2015 Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence
* The burden and predictors of cognitive impairment among 6- to 8-year-old children infected and uninfected with HIV from Harare, Zimbabwe: a cross-sectional study.
- With long-term survival of children infected with HIV, information on cognitive function at school age is needed. To determine cognitive function among 6- to 8 year-old children exposed to HIV and to assess factors associated with cognitive impairment, we conducted a cross-sectional study from October 2010 to December 2011 among children whose mothers participated in a national HIV prevention program in Harare. Cognitive function was assessed using the McCarthy Scales of Children's Abilities (MSCA). Of the 306 assessed children, 32 (10%) were HIV infected, 121 (40%) exposed uninfected, and 153 (50%) unexposed uninfected. The mean (SD) General Cognitive Index for the whole study group was 82 (15). An overall of 49 (16%) out of the 306 children had cognitive impairment with no difference in general cognitive function among the three groups. Children with HIV infection scored lowest in perceptual performance domain, p = .028. Unemployed caregivers, child orphanhood and undernutrition were associated with impaired cognitive performance in univariate analysis. In multivariate analysis, caregiver unemployment status remained a factor associated with cognitive impairment with an ODDS ratio of 2.1 (95% CI 1.03-3.36). In a cohort of 6- to 8-year-olds, HIV infection did not show evidence of significant difference in general cognitive function. Children infected with HIV had major deficits in perceptive performance. Lower socioeconomic status was associated with cognitive impairment. In resource-constrained settings, strategies aimed at poverty alleviation and good nutritional management should complement early infant diagnosis and treatment of HIV in order to optimize neurocognitive potential.
=>1.低くする/なる, 下げる/下がる, 卑しめる, 2.しかめっ面, 3.lowの比較級
Overview of noun lower
The noun lower has 1 sense (no senses from tagged texts)
1. lower berth, lower -- (the lower of two berths)
Overview of verb lower
The verb lower has 5 senses (first 3 from tagged texts)
1. (15) lower, take down, let down, get down, bring down -- (move something or somebody to a lower
position; "take down the vase from the shelf")
2. (6) lower, lour -- (set lower; "lower a rating"; "lower expectations")
3. (1) turn down, lower, lour -- (make lower or quieter; "turn down the volume of a radio")
4. lower, depress -- (cause to drop or sink; "The lack of rain had depressed the water level in the
reservoir")
5. frown, glower, lour, lower -- (look angry or sullen, wrinkle one's forehead, as if to signal
disapproval)
Overview of adj low
The adj low has 10 senses (first 6 from tagged texts)
1. (55) low -- (less than normal in degree or intensity or amount; "low prices"; "the reservoir is
low")
2. (23) low -- (literal meanings; being at or having a relatively small elevation or upward
extension; "low ceilings"; "low clouds"; "low hills"; "the sun is low"; "low furniture"; "a low
bow")
3. (11) low, low-toned -- (very low in volume; "a low murmur"; "the low-toned murmur of the surf")
4. (6) low -- (unrefined in character; "low comedy")
5. (4) low, low-pitched -- (used of sounds and voices; low in pitch or frequency)
6. (3) abject, low, low-down, miserable, scummy, scurvy -- (of the most contemptible kind; "abject
cowardice"; "a low stunt to pull"; "a low-down sneak"; "his miserable treatment of his family"; "You
miserable skunk!"; "a scummy rabble"; "a scurvy trick")
7. humble, low, lowly, modest, small -- (low or inferior in station or quality; "a humble cottage";
"a lowly parish priest"; "a modest man of the people"; "small beginnings")
8. depleted, low -- (no longer sufficient; "supplies are low"; "our funds are depleted")
9. broken, crushed, humbled, humiliated, low -- (subdued or brought low in condition or status;
"brought low"; "a broken man"; "his broken spirit")
10. gloomy, grim, blue, depressed, dispirited, down, downcast, downhearted, down in the mouth, low,
low-spirited -- (filled with melancholy and despondency ; "gloomy at the thought of what he had to
face"; "gloomy predictions"; "a gloomy silence"; "took a grim view of the economy"; "the darkening
mood"; "lonely and blue in a strange city"; "depressed by the loss of his job"; "a dispirited and
resigned expression on her face"; "downcast after his defeat"; "feeling discouraged and
downhearted")
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