History Of Difficulty Research Articles

Desmoid Fibromatosis Post-Cervical Spine Surgical Intervention

Abstract Desmoid tumors are rare benign tumors that show locally aggressive and invasive features leading to potential complications. They can be quite challenging for the treating surgeon if they occur adjacent to neurovascular structures. The etiology of these tumors is still unclear, but the incidence is higher in females and in patients with a history of trauma or surgical procedures raising the possibility of genetic and hormonal factors as well as post-traumatic or postoperative inflammatory changes promoting the formation of desmoid fibromatosis. We report a case of a 34-year-old Asian female who presented to our hospital with a history of difficulty in swallowing due to an enlarging lump on the left side of her neck. Patient had a past medical history of previous cervical spinal disc surgery due to a herniated disc. Diagnostic imaging showed a large soft tissue mass centered between the left common carotid artery and the cervical vertebrae displacing the trachea and esophagus to the right side. Biopsy was obtained and histopathological examination was suggestive of a desmoid tumor. Patient underwent surgical resection of the tumor but returned later with recurrence and had to undergo the surgery again to achieve full cure.

CFD-14: detecting literacy and dyslexia risks in early and primary education

This study validates the CFD-14 questionnaire, designed for families to detect early risk of literacy difficulties and dyslexia in compulsory schooling. The sample included families of 1385 students from preschool (5 years old) and 1st to 6th grade of primary education, with a median age of 9 years and two months. The CFD-14 comprises 14 items reflecting common dyslexia indicators. Its one-dimensional factorial structure was confirmed, demonstrating reliability and criterion validity through five evidences: correlation of questionnaire scores with teacher and family assessments, comparison of CFD-14 scores between a dyslexic group (n = 13) and the general sample, analysis between families with and without a history of difficulties, and comparison between groups with persistent spelling errors and those without. A direct score at the 90th percentile was identified as the objective criterion to pinpoint students at risk of literacy difficulties.

Dystocia due to Twin Pregnancy in HF Crossbred Cattle- A Case Report

Background: Freemartinism is one of the most commonly found intersex conditions in cattle, although it may also occur in small ruminants. The freemartin phenotype appears in a dizygotic twin pregnancy where one twin is a male and the other is a female. Due to precocious anastomoses between the placental vascular systems of the two fetuses, masculinising molecules reach the female twin and disrupt the normal sexual differentiation. In cattle, this condition is observed in 90 to 97% of twin pregnancies. A freemartin is, by definition, a genetically female fetus masculinised in the presence of a male co-twin, giving rise to a sterile heifer. Methods: A HF crossbred cow of 2nd parity was presented at Veterinary Clinical Complex, College of Veterinary Science and Animal Husbandry, Mhow (M.P) with the history of difficulty in calving, uterine contraction since last night, restlessness, uterine fluid discharge from vagina and swollen vulva. Per vaginal examination revealed presence of two fetuses in the uterus one being in anterior while other being in posterior presentation. Result: Dystocia was resolved by manual intervention per vaginum resulting in birth of one male and one female calf. The male calf was strong and active, while the female calf was weak as compare to male.

Magnitude and associated factors of benign prostatic hyperplasia among male patients admitted at surgical ward of selected governmental hospitals in Sidamma region, Ethiopia 2021

BackgroundBenign prostatic hyperplasia (BPH) is the most common cause of bladder outlet obstruction and voiding symptoms in elderly men, and it affects more than 50 % of men over 60 years of age globally. MethodsBetween October 15 and November 15, 2021, 143 male patients admitted to the surgical wards of the Hawassa University Comprehensive Specialized Hospital (HUCSH), the Adare General Hospital (AGH), and the Yirgalem General Hospital in Hawassa City were involved. Data were gathered utilizing a pretested, structured, interviewer-administered questionnaire and patient review checklist employing a purposive sample technique. A binary logistic regression model, which examines the relationship between the dependent and independent variables, was used to analyze the data using SPSS version 20. ResultsThe magnitude of benign prostate hyperplasia (BPH) was 27 (18.9 %). Old age >=75 years (AOR = 0.07; 95 % CI: 0.005–1.024), being smokers (AOR = 0.261; 95 % CI: 0.078–00.871), positive familial history of BPH (AOR = 0.13; 95 % CI: 0.038–00.428), patients with renal disease (AOR = 5.724; 95 % CI: 1.669–19.631), and patients with a history of difficulties with sexual activity (AOR = 0.17; 95 % CI: 0.034–00.830) were found to be statistically associated with the presence of BPH. ConclusionsIn conclusion, the findings of this study revealed that BPH was a prevalent disease among men. Factors that could potentially increase the risk of benign prostatic hyperplasia were old age, positive family history, smoking, renal disease, and difficulties with sexual activities.

