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Diversions. Dr. Shutterbug.

When not working as emergency department director at Milford (DE) Memorial Hospital, Elsburgh Clarke, M.D., can be found snapping photos of everything from professional sports to doctors saving lives.

Delaware↗

Paul Sheppard Burnham, DDS (1903-1987).

A search via databases and indexes, as well as the American Dental Association package library collection, yielded no evidence of participation by American dentists in outboard motor or hydroplane inboard motor boat racing. There may be or have been such participants, but the contributions of Paul Sheppard Burnham, DDS are noteworthy and quite probably unique. Competing always as an amateur, his racing ability was respected; on many occasions he outraced professional drivers. Dr. Burnham led an interesting life. In his 83 years, he operated and soon thereafter traded automobile after automobile (a total of 49)--satisfying his love for fast and unusual cars. While practicing dentistry most of his adult life, he managed to become an integral part of the Rehoboth Beach, DE beach patrol, serving for ten years as captain of lifeguards and, in a few of his senior years, as chief. As the 20th century comes to a close, a good deal is written and spoken about those identified as unusual, vibrant, daring, spirited, competitive, self-confident, and colorful--travelers in the fast lane. Paul S. Burnham, DDS spent a great part of his life in the fast lane, with very few in front of him.

Automobiles↗

Cognitive effects of Lyme disease in children.

OBJECTIVE: To measure possible cognitive sequelae of Lyme disease (LD) within a pediatric population. DESIGN: Prospective, blinded, controlled study of cognitive skills in children who had been treated for LD. SETTING: A children's hospital in an area endemic for LD. PATIENTS: Forty-one children with strictly defined LD were compared with 14 control children who had subacute rheumatological diseases, and with 23 healthy sibling controls. OUTCOME MEASURES: Neuropsychologic measures were administered to each child to assess the following cognitive areas: IQ information processing speed, fine-motor dexterity, novel-problem solving and executive functioning, short-term and intermediate memory, and the ability to acquire new learning. Predisease and postdisease academic achievement test scores were also gathered. Impressions from parents concerning the disease's subsequent impact were also obtained. RESULTS: No differences between LD and control groups were found for any of the numerous neuropsychologic measures. Analyses also failed to show differences between LD patients grouped with respect to the presence or absence of known neurologic involvement, disease stage, duration of symptoms before therapy, or type of antibiotic treatment. No predisease versus post-disease difference in academic performance was found. No perceived long-term deterioration in cognitive, social, or personality areas was reported by parents. CONCLUSION: Children appropriately treated for LD have an excellent prognosis for unimpaired cognitive functioning.

Achievement↗