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Biomedical subjects

J Czochańska

Publications and source records attributed to J Czochańska.

At least 19 recordsLinked to original sources
PubMed1998

[Prevention of neural tube defects. An important health and social problem].

Central neural system congenital malformations in the form of neural tube defects (ntd) belong to the most common diseases leading to very serious childrens' disability and mortality. As it has been calculated, the number of children affected with ntd, delivered in Poland every year is in the range of 800-1150. Children with encephalocele participate in this number in app. 50%. As it has been found, morbidity and mortality caused by the ntd remain high and stable in Poland for the last 20 years. In the view of very limited possibilities of the treatment offered by health services, prophylactic measures remain the best methods for limitation of the problem. The primary prevention of ntd was discovered in late seventies. It has been found that folic acid added to the diet of women in the reproductive age reduced number of children born with ntd by 70%. Authors present the Programme of Primary Prevention of ntd in Poland. This Programme has been incorporated in the National Programme of Health for the Nation 1996-2005.

Adult↗
PubMed1994

Children who develop epilepsy in the first year of life: a prospective study.

A long-term prospective study was carried out of 133 children diagnosed as having epilepsy in the first year of life, of whom two-thirds had West syndrome and one-third had other forms of epilepsy. They were followed for a minimum of three years (half for over seven years), during which time 15 children died. Of the 118 surviving, 54 had an IQ of > 70, but 53 were severely mentally impaired, of whom two-thirds had West syndrome. Only 56 per cent currently have no seizures, and no significant differences were found in this respect between children with West syndrome and those with other forms of epilepsy. Regression in mental development occurred significantly more frequently among children with active epilepsy. These results lead to the conclusion that the degree and type of central nervous system damage existing at the onset of epilepsy is decisive for the outcome of the child, but the cessation of epileptic seizures also improves the child's developmental possibilities.

Cerebral Palsy↗
PubMed1983

[Early complex rehabilitation of children with cerebral palsy].

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.

Cerebral Palsy↗
PubMed1979

[Neurological status and psychomotor development of children with phenylketonuria treated early].

Low phenylalanine diet treatment in children with phenylketonuria (PKU) started sufficiently early prevents mental retardation. But the question whether the treatment prevents all c n s damage is still open. This problem was evaluated on the basis of longitudinal neurological and psychological studies of 118 PKU children in whom treatment was started before the 6-th week of life. As a comparative group 90 children with untreated or late treated PKU were investigated. A detailed analysis of the results was carried out investigating each case in relation to the precision of dietary restrictions and the duration of treatment. The incidence and type of abnormal findings were compared with the abnormalities found in children with untreated or late treated PKU and with the incidence in the total child population. In 78 children (66,1%) there were no abnormalities in the neurological status and mental development was normal except for some retardation in the visual-motor maturation. In 35 children (29,7%) signs of hyperkinetic syndrome were present in 5 (4,2%) there was both mental retardation and signs of hyperkinetic syndrome. In the comparative group all 90 children had severe neurological abnormalities and mental retardation. The obtained results confirm that the essential effect of the diet on the development of PKU patients is during the first year of life. In order to obtain optimal results however, it is necessary to continue the diet for a sufficiently long period. But in spite of following the prescribed treatment in PKU children it is not always possible to prevent minimal c n s damage.

Child↗
PubMed1977

[Seizures in phenylketonuria].

In a group of 90 children with phenylketonuria diagnosed and treated late the authors studied the problem of seizures. They occurred in over 50% of children, in most of them they had the character of salaam seizures (72%). They were statistically significantly more frequent in children with more severe mental retardation. In the discussion on these observations the authors stated that the data obtained by them concerning the frequency of seizures (twice as frequent as in materials reported in the literature) were based on long-term observation of these children and not on one examination and they conform better to the actual incidence of these seizures. It is supposed that the presence of seizures is a prognostically unfavourable element. It is suggested also that these children should be given anticonvulsant treatment besides dietary treatment of phenylketonuria.

Age Factors↗