Fourth Year Of Life Research Articles

Adverse Rearing Environments and Neural Development in Children: The Development of Frontal Electroencephalogram Asymmetry

Children raised in institutional settings experience marked deprivation in social and environmental stimulation. This deprivation may disrupt brain development in ways that increase risk for psychopathology. Differential hemispheric activation of the frontal cortex is an established biological substrate of affective style that is associated with internalizing psychopathology. Previous research has never characterized the development of frontal electroencephalogram asymmetry in children or evaluated whether adverse rearing environments alter developmental trajectories. A sample of 136 children (mean age = 23 months) residing in institutions in Bucharest, Romania, and a sample of community control subjects (n = 72) participated. Half of institutionalized children were randomized to a foster care intervention. Electroencephalogram data were acquired at study entry and at ages 30, 42, and 96 months. A structured diagnostic interview of psychiatric disorders was completed at 54 months. Children exhibited increases in right relative to left hemisphere frontal activation between the second and fourth years of life, followed by an increase in left relative to right hemisphere activation. Children reared in institutions experienced a prolonged period of increased right hemisphere activation and a blunted rebound in left frontal activation. Foster care placement was associated with improved developmental trajectories but only among children placed before 24 months. The development trajectory of frontal electroencephalogram asymmetry in early childhood predicted internalizing symptoms at 54 months. Exposure to adverse rearing environments can alter brain development, culminating in heightened risk for psychopathology. Interventions delivered early in life have the greatest potential to mitigate the long-term effects of these environments.

Gonadal development of triploid Atlantic Cod Gadus morhua

During their third and fourth years of life, triploid Atlantic cod Gadus morhua females exhibited diminished ovarian development at both macroscopic and microscopic levels, with significantly lower gonado-somatic indices (I(G)) and higher carcass yields (Y(C)) than diploid females during spawning periods. In contrast, diploid and triploid testes were indistinguishable through macroscopic and histological assessment. No significant differences were found in male I(G) or Y(C) in relation to ploidy, with the exception of a higher Y(C) for triploids during the first of the two monitored spawning seasons. As a result of suppressed oogenesis, triploid female G. morhua, but not triploid males, can be used to eliminate sexual maturation in this species and advance the development of the G. morhua aquaculture industry.

What does the false belief test test

The age at which children acquire the concept of belief is a subject of debate. Many scholars claim that children master beliefs when they are able to pass the false belief test, around their fourth year of life. However, recent experiments show that children implicitly attribute beliefs even earlier. The dispute does not only concern the empirical issue of discovering children’s early cognitive abilities. It also depends on the kind of capacities that we associate to the very concept. I claim that concept possession must be understood in terms of the gradual development of the abilities that underlie the concept in question. I also claim that the last step to possess the concept of belief requires children to understand how beliefs and desires are used in everyday explanations of people’s actions. Thus, I suggest that understanding folk psychology as an explanatory theory is what children lack when they fail the false belief test.

The life history and ecology of the Pink-tailed Worm-lizardAprasia parapulchellaKluge – a review

This review synthesises research on the Pink-tailed Worm-lizard Aprasia parapulchella - a threatened species with life-history traits and habitat and dietary preferences that make it particularly vulnerable to decline. Further information on the ecology of A. parapulchella is required in order to develop effective approaches to conservation and management, particularly given the conservation status of the species. Aprasia parapulchella is a dietary specialist living in the burrows of small ants, the eggs and larvae of which it preys upon. It is late maturing (adult size probably attained in the third or fourth year of life), has a small clutch, is thought to be longlived and has specific habitat preferences. It has a strong association with landscapes that are characterised by outcroppings of lightly-embedded surface rocks. The lizard is associated with a particular suite of ant species and ground cover tending towards open native vegetation (grasses and shrubs) at most sites, but with regional difference...

