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Developmental screening in children in Gede, Kenya
Abstracts
249
includes the following: (1) a test for antigliadin antibodies (AGA IgG and ALA IgA); (2) for antiendomysium antibodies, (AEA IgA); (3) two sugar tests for intestinal permeability; and (4) intestinal biopsy. This screening would ensure an early diagnosis for all children of 15 months of age. This proposal also includes a cost calculation for individual patients and all infants during a l-year period, based on an Italian model. Developmental screening in children in Gede, Kenya. N. Mehta, D.I. Mehta, B. Chone, J. Kenge, P. Gardi, U. Khin Maung, U. Blecker, Children’s Seashore House, 3408 Civic Center Blvd., Philadelphia,
PA 19104, USA.
To assessdevelopmental statusin a geographical area characterizedby malnutrition and poverty, the Denver Developmental Screening Test and the Bayley Psychomotor Developmental Scaleswere comparedwith simple milestones and anthropometry. Of 35 randomly selected children, 8 (22.9%) scored below 85% on the Bayley scale (abnormal); the Denver test identified 6 of these 8 scoresas abnormal or questionable. The Bayley scale and Denver test scores showed good correlation, but standard anthropometry and simple milestone information did not correlate with either test.We concluded that the Denver test is useful for identifying infants and children with low Bayley scale scores.In developing regions that have a prevalence of developmental delay, routine screening should be instituted with an inexpensive, readily available tool such as the Denver test, to target public health measuresfor early intervention. Evolution of transient evoked otoacoustic emissions in preterm newborns: A preliminary study. A. Eshraghi, M. Francois, P. Narcy, Department of Otorhinolaryngology, Hopital Robert Debre, Faculty Bichat, University Paris VII, bd Securier, 75019 Paris, France.
Transient evoked otoacoustic emissions (TEOEs) were recorded in a cohort study of preterm neonatesin order to study their basic properties as a function of gestational age. Their main properties were: (1) TEOEs spectrum did not vary with age; it was analogous to those of full term; (2) there was no statistically significant variation of the TEOEs amplitude with age. The maturation of outer hair cell properties appearsto be complete at a gestational age of 29 weeks. Becausea number of infants at risk for hearing loss are preterm babies, screening for TEOEs has to be performed in the neonatal care unit. To improve the accuracy and efficiency of the test, screening should take place as close to hospital discharge as possible, with the optimum time at 35 gestational weeks. Comparison of two cot&de methods for the detection of hypoglycuemia among neonates in Nepal. M. Ellis, D.S. Manandhar, N. Manandhar, J.M. Land, N. Patel, A.M. De L Costello, Centre International Child Health, Institute Child Health, 30 Guildord Street, London WClN IEH, UK. Aims: To compare two cotside methods of blood glucose measurement(HemoCue
249
includes the following: (1) a test for antigliadin antibodies (AGA IgG and ALA IgA); (2) for antiendomysium antibodies, (AEA IgA); (3) two sugar tests for intestinal permeability; and (4) intestinal biopsy. This screening would ensure an early diagnosis for all children of 15 months of age. This proposal also includes a cost calculation for individual patients and all infants during a l-year period, based on an Italian model. Developmental screening in children in Gede, Kenya. N. Mehta, D.I. Mehta, B. Chone, J. Kenge, P. Gardi, U. Khin Maung, U. Blecker, Children’s Seashore House, 3408 Civic Center Blvd., Philadelphia,
PA 19104, USA.
To assessdevelopmental statusin a geographical area characterizedby malnutrition and poverty, the Denver Developmental Screening Test and the Bayley Psychomotor Developmental Scaleswere comparedwith simple milestones and anthropometry. Of 35 randomly selected children, 8 (22.9%) scored below 85% on the Bayley scale (abnormal); the Denver test identified 6 of these 8 scoresas abnormal or questionable. The Bayley scale and Denver test scores showed good correlation, but standard anthropometry and simple milestone information did not correlate with either test.We concluded that the Denver test is useful for identifying infants and children with low Bayley scale scores.In developing regions that have a prevalence of developmental delay, routine screening should be instituted with an inexpensive, readily available tool such as the Denver test, to target public health measuresfor early intervention. Evolution of transient evoked otoacoustic emissions in preterm newborns: A preliminary study. A. Eshraghi, M. Francois, P. Narcy, Department of Otorhinolaryngology, Hopital Robert Debre, Faculty Bichat, University Paris VII, bd Securier, 75019 Paris, France.
Transient evoked otoacoustic emissions (TEOEs) were recorded in a cohort study of preterm neonatesin order to study their basic properties as a function of gestational age. Their main properties were: (1) TEOEs spectrum did not vary with age; it was analogous to those of full term; (2) there was no statistically significant variation of the TEOEs amplitude with age. The maturation of outer hair cell properties appearsto be complete at a gestational age of 29 weeks. Becausea number of infants at risk for hearing loss are preterm babies, screening for TEOEs has to be performed in the neonatal care unit. To improve the accuracy and efficiency of the test, screening should take place as close to hospital discharge as possible, with the optimum time at 35 gestational weeks. Comparison of two cot&de methods for the detection of hypoglycuemia among neonates in Nepal. M. Ellis, D.S. Manandhar, N. Manandhar, J.M. Land, N. Patel, A.M. De L Costello, Centre International Child Health, Institute Child Health, 30 Guildord Street, London WClN IEH, UK. Aims: To compare two cotside methods of blood glucose measurement(HemoCue