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At least 541 records · Page 30Linked to original sources
PubMed2006

Is there a language divide in pap test use?

OBJECTIVE: We sought to determine whether primary language use, measured by language of interview, is associated with disparities in cervical cancer screening. DATA SOURCES: We undertook a secondary data analysis of a pooled sample of the 2001 and 2003 California Health Interview Surveys. The surveys were conducted in English, Spanish, Cantonese, Mandarin, Korean, and Vietnamese. STUDY DESIGN: The study was a cross-sectional analysis of 3-year Pap test use among women ages 18 to 64, with no reported cervical cancer diagnosis or hysterectomy (n = 38,931). In addition to language of interview, other factors studied included race/ethnicity, marital status, income, educational attainment, years lived in the United States, insurance status, usual source of care, smoking status, area of residence, and self-rated health status. DATA COLLECTION/EXTRACTION METHODS: We fit weighted multivariate logit models predicting 3-year Pap test use as a function of language of interview, adjusting for the effects of specified covariates. PRINCIPAL FINDINGS: Compared with the referent English interview group, women who interviewed in Spanish were 1.65 times more likely to receive a Pap test in the past 3 years. In contrast, we observed a significantly reduced risk of screening among women who interviewed in Vietnamese (odds ratio [OR] 0.67; confidence interval [CI] 0.48-0.93), Cantonese (OR 0.44; 95% CI 0.30-0.66), Mandarin (OR 0.48; 95% CI 0.33-0.72), and Korean (OR 0.62; 0.40-0.98). CONCLUSIONS: Improved language access could reduce cancer screening disparities, especially in the Asian immigrant community.

Adolescent↗
PubMed1975

[Role of the frontal lobes in language. (A neuropsychological and experimental study)].

An experimental study carried out on 30 patients suffering from localised frontal lesions (16 left, 9 right, 5 bilateral lesions) using a battery of twenty tests (17 language tests and 3 visuo-spatial tests) showed: 1) frontal lesions disturb verbal control; 2) these disturbances seem to be proportionate to the extent of the lesion, that is, the area of the frontal lobe put out of action. As a result, there is a diversity of conditions ranging from quasi mutism in the extensive lesions, to an impossibility of producing accurate propositional and appropriate language indicating shades of meaning, in limited lesions; 3) the most frequently encountered disorder is characterised by an elementary level of language being well preserved but with difficulty of even impossibility in producing complex propositional language. This disorder, already obvious in spontaneous language, can be easily shown by means of appropriate verbal tests. 4) It seems to us of the utmost importance to emphasize that this syndrome appears irrespective of the side affected by the lesion. In fact, we have found that in 10 of the tests involved in our study which do in fact require replies which are appropriate to situations of a certain degree of complexity, similar failures were recorded for left frontal lesions (10 cases) and for right frontal lesions (11 cases). These findings prove that both the frontal lobes have a part to play in the exercise of verbal control. 5) It should however be emphasized that, in our group, the most serious deterioration in language was observed in left or bilateral frontal lesions. The same characteristics were found in these cases: elementary language better than propositional language but the level of achievement possible was very low being limited to brief replies which gave little information although they were usually correct. These findings justify the conclusion that a syndrome exists: disturbances in verbal control caused by frontal lesions. The function of the frontal lobes in language and verbal control in normal subjects is discussed.

Adolescent↗
PubMed2006

Modified symbolic play test for Oriental children.

