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Fulltext Meeting the needs of children with disability in Malaysia

Amar HSS

Med J Malaysia, 2008 Mar;63(1):1-3.
PMID: 18935722
Matched MeSH terms: Child Development*
Revisiting the Role of Pediatricians for Optimal Early Childhood Development in LMICs

Arora NK, Boo NY, Giúdici LB, Samms-Vaughan M, Olusanya BO, Global Research on Developmental Disabilities Collaborators (GRDDC)

J Dev Behav Pediatr, 2023 Jan 01;44(1):e69.
PMID: 36563347 DOI: 10.1097/DBP.0000000000001144
Matched MeSH terms: Child Development*
Fulltext Use of the Griffiths Mental Scales in normal 2 year old Malaysian children

Ho JJ, Amar HSS, Ismail R

Med J Malaysia, 2001 Sep;56(3):331-5.
PMID: 11732079

The Griffiths Scales for Mental Development were used to assess a group of 60 normal 2-year old Malaysian children (25 Indian, 23 Malay and 12 Chinese). The mean GQ was 104.2 (SD 9.3). This was significantly higher than the test mean of 100, p < 0.001. The mean score for Malaysian children was significantly higher on the locomotor, personal social, performance and practical reasoning subscales while they were significantly lower on the hand eye subscale and did not differ from the test mean on the hearing and speech subscale. There was a significant correlation between GQ and social class, r = -0.39, p < 0.05. Scores were lower than those currently obtained on British children, p < 0.001. Minor difficulties due to language and cultural factors arose over the interpretation of several items but with standardisation of these items the test is useful in Malaysian children.

Matched MeSH terms: Child Development*
Normal developmental pattern of preschool Malaysian children

Chen ST

J Singapore Paediatr Soc, 1988;30(3-4):118-24.
PMID: 3216636
Matched MeSH terms: Child Development*
Fulltext Autism spectrum disorders

Faras H, Al Ateeqi N, Tidmarsh L

Ann Saudi Med, 2010 Jul-Aug;30(4):295-300.
PMID: 20622347 DOI: 10.4103/0256-4947.65261

Pervasive developmental disorders are a group of neurodevelopmental disorders characterized by impairments in communication, reciprocal social interaction and restricted repetitive behaviors or interests. The term autism spectrum disorders (ASD) has been used to describe their variable presentation. Although the cause of these disorders is not yet known, studies strongly suggest a genetic basis with a complex mode of inheritance. More research is needed to explore environmental factors that could be contributing to the cause of these disorders. The occurrence of ASD has been increasing worldwide, with the most recent prevalence studies indicating that they are present in 6 per 1000 children. The objectives of this article are to provide physicians with relevant information needed to identify and refer children presenting with symptoms suggestive of ASDs to specialized centers early, and to make them feel comfortable in dealing with public concerns regarding controversial issues about the etiology and management of these disorders.

Matched MeSH terms: Child Development Disorders, Pervasive/epidemiology; Child Development Disorders, Pervasive/physiopathology*; Child Development Disorders, Pervasive/therapy
Global leadership is needed to optimize early childhood development for children with disabilities

Olusanya BO, Gulati S, Berman BD, Hadders-Algra M, Williams AN, Smythe T, et al.

Nat Med, 2023 May;29(5):1056-1060.
PMID: 37055569 DOI: 10.1038/s41591-023-02291-x
Matched MeSH terms: Child Development
Fulltext Effects of environment on the growth of children

