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Biomedical subjects

H S Palkes

Publications and source records attributed to H S Palkes.

6 recordsLinked to original sources
PubMed1986

Pediatric craniofacial surgery and parental attitudes.

A prospective study was designed to explore the effects of attitudes of parents who have children affected with craniofacial deformities. The study focuses on the child's craniofacial deformity and its effect upon the child's mental well being. The effect of surgical reconstruction of the deformity upon these parental attitudes was evaluated as well. The parent actively involved in the child's in- and outpatient care was enrolled in the study (N = 24). The evaluation protocol was administered prior to the surgery and postoperatively at 2 weeks, 3 months, and 1 year. For the majority of these parents, having a child with an obvious facial deformity did not make them less accepting of the children or their childrearing responsibilities. These parents expected the affected children to have positive self-esteem. This was the case for the majority of the children. There was no evidence to suggest that the affected children had a negative impact on the family structure. The child's disfigurement was rarely portrayed in parental drawings of the family, and the affected child could not be distinguished from other siblings. In spite of these positive findings, a majority of older children had significant behavioral problems. The parental attitudes were affected variably and transiently by the event of surgical reconstruction. Most attitudes returned to the preoperative baseline within the year of study.

Adolescent↗
PubMed1983

Intelligence in epilepsy: a prospective study in children.

A prospective study tested the stability of the IQ in children with seizure disorders. Seventy-two children with epilepsy underwent psychological evaluations within two weeks of initial diagnosis and yearly thereafter for an average of 4 years. Forty-five of the patients also had a nonepileptic sib evaluated in parallel. The mean IQ for all the children with epilepsy was 99.7 (+/- 20.2, standard deviation) at the time of the initial test, not significantly different from the siblings. This score did not change appreciably with time. Eight of the 72 epileptic patients (11.1%), however, had a persistent decrease in IQ of 10 points or more. These patients had a higher incidence of drug levels in the toxic range (p less than 0.001), their epilepsy was more difficult to control (p less 0.005), and their seizures began at an earlier age (p less than 0.05). Discriminant analysis is revealed that the number of drugs to which the patient became toxic and the age at seizure onset were the two best predictors of ultimate IQ. These two predictors correctly classified 71% of all patients as to whether their IQ would drop by 10 or more points during the test period, remain within 10 points of the initial test score, or increase by more than 10 points. Total number of seizures and seizure control were less good predictors, according to this method of analysis. The findings suggest that, in younger children in particular, total seizure control should not be achieved at the price of repeated episodes of drug toxicity.

Adolescent↗