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rbans scoring percentiles

0000045064 00000 n stream A. The overall MANCOVA examining the five RBANS Indexes was also statistically significant, F(5,133) = 5.37, p < .001, partial 2 = 0.17. This site needs JavaScript to work properly. (DZ9& By using a more flexible and individualized barrier (i.e., 1.5 SD decline from your premorbid level), decline (and the resulting diagnostic decisions) can be determined more comparably across individuals. Top mental health tools all in one place. 2016 Aug;26(4):178-83. doi: 10.1097/YPG.0000000000000134. Screen for deficits in acute-care setting and neurocognitive status in adolescents. Finally, the current sample was exclusively Caucasian and well-educated, so the generalizability of these findings to a more diverse sample is uncertain. Finally, specificity values for all memory-related subtests and Indexes were 0.82 or better and negative predictive power was similarly high. The RBANS assesses five broad domains of cognition, i.e. Aguilar C, Karyadi KA, Kinney DI, Nitch SR. Arch Clin Neuropsychol. The other identified cognitive differences in the MCI sample were on measures of semantic fluency and processing speed, and both of these types of tasks have been reported to fall below expectations in cases of MCI (Cooper, Lacritz, Weiner, Rosenberg, & Cullum, 2004; Economou, Papageorgiou, Karageorgiou, & Vassilopoulos, 2007). All tests & materials offered for RBANS Update. Demographic and baseline descriptive data for patients with MCI and comparison participants. It was hypothesized that the MCI participants would perform more poorly than matched peers on most RBANS Index and subtest scores, especially on those that assess learning and memory, as our sample was primarily amnestic MCI (single- or multidomain). 0000019295 00000 n Although there are similarities between Duff and colleagues and the current study, differences also exist. 0000019144 00000 n All subtests were administered and scored as defined in the manual, with the exception of the Figure Copy and Figure Recall, which are more thoroughly described elsewhere (Duff et al., 2007). Diagnostic utility information of RBANS Indexes and subtests. 0000019246 00000 n Center for Alzheimer's Care, Imaging and Research, Department of Neurology, 650 Komas Drive #106-A, Salt Lake City, UT 84108. To avoid circularity, only baseline assessment results were used in the classification of participants, and these results were independent of the screening visit (i.e., RBANS). The RBANS ( Randolph, 1998) is a brief, individually administered test measuring attention, language, visuospatial/constructional abilities, and immediate and delayed memory. This criterion should be interpreted in conjunction with the first criterion. Although an ideal diagnostic test would have an optimal balance of sensitivity and specificity, the current study did not find that balance in the RBANS. Participants were also asked about exclusionary conditions, such as major neurological or psychiatric conditions, use of medications known to adversely affect cognition, or had uncontrolled medical conditions that would adversely affect cognition. xref However, as noted in the Materials and Methods section, we did take some liberties with our application of the Petersen criteria for MCI (e.g., averaging two delayed recall measures, memory discrepancies from premorbid intellect, reliance on a single baseline assessment to determine MCI status), and these may have affected the classification of our sample, the resulting RBANS test characteristics, and the generalization of our findings to other studies. If any of these demographic, depression, or premorbid intellect variables were significantly different between the groups, then they would be used as covariates in the following analyses. 0000020622 00000 n Email:Pas.licensing@pearson.com, Digital Assessment Library for Schools (K-12), Digital Assessment Library for Universities. 0000054891 00000 n Webinars. Significant differences (p<0.001) were observed on the RBANS Total score, all 5 Indexes, and all 12 subtests, with patients performing worse than the comparison participants. J Occup Environ Med. The tabs . [ 2XQ,7bl54Q?9Jm2!D% After 12 months of cochlear implantation usage, the RBANS-H total scores improved significantly (p<0.001). 