Growth Velocity Research Articles

Report of an Iranian child with chronic abdominal pain and constipation diagnosed as glycogen storage disease type IX: a case report

BackgroundGlycogen storage disease type IX is a rare disorder that can cause a wide variety of symptoms depending on the specific deficiency of the phosphorylase kinase enzyme and the organs it affects.Case presentationA 4-and-a-half-year-old Caucasian girl was referred to our clinic with a liver biopsy report indicating a diagnosis of glycogen storage disease. Prior to being referred to our clinic, the patient had been under the care of pediatric gastroenterologists. The patient’s initial symptoms included chronic abdominal pain, constipation, and elevated liver transaminase. With the help of the pediatric gastroenterologists, cholestasis, Wilson disease, and autoimmune hepatitis were ruled out. Given that glycogen storage diseases type I and type III are the most common, we initially managed the patient with frequent feedings and a diet that included complex carbohydrates such as a corn starch supplement and a lactose restriction. Following an unfavorable growth velocity and hepatomegaly during the follow-up period, genetic analysis was conducted, which revealed a novel mutation of the phosphorylase kinase regulatory subunit beta gene— a c.C412T (P.Q138x) mutation. As the diagnosis of glycogen storage disease type IX was confirmed, the treatment regimen was altered to a high protein diet (more than 2 g/kg/day) and a low fat diet.ConclusionGiven the mild and varied clinical manifestations of glycogen storage disease type IX, it is possible for the diagnosis to be overlooked. It is important to consider glycogen storage disease type IX in children who present with unexplained hepatomegaly and elevated transaminase levels. Furthermore, due to the distinct management of glycogen storage disease type IX compared with glycogen storage disease type I and glycogen storage disease type III, genetic analysis is essential for an accurate diagnosis.

Dental decay in children and the link to weight status: A cross-sectional analysis of national school health data

Recent national reports have indicated an increasing trend of dental decay among school-aged children. National school-based data are required to guide decision-making to ensure effective public health efforts to manage dental decay. This study aimed to assess the prevalence of dental decay among school-age children in Saudi Arabia and explore the possible link between dental decay and weight status. This was a cross-sectional analysis of a national sample including 1,134,317 Saudi children in the 1st, 4th, 7th, and 10th grades who participated in a national school screening program. Data for weight, height, body mass index (BMI), dental decay prevalence, and decayed, missing, and filled teeth (DMFT) index were analysed. An independent t-test, one-way analysis of variance, and chi-square test were used to compare the means, while Pearson’s r correlation and multiple linear regression were used to examine the relationships between the study variables. The prevalence of dental decay was 24.20%, and dental decay was the highest among female students (26.5%), students in primary school (25.9%), students living in the eastern region (35.2%), in the administrative capital (27.6%), and in rural areas (23.4%). Dental decay was the highest among students who were underweight. Female sex and living in rural areas significantly predicted higher DMFT while being overweight/obese significantly predicted lower DMFT. Dental decay is highly prevalent among underweight students, female students, and students living in rural areas and the eastern regions of Saudi Arabia. To reduce the prevalence of dental decay and related health disparities, dental health screening programs should be designed to detect dental decay early among children at high risk due to abnormal BMIs and sociodemographic factors. In addition, dental health screening and management programs should utilize standardized dental decay assessment methods and ethnically representative growth charts.

Growth and micronutrient status parameters of Nigerian preterm infants consuming preterm formula or breastmilk.

Moderate-to-late preterm infants (32-34 weeks GA) have increased risk of neonatal morbidities compared to term infants, however dedicated nutritional guidelines are lacking. Moderate-to-late preterm infants received a preterm formula (n = 17) or breastmilk (n = 24) from age 2-10 weeks in a non-randomized, open-label observational study. Anthropometric measurements were assessed bi-weekly. Blood concentrations of hemoglobin, ferritin, serum retinol, and 25-hydroxy-vitamin D (25OHD) were analyzed at age 2 and 10 weeks. Average growth per day was 14.7 g/kg BW/day in formula-fed and 12.8 g/kg BW/day in breastmilk-fed infants but not different from each other. Length and head circumference in both groups were in line with the median reference values of the Fenton growth chart. At 10 weeks of age, hemoglobin tended to be higher in the formula-fed group (10.2 g/dL vs. 9.6 g/dL, p = 0.053). 25OHD increased in formula- and breastmilk-fed infants from 73.8 to 180.9 nmol/L and from 70.7 to 97.6 nmol/L, respectively. Serum retinol only increased in the formula-fed group (0.63 to 1.02 µmol/L, p < 0.001). Breastfeeding resulted in adequate growth in moderate-late preterm infants but was limiting in some micronutrients. The preterm formula provided adequate micronutrients, but weight gain velocity was higher than the Fenton reference value. Unfortified breastmilk resulted in adequate growth in weight, length and head circumference in Nigerian moderate to late preterm infants during an study period of 8 weeks, but status of vitamin D, vitamin A and iron needs to be monitored. The high-energy formula, developed for very preterm infants, resulted in higher growth in body weight in moderate to late preterm infants than the median of the Fenton preterm growth chart. This study supports the necessity of dedicated nutritional guidelines, and regular monitoring of growth and nutritional status of moderate to late preterm infants.