Fetal dystocia and estimation of fetal age in Sheep

A non–descript primiparous sheep of unknown gestation was presented with a history of difficulty in parturition and foul smell bloody vaginal discharge. Vaginal examination revealed dead fetus in anterior longitudinal presentation with carpal flexion retained in the birth canal. Based on the gynaeco-clinical examination, the case was diagnosed as dystocia due to carpal flexion. Further, the fetal age of the lamb was calculated using the formula given by Richardson (1980) as 130 days. The present case study deals with the successful management of dystocia due to carpal flexion and its estimation of fetal age in a non-descript sheep.

Fertility concerns and treatment decision-making among national sample of young women with breast cancer.

Diagnosis of breast cancer in young women has been shown to affect their decision-making with regard to fertility and family planning. Limited data are available from populations across the U.S. regarding this issue; thus, we sought to describe fertility concerns and efforts to preserve fertility in a national clinical trial population of young breast cancer patients. The young and strong study was a cluster-randomized controlled trial testing an intervention program for young women with breast cancer. Patients were surveyed within 3 months after diagnosis and at 3, 6, and 12 months after. Surveys asked about sociodemographics, psychosocial domains, fertility concerns, and fertility preservation strategies. Univariable and multivariable models were used to investigate sociodemographic, clinical, and psychosocial predictors of fertility concerns. Of 467 women from 54 clinical sites across the U.S. (14 academic, 40 community), 419 were evaluable regarding fertility concerns. Median age was 40 years (range 22-45), 11% were Black, 6% Hispanic, and 75% had children. Tumor stage was I (35%), II (51%), or III (14%); 82% received chemotherapy. At time of the treatment decision, 133 (32%) participants had fertility concerns, among whom 47% indicated this affected their treatment decisions. Sixty percent of participants reported having discussed fertility with their physician. Twenty percent of those with fertility concerns used fertility preservation strategies. History of difficulty becoming pregnant and younger age were associated with higher odds of fertility concerns in multivariable modeling. Many young women with newly diagnosed breast cancer are concerned about fertility in a way that impacts their treatment decisions. Concerns were discussed, but few used fertility preservation strategies. These findings have implications for counseling young patients.

Optimal GED Student Recruitment: Perceptions of Program Directors

Much is unknown about those who do not finish high school and there is a need to understand who enters and completes alternative high school completion programs, such as the HiSet (High School Equivalency Test), GED (General Education Development Test), or growing number of state sponsored high school equivalency programs. The purpose for conducting the study was to describe the perceptions of adult education program coordinators about how to best categorize potential high school credential alternative completers. Using a phenomenological framework and semi-structured interviews, 12 adult education program administrators were interviewed about who enrolls in and completes their programs. A thematic analysis of these responses indicated distinct categories of individuals including opportunists (those looking for better opportunities), exceptionals (those with exceptionalities such as a disability that prevented the individual from completing a traditional high school diploma), immigrants (those validating learning in another country or language learners), and those who have been reformed in some way (eg, those with a history of difficulty with legal situations). By identifying these initial categories of adult learners taking part in high school equivalency programs, recruitment efforts as well as the programs themselves might be better structured to correspond to learner needs.