BACKGROUND: Symbolic play test (SPT) is a simple test for screening preverbal language in children. This test had been validated in English-speaking children. However, the toys may not be useful for other cultures such as Orientals like Chinese, Japanese, Koreans or Thais as they use chopsticks and bowls as eating utensils rather than spoon, fork or knife. The aim of this study was to find a set of miniature toys suitable for children of Oriental ethnic origin in order to get a reliable language test. METHODS: Altogether 140 children were recruited into this study. This included 62 control children and 78 with idiopathic developmental delay. The original SPT was applied together with an additional set of miniature toys appropriate for Oriental culture (i.e. modified version of SPT) by modifying play items in situations 3 and 4 to suit the Chinese culture. The authors replaced the knife, fork and plate with chopsticks and bowl in situation 3 and replaced the tractor and trailer with train carts in situation 4. For the ease of comparison, the authors segregated the age groups with the same age range as the original English-based SPT: less than 20 months (N= 11); 21-30 months (N= 45); 31-40 months (N= 43); 41-50 months (N= 21), and more than 50 months (N= 4). RESULTS: The mean scores of the cohort was higher (14.83) with the modified version of SPT than when the original SPT was used (13.64). A statistically significant increase in the mean score in situation 3 (3.67-3.24 = 0.43), situation 4 (3.76-3.36 = 0.40) and the overall score (14.83-13.64 = 1.19) was obtained when the modified SPT was used instead of the original SPT (all with P < 0.001). CONCLUSION: The authors recommend replacing play items like spoon, knife, fork and plate with Oriental culture-based items like chopsticks and bowl for the modified SPT (Oriental version). Users of the test should have a set of toy train carts available to supplement the tractor and trailer as these toys were not commonly seen in real life for Oriental children. The authors hope that the modified SPT can be used reliably to assess for preverbal ability of Oriental children, especially Chinese children.

Asian People↗
PubMed1988

An Hebrew language version of the Stroop test.

We present normative data from a Hebrew language version of the Stroop color-word test. In this sample of college-educated Israeli young adults, 18 women and 28 men with a mean age of 28.4 yr. completed a Hebrew language Stroop test. When compared with 1978 English language norms of Golden, Hebrew speakers were slower on color-word reading and color naming, similar on naming the color of incongruently colored names of colors, and showed less interference. Slowed color-word reading and color-naming may reflect the two-syllable length of the Hebrew names for one-syllable length English language colors; reduced interference may reflect the exclusion of vowels in much Hebrew printing and subjects' ability to provide competing, nonconflicting words while naming the color of words in which the hue and the lexical content do not match.

Adult↗
PubMed1992

Response patterns to central auditory tests and the clinical evaluation of Language Fundamentals--Revised: a pilot study.

Tests of central auditory function and measures of receptive and expressive language abilities were administered to 10 children suspected of having central auditory processing disorders. Eight of the 10 subjects displayed expressive language difficulties, suggesting a need to examine more closely the relationship between expressive language and central auditory processing.

Auditory Perceptual Disorders↗
PubMed1979

[Goodglass and Kaplan's test in patients with language difficulties due to thalamic lesions (author's transl)].

Two out of three patients with language difficulties from ischemic, tumoral, or hemorrhagic lesions of the left thalamus were studied by means of Goodglass and Kaplan's test. Results were compared to those obtained by using the same test in a patient with a hemorrhagic lesion in the posterior ramus of the left internal capsule, but no thalamic lesion. They demonstrate the autonomy of the clinical picture of "thalamic aphasia" as described in several cases reported in the published literature. The suggestion is made that the term, aphasia, can be applied to these cases as long as care is taken when defining them.

Aged↗
PubMed1985

Speech perception development in language-impaired children: a 4-year follow-up study.

A group of specifically language-impaired (SLI) children was compared with a matched group of non-SLI children (i.e., children displaying normal language) on tests of speech perception and language ability. The tests were administered longitudinally at times separated by an interval of 4 years. Initially (i.e., Time 1), the groups differed significantly in discrimination, sequencing, and rate processing of and serial memory for synthesized /ba/ and /da/ stimuli. At Time 1, age effects were also observed among both groups of children. That is, performance improved as a function of increased age. At follow-up (i.e., Time 2), performance was at or near ceiling for subjects in both groups, indicating that perceptual development occurred in both groups of children. Results are discussed in relation to the hypothesis that perceptual deficits play a causal role in specific language impairment.