Childhood malnutrition during the Bosnian conflict: Four linked cross-sectional studies

In the first years of the Bosnia conflict (1992–1995), a number of small local studies failed to confirm the expected widespread malnutrition that was the basis of humanitarian appeals. At the request of relief agencies, four population surveys from 1994 to 1997 measured childhood malnutrition during and immediately after the conflict as well as potential risk factors. The four surveys visited a random sample of clusters from population registers in Bosnia and Herzegovina (BiH) and the Republica Srpska (RS). All surveys measured mid-upper arm circumference (MUAC) in children 6–59 months old in 31 BiH clusters and in 10 RS clusters (last three surveys). An administered questionnaire documented potential risk factors, including breastfeeding, receipt of food aid and socio-economic variables. Analysis relied on a cluster-adjusted multivariate Mantel–Haenszel procedure. In BiH, the proportion of children with MUAC less than 125 mm increased between 1994 and 1997: 5.5%, 6.8%, 14.2% and 8.6% (χ2 = 23.2; 2 d.f.); using z-scores (>−2SD), the increase was 2.8%, 5.6%, 7.5% and 5.7% (χ2 = 11.9; 2 d.f.). In the third year of life, the risk of malnutrition was significantly higher in children from households receiving food aid (ORa = 2.38, 95% CIca = 1.36–4.15), whereas in the fourth year of life the risk of malnutrition was higher among children in male-absent households (ORa = 4.42, 95% CIca = 1.99–9.83). The risk of malnutrition was not related to ethnicity, sex of the child or urban/rural residence. The increased childhood malnutrition between 1994 and 1997 confirms increased vulnerability of some segments of the Bosnian population over the last years of the war, despite the humanitarian aid programme.

Poverty and Chronic Illness in Early Childhood: A Comparison Between the United Kingdom and Quebec

Our goal was to examine the association between poverty, in the first and fourth years of life and cumulatively in the first and fourth years of life, and the health of children in the fourth year of life in the UK Millennium Cohort Study and in the Quebec Longitudinal Study of Child Development (QLSCD). Data from the UK Millennium Cohort Study of 14 556 children and from the QLSCD of 1950 children were analyzed. Comparable measures of poverty were households in receipt of the safety-net benefit: income support in the United Kingdom and social welfare in Quebec. Three parent-reported health indicators were examined: asthma attack, long-standing illness, and limiting long-standing illness by the fourth year of life. Associations were explored with logistic regression modeling controlling for child characteristics and maternal education. Poverty only in the first year of life significantly increased the risk of asthma attacks and limiting long-standing illness in the fourth year of life among UK children; trends were in the expected direction in the QLSCD but did not reach statistical significance. Poverty in the fourth year of life only significantly increased the risk of all 3 outcomes for UK children but not for Quebec children. For children experiencing poverty in both the first and fourth years of life, the risks for all 3 outcomes also increased in the United Kingdom, whereas only the risk of limiting long-standing illness increased in Quebec. Adjustment for confounding had little effect on the increased risks associated with poverty. These findings suggest that experience of poverty at various times in early childhood increases the risk of asthma attacks and chronic illness in the fourth year of life; however, they also indicate that poverty at different stages of the early childhood life course may have different effects on chronic illness in different country settings.

Hyperinsulinemic hypoglycemia evolving to gestational diabetes and diabetes mellitus in a family carrying the inactivating ABCC8 E1506K mutation

Congenital hyperinsulinism of infancy (CHI) is the most common cause of hypoglycemia in newborns and infants. Several molecular mechanisms are involved in the development of CHI, but the most common genetic defects are inactivating mutations of the ABCC8 or KCNJ11 genes. The classical treatment for CHI has been pancreatectomy that eventually leads to diabetes. More recently, conservative treatment has been attempted in some cases, with encouraging results. Whether or not the patients with heterozygous ABCC8 mutations submitted to conservative treatment may spontaneously develop type 2 diabetes in the long run, is a controversial issue. Here, we report a family carrying the dominant heterozygous germ line E1506K mutation in ABCC8 associated with persistent hypoglycemia in the newborn period and diabetes in adulthood. The mutation occurred as a de novo germ line mutation in the mother of the index patient. Her hypoglycemic symptoms as a child occurred after the fourth year of life and were very mild, but she developed glucose metabolism impairment in adulthood. On the other hand, in her daughter, the clinical manifestations of the disease occurred in the neonatal period and were more severe, leading to episodes of tonic-clonic seizures that were well controlled with octreotide or diazoxide. Our data corroborate the hypothesis that the dominant E1506K ABCC8 mutation, responsible for CHI, predisposes to the development of glucose intolerance and diabetes later in life.