Risk Factors of Uterovaginal Prolapse

Background: Pelvic organ prolapse refers to protrusions of the pelvic organs into or out of the vaginal canal. Vaginal prolapse can occur without uterine prolapse but uterus cannot descend without carrying the upper vagina with it. Therefore, genital prolapse is divided into two broad categories; one is uterine prolapse the other is vaginal prolapse. They are again divided into different subgroups. Objective: To find out risk factors that will help to reduce the incidence of uterovaginal prolapse. Method: It is a retrospective case control study conducted in the department of Obst & Gynae, BSMMU, Dhaka during the period of October 2009 to June 2010. We included 50 uterovaginal prolapse women as a case and 50 reasonably healthy women as a control. Vault prolapse after abdominal hysterectomy, vaginal hysterectomy, only cystocele, only rectocele, was excluded from study. Results: In this study, 62% women were 45-65 years of age and in control group this was 46%, P value was .001. In case group most of the women were multiparous, 84% were > 5, in control group this was 20%. P value was .001. Most of the patients had history of repeated childbirth, <3yrs, in control group it was >5yrs, p value is 0.001 which is highly sigficant. Most of the patients were coming from low socio-economic condition. In case group it was 56% and control group 34%, P value was 0.191. In this study, most of the patient had history of prolong labour (14.6%). Instrumental delivery 0.4% In case group, 80% patients showed easy vaginal delivery, 4.2% had obstructed labour. Almost 100% patients had history of something coming down per vagina. 42% complaining of frequency, 58% incomplete voiding, 10% retention of urine, 4% had stress incontinence, P value of incomplete voiding .001. 74% patients had history of constipation and 30% patients had history of difficulty in defecation. P value .001. 68% in case group complaining watery per vaginal discharge, 12% in control group. P Value .001. 22% in case group complaining of chronic cough, P value .001. 74% cases signifiquent history of heavy physical work. P value .001. 72% cases were 2nd degree uterine prolapse, 18% 1st degree and 10% 3rd degree prolapse. Conclusion: Early marriage, difficult childbirth, low socio-economic condition, poor nutrition status, delivery conducted by untrained dais, no rest in puerperium and complication of delivery are found to be recommended risk factors of utero-vaginal prolapse. In our socio-economic condition, it is need of ours to strengthen the existing maternal services at the basic level of community and build up the awareness to overcome & remove the risk factors of prolapse.

Hyalinosis cutis ET mucosae

A 16-year-old male was brought to the Dermatology OPD with complaints of generalized progressive thickening of the skin since one year of life and development of blisters after trauma. There was a history of difficulty in swallowing, protrusion of tongue, hoarseness of voice, and diffuse loss of hair. Similar findings were also present in the younger sister.

A giant congenital ranula: ignorance leading to feeding difficulties

The term “Ranula” originates from the Latin Word Rana which means “underbelly of a frog.” Ranula are epithelial retention cyst or mucus extravasation pseudo cyst arising from the sublingual glands. They are rare in children. A one-year-old female was brought to paediatric surgery emergency OPD by her mother with complaints of swelling arising from oral cavity since birth, gradually increased in size to attain current size. Mother also gives History of difficulty in feeding. Clinical examination revealed a large protruded tongue, with a cystic swelling in the floor of the mouth measuring around 6×4 cm, with elevation of the tongue. Child was further evaluated; ultrasound was suggestive of ranula. Marsupialisation of the cyst was done. Intraoperatively, cyst fluid was aspirated for analysis and cyst wall was opened and excised, lateral margins of cyst were sutured to base of mouth. Cyst fluid analysis revealed elevated amylase and normal LDH levels. The post-operative period was uneventful. The histopathology report showed a pattern consistent with ranula. Child was followed up for a period of 1 year and there was no evidence of recurrence. We report a case of giant congenital ranula. The rarity of this condition in children and its atypical size make this case report unique. We treated the child with marsupialization and there was no recurrence noted. Hereby I would like to state that congenital symptomatic ranulas though rare can be managed with marsupialisation.

Hair Tourniquet of Penis in a Male Goat

An infrequent case of hair tourniquet of the penis in a male goat aged two years with a history of difficulty in urination is reported here.

Jednostrana hoanalna atrezija u odraslom dobu

Introduction: Choanal atresia is a rare anomaly of the nasal cavity, which is associated with other congenital malformations in half of the cases. The diagnosis is usually made immediately after birth, but late diagnoses are not rare in otorhinolaryngology practice. Case report: We are presenting the case of an eighteen-year-old woman with a history of difficulty in breathing through her left nostril that lasted for many years, increased secretion from the nostril and frequent headaches. During preoperative preparation, computerized tomography of the paranasal sinuses revealed left-sided choanal atresia and obstruction in the region of the left osteomeatal complex, which was then successfully resolved using a modern surgical approach. She was observed postoperatively. A control examination with an endoscope was performed one month after the operation, indicating that both choanae were passable. Choanal atresia can be an isolated craniofacial malformation or associated with CHARGE, Teacher Collins, Down, Crouson and Pfeiffer syndromes. Bilateral choanal atresias are life-threatening. Unilateral choanal atresias can present with a variety of symptoms depending on the type of atresia and the age of the patient. Conclusion: The diagnosis is made with a clinical otorhinolaryngological examination, nasal endoscopy and computerized tomography of the paranasal sinuses and the skull base. The therapy is surgical.

