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In vitro synaptogenesis between the somata of identified Lymnaea neurons requires protein synthesis but not extrinsic growth factors or substrate adhesion molecules.

Nerve growth factors, substrate and cell adhesion molecules, and protein synthesis are considered necessary for most developmental programs, including cell proliferation, migration, differentiation, axogenesis, pathfinding, and synaptic plasticity. Their direct involvement in synapse formation, however, has not yet been fully determined. The neurite outgrowth that precedes synaptogenesis is contingent on protein synthesis, the availability of externally supplied growth factors, and substrate adhesion molecules. It is therefore difficult to ascertain whether these factors are also needed for synapse formation. To examine this issue directly we reconstructed synapses between the cell somata of identified Lymnaea neurons. We show that when paired in the presence of brain conditioned medium (CM), mutual inhibitory chemical synapses between neurons right pedal dorsal 1 (RPeD1) and visceral dorsal 4 (VD4) formed in a soma-soma configuration (86%; n = 50). These synapses were reliable and target cell specific and were similar to those seen in the intact brain. To test whether synapse formation between RPeD1 and VD4 required de novo protein synthesis, the cells were paired in the presence of anisomycin (a nonspecific protein synthesis blocker). Chronic anisomycin treatment (18 hr) after cell pairing completely blocked synaptogenesis between RPeD1 and VD4 (n = 24); however, it did not affect neuronal excitability or responsiveness to exogenously applied transmitters (n = 7), nor did chronic anisomycin treatment affect synaptic transmission between pairs of cells that had formed synapses (n = 5). To test the growth and substrate dependence of synapse formation, RPeD1 and VD4 were paired in the absence of CM [defined medium; (n = 22)] on either plain plastic culture dishes (n = 10) or glass coverslips (n = 10). Neither CM nor any exogenous substrate was required for synapse formation. In summary, our data provide direct evidence that synaptogenesis in this system requires specific, cell contact-induced, de novo protein synthesis but does not depend on extrinsic growth factors or substrate adhesion molecules.

Animals↗

Prediction of birth weights from body weights of newborns.

OBJECTIVE: To evaluate the accuracy of prediction of birth weights from body weights of newborns till six days after birth. DESIGN: Prospective follow-up. SETTING: Four villages near Hyderabad. METHODS: Weights of 47 newborns were recorded daily from the day of birth for seven days. The birth weights were regressed on the weights of the babies taken on the 2nd day to the 7th day. Specificity and sensitivity of the predicted birth weights to arrive at the prevalence of low birth weight (LBW) were computed. RESULTS: The co-efficient of determination (R-square) for between the days measurements decreased from 95% on the second day to 86% on seventh day with an increase in the standard error of the estimate from 84 g to 154 g. Based on the "predicted birth weights", the prevalence of LBW in the community was arrived at and compared with the actual observation. The sensitivity and specificity of these regression equations was high and ranged from 0.95 to 0.85 and 0.96 to 0.93, respectively. CONCLUSIONS: In situations where the birth weight cannot be recorded, weight of the baby taken within the first week after birth may be reliably utilized to assess the "birth weight", particularly in relation to categorization as LBW. This methodology can serve as a tool to monitor various developmental programs aimed at improving birth weights.

Anthropometry↗

Bcl-2 targeted overexpression into the erythroid lineage of transgenic mice delays but does not prevent the apoptosis of erythropoietin-deprived erythroid progenitors.

Erythropoietin (Epo) is known to control the erythroid developmental program through various biologic activities including maintenance of viability, cell proliferation, and/or cell maturation. In vitro experiments showed massive apoptosis in cultures of Epo-deprived colony-forming unit-erythroid (CFU-E) progenitors, demonstrating the Epo requirement of late-stage erythroid progenitors for survival. Based on these data, a model has been proposed whereby from CFU-E to proerythroblast stages, Epo acts rather as a survival factor than a proliferating factor. To investigate the relationship between Epo dependence and apoptotic mechanisms, we generated transgenic mice expressing the antiapoptotic human bcl-2 gene product in erythroid progenitors. Transgenic animals developed without any evidence of erythropoietic disorders. In vitro studies showed that overexpression of bcl-2 in erythroid progenitors delayed, but did not prevent the loss of CFU-E from Epo-deprivation. By measuring burst-forming unit-erythroid (BFU-E) and CFU-E-derived colonies, an enhanced sensitivity to low levels of Epo was demonstrated in adult bone marrow of transgenic mice with respect to nontransgenic animals. No spontaneous erythroid colonies were, however, observed in vitro in the absence of the cytokine, indicating that overexpression of bcl-2 is not sufficient to induce by itself a complete erythroid differentiation. Taken together, our data indicate that targeted erythroid overexpression of bcl-2 fails to alter the normal erythropoietic development in vivo and that erythroid progenitors remain strictly dependent on Epo for their survival.

