NEUROBEHAVIORAL TEST STRATEGIES FOR ENVIRONMENTAL EXPOSURES IN PEDIATRIC POPULATIONS

被引:25
作者
KRASNEGOR, NA
OTTO, DA
BERNSTEIN, JH
BURKE, R
CHAPPELL, W
ECKERMAN, DA
NEEDLEMAN, HL
OAKLEY, G
ROGAN, W
TERRACCIANO, G
HUTCHINSON, L
机构
[1] NICHHD, 9000 ROCKVILLE PIKE, BETHESDA, MD 20892 USA
[2] US EPA, RES TRIANGLE PK, NC 27599 USA
[3] CHILDRENS HOSP, BOSTON, MA 02115 USA
[4] US COAST GUARD ACAD, NEW LONDON, CT 06320 USA
[5] UNIV COLORADO, DENVER, CO 80217 USA
[6] UNIV N CAROLINA, CHAPEL HILL, NC 27599 USA
[7] UNIV PITTSBURGH, PITTSBURGH, PA 15213 USA
[8] NIEHS, RES TRIANGLE PK, NC 27709 USA
[9] AGCY TOX SUBST & DIS REGISTRY, ATLANTA, GA 30333 USA
[10] NATL CTR ENVIRONM HLTH & INJURY CONTROL, ATLANTA, GA 30333 USA
关键词
PEDIATRIC RESEARCH; BEHAVIORAL TESTING; ENVIRONMENTAL TOXICOLOGY; NEUROTERATOLOGY; ATSDR;
D O I
10.1016/0892-0362(94)90129-5
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The Agency for Toxic Substances and Disease Registry convened a workshop in Atlanta, GA, that evaluated approaches and methods to ascertain whether there are neurobehavioral sequelae to children and adults exposed to hazardous substances in the environment. This article, developed from that workshop, addresses the feasibility of employing extant neurobehavioral tests to screen pediatric populations. A matrix lists basic functions to be assessed during eight developmental periods ranging from birth to high school. The best of these neurobehavioral tests for pediatric populations and the types of assessment tools that are still needed are discussed. We make 10 specific recommendations to establish a hazardous substances neurobehavioral screen for pediatric populations, including appointing a review panel, developing a structured questionnaire, convening a conference on design and analysis, addressing minority and socially disadvantaged populations, coordinating adult and child assessment methods, information sharing among Federal agencies, baseline data, methodology research, research associated with hazardous worksites, and establishment of a pediatric databank.
引用
收藏
页码:499 / 509
页数:11
相关论文
共 40 条
[1]   COMPARISON OF PERFORMANCE FROM 3 CONTINENTS ON THE WHO-RECOMMENDED NEUROBEHAVIORAL CORE TEST BATTERY [J].
ANGER, WK ;
CASSITTO, MG ;
LIANG, YX ;
AMADOR, R ;
HOOISMA, J ;
CHRISLIP, DW ;
MERGLER, D ;
KEIFER, M ;
HORTNAGL, J ;
FOURNIER, L ;
DUDEK, B ;
ZSOGON, E .
ENVIRONMENTAL RESEARCH, 1993, 62 (01) :125-147
[2]  
[Anonymous], 1988, NATURE EXTENT LEAD P
[3]  
ARCIA E, IN PRESS J SCH PSYCH
[4]  
BAKER EL, 1985, NEUROBEH TOXICOL TER, V7, P369
[5]  
BEAUMONT JG, 1990, BEHAVIORAL MEASURES, P86
[6]   LONGITUDINAL ANALYSES OF PRENATAL AND POSTNATAL LEAD-EXPOSURE AND EARLY COGNITIVE-DEVELOPMENT [J].
BELLINGER, D ;
LEVITON, A ;
WATERNAUX, C ;
NEEDLEMAN, H ;
RABINOWITZ, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (17) :1037-1043
[7]  
BERNSTEIN JH, 1990, NEUROMETHODS, V17
[8]  
BERNSTEIN JH, IN PRESS ENV HLTH PE
[9]  
BORNSTEIN MH, 1987, STABILITY CONTINUITY
[10]  
Bradley R H, 1988, Pediatr Nurs, V14, P97