Introduction: Low birth weight is a key indicator of newborn health. The objective of this study was to contribute to the reduction of low birth weight-related morbidity and mortality. Patients and Methods: cohort stu...Introduction: Low birth weight is a key indicator of newborn health. The objective of this study was to contribute to the reduction of low birth weight-related morbidity and mortality. Patients and Methods: cohort study conducted from January 2019 to July 2020 at the “Mère-Enfant” University Hospital Centre (UHC) of Libreville. All newborns with a birth weight 2500 g were included. The clinical data of patients were studied. They were followed over a period of 12 months and assessed psychomotorly by the Brunet-Lézine scale. Results: 1260/9035 births of low birth weight (14.0%) were observed, and 300 among them were included. The mortality rate was 27.0% (81) and 219 were followed for 12 months. The sex ratio was 0.8, the average birth weight was 2008.6 ± 215.2 g. The average gestational age was 34 ± 12 weeks with 75.3% prematurity. An infant disease was observed in 61.6% of cases and respiratory pathologies were more observed except at 3 months of age where the proportion of digestive pathologies was 20.5%. At the time of the last consultation at 12 months of life, 76.2% of infants had no pathology. The quotients of postural development, language and coordination were normal (between 110 - 70) respectively in 75.4%, 99.1% and 68% of cases at the age of 12 months. The psychomotor development quotient was correlated with the birth weight in the language area r = 0.15 (p = 0.024), posture r = 0.15 (p = 0.015) and coordination r = 0.15 (p = 0.026) respectively. Conclusion: Low birth weight is a public health problem at UHCME-JEF. Despite the fact that psychomotor development can be said to be satisfactory, many efforts remain to be made to reduce low birth weight levels and improve survival.展开更多
Background: In Cameroon, prematurity is considered among the first cause of neonatal mortality and the main cause of sequelae in children under 5 years old. Although some local teams have studied the causes of neonata...Background: In Cameroon, prematurity is considered among the first cause of neonatal mortality and the main cause of sequelae in children under 5 years old. Although some local teams have studied the causes of neonatal deaths, the survival of the very preterm babies in our context remains poorly known. Patients and Methods: We conducted a hospital-based cross-sectional study with both a retrospective and prospective data collection, covering a period of 5 years and 8 months, including 120 participants who presented with very preterm birth. Socio-demographic, anamnestic, and outcome features were studied. The assessment of the child’s psychomotor development was evaluated trough gross motor skills, fine motor skills, language and social contact. We calculated the development quotient (DQ) by dividing the developmental age (DA) by the actual age (RA) of the patient. Qualitative variables were expressed as numbers and percentages and quantitative variables as means ± standard deviations. Results: At the clinic, 23.8% of the children developed cerebral palsy, 3.1% had cerebral palsy with mental delay, and 6.6% had praxis disorders. Hearing impairment was observed in 6.3% of the survivors, visual impairment in 9%, and swallowing disorders in 7.6%. The mean developmental quotient was (89.98 ± 19.7) with a median of 93. A delay in developmental milestones was observed in 10.8%, speech disorder in 57%, severe malnutrition in 7.7%. The mortality rate was 48.5%. Conclusion: Very preterm birth is associated with a higher risk of neonatal death. Cognitive and motor disorders should not be underestimated. The harmonised management of very premature babies is highly recommended in our context for early diagnosis of sequelae.展开更多