Growth Patterns and Obesity Development in Overweight or Normal-Weight 13-Year-Old Adolescents: The STRIP Study

Our goal was to study childhood growth patterns and development of overweight in children who were overweight or normal weight at 13 years of age. This study is part of a prospective atherosclerosis-prevention trial Special Turku Coronary Risk Factor Intervention Project for Children). At 7 months of age, 1062 children were randomly assigned to an intervention group (n = 540) receiving biannual fat-oriented dietary counseling or to a control group (n = 522). Height and weight of the children and their parents were monitored annually. Our study group comprised those children who participated in the 13-year study visit (n = 541). At 13 years of age, the child was classified as overweight (n = 84) if his or her BMI exceeded the international age- and gender-specific overweight criteria. In overweight girls, the annual weight gain increased from 2.8 kg during the third and fourth year of life to 7.5 kg during the 12th year of life, whereas the annual weight gain of the girls who were normal weight ranged from 2.1 to 4.8 kg during the same period. The annual weight gain was similar of overweight boys and in their normal-weight peers until the age of 5 years, but after that it increased from 3.5 to 7.9 kg in overweight and from 2.6 to 5.5 kg in normal-weight boys. The BMI of the girls and boys who were overweight at the age of 13 exceeded the international cutoff point for overweight from the age of 5 and 8 years onward, respectively. The mean BMIs of the mothers and fathers of the overweight children were higher than those of the parents of the normal-weight children. The STRIP intervention had no effect on the examined growth parameters or on parental BMI. The children who were overweight at 13 years of age gained more weight than their normal-weight peers by the age of 2 or 3 years onward. The girls became overweight by the age of 5 years, whereas the boys only after 8 years of age. Parental BMI and steep weight gain in early childhood indicate markedly increased risk for becoming overweight.

Population structure and growth of the Japanese littleneck clam Ruditapes philippinarum in Amursky Bay, Sea of Japan

This paper deals with the size, age, and sex structure of population and growth of the Japanese littleneck clam Ruditapes philippinarum in Amursky Bay (Peter the Great Bay, Sea of Japan). One-year-olds and individuals with a shell length less than 19.8 mm were not found in the population under study. The population consisted mostly of 3-4-year-old clams (72.4%) with a shell length of 35–45 mm (67.8%). The maximum recorded age of R. philippinarum was 7 years, and maximum shell length was 52.7 mm. The male to female ratio was approximately 2: 1. Hermaphroditism (2.1%) and parasitic castration (1.4%) were observed. Linear growth rates of clams were found to increase until the age of three years old (11.6 ± 0.6 mm/year). Mollusks reach a commercial size of over 35 mm in shell length in the fourth year of life. The parameters of the von Bertalanffy equation describing group linear growth were L∞ = 56.6 mm, k = 0.302 year−1, and t0 = 0.468 year. The relationship between the shell length and the wet body weight is described by the equation W = 0.000253L2.954.

Age-related changes in ovarian characteristics, plasma sex steroids and fertility during pubertal development in captive female Murray cod Maccullochella peelii peelii

Age-related changes in ovarian development characteristics and plasma sex steroids in female Murray cod were examined throughout their second, third and fourth years of life to better understand the physiological and endocrine processes associated with puberty in this species in captivity. Spawning performance of 2+ and 3+ year old females was also assessed to identify ontogenetic differences in egg fertility. Puberty was acquired in 38% of 1+ year old females and 100% of age 2+ females. By age 3+, all females had developed full (adult) reproductive function. Ovarian development in pubertal fish was characterised by a rapid transition between cortical alveoli and lipid droplet oogenic phases, coinciding with significantly lower plasma 17β-oestradiol in age 2+ females ( p < 0.05). Mean mature oocyte diameter (2.44 mm), post-fertilisation viability (30.80%) and hatchability (0.99%) of eggs from age 2+ females were significantly reduced relative to age 3+ adults (2.81 mm, 84.89% and 23.58%, respectively). Ovaries of pubertal Murray cod exhibited both vitellogenic and ovulatory capacities, yet functional abnormalities during secondary oocyte growth are likely to have contributed to poor egg fertility and consequently, evaluations of age-at-first maturity based on the presence of advanced ovarian stages may overestimate the reproductive potential of younger broodstock populations.