Chen ST

Med J Malaysia, 1986 Mar;41(1):72-6.
PMID: 3796354

A child's growth achievement depends on his genetic endowment and the environment in which he lives; Comparative studies of children of similar racial origin but growing under different environmental conditions have shown differences in their body size and shape. In general higher income families produce offspring with higher mean birth weight. This is largely due to better nutrition and care of mothers during pregnancy and childhood. Children from higher socioeconomic groups are on an average larger in size in terms of weight, height, head circumference, midarm circumference, crown-rump length and leg length. This is largely due to a better home environment including sanitation, nutrition, health and care enjoyed by the better-off children. .Generally urban children are larger than rural children mainly due to economic differences between the two areas. In most countries the secular trend to children getting larger still continues reflecting an improvement of living conditions with time. Unlike body size, body shape is less influenced by the environment and the change in body proportion brought about by environment is not permanent. In developing countries, children from higher socioeconomic families have generally thicker skinfolds. On the average, infants and preschool children of European ancestry have thicker triceps skinfolds compared with Negroes and Asians living in comparable environments. It is possible that this is due to long term adaptation to different climatic conditions.

Matched MeSH terms: Child Development*
Comparison between the development of Malaysian and Denver children

Chen ST

J Singapore Paediatr Soc, 1989;31(3-4):178-85.
PMID: 2638722

126 Malay children from higher income families were followed-up regularly from birth to six years of age in the University Hospital, Kuala Lumpur. Their developmental performance was compared to that of Denver children. Generally, Malaysian and Denver children appear to be similar in their development during the first six years of life except for some minor differences in the personal-social, language and gross motor sectors. Malaysians appear to be slower in self-care but more advanced in "helping around the house", "playing interactive games" and in "separating from mother". They were slightly slower in gross motor function during the first year of life but more advanced during the second year of life. However, they were slightly more advanced in language development. The differences in development between the two groups of children are discussed and it is concluded that the differences can partly be explained by differences in socio-economic or cultural differences between the two groups of children. However, the influence of genetic factors cannot be dismissed.

Matched MeSH terms: Child Development*
Newborns are sensitive to the correspondence between auditory pitch and visuospatial elevation

Walker P, Bremner JG, Lunghi M, Dolscheid S, D Barba B, Simion F

Dev Psychobiol, 2018 03;60(2):216-223.
PMID: 29355921 DOI: 10.1002/dev.21603

Amodal (redundant) and arbitrary cross-sensory feature associations involve the context-insensitive mapping of absolute feature values across sensory domains. Cross-sensory associations of a different kind, known as correspondences, involve the context-sensitive mapping of relative feature values. Are such correspondences in place at birth (like amodal associations), or are they learned from subsequently experiencing relevant feature co-occurrences in the world (like arbitrary associations)? To decide between these two possibilities, human newborns (median age = 44 hr) watched animations in which two balls alternately rose and fell together in space. The pitch of an accompanying sound rose and fell either congruently with this visual change (pitch rising and falling as the balls moved up and down), or incongruently (pitch rising and falling as the balls moved down and up). Newborns' looking behavior was sensitive to this congruence, providing the strongest indication to date that cross-sensory correspondences can be in place at birth.

Matched MeSH terms: Child Development/physiology*
Fulltext A Mixed-Methods Evaluation of Parent-Assisted Children's Friendship Training to Improve Social Skills and Friendship Quality in Children with Autism in Malaysia

Ong SY, Roslan S, Ahmad NA, Ayub AFM, Ping CL, Zaremohzzabieh Z, et al.

Int J Environ Res Public Health, 2021 Mar 04;18(5).
PMID: 33806563 DOI: 10.3390/ijerph18052566

Background: This study evaluates the effectiveness of parent-assisted children's friendship training intervention for enhancing friendship quality and social skills among children with autism spectrum disorders (ASD). We conducted a quasi-experimental study to investigate the effective outcomes of social skills and friendship quality in the pre-and post-parent-assisted CFT intervention phases; Methods: to conduct a 12-week field session, 30 children with their parents were selected. The Social Skills Improvement System Rating Scales and the Quality of Play Questionnaire-Parent were used to assess the effectiveness of the parent-assisted children's friendship training during pre-and post-intervention. A semi-structured interview with parents was conducted at the end of the session; Results: findings revealed that intervention improved the social skills of these children. Additionally, the friendship quality of children with ASD improved before and after the intervention, however, engagement remained unchanged. Parents also showed some sort of improvement after the session as they reported a heightened sense of fear and resistance, awareness, learning and adjustment, change is not easy, and identifying support; Conclusions: there was clear evidence that children with ASD benefitted from parent-assisted CFTs in terms of social skills and friendship quality. However, larger and controlled studies are required to draw firm conclusions about this kind of intervention.