目的分析学校环境下适应性体育课程中的体育活动对智力与发展性残疾儿童心理运动发展的效益。方法检索EBSCO,PubMed、Embase、Web of Science和中国知网。收集建库至2023年5月公开发表的智力与发展性残疾儿童适应性体育课程以及心理运...目的分析学校环境下适应性体育课程中的体育活动对智力与发展性残疾儿童心理运动发展的效益。方法检索EBSCO,PubMed、Embase、Web of Science和中国知网。收集建库至2023年5月公开发表的智力与发展性残疾儿童适应性体育课程以及心理运动发展相关的文献,进行系统综述。结果纳入7篇英文随机对照试验,来自4个国家,涉及236例被试,年龄6~18岁。主要来源体育运动与心理运动、发展障碍、适应性体育、儿童心理运动相关领域期刊,发表时间集中在2016年之后。学校环境下适应性体育课程中的身体活动内容主要包括肌肉和平衡训练、感知动作训练、上下楼梯、使用器材(如跑步机、步机、交叉训练机和固定自行车)的有氧运动、仰卧起坐、跳跃运动、律动性活动、专注于视觉输入的同时静态和动态平衡活动、以不同的节奏改变位置并在空间中移动、呼吸和伸展运动、适应性乒乓球运动技能训练、球的控制练习、手眼协调练习,干预强度为轻度至中等强度,每次45~60 min,每周1~5次,持续8~12周。促进心理运动发展的效益包括:加强节奏感知能力以及提高视觉、听觉、触觉的综合感知能力;显著改善肌肉力量和耐力、总运动能力、精细运动能力如精细运动整合、跑步速度和敏捷性、平衡性;改善身体灵活性和协调性,如上肢协调能力、静态平衡、力量和灵活性;改善正确反应、持续反应和概念水平的反应能力,提高运动灵活性和敏捷性;显著改善生活自理能力(自助饮食、自助穿衣、自我指导),仰卧起坐达到标准次数显著增多,跳跃拿球的成功率提高,运动技能熟练程度和执行功能都得到显著改善。结论本系统综述根据PRISMA指南构建了学校环境下智力与发展性残疾儿童通过适应性体育课程参与体育活动促进心理运动发展的PICO架构。适应性体育课程促进智力与发展性残疾儿童心理运动发展主要体现在5个方面:感知、运动控制、协调、反应时间、动作计划和执行。展开更多
目的:探究基于发展性照护的多维护理对新生儿肺炎功能、心理运动功能及智能发育的影响。方法:选取2020年2月—2024年2月于我院出生的160例肺新生儿肺炎患儿,随机分为观察组和对照组,各80例。对照组患儿予以常规护理,观察组患儿在对照组...目的:探究基于发展性照护的多维护理对新生儿肺炎功能、心理运动功能及智能发育的影响。方法:选取2020年2月—2024年2月于我院出生的160例肺新生儿肺炎患儿,随机分为观察组和对照组,各80例。对照组患儿予以常规护理,观察组患儿在对照组的基础上予以基于发展性照护的多维护理,比较两组患儿干预前后临床呼吸指标、血气指标、心理运动功能、智能发育、患儿家属护理满意度。结果:两组患儿经干预后相较干预前在呼吸频率、动脉二氧化碳分压(PaCO_(2))水平上明显降低,且观察组患儿相较对照组患儿在上述指标上明显更低,差异具有显著性;两组患儿经干预后相较干预前在呼吸达峰容积比、呼吸达峰时间比、动脉血氧分压(PaO_(2))水平、血氧饱和度(SpO_(2))水平、明显升高,且观察组患儿相较对照组患儿在上述指标上明显更高,差异具有显著性;对照组患儿干预前后在PDI评分、MDI评分上无明显差异;观察组患儿经干预后在心理运动发育指数(psychomotor development index,PDI)评分、智力发育指数(mental development index,MDI)评分上明显升高,且观察组患儿相较对照组患儿在上述评分上明显更高,差异具有显著性。与对照组患儿家属相比,观察组患儿家属的护理满意度明显更高。结论:基于发展性照护的多维护理应用于新生儿肺炎患儿有助于促进心理运动功能和智能发育,加快患儿肺功能恢复,改善血气指标,患儿家属对此种护理模式更为满意,值得临床推广应用。展开更多
文摘Introduction: Low birth weight is a key indicator of newborn health. The objective of this study was to contribute to the reduction of low birth weight-related morbidity and mortality. Patients and Methods: cohort study conducted from January 2019 to July 2020 at the “Mère-Enfant” University Hospital Centre (UHC) of Libreville. All newborns with a birth weight 2500 g were included. The clinical data of patients were studied. They were followed over a period of 12 months and assessed psychomotorly by the Brunet-Lézine scale. Results: 1260/9035 births of low birth weight (14.0%) were observed, and 300 among them were included. The mortality rate was 27.0% (81) and 219 were followed for 12 months. The sex ratio was 0.8, the average birth weight was 2008.6 ± 215.2 g. The average gestational age was 34 ± 12 weeks with 75.3% prematurity. An infant disease was observed in 61.6% of cases and respiratory pathologies were more observed except at 3 months of age where the proportion of digestive pathologies was 20.5%. At the time of the last consultation at 12 months of life, 76.2% of infants had no pathology. The quotients of postural development, language and coordination were normal (between 110 - 70) respectively in 75.4%, 99.1% and 68% of cases at the age of 12 months. The psychomotor development quotient was correlated with the birth weight in the language area r = 0.15 (p = 0.024), posture r = 0.15 (p = 0.015) and coordination r = 0.15 (p = 0.026) respectively. Conclusion: Low birth weight is a public health problem at UHCME-JEF. Despite the fact that psychomotor development can be said to be satisfactory, many efforts remain to be made to reduce low birth weight levels and improve survival.