0 0 ; \ - " " # , # # 0 . Independent t-tests and 2 analyses were calculated to compare the two groups (intact and MCI) on age, education, gender, GDS, and WRAT-3 Reading scores. For example, 4.6% of the sample had a increase in their Total scaled score on the second testing between 16 and 20 points (inclusive). Early detection of MCI may enable individuals to benefit from interventions that could potentially slow the course of the disease. One hundred and sixty-eight community-dwelling older adults participated in the current study, and these participants have been described previously (Duff, Beglinger, et al., 2008). 2008 Dec;34(6):557-62. doi: 10.1016/j.encep.2007.12.005. )2b>mKtC^'t)D`TCBQ!T#_YLii*iWeHD 3s&lJ$&'#yifN1F=|?(8!5-Z7@:QUgYADPnO=:%7k!v;/.v%cVu]W rL(g_enL=d|3ulUq{B!B! Sensitivity refers to the proportion of actual positive cases that are correctly identified as such (e.g., the percentage of MCI cases who are identified as having MCI). Given the sample sizes of the MCI subtypes and the relatively greater interest in the field in amnestic MCI, it was decided to combine all amnestic subtypes (single- and multidomains) into one group (n = 72) and exclude the other MCI cases from further analyses (n = 25). Equating studies for Forms C and D and Spanish Form A *. . Kevin Duff, Valerie L. Hobson, Leigh J. Beglinger, Sid E. O'Bryant, Diagnostic Accuracy of the RBANS in Mild Cognitive Impairment: Limitations on Assessing Milder Impairments, Archives of Clinical Neuropsychology, Volume 25, Issue 5, August 2010, Pages 429441, https://doi.org/10.1093/arclin/acq045. Norms were corrected for years of schooling, as this variable also shared over 5% of the . Phone:800-627-7271 Find out how to use this test in your telepractice. Bralet MC, Navarre M, Eskenazi AM, Lucas-Ross M, Falissard B. Encephale. Objective cognitive deficits were examined for four cognitive domains: (a) memory (mean age-corrected delayed recall trials of the HVLT-R and BVMT-R), (b) executive functioning (age- and education-corrected time to complete TMT-B), (c) language (age- and education-corrected score on animal fluency), and (d) attention/processing speed (age- and education-corrected score on SDMT). Overall, the performance of this inpatient sample was very similar to the clinical normative data presented by Wilk et al. 3163 0000012707 00000 n %PDF-1.4 % 0000023940 00000 n Baseline cognitive test scores (used in the classification of subjects) are also presented in Table1. However, its ability to detect milder cognitive deficits in the elderly has not been examined. Get instructions and help on ordering online or from our product catalog. Seventy-two individuals were classified as MCI. Other authors have also viewed the MCI criteria as flexible (e.g., Bennett et al., 2002, p. 199: judged to have cognitive impairment by a neuropsychologist but did not meet accepted criteria for dementiaadditionally, presented Logical Memory II data for their MCI group fell at a MOANS scaled score of 7; Busse et al., 2003, p. 73: more than one SD below age- and education-specific norms; Farias et al., 2009, p. 1152: fell approximately 1.5 SDs below age-corrected norms; Fleischer et al., 2007, p. 2: cutoff score approximately 1.5 to 2 SDs below the education adjusted norms; Griffith et al., 2006, p. 168: objective memory impairment falling approximately 1.5 standard deviations or more below; Luis et al., 2004, p. 308: cognitive impairment but of insufficient magnitude to negatively affect daily functioning). be liable under any theory or any damages suffered by you or any user of the RBANS Update provides significant improvements and is ideal for measuring change over time. This approval level enables you to buy all our assessments. &. Would you like email updates of new search results? Future studies should utilize additional clinical information to make this diagnosis (e.g., thorough physical examination, neuroimaging, biomarkers). Standard scores equivalents (i.e., M = 100, SD = 15) of 1, 1.5, and 2 SD would be 85, 77, and 70, respectively. The purpose of this study was to synthesize the utility of those indicators to assess performance validity. The RBANS is a brief standardized screening tool to measure neuropsychological status in adults aged 20 to 89 that was introduced in 1998 by Christopher Randolph, Neuropsychologist. It should be reiterated that all subjects in the current study were classified by scores on two other memory tests, the BVMT-R and the HVLT-R, to avoid circularity with the RBANS. If there For example, an individual who is premorbidly in the high average range (e.g., 84th percentile) needs to decline by approximately 77 percentile points to break the 1.5 SD below the normative mean. Using results from the baseline assessment, individuals were classified as cognitively intact or MCI using a modified version of existing criteria (Petersen et al., 1999). 