Rates of injury at day-care centers.
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Biomedical subjects
Publications and source records attributed to H C Solomons.
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The DDST was standardized on 288 babies ranging in age from 2 to 54 weeks from Yucatan, Mexico. They were divided equally by age, sex and socio-cultural group (as defined by the health care center attended). all were full-term according to gestational age and birthweight, if known. Prior to developmental assessment, each baby had been rated as normal after examination by a Yucatecan health center physician. Subtest scores increased with age. No sex differences were found. Significant differences among socio-cultural groups occurred only on the language subtest, with middle-to-upper class babies obtaining higher scores. With the variable of age controlled, intercorrelations among DDST subtests were fairly low, suggesting that these subtest measure different functions. Split-half reliability correlations were lower than other published infant tests. Compared with other cross-cultural studies using the DDST, Yucatecan infants were advanced in fine motor skills, but by the end of their first year showed delay in gross motor locomotion. The DDST failed to identify as "questionable" 16 of 17 babies whose Bayley Motor Scores were borderline (PDI less than or equal to 80), thus, the DDST may be of limited use in diagnosing developmental delay in Yucatecan infants. Cross-cultural differences in infant development reaffirm the need for continuing test standardization to aid clinicians, researchers, and, especially, the babies themselves.
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Swaddling is an ancient practice which has been used for many reasons in almost every country in the world. Some current investigators have noted that the inhibition of movement by swaddling seems to quiet irritable babies and this might be a useful nursing intervention.
Tests with the Bayley Motor Scale were given to 288 infants, equally divided by sex, in Yucatan, Mexico. These were 2 to 54 weeks in age and came from three sociocultural levels. In comparison to USA infants, early acceleration of motor development was followed by a marked downward trend. This phenomenon, if observed in a single child, may indicate progressive neurologic disease. Child-rearing practices would appear to account for the difference in pattern of test performance.
A Minor Illness Inventory has been developed for use in systematic investigations of the nature and incidence of minor illness of pre-kindergarten aged children in day care centers. Other researchers are invited to use the authors' Inventory to conduct investigations of some of the important problems associated with health and day care of young children.
Infant motor development was studied in three socio-cultural groups inYucatan, Mexico, using the Denver Developmental Screening Test f9DDSTF0 AND THEBayley Infant Motor Scale. Eight infants f9four boys and four girlsf0 at each monthof age from two weeks to one year and two weeks were examined in each group, a total of 288infants f996 in each groupf0. There were no significant differences in motor developmentamong the groups or between boys and girls. There was an increase in abilities with age. Compared with the Bayley norms for the USA, fine motor co-ordination was advanced inthese children but there was a delay in walking. The DDST was unable to detect childrenmore than one standard deviation below the mean on the Bayley Infant Motor Scale.
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Analysis of accident logs in child day care centers indicates that biting is common, especially among toddlers 13 to 30 months of age. Children of this age often lack appropriate verbal skills and resort to aggressive means to achieve their goals. Still awkward in gross-motor skills, toddlers can also suffer self-bites following accidental falls. According to medical reports, human bites sometimes are more virulent than animal bites and can cause severe trauma. Although the AIDS virus has been cultured from saliva, transmission from saliva alone has not been documented. Bite injuries in day care, however, usually are minor and can be treated by washing, applying cold compresses, and comforting the child. Suggested methods to diminish the frequency of biting in day care include physical changes within the room, behavior modification, and other classroom management techniques.
Records of adult psychiatric patients in a university hospital revealed 116 patients had been secluded on 263 occasions during one year. Seclusion was more frequent in winter and spring, and during the late night and early morning, but there was no relationship between seclusion and lunar cycle, week day, weather, menstrual cycle, or month of birth. More males than females were secluded, but females had more multiple seclusions. A control group matched for ward, sex, and within ten years of age consisted of 108 patients. The most common diagnoses for both groups were the major affective disorders and schizophrenia.
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