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Educational status and school-related abilities of very low birth weight premature children.

Eighty-eight premature children with birth weights less than or equal to 1500 g were evaluated at ages between 7 and 8 years old to determine their academic status in comparison with those of a matched full-term group. Results showed that a much higher proportion of the premature children required special educational interventions (48%) than either the full-term children (15%) or the New York State public elementary school population (10%). More than half of the premature children who received educational intervention were neurologically impaired or had below normal intelligence. The entire group of premature children differed significantly from the matched full-term group on IQ score and on tests of verbal ability, school achievement, and auditory memory. Lower socioeconomic status children performed significantly less well on each type of these measures and on a measure of attention than children of the higher socioeconomic status group. There was an interaction of prematurity and social class on Full Scale IQ, verbal tests, academic achievement, and attention, with lower socioeconomic status premature children scoring lowest on these measures. The subset of premature children normal in both IQ and neurologic status did not differ significantly from a matched normal full-term group on any cognitive measures other than arithmetic ability, but they continued to have significantly lower academic achievement scores.

Cerebral Palsy↗

[Temporary and permanent recurrent laryngeal nerve paralysis following thyroid surgery. Modifying factors: the educational status of the surgeon].

17 of 525 patients (3.2%) showed an laryngoscopically established palsy of the recurrent laryngeal nerve after surgery for struma. The analysis of these operations, performed by five surgeons during or within three years after the period of surgical training, revealed that the operations performed under assistance of the senior surgeons were high grade selected (p = 0.026). Thus 14.8% of the operations performed because of simple goiter but only 4.8% of the operations performed because of thyroid cancer/recurrent goiter/extensive nodular goiter were assisted in this way. On the other hand it was necessary to call for help of a senior surgeon because of intraoperative difficulties in only 1.26% of the cases operated on for simple goiter, but in 19.6% of the more complex forms of goiter (p less than 0.001). The risk of recurrent laryngeal nerve palsy was nearly 10 times higher in the complex forms of goiter than in the simple forms (p less than 0.001). More extensive surgical training in the forms of complex goiters should be able to improve the results.

Clinical Competence↗

[Educational status of the Czech population about Lyme borreliosis and experience with tick bites--pilot study].

The incidence of Lyme borreliosis (LB) has a rising trend since 1995. In 1995 6,302 cases were reported, in 1996 4,192 (EPIDAT, SZU). The objective of the present work was to assess in a selected population sample knowledge of ticks and their relationship to Lyme borreliosis. The investigation was based on a survey using questionnaires. 110 respondents were selected according to the following pattern: 19 secondary school students, 32 blood donors, 44 visitors of parks, 15 countryside people. 99.1% of the subjects knew about the existence of ticks in the Czech Republic, 10.9% of the respondents do not know about Lyme borreliosis. More than 80% of the people are in the countryside at least once a week. 87% of the people report they had a tick, 75% removed a tick from another person. Only 6.7% of the respondents never had any contact with ticks. When removing ticks 17% of the subjects use disinfection, 67% use oil. Almost 30% of the respondents remove ticks with bare hands and more than 14% destroy them by squashing them between their fingers. 41% are not aware of the risk of transmission of tick-borne encephalitis. From the investigation a frequent contact of the population with ticks is apparent. Theoretical knowledge of the problem is extensive, practical experience is different. Unfortunately unsuitable habits in removal of ticks persist and this increases the risk of transmission of Lyme borreliosis.

Adult↗

Cognition, functional status, education, and the diagnosis of dementia and mild cognitive impairment in Spanish-speaking elderly.

A group of 314 Spanish-speaking elders were classified in 55 participants with mild to moderate dementia, 74 participants with mild cognitive impairment (MCI), and 185 control participants, according to clinical evaluation derived. Sensitivity, specificity, and detection characteristics of frequently cognitive and functional tests were calculated in comparison with the clinical evaluation: Minimental State Examination, Brief Neuropsychological Test Battery, Short Blessed test, Pfeffer Functional Activities Questionnaire, and Blessed Dementia Scale. Influence of education on sensitivity and specificity values varied along the tests. For all the cognitive and functional measures, a great number of MCI participants who fulfilled Mayo's (Mayo's Clinical School) clinical criteria (Petersen et al., 1999) were misclassified as controls and a few were misclassified as demented. Level of education plays a very important role in both cognitive and functional assessment. The cognitive tests that are commonly used to screen demented patients may fail to detect MCI particularly in high-functioning individuals as well as those who are well educated.

Activities of Daily Living↗