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Screening of Neurodevelopmental Delays in Four Communities of Mexico and Cuba

机译:墨西哥和古巴四个社区神经发育迟缓的筛查

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Objective: Nursing personnel applied a computerized evaluation instrument, Neuropediatric Development (NPED), and compared the prevalence of deviations from normal neurodevelopment in four communities of two Latin American countries, Mexico and Cuba. At the same time the feasibility of introducing this tool into Mexican local health centers was assessed. Design and Sample: The NPED screening tool was applied to 400 children 1-60 months old from two suburban and one urban communities of Mexico and one urban community of Cuba. Measures: The NPED instrument was developed at the Neurosciences Centre of Cuba (Santos, & Pérez-ábalo, 2011; Santos, Pérez-Abalo, & álvarez, 2007), and explores three neurodevelopmental areas: language/communication, psychomotor, and sensory maturation (hearing/vision). Results: Global (21.5%), language (16.5%), psychomotor (5.8%), and sensory (vision/audition; 2.3%/7%) failures were observed. Among Mexican communities, apart from the hearing test in which the urban community showed a significantly higher percentage of failures (p < .001), there were no other significant differences. When compared, the Cuban community showed a significantly higher proportion of audition failures in relation to the Mexican communities. Conclusions: The prevalence of deviations from normal neurodevelopment was highly similar between both countries, and the NPED system fulfils the necessary requisites for mass screening to be applied by nursing staff at a primary care level.
机译:目的:护理人员使用计算机化评估工具神经儿科发展(NPED),并比较两个拉丁美洲国家(墨西哥和古巴)的四个社区与正常神经发育偏离的患病率。同时,评估了将该工具引入墨西哥当地卫生中心的可行性。设计和样本:NPED筛查工具应用于来自墨西哥的两个郊区和一个城市社区以及古巴的一个城市社区的400名1-60个月的儿童。措施:NPED仪器是在古巴神经科学中心开发的(Santos和Pérez-ábalo,2011年; Santos,Pérez-Abalo和álvarez,2007年),并探索了三个神经发育领域:语言/交流,心理运动和感觉成熟。 (听力/视觉)。结果:观察到整体(21.5%),语言(16.5%),精神运动(5.8%)和感觉(视觉/听觉; 2.3%/ 7%)失败。在墨西哥社区中,除了听力测试显示城市社区的失效率百分比明显较高(p <.001)外,没有其他显着差异。比较起来,古巴社区的试听失败比例比墨西哥社区高得多。结论:两国正常神经发育偏离的患病率非常相似,并且NPED系统满足了由初级护理水平的护理人员进行大规模筛查的必要条件。

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