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PubMed1977

Nonorganic failure to thrive: a long-term follow-up.

Twenty-one children diagnosed as having nonorganic failure to thrive were reviewed at an average of 6 years 4 months after their initial presentation. Most of the children were found to be of normal height and weight but disorders in personality traits and educational attainments were common. One half of the children have abnormal personalities. Two thirds have a delayed reading age. Intelligence testing shows that one third have verbal scores significantly lower than their performance scores. Two children from the original series have died in suspicious circumstances. The families of these children have a high incidence of marital instability and economic difficulties. The traditional medical approach to nonorganic failure to thrive needs to be complemented by intensive social support for these families at the time of initial presentation in the hope that the long-term effects of this syndrome can be ameliorated.

Achievement↗
PubMedDate not supplied

[The analysis of nervous system functions in dysmorphic syndromes].

The involvement of the C.N.S. in dysmorphic syndromes is very frequent; therefore a systematic analysis of the functions of the nervous system is important in the clinical definition of these syndromes. Besides the morphological aspects, studied by magnetic resonance imaging, investigations should be carried out in the neuroelectrophysiological and neuropsychological fields. For the former, the following examinations are proposed: EEG in wakefulness and sleep, multimodal evoked potentials (VEP, BAEP, SEP), cortical magnetic stimulation and P300 (P3). For the neuropsychological field, a general intelligence test appropriate to the mental age of the subject (the Wechsler, Terman-Merrill, or Brunet-Lezine scale) and, whenever possible, the following complementary tests: Raven's Progressive Matrices, Bender's and Santucci's graphic tests, go-no go, Goodenough draw-a-person, reading and writing tests, Langeot's scale for development of the logical thinking, sorting test and verbal and spatial memory tests. In some cases, the behaviour should be defined, through Conner's scale for attention deficit-hyperactivity disorders, the Autism Diagnostic Interview, the Adaptive Behaviour Scale and the Brief Psychiatric Rating Scale.

Congenital Abnormalities↗
PubMed1993

Long-term outcome for children with autism who received early intensive behavioral treatment.

After a very intensive behavioral intervention, an experimental group of 19 preschool-age children with autism achieved less restrictive school placements and higher IQs than did a control group of 19 similar children by age (Lovaas, 1987). The present study followed-up this finding by assessing subjects at a mean age of 11.5 years. Results showed that the experimental group preserved its gains over the control group. The 9 experimental subjects who had achieved the best outcomes at age 7 received particularly extensive evaluations indicating that 8 of them were indistinguishable from average children on tests of intelligence and adaptive behavior. Thus, behavioral treatment may produce long-lasting and significant gains for many young children with autism.

Autistic Disorder↗
PubMedDate not supplied

[Continuous attention in schizophrenic patients].

Continuous Attention Task (CAT) was applied in a group of schizophrenic patients (N = 35), patients with schizoaffective disorder (N = 17), major depressive episode (N = 14), chronic alcohol dependence (N = 16) and healthy volunteers (N = 31). Moreover, the patients were examined with the Positive and Negative Syndrome Scale (PANSS) and the intelligence test (DMI). The results of the CAT test were significantly better in the group of healthy subjects and depressive patients in comparison to the other groups. There were no differences in CAT test between the schizophrenic, schizoaffective and alcohol dependent patients. There were no differences in CAT between the depressive patients and the healthy subjects either. The differences in the CAT results could not be contributed to the PANSS scores. The depressive patients got higher scores on the logical multiplication scale (MN) and the analogy scale (AN) of intellectual ability test (DMI) as compared to the schizophrenic patients, and higher scores on the MN scale in comparison to the alcohol dependent subjects. It was concluded that the deficits in CAT scores could be connected with the deficits in intellectual functions.

Adult↗
PubMed1996

Benefit acclimatization in elderly hearing aid users.

A previous study from this laboratory indicated that the benefit obtained from a hearing aid in a noisy environment might increase over the first few months of hearing aid use. It was hypothesized that this acclimatization of benefit was due to a process in which the individual optimized his/her use of modified or newly available high-frequency acoustic speech cues. This investigation further explored the effect in 22 elderly individuals with mild to moderate sensorineural hearing losses, fitted unilaterally with hearing aids. None of the subjects was a current or recent hearing aid wearer. Speech intelligibility testing over a 12-week post-fitting period indicated that a significant improvement in benefit was seen for the group as a whole, probably beginning after about 6 weeks of regular hearing aid use. However, the magnitude of improvement was very small for most subjects. Only three individuals experienced a dramatic improvement in their benefit for speech in noise over this period. No evidence was found for a specific role of high-frequency cues. Seven subjects participated in a long-term follow-up in which benefit was measured after several months of use of their newly acquired personal hearing aids. Further increase in benefit was noted but was due exclusively to a decline in performance for unaided listening.