The medial longitudinal arch of the foot in young children

When standing on both feet the mean height of the arch at the tangent to the medial plantar imprint is 5 mm at the age of 4 years. The "critical limit" is approx. 2 mm. The height of the medial longitudinal arch increases each year. The increase is greater at the age of three than at six years, and should be at least 1 mm between the third and fourth years of life. Girls have higher arches than boys of the same age. The medial longitudinal arch is lower in children with superextensible knee joints and hypermobile ankle joints. The talocalcaneonavicular joint becomes more mobile as the height of the medial longitudinal arch increases.

Postnatal changes in osseous and mucosal morphology of the hard palate

We investigated the postnatal changes in the dimensions, configuration, and surface pattern of the hard palate in 68 skulls, ranging in age from birth to 90 years of age. The number of palatine rugae of the palatine mucosa was assessed in 168 living subjects aged 11-98 years. Before the first dentition appeared, the osseous palate was concave, smooth, and lacked alveolar processes. In maxillar specimens from the end of the first year to the end of the fourth year of life, balloon-like osseous formations, containing the elements of permanent teeth, appeared bilaterally behind the deciduous incisors. With age, the concavity of the palate diminished and became flat with the loss of the teeth. The presence of teeth was associated with the height of the alveolar ridge, which decreased from 7.3 +/- 4.4 mm in specimens with intact teeth to 4.7 +/- 4.1 mm in specimens without teeth (P = 0.020). Palatine rugae were a common finding in living subjects, but were more often absent in older age (2.2% in 11-50 age group vs. 12.8% in 51-98 age group, P = 0.0183). Our results suggest that the morphology of the hard palate rapidly changes during deciduous and permanent teeth eruption and is related to the presence of alveolar ridges and teeth in adults. Palate osseous morphology may be morphologically and functionally independent from its mucosal morphology. Changes in the morphology of the osseous palate are clinically relevant for dental prosthetics and tooth implantation.

Teachers and parents as a source of stereotype formation

Teachers and parents play an important role in developing and maintaining stereotype beliefs in children and youth, and therefore this paper discusses their role and importance for the development and manifestations of stereotypes in children. Authors' intention is to introduce the readers to the developmental prerequisites of stereotype formation in children and youth, to point out to the ways in which adults exert influence on children's understanding of stereotypes and to discover how stereotypes mediate in the interaction between teachers and parents. Studies imply that the development of stereotype beliefs in children is conditioned by developmental changes on the cognitive level and that the first indications of stereotypes occur in the third, that is, fourth year of life. The first sources of stereotype formation are parents, who, as a model for socialization, promote the social and cultural norms and express certain behavioral patterns which are then "imprinted" in the repertoire of child's behavior. Teachers present an important source of stereotypes, whether we are talking about their roles in carrying over the pattern of the dominant culture or we are dealing with the stereotypical perception of the pupils of different categories (such as, for example, ethnic background, gender). This paper also points out to the categories of pupils that are more sensitive to stereotypes in educational context.

Recurrent pneumonia caused by genetic immunodeficiency: a prophylactic and rehabilitative approach

