Acquired aphasia in children and the ontogenesis of hemispheric functional specialization.

We have described a series of 26 cases of cortical lesions in children from $\text{3}\text{1}\text{2}$ to 15 years of age (17 left-sided, six right-sided, three bilateral), in which 19 had varying degrees of language disturbance. We have attempted to establish the nature and evolution of these aphasic disorders, and have compared our observations to those previously published. Our analysis appears to indicate a relative hemispheric equipotentiality which permits the transfer of language representation to the opposite hemisphere in the case of a unilateral lesions in childhood. This conclusion, however, has at least the appearance of being in conflict with other reported findings, viz., those deriving from psychometric testing of subjects with unilateral perinatal lesions; and those concerning studies of fetal and newborn brains which suggest a very early, if not innate, hemispheric specialization.The fact of this discrepancy has lead us to reconsider the concept of a critical period as defined by Lenneberg. In this respect, we have also discussed the possibility of a partial transfer of language representation, of an intrahemispheric reorganization by intact “uncommitted” areas (P. Goldman), and finally, the need for an adequate stimulus during a given period in order for a preformed area to become functional.     

Prevalence and prediction of chemotherapy-related anxiety, nausea and vomiting in cancer patients

Anxiety, nausea and vomiting before, during and after chemotherapy administration were studied in 50 cancer patients. In addition, patient responses to the Autonomic Perception Questionnaire (APQ) and their relation to the anxiety, nausea and vomiting scores was studied. Anticipatory anxiety occurred in 66% and anticipatory nausea in 40% of the patients; 14% showed anticipatory vomiting. The number of patients reporting anxiety decreased to 38% after chemotherapy, whereas nausea and vomiting increased to 47 and 49%, respectively. APQ scores correlated significantly with anxiety and nausea reports during all time periods, but not with the frequency of vomiting.