Successful Management of Dystocia due to Fetal Anasarca in Osmanabadi Goat.

A three year old Osmanabadi goat was reported to the Veterinary Clinical Complex, Udgir with the history of difficulty in parturition. The case was handled by local quack. On per vaginal examination revealed the anasarcous monster which is removed with obstetrical manoeuver and the dam was treated with antibiotic, analgesics and fluid therapy. An uneventful recovery was seen after the treatment.

Open pleural decortication in a 12-day-old neonate with empyema thoracis

Introduction. Empyema thoracis, defined as the accumulation of pus in the pleural space, is rare in the neonatal population. Limited data are reported in the medical literature, and still, no treatment guidelines are available for this age. Case report. We present a term 12-day-old neonate (born healthy) who developed sepsis caused by methicillin-resistant Staphylococcus aureus (MRSA) and pneumonia associated with advanced-stage empyema. The child was admitted to our hospital with a few-hours history of difficulty breathing and lethargy. On admission, the child was cyanotic with desaturation and in severe respiratory distress; therefore, the child was intubated, and mechanical ventilation was started. Imaging tests were performed in an emergency, hence chest computed tomography (CT) scan was done without contrast. Suspected congenital pulmonary airway malformation with trapped air collections, significant mediastinal shift on CT scan, and deterioration of the patient?s condition indicated urgent surgery. Intraoperatively, the diagnosis of stage II empyema was established, and decortication of thickened parietal and visceral pleura was performed. Afterward, the baby showed quick and progressive clinical improvement. Conclusion. The diagnosis and management of empyema in neonates may be challenging, especially in the case of unremarkable history, fulminant progression of the disease, and incomplete imaging tests.

Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis

Background: Myxedema crisis is a rare decompensated hypothyroid clinical condition with high mortality if remains unrecognized. Case Presentation: We report a case of 36-year old male with a 3 week history of difficulty in breathing and facial puffiness. Periorbital edema, very dry skin, and non-pitting edema of legs was noticed on clinical examination. The patient was commenced on oral thyroxine for abnormal thyroid functions but deteriorated over the next few days. A diagnosis of myxedema crisis was made and was treated with a loading dose of oral thyroxine followed by maintenance dose along with intravenous steroids and intravenous antibiotics. Thyroxine dose was adjusted with serial thyroid functions on alternate days to confirm absorption. The patient clinically improved as thyroid functions advanced toward normalization. Conclusion: Myxedema crisis remains poorly recognized condition due to extremely rare endocrine emergency. Under circumstances where intravenous hormone not available, oral thyroxine with daily or alternate day thyroid hormone level to confirm absorption and to adjust dose is equally effective way of management. Patient must be considered for an adrenal insufficiency unless proven otherwise.

O17 What lies beneath: A case of lymphohistiocytic myofasciitis in a 4-year-old girl