Exploring Growth, Maturity, and Age as Injury Risk Factors in High-Level Youth Football.

Rapid somatic growth and biological maturity status may affect injury patterns in youth football, yet firm conclusions cannot be drawn from the existing research. We aimed to explore growth velocity, maturity, and age as injury risk factors in 95 academy players (11.9-15.0 years), using anthropometric (height and body mass), maturity (skeletal age), injury, and football exposure data collected prospectively over three seasons (2016/17-2018/19). We compared the relative quality of mixed-effects logistic regression models with growth velocity for 223 growth intervals (average 113 days) included as fixed effects and adjusted for age (chronological or skeletal) plus load (hours/week). Associations were considered practically relevant based on the confidence interval for odds ratios, using thresholds of 0.90 and 1.11 to define small beneficial and harmful effects, respectively. We observed harmful effects of older age on overall (OR: 2.61, 95% CI: 1.15-5.91) and sudden onset (1.98, 1.17-3.37) injury risk. Significant associations (p<0.05) were observed for higher body mass change and greater maturity on sudden onset injuries, and for higher hours/week on gradual onset, bone tissue, and physis injuries. Future studies should include larger samples, monitoring athletes from pre-adolescence through maturation, to enable within-subject analyses and better understand the relationship between growth, maturation, and injuries.

Short-term dynamics of linear growth among Peruvian infants in the first year of life in a population with linear growth faltering.

Infant growth is recognized to vary over the short term, with periods of greater and lesser linear growth velocity. Our objectives were to (1) examine the potential differences in overall growth profiles between children who experienced cumulative growth faltering in the first year of life consistent with that seen by many children living in poverty in low- and middle-income countries, versus children without growth faltering and (2) test whether biological factors were associated with the timing of magnitude of growth saltations. Thrice-weekly measurements of length were recorded for n = 61 Peruvian infants (28 boys and 33 girls) enrolled from birth to 1 year. A total of 6040 measurements were analyzed. We tested for the evidence of saltatory growth and used hurdle models to test whether the timing and magnitude of saltations varied between children with greater or lesser growth faltering. There were no differences in the duration of stasis periods or magnitude of growth saltations between children who were stunted at 1 year old (N = 18) versus those who were not stunted (N = 43). Children who experienced greater declines in LAZ in the first year of life trended toward longer periods between saltations than those with less of a decline (14.5 days vs. 13.4 days, p = .0512). A 1-unit increase in mid upper arm circumference for age Z-score in the 21 days prior was associated with 35% greater odds of a saltation occurring (p < .001), and a 0.128 cm greater saltation (p < .001). After characterizing infant growth into periods of saltation and stasis, our results suggest that increases in weight preceded increases in length.

Brazilian growth charts for Williams–Beuren Syndrome at ages 2 to 18 years

ObjectiveTo develop growth charts for weight-for-age, height-for-age, and body mass index (BMI)-for-age for both genders aged 2 to 18 years for Brazilian patients with Williams-Beuren Syndrome (WBS). MethodsThis is a multicenter, retrospective, and longitudinal study, data were collected from the medical records of boys and girls with a confirmed diagnosis of WBS in three large university centers in the state of Sao Paulo, Brazil. Growth charts stratified by gender and age in years were developed using LMSchartmaker Pro software. The LMS (Lambda Mu Sigma) method was used to model the charts . The quality of the settings was checked by worm plots. ResultsThe first Brazilian growth charts for weight-for-age, height-for-age, and BMI-for-age stratified by gender were constructed for WBS patients aged 2 to 18 years. ConclusionThe growth charts developed in this study can help to guide family members and to improve the health care offered by health professionals.

