Cognitive decline before the age of 50 can be detected with sensitive cognitive measures

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Estimation of age- and stage-specific Catalan breast cancer survival functions using US and Catalan survival data

During the last part of the 1990s the chance of surviving breast cancer increased. Changes in survival functions reflect a mixture of effects. Both, the introduction of adjuvant treatments and early screening with mammography played a role in the decline in mortality. Evaluating the contribution of these interventions using mathematical models requires survival functions before and after their introduction. Furthermore, required survival functions may be different by age groups and are related to disease stage at diagnosis. Sometimes detailed information is not available, as was the case for the region of Catalonia (Spain). Then one may derive the functions using information from other geographical areas. This work presents the methodology used to estimate age- and stage-specific Catalan breast cancer survival functions from scarce Catalan survival data by adapting the age- and stage-specific US functions. Methods: Cubic splines were used to smooth data and obtain continuous hazard rate functions. After, we fitted a Poisson model to derive hazard ratios. The model included time as a covariate. Then the hazard ratios were applied to US survival functions detailed by age and stage to obtain Catalan estimations. Results: We started estimating the hazard ratios for Catalonia versus the USA before and after the introduction of screening. The hazard ratios were then multiplied by the age- and stage-specific breast cancer hazard rates from the USA to obtain the Catalan hazard rates. We also compared breast cancer survival in Catalonia and the USA in two time periods, before cancer control interventions (USA 1975–79, Catalonia 1980–89) and after (USA and Catalonia 1990–2001). Survival in Catalonia in the 1980–89 period was worse than in the USA during 1975–79, but the differences disappeared in 1990–2001. Conclusion: Our results suggest that access to better treatments and quality of care contributed to large improvements in survival in Catalonia. On the other hand, we obtained detailed breast cancer survival functions that will be used for modeling the effect of screening and adjuvant treatments in Catalonia

Criminality and legitimization in seawaters: a study on the pirates of Malabar during the age of european commercial expansion (1500-1800)

The maritime piracy included a wide variety of associated criminal activities including attack and confiscation of vessels and merchandise, imprisonment or torturing of merchants and rulers in sea-space in return for ransom money, attack and raiding of coastal trading centers and villages, creation of fear and terror in chief channels of navigation and attacking commercial competitors as a strategy to weaken the trading ability and the wealth-mobilizing ability of their rivals. All this applied to coastal south west India during the period under study. The merchant chiefs of Cannanore like Mamale Marakkar and later under Poca Amame (Pokar Ahamad) and Pocarallee (Pokar Ali) were some of the better known protagonists that the Portuguese had to deal with. But the Malabar corsairs had their corresponding English and Sicilian corsairs in the Mediterranean.

Auditory speech-discrimination as a function of age and type of audiogram

This paper reviews a study to determine if loss of speech discrimination is related to age and patients with audiograms showing steep high-frequency losses.

Hearing screening with otoacoustic emissions and patient age in a pediatrician's practice

This paper presents a study of the effectiveness of a neonatal hearing screener (the GSI AUDIOscreener, which is usually used in hospitals to test newborns), in a pediatrician's offices to test infants and children up to age 5-1/2 years.

Mainstreaming, inclusion, and the elementary school age hearing impaired student

This paper presents materials for educators and students, grades K-6, about hearing and hearing impairment that will help prepare them for more successful mainstreaming and inclusion of hearing-impaired children.

A performance test for school age children wtih a language handicap

This paper discusses language and intelligence tests for hearing impaired children.

Efficacy of high-frequency tympanometry in infants birth to six months of age: A pilot study

The purpose of this study was to assess the use of 1 kHz tympanometry in young infants. A larger sample will be needed to develop definitive norms and determine the sensitivity and specificity of 1 kHz tympanometry for middle ear pathology in young infants.

The reassessment of central auditory processing disorders in children 7 to 12 years of age

This paper provides a review of central auditory processing disorders in children.

Comparison of long term cochlear noise injury and age-related cochlear degeneration in mice

This paper studies and compares age related hearing loss and noise-induced hearing loss in mice, and the different cell types that are affected by aging and noise.

Efficacy of 1000 Hz tympanometry in infants birth to 4 months of age: A follow up study

Interpretation of 1000 Hz tympanometry is not standardized. Several compensated and uncompensated measures were analyzed and compared to otologic findings. Results of auditory brainstem testing and otoacoustic emissions were considered to better obtain middle ear status. Findings were inconclusive due to small sample size.

Open-set speech perception of school-age cochlear implant users

This study examines specific auditory features perceived by profoundly hearing-impaired children using conventional binaural hearing aids and the Nucleus 22 Channel Cochlear Implant. The primary interest of this study was to learn which speech features were most easily perceived by users of each device.

Comparison of written and spoken language from deaf and hearing children at five age levels

This dissertation compares oral and written language development in hearing and deaf children. The study applies grammatical, lexical and syntactical measures to describe and analyze the differences in language development in groups of hearing and orally-taught hearing-impaired children and to relate these findings to chronological age.

Play of the preschool age deaf child

This paper discusses the importance of play for the preschool aged hearing impaired child.