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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 儿童生长发育

  2. REGULAR PATTERN OF GROWTH AND DEVELOPMENT • A continuous process • Different rate of development in various systems • General pattern • Individual variance • Puberty 13 yr (F)/15yr(M)

  3. Different rate of development in various systems

  4. FACTORS OF GROWTH AND DEVELOPMENT • Genetics • Gender • Endocrine • Pregnant condition • Nutrition • Living environment • diseases

  5. PHYSICAL GROWTH weight ≌3kg W(kg)=newborn 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

  6. PHYSICAL GROWTH Height 50cm newborn ↑25cm 0-1yr H (cm)= yrs×7+70 (cm) 2-12yrs

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

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

  9. PHYSICAL GROWTH • Skeleton development 1~1.5 yr closure Anterior fontannel Teeth development 6mon first tooth 20 Deciduous teeth 30mon

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

  11. ASSESSMENT OF GROWTH 95% P3-P97 Percentile Growth chart Weight for age Height for age Multiple indicators Weight for height

  12. Growth Curve (Boys)

  13. Growth Curve (Girls)

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

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

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

  17. Lift head Lift head Sitting Crawing

  18. Standing Walk Run Jump

  19. NEURO-PSYCHOLOGICAL DEVELOPMENT Motor 9mon Scribble 3mon Fine motor Thumb-finger grasp 6mon Transfer object 3mon Grasp object

  20. 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

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

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

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

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

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

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

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

  28. 谢谢! Thank you