Animals↗

Bcl-2 accelerates the maturation of early sensory neurons.

Bcl-2 is a cytoplasmic protein that blocks apoptosis in a wide variety of cell types. Here we report a novel role for Bcl-2 in the early stages of neuronal development. Shortly after differentiating from progenitor cells, sensory neurons undergo a distinct morphological change; initially they have small, spindle-shaped, phase-dark cell bodies that become large, spherical, and phase-bright. Early sensory neurons cultured from the trigeminal ganglia of bcl-2-/- embryos at embryonic day 11 (E11) and E12 underwent this change more slowly than trigeminal neurons of wild-type embryos of the same ages. The delay was not attributable to the well documented role of Bcl-2 in preventing apoptosis, because Bcl-2-deficient early sensory neurons survived as well as wild-type neurons. Accordingly, there was a significantly smaller number of the more mature type of neuron in the early trigeminal ganglia of bcl-2-/- embryos, yet the number of neurons in the trigeminal ganglia of bcl-2-/- and wild-type embryos was similar. The absence of Bcl-2 did not cause a uniform delay in the developmental program of sensory neurons, because the time course of nerve growth factor receptor expression (both trkA and p75) was unaffected in the trigeminal neurons of bcl-2-/- embryos. These findings indicate that Bcl-2 expression is required for the normal progression of a particular early maturational change in embryonic sensory neurons.

Animals↗

Characterization and genetic mapping of modA. A mutation in the post-translational modification of the glycosidases of Dictyostelium discoideum.

We have isolated a mutant of Dictyostelium discoideum, M31, which produces a reduced number of alpha-mannosidase-1 molecules per cell during the developmental program of the organism. We find that several of the glycosidases, a group of lysosomal proteins produced by D. discoideum, are altered in strain M31 and that this strain produces a reduced level of at least three of these activities. These enzymes do not share a common protein subunit but are known to share a common antigenic determinant which is, in part, carbohydrate in nature. In the wild type parent of M31, alpha-mannosidase-1 is modified by the addition of mannose and glucosamine (probably as N-acetylglucosamine) in the molar ratio of 5:2. alpha-Mannosidase-1 was also found to contain phosphoserine/phosphothreonine residues. alpha-Mannosidase-1 and other glycosidases are electrophoretically less negative when isolated from strain M31 than when isolated from wild type cells. The mutation present in M31, modA, appears to affect posttranslational modification, modA is a recessive mutation which we map onto linkage group I.

Amino Acids↗

Is the early and periodic screening, diagnosis, and treatment program effective with developmentally disabled children?

The effectiveness of the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) in identifying health and developmental problems and facilitating diagnosis, treatment, and follow-up for a sample of Michigan children with moderate and severe developmental disabilities was studied. Three data sets, derived from parent reports and Medicaid records concerning 281 Medicaid-eligible, young developmentally disabled children from nine representative counties in the state were studied. Approximately 56% of these children had used EPSDT, and 44% had not. Findings from the first data base, a parent questionnaire, indicated no differences between the two groups in terms of age at diagnosis, access to routine or specialized health care, or reasons for inability to obtain needed care. The second database, the screening summaries from the EPSDT sites, contained reports on 108 children. Many of the required procedures were not performed on these children. The final data set, the Medicaid claims records, was used to assess whether appropriate medical follow-up occurred in response to the screening encounter. Only 62% of the screenings with a referral had a Medicaid visit within 1 year of screening and only half of the referrals that resulted in a follow-up visit had a diagnosis that confirmed the reason for referral. Recommendations for improving the health and developmental screening of disabled children are presented and the policy implications of these findings are discussed.

Child↗

Effects of a developmental physical activity program on children's body coordination and self-concept.

Significant increases in body coordination, little change in self-concept, and moderate negative correlations between these variables were found after 12 children participated in an 8-wk. developmental physical activity program. Apparently, while body coordination might be improved by participation in activity programs of short duration, these improvements may not necessarily be accompanied by increases in self-concept.

Child↗

Perceived behavioral changes observed with adaptive seating devices and training programs for multihandicapped, developmentally disabled individuals.

The purpose of this study was to assess, by analyzing survey responses, the perceived behavioral changes that were observed when adaptive seating devices and training programs were provided to multihandicapped, developmentally disabled individuals. Results for 41 clients were analyzed. Statistical analysis revealed that significant changes in social interaction, positioning, tracking, grasping, and self-feeding were perceived by parents, guardians, or trainers. The necessity of a prospective study to analyze data about the influence of behavior programs used with adaptive seating devices is discussed.

Adaptation, Psychological↗

Programmed Instruction to teach pointing with a computer mouse in preschoolers with developmental disabilities.