Case report - IntroductionA 4-year-old girl presented with a 1-year history of difficulty dressing, walking, and getting up from the ground. Examination revealed thickening of the skin, and the presumptive diagnosis was that of scleroderma. However, the dramatic loss of movement seemed out of proportion to her skin changes and therefore further investigations were completed. Her final diagnosis was that of a myofasciitis, a rare diagnosis in a child. This case highlights the importance of a thorough investigative process in order to make the correct diagnosis and explains our management plan for this young girl. Case report - Case descriptionA 4-year-old girl, previously well presented with a 1-year history of difficulty dressing, walking, and getting up from the ground. Her joints were never swollen. There were no other systemic symptoms. There was no past medical history. Developmentally all her milestones were achieved on time prior to symptom onset, though she always found it difficult to climb the stairs. Examination revealed thickening of the skin that felt like advanced scleroderma. The skin on her forearms and ankles was quite turgid. There was an area of morphea around her right shoulder. There were no areas of erythema. There was striking limitation of range of movement of her wrists and shoulders. There was marked stiffness around both ankle joints, although this appeared to be due to the overlying tissue structure, rather than the joint. Diagnosis was likely scleroderma. However, the skin changes seemed out of proportion with the dramatic loss of range of movement. An MRI of her shoulder girdle revealed dramatic fasciitis involved in the deep fascial planes, just superficial to the muscles. This was marked around the shoulder girdle. Her eosinophil counts gradually climbed. A plausible diagnosis was Eosinophilic Fasciitis/overlap with scleroderma features. This too is unusual in a young child. A muscle biopsy was performed. A full thickness biopsy of her right lateral bicep was taken. This revealed lymphohistiocytic granulomatous inflammation involving the skin, fascia and biceps muscle. The patient was started on high-dose methylprednisolone, for 3 consecutive days, followed by weaning oral prednisolone and subcutaneous methotrexate. Two months later her condition was completely transformed. She had gained full range of movement in all her joints. Her skin quality had greatly improved. She remained on methotrexate weekly. A repeat MRI was organised 8 months after commencing treatment. This revealed a dramatic improvement. She remains on methotrexate alone. Case report - DiscussionMyofasciitis is an unusual inflammatory myopathy almost exclusively described within the adult population. Myofasciitis is a distinctive entity, which is different from the usual idiopathic inflammatory myopathies, sarcoid myopathy and fasciitis-panniculitis syndrome. Clinical presentation can be non-specific particularly with the paediatric population. Hypotonia, developmental delay, fatigue, myalgia and muscle weakness have all been reported. Clinical presentation can be apparent in infancy, or slightly later in childhood. In macrophage myofasciitis the muscle biopsy typically reveals a monomorphous infiltration of the connective tissue by sheets of densely packed periodic acid-Schiff positive macrophages. There may be intermingled lymphocytes and muscle fibre damage.A few different associations have been postulated. Intramuscular injections containing aluminium adjunct may be associated with macrophagic myosfasciitis but the underlying process for this remains unclear. The association with autoimmune disease and macrophagic myofasciitis suggests that those from a particular genetic background may be more likely to develop this condition. Genetic predisposition, however, most likely accounts for the variability in the prevalence of macrophagic myofasciitis in different populations. Given the paucity of literature on macrophage myofasciitis in the paediatric population there is no clear consensus for a treatment strategy. On reviewing the literature many children were first treated with high dose IV pulsed methylprednisolone, followed by oral prednisolone, some received IV Immunoglobulin. Case report - Key learning pointsAs with many inflammatory muscle disorders patients are often seen by numerous clinicians prior to arriving at paediatric rheumatology. This may mean a prolonged time period before the patient receives appropriate treatment. Through delivering good education to our colleagues mainly in general paediatrics and general practice hopefully this will continue to improve.This case report highlights the importance of a muscle biopsy for diagnosis. Without tissue the correct diagnosis would not be possible and subsequently the treatment given may not be the most suitable for the patient.The histology for this myofasciitis is rare - in adult practice, but definitely within paediatric practice.Methotrexate is well recognised as a suitable and evidence-based treatment for many inflammatory myopathies. Although this condition is slightly different, it has worked incredibly well for the patient. This highlights that when faced with uncertainty as clinicians it is important to consider what we think theoretically will work for our patients.

Metaphyseal Osteopathy in a Caucasian Shepherd Crossbred Dog

A six-month old, 24 kg, intact male Caucasian Shepherd crossbred dog was presented at the Sokoine University of Agriculture Teaching Animal Hospital with a history of difficulty standing and walking, and bilateral swelling of the distal antebrachial and crural metaphyeal region. The owner also reported prior calcium supplementation in form of dietary tablets. Upon physical examination; the animal was lethargic with fever, bilateral ocular discharge, tachypnea and reduced appetite. Hard painful bilateral swelling of the distal antebrachial and crural metaphyseal region was observed. Differential cell count showed neutrophilia and monocytosis. Sclerosis and paracortical cuffing of the distal antebrachial and crural metaphyseal region were seen on radiographic examination. Similar changes were also visualised in the proximal crural metaphyseal region. Further, cranial bowing of the radius with lateral deviation of the foot (carpal valgus) were also observed. Metaphyseal osteopathy was diagnosed based on the history, clinical and radiographic findings. The exact cause of metaphyseal osteopathy is unknown, however there have been reports linking it to breed predisposition and mineral over supplementation. Administration of corticosteroids and supportive care are recommended in dogs with metaphyseal osteopathy. However, a bony change that is paracortical cuffing requires several months for resorption.

