), a central venous catheter (CVC), or a peripherally inserted central venous catheter (PICC). Up to 45% of PICCs are accompanied by complications, the most common being sepsis. A PVC is an unstable PN delivery technique requiring frequent change. The g…
Background and Objectives: In very low birth weight (VLBW) newborns, parenteral nutrition (PN) is delivered via a peripheral venous catheter (PVC), a central venous catheter (CVC), or a peripherally inserted central venous catheter (PICC). Up to 45% of PICCs are accompanied by complications, the most common being sepsis. A PVC is an unstable PN delivery technique requiring frequent change. The growth and neurodevelopment of VLBW newborns may be disturbed because of catheters used for early PN delivery and complications thereof. The aim of the conducted study was to evaluate the effect of two PN delivery techniques (PICC and PVC) on anthropometric parameters and neurodevelopment of VLBW newborns. Materials and Methods: A prospective randomized clinical trial was conducted in VLBW (≥750⁻<1500 g) newborns that met the inclusion criteria and were randomized into two groups: PICC and PVC. We assessed short-term outcomes (i.e., anthropometric parameters from birth until corrected age (CA) 36 weeks) and long-term outcomes (i.e., anthropometric parameters from CA 3 months to 12 months as well as neurodevelopment at CA 12 months according to the Bayley II scale). Results: In total, 108 newborns (57 in the PICC group and 51 in the PVC group) were randomized. Short-term outcomes were assessed in 47 and 38 subjects, and long-term outcomes and neurodevelopment were assessed in 38 and 33 subjects of PICC and PVC groups, respectively. There were no differences observed in anthropometric parameters between the subjects of the two groups in the short- and long-term. Mental development index (MDI) < 85 was observed in 26.3% and 21.2% (p = 0.781), and psychomotor development index (PDI) < 85 was observed in 39.5% and 54.5% (p = 0.239) of PICC and PVC subjects, respectively. Conclusions: In the short- and long-term, no differences were observed in the anthropometric parameters of newborns in both groups. At CA 12 months, there was no difference in neurodevelopment in both groups.
- Patterns of Prenatal Alcohol Use That Predict Infant Growth and Development. [Randomized Controlled Trial]Pediatrics 2019; 143(2)Ped
- CONCLUSIONS: With these findings, we confirm that high, sustained PAE confers the highest risk for adverse infant outcomes but demonstrate that even low-to-moderate PAE continued across gestation is associated with certain deficits. This approach may be used to help clinicians identify high-risk infants for targeted early intervention.
- Infants' Age and Walking Experience Shapes Perception-Action Coupling When Crossing Obstacles. [Journal Article]Percept Mot Skills 2019; 126(2):185-201PM
- This study examined the effects of age and walking experience on infants' ability to step over an obstacle. We videotaped 30 infants with one (mean [ M] age = 12.6 months), three (M age = 14.7 months), and six months (M age = 17.7 months) of walking experience walking on a pathway with and without an obstacle. We found a shorter stride and slower velocity for infants with one month of walking exp…
This study examined the effects of age and walking experience on infants' ability to step over an obstacle. We videotaped 30 infants with one (mean [ M] age = 12.6 months), three (M age = 14.7 months), and six months (M age = 17.7 months) of walking experience walking on a pathway with and without an obstacle. We found a shorter stride and slower velocity for infants with one month of walking experience and for the walking condition with an obstacle than for other experience groups or for walking without an obstacle. Across all groups, the horizontal distance between an infant's foot and the obstacle was larger for the trailing leg than for the leading leg. The vertical distance for both legs was similar among 1-month walkers, increased for 3-month walkers, and was similar for the trailing leg of the 6-month walker group. The percentage of the interlimb coordination relative phase for the leading limb was smaller for 3- and 6-month walker groups. In conclusion, age and walking experience contribute to improving coupling between sensory information and motor action and to organization for stepping over an obstacle in infants.
- [Psychomotor development from 0 to 4 years in indigenous children. A sistematic literature search]. [Journal Article]Rev Chil Pediatr 2018; 89(4):530-539RC
- CONCLUSIONS: Spirituality and nature are at the center. Time as a goal to gain skills does not have a cultural function to demonstrate the acquisition of the inherent va lues to the culture. To base the assessment of development exclusively on psychomotor development as monitoring guide is insufficient to assess the integrality and complexity of the advances, abilities, and skills of indigenous children.
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- A longer body length and larger head circumference at term significantly influences a better subsequent psychomotor development in very-low-birth-weight infants. [Journal Article]Brain Dev 2019; 41(4):313-319BD
- CONCLUSIONS: In addition to less prematurity and female gender, a longer body length and larger head circumference at term were important indicators that influenced better psychomotor development in VLBW infants at three years of chronological age.