Matched MeSH terms: Child Development Disorders, Pervasive*
Fulltext Asperger's syndrome: a report of two cases from Malaysia

Kasmini K, Zasmani S

Singapore Med J, 1995 Dec;36(6):641-3.
PMID: 8781638

Asperger's Syndrome is a distinct variant of autism, with a prevalence rate of 10 to 26 per 10,000 of normal intelligence, and 0.4 per 10,000 in those with mild mental retardation. The syndrome now has its own clinical entity and diagnostic criteria. It is being officially listed in the ICD-10 under pervasive developmental disorder. Two such cases are described in this article. Case One lacked the ability to relate to others, was excessively preoccupied with the late actor P. Ramlee and demonstrated a peculiar behaviour of holding on to toothbrushes in his early childhood. Cognitively, he was unable to synthesise words into meaningful sentences. Similarly, Case Two was unable to relate well to others and was preoccupied with the planets and its constellations. Though he appeared intelligent with an IQ score of 101, he was unable to follow instructions at school. Both children had motor clumsiness and fulfilled the criteria for the diagnosis of Asperger's Syndrome.

Matched MeSH terms: Child Development Disorders, Pervasive/classification; Child Development Disorders, Pervasive/diagnosis*; Child Development Disorders, Pervasive/psychology
Age at autism spectrum disorder diagnosis and its association with child and family characteristics in a tertiary care hospital in Malaysia

Singh JKA, Ling WH, Sivanesom RS, Huay CCS, Lan ACS

Autism Res, 2024 Mar;17(3):637-649.
PMID: 38400514 DOI: 10.1002/aur.3106

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder. Despite the absence of a cure, early diagnosis and intensive early intervention can improve the outcomes. However, little is known about the median age at ASD diagnosis in Malaysia or the child/family characteristics associated with early diagnosis. Therefore, this study aimed to determine the median age at ASD diagnosis among Malaysian children presenting to the country's largest public tertiary neurodevelopmental center and to investigate the possible demographic, child, and family characteristics associated with an early age at diagnosis. Data were collected between February 2017 and February 2019 from a database maintained by the child development unit of the country's largest publicly funded tertiary hospital, containing data from an ethnically diverse population. Among Malaysian children attending the clinic, the median age at ASD diagnosis was 48 months. Early autism diagnosis (<36 months of age) was associated with increased severity of social communication and interaction impairments, coexisting intellectual impairment, children from high socioeconomic status families, and children who receive joint care from their families and a maid or babysitter. The study findings highlight the socioeconomic inequalities in the country, a lack of parental awareness of early ASD signs, and the presence of cultural influences on the age at diagnosis of ASD.

Matched MeSH terms: Child Development
Using other minds as a window onto the world: guessing what happened from clues in behaviour

Pillai D, Sheppard E, Ropar D, Marsh L, Pearson A, Mitchell P

J Autism Dev Disord, 2014 Oct;44(10):2430-9.
PMID: 24710812 DOI: 10.1007/s10803-014-2106-x

It has been proposed that mentalising involves retrodicting as well as predicting behaviour, by inferring previous mental states of a target. This study investigated whether retrodiction is impaired in individuals with autism spectrum disorders (ASD). Participants watched videos of real people reacting to the researcher behaving in one of four possible ways. Their task was to decide which of these four "scenarios" each person responded to. Participants' eye movements were recorded. Participants with ASD were poorer than comparison participants at identifying the scenario to which people in the videos were responding. There were no group differences in time spent looking at the eyes or mouth. The findings imply those with ASD are impaired in using mentalising skills for retrodiction.