Aged↗
PubMed1997

[Causative factors resulting in intractability of congenital hydrocephalus--analysis of psychomotor development and MRI findings of the brain in sixteen congenitally hydrocephalic patients].

Sixteen patients out of 58 children with congenital hydrocephalus were retrospectively investigated in terms of their psychomotor development and morphological findings of the brain by magnetic resonance imaging (MRI), and morphological backgrounds of the brain in patients affected by "intractable hydrocephalus" were intended to be clarified. The 16 patients were primarily diagnosed as having aqueductal stenosis or communicating hydrocephalus during the era before introduction of MRI. On the basis of the rate of head growth, sixteen patients were divided into three groups; group-1: overt neonatal hydrocephalus (5 cases) ; group-2: rapidly progressive hydrocephalus with normal head circumference at birth (5 cases); and group-3: slowly progressive hydrocephalus with its onset after the neonatal period (6 cases). Psychomotor development of the 16 cases was analyzed by using various methods including the Tanaka-Binet intelligence test and WISC-R. Four cases in group-1 and all cases in group-2 were found to have IQ or DQ below 50, while the other remaining cases were found to have IQ of 82 in group-1 (one case) and IQ ranging from 67 to 113 in group-3. MRI performed in those 9 cases with IQ below 50 revealed various morphological abnormalities of the brain. Those abnormalities were characterized by disturbance of organogenesis and/or histogenesis of the brain dating from the first 20 weeks of fetal life. It is strongly suggested that in the pathogenesis of intractable hydrocephalus developmental malformation of the brain occurring during the first 20 weeks of gestation are involved. Functional and morphological impairments of the brain possibly caused by progression of fetal hydrocephalus and delay of CSF diversion before and after birth seem important in the pathogenesis of intractable hydrocephalus.

Adolescent↗
PubMed1998

[A case of autosomal dominant, pure form spastic paraplegia with thinning of the corpus callosum].

Autosomal dominant hereditary spastic paraplegia (HSP) is genetically classified into three types, all of which are characterized by insidiously progressive spasticity of the lower extremities. Patients with a complicated form of autosomal recessive HSP associated with hypoplasia of the corpus callosum have been reported by Iwabuchi et al. Here we report a 64-year-old patient with a pure form of autosomal dominant HSP with thinning of the corpus callosum. He had been well until 12 years of age, when spasticity and weakness of the lower extremities began to develop. His symptoms gradually worsened and he had difficulty in walking at the age of 44. When he was 56 years old, he visited our hospital. Eleven family members over five generations have been affected, and anticipation, i.e., an apparent decrease in age of onset, has been observed. On admission, he had mild cataracts, equinovarus and pes cavus, and neurological examination revealed spastic paraplegia. However, the intelligence test was normal, and nystagmus, ataxia of the extremities, involuntary movement, orthostatic hypotension or urinary disturbance was not observed. Trinucleotide repeat diseases, such as Huntington's disease, spinocerebellar ataxia type 1, spinocerebellar ataxia type 2, Machado-Joseph disease and dentatorubral-pallidoluysian atrophy, were excluded by DNA analysis. Brain MRI at the age of 64 revealed marked thinning of the corpus callosum. We considered this patient had a pure form of HSP. However, thinning of the corpus callosum has never been reported in autosomal dominant HSP.

Adolescent↗
PubMed2006

Callsign Acquisition Test (CAT): speech intelligibility in noise.

OBJECTIVE: The study was designed to assess the effects of noise on the intelligibility of speech elements used in the Callsign Acquisition Test (CAT), developed by the U.S. Army Research Laboratory. The CAT consists of 126 test items, or callsigns, each of which is made up of a two-syllable word selected from the 18-item military alphabet (Alpha-Zulu) followed by a one-syllable number (all numbers from 1 to 8, excluding 7). DESIGN: The CAT items were mixed with one of three different types of background noises (pink noise, white noise, and multitalker babble) and presented to 18 listeners. Speech-to-noise ratio for all three noises and the overall level of pink noise were varied in two separate experiments to determine how these variables affected speech intelligibility of the CAT items pronounced by a male talker. CONCLUSIONS: Test results demonstrate speech-to-noise ratio has a significant effect on speech intelligibility of the CAT items under all conditions. Pink noise generated the lowest speech intelligibility scores followed by multitalker babble and then white noise. A change in the overall level of pink noise had only small effect on CAT intelligibility.