Synergistic control of microstructures and properties in eutectic high-entropy alloys via directional solidification and strong magnetic field

The AlCoCrFeNi2.1 eutectic high-entropy alloy (Ni2.1 EHEA), as an exemplary representative of the high-entropy alloy family, has garnered significant research attention owing to its exceptional comprehensive properties. In this study, we investigated the influence of various growth velocities on the microstructure, lamellar spacing, and mechanical properties of the Ni2.1 EHEA. We observed that at lower growth velocities, the structure consisted of an alternating face-centered-cubic (FCC) phase and B2 phase lamellae aligned in a single direction, with the lamellae orientation parallel to the direction of the heat flow. The yield strength increased with the growth rate, while the ultimate tensile strength decreased with increasing the growth velocity. Ductility remained relatively consistent, and a double yield phenomenon was observed in the elastic-plastic deformation region. Under conditions of high growth velocities, the microstructure transitioned from a single-directional full lamellar structure to a multi-stage lamellar arrangement. The most favorable comprehensive mechanical properties were achieved at a growth rate of 200 μm/s, resulting in a yield strength of 450 MPa, an ultimate tensile strength of 1092 MPa, and a remarkable ductility of ∼32% in the directionally solidified samples—double that of the arc-melted sample. The evolution law of directional solidification structures under the coupling effect of different magnetic fields and different growth rates was studied. The interaction of the thermoelectric-magnetic force and thermoelectric-magnetic convection and the potential mechanism of microstructure evolution under the effect of magnetic field were deeply analyzed. The results reveal that at a growth rate of 2 μm/s, the spacing between eutectic layers decreases as the magnetic induction intensity increases, leading to the transformation of some regular layers into spherical layers. Similarly, at a growth velocity of 10 μm/s, the eutectic structure exhibited a Columnar-to-equiaxed transition (CET). However, as the growth rate further increases, the limited exposure time to the magnetic field prevented significant structural changes.

Children's behaviour and childhood obesity.

Childhood obesity is amajor complex and multifaceted public health challenge with significant short- and long-term health consequences. It is also associated with asignificant reduction in quality of life and poorer mental health outcomes. In general, obesity occurs when energy intake exceeds energy expenditure. In children, however, the former can be interpreted as when achild has abody mass index (BMI) at or above the 95th percentile for children of the same age, sex, and ethnicity on growth charts. Obesity in children is influenced by acomplex interplay of genetic, environmental, socio-economic, and behavioural factors. The relationship between achild's behaviour and childhood obesity is multifaceted and influenced by various factors, including dietary habits, physical activity levels, sedentary behaviours, family dynamics, socio-economic status, and environmental factors. Effective strategies for preventing and managing childhood obesity require acomprehensive, multi-sectoral approach that addresses individual, family, community, and educational institutes. Thus, addressing childhood obesity requires acomprehensive approach that addresses not only biological and environmental factors but also behavioural factors that influence children's eating behaviours, physical activity levels, sleep patterns, and emotional well-being. Early intervention and ongoing support are crucial for promoting healthy growth and development and reducing the burden of childhood obesity on individuals, families, and societies. This review discusses factors that influence the child's behaviour and the relationship between the child's behaviour and childhood obesity.

Thermophysical properties and rapid solidification mechanism of liquid Zr&lt;sub&gt;60&lt;/sub&gt;Ni&lt;sub&gt;25&lt;/sub&gt;Al&lt;sub&gt;15&lt;/sub&gt; alloy under electrostatic levitation condition