Programmed Instruction combined with experimenter-provided prompts (physical, verbal, and gesturing) was used to teach pointing with a computer mouse. Three preschoolers who scored at least 1 year below their chronological age levels participated. During the pre-assessment, none of the participants demonstrated pointing. However, they could press and release the mouse button. Programmed Instruction consisted of three stages, based on an analysis of the behavioral prerequisites for pointing. Stage 1 was designed to teach participants to move the mouse. Stage 2 was designed to teach participants to move the on-screen cursor onto specific items on the screen. Stage 3 was designed to teach participants to click on specific items on the screen. Experimenter-provided prompts were used to facilitate skill acquisition at each stage. The post-assessment showed that all participants learned pointing after intervention. The intervention package consisting of Programmed Instruction and experimenter-provided prompts was effective for teaching the hand-eye coordination required for pointing.

Child, Preschool↗

The role of family support programs in building developmental assets among young adolescents: a national survey of services and staff training needs.

A survey of 659 family support workers' regarding training and their provision of services for families with 10- to 15-year-olds showed that 30% to 50% rated their previous training as inadequate or poor, had inaccurate knowledge about young adolescent development, and felt they were doing an inadequate or poor job promoting developmental assets for youths. Higher quality training was significantly related to the programs' potential excellence. Implications for providing training for family support workers and promoting collaboration are discussed.

Adolescent↗

Activation of caspase-3 in developmental models of programmed cell death in neurons of the substantia nigra.

Programmed cell death has been proposed to play a role in the death of neurons in acute and chronic degenerative neurologic disease. There is now evidence that the caspases, a family of cysteine proteases, mediate programmed cell death in various cells. In neurons, caspase-3 (CPP32/Yama/apopain), in particular, has been proposed to play a role. We examined the expression of caspase-3 in three models of programmed cell death affecting neurons of the substantia nigra in the rat: natural developmental neuron death and induced developmental death following either striatal target injury with quinolinic acid or dopamine terminal lesion with intrastriatal injection of 6-hydroxydopamine. Using an antibody to the large (p17) subunit of activated caspase-3, we have found that activated enzyme is expressed in apoptotic profiles in all models. Increased p17 immunostaining correlated with increased enzyme activity. The subcellular distribution of activated caspase-3 differed among the models: In natural cell death and the target injury model, it was strictly nuclear, whereas in the toxin model, it was also cytoplasmic. We conclude that p17 immunostaining is a useful marker for programmed cell death in neurons of the substantia nigra.

Animals↗

Developmental outcomes of children with hearing loss born in Colorado hospitals with and without universal newborn hearing screening programs.

The developmental outcomes of children born in hospitals with universal newborn hearing screening programs were compared with children born in hospitals without universal newborn hearing screening programs. Eight-four percent of children born in screening hospitals were early-identified with hearing loss prior to 6 months of age as compared to 8% of the children in the non-screen group. The participants in the screen group had an average language quotient of 82 while the participants in the non-screen group had an average language quotient of 62. Children in the screen group had better receptive and expressive language quotients, more different consonants in the spontaneous phonetic repertoire, better speech intelligibility, and larger expressive vocabulary inventories. Odds risk ratio estimates indicate that 80% of the children with cognitive quotients 80 or greater or four out of five children had language quotients within the normal range, 80 or greater, when they were in the screen group.

Age Factors↗

Children's story stem responses: a measure of program impact on developmental risks associated with dysfunctional parenting.

OBJECTIVE: This paper will explore how a new research tool, the MacArthur Story Stem Battery (MSSB), enables investigations into the interior life of children, its potential usefulness in evaluating effectiveness of interventions geared to prevent dysfunctional parenting, and how the method has been adapted for use with low income African American children in the Memphis New Mothers Study. METHOD: A literature review provides justification for assessing children's representations of their parenting experience to evaluate the effectiveness of an early intervention program. Case examples are used to illustrate children's representations of themes in narrative responses that are indicative of behavioral regulation and dysregulation and specific adaptations for use with African American children. RESULTS: Case examples support the method's application. CONCLUSIONS: The story stem technique can play an important role in evaluating children's emotion regulation, social skills, and early experience in the family.

Black or African American↗

Preschool outcome in children born very prematurely and cared for according to the Newborn Individualized Developmental Care and Assessment Program (NIDCAP).

