Problemy medycyny wieku rozwojowego最新文献_第10页

[Selected problems in the rehabilitation of young children with severe hearing loss]. [幼儿重度听力损失康复的选择问题]。

Problemy medycyny wieku rozwojowego Pub Date : 1983-01-01

L Sobieszczańska-Radoszewska, H Siedlecka, D Emiluta-Rozya, M Zalewska

引用次数: 0

[Surgical treatment of epispadias]. [上膈肌的外科治疗]。

Problemy medycyny wieku rozwojowego Pub Date : 1983-01-01

A Bielowicz-Hilgier

{"title":"[Surgical treatment of epispadias].","authors":"A Bielowicz-Hilgier","doi":"","DOIUrl":"","url":null,"abstract":"The anatomy and pathophysiology of epispadic urethra and bladder is presented. The operative procedures used for correction of the genital deformity and coexisting incontinence are described. The controversial points concerning the staging of procedures, the choice of optimal time and technic is discussed, with the results reported in recent series. In the Surgical Clinic of the Institute of Mother and Child 15 children with epispadias were treated during 1969-1979. There were 12 males and 3 females. 13 children had complete peno -pubic epispadias, with prolapse of bladder mucosa in two of them. Thery were totally incontinent. Amongst two boys with partial penile deformity 1 had bladder control. IVP showed no abnormalities, excluding solitary kidney in one boy. Cystography revealed wide bladder neck and short urethra with dilation of its posterior part; transient vesico-ureteral reflux was observed in 2 patients. Two children with prolapsing bladder mucosa were operated on when 6 and 14 months old. The age of remaining 13 children at the time of surgery was: between 3,5 and 6 years in 7, 6-9 years in four, the oldest two were 10 and 12. The Cantwell -Young reconstruction of the urethera was usually performed, with mobilizing of corpora cavernosa. In 5 children it was combined with wedge resection of anterior bladder neck and in 4 with infra-pubic wedge excision of dilated anterior urethera and Mayo plasty of external sphincter. The Young- Dees operation was performed twice, as a secondary procedure for treatment of total incontinence. During follow up the gradual improvement of bladder control was observed. Continence was achieved in 5, including 2 children after Young- Dees plasty. 3 children have stress incontinence, another 3 are dry at night and at rest, but wet during normal activities, 1 is totally incontinent.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76348,"journal":{"name":"Problemy medycyny wieku rozwojowego","volume":"12 ","pages":"273-81"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Early complex rehabilitation of children with cerebral palsy]. [脑瘫儿童早期复杂康复]。

Problemy medycyny wieku rozwojowego Pub Date : 1983-01-01

J Czochańska, I Kornatowska, B Langner-Mroczek, D Lojszczyk, J Onyszkiewicz, W Sierpińska, T Zardecka

{"title":"[Early complex rehabilitation of children with cerebral palsy].","authors":"J Czochańska, I Kornatowska, B Langner-Mroczek, D Lojszczyk, J Onyszkiewicz, W Sierpińska, T Zardecka","doi":"","DOIUrl":"","url":null,"abstract":"The aim of a study was to evaluate health, psychological and social problems related to rehabilitation of cerebral palsy children (c.p. children). The study was based on 30 children c.p. who after diagnosis underwent systematic complex rehabilitation. Half of the children was under observation in outpatient clinics and their parents played the role of physiotherapeutists another half of the children apart from ambulatory kind of rehabilitation was hospitalized periodically in rehabilitation centres. Each half year all the children underwent control examinations of physical and motor development (including evaluation of postural and righting reflexes) as well as of psycho-motor development. Environmental conditions, parental attitudes towards examined children taking into consideration their evolution were also evaluated. The therapeutic team consisting of a paediatrician, neurologist, psychologist, physiotheraupeutist and psychiatrist took advantage of these examinations in psychotherapy of parents. Observation period of children was from 1:6 to 3 years. Age when rehabilitation was initiated was below 20 months of life. It was observed that result are influenced mainly by the degree of neurological disorders not by the conditions of rehabilitation. There are differences with regard to motor efficiency between rehabilitation at home and in rehabilitation center. Treatment at home has a better effect upon psychomotor development of children with more serious developmental disorders. Infections of upper respiratory tract are more rare in this group of children. There are two reasons why children in preschool age should be recommended for sanatorium treatment: medical indication e.g. operation and social indications.","PeriodicalId":76348,"journal":{"name":"Problemy medycyny wieku rozwojowego","volume":"12 ","pages":"227-43"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17731511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Genetic counseling and prenatal diagnosis in families with neural tube defects]. 神经管缺陷家庭的遗传咨询和产前诊断。

Problemy medycyny wieku rozwojowego Pub Date : 1983-01-01

K Mikiel-Kostyra

{"title":"[Genetic counseling and prenatal diagnosis in families with neural tube defects].","authors":"K Mikiel-Kostyra","doi":"","DOIUrl":"","url":null,"abstract":"An analysis of 141 families with children with neural-tube defects was performed. The families were consulted in the Department of Genetics, the Institute of Mother and in Child the period between 17.01.1978 and 29.02.1980. The family histories were obtained from the parents. The diagnosis was established on the basis of autopsy data and/or medical records. In cases of multiple congenital malformations coexisting with a neural-tube defect the precise diagnosis of the syndrome was established after a thorough search of the medical literature. Analysis of the material, showed that in 10 families (6,5%) neural-tube defect was associated with other malformations. There were 5 cases of sporadic syndromes (cloacal extrophy-2, aberrant tissue bands-2, sacrococageal teratoma-1), 3 families with Meckel's syndrome and 2 cases in which the nature of the syndrome was not determined. In 131 families the neural-tube defect was isolated and multifactorial inheritance was assumed (table VII). 113 families were given information about the cause of malformation, risk of recurrence, possibility of prenatal diagnosis and indications for amniocentesis (estimation of alpha-foetoprotein in amniotic fluid). After receiving genetic counseling and being fully informed about prenatal diagnosis the parents were asked about their procreative plans and their attitude to amniocentesis. Out of these families 74,3% planned next pregnancy (table IX), 57,6% wanted to have prenatal diagnosis (table VI). 131 family histories (probands with isolated neural-tube defect) were reviewed to determine recurrence risk for relatives. The recurrence risk for sibs was found to be: 4,9% (table III) and was higher than the expected risk (3,4%) from the population incidence of neural-tube defects in Poland (1, 15/1000 births including stillbirths). The recurrence risk for second and third degree relatives was found to be 0,1% (table IV) and 0,3% (table V) respectively.","PeriodicalId":76348,"journal":{"name":"Problemy medycyny wieku rozwojowego","volume":"12 ","pages":"244-62"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17731512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Role of chemotherapy in the treatment of Wilms' tumor in children]. 【化疗在儿童Wilms肿瘤治疗中的作用】。