[Formation of adaptive reactions in children for the adjustment to preschool institutions and to school].
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Children living in two Brazilian institutions were studied otologically and audiologically. Group I comprised 100 children (52 males and 48 females) ranging from 1 year to 2 years and 5 months of age. Group II comprised 50 male children ranging from 4 to 14 years of age. Secretory otitis media was found in 31% of the children (22% of the male population and 9% of the female population) of group I. Suppurative otitis media (17%), perforation of ear drum (2%) and retraction of the ear drum (34% with middle ear pressure more negative than -100 mmH2O) were found in group I. Secretory otitis media (15 subjects, 30% of population) and permanent tympanic perforation (3 cases, 6% of the population) were observed among children of group II. All children under investigation showed delay of speech and language development that could not be correlated to hearing loss.
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Thirty-four children, aged 1 to 3.5 years, with a reactive depressive state were examined. Using the ontogenetic approach, the authors analyze affective as well as somatovegetative, psychomotor and behavioural disorders in the structure of the abnormal state. The authors have identified stages of disease development, as well as productive and negative dysontogenetic disturbances secondary to protracted reactive depressions in young children.
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