Matched MeSH terms: Child Development Disorders, Pervasive/physiopathology; Child Development Disorders, Pervasive/psychology*
Fulltext Rett syndrome--two case reports

Siew HF, Rani JM

Med J Malaysia, 1991 Jun;46(2):192-8.
PMID: 1839426

Two cases of girls seen in Sarawak with the diagnosis of Rett Syndrome are reported. Their ages were 6 and 2 years respectively at the time of the report. Diagnosis is made clinically as there is as yet no scientific marker. Specific diagnostic criteria were met. There was a history of slowing of development followed by loss of previously acquired skills, changes in emotional development and behaviour and the definite emergency of stereotyped behaviour especially hand wringing in both girls. Onset was early in both girls, around nine months. Both girls are profoundly retarded mentally but the regression appeared to be static at present.

Matched MeSH terms: Child Development
Fulltext A holistic approach to promoting early child development: a cluster randomised trial of a group-based, multicomponent intervention in rural Bangladesh

Pitchik HO, Tofail F, Rahman M, Akter F, Sultana J, Shoab AK, et al.

BMJ Glob Health, 2021 03;6(3).
PMID: 33727278 DOI: 10.1136/bmjgh-2020-004307

INTRODUCTION: In low- and middle-income countries, children experience multiple risks for delayed development. We evaluated a multicomponent, group-based early child development intervention including behavioural recommendations on responsive stimulation, nutrition, water, sanitation, hygiene, mental health and lead exposure prevention.
METHODS: We conducted a 9-month, parallel, multiarm, cluster-randomised controlled trial in 31 rural villages in Kishoreganj District, Bangladesh. Villages were randomly allocated to: group sessions ('group'); alternating groups and home visits ('combined'); or a passive control arm. Sessions were delivered fortnightly by trained community members. The primary outcome was child stimulation (Family Care Indicators); the secondary outcome was child development (Ages and Stages Questionnaire Inventory, ASQi). Other outcomes included dietary diversity, latrine status, use of a child potty, handwashing infrastructure, caregiver mental health and knowledge of lead. Analyses were intention to treat. Data collectors were independent from implementers.
RESULTS: In July-August 2017, 621 pregnant women and primary caregivers of children<15 months were enrolled (group n=160, combined n=160, control n=301). At endline, immediately following intervention completion (July-August 2018), 574 participants were assessed (group n=144, combined n=149, control n=281). Primary caregivers in both intervention arms participated in more play activities than control caregivers (age-adjusted means: group 4.22, 95% CI 3.97 to 4.47; combined 4.77, 4.60 to 4.96; control 3.24, 3.05 to 3.39), and provided a larger variety of play materials (age-adjusted means: group 3.63, 3.31 to 3.96; combined 3.81, 3.62 to 3.99; control 2.48, 2.34 to 2.59). Compared with the control arm, children in the group arm had higher total ASQi scores (adjusted mean difference in standardised scores: 0.39, 0.15 to 0.64), while in the combined arm scores were not significantly different from the control (0.25, -0.07 to 0.54).
CONCLUSION: Our findings suggest that group-based, multicomponent interventions can be effective at improving child development outcomes in rural Bangladesh, and that they have the potential to be delivered at scale.
TRIAL REGISTRATION NUMBER: The trial is registered in ISRCTN (ISRCTN16001234).

Matched MeSH terms: Child Development
Fulltext Motor skill development of pre-school children at National Child Development Research Center, Universiti Pendidikan Sultan Idris

Hishamuddin Ahmad, Noraziera Abdul Aziz

Jurnal Sains Sukan & Pendidikan Jasmani, 2015;4(1):87-94.
MyJurnal

The development of motor skills is fundamental to the continued movement and specific skills in the sport. The development of motor skills concurrent with their age allows them to acquire and master locomotor and object control skills through physical activity. This study aims to identify the gross motor developmental stage among six year old girls at the National Child Development Research Center, Universiti Pendidikan Sultan Idris. This study focuses on the level of gross motor development and the relationship between Gross Motor Quotient (GMQ and Body Mass Index (BMI) of the children. Gross motor development data was obtained using the Test of Gross Motor Development, Second Edition (TGMD-2). BMI data was determined from existing formula. The gross motor development of the children in this study was 95%. This is based on the percentile level of gross motor development (GMQ percentile). Pearson correlation analysis showed a negative relationship between GMQ and BMI for these children.

