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Biomedical subjects

M H JONES

Publications and source records attributed to M H JONES.

At least 19 recordsLinked to original sources

Cerebral palsy. Diagnosis in young children.

Definite diagnosis of cerebral palsy is usually possible during the first six months of life in the hemiplegic child, but in the paraplegic or quadriplegic it may not be clear until the second half of the first year or later. Diagnosis should include not only type, degree and extent of motor handicap, but also intelligence, personality factors, sensory deficits, seizures and other physical problems. Diagnosis depends on detecting deviations from normal growth and development, of being aware of a multitude of progressive and other lesions which may simulate, at least early, the "static" group of conditions characterized by motor deficit due to central nervous system disease. Management involves early positioning, use of special equipment (mainly improvised), sensory stimulation and experience, as well as motor training, evaluation of intelligence and special learning situations to assist in discrimination learning and lengthening of attention span. Nursery schools for mentally capable children from 18 months to 3 years of age assist in developing independence, maturity and growth of personality. Except for patients with very severe mental or physical involvement, competitive employment in adult life is not related so much to the physical handicap as to personality characteristics, traits which are formed in early years.

Adult↗

Nervous pathways of cutaneous pains.

Conditions are described for the chromatographic analysis of mixtures of H(2), HT, and T(2) on a "molecular sieve" column. This technique may find valuable applications in various kinetic investigations.

Chromatography, Liquid↗

Seizure problems in 250 cerebral palsied adults.

Seizures occurred at some time in 81 (or 32 per cent) of an unselected, consecutive series of 250 cerebral palsied persons between the ages of 16 and 52 years, an incidence similar to that reported by other investigators in groups of cerebral palsied persons who were mainly children.The incidence of seizures of any kind after 16 years of age in the present series was 10 per cent as compared with 0.5 per cent in the general population. Half of the 10 per cent had more than six convulsions despite drug therapy, and the other half had fewer than six. Of thirty-six who had convulsions in the neonatal period, only four had seizure problems as adults, even though most showed moderate to severe physical handicap after age 16. Data on the small group of paraplegics in the present study, all spastics, were in accord with reports by other investigators with regard to decreased incidence of seizures in cerebral palsied patients with normal upper extremities. Of the thirteen (5 per cent of the 250) whose seizure problems continued to be clinically significant in adult life, ten had had frequent seizures in childhood. Eight were hemiplegic. There appeared to be no relationship between the severity of physical handicap and the incidence of seizures after age 16.

Adult↗