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GROWTH AND DEVELOPMENT

GROWTH AND DEVELOPMENT

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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