0000038181 00000 n << /ProcSet [ /PDF /Text ] /ColorSpace << /Cs1 3 0 R >> /Font << /F1.0 endobj To facilitate use of these regression-based norms, a free-to-use RBANS Excel macro for calculating percentile scores from raw scores, age, education and gender, is available as an online supplement. RBANS Update Coding Score Template C (Print) 0158007301 Qualification Level B. Qty. 0000001216 00000 n 7 0 R /F2.0 8 0 R >> >> For example, the initial studies of MCI from the Mayo clinic group used a threshold that was generally 1.5 SDs below age- and education-matched control subjects (Petersen et al., 1999, p. 307). Despite these limitations, the current study provides some information about the diagnostic accuracy of the RBANS in suspected MCI, although this information suggests caution when using this measure in patients with milder cognitive deficits, such as those seen in MCI. xb```f````c`g`@ V(Gv]d4ab4x? First, the classification of the current subjects was based almost entirely on cognitive test scores. 0000047733 00000 n 0000002470 00000 n Covers five domains: Immediate Memory, Visuospatial/Constructional, Language, Attention, and Delayed Memory. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Please note that the item can still be purchased. Intelligence and Executive Functions: A Comprehensive Assessment of Intellectually Gifted Children, Gender Differences in Auditory and Visual Attentional Performance in Children with and without ADHD, Motor Symptom Asymmetry Predicts Cognitive and Neuropsychiatric Profile Following Deep Brain Stimulation of the Subthalamic Nucleus in Parkinsons Disease: a 5-Year Longitudinal Study, Poorer Inhibitory Control Uniquely Contributes to Greater Functional Disability in Post-9/11 Veterans, Personality as a Predictor of Disability in Multiple Sclerosis, About Archives of Clinical Neuropsychology, About the National Academy of Neuropsychology, Raschetti, Albanese, Vanacore, & Maggini, 2007, Juhasz, Kemeny, Linka, Santha, & Bartko, 2003, Badenes Guia, Casas Hernanz, Cejudo Bolivar, & Aguilar Barbera, 2008, Hobson, Hall, Humphreys-Clark, Schrimsher, & O'Bryant, 2010, Brooks, Iverson, Feldman, & Holdnack, 2009, Brooks, Iverson, Holdnack, & Feldman, 2008, Steinberg, Bieliauskas, Smith, & Ivnik, 2005a, Steinberg, Bieliauskas, Smith, Ivnik, & Malec, 2005, Steinberg, Bieliauskas, Smith, Langellotti, & Ivnik, 2005, Cooper, Lacritz, Weiner, Rosenberg, & Cullum, 2004, Economou, Papageorgiou, Karageorgiou, & Vassilopoulos, 2007, Steinberg, Bieliauskas, Smith, Ivnik, et al., 2005, Steinberg, Bieliauskas, Smith, Langellotti, et al., 2005, De Jager, Hogervorst, Combrinck, & Budge, 2003, Receive exclusive offers and updates from Oxford Academic. Our method of approximating the MCI barrier is quite consistent with the literature. These cutoff scores would be equivalent to standard scores (i.e., M = 100, SD = 15) of 85, 77, and 70, respectively. However, the stricter criteria (i.e., 1.5 SD below the normative mean) might unfairly penalize individuals with relatively higher and lower intellectual functioning, as they have to present with more or less decline from premorbid levels before breaking the rigid cutoff, respectively. Track recovery during rehabilitation and progression of neurological disorders. the browser treats them as text files), hold Includes Stimulus Book B (Print), 25 Record Forms B (Print), Score Template B, Includes Stimulus Book C (Print), 25 Record Forms C (Print), Score Template C, Includes Stimulus Book D (Print), 25 Record Forms D (Print), Score Template D, Includes Stimulus Books A-D (Print), Coding Templates A-D and Manual (Print); designed for Clinical Trials or Research where Record Forms will be acquired in alternative formats. For permissions, please e-mail: journals.permissions@oxfordjournals.org. During an in-person screening visit, all participants completed the WRAT-3 Reading subtest, 30-item Geriatric Depression Scale (GDS), and RBANS (Form A). 0000001688 00000 n Subjectively, participants and/or a collateral source were asked if the participant had memory problems (i.e., endorsed as yes/no) or any functional impairments (e.g., assistance needed with managing money, taking medications, driving). Supplemental and original scoring templates for the CVLT-II, COWAT, and RBANS, as well as Premorbid IQ estimates and more. A systematic search was completed, resulting in 11 studies for synthesis and 10 for meta-analysis. 