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Objectives: The objectives of this study were to determine prevalence estimates of cerebral palsy (CP) among 5-year-old children in northern Alberta; to provide congenital, gestational age– and birth weight–specific, and postneonatal CP rates; and to describe motor subtypes and function. Methods: This population-based prevalence estimate study, part of the Canadian Cerebral Palsy Registry, reports confirmed CP diagnoses at age 5 years made by pediatric rehabilitation and child neurology specialists. Prevalence rates with 95% confidence intervals (CIs) used Alberta government denominators of same-age children and live births. Results: The Northern Alberta CP rate (birth years, 2008-2010) for 173 5-year-old children is 2.22 (95% CI 2.12, 2.32) per 1000 5-year-old children. The congenital CP rate is 1.99 (95% CI, 1.89-2.09) per 1000 live births; unilateral congenital CP, 1.0 (95% CI, 0.64-1.36) per 1000 live births; and postneonatal CP, 0.12 (95% CI, 0.1-0.14) per 1000 live births. Gestational age-specific rates are similar: age <28 weeks, 27.2 (95% CI, 23.05-31.35) and 28 to 31 weeks, 29.5 (95% CI, 25.78-33.22). Motor subtypes for 169 children (data missing, 4; male, 97; postnatal, 9) are: spastic, 148 (87.6%) including 31 (20.9%) with diplegia, 10 (6.8%) triplegia, 33 (22.2%) quadriplegia, 74 (50%) hemiplegia/monoplegia); and dyskinetic, 18 (10.6%) and ataxic, 3 (1.8%). A total of 107 (63.3%) ambulate without assistive devices and 111(65.7%) handle most objects with their hands independently. Conclusions: This is the fourth Canadian CP prevalence study; one from Quebec used a similar case ascertainment approach and two 1980s studies from Alberta and British Columbia used administrative databases. Northern Alberta CP rates are comparable with other developed countries. The hemiplegic subtype is the most common. Rates among preterm children have declined but are similar for the <28 and 28 to 31 gestation-week groups.
This interview was published in Women's Education des femmes (Canadian Congress for Learning Opportunities for Women) 12(4) (Winter), 8–10, 1996. It was preceded by a brief introduction to Cixous's work and an extract from the interview in the original French, both of which have been omitted here. All notes have been added by the editor.
ko'g In the 1970s, through both fiction and theory, you constructed a Derridean inspired concept of écriture féminine. Texts like La Jeune Née with Catherine Clément and “Le Rire de la Méduse” develop a theory of writing based on the libidinal economy of the feminine and call for a re-examination of bisexuality. The subsequent “Extreme Fidelity” continued to augment and clarify this concept by locating sexual difference within a cultural domain. How does this theory inspire your own philosophico-poetic texts? Does it provide an ethical and political framework in addition to its aesthetic dimensions?
cixous For me, theory does not come before, to inspire, it does not precede, does not dictate, but rather it is a consequence of my text, which is at its origin philosophico-poetical, and it is a consequence in the form of compromise or urgent necessity.
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