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GROWTH AND DEVELOPMENT

GROWTH AND DEVELOPMENT. 生长发育. 上海交通大学医学院附属上海儿童医学中心 发育行为儿科 ( developmental and behavioral pediatrics) 章依文 Zhangyiwen@hotmail.com. Normal or Abnormal?. 1. 8 month, boy, head circumference 43.1cm ， microcephaly ？ 2. 9 month, girl ， no first tooth

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GROWTH AND DEVELOPMENT

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  1. GROWTH AND DEVELOPMENT 生长发育 上海交通大学医学院附属上海儿童医学中心 发育行为儿科 (developmental and behavioral pediatrics) 章依文 Zhangyiwen@hotmail.com

  2. Normal or Abnormal? 1. 8 month, boy, head circumference 43.1cm，microcephaly？ 2. 9 month, girl， no first tooth 3. 15 month, girl，weight 13.2kg，obesity？ 4. 12 month, boy ，can not sit alone • 5. 9 month baby shows no interests and • attention in playing beads. Why?

  3. How Old?

  4. REGULAR PATTERN OF GROWTH AND DEVELOPMENT • A continuous process • Different rate of development in various systems • General pattern • Individual variance

  5. Different rate of development in various systems

  6. FACTORS OF GROWTH AND DEVELOPMENT • Genetics • Gender • Endocrine • Pregnant condition • Nutrition • Living environment • Diseases environment genetics +

  7. PHYSICAL GROWTH weight birth weight≌3kg W(kg)= birth weight(kg)+month×0.7 (kg) W(kg)=6 (kg)+month×0.25 （kg） W(kg)=yrs ×2 (kg)+7 or 8 （kg） newborn 1 to 6 mon 7 to 12 mon 2 to 12 yrs

  8. PHYSICAL GROWTH Height 50cm newborn 75cm 0-1yr 1-2yr 85cm H (cm)= yrs×7+70 (cm） 2-12yrs

  9. PHYSICAL GROWTH Head circumference (HC) 34cm newborn 46cm 1yr 2yr 48cm 5yr 50cm

  10. PHYSICAL GROWTH Chest circumference (CC) Newborn 32cm 46cm 1yr CC=HC

  11. PHYSICAL GROWTH • Skeleton development 1~1.5 yr closure Anterior fontannel Vertebral column Ossification center Bone age

  12. PHYSICAL GROWTH Teeth development First tooth 6-10mon Deciduous teeth 20 30mon

  13. ASSESSMENT OF GROWTH Standard (SD) Mean (X) ＆ Normal distribution X2SD 68.3% ±1SD 95.4% +2SD 99.7% +3SD

  14. ASSESSMENT OF GROWTH Percentile P3-P97 Zscore ±2 Growth chart Weight for age Height for age Multiple indicators Weight for height

  15. Growth Curve          

  16. NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception 6yr 1.0 3-4yr vision 0.7 1yr 3m 3mon 180°level Newborn 20cm

  17. NEURO-PSYCHOLOGICAL DEVELOPMENT Sensation and perception Hearing mature 4yr hearing 2yr Following simple direction 1yr Knowing his/her name 3mon Turning head to sound Newborn Hearing

  18. NEURO-PSYCHOLOGICAL DEVELOPMENT Motor Walk alone 15mon Gross motor 9mon Creep＆ Standing with support 6mon Sitting 3mon Lift head

  19. Lift head Lift head Sitting Crawing

  20. Standing Walk Run Jump

  21. NEURO-PSYCHOLOGICAL DEVELOPMENT Motor 12mon Release cube 10mon Fine motor Thumb-finger grasp 6mon Transfer object 3mon Grasp object

  22. age receptive expressive 6m Name Babble 12m Familiar object name Pharases Simple needs Repeat sound “ba ba” /“ma ma” 15m ~18m Body part Following simple direction Pointing 15~20 words 24m People/object Pictures Name/object/pictures 300 words 36m 2~3directions sex identity Sentences More words 48m Differenciate colors Following 2~3 directions Telling stories Describing things NEURO-PSYCHOLOGICAL DEVELOPMENT Language

  23. NEURO-PSYCHOLOGICAL DEVELOPMENT • Thinking • Imagination • Will • Emotion • Personality • Personal-social behavior

  24. ASSESSMENT AND BEHAVIORAL DEVELOPMENT • Intelligence Abilities of recognizing the world and dealing with the environmental change • Intelligent quotient (IQ) • Development quotient (DQ)

  25. ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Visual-space orientation Tempory-order Memory Speech language Single developmental screening tests

  26. ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Denver Developmental Screening Test,DDST Drawing-a-man test Peabody Picture Vocabulary Test,PPVT Abilities tests Screening tests

  27. ASSESSMENT AND BEHAVIORAL DEVELOPMENT Psychometry Bayley Infant Development Test Gesell Development Test WPPSI WISC-R SM Abilities test Diagnostic tests

  28. DIVIATION OF GROWTH Overweight >2SD or 97 Percentile Underweight <2SD or 3 Percentile Weight Height Tall status Stunt Head circumference

  29. PSYCHOLOGICAL DISORDER Developmental-behavioral problems Mental retardation Breath holding Learning disorders Enuresis Biting thumb Defiance Speech and language disorders Lying Temper tantrums Sleep disorders

  30. Summary • Regular pattern of growth and development • Physical growth and assessment • Neuor-psychological development and assessment

  31. Normal or Abnormal? 1. 8 month, boy, head circumference 43.1cm，microcephaly？ 2. 9 month, girl， no first tooth 3. 15 month, girl，weight 13.2kg，obesity？ 4. 12 month, boy ，can not sit alone • 5. 9 month baby shows no interests and • attention in playing beads. Why?

  32. 欢迎阅读

  33. Thank you

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