A case report on synovial chondromatosis in adult with secondary arthritis

Introduction: Primary synovial chondromatosis (PSC) is a rare, usually monoarticular disorder of synovial joints. PSC is characterized by the formation of osteocartilaginous nodules in the synovial connective tissue. Case Description: We report a case of 65 year old male with Primary synovial chondromatosis in left hip. On clinical examination, patient had restricted abduction, rotational movements and a flexion deformity of 30 degree in left hip with an antalgic gait. Patient gives a history of difficulty in walking since last 10 years. The patient had taken some treatment to relieve his pain which were relieved temporarily. Patient's symptoms were only of pain when he started observing a change in gait and progressive deformity since last 2 years. The patient has not taken any definitive treatment for his complaints. Ultrasound examination of the left hip revealed joint effusion and demonstrated numerous multiple hyperechogenic foci. Plain radiographs anteroposterior view of pelvis with both hips show multiple soft tissue shadows with multiple irregular shaped calcification around femoral neck. Conclusion: Rounded lesions seen in the joint should always be investigated histopathologically and on the basis of non-invasive investigations for Synovial Chondromatosis. The imaging appearance of PSC appears sufficiently unique to allow its differentiation from other causes of intra-articular pathology. Keywords: Rounded lesions, Synovial Chondromatosis, Osteoarthritis.

English

Beckwith - Wiedemann Syndrome (BWS) usually present at birth is an overgrowth disorder, characterized by variable spectrum of clinical findings. The classical features include macrosomia, macroglossia, midline abdominal wall defects, hypoglycaemia in neonates and ear creases. We present a six-month-old female child with history of difficulty in sucking. Macrosomia with macroglossia was present on general examination. The infant had continuous murmur which was best heard at infraclavicular area. Mild hepatomegaly with splenomegaly was present on per abdominal examination. Echocardiography study revealed moderate size patent ductus arteriosus (PDA) with left to right shunt without pulmonary hypertension which was closed by PDA device. Beckwith - Wiedemann syndrome is an overgrowth disorder in paediatrics age group. It is estimated that BWS has an incidence of 1 in 13,700 population with equal chances in both male and female.1 An American pathologist, Dr. John Bruce and a German paediatrician named Dr. Hans-Rudolf Wiedemann, had suggested about this condition separately. Initially it had been termed EMG (exomphalos, macroglossia, and gigantism) syndrome which was thereafter referred to as Beckwith Wiedemann syndrome. Genetically BWS is said with an alteration of the organic phenomenon at the petit arm of chromosome 11 (11p15) causing over activity of growth factor IGF - 2 gene and/or no active copy of the inhibitor gene of cell proliferation - CDKN1C. Child presents with the mixture of congenital abdominal wall defects as exomphalos, macroglossia and gigantism. Some additionally present also with hemihypertrophy port-wine stain, midface hypoplasia, prominent occiput, genitourinary anomalies like enlarged kidneys, musculoskeletal abnormalities, cardiac defects and deafness.2,3 These children may grow at an accelerated pace during the latter half of the antenatal period continuing in the initial few years of life. Though, their adult heights are usually in the normal range. Here, we report a six-month-old female infant, who presented with evident features of BWS with congenital heart disease.

Does comprehensive cognitive remediation improve emotion perception?

ABSTRACT Background: Social cognition, including emotion perception, is impaired in people with serious mental illnesses (SMI), and is associated with cognitive and community functioning. Cognitive remediation can improve neurocognition, but the impact on emotion perception has been less well studied. The current study aimed to evaluate the efficacy of a cognitive remediation programme in improving emotion perception. Methods: Thirty-seven people with SMI and a history of difficulties obtaining employment were randomised to either vocational rehabilitation only, or vocational rehabilitation combined with cognitive remediation. Participants were assessed at baseline and post-treatment on a neurocognitive battery, work history, and emotion perception. Results: The cognitive remediation group did not improve more than the vocational rehabilitation only group on either measure of emotion perception, despite significantly greater gains in cognitive functioning. Baseline emotion identification, but not discrimination, was significantly associated with cognition and work history. Conclusions: Despite associations between social and neurocognition, there was no evident transfer of cognitive gains to performance on measures of emotion perception. The findings, though limited by a small sample size, are important in expanding the research indicating that the effects of cognitive remediation tend to be limited to the specific cognitive domains targeted in the program.