Acoustic Stimulation↗
PubMed2006

Is adaptation of the word accentuation test of premorbid intelligence necessary for use among older, Spanish-speaking immigrants in the United States?

Adaptations of the National Adult Reading Test (NART) for assessing premorbid intelligence in languages other than English requires (a) generating word-items that are rare and do not follow grapheme-to-phoneme mappings common in that language, and (b) subsequent validation against a cognitive battery normed on the population of interest. Such tests exist for Italy, France, Spain, and Argentina, all normed against national versions of the Wechsler Adult Intelligence Scale. Given the varieties of Spanish spoken in the United States, the adaptation of the Spanish Word Accentuation Test (WAT) requires re-validating the original word list, plus possible new items, against a cognitive battery that has been normed on Spanish-speakers from many countries. This study reports the generation of 55 additional words and revalidation in a sample of 80 older, Spanish-dominant immigrants. The Batería Woodcock-Muñoz Revisada (BWM-R), normed on Spanish speakers from six countries and five U.S. states, was used to establish criterion validity. The original WAT word list accounted for 77% of the variance in the BWM-R and 58% of the variance in Ravens Colored Progressive Matrices, suggesting that the unmodified list possesses adequate predictive validity as an indicator of intelligence. Regression equations are provided for estimating BWM-R and Ravens scores from WAT scores.

Aged↗
PubMed2003

Human figure drawing test: validity in assessing intelligence in children aged 3-10 years.

BACKGROUND: Human-figure-drawing abilities are related with cognitive development in children. As cognitive skills progress, drawing abilities also improve in details and sex differentiation. The Goodenough-Harris (G-H) drawing test was developed to score human figure drawing with separate norms for males and females. OBJECTIVES: To evaluate whether the Goodenough-Harris human drawing test is valid to classify intelligence in children aged 3-10 years. MATERIAL AND METHOD: Record files of 528 children aged between 3-10 years who had attended the Child and Adolescent Unit at Queen Sirikit National Institute of Child Health (Children's Hospital), Bangkok, Thailand from January 1999 to December 2001 were retrospectively reviewed. Inclusion criteria included: 1) performing the human figure drawing test and standard intelligence tests on the same day and 2) diagnoses were addressed. RESULTS: The ages of the children ranged from 3 10/12 years to 10 11/12 years with a mean age of 7 9/12 years, 49.5 per cent were males and 50.5 per cent were female. The study group was diagnosed as pervasive development disorder 17 per cent, attention deficit hyperactivity disorder 13 per cent, and mental retardation 11.3 per cent. Overall correlation of full scale intellectual quotient (FSIQ) from the standard intelligence test and standard scores on the Goodenough-Harris system was 0.813 (p < 0.01). The overall validity of the human figure drawing test in classified correct intellectual level was 60.8 per cent but in children with an intellectual quotient (IQ) less than 70, the correct classification was 69.2 per cent. After stratification by age, it was found that the human figure drawing test had validity in predicting IQ below 70 in 88.7 per cent and 68.8 per cent of children aged < 6 years and aged > 6 years respectively. CONCLUSION: The human figure drawing test can be used as an additional measure of assessing intelligence in young children but it should not be substituted for standard tests. The test is not complicated, therefore, trained personnel can use it in combination with other screening tests for cognitive development in children.

Art↗
PubMed1995

[Self assessment and actual intelligibility of speech audiometry test material].

Self-estimated and measured intelligibility were compared using different instructions in speech audiometric tests. The results of 69 tested persons reveal that there exist speech levels in both test procedures where the intelligibility reaches 0% or 100%, respectively. In general, self-estimated intelligibility was significantly higher than real identification. Therefore, the self-estimation of intelligibility does not appear as an appropriate procedure to automated speech audiometry. The results are a speech audiometric equivalent of the subject's to have correctly understood speech in daily life in which in fact was misunderstood. Connections to central speech processing seem to be possible. Audiologists might be influenced by the effect of overestimation of speech intelligibility as well. However, preliminary investigations concerning pseudohypacusis show different results.

Adolescent↗