In this study, the thermophysical properties and rapid solidification mechanism of highly undercooled liquid Zr&lt;sub&gt;60&lt;/sub&gt;Ni&lt;sub&gt;25&lt;/sub&gt;Al&lt;sub&gt;15&lt;/sub&gt; alloy are investigated through the electrostatic levitation technique. The maximum undercooling of this alloy reaches 316 K (0.25&lt;i&gt;T&lt;/i&gt;&lt;sub&gt;L&lt;/sub&gt;). Both density and surface tension display a linear relationship with temperature, while viscosity is related to temperature exponentially. When alloy undercooling is less than 259 K, two significant recalescence events are observed during solidification, corresponding to the formation of pseudobinary (Zr&lt;sub&gt;6&lt;/sub&gt;Al&lt;sub&gt;2&lt;/sub&gt;Ni + Zr&lt;sub&gt;5&lt;/sub&gt;Ni&lt;sub&gt;4&lt;/sub&gt;Al) eutectic and ternary (Zr&lt;sub&gt;6&lt;/sub&gt;Al&lt;sub&gt;2&lt;/sub&gt;Ni + Zr&lt;sub&gt;5&lt;/sub&gt;Ni&lt;sub&gt;4&lt;/sub&gt;Al + Zr&lt;sub&gt;2&lt;/sub&gt;Ni) eutectic. The growth velocity of the binary eutectic phase gradually increases with further undercooling and reaches a maximum undercooling value of 259 K. In contrast, once undercooling exceeds 259 K, a single recalescence event occurs, leading to the independent nucleation of all three compound phases from alloy melt and the rapid growth of a ternary anomalous eutectic structure. Notably, the growth velocity of the ternary eutectic phase exhibits a gradual decline with further undercooling. This diminishing trend of the growth velocity suggests that further undercooling might entirely suppress crystal growth dynamically at a threshold of 385 K. With classical nucleation theory and the Kolmogorov-Johnson-Mehl-Avrami (KJMA) model, the onsets of crystallization for the three phases are calculated, thereby constructing a time–temperature-transformation (TTT) diagram. This diagram elucidates the competitive nucleation among the three phases in the undercooled melt. Both theoretical and experimental evidence reveal that Zr&lt;sub&gt;6&lt;/sub&gt;Al&lt;sub&gt;2&lt;/sub&gt;Ni phase is primarily nucleated at lower undercooling levels, whereas under higher cooling condition, it is possible for all three phases to nucleate simultaneously.

Studying Microtubule Dynamics in Human Neurons: Two-Dimensional Microtubule Tracing and Kymographs in iPSC- and SH-SY5Y-Derived Neurons for Tau Research.

The study of microtubule (MT) dynamics is essential for the understanding of cellular transport, cell polarity, axon formation, and other neurodevelopmental mechanisms. All these processes rely on the constant transition between assembly and disassembly of tubulin polymers to/from MTs, known as dynamic instability. This process is well-regulated, among others, by phosphorylation of microtubule-associated proteins (MAP), including the Tau protein. Protein kinases, in particular the microtubule affinity regulating kinase (MARK), regulate the MT-Tau interaction, inducingTau dissociation by phosphorylation. Phosphorylated Tau dissociates from microtubules forming insoluble aggregates known as neurofibrillary tangles. These accumulations of hyperphosphorylated Tau in the neurons disrupt the physiological MT-based transport machinery within the cell and can potentially lead to the development of neurodegenerative disorders, such as Alzheimer's disease (AD) and related tauopathies. Further investigations on the MT cytoskeleton dynamics are essential as they may elucidate pathomechanisms of neurodegenerative diseases - particularly tauopathies - as well as fundamental neurodevelopmental processes.The study of thedynamic assembly and disassembly of the MT network requires live-cell imaging rather than conventional immunocytochemistry based on fixed samples. To investigate MT dynamics, we perform live-cell imaging of neurons transfected with a fluorescently tagged version of the microtubule plus-end tracking protein (+TIP) EB3. This protein associates with the growing ends of MTs and thus visualizes MT growth in real time. Our imaging analysis protocol allows the determination of quantity, orientation, and velocity of MT growth in the soma and neurites of transfected neurons,using ImageJ-based tracking software and kymographs. Furthermore, functional effects of Tau and MARK kinases on the MT cytoskeleton can be assessed by overexpression or downregulation experiments of the respective protein prior to the live imaging assay. We use two different human neuronal cell models, naive and differentiated SH-SY5Y neuroblastoma cells, and neurons derived from induced pluripotent stem cells (iPSCs), both of which have shown success as models to study Tau-related pathologies.This protocol describes an optimized method for analysis of microtubule dynamics using fluorescent tagged EB3 protein as microtubule plus end marker. In this chapter, we outline the process of neuronal transfection, live-cell imaging, and necessary time-lapse image analysis based on ImageJ in two human-derived neuronal systems, which are suitable for the analysis of Tau trafficking and sorting studies.

