Problemy medycyny wieku rozwojowego最新文献

100 cases of urolithiasis in children treated in Pediatric Clinic of National Research Institute of Mother and Child in the period of 1976-1979 were analized . In 93 children the cause of urolithiasis was established. The most of them (31%) are cases of infection induced urinary stones. Among other reasons of urolithiasis the most common are: metabolic reasons in 26%, probably metabolic reasons in 13%, idiopathic oxalic lithiasis in 17% and others in 6%. At the moment of urolithiasis diagnosis in 94 children bacteriological investigations were done. In 54 cases, i.e. 57,4% infections of the urinary tract were found. 57,8% of boys and 62,2% of girls had urinary tract infections. The most frequent bacteria was urease producting Proteus sp. During 3 years of observation urinary tract infections in 67 children were found. Among bacteria causing the reinfections the most frequent were: Pseudomonas aeruginosa (25,4%), Klebsiella sp. (22,4%), Proteus sp. (19,9%) and E. coli (15%). In 9 cases the bacteriological analysis of removed stones were done. In 2 cases bacteria causing the infection were isolated from the stones, since they were not present in urine any more.

473 women 38-71 years old were examined. 55 women with physiologic biocenosis of the vagina were included into control group. In remaining (418) there were detected: erosions, cancers of the cervix, hyperplasias and cancers of the endometrium of the uterine body, inflammations, leukoplakia and cancers of the vulva. Microbiological examinations consisted if indirect examinations of vaginal content and of artificial cultures on different media. Disturbances in vaginal biocenosis was diagnosed in the greater part of examined women. There were concluded that in praeneoplasie disease and in neoplasms of female genital organ inflammatory process has been. The authors suggests about necessity of prophylaxis of inflammations by microbiological examinations and treatment of women with the threat of female genital organ neoplasms.

The tables and centile charts of height, weight and thickness of 3 skinfolds of Warsaw children from birth up to the age of 18 are presented. The data was collected in the years 1976-80. The results were compared with the data of the 60s for Warsaw children and with present figures for urban children from other towns of Poland. The acceleration of growth of Warsaw children has been established and it was stated that they were the tallest of all Polish children.

The authors describe the results of longitudinal complex investigations carried out in the years 1976-80 for estimating the psychomotor development, somatic development and health status of 370 children aged 12-36 month in Warsaw's cr eches . The level of psychomotor development exept language was good in children under study and depended on the psycho-educational level of personnel. The analysis of anthropological traits showed the higher value of children under study as compared with standard values (secular trend). High morbidity were also found in children from cr eches .

The aim of the study was the investigation of symptoms and origin of the disturbances in personality development of adolescents. The group of 50 patients (22 girls and 28 boys aged from 14 to 20 years) of the Young People's Unit and Outpatient Clinic of the Department of Child and Youth Psychiatry of the Institute of Mother and Child in Warsaw were examined. The study consists of the psychiatric, psychological and sociological types of investigation. The following methods were used in the study: the standard methods of the clinical investigation, Wechsler-Bellevue Intelligence Scale, R. B. Cattell, M. Choynowski and M. Nowakowska 's 16 PF; A. Roe and M. Siegelman 's "My Father" and "My Mother" questionnaires; E. S. Schaefer and R. Q. Bell's Parental Attitude Research Instrument and E. Kobia łka's Family Environmental Questionnaire. The control group was formed in the method of pairs and was investigated in the same way as patients. After the detailed analysis of the data, the final conclusions were formed. They are as follows: In the clinical picture of disturbances of the development of patients personality, the conduct disorders prevailed. The suicidal and parasuicidal behaviour occurred in 1/3 of the patients. Also the depressive and other neurotic symptoms took place. The intelligence level was average and dull normal. The following personality features were established: emotional instability, guilt proness , low self- sentiment , high ergic tension (both sexes); protension ( suspection jealous ), shrewdness (girls) and threat sensitive (boys). Patients attitudes toward both parents were disturbed and unfavourable for normal personality development. The declared mothers attitudes toward patients were also unfavourable for development of mature personality. The general family environment (also living standard) was significantly worse in the criterion group. It should be stressed in conclusion, that the results of the study showed among others that the disturbed family hinder the development of adjustment mechanisms, mainly of the adjustment to the small group, which are essential for the normal personality functioning.

