scholarly journals Mental Development Index

2020 ◽  
Author(s):  
PEDIATRICS ◽  
1983 ◽  
Vol 71 (6) ◽  
pp. 877-880 ◽  
Author(s):  
Frank A. Oski ◽  
Alice S. Honig ◽  
Brenda Helu ◽  
Peter Howanitz

In an effort to determine whether iron deficiency, in the absence of anemia (hemoglobin >11.0 g/dL), might produce alterations in behavioral development, four groups of nonanemic infants, 9 to 12 months of age, with varying degrees of iron deficiency were studied. Infants were classified as iron sufficient, iron depleted, or iron deficient based on measurements of serum ferritin concentration, erythrocyte protoporphyrin values, and the mean cell volume of erythrocytes. Subjects in each group were tested with the Bayley Mental Development Index, treated with parenteral iron, and retested seven days later. The administration of iron produced a significant increase in the Mental Development Index scores (+21.6 points) in the infants with iron deficiency but no significant change in the scores of infants with iron sufficiency (+6.2 points) or only iron depletion (+5.6 points). It is concluded that iron deficiency, even in the absence of anemia, results in biochemical alterations that impair behavior in infants.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 167-167
Author(s):  
HARLEY G. GINSBERG

To the Editor.— We read with great interest the editorial submitted by Drs Moro and Minoli describing the neurodevelopmental outcome of an infant who was delivered at 27 weeks gestation with a birth weight of 450 g.1 We were disappointed, however, that they overlooked our recent report of a 380-g female infant who was delivered at 25 3/7 weeks gestation.2 Our infant, Monica, is developing normally after a 122-day hospitalization. Her 20-month Bayley developmental assessment revealed a mental development index of 69 (102 when corrected for prematurity), and psychomotor developmental index of 97 (122 when corrected for prematurity).


Sari Pediatri ◽  
2016 ◽  
Vol 4 (3) ◽  
pp. 114
Author(s):  
Lily Irsa

Anemia defisiensi besi masih merupakan masalah kesehatan terutama di negara yangsedang berkembang. Zat besi banyak dibutuhkan otak karena metabolisme oksidasinyayang tinggi. Beberapa enzim dalam proses oksidasi dan metabolisme sel membutuhkanbesi. Gangguan kognitif pada anemia defisiensi besi telah banyak diteliti. Beberapa halyang berhubungan dengan gangguan kognitif pada anemia defisiensi telah dikemukakan;terganggunya enzim-enzim yang berperan dalam metabolisme otak, gangguan dalammielinisasi dan terganggunya oksigenasi sel. Pada pemeriksaan terhadap bayi yangmenderita anemia defisiensi besi didapatkan skor Mental Development Index (MDI)yang rendah dan Infant Behavior Record (IBR) memperlihatkan perbedaan emosi. Padaanak usia sekolah didapatkan prestasi belajar yang rendah dan konsentrasi belajar yangsingkat.


2007 ◽  
Vol 115 (4) ◽  
pp. A186-A187 ◽  
Author(s):  
Howard Hu ◽  
Martha María Téllez-Rojo ◽  
Héctor Lamadrid-Figueroa ◽  
Adriana Mercado-García ◽  
Mauricio Hernández-Avila ◽  
...  

2019 ◽  
Vol 57 (1) ◽  
pp. 63-71
Author(s):  
Andrew B Goldstone ◽  
Michael Baiocchi ◽  
David Wypij ◽  
Christian Stopp ◽  
Dean B Andropoulos ◽  
...  

Abstract OBJECTIVES Neurodevelopmental disability is the most common complication among congenital heart surgery survivors. The Bayley scales are standardized instruments to assess neurodevelopment. The most recent edition (Bayley Scales of Infant and Toddler Development 3rd Edition, Bayley-III) yields better-than-expected scores in typically developing and high-risk infants than the second edition (Bayley Scales of Infant Development 2nd Edition, BSID-II). We compared BSID-II and Bayley-III scores in infants undergoing cardiac surgery. METHODS We evaluated 2198 infants who underwent operations with cardiopulmonary bypass between 1996 and 2009 at 26 institutions. We used propensity score matching to limit confounding by indication in a subset of patients (n = 705). RESULTS Overall, unadjusted Bayley-III motor scores were higher than BSID-II Psychomotor Development Index scores (90.7 ± 17.2 vs 77.6 ± 18.8, P < 0.001), and unadjusted Bayley-III composite cognitive and language scores were higher than BSID-II Mental Development Index scores (92.0 ± 15.4 vs 88.2 ± 16.7, P < 0.001). In the propensity-matched analysis, Bayley-III motor scores were higher than BSID-II Psychomotor Development Index scores [absolute difference 14.1, 95% confidence interval (CI) 11.7–17.6; P < 0.001] and the Bayley-III classified fewer children as having severe [odds ratio (OR) 0.24; 95% CI 0.14–0.42] or mild-to-moderate impairment (OR 0.21; 95% CI 0.14–0.32). The composite of Bayley-III cognitive and language scores was higher than BSID-II Mental Development Index scores (absolute difference 4.0, 95% CI 1.4–6.7; P = 0.003), but there was no difference between Bayley editions in the proportion of children classified as having severe cognitive and language impairment. CONCLUSIONS The Bayley-III yielded higher scores than the BSID-II and classified fewer children as severely impaired. The systematic bias towards higher scores with the Bayley-III precludes valid comparisons between early and contemporary cardiac surgery cohorts.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (4) ◽  
pp. 594-600
Author(s):  
Ira D. Davis ◽  
Pi-Nian Chang ◽  
Thomas E. Nevins

To examine the impact of renal transplantation on subsequent development of children with chronic renal failure, 37 children undergoing primary renal transplantation at or before 30 months of age whose allograft functioned for at least 1 year were prospectively studied. Psychometric tests were performed an average of 4 months before transplantation; reevaluation was done an average of 14 months after surgery. Comparison of individual pretransplantation and posttransplantation mental development scores in 33 patients, assessed by either Bayley Mental Development Index or Stanford-Binet Intelligence Quotient, revealed an average increase of 12.6 (P < .001). After transplantation, there was a significant improvement in mental performance in 12 of 18 patients (P < .02) from the range of mild delay (Mental Development Index or Stanford-Binet IQ score = 50 to 69) to the range of normal mental development (70). The Bayley Psychomotor Development Index scores were frequently lower than Mental Development Index scores and also increased an average of 14.4 (P < .01) after transplantation in all 12 patients with paired data. Significant individual improvement in occipital-frontal circumference standard deviation score (P < .001) was noted in 24 children after transplantation. It is concluded that successful renal transplantation in young children with chronic renal failure is often associated with significant improvements in cognitive and psychomotor function, as well as improved cephalic growth.


Sign in / Sign up

Export Citation Format

Share Document