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Published by: irene_lumbo on Dec 15, 2010
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The Metro-Manila Developmental Screening Test: a normative study.

Williams PD.

This study aimed to establish Metro-Manila (Philippines) norms for the Denver Developmental Screening Test and to determine the characteristics of children whose scores are normal and those whose scores are abnormal or questionable on the test. The subjects were 6,006 children from 4,846 households of Metro-Manila. Probit analysis established the ages at which 25%, 50%, 75%, and 90% of the sample passed each of the 105 test items. Discriminant analysis showed four clusters of factors that were significantly associated with children's performance. These were a substitute-care-giver variable cluster, a mother variable cluster, a child-situational variable cluster, and an age variable cluster.

MMDST- is a screening test, not and IQ test -sought to establish baseline information on the developmental characteristics of Filipino children -determines what babies and children can do at certain ages

Sectors involved: -first the personal social (the ability to socialize) -fine-motor adaptive (the ability to use his hands to pick up objects and draw) - language (the ability to hear and to follow directions) and lastly the gross motor (the ability to jump, walk and sit).

Objectives -To screen it the developmental milestone of the child is appropriately developed for his/her age.

-To know the capability of the child at his/her age -To know how the personal-social, fine motor adaptive, language and gross motor develops.

Ratings: a.) P- pass b.) F- failure c.) R- refusal d.) N.O.- no opportunity Materials 1. Cubes 2. Cheese Curls 3. Cheese Curls and bottles 4. Bell 5. Ball Child s Profile Name: Jasmin Joy Alavar Date of Birth: January 21, 2004 Date of Test: February 28, 2008


(Year) 2008 2004

(Month) 02 01

(Day) 28 21

__________________________ 04 01 07

Age: 4 years, 1 month and 7 days Mother: Alicia Alavar Father: Silverio Alavar FINE MOTOR ADAPTIVE
Draws 3 parts R The child refused in drawing a picture of boy or a girl with only 3 parts Picks Longer line P The child was able to pick the longer line having 3 out of 3 trials

Balance on one foot in ten seconds P The child was able to stand on either foot in 10 seconds for 3 trials Hops in 1 foot P The child was able to hop in 1 foot in a place without holding to anything Walk heel to toe P The child was able to walk heel to toe in straight line for more than 4 steps placing toe 1 inch or less in back of her heel having 2 out of 3 trials.

Opposite Analogies P The child gave appropriate opposite

word having 3 out of 3 analogies Comprehensive (cold, tired, hungry) Comprehensive 3 prepositions P P The child was able to give a logical answer for 3 out of 3 questions The child was able to follow 3 directions correctly

Recommendation Student nurses: -nurses must be prepared -nurses must be well equipped with knowledge

School -fair in going to Tibungco should be part of tuition fee -scheduled time should be strictly follow

Family -gain knowledge for child development

Community -improve cleanliness in community -inform about things regarding child development

Conclusion The child: - was not able to pass all screen test - was behaved, cooperative - overcome shyness, felt comfortable

- developmental milestone was partially achieve

Student Nurses: -no difficulty in conducting the test


Generic name: Carbocisteine Brand name: Solmux Classification: Mucolytic Suggested Dose: Adults 2 caps or15 ml 5% syrup With improvement---- 10 ml 5% syrup 3 times a day Children between 2 to 5 years old 2.5 -5 ml 2.5% syrup Children from 5 to 12 years old 10 ml 25% syrup 4 times a day

Mode of Action - acts by altering the structure of mucus

- decrease mucus viscosity - facilitates mucus removal by ciliary action or expectorant Indications -disease of respiratory system - inflammatory diseases of middle ear and sinusal nose Contraindications -Hypersensitivity -Ulcerated stomach -kidney problems -acute lometulonefrit -anesthetic -pregnancy -breastfeeding Drug interactions -drug-drug interactions such as -cephalosporins -oral hypoglycemics -anti-fungals -metronidazole

Side effects -Nausea

-vomiting -pain in epigastria -diarrhea -jeluden-kisherne bleeding -allergic reactions( skin rashes, swelling angioneuroticeski kwinke)

Adverse effects -digestive intolerance -gastric discomfort -nausea -diarrhea -skin rash due to presence of methyl hydroxybenzeate

Nursing Responsibilities -used cautiously in patient with peptic ulceration history -diabetic patient take consideration to quantity of sucrose in the product

Recommendation -help each member in doing correctly the activities -the group should act as a whole -student nurse should be ready and active to avoid mistakes

-fellow students next year should continue the study for better improvement -each member and community should participate and contribute something

Conclusion -poverty is still widespread -family coping index is on average level -IDB- helpful in finding appropriate family background information

Acknowledgement Thank you to: -D3 group -Alavar family -Fortuno family -Asis family -conductor/ driver -parents -Tibungco community -God

References: http://en.wikipedia.org/wiki/Carbocisteine http://medguides.medicines.org.uk/document.aspx?name=Carbocisteine

http://carbocisteine.livejournal.com/profile http://en.wikipedia.org/wiki/Cleaning http://en.wikipedia.org/wiki/Public_health

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