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Neurobehavioral symptoms among sixth grade primary school students with low scholastic achievement in Assiut city By Saber.A.Abdelnazer Saber.A.Abdelnazer lecturer of Neurology, lecturer of Neurology, Faculty of Medicine, Assiut University

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DR.Hamdy.N.El Tallway Professor of Neurology, Faculty of Medicine, Assiut University. Dr. Abdel Rakeeb.A.Elbehaery Professor of psychology, Faculty of Education, Assiut university Professor of psychology, Faculty of Education, Assiut university Dr. Khaled.A.M.Elbeh Professor of Psychiatry, Faculty of Medicine, Assiut University. Dr. Noha.M.Aboelfetoh Assistant Professor of Neurology, Faculty of Medicine, Assiut University. Assistant Professor of Neurology, Faculty of Medicine, Assiut University. 2014 Under supervision

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Introduction Aim of the workSubjects and methodsResultsDiscussionConclusion and Recommendations

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Introduction Education is one of the main foundations for the childs development and national human resource development, therefore failure at school and grade retention is a serious concern among children and their parents, as every child should have the opportunity to achieve his or her academic potential (Kamal and Bener, 2009).

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Poor school performance should be seen as symptoms reflecting underlying larger problem in children. This symptoms not only result in the child having low self esteem but can cause significant stress to the parents and it is essential to analyze these symptoms to discover underling disorders (Karande and Kulkarni, 2005).

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Hypothesis Education is an investment in human capital and it can have great impact on nations growth and progress. School failure can lead to serious consequences if untreated; the failing student losses self-confidence subsequently becomes discouraged and involved in self-harming behavior.

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Sorry, Egypt was ranked the last in global competitive report in quality of primary education, although every Egyptian knows the low level of primary education but he bumped his classification of the worst compared with rest of developed, developing and under developed countries (Global Competitive Report,2013).

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Aim of the work This study was designed and aimed to estimate the prevalence of neurobehavioral symptoms among children with poor scholastic achievement compared to good achievers in the sixth grade primary governmental schools in Assiut city.

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This is a cross-sectional study conducted on students of the 6 th grade primary schools in Assiut city during period from September 25 th, 2011 to May 15 th, 2013. All students in grade 6 of 38 governmental schools in Assiut city were approached to identify students with poor academic achievement. Poor scholastic achievement is defined here as "students failing their grades at least once and had to repeat the year or those who had

At The present study, 1362 students were approached for screening of neurobehavioral symptoms and were classified into 2 groups as; 1-Low achievers (762 students) who achieve 70% of school marks in previous year.

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Ethics issues B efore interview, informed written consent was obtained from authority figures at the Ministry of Education as well as from each school principle and parents of students according to the ethics committee of Assiut University.

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Both groups (1362 students) were subjected to the following: Screening for symptoms of neurological disorders by using a simple standardized Arabic screening questionnaire which was designed and validated specifically for screening most common neurological disorders(El-Tallawy et al., 2010), followed by complete clinical and neurological assessment for those who screened positive for any of neurological disorders. Screening of behavioral disorders :by using child behavior checklist CBCL (Youth self report and profile for ages ranged from 11 to18 years )(Achenbach, 1997).

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Assessment of intelligence quotient (IQ): by using validated Arabic Version of Stanford Binet scale,4th edition (Melika, 1998 ). Assessment of socioeconomic state :by application of Socioeconomic Scale (Abdel -Twab,2010). Assessment of reading skills: by using the Arabic validated translated version of Schonell(1950),(translated by Saad El Din, 1998). Evaluation of neurological soft signs among those students of both groups: by using Subscales of the Cambridge Neurological Inventory (Chen et al., 1995)

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According to the definition adopted here, the prevalence of low scholastic achievement was 25.7 %( n=1120/4363) among students at 6th grade primary school.,1120 students were identified (25.7%) with low scholastic achievement, out of them only 762 students accepted participation in this study,(as 203 students refused participation and 155 were absentees during interview).

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Figure (1): Sex distribution among studied groups

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Figure(2):Frequency of subject failure among poor academic achievers

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Poor academic achievers n=762 Good academic achievers n=600 N%N% Low class 200***26.2406.7 Moderate class 270*35.423639.3 High class 29238.332454.0 Table (1): Socioeconomic status among poor and good academic achievers

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Table (2): Classification of IQ among poor and good academic achievers according to Stanford Binet 4 th edition Poor academic achievers n=762 Good academic achievers n=600 n%n% Normal or average (90-