ABA-B
N[16]1234567
8- 1 - 1 0 -13 - 5 + 8 - 8
11- 3 -12 -9 - 9 -11 - 2 - 7
10- 1 - 5 -4 - 6 - 8 - 2 - 2
28- 7 - 7 0 0 + 2 + 2 - 2
13-13 -19 -6 -11 -15 - 4 - 2
19+ 6 + 8 +2 + 1 + 5 + 4 - 2
6+ 2 - 3 -5 + 5 + 1 - 4 - 1
14-13 - 9 +4 - 5 0 + 5 - 1
7- 8 -15 -7 - 7 -14 - 7 0
2- 8 - 6 +2 + 9 +10 + 1 + 1
3+ 6 + 8 +2 - 5 - 8 - 3 + 5
16-16 -15 +1 -13 -17 - 4 + 5
25- 8 - 7 +1 + 4 - 1 - 5 + 6
5- 4 - 1 +3 + 8 + 4 - 4 + 7
9- 8 -11 -3 - 7 -17 -10 + 7
26- 1 + 5 +6 + 1 0 - 1 + 7
4- 7 - 7 0 -15 -23 - 8 + 8
10 + 8 +8 + 8 + 4 - 4 +12
Av.- 4·67- 4·94- ·28- 3·06- 5·17- 2·11+ 1·83
M+ ·5 - 3·50+ 4·00
75%ile +2 0.00+ 6·50
25%ile-2 - 4·50- 2.00
Q2 2·25+ 4·25
P. E. (distribution)3 2.39+ 1·33
P. E. (average)± ·71± ·57± ·91
Av.=2·02 P. E.
M.=4·40 P. E.

Is there, after operation, an improvement in motor control and attention, and a lessening of fatiguability as these may be demonstrated in the tapping test? Table VI gives the number of taps in the first half minute of tapping for both groups before and after the six months interval. The test group suffers an average loss of 2·24 taps, and a median loss of 2· The average loss of the control group is 2·33, and the median 2·

TABLE VI

Gain in Grip—6 Months— 16 Pairs

N[16] Test Group (A) Control Group (B)
Test 1Test 2GainTest 1Test 2Gain
1012·5 11 -1·5 10 15 5 -6·5
279 6 -3 8 9 1 -4
113 12 -1 11 13 2 -3
1416 15 -1 22 24 2 -3
29 9 0 10 12 2 -2
910·5 13 2·5 16·5 21 4·5 -2
77 6·5 - ·5 9 10 1 -1·5
1619 17·5 -1·5 10 10 0 -1·5
312·8 14·5 1·7 14 15 1 ·7
1326·5 28·5 2 22 23 1 1
2419 20 1 15 15 0 1
1922 21 -1 15 12 -3 2
2218 22·5 4·5 19·5 21·5 2 2·5
1111 15 4 11·5 11·5 0 4
2116·5 16·5 0 19 15 -4 4
2311·5 15·5 4 14·5 14 - ·5 4·5
Av.14·5815·22·6214·1915·06·875- ·24
M 0 1 -1·0
75%ile3 2 -2·25
25%ile-1 0 -2·50
Q2 1 -2·38
P. E. (distribution)1·581·02-2·49
P. E. (average)±·40±·26± ·48
Av.= -·50 P. E.
M.= -2·08 P. E.

There is practically no change then in the tapping ability of either group. The high unreliability of the difference (P. E. = ± 3·10) is noteworthy. It would seem that incidental causes have a much greater effect upon tapping ability than can be demonstrated as resulting from the removal of adenoids and tonsils.

Use of the tapping test as a measure of the decrease in tendency to fatigue similarly brings out no indication of any improvement in the operative group of cases. The measure of fatigue was taken as a ratio; namely, the number of taps in the first, minus the number in the second half minute over the number of taps in the first half minute. Then, if there is a greater number of taps in the second, the ratio will be minus, indicating that fatigue effect is so small as to be overcome by practice effect. This was a fact in only four cases. Since what we are measuring is improvement, the ratio for test 2 is subtracted from the ratio for test 1 to find the gain in overcoming fatigue. Table VIII shows the average gain for group one to be -·0196, and the median -·045. That is, there is an average increase in fatiguability of ·0196 units and a median increase of ·045 with a P. E. of ± ·02. This increase in fatiguability occurs also in the control group, average 0, and median ·03 with P. E. of ± ·03. The average gain of test group over control group is -·02 and the median gain is -·015. Again variability is relatively large, P. E. being 1·04, so that the median and average gains are -·50 P. E. and -·38 P. E. respectively.

We may say, then, that the capacities brought out by the tapping test seem to undergo no improvement in six months after removal of adenoids and tonsils.

The main line of interest in the present experiment lay with the relation of adenoid and tonsil defects to general intelligence. The results of the two tests dealing more specifically with this side of the problem are here set forth. Table IX shows the I.Q's. of the two groups before and after the six months' interval, together with changes plus or minus in I.Q., and a comparison of the separate pairs in respect to improvement.

We find that the test group shows an average gain in I.Q. of 2·25 points. The median gain is 2 points, the total range 18 points and P. E. of the average is ± ·99. The control group shows an average gain very slightly higher, 3·25 points, the median gain being 3. The range in this case is 32 points, but P. E. is only ± ·47. The average of the compared gains of separate pairs is -1·035. These numbers are so small as to be insignificant. Actually, we may say that the operative group as a whole showed no gain over the control group. If we examine individual cases we find that the greatest loss in I.Q. was in the control group, (8 points) but the greatest gain (24 points) also appears in this group. In the test group 11 cases