Schooling is thus not a faithful reflection of pure cognitive handicap.
The main eligibility criteria include: age ≥18 years, type 2 diabetes treated for more than one year, HbA1c ≥ 7.5% for ≥3 months, without any severe evolving complication (ischaemic or proliferative retinopathy, severe renal insufficiency, coronaropathy or evolving foot lesion), and absence of any major physical or cognitive handicap.
I also have had experience of working with three students with severe cognitive handicaps.
When communicating with chronic psychotic patients, it is necessary for GPs to take the patient's possible cognitive handicaps into account [ 43].
The disorders are characterized by early onset (before 36 months of age) [ 1, 2] and by long-lasting social or cognitive handicaps.
There were no exclusion criteria except for being obviously unable to complete the self-rating questionnaire (eg, because of physical or cognitive handicaps, such as severe visual or cognitive impairment, terminal illness, obvious writing impairment).
To date there is consensus that stroke severity, cognitive impairment, physical disability and handicap correlate with PSD. 6 The postulate for a neurobiological basis of PSD was based on observed behavioural changes in rats following focal cortical lesions, and concurrent change in catecholamine levels.
Patients were excluded if they did not provide informed consent, or if poor language skills or handicaps such as cognitive impairment prevented them from accomplishing the tasks required by the study.
These problems range from severe handicap such as cerebral palsy, cognitive impairment, blindness and hearing loss to impairment of short term memory, strabismus, language delays, learning difficulties and behavioural disorders [ 2, 5, 6].
Despite adequate antibiotic treatment, about half of the survivors show substantial long term morbidity, as reflected by persisting neurological deficits comprising cognitive impairment, seizures, hearing loss, and other handicaps [ 8].
Patients were excluded if they were unable to participate in an interview due to handicaps such as deafness, aphasia, or cognitive impairment.