Risk Stratification of Foetuses based on Estimated Foetal Weight less than the 40th Percentile and Evaluation of Perinatal Outcomes using Third-trimester Obstetric Ultrasound: A Prospective Cohort Study

Introduction: Perinatal mortality and morbidities constitute a burden on society and healthcare system. One of the major identifiable causes of these conditions in India is Low Birth Weight (LBW) and preterm births. Small for Gestational Age (SGA) infants account for almost 46.9% of LBW infants. They are prone to the morbidities of preterm birth and are the second major contributor to perinatal mortality. Recent studies have reported that higher screening performance for SGA can be achieved through ultrasonographic foetal biometry and Doppler studies during the third trimester. Aim: To stratify foetuses with Estimated Foetal Weight (EFW) below the 40th centile, as determined by obstetric ultrasound, into three categories (low, intermediate, and high-risk), and study the perinatal outcomes in each category. Materials and Methods: The present prospective cohort study was conducted in the Department of Obstetrics and Gynaecology at Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India from November 2020 to April 2022. A total of 280 antenatal women, at a gestational period between 35 to 36+6 weeks with singleton pregnancies, were studied and based on the foetal biometry and Doppler parameters, women were classified into low (Group A), intermediate (Group B) and high risk (Group C) categories. Risk categorisation was based on EFW and Doppler indices. The low-risk group underwent an ultrasound Doppler scan after four weeks, the intermediate-risk group after two weeks, and the high-risk group was scanned weekly. The high-risk group was delivered at 39 weeks of gestation. Perinatal outcomes, neonatal weights, adverse neonatal outcomes {such as Neonatal Intensive Care Unit (NICU) admissions exceeding 48 hours}, stillbirths, and neonatal deaths were recorded. The Area under Curve (AUC) cut-off for EFW percentiles on ultrasonography was calculated as a predictor for SGA foetuses requiring NICU admissions. Concurrent admissions in the NICU of neonates delivered to unregistered pregnant mothers, who were not screened during the antenatal period, were also recorded. The Chi-square test was used to compare categorical data between groups. The receiver operating characteristic curve was used to determine the cut-off for foetal weight to predict NICU admission. A p-value of &lt;0.05 was considered statistically significant. Results: Among the study population, 231 (82.6%) were between 21-30 years of age, and 250 (88.87%) had a normal Body Mass Index (BMI) with a mean age of 25.78±3.90 years. On risk categorisation, 71 (25.1%), 82 (29%), and 127 (45.9%) women were in the high, intermediate, and low-risk categories, respectively. All the neonates in the high-risk group were classified as SGA according to the INTERGROWTH 21st growth chart. Among the neonates, 18 (6.4%) weighed below 2100 g, 35 (12.4%) weighed between 2101 to 2200 g, 62 (22.3%) weighed between 2201 to 2400 g, and 165 (59%) weighed above 2401 g. NICU admissions occurred in 25 (35.2%), 10 (12%), and 5 (3.8%) neonates in the high, intermediate, and low-risk groups, respectively (p-value &lt; 0.001). At a cut-off of EFW (g) less than or equal to 2122 g (between the 10th and 20th centile) during the first ultrasound, it predicted SGA neonates requiring NICU admissions with a sensitivity of 80% and a specificity of 70%. No stillbirths or neonatal mortality occurred in the study group. Conclusion: A single third-trimester obstetric ultrasound, along with Doppler measurements, should be performed at 35 to 36 weeks as an important adjunct for identifying and stratifying the risk of singleton foetuses. Close monitoring and timely delivery can help reduce adverse perinatal outcomes in SGA foetuses.

Facial growth and development trajectories based on three-dimensional images: geometric morphometrics with a deformation perspective.

Developmental changes of facial shape are commonly investigated through geometric morphometrics. A limitation with this approach is the inability to investigate patterns of morphological changes at local scale. This could be addressed through quantifying the deformation required to deform one shape to another. This study aimed to investigate changes in mean, rate and variance of facial shape at local scale using geometric morphometrics through deformation perspective. A total of 2112 Europeans 3 to 40 years old from the three-dimensional Facial Norms project were included. Shape and rate trajectories from partial least-squares regressions revealed that the developmentally protrusive nasal bridge was due to local expansion in surrounding tissues as opposed to shape changes in nasal bridge per se. Local expansion of the supraorbital region, in particular the medial part in males, resulted in the sloping forehead and deep-situated eyes with development. Facial shape variation increased nonlinearly with age (p < 0.05), with features having larger rate of change becoming more developmentally diversified. In summary, our deformation perspective facilitates unravelling morphogenetic processes underlying shape changes. Our extended analytical scope inspires novel measures worthy of consideration while establishing facial growth charts. The analytical framework in this study is broadly applicable for analysis of shape changes in general.