During the period of 1950-1980, 108 case of ovarian tumors in infants and girls were treated in the Institute of Gynecology and Obstetrics, Medical Academy in Lódź. Among them there in 64 girls the neoplasmatic tumors were observed. The most frequent were germinal tumors (57,8%), the second place in frequency-epithelial tumors (35,9%). Of the 64 patients under study there were (6,3%) cases of gonadal tumors. The symptoms of the disease were often secrete. 11 of young females with malignant tumors that died within a year and 6 of them were diagnosed as carcinoma embryonale . Proper diagnosis of ovarian tumor should be based on the macroscopic estimation what is possible to perform during the laparoscopy or laparotomy. In neoplasmatic tumors the extent of the surgical intervention should be individualized in dependance on the clinical course, the character of changes and the results of the emergency histopathological examination. Neoplasmatic ovary tumors positive Y-body and cariotype XY in Swyer Syndrome are occurred. The surgery prophylactic treatment in mentioned above cases should be performed.

The purpose of the investigations was the comparison of the adrenergic receptors excitability in brain of 7-days-old and adult rats after adrenaline and isoprenaline administration. The excitation was evaluated biochemically by measurement of the beta receptor-mediated increase in brain cAMP concentration. There was no significant difference in brain tissue cAMP concentration of 7-days-old and adult rats in physiological conditions. The concentration of cAMP in brain of adult rats was not affected after administration both adrenaline and isoprenaline. On the contrary, the concentration of cAMP in brain of 7-days-old rats was significantly increased after each of two examined drugs, indicating that blood-brain barrier is permeable for catecholamines at this age.

In available literature there are many controversion ablut influence of cleft of face on her development. In 48 children with cleft palate and in 45 children with Pierre Robin syndrome on estimated the next measurements: a) the lenght of the skull, b) the length of the anterior fossa cranii , c) the relative length of the maxilla, d) the height of the face, e) the relative length of mandible, f) the angle of the mandible. In children with Pierre-Robin syndrome there was decreased the length of mandible and the length of the anterior fossa cranii and increased the height of face. In children with cleft palate there was decreased the lenght of the maxilla.

Examinations of hearing and middle ears has been estimated in 101 children at the age from 2 to 13 years with cleft defect of the face, as a isolated cleft of secondary palate. All the children were under treatment at the Surgery Clinic for Children and Jouth of the Institut for Mother and Child. Hearing impairment of conductive type has been found in 53% (percent) of the children taken for treatment and inflammation of the middle ear in 64%.

The intravesical transurethal electrostimulation was introduced by F. Katona in order to create consciously controlled micturition in patients with neurogenic bladder lesions. The principle of therapy is based on the activation of the intramural receptors and vegetative pathways from the bladder with special exponential electric impulses. The electric stimulation should evoke the bladder sensation and finally the conscious urge to void might develop. Simultaneously the detrusor tonus should be normalised and evoked contractions become stronger and organised, to be able to empty bladder in stream. During the period from May 1977 to October 1980, 24 children with neurogenic urinary incontinence (aged 2-18 years), were treated in the Surgical Department of the Institute of Mother and Child. Most of them have been operated on for meningomyelocoele , 1--for spinal ependymoma, 1--suffered from extensive haemangioma of pelvic brim and spine, 1 child had no obvious signs of dysraphism. The therapeutic programme consisted of 2 series of 40 stimulations in each serie , applied every day. Each session lasted 90 minutes. The current parameters were: intensity of exponential waves, steadily increasing from 0,4 to 6 m A, frequency 70 Hz, impulse duration 5 msek . Before treatment the clinical, neurological and radiological evaluation were done. The extension of neurologic deficite and state of urinary tract were assessed. Every child had IVP and micturition cystourethrography. Since 1978 the urodynamic investigations were introduced. Cystometry was performed before and after each serie of stimulation. Since 1979 the measuring of urethral pressure profile was included, for more exact evaluation of the type of bladder lesion.(ABSTRACT TRUNCATED AT 250 WORDS)