Age Factors↗
PubMed1991

Relation between receptive language and cognitive maturity in persons with mental retardation.

We examined the correlations between receptive language level and performance on indices of nonverbal cognitive functioning for 20 persons with mental retardation and for 20 children without mental retardation matched to them on nonverbal MA. The correlations suggested that the retarded group focused on the formal, sequential properties of language. The correlations also suggested that the nondisabled group placed less emphasis on the formal, sequential properties of language and more on semantic, conceptual properties. These differences in approach may explain why the persons with mental retardation did poorly on the task of understanding spoken language compared to the children without mental retardation.

Adolescent↗
PubMed1982

Use of the Token Test for Children to identify language deficits in preschool age children.

The Token Test for Children (TT) was administered to 97 children aged 3-6 yrs enrolled in pre-school programs, together with the Memphis Comprehensive Developmental Scale (MCDS). The 2 tests covaried closely, particularly in the MCDS "Language" and "Cognitive" subtests. Of the 97 Ss, teachers identified 31 as having "special needs". The TT identified such children better than the best of the MCDS subtests ("Language"), but the teachers did poorly in identifying children shown to have language difficulties. In addition to its economical use as a language screening device, the TT might well become part of a standard pre-school admission test battery.

Child, Preschool↗
PubMed2006

Predicting lexical density growth rate in young children with autism spectrum disorders.

PURPOSE: The purpose of this longitudinal correlational study was to test whether an environmental variable and 4 child variables predicted growth rate of number of different nonimitative words used (i.e., lexical density). METHOD: Thirty-five young (age range = 21-54 months) children with autism spectrum disorders (ASD) who were initially nonverbal or low verbal participated in the study. Lexical density was measured at 3 times: at entry into the study as well as 6 months and 12 months after entry into the study. Growth curve analysis was used to test the associations. The predictive value of the putative predictors in the model was tested after controlling for initial expressive language impairment. RESULTS: Initial frequency of intentional communication and diversity of object play were predictors of lexical density growth above and beyond initial expressive language impairment (both pseudo R(2)s = .14). CONCLUSIONS: Intentional communication and diversity of object play may represent important prelinguistic goals for young children with ASD. These skills not only have been shown to be malleable through treatment, but they also provide a context for linguistic input from others that may facilitate language development.

Autistic Disorder↗
PubMed2007

Intraoperative subcortical language tract mapping guides surgical removal of gliomas involving speech areas.

OBJECTIVE: Subcortical stimulation can be used to identify functional language tracts during resection of gliomas located close to or within language areas or pathways. The objective of the present study was to investigate the feasibility of the routine use of subcortical stimulation for identification of language tracts in a large series of patients with gliomas and to determine the influence that subcortical language tract identification exerted on the extent of surgery and on the appearance of immediate and definitive postoperative deficits. METHODS: Subcortical stimulation for language tract identification was systematically used during surgical removal of 88 gliomas (44 high-grade and 44 low-grade gliomas) involving language pathways. Procedures were performed during asleep/awake craniotomy. Subcortical stimulation was continuously alternated with surgical resection in a back-and-forth fashion. Language performances were tested by neuropsychological language evaluation preoperatively and at 3, 30, and 90 days after surgery. RESULTS: Language tracts were identified in 59% of patients, with differences according to tumor location but not according to histological grade. Language tract identification influenced the ability to reach a complete tumor removal in low-grade gliomas, in which tracts were documented inside the peripheral mass of the tumor. Identification of language tracts was associated with a higher occurrence of transient postoperative deficits (67.3% of cases), but a low occurrence of definitive morbidity (2.3% of cases). A pattern of typical language disturbances related to the phonological and semantic system can be identified according to tumor location, with preservation being important for the maintenance of language integrity. CONCLUSION: Our study supports the routine use of subcortical stimulation for language tract identification as a reliable tool for guiding surgical removal of gliomas in or in close proximity to language areas or pathways.

Adult↗