Home' Trinidad and Tobago Guardian : May 29th 2013 Contents B6
Guardian www.guardian.co.tt Wednesday, May 29, 2013
THE JUDICIARY OF TRINIDAD AND TOBAGO
Return of Applications for Licensing Committee's Certificate for New Licence in the St. Patrick East,
Siparia/Erin Licensing Area under the provisions of the Liquor Licensing Act Chapter 84:10 to be considered
at the Licensing Session to be held at the Siparia Magistrate's Court on Wednesday 5th June 2013 at 9
o'clock in the forenoon.
Dated this 16th day of May, 2013 at the Siparia Magistrate's Court.
/s/ R. Baney
Secretary Licensing Committee
Doctors should regularly screen babies and
young children for delays in motor-skill develop-
ment---including trouble sitting, standing and
speaking---at well-child visits, paediatricians said
In a clinical report, an American Academy of
Pediatrics (AAP) panel said diagnosing and treating
those problems early on may ultimately improve
kids outlook and help families gain additional sup-
"Identifying children with delays and motor
abnormalities, theoretically or hopefully would set
them on a better trajectory," said Meghann Lloyd,
who studies motor development at the University
of Ontario Institute of Technology in Oshawa, Cana-
da.Lloyd, who was not involved in the new report,
called it "a really big step forward for the field."
Dr Garey Noritz and colleagues on the AAP s
neuromotor screening expert panel lay out the skills
that a child should have developed by office visits
at ages nine, 18, 30 and 48 months.
For example, a nine-month-old baby should be
able to roll to both sides, sit well without support
and grasp objects. At 18 months, that child should
be able to walk, sit and stand on its own.
Pediatricians should also ask parents open-ended
questions about their child s development and watch
the child play for signs of delays or loss of motor
skills at well-child visits, the panel said.
On a general exam, it recommended that doctors
measure head size and look at children s muscle
tone, reflexes and eye movements.
The US Preventive Services Task Force, a gov-
ernment-backed expert panel, said in 2006 there
wasn t enough evidence to recommend for or against
screening instruments designed to detect speech
and language delays in young kids. The task force
does not have screening recommendations for motor
delays in general.
"The AAP... recognised that we as a profession
weren t necessarily doing a good job screening for
motor problems," said Noritz, from Nationwide
Children s Hospital in Columbus.
Cerebral palsy and muscular dystrophy are two
of the most common motor-related diseases and
could both be picked up and treated earlier than
they typically are now, according to Noritz.
He said families often refer to the "diagnostic
odyssey" involved in getting a definitive diagnosis
for a sick child.
"We re hoping that people can get to a specialist
more quickly and thus get diagnosed more quickly,
but that primary care clinicians at the same time
as they re looking for a diagnosis, will refer (kids)
to therapy," he said.
There is normal variation in how kids develop,
Lloyd said---so if a child is a couple of months late
to walk, for example, parents shouldn t be overly
But longer delays, or combinations of multiple
motor problems, are a good reason for a visit to the
paediatrician, she said.
"Other types of movements that don t seem right,
like a tremor or a rigidity or some sort of repetitive
motor movement would be another red flag for
me," Lloyd added.
Typical motor delays that aren t a result of more
serious underlying conditions are treated with phys-
ical or occupational therapy.
Parents can bring their children to an early move-
ment programme to promote development of motor
skills, Lloyd said, regardless of other treatments and
whether or not they are delayed.
Having poor motor skills in general "sets you on
a trajectory for low levels of physical activity, which
of course is related to obesity," she said.
"The prevention of these delays or the promotion
of motor ability can actually impact your health for
your lifespan." (Reuters)
Paediatricians: Check children for motor delays
There is normal variation in how kids develop---so if a child is a couple of months late to walk, for example,
parents shouldn't be overly concerned.
and watch the
child play for
signs of delays
or loss of
motor skills at
the panel said.
On a general
size and look at
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