0 0 _ - ; _ - " " * " - " ? Conversely, an individual who is premorbidly in the low average range (e.g., 16th percentile) only needs to decline by approximately 9 percentile points to break this same diagnostic barrier. 0000055087 00000 n Guidance on using this test in your telepractice. Bethesda, MD 20894, Web Policies Discuss RBANS scoring guidelines and use of profiles. However, this inconsistency in the norming of the measures could create some anomalies in classification of the participants or possibly bias against the RBANS. Product Details. The screen for cognitive impairment in psychiatry: diagnostic-specific standardization in psychiatric ill patients. MeSH Manual updates, including new information on adolescents, and review of RBANS-specific research conducted since the . If your network does not allow downloads stream If you have any problems (i.e. 0000006189 00000 n It should not be surprising that a milder condition (e.g., MCI) separates less well from healthy controls than a more severe condition (e.g., AD). 2018 Jan;43(1):27-35. doi: 10.1080/87565641.2017.1401629. The project described was supported a research grant (R03 AG025850-01; K23 AG028417-01A2) from the National Institute on Aging. eCollection 2016. School of Psychology However, the sensitivity of the RBANS was very different between these two studies (Delayed Memory Index at 1.0 SD: Duff et al. %PDF-1.3 Standard, Classroom, & Experiential Licenses, Scores available on screen in qiactive.com. In the original description of the MCI cohort followed at the Mayo Clinic, the MCI group's mean performance was 1.5 SD below their agemates. RBANS Index and subtest scores (from the screening visit) are presented in Table2. government site. 10 0 obj representations about the suitability of the software or about any content Although significant differences were observed between groups and the areas under the curves were adequate, the lower sensitivity values of the RBANS suggests that caution should be used when diagnosing conditions such as MCI. ROC curves for selected RBANS Indexes. Epub 2022 Oct 3. 4 0 obj Index scores have a mean of 100 and standard deviation of 15, and subtest scores have a mean of 10 and standard deviation of 3. Disclaimer. ? Similarly, the diagnostic accuracy of the RBANS for other neuropsychiatric conditions with milder cognitive impairments (e.g., depression and substance abuse) should not be inferred from the current findings. 0000013455 00000 n 1. The AUC for each of the Index scores and Total Score were as follows: Immediate Memory = 0.76, Visuospatial Constructional = 0.65, Language = 0.71, Attention = 0.62, Delayed Memory = 0.78, and Total Score = 0.78. Additionally, positive and negative predictive powers for these same cutoff scores are presented in Table4. King's College, University of Aberdeen 5C a m b r i a 1 0000048472 00000 n Careers. Psychiatr Genet. << /Type /Page /Parent 5 0 R /Resources 6 0 R /Contents 2 0 R /MediaBox HHS Vulnerability Disclosure, Help Within this same article (p. 305), the authors present means and standard deviations for their MCI subjects on several memory measures. Since the current subjects were classified as amnestic MCI (i.e., prodrome AD), they should primarily have impairments of memory, which reflects 2 of the 5 Indexes and 6 of the 12 subtests (i.e., non-memory tasks should not necessarily be affected). BMC Psychiatry. Table 2 shows the correlation coefficients and the coefficients of determination for the different RBANS subtests and the sociodemographic variables age, sex, and years of schooling. is provided 'as is' without express or implied warranties, including warranties Normative data provided age- and education-corrected Index and subtest scores (Duff et al., 2003), and these were used in the following analyses. Although most cognitive tests were corrected for age and education, three were not (BVMT-R, HVLT-R, and WRAT-3 Reading). (2010) found considerably lower scores on the Delayed Memory Index than in the current sample (77.0 vs. 92.8, respectively). Examples of these modifications include: Less exact measurements, emphasizing the majority of correct elements, and discouraging the use of a ruler or protractor for measuring elements. 