Recurrent infections are a consequence of a series of genetic diseases characterized by deficiency in the immunological response. One of these diseases is the agammaglobulinemia, which is characterized by the basic defect in the maturation of lymphocytes B. The carrier of this kind of immunodeficiency, which is linked to the X (XLA) chromosome, has had primary pneumonias that have evolved into secondary pneumonias (chronic lungs with sequelae) after the third or fourth year of life. The clinical and rehabilitative quest for prophylaxis against the XLA immunodeficiency is accomplished in order to avoid the evolution of the bacterial infection into sequelae and loss of pulmonary function, which propitiates the recurrence of the disease and deteriorates the life quality of the patient. Forty cases of recurrent respiratory infections were studied. Some of them were associated with primary respiratory diseases without investigation of serum immunoglobulins and some were not. Casuistics was performed according to data from medical records with pertinent treatments collected from January 1997 to September 2004 at the Specialized Physiotherapy Center. Age average was 2.7 years of life. It is statistically impossible to precise results concerning only the immunosuppressed patients due to the lack of specific diagnosis. That is explained by the fact that recurrent XLA pneumonias may be attributed to the gastroesophageal reflux disease or to bronchial asthma. However, the improved results showed by the pulmonary function as preventive strategy were attributed to the respiratory physiotherapy, since intravenous immunoglobulin replacement therapies were not performed. Respiratory physiotherapy acts as a supportive factor in the healing process and occupies a fundamental role in the prophylaxis against recurrent respiratory clinical features, especially those of obstructive and secretionary characteristics.

Increased frequency of severe major anomalies in children conceived by intracytoplasmic sperm injection

The neurodevelopmental outcome of children born after intracytoplasmic sperm injection (ICSI) is controversial. We compared the medical and developmental outcome of 34 singletons born after ICSI (20 males, 14 females; mean ages of 18 mo and 40 mo [SD 9 mo]; range 2 y 10 mo-4 y 8 mo) with 39 case control studies (21 males, 18 females; mean ages of 18 mo and 40 mo [SD 4 mo]; range 3 y-4 y 1 mo). Each child was assessed physically and tested in three development domains (fine motor, gross motor, and language). Five children born after ICSI versus two control children (p=0.2) had major congenital anomalies (MaCAs). Four children born after ICSI versus no control children had severe MaCAs (p=0.04). These were defined as having a significant impact on development or causing chronic disease: Angelman syndrome (n=1), lissencephaly (n=1), Hanhart syndrome (n=1), and persistent hyperinsulinemic hypoglycaemia of infancy (n=1). Karyotyping in 23 children born after ICSI revealed no abnormalities. An imprinting defect was found in the child with Angelman syndrome. Results of developmental assessment were in all cases normal at the age of 18 months except for the three children with Angelman and Hanhart syndromes, and lissencephaly. At the second assessment, five more children born after ICSI and four control children showed abnormalities in one or more developmental domains. We conclude that there seems to be a higher frequency of severe major anomalies in children born after ICSI. An increased risk for imprinting defects cannot be excluded. If we exclude children with severe MaCAs, the incidence of an abnormal somatic or neurodevelopmental outcome in the fourth year of life in children born after ICSI is similar to that of spontaneously conceived children.

Kinetics of the immune response following pneumococcal PD conjugate vaccination

Primary vaccination with pneumococcal protein D conjugate vaccine in the first year of life induced clear ELISA and OPA responses, which varied considerably for the different serotypes. Antibody levels declined following primary vaccination but were restored (except for serotype 3) to above post-primary levels by booster vaccination in the second year of life. Antibody levels declined when measured in the fourth year of life, although remaining higher than in the non-immunized children. For some serotypes, antibody levels did not decline indicating exposure to pneumococci or cross-reacting bacteria. Development of natural immunity to several serotypes was evident from the increase in opsonophagocytic activity in the control group between booster and plain polysaccharide vaccination. Vigorous and rapid OPA and ELISA responses were elicited to all vaccine serotypes including serotype 3 following administration of plain polysaccharide vaccine in both the conjugate and control groups, being higher in the conjugate group (Study ID: 104083/NCT00169507).

Size and age composition of populations and growth of Mytilus trossulus (Bivalvia: Mytilidae) in the subtidal area of western Kamchatka

Fairly large Mytilus trossulus beds were found in the subtidal zone at depths to 40 m off the western coast of Kamchatka. The size and age composition of local populations and growth rates of M. trossulus in this region and at Atlasova Island were studied. Significant variability of the shell shape of mollusks was found. In the western Kamchatka subtidal, M. trossulus grew faster than in the northern Kuril Islands and eastern Kamchatka. Mussels attained commercial size (50 mm in shell length) in the fourth year of life in the former case and in the fifth-sixth year in other cases. Mollusks of different ages, from 1 to 8–9 year olds, were present in western Kamchatka populations; i.e., juvenile recruitment takes place regularly, while growth rates vary. Growth and population structure of M. trossulus are discussed in relation to the habitat conditions on the western Kamchatka shelf.

