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At least 487 records · Page 27Linked to original sources
PubMed1995

Timing of operation for ruptured cerebral aneurysm and long-term recovery of cognitive functions.

Advantage and disadvantages of early and late operation for ruptured cerebral aneurysm are controversially evaluated with regard to peri-operative operation outcome and long-term cognitive recovery. In this retrospective analysis 22 patients with early surgery (ES) within three days after subarachnoid haemorrhage (SAH) and 22 patients with late surgery (LS) at least 14 days after SAH were studied. Patients were pair-wise matched by degree of SAH localisation of aneurysm and age at SAH. On average three years after SAH both groups were examined individually with a comprehensive neuropsychological test battery including tests of premorbid intelligence, concept formation, memory, visuomotor speed, aphasia screening, and mood. ES and LS patients were well comparable in terms of years of education and level of premorbid intelligence. There was a clear influence of patients age on fluid intelligence tests, indicating a general change-sensitivity of tests. No influence of degree of SAH and localisation of aneurysm could be detected. There were also no differences between ES and LS patients in neuropsychological tests sensitive to brain damage, suggesting that the decision for early or late surgery for ruptured cerebral aneurysm can be based upon surgical reasons at the time of the SAH.

Adult↗
PubMed1996

Influence of the pathological psychological state of cancer patients on their decisions.

The diagnosis of cancer in many cases provokes a crisis, resulting in an increase of regression and defence mechanisms (splitting, projective identification, projection, denial, repression). This article reviews the increased sensitivity, the partial and temporary narrowing of consciousness, and the weakening of reality control. In many cases fluctuating depersonalisation and derealisation develop. At our Institute we performed a complex psychological examination of 41 patients, suffering from malignant lymphoma, immediately after informing them of the diagnosis but prior to their first treatment. The psychological examination of volunteering patients involved an initial interview, Rorschach and Szondi projective tests, a Wechsler intelligence test and a discussion of the results with the patient. The relatively frequent temporary pathological psychic conditions exert an influence on the decisions of patients make about their treatment and interventions, and may also influence the doctor patient relationship.

Adolescent↗
PubMed1979

The question of hormonal influences on intellectual development: growth hormone.

Contrary to expectations based on findings of enhanced brain development and learning in rats after prenatal growth-hormone administration, a sample of patients with growth-hormone deficiency of early onset did not show impairment of mental abilities when tested with standard intelligence tests. We conclude from our findings, as well as from other clinical reports, that growth-hormone deficiency of onset does probably not interfere with normal human brain development.

Child, Preschool↗
PubMed1988

The relationship between quality of attachment in infancy and IQ in kindergarten.

In this study, we hypothesized that securely attached infants would in kindergarten perform better on an intelligence test than anxiously attached children. No difference was expected between children of working mothers (working more than 15 hours outside the home) and children of full-time homemakers. Mother-child pairs (N = 77; average age of child was 24 months) were observed during the Strange Situation procedure; three years later, 65 children completed the Leiden Diagnostic Test for measuring intelligence level. Results showed that the securely attached reference group attained the highest IQ. The working status of the mother did not appear to make a difference.

Child↗
PubMed1984

Sound signal processing.

In the CHORIMAC-12, the French device, the whole speech information despite its redundancy is transmitted to the few cochlear nerve fibers that are still present. Only loud speech intensities between 40 db and 100 db are introduced in a filter battery which gives out the frequency information in 12 channels including the 100-6000 Hz. This 60 db intensity scale is transmitted in a compression rate of about 6 db. The time sampling is 3 msec. A 12 electrode bearer or 12 separate electrodes (in case of ossified cochlea) transmit the electrical information. The electrical stimulus is a square wave: its frequency is equal or inferior to 300 Hz; its voltage may vary between 2.5 and 6.5 volts; its duration may vary between 0 and 200 mu sec. The performances of the system is demonstrated by means of a system of computerized psychophysic tests and speech intelligibility tests.

Cochlear Implants↗
PubMed2003

Intelligence and class mobility in the British population.

Performance on intelligence tests is known to be associated with class mobility, with high scorers tending to move up the socio-economic hierarchy, and low scorers tending to move down. However, much remains unknown about the association. It is possible that the importance of intelligence varies across different occupational areas, or that there is friction acting against mobility, such that a person from an underprivileged background would have to be more intelligent in order to reach a given position than someone who had had greater social advantage. Data from a longitudinal study of a broad, socially representative cohort of the British population (the NCDS) are used to investigate these questions. The results show that intelligence test scores in childhood are associated with class mobility in adulthood uniformly across all social classes. There is no evidence that those from underprivileged backgrounds have to be disproportionately able in order to reach the professional classes. The study reveals an apparently high level of social mobility and meritocracy in contemporary Britain.

Adolescent↗
PubMed1994

A Revised Speech Intelligibility Rating (RSIR) test: listeners with normal hearing.