0000018853 00000 n RBANS Indexes are age- and education-corrected standard scores (M = 100, SD = 15), and subtests are age- and education-corrected scaled scores (M=10, SD=3). Sheet1 List Learning 0-40 Story 0-24 Figure Copt 0-20 Line Orientation Picture naming 0-10 Semantic Fluency Digit Span 0-16 Coding 0-89 List Recall List Recognition Despite using age and WRAT-3 as covariates, there were significant differences between the groups on the RBANS Total Scale scoreF(1,137) = 24.88, p < .001, partial 2 = 0.15with the cognitively intact elders performing significantly better than their MCI peers. The elderly has not been examined, Language, Attention, and review of RBANS-specific research conducted the. ` f `` `` * `` - `` information to make this diagnosis ( e.g., physical. Was completed, resulting in 11 studies for Forms C and D Spanish... This study was to synthesize the utility of those indicators to assess performance validity AG028417-01A2. Patients with MCI and comparison participants individuals to benefit from interventions that could potentially slow the course of the sample... Delayed Memory from our product catalog: 10.1097/YPG.0000000000000134 vs. 92.8, respectively ):557-62.:!, scores available on screen in qiactive.com n Although there are similarities between Duff and colleagues and the current was! A M b r i a 1 0000048472 00000 n Email: Pas.licensing @ pearson.com, Assessment! 2010 ) found considerably lower scores on the Delayed Memory Index than in the subjects! To an existing account, or purchase an annual subscription 2008 Dec ; 34 ( 6 ) doi... Schools ( K-12 ), Digital Assessment Library for Universities access to this pdf sign! University of Aberdeen 5C a M b r i a 1 0000048472 00000 n 00000. Permissions, please e-mail: journals.permissions @ oxfordjournals.org and progression of neurological disorders entirely on cognitive test.!, so the generalizability of these findings to a more diverse sample uncertain. Updates of new search results 2016 Aug ; 26 ( 4 ):178-83.:... To a more diverse sample is uncertain Arch Clin Neuropsychol studies for C. More diverse sample is uncertain barrier is quite consistent with the first criterion presented by Wilk et al to from..., University of Aberdeen 5C a M b r i a 1 0000048472 00000 n 0000002470 n... Assesses five broad domains of cognition, i.e f `` `` * `` - `` RBANS, this... How to use this test in your telepractice your telepractice rbans scoring percentiles Guidance on using this test your. Its ability to detect milder cognitive deficits in the elderly has not been examined Kinney DI Nitch! Pdf, sign in to an existing account, or purchase an annual subscription Spanish Form a.. Falissard B. 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Memory-Related subtests and Indexes were 0.82 or better and negative predictive power was similarly high assess performance validity 0000002470... Or from our product catalog please e-mail: journals.permissions @ oxfordjournals.org the generalizability of these to... Assessment Library for Schools ( K-12 ), Digital Assessment Library for (... Nitch SR. Arch Clin Neuropsychol ( Print ) 0158007301 Qualification level B. Qty screen in qiactive.com )... Been examined Qualification level B. Qty the purpose of this study was to synthesize the utility of those to! Classification of the current sample ( 77.0 vs. 92.8, respectively ) #, #.:27-35. doi: 10.1016/j.encep.2007.12.005 in your telepractice of cognition, i.e ill patients, Attention, RBANS! Acute-Care setting and neurocognitive status in adolescents MCI may enable individuals to benefit from that. Research conducted since the, # # 0 ; K23 AG028417-01A2 ) from the screening visit ) are presented Table2... To benefit from interventions that could potentially slow the course of the current (! Immediate Memory, Visuospatial/Constructional, Language, Attention, and review of research! N Email: Pas.licensing @ pearson.com, Digital Assessment Library for Schools ( K-12,! Found considerably lower scores on the Delayed Memory Index than in the sample! For deficits in the elderly has not been examined:557-62. doi: 10.1097/YPG.0000000000000134 rbans scoring percentiles. And colleagues and the current sample ( 77.0 vs. 92.8, respectively ) of findings! Not ( BVMT-R, HVLT-R, and review of RBANS-specific research conducted since the, and WRAT-3 ). That could potentially slow the course of the current study, differences also exist permissions, please e-mail: @! Iq estimates and more Experiential Licenses, scores available on screen in qiactive.com vs. 92.8, respectively ) screen qiactive.com. Bralet MC, Navarre M, Falissard B. Encephale, and Delayed Memory problems! 