Milk Thickeners Do Not Influence Anthropometric Indices in Childhood

Pediatric obesity is an important risk factor for chronic diseases in adulthood. Some infant feeding practices may contribute to childhood obesity. To investigate whether the introduction of milk thickeners to bottle-fed infants between 3 and 6 months of age was associated with higher anthropometric measurements and indices at 1 and 4 years of age. A population-based birth cohort study was conducted in 1993 in the urban area of Pelotas, Brazil. Information was obtained at birth, at 1, 3, 6, and 12 months, and at 4 years. Data were analyzed from the 596 children for whom information was available from all follow-up visits. The exposure of interest was the use of milk thickener (flour added to cow's milk) between the third and sixth months of life. The outcomes investigated were weight and length/height and the anthropometric indices weight-for-age, length/height-for-age, and weight-for-length/height z-scores at 1 and 4 years. The prevalence of use of milk thickener at any time between the third and sixth months was 44.6%. In the adjusted analysis, children who received milk thickener were, on average, 160 g heavier and 0.5 cm longer at I year than those who did not receive it. Weight-for-age and length-for-age z-scores were positively associated with use of milk thickener. No association was observed between this feeding practice and weight-for-length z-score. In the adjusted analysis, no effect of use of milk thickener on any of the anthropometric outcomes studied was observed at 4 years. No association was found between the use of milk thickeners and weight-for-length/height z-scores in the first and fourth years of life. Future studies in other contexts would be helpful to further test this hypothesis.

Entry Age into Day Care and Later Development of Allergic Disorders - Results from the City of Leipzig Cohort of the LISA Study

The situation in early childhood is supposed to be a risk factor for later development of allergic diseases. The birth cohort from the LISA (Lifestyle-Immune System-Allergy) study gave us the opportunity to investigate the relationship between early childhood situation and the development of allergic diseases. This paper describes our findings regarding to the relationship between entry age into day care and obstructive bronchitis as well as allergic rhinitis and atopic eczema. Study was designed as a longitudinal birth cohort study. Children were examined by a physician at birth, 1/2 year, 1 year, 1 1/2 year, 2 years, 3 years and 4 years. Further information was collected using a structured questionnaire which was answered by the parents. Outcomes under investigation were atopic eczema, allergic rhinitis, wheezing (with and without cold), obstructive bronchitis and asthma (after 2nd year of life). Logistic regression analysis adjusted for infectious diseases of the mother during pregnancy, vaccination of the mother during pregnancy, antibiotics, prenatal smoking of the mother or other persons in the apartment and vaccination state showed an significant promoting effect of entry age into day care against obstructive bronchitis over the first three years of life (OR 1/2 year: 8.55; 95%CI: 2.93...24.97; OR 1st year: 4.96; 95% CI: 1.73...14.24; OR 2nd year: 3.06 95% CI: 1...9.37). A further significant effect was found for crowding against asthma in the fourth year of life (OR 25.7; 95%CI: 1.65...400.17). No significant effects were found between the other periods under investigation (1st year until 4th year of life). On the base of our findings we recommend an entry age into day care of more than six months to prevent effects shown.

Transient dystonic toe‐walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe‐walking

We report on seven children (five males, two females) who presented with marked, often asymmetrical, toe-walking from onset of independent walking, associated with abnormal foot postures and increased tone at the ankles with characteristics of dystonia. Most of the children had presented with unusual pre-walking locomotion and a mild delay in independent walking. They did not fit into the usual categories of 'habitual' toe-walking or congenital short tendo calcaneus but nor did they have the clinical signs of spastic diplegia or of a peripheral neuromuscular disease. Normalization occurred progressively in the second to fourth years of life. The children were re-examined several years later (1 to 11y) and were normal. We believe that their persistent toe-walking corresponded to a variant of 'transient focal dystonia of infancy'. Knowledge of its existence may justify a period of observation without special investigations, surgery, or casting.