{"title":"Short and Long-Term Effects of Compromised Birth Weight, Head Circumference, and Apgar Scores on Neuropsychological Development.","authors":"Stephanie B Gampel, Yoko Nomura","doi":"10.4172/2329-9525.1000127","DOIUrl":"https://doi.org/10.4172/2329-9525.1000127","url":null,"abstract":"<p><strong>Background: </strong>Low birth weight (LBW, <2500 g) is an adverse perinatal risk that may reflect a poor intrauterine environment. While LBW has been a well-known predictor of physical, neurological, cognitive and psychological deficits later in life, minimal research has been done on small head circumference and low 5 minute Apgar scores, and their association with subsequent developmental abnormalities.</p><p><strong>Objective: </strong>The current study aims to demonstrate that small head circumference and low 5-minute Apgar scores are predictors for developmental abnormalities throughout childhood and later.</p><p><strong>Methods: </strong>Using a longitudinal design, 2,151 individuals' physical, neurological, and cognitive functioning in childhood, as well as psychological functioning in adulthood, was assessed as a function of three perinatal risk factors: LBW, small head circumference and low Apgar scores.</p><p><strong>Results: </strong>Similar to findings with LBW, small head circumference or a low Apgar score were associated with increased number of hospital visits (p<0.0001 and p=0.005 respectively) and neurological abnormalities (p<0.0001 and p=0.001 respectively) at age 1. Intelligence quotient (IQ) scores at ages 4 and 7 were significantly lower for those born with small head circumference (p<0.0001) or low Apgar scores (p=0.002). Finally, the incidence of anxiety in adulthood was significantly higher for those born with small head circumference (p=0.03) or low Apgar scores (p=0.004) compared to their counterpart.</p><p><strong>Conclusion: </strong>Small head circumference and low a Apgar score are predictors of later physical, neurological, cognitive and psychological abnormalities, and can complement LBW, a more frequently used perinatal risk factor, and thus be used to screen for future developmental deficits, together with LBW.</p>","PeriodicalId":90620,"journal":{"name":"Journal of psychological abnormalities in children","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9525.1000127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36276416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children with Special Health Care Need's Association of Passive Tobacco Smoke Exposure and Dental Caries: 2007 National Survey of Children's Health.","authors":"R Constance Wiener","doi":"10.4172/2329-9525.1000104","DOIUrl":"https://doi.org/10.4172/2329-9525.1000104","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine a relationship between passive tobacco smoke exposure (secondhand and third hand tobacco smoke exposure) and dental caries in Children with Special Health Care Needs (CSHCN) ages 0-17 years.</p><p><strong>Method: </strong>This study used data from the 2007 National Survey of Children's Health involving 17,901 CSHCN. Telephone survey data were used to determine recent caries experience and passive tobacco smoke exposure (secondhand and third hand tobacco smoke exposure). Recent caries was defined as a positive response to if CSHCN had \"decayed teeth or cavities within the past 6 months.\" Passive smoke was defined as a positive response to if someone in the household used cigarettes, cigars, or pipe tobacco.</p><p><strong>Results: </strong>A statistically significant relationship was determined between passive tobacco smoke exposure and recent caries in CSHCN (adjusted odds ratio: 1.23 (95% CI: 1.02, 1.50; p-value= 0.0352).</p><p><strong>Conclusion: </strong>A positive independent association of passive tobacco smoke exposure and dental caries was determined in Children with Special Health Care Needs (CSHCN.</p>","PeriodicalId":90620,"journal":{"name":"Journal of psychological abnormalities in children","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9525.1000104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32889623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}