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Biomedical subjects

Z Matĕjcek

Publications and source records attributed to Z Matĕjcek.

At least 19 recordsLinked to original sources

[Psychological and social stress in children with cleft lip and palate].

UNLABELLED: The authors analyzed representative data on the increase of inborn developmental defects in Czechoslovakia; in 1970-1980 the increment was + 50%. Inborn developmental defects are studied from the psychiatric aspect as a stimulus causing a reaction of the family to the breakdown of their parenteral expectations of a healthy child and the problem of continuation of the family. The reaction of the mothers is usually post-partum depression and impaired development of attachment to the child. The handicapped child is stressed by operations, rehabilitation, the awareness of his own insufficiency and problems of parenteral attitudes. The authors investigated the family-history, development of the health status of the children, social status of the children and personality of mother and child. PRINCIPAL FINDINGS: children with cleft lip and palate suffer from social stigmatization and specific disorders of self-evaluation. In these children problems associated with adaptation in the child community, manifestations of depression, low self-esteem, impaired ego identity and a tendency of a negative attitude to the world were recorded. These phenomena increase with the severity of the damage and the visibility of the defect. If the mother bagatellizes or refutes the defect to achieve social desirability, the psychic position of the child is even worse. Approximately half the mothers and children expressed the need of special psychological care of problems associated with the defect. Actual areas are defined on which the need of care is focused in different stages of the family life cycle. The authors discuss the need of a realist attitude and acceptance of the defect in the interest of satisfactory adaptation, and the possibility of the paeditrician to assist families.

Adolescent

[The concept of minimal brain dysfunction].

The development of the concept of "minimal" brain dysfunctions" can be followed up in the professional literature since the forties. An important contribution was the monograph by O. Kucera et al. (1961) which emphasizes the interaction of the affected child with his social environment. In the seventies and eighties there is a trend to divide the overall concept of minimal brain dysfunctions into individual more accurately defined units comprising certain groups of symptoms (specific disorders of learning, the hyperactivity syndrome, the syndrome of impaired attention, etc.). The article emphasizes the practical usefulness of the term minimal brain dysfunctions in the communication of workers from different disciplines and the necessity to derive from it provisions for the benefit of the affected children at different levels of social practice.

Attention Deficit Disorder with Hyperactivity

[Epidemiologic study of symptoms of minimal brain dysfunction. 1. Design and testing of methods--the incidence of symptoms in the study group].

The authors inform on the elaboration of a screening method for recording of symptoms of minimal brain dysfunction and its initial verification in the research problem "Incidence of signs of minimal brain dysfunctions in children in the North Bohemian region". In the first stage a population group of children in the second form of primary school in three districts was examined, a total of 5080 children, and data were assembled from their 9000 parents. The authors describe the elaboration of the method which comprises rating scales which evaluate specific striking features in the behaviour, dysfunction in school skills (the forms were completed by teachers and mothers) and performance tests administered by the children themselves. Results of statistical analyses which confirmed the satisfactory consistency, composition, empirical and postdictive validity of the method are presented. The analyses revealed that the method used detects disorders included under the term of minimal brain dysfunctions and probably also disorders with the incidence of some identical symptoms (disorders of intellect, behavioural disorders in the wider sense of the word). The authors inform on the method of calculation and the ratio of the detected problem child population which was 14.8%. The group comprises 4.8% children which were unable to keep up with the first form of primary school and attend some special school. The method used detected, however, another 10% population with identical values. The authors discuss problems of screening diagnosis of specific developmental learning and behavioural disorders which form part of minimal brain dysfunctions. Problems associated with the evaluation of the assembled findings are discussed.

Attention Deficit Disorder with Hyperactivity

[Psychological subdeprivation].

The term psychic subdeprivation is explained on the basis of findings assembled in a series of research investigations the object of which were relatively large samples of children growing up in families under less favourable emotional circumstances - children born from unwanted pregnancies, children from families of alcoholics, children of illegitimate birth, children followed up after the parents' divorce. The research used a uniform methodology. The findings remind in many respects of less favourable developmental trends recorded in classical studies of psychic deprivation of children living permanently in childrens homes. Their clinical picture is, however, less marked. Nevertheless they represent the danger of a less favourable psychosocial development in a not negligible part of the child population, the potential source of more serious social pathology and the danger of transmission to the next generation.

Adaptation, Psychological

Follow-up study of children born to women denied abortion.

Two hundred and twenty children born in Prague in 1961-63, whose mothers had applied twice for abortion and were refused twice, were matched with children born from accepted pregnancies. The findings when the children were about nine years of age revealed some important differences unfavourable to 'unwanted children'. Boys were significantly more afflicted than girls. Both groups were examined after a further six years. Differences in school achievement, in ratings of the child's personality and in parental attitudes were more pronounced than before. The third follow-up project is under way now, with the initially unwanted children and the control group in their early 20s. Detailed examinations are being made in families that already have children, i.e. children of 'unwanted children'.

Abortion, Legal