Neurocognitive outcomes following pediatric brain injury: A developmental approach

Developmental neuropsychologists postulate that “immaturity” of the cerebral cortex should no longer be perceived as a protective factor. They argue that injury to the young brain may affect new learning by disrupting the skills in the midst of being acquired and skills that are yet to be developed. Cognitive deficits or weaknesses that are not detectable in the acute phase following a traumatic brain injury (TBI) may emerge over development as more complex skills are needed, thereby creating a developmental lag between children who sustained a pediatric TBI and typical age peers. This literature review was conducted to evaluate the developmental perspective on neurocognitive recovery/development following a TBI. Overall, the described findings support a developmental view and suggest that predictions of prognosis should be based on the child's remaining ability to learn.     

Comparison of Griffiths-II and Bayley-II tests for the developmental assessment of high-risk infants

IntroductionTwo important risk factors for abnormal neurodevelopment are preterm birth and neonatal hypoxic ischemic encephalopathy. The new revisions of Griffiths Mental Development Scale (Griffiths-II, [1996]) and the Bayley Scales of Infant Development (BSID-II, [1993]) are two of the most frequently used developmental diagnostics tests. The Griffiths-II is divided into five subscales and a global development quotient (QD), and the BSID-II is divided into two scales, the Mental scale (MDI) and the Psychomotor scale (PDI).The main objective of this research was to establish the extent to which developmental diagnoses obtained using the new revisions of these two tests are comparable for a given child.Material and methodsRetrospective study of 18-months-old high-risk children examined with both tests in the follow-up Unit of the Clinic of Neonatology of our tertiary care university Hospital between 2011 and 2012. To determine the concurrent validity of the two tests paired t-tests and Pearson product-moment correlation coefficients were computed. Using the BSID-II as a gold standard, the performance of the Griffiths-II was analyzed with receiver operating curves.Results61 patients (80.3% preterm, 14.7% neonatal asphyxia) were examined. For the BSID-II the MDI mean was 96.21 (range 67–133) and the PDI mean was 87.72 (range 49–114). For the Griffiths-II, the QD mean was 96.95 (range 60–124), the locomotors subscale mean was 92.57 (range 49–119). The score of the Griffiths locomotors subscale was significantly higher than the PDI (p < 0.001). Between the Griffiths-II QD and the BSID-II MDI no significant difference was found, and the area under the curve was 0.93, showing good validity. All correlations were high and significant with a Pearson product-moment correlation coefficient >0.8.ConclusionsThe meaning of the results for a given child was the same for the two tests. Two scores were interchangeable, the Griffiths-II QD and the BSID-II MDI.     

Women in male-dominated professions: Contrasts in their personal and vocational histories

Women in four high-status, male-dominated professions—architecture, law, medicine, and psychology—are described in terms of a variety of historical, social, and career variables. The women share common antecedents of their vocational choices and similar perceptions of their work, but the occupational groups are dissimilar on a number of dimensions. Psychologists stand in particular contrast to the other three groups of professionals, describing experiences and career patterns less in conflict with stereotypic female roles. These contrasts may reflect differences in the sex-typed characterizations of the professions even though all are male-dominated.     

The perceptual span and peripheral cues in reading

Skilled readers read passages that were displayed on a Cathode Ray Tube controlled by a computer. The readers' eye movements were monitored and certain critical words were changed by the computer as the eye was in motion. The experimental technique utilized in the study provided data on how wide the area is from which a reader acquires information during a fixation in silent reading. The results also delineate different types of visual information that are acquired from various areas within the perceptual span. It was found that a reader was able to make a semantic interpretation of a word that began 1–6 character spaces from his fixation point. When he fixated 7–12 character spaces prior to a word, he was able to pick up such gross visual characteristics as word shape and initial and final letters. It was concluded that the skilled reader is able to take advantage of information in the periphery. However, the size of the area from which he does is rather small.     

The effects of parent-presented models and praise on the vocal behavior of their children

The combined and separate effects of parent-presented models and praise on specific vocalizations of three children (15, 17, and 20 months old) were investigated. The frequency of a specific vocalization was higher when parents modeled and praised it than when they did not. In addition, modeling and praise, when used in combination, had a greater effect on the frequency of specific vocalizations than when used separately. Three additional parents were asked to attempt, by any means they wished, to increase the frequency of a specific vocalization by their children. These parents used modeling almost, exclusively, and the children did not exhibit the specific vocalizations as frequently as did the children whose parents were instructed both to model and praise specific vocalizations.     

Effects of static and motion parallax depth information on perception of size in children and adults

The effects of static and kinetic information for depth on judgments of the relative size of objects placed at different distances was studied in 3- and 7-yr-old children and adults. Subjects viewed either a pair of objects placed on the floor of a textured alley or a projected slide of the identical scene. The presence of motion parallax information for depth was also manipulated. All subjects showed a clear sensitivity to static pictorial depth information in judging objects placed so they projected equal retinal areas. When the retinal size of objects was very different, however, children tended to respond to retinal rather than physical size. Motion parallax information increased responsiveness to depth when a 3-dimensional scene was being viewed, but decreased responsiveness with 2-dimensional projections. The decrease was greater in children than adults.     

The development of procedures for identifying competitive behavior in children

This study identified events in the competitive process that could be employed to discriminate between competition and individual, non-social behaviors. When children competed they overtly sought out information on how they were doing vis-à-vis their fellow competitor. In addition, their performance was a function of some competitive contingency: a reward for surpassing another. The procedures developed in this study were designed to manipulate competitive contingencies while observing their effects on task performance and social comparisons. The investigator could thus infer that competition was present when (1) subjects sought out information on how they were doing, as well as how another was doing on comparable tasks during competitive contingencies, and (2) their task performance was a function of the competitive contingency.     

Factors influencing career maturity in the South African National Defence Force: A diagnostic approach

This study investigated factors influencing the career maturity of young members of the South African National Defence Force (SANDF). A sample of 310 young SANDF members (females=35%, blacks=90%) completed the following measures: career maturity inventory-revised, the career decision self-efficacy scale, the military hardiness scale, and the seven habits profile. They also completed a biographical information form. Data were analysed using multiple regression to predict career maturity from career decision self-efficacy, self-appraisal, occupational information, goal selection, planning, problem solving, hardiness, control, challenge, commitment, conscientiousness, life balance, pro-active behaviour, life goals, self-management, mutual-benefit thinking, listening, teamwork, continuous improvement and life skills. Findings suggest self-efficacy, occupational information, self-appraisal, commitment, challenge, emotional intelligence and continuous improvement have the strongest influence on career maturity. The results indicated that self-efficacy, life skills and personal drive empower young members to seek employment.     

The development of and interaction among alerting,orienting, and executive attention in children

A sex-balanced sample (N = 96) of children from age 6.5 to age 12.5 completed a modified Attention Network Test. Across these ages, we found evidence for developmental changes to alerting and executive control but stable orienting. Additionally, we found that the youngest members of our sample manifested an interaction between alerting and executive control that is opposite to that typically found in adults; a reversal that diminishes with age to achieve the adult pattern by the older end of the age range of our sample.