Matched MeSH terms: Child Development
Fulltext Making the invisible visible: Developing and evaluating an intervention to raise awareness and reduce lead exposure among children and their caregivers in rural Bangladesh

Jahir T, Pitchik HO, Rahman M, Sultana J, Shoab AKM, Nurul Huda TM, et al.

Environ Res, 2021 Aug;199:111292.
PMID: 33971132 DOI: 10.1016/j.envres.2021.111292

Lead exposure is harmful at any time in life, but pre-natal and early childhood exposures are particularly detrimental to cognitive development. In Bangladesh, multiple household-level lead exposures pose risks, including turmeric adulterated with lead chromate and food storage in lead-soldered cans. We developed and evaluated an intervention to reduce lead exposure among children and their caregivers in rural Bangladesh. We conducted formative research to inform theory-based behavioral recommendations. Lead exposure was one of several topics covered in the multi-component intervention focused on early child development. Community health workers (CHWs) delivered the lead component of the intervention during group sessions with pregnant women and mother-child dyads (<15 months old) in a cluster-randomized trial. We administered household surveys at baseline (control n = 301; intervention n = 320) and 9 months later at endline (control n = 279; intervention n = 239) and calculated adjusted risk and mean differences for primary outcomes. We conducted two qualitative assessments, one after 3 months and a second after 9 months, to examine the feasibility and benefits of the intervention. At endline, the prevalence of lead awareness was 52 percentage points higher in the intervention arm compared to the control (adjusted risk difference: 0.52 [95% CI 0.46 to 0.61]). Safe turmeric consumption and food storage practices were more common in the intervention versus control arm at endline, with adjusted risk differences of 0.22 [0.10 to 0.32] and 0.13 [0.00 to 0.19], respectively. Semi-structured interviews conducted with a subset of participants after the intervention revealed that the perceived benefit of reducing lead exposure was high because of the long-term negative impacts that lead can have on child cognitive development. The study demonstrates that a group-based CHW-led intervention can effectively raise awareness about and motivate lead exposure prevention behaviors in rural Bangladesh. Future efforts should combine similar awareness-raising efforts with longer-term regulatory and structural changes to systematically and sustainably reduce lead exposure.

Matched MeSH terms: Child Development
The influence of low blood lead concentrations on the cognitive and physical development of primary school children in Malaysia

Zailina H, Junidah R, Josephine Y, Jamal HH

Asia Pac J Public Health, 2008;20(4):317-26.
PMID: 19124326 DOI: 10.1177/1010539508322697

This study aimed to determine the relationship between blood lead (BPb) concentrations and cognitive and physical development in school children. A total of 169 urban children and 100 industrial children of Malay ethnicity, in the age range of 6(1/2) to 8(1/2) years, were selected. BPb was determined using GF atomic absorption spectrophotometer. The mean cognitive score (102.55) of the children from the industrial area was significantly higher than that of the urban children (95.09; P < .001). However, no significant differences were found in the BPb levels between the 2 groups (industrial, 3.75 microg/dL; urban, 3.56 microg/dL). There was significant inverse correlation between BPb and cognitive scores for all children (P < .05). The cognitive scores for all children were influenced by BPb after adjustments (P < .05). The urban children had significantly better Weight for Height and Left Arm Circumference values than those from industrial area. There was no significant correlation between BPb and the anthropometric measurements. In conclusion, low BPb influenced the cognitive development, whereas physical development was not affected.

