[A simple method for monitoring psychological and motor development in children from three to six years of age: the Denver Developmental Screening Test (DDST)].
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Biomedical subjects
Publications and source records attributed to M Roussey.
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The authors analyse the factors of early school failures by studying two groups of children: one of staying down children, the other of children sent in special classes (classes de perfectionnement). In these two studies the situation is matched to control groups. The authors confirm the importance of the socio-economic factors which exist before school entrance and could be screened at the entrance in kindergarten at 3 years-old and even sooner. It is difficult to fight against these factors, but this seems more important than to modify course of studies.
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The authors describe and comment on some of the results that have been obtained in a French département (Ille-and-Vilaine) using the information obtained from the first health certificate which has been set up compulsorily for all children in the eight days following delivery. This analysis makes it possible to carry out an annual survey of the demographic course of affairs (birth rate, perinatal mortality rate) and compare these with France as a whole. The certificate gives interesting information about labour (multiple births, Caesarean births, the state of the infant at birth, weight, length, skull circumference, prematurity and small for dates), and the pathology of the first week of life (transfer to other hospitals and death). Malformations are as yet poorly registered and there is need to obtain more information from doctors. Correlations can be established, as for example between neonatal mortality and social class. Finally, using this first certificate will make it possible to open a file on high-risk women for a possible future pregnancy. the authors point out that the contents obtained in the first certificate had to be modified and will later give extra information about the pregnancies, the number of antenatal visits, the number of admissions to hospital, and the preparation for delivery, etc. The results that have up till now been given for various maternity departments allow each obstetrician to audit the work in his department.
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17 chromosome abnormalities were found out of 571 small-for-dates newborn babies. 7 of these were trisomy 18, 5 trisomy 21, and 2 trisomy 13. The obstetric and paediatric implications of the fact that 3 percent of small-for-dates babies are carriers of a chromosome abnormality are discussed.
Ocular reflexes were studied at birth in neonates of varying gestational ages and then followed every two weeks. It is possible to distinguish reflexes that may be present at birth that are dependent on gestational age and those acquired later. Each reflex corresponds to the establishment of neuronal corrections and thus it is possible to follow the development of neural structures in utero and after birth. Ocular examination of the newborn completes the examination of the central nervous system and a scale of visual age is proposed. The repeated examination of premature infants showed the development of visual function was accelerated.
The authors report a familial case of exomphalos affecting a mother and her daughter; they discuss the possibility of a dominant transmission.
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