Re-evaluation of psychometric evidence and update of normative data for the Test of Practical Judgment.

The Test of Practical Judgment (TOP-J) has shown utility in inpatient and outpatient settings in older adults who present with mild cognitive impairment and various dementia subtypes. The TOP-J has two versions (i.e.

Cost and outcome in a series of shunted premature infants with intraventricular hemorrhage.

This study examines cost and outcome in a series of 50 low birthweight infants who suffered severe intraventricular-periventricular hemorrhage and subsequently required ventriculoperitoneal shunting. Although nearly one third of these children might achieve some degree of self-sufficiency, a cost-benefit analysis in this shunted population is not encouraging.

Fetal scalp electrode complications: cerebrospinal fluid leak.

A newborn with cerebrospinal fluid leakage secondary to a fetal scalp electrode is presented. Although infrequent complications from fetal scalp electrode monitoring may be significant. Personnel using these monitoring devices should be alert to possible complications.

In utero distal pulmonary meconium aspiration.

We have recently had eight cases of severe meconium aspiration syndrome which occurred despite clearing of the posterior pharynx of meconium after delivery of the head but before delivery of the body. Seven of the eight cases had documented fetal distress before delivery. Two stillborns with meconium aspiration are presented and illustrate that electronic fetal monitoring and aggressive obstetric intervention should be coupled with the suctioning technic to prevent significant mortality and morbidity associated with meconium-stained deliveries.