Matched MeSH terms: Child Development*
Determinants of linear growth in Malaysian children with cerebral palsy

Zainah SH, Ong LC, Sofiah A, Poh BK, Hussain IH

J Paediatr Child Health, 2001 Aug;37(4):376-81.
PMID: 11532058

OBJECTIVE: To compare the linear growth and nutritional parameters of a group of Malaysian children with cerebral palsy (CP) against a group of controls, and to determine the nutritional, medical and sociodemographic factors associated with poor growth in children with CP.
METHODOLOGY: The linear growth of 101 children with CP and of their healthy controls matched for age, sex and ethnicity was measured using upper-arm length (UAL). Nutritional parameters of weight, triceps skin-fold thickness and mid-arm circumference were also measured. Total caloric intake was assessed using a 24-h recall of a 3-day food intake and calculated as a percentage of the Recommended Daily Allowance. Multiple regression analysis was used to determine nutritional, medical and sociodemographic factors associated with poor growth (using z-scores of UAL) in children with CP.
RESULTS: Compared with the controls, children with CP had significantly lower mean UAL measurements (difference between means -1.1, 95% confidence interval -1.65 to - 0.59), weight (difference between means -6.0, 95% CI -7.66 to -4.34), mid-arm circumference (difference between means -1.3, 95% CI -2.06 to -0.56) and triceps skin-fold thickness (difference between means -2.5, 95% CI -3.5 to -1.43). Factors associated with low z-scores of UAL were a lower percentage of median weight (P < 0.001), tube feeding (P < 0.001) and increasing age (P < 0.001).
CONCLUSION: A large proportion of Malaysian children with CP have poor nutritional status and linear growth. Nutritional assessment and management at an early age might help this group of children achieve adequate growth.

Matched MeSH terms: Child Development*
Predictors of neurodevelopmental outcome of Malaysian very low birthweight children at 4 years of age

Ong LC, Boo NY, Chandran V

J Paediatr Child Health, 2001 Aug;37(4):363-8.
PMID: 11532056 DOI: 10.1046/j.1440-1754.2001.00694.x

OBJECTIVE: To determine neonatal, early developmental and social risk factors that predict the neurocognitive and behavioural outcome of very low birthweight (VLBW) preschool children at four years of age.

METHODOLOGY: From a cohort of 151 eligible VLBW survivors born in Kuala Lumpur Maternity Hospital, 116 (76.8%) were prospectively followed up from birth till four years. A standardised neurological examination was performed at one and four years to determine the presence of impairment and cerebral palsy, respectively. Cognitive development was assessed using the Mental Scale of the Bayley Scales of Infant Development (MDI) at one year and the Weschler Preschool and Primary Scale of Intelligence-Revised (WIPPSI-R) at four years. Motor coordination was assessed using the Movement Assessment Battery for Children (Movement-ABC). Mothers completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI) questionnaires. Logistic and multiple regression analyses were used to determine factors associated with cerebral palsy, IQ scores, Movement-ABC and CBCL scores.

RESULTS: Factors associated with cerebral palsy were lower MDI scores at one year (P = 0.001) and late neonatal cranial ultrasound abnormalities (P = 0.036). Minor (P = 0.016) or major impairment (P = 0.003) at one year of age and a low level of paternal education (P = 0.01) were associated with poor motor function on the Movement-ABC scale. Lower levels of maternal education (P < 0.001), impairment at one year (P = 0.002) and late neonatal cranial ultrasound abnormalities (P = 0.039) predicted Full Scale IQ scores. Higher PSI scores (P = 0.001), younger mothers (P = 0.003) and late neonatal cranial ultrasound abnormalities (P = 0.009) were associated with worsened child behaviour scores on the CBCL scale.

CONCLUSION: Social factors and the caregiving environment were important determinants of cognitive and behavioural outcome. Cranial ultrasound abnormalities in the late neonatal period and the developmental status at one year might be useful in identifying high risk infants in need of long-term surveillance.

Matched MeSH terms: Child Development*

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