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Outcome measures were divided into 1) Medical, e.g. mortality, major disabilities, anomalies, learning disabilities; 2) Psychometric, e.g. development of the linguistic, cognitive and motor skill as assessed by standardized tests; 3) Achievement based, e.g. school performance, education, and work status; and 4) behavioral and social parameters.
Residents under 18 years of age, or residents who were illiterate, had severe visual, hearing or learning disabilities, or major psychiatric illness, were excluded from the survey.
It shows little has changed since Ivan Lewis, then under secretary of state for care services, wrote in the foreword to the 2007 Mansell report that "commissioning and providing services for people who present significant challenges is one of the major issues facing learning disability services".
Extending this to children with disorders like ADHD or other learning disabilities is a major open scientific challenge.
But iodine deficiency is also a major cause of preventable brain damage and learning disabilities.
Iodine deficiency is the most common cause for goitre, but also a major cause of preventable brain damage and learning disabilities.
"Often people with learning disabilities aren't believed, which is a major, major problem," he said.
Patient exclusions were Glasgow Coma Scale verbal component rated as none or sounds only, moderate-severe dysphasia (grossly impaired comprehension, unintelligible speech, or major difficulties in expression), non-English speaking, learning disability, major deafness or blind, or readmission of patient previously included in the study.
Indeed, children who do survive can be left anaemic or with permanent learning disabilities, both of which have major impact on their healthy growth and development.
The four members are already signed to a major record label - and all of them have learning disabilities.
People with learning disabilities have a high chance of dying prematurely, interim figures from a major government survey suggest - and critics claim hospitals are unable to respond to learning disabled patients' needs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com