文摘Background: In Cameroon, prematurity is considered among the first cause of neonatal mortality and the main cause of sequelae in children under 5 years old. Although some local teams have studied the causes of neonatal deaths, the survival of the very preterm babies in our context remains poorly known. Patients and Methods: We conducted a hospital-based cross-sectional study with both a retrospective and prospective data collection, covering a period of 5 years and 8 months, including 120 participants who presented with very preterm birth. Socio-demographic, anamnestic, and outcome features were studied. The assessment of the child’s psychomotor development was evaluated trough gross motor skills, fine motor skills, language and social contact. We calculated the development quotient (DQ) by dividing the developmental age (DA) by the actual age (RA) of the patient. Qualitative variables were expressed as numbers and percentages and quantitative variables as means ± standard deviations. Results: At the clinic, 23.8% of the children developed cerebral palsy, 3.1% had cerebral palsy with mental delay, and 6.6% had praxis disorders. Hearing impairment was observed in 6.3% of the survivors, visual impairment in 9%, and swallowing disorders in 7.6%. The mean developmental quotient was (89.98 ± 19.7) with a median of 93. A delay in developmental milestones was observed in 10.8%, speech disorder in 57%, severe malnutrition in 7.7%. The mortality rate was 48.5%. Conclusion: Very preterm birth is associated with a higher risk of neonatal death. Cognitive and motor disorders should not be underestimated. The harmonised management of very premature babies is highly recommended in our context for early diagnosis of sequelae.
文摘目的分析学校环境下适应性体育课程中的体育活动对智力与发展性残疾儿童心理运动发展的效益。方法检索EBSCO,PubMed、Embase、Web of Science和中国知网。收集建库至2023年5月公开发表的智力与发展性残疾儿童适应性体育课程以及心理运动发展相关的文献,进行系统综述。结果纳入7篇英文随机对照试验,来自4个国家,涉及236例被试,年龄6~18岁。主要来源体育运动与心理运动、发展障碍、适应性体育、儿童心理运动相关领域期刊,发表时间集中在2016年之后。学校环境下适应性体育课程中的身体活动内容主要包括肌肉和平衡训练、感知动作训练、上下楼梯、使用器材(如跑步机、步机、交叉训练机和固定自行车)的有氧运动、仰卧起坐、跳跃运动、律动性活动、专注于视觉输入的同时静态和动态平衡活动、以不同的节奏改变位置并在空间中移动、呼吸和伸展运动、适应性乒乓球运动技能训练、球的控制练习、手眼协调练习,干预强度为轻度至中等强度,每次45~60 min,每周1~5次,持续8~12周。促进心理运动发展的效益包括:加强节奏感知能力以及提高视觉、听觉、触觉的综合感知能力;显著改善肌肉力量和耐力、总运动能力、精细运动能力如精细运动整合、跑步速度和敏捷性、平衡性;改善身体灵活性和协调性,如上肢协调能力、静态平衡、力量和灵活性;改善正确反应、持续反应和概念水平的反应能力,提高运动灵活性和敏捷性;显著改善生活自理能力(自助饮食、自助穿衣、自我指导),仰卧起坐达到标准次数显著增多,跳跃拿球的成功率提高,运动技能熟练程度和执行功能都得到显著改善。结论本系统综述根据PRISMA指南构建了学校环境下智力与发展性残疾儿童通过适应性体育课程参与体育活动促进心理运动发展的PICO架构。适应性体育课程促进智力与发展性残疾儿童心理运动发展主要体现在5个方面:感知、运动控制、协调、反应时间、动作计划和执行。
文摘目的:探究基于发展性照护的多维护理对新生儿肺炎功能、心理运动功能及智能发育的影响。方法:选取2020年2月—2024年2月于我院出生的160例肺新生儿肺炎患儿,随机分为观察组和对照组,各80例。对照组患儿予以常规护理,观察组患儿在对照组的基础上予以基于发展性照护的多维护理,比较两组患儿干预前后临床呼吸指标、血气指标、心理运动功能、智能发育、患儿家属护理满意度。结果:两组患儿经干预后相较干预前在呼吸频率、动脉二氧化碳分压(PaCO_(2))水平上明显降低,且观察组患儿相较对照组患儿在上述指标上明显更低,差异具有显著性;两组患儿经干预后相较干预前在呼吸达峰容积比、呼吸达峰时间比、动脉血氧分压(PaO_(2))水平、血氧饱和度(SpO_(2))水平、明显升高,且观察组患儿相较对照组患儿在上述指标上明显更高,差异具有显著性;对照组患儿干预前后在PDI评分、MDI评分上无明显差异;观察组患儿经干预后在心理运动发育指数(psychomotor development index,PDI)评分、智力发育指数(mental development index,MDI)评分上明显升高,且观察组患儿相较对照组患儿在上述评分上明显更高,差异具有显著性。与对照组患儿家属相比,观察组患儿家属的护理满意度明显更高。结论:基于发展性照护的多维护理应用于新生儿肺炎患儿有助于促进心理运动功能和智能发育,加快患儿肺功能恢复,改善血气指标,患儿家属对此种护理模式更为满意,值得临床推广应用。