AIM: Care based on the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) has been reported to exert a positive impact on the development of prematurely born infants. The aim of the present investigation was to determine the effect of such care on the development at preschool age of children born with a gestational age of less than 32 wk. METHODS: All surviving infants in a randomised controlled trial with infants born at a postmenstrual age less than 32 wk (11 in the NIDCAP group and 15 in the control group) were examined at 66.3 (6.0) mo corrected for prematurity [mean (SD)]. In the assessment we employed the Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) for cognition, Movement Assessment Battery for Children (Movement ABC) for motor function, subtests of the NEPSY test battery for attention and distractibility, and the WHO definitions of impairment, disability and handicap. Exact binary logistic regression was employed. RESULTS: There were no significant differences between the intervention group in Full-Scale IQ 93.4 (14.2) [mean (SD)] versus the control group 89.6 (27.2), Verbal IQ 93.6 (16.4) versus 93.7 (26.8) or Performance IQ 94.3 (14.7) versus 86.3 (24.8). In the NIDCAP group 8/13 (62%) survived without disability and for the children with conventional care this ratio was 7/19 (37%). The corresponding ratios for surviving without mental retardation were 10/13 (77%) and 11/19 (58%), and for surviving without attention deficits 10/13 (77%) and 10/19 (53%). Overall, the differences were not statistically significant, although the odds ratio for surviving with normal behaviour was statistical significant after correcting for group imbalances in gestational age, gender, growth retardation and educational level of the parents. CONCLUSION: Our trial suggests a positive impact by NIDCAP on behaviour at preschool age in a sample of infants born very prematurely. However, due to problems of recruitment less than half of the anticipated subjects were included in the study, which implies a low power and calls for caution in interpreting our findings. Larger trials in different cultural contexts are warranted.

Case-Control Studies↗

No indications of increased quiet sleep in infants receiving care based on the newborn individualized developmental care and assessment program (NIDCAP).

UNLABELLED: It has been proposed that the developmentally supportive care of very-low-birthweight (VLBW) infants provided by the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) can improve the infants' opportunities for rest and sleep. The aim of the present study was to determine whether quiet sleep (QS) in VLBW infants is affected by NIDCAP care. Twenty-two infants with a gestational age of <32 wk at birth randomly received either NIDCAP (n = 11) or conventional care (n = 11). These two groups were comparable (mean (SD)) with respect to birthweight (1021 (240) vs 913 (362)g, respectively) and gestational age (27.1 (1.7) vs 26.4 (1.8) wk). The infants in the NIDCAP group were cared for in a separate room by a group of specially trained nurses and subjected to weekly NIDCAP observations until they reached a postconceptional age (PCA) of 36 wk. Quiet sleep (QS) was assessed from 24-h amplitude-integrated EEGs recorded at 32 and 36 wk of PCA. The percentage of time [mean (SD)] spent in QS at 32 wk of PCA was 33.5 (2.6) % for the NIDCAP group and 33.3 (6.9) % for the control infants (ns). At 36 wk, the corresponding values were 24.5 (3.2) % and 25.7 (4.7) %, respectively (ns). The number of QS periods/24 h decreased equally in both groups in association with maturation: from 24.6 (3.3) to 16.8 (1.8) and from 25.0 (5.8) to 17.5 (3.3), at 32 wk, and 36 wk of PCA, respectively (NS). CONCLUSIONS: There were no indications of increased QS at 32 or 36 wk of postconceptional age among VLBW infants who received care based on NIDCAP.

Child Development↗

An occupational therapy program for adults with developmental disabilities.

This paper describes an occupational therapy independent living skills programs for adults with developmental disabilities living in group homes. Four clients have participated in this program for 1 year. Verbal reports from house and workshop staffs and written documentation in the clients' records were examined to see if the clients' behaviors changed over the course of their first year in the program. These reports indicate that the clients have moved toward increased independence by showing greater initiative in directing their own care. Treatment issues in group home systems are also discussed.

Activities of Daily Living↗

An educational program for neonatal intensive care unit developmental care.

An innovative educational program on developmental care of the neonate was successfully implemented within the high-tech environment of a Level III NICU. Devised by a multidisciplinary team, the program provided appropriate levels of education to all personnel--from neonatologists to housekeeping staff--involved on a day-to-day basis with the infants. To assist those wishing to implement a similar program in their institution, details of program development, content, implementation, evaluation, and future goals are discussed.

Child Development↗

Effects of a developmental physical therapy program on oxygen saturation and heart rate in preterm infants.

To evaluate the physiologic responses of 14 preterm infants to physical therapy, pulse oximetry was used to measure the percentage of arterial oxygen saturation (SaO2) and heart rate during baseline, intervention, and recovery phases. Treatment consisted of six one-minute activities that were equally divided between the side-lying and supported-sitting positions. The order of position and activities was randomly varied. A one-way analysis of variance for repeated measures revealed no significant changes in mean SaO2 as a function of the position or duration of intervention. Mean heart rate increased significantly as a result of intervention (p less than .0001), but there was no significant difference between the baseline and recovery phases. Further analysis indicated that the change in heart rate was not a function of duration of intervention. The results indicate that the preterm infants were able to tolerate the intervention without desaturation. The return of heart rate to baseline values during the recovery phase suggested a normal physiologic response to exercise. Despite some technical limitations, pulse oximetry is recommended to monitor preterm infants during physical therapy.

Heart Rate↗