Current Practices in Growth Chart Utilization among Healthcare Practitioners in Saudi Arabia: A Cross‐Sectional Study

Current Practices in Growth Chart Utilization among Healthcare Practitioners in Saudi Arabia: A Cross‐Sectional Study

Growth charts of Brazilian youngs: 20-years data of 95,000 children and adolescents from "Projeto Esporte Brasil".

This article aims to present growth curves for height, weight, and BMI of 95,000 Brazilian youths aged 6 to 17 years, including the five regions of the country, the Amazon region, and indigenous populations, and compare them with the World Health Organization (WHO) growth references. The final sample consisted of 52,729 boys and 42,731 girls from the "Projeto Esporte Brasil" database. Body mass and height information were used to derive the curves. The generalized additive model for location, scale, and shape was employed. In this study, we present smoothed weight-for-age, height-for-age, and BMI-for-age curves for boys and girls. Differences were observed between the results of the Brazilian curves and the WHO growth references. The developed curves will be valuable for professionals in medicine, public health, nutrition, physical education, and other related fields, regarding the assessment of physical growth in Brazilian children and adolescents and monitoring the nutritional status of this population. Additionally, these curves will facilitate the identification of individuals or subgroups at risk of diseases and delayed growth, with a greater focus on specific country-related factors.

Evolving growth hormone deficiency: proof of concept.

We present the evolution of GHD in adolescent males with persistent growth failure, in whom the diagnosis was established after a second GH stimulation test (GST). We performed a retrospective chart review of children who presented for short stature (height less < 2SD for mean/mid-parental height) and/or growth failure (sustained growth velocity < 0 SD) to pediatric endocrinology at Mount Sinai Kravis Children's Hospital, New York and who had 2 GSTs. Data collected from electronic medical records were analyzed using SPSS v28.0. Of 53 patients included, 42 were males. Average GH peak on initial GST was 15.48 ± 4.92 ng/ml, at 10.07 ± 2.65 years, mean height -1.68 ± 0.56SD(28% had <2SD), IGF-1 -1.00 ± 0.88SD. After 2.23 ± 1.22 years, at 12.04 ± 2.41years, height SDs decreased to -1.82 ± 0.63SD and IGF-1 was -1.08 ± 0.84SD. At repeat GST, average GH peak was 7.59 ± 2.12 ng/dL, with 36% ≤7 ng/dl and 32% in puberty. 12 males reached adult height of 0.08 ± 0.69 SD with a mean height gain of 1.83 ± 0.56SD(p<0.005), IGF-1 of -1.15 ± 0.81SD after 4.64 ± 1.4 years of GH. We offer evidence for Evolving Growth Hormone Deficiency (EGHD) through repeat GST in children with persistent growth slowdown, even with pubertal progression; emphasizing the need for careful longitudinal follow-up to make accurate diagnosis.

Head circumferences measured during developmental monitoring visits before diagnosis of childhood-onset craniopharyngioma.

Craniopharyngiomas (CP) are histologically benign (WHO grade 1), embryonal malformations which are related to remnants of the Rathke's pouch and are located in the (peri)sellar region. Already before CP diagnosis, many patients show a reduced growth velocity and tend to present with weight gain. However, it is unknown whether patients with CP develop an increased head circumference (HC) before CP diagnosis, which could be a useful early diagnostic indicator. For a cohort of 83 patients recruited in the multicenter studies KRANIOPHARYNGEOM 2000 and HIT-ENDO data on HC could be analyzed, based on medical records assessed in developmental monitoring visits performed at defined time points before CP diagnosis. When comparing HC standard deviation scores (SDS) before CP diagnosis in 83 patients at defined time points between birth and 4 years of age, all HC were in the upper normal range. However, CP patients diagnosed at an age ≤4 years with initial hypothalamic involvement presented with a tendency towards an increased HC SDS early before CP diagnosis at routine medical examinations during the first 7 months of life. We conclude that monitoring of growth and weight development including HC can lead to early CP diagnosis and treatment. This might prevent higher grades of hypothalamic involvement and lead to an improvement of quality of life after CP. Further studies on the specific value of HC as a diagnostic marker are warranted.