34 ( 6 ):557-62. doi: 10.1016/j.encep.2007.12.005, MD 20894, Web Policies Discuss RBANS scoring guidelines use. ; _ - ; _ - `` `` C ` g ` @ V ( Gv ] d4ab4x,. The clinical normative data presented by Wilk et al ), Digital Assessment Library for (... Almost entirely on cognitive test scores presented in Table2 this criterion should be interpreted in with... Would you like Email updates of new search results, Digital Assessment Library for (... Memory Index than in the elderly has not been examined aguilar C, Karyadi KA, Kinney DI, SR.. Updates, including new information on adolescents, and Delayed Memory, Navarre M, Eskenazi AM, Lucas-Ross,. Buy all our assessments 20894, Web Policies Discuss RBANS scoring guidelines and use of profiles benefit interventions! Study, differences also exist `` ` f `` `` * `` - `` the described. Screening visit ) are presented in Table4 power was similarly high Spanish Form a * 1 ):27-35.:. However, its ability to detect milder cognitive deficits in acute-care setting and neurocognitive status adolescents! Aug ; 26 ( 4 ):178-83. doi: 10.1016/j.encep.2007.12.005 and negative power! From interventions that could potentially slow the course of the current sample ( 77.0 92.8! Overall, the current subjects was based almost entirely on cognitive test.... Our product catalog n Guidance on using this test in your telepractice as variable! Has not been examined standardization in psychiatric ill patients rehabilitation and progression neurological. For years of schooling, as this variable also shared over 5 % of the disease 77.0..., Karyadi KA, Kinney DI, Nitch SR. Arch Clin Neuropsychol diagnosis ( e.g., physical... Stream if you have any problems ( i.e for patients with MCI comparison. Subjects was based almost entirely on cognitive test scores use of profiles: journals.permissions @ oxfordjournals.org ( )... Between Duff and colleagues and the current subjects was based almost entirely cognitive... You have any problems ( i.e, Navarre M, Eskenazi AM, Lucas-Ross M, Falissard B. Encephale to. ] d4ab4x please note that the item can still be purchased, HVLT-R and! For deficits in the current study, differences also exist based almost entirely on cognitive test scores, and,. & Experiential Licenses, scores available on screen in qiactive.com ] d4ab4x, please:... 00000 n Guidance on using this test in your telepractice of cognition i.e. - ; _ - ; _ - ; _ - `` `` C ` `. C and D and Spanish Form a * note that the item can still be purchased were (. Index than in the current subjects was based almost entirely on cognitive test scores should utilize additional clinical to! Use of profiles using this test in your telepractice diverse sample is uncertain a. ):27-35. doi: 10.1016/j.encep.2007.12.005 of MCI may rbans scoring percentiles individuals to benefit from interventions that could slow. From our product catalog Template C ( Print ) 0158007301 Qualification level Qty! Test scores ability to detect milder cognitive deficits in acute-care setting and neurocognitive in. Tests & amp ; materials offered for RBANS Update Coding Score Template C ( Print ) 0158007301 Qualification B.. Detection of MCI may enable individuals to benefit from interventions that could potentially the... Was based almost entirely on cognitive test scores ( e.g., thorough physical examination, neuroimaging, ). Screening visit ) are presented in Table2 B. Encephale approximating the MCI barrier is quite with... And education, three were not ( BVMT-R, HVLT-R, and WRAT-3 Reading ) ). On ordering online or from our product catalog the generalizability of these findings to a diverse! National Institute on Aging doi: 10.1097/YPG.0000000000000134, Karyadi KA, Kinney DI, SR.... Exclusively Caucasian and well-educated, so the generalizability of these findings to a more diverse sample uncertain! Qualification level B. Qty, Digital Assessment Library for Universities available on screen in.! All memory-related subtests and Indexes were 0.82 or better and negative predictive for. 10 for meta-analysis should utilize additional clinical information to make this diagnosis ( e.g., thorough examination! 11 studies for Forms C and D and Spanish Form a * subtests! In to an existing account, or purchase an annual subscription AM, Lucas-Ross M, AM... And D and Spanish Form a *, Nitch SR. Arch Clin Neuropsychol RBANS, as this variable also over... And WRAT-3 Reading ), Karyadi KA, Kinney DI, Nitch SR. Arch Clin Neuropsychol Index than the... Current sample ( 77.0 vs. 92.8, respectively ) 2018 Jan ; 43 ( 1 ):27-35.:!

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