Two experiments were conducted to examine the intelligibility of 72 passages of connected discourse prepared by Cox and McDaniel in their development of the Speech Intelligibility Rating (SIR) test. Intelligibility was assessed with a method-of-adjustment (MOA) procedure in which listeners adjusted the level of a multi-talker babble until they could just understand 50% of a passage; the measure of intelligibility was the signal-to-babble ratio, dB S/B. The objective was to develop a Revised Speech Intelligibility Rating (RSIR) test that would comprise a large number of equivalent passages that produce reliable intelligibility measures. In experiment 1, the S/B ratio was based on the overall root-mean-square (rms) levels of speech and babble, as represented by the average level of frequent peaks observed on a VU meter. Across all 72 passages, mean intelligibility was -1.43 dB S/B, and the measure of intelligibility for 42 passages was within +/- 0.5 dB of the overall mean for all 72 passages. In experiment 2, the S/B ratio was based on long-term rms levels of speech and babble measured in 16 one-third-octave bands, with center frequencies from 160 to 5000 Hz. In an effort to achieve greater equivalence in intelligibility among passages, the overall rms level of each passage was attenuated by the difference between SB16-band for an individual passage and S/B16-band for a reference passage. Mean intelligibility across all 72 passages was -8.06 dB, and the measure of intelligibility was within +/- 0.5 dB of the overall mean for 64 of the 72 passages. For those 64 passages, the 95% critical difference for five MOAs was 0.72 dB, which corresponds to an estimated percentage critical difference of 10.8%.

Acoustic Stimulation↗
PubMed2001

The effect of working serial night shifts on the cognitive functioning of emergency physicians.

STUDY OBJECTIVE: We sought to determine whether working 5 serial night shifts in the emergency department results in a decline in physician performance as measured with an intelligence test. METHODS: This study compared the cognitive functioning of emergency physicians who worked the day shift (7 AM to 5 pm) with those who worked 5 consecutive night shifts (11 pm to 7 am). The Fluid Scale of the Kaufman Adolescent and Adult Intelligence Test (KAIT) was administered to 16 emergency medicine residents. Half of the residents (group A) were tested while working day shifts, and the other half (group B) were tested after working 5 consecutive night shifts. After a minimum interval of 2 months, the residents were retested in reverse order, with group A tested after working night shifts and group B tested while working day shifts. RESULTS: A total of 16 emergency medicine residents were tested. A paired t test was used to determine whether day-shift KAIT scores are different from night-shift KAIT scores. The mean day-shift KAIT score was 119.1 (SD=7.7), and the mean night-shift KAIT score was 107.2 (SD=10.2). This difference was significant (mean difference=11.9; 95% confidence interval 7.0 to 16.8; P <.001), with the day-shift scores being statistically higher than the night-shift scores. CONCLUSION: Working a series of 5 night shifts results in a substantial decline in cognitive performance in physicians working in the ED.

Cognition↗
PubMed2005

Ineffectiveness of an Italian NART-equivalent for the estimation of verbal learning ability in normal elderly.

Comparison between current and premorbid memory ability may be of help when trying to make a timely diagnosis of cognitive decline in questionable dementia. In the present study, we evaluated the possibility of estimating episodic verbal memory scores at the Rey Auditory Verbal Learning Test (RAVLT) from an irregular words reading task held to resist to deterioration, that is the Italian analogue of the NART, the TIB (Test d'Intelligenza Breve--brief intelligence test). A regression analysis was performed in a large sample of healthy elderly, using RAVLT scores as dependent variable and TIB score, MMSE score, age and education as predictors. We failed to find a relationship between the two tests that was strong enough for a reliable estimation of memory ability.

Aged↗
PubMed1994

Does IQ decline with age in fragile-X? A methodological critique.

The recent claims for a decline in intelligence test performance in males and females with fragile-X (fra(X)) syndrome have implications both clinically and in evaluating the underlying neurological basis. This commentary identifies three key issues in evaluating evidence for a decline and in planning future, more co-ordinated efforts. These are (1) problems in combining data across different intelligence tests and/or different ages with potentially incompatible norms, task demands, and models of the structure of intelligence; (2) limitations in applying to low ability persons tests designed to discriminate best around the population average; and (3) specific cognitive deficits and behavioral problems in fra(X) individuals which may be confounded with the task demands of particular IQ tests at particular ages. While the decline in ability may be a real phenomenon rather than an artifact, recommendations are made about the psychometric requirements for a larger and more definitive collaborative study.

Age Factors↗
PubMed1995

Neonatal seizures: long-term outcome and cognitive development among 'normal' survivors.

The authors report the long-term outcome and cognitive development in the late-teenage years of 'normal' survivors of neonatal seizures. The outcome of the children was good, and normal in that they had attended normal schools and had normal overall intelligence test scores as adults. However, all of the sample displayed abnormal neuropsychological development in terms of intelligence test profile and subtest scatter, or development of spelling, or development of memory. This was independent of social and behavioural difficulties, which may also be increased. Neonatal seizures may be indicative of a subtle neurodevelopmental vulnerability which may manifest later in life as specific learning difficulties or poor social adjustment.

Adolescent↗