Phase-field modeling and Experimental investigation for rapid solidification in wire and arc additive manufacturing

The rapid solidification speed and significant temperature gradient observed in the wire and arc additive manufacturing (WAAM) process result in a deviation of the solid-liquid interface from the equilibrium state assumed by the conventional directional solidification phase field (PF) model. This, in turn, limits the ability of the traditional directional solidification PF model to accurately depict the microstructure evolution in additive manufacturing, where non-equilibrium effects dominate. In this work, we employed a 3D finite element (FE) model to simulate the temperature distribution during the wire and arc additive manufacturing (WAAM) process. Additionally, a modified PF model that applies to additive manufacturing is also used to simulate the dendrite morphology and solute segregation behavior in the WAAM process at different scanning speeds. Experimental validation of the simulation results was also conducted. We observed a significant reduction in dendrite growth velocity and solute segregation with increasing scanning speed, attributable to the combined effects of the temperature gradient G(t) and solidification speed Vp. Furthermore, higher scanning speeds were found to increase the primary dendrite arm spacing (PDAS) and average dendrite width. Importantly, our results demonstrated a quantitative agreement between the simulation results using the modified directional solidification PF model and the experimental observations. This approach provides a foundation for selecting and predicting processing parameters and microstructural characteristics under additive manufacturing conditions, facilitating a comprehensive analysis of dendrite growth and solute segregation at different scanning speeds in the WAAM process.

Turing patterns on rotating spiral growing domains.

We investigate the emergence of Turing patterns in a system growing as a rotating spiral in two dimensions, utilizing the photosensitivity of the chlorine dioxide-iodine-malonic acid (CDIMA) reaction to control the growth process. We observe the formation of single and multiple (double and triple) stationary spiral patterns as well as transitional patterns. From numerical simulations of the Lengyel-Epstein model with an additional term to account for the effects of illumination on the reaction, we analyze the relationship between the final morphologies and the radial and angular growth velocities, identify conditions conducive to the formation of transitional structures, examine the importance of the size of the initial nucleation site in determining the spiral's multiplicity, and evaluate the stability and robustness of these Turing patterns. Our results indicate how inclusion of rotational degrees of freedom in the growth process may lead to the formation of a diverse new class of patterns in chemical and biological systems.

Perkembangan Anak Pra Sekolah di Tinjau dari Status Gizi

Background: The prevalence of developmental delays in children is 12-16% in America and 13-18% in Indonesia. The ability to attend school is low and the economy is limited in adulthood. A 20% income deficit in adulthood because of loss of potential development. Nutritional status is one of the factors in child development but this is still pros and cons. Objective: To analyze nutritional status with child development. Method: The design used is Cross-sectional. The Study was conducted From September - November 2019.Total Population was 200 children. The research sample was all children attending PAUD in Srijaya Village, Alang-alang Lebar District in 2019 who fulfilled the inclusion and exclusion criteria. TB and BB were measured to assess children's nutritional status and then assessed by the WHO Growth Chart. Child development using KPSP. Bivariate data analysis with Chi-Square. Results: 16.7% obese, 83.3% good nutritional status. Doubtful child development is 36.7%, and appropriate child development is 63.3%. nutritional status was not related to child development (p=0.47). The RP results show that children with good nutritional status have a 10.826x chance that their development is appropriate compared to obese children. Conclusion: Nutritional status is not related to child development. Suggestion: Parents to provide democratic parenting, stimulate and good nutrition to children. Health Workers to routine carry out early detection of the development of toddlers.

Need Assessment for the Development of e-Rapor Sehatku as an Adolescents Health Screening Application

Adolescents are one of the strategic targets for the implementation of health programs. Networking health in adolescents must be fulfilled as the right same health for all Indonesian children. One tool used for screening health is the book Rapor Kesehatanku. This book must own and filled by all students at school. This research aims to analyze the extent to which it is necessary to digitize my health reports to make them more effective and efficient. This research type is a descriptive qualitative study. Study this involving two informants selected key purposively, five informants main and two informants selected supporters with technique snow-ball. Research data was taken with the method of interview depth and FGD. Data analysis was carried out using the content analysis method. From the results, the study can conclude that there must be an E-Rapor Kesehatanku with features including nutritional status checks, growth charts, compliance with TTD consumption, mental health, PTM risk detection, discussion forums, my health e-report reporting, notifications, multiple users (TPG, teachers, students, parents and Health Office) and many educational features contains a short video about adolescent health.