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PubMed2003

Linguistic and cultural barriers to care.

CONTEXT: Primarily because of immigration, Asian Americans are one of the fastest growing and most ethnically diverse minority groups in the United States. However, little is known about their perspectives on health care quality. OBJECTIVE: To examine factors contributing to quality of care from the perspective of Chinese- and Vietnamese-American patients with limited English language skills. DESIGN: Qualitative study using focus groups and content analysis to determine domains of quality of care. SETTING: Four community health centers in Massachusetts. PARTICIPANTS: A total of 122 Chinese- and Vietnamese-American patients were interviewed in focus groups by bilingual interviewers using a standardized, translated moderator guide. MAIN OUTCOME MEASURES: Domains of quality of care mentioned by patients in verbatim transcripts. RESULTS: In addition to dimensions of health care quality commonly expressed by Caucasian, English-speaking patients in the United States, Chinese- and Vietnamese-American patients with limited English proficiency wanted to discuss the use of non-Western medical practices with their providers, but encountered significant barriers. They viewed providers' knowledge, inquiry, and nonjudgmental acceptance of traditional Asian medical beliefs and practices as part of quality care. Patients also considered the quality of interpreter services to be very important. They preferred using professional interpreters rather than family members, and preferred gender-concordant translators. Furthermore, they expressed the need for help in navigating health care systems and obtaining support services. CONCLUSIONS: Cultural and linguistically appropriate health care services may lead to improved health care quality for Asian-American patients who have limited English language skills. Important aspects of quality include providers' respect for traditional health beliefs and practices, access to professional interpreters, and assistance in obtaining social services.

Asian↗
PubMed2004

Cultural and linguistic fairness in the assessment of semantics.

In creating a semantic assessment that will be linguistically and culturally fair, it is important to avoid the bias of acquired vocabulary tests. This article describes techniques to assess children's processing of new words, their lexical organization and retrieval, which may be more significant than the number of words known. Special properties of the quantifier every also give an idea of the child's level of semantic ability. In addition, we examine how the child's performance on each item-type helps the speech-language pathologist determine the sources of children's problems in this domain.

Cultural Diversity↗
PubMed2005

Linguistic interference between L1 and L2 in internationally adopted children.

Bilingual children learning two languages either simultaneously or successively experience patterns of cross-language interference or facilitation due to similarities and differences between the languages. Internationally adopted toddlers are only truly bilingual for a short period of time because the first language disappears quickly after adoption. Yet residual effects of the disappearing first language might impact patterns of learning the new language. To determine if cross-language patterns affected language learning in very young children, language samples were collected from 23 children adopted from Eastern Europe between 11 and 23 months of age. Samples were collected at 6-month intervals during the first year after adoption, then annually up through age 4. Age and order of acquisition of several grammatical morphemes including V + ing, articles, contracted and uncontracted copulas, and contracted and uncontracted auxiliary were explored. These morphological structures developed in the same sequence observed in monolingual children speaking English and were not notably impacted by cross-linguistic factors from language 1. Guidelines for professionals and parents are discussed.

Adoption↗
PubMed1999

Perceptual and linguistic interactions in speeded classification: tests of the semantic coding hypothesis.

We tested the semantic coding hypothesis, which states that cross-modal interactions observed in speeded classification tasks arise after perceptual information is recoded into an abstract format common to perceptual and linguistic systems. Using a speeded classification task, we first confirmed the presence of congruence interactions between auditory pitch and visual lightness and observed Garner-type interference with nonlinguistic (perceptual) stimuli (low-frequency and high-frequency tones, black and white squares). Subsequently, we found that modifying the visual stimuli by (a) making them lexical (related words) or (b) reducing their compactness or figural 'goodness' altered congruence effects and Garner interference. The results are consistent with the semantic coding hypothesis, but only in part, and suggest the need for additional assumptions regarding the role of perceptual organization in cross-modal dimensional interactions.

Female↗
PubMed2005

Culturally and linguistically diverse population health social marketing campaigns in Australia: a consideration of evidence and related evaluation issues.

ISSUE ADDRESSED: This paper describes a review of population health social marketing campaigns targeting culturally and linguistically diverse (CLD) communities in Australia in order to identify characteristics of effective CLD campaigns. METHODS: Literature on CLD population health social marketing was identified from electronic searches of databases in August 2004. At the same time, the grey literature was examined by searching the Internet and talking to Australian experts in the fields of CLD social marketing and CLD research. RESULTS: Eight studies met the search criteria, four from the published literature. Two studies that employed prepost evaluation designs provided tentative support for the potential efficacy of CLD social marketing strategies. The remaining studies did not allow for causal attribution as they used post-campaign only or process evaluations. Studies did, however, show that CLD communities access campaign-related information from both mainstream and ethnic media channels. In addition, Vietnamese respondents were more likely to access campaign messages through ethnic radio and Chinese respondents through ethnic press. CONCLUSIONS: There is insufficient evidence to clearly identify the characteristics of effective CLD campaigns. Campaign evaluation designs used to evaluate social marketing strategies targeting CLD communities in Australia are generally weak, but there is tentative evidence supporting the potential efficacy of these strategies in some Australian settings.

Australia↗
PubMed1997

Mathematical approaches to comparative linguistics.

The inference of the evolutionary history of a set of languages is a complex problem. Although some languages are known to be related through descent from common ancestral languages, for other languages determining whether such a relationship holds is itself a difficult problem. In this paper we report on new methods, developed by linguists Johanna Nichols (University of California, Berkeley), Donald Ringe and Ann Taylor (University of Pennsylvania, Philadelphia), and me, for answering some of the most difficult questions in this domain. These methods and the results of the analyses based on these methods were presented in November 1995 at the Symposium on the Frontiers of Science held by the National Academy of Sciences.

Journal Article↗
PubMed1999

Linguistic diversity of the Americas can be reconciled with a recent colonization.

The Americas harbor a very great diversity of indigenous language stocks, many more than are found in any other continent. J. Nichols [(1990) Language 66, 475-521] has argued that this diversity indicates a great time depth of in situ evolution. She thus infers that the colonization of the Americas must have begun around 35,000 years ago. This estimate is much earlier than the date for which there is strong archaeological support, which does not much exceed 12,000 years. Nichols' assumption is that the diversity of linguistic stocks increases linearly with time. This paper compares the major continents of the world to show that this assumption is not correct. In fact, stock diversity is highest in the Americas, which are by consensus the youngest continents, intermediate in Australia and New Guinea, and lowest in Africa and Eurasia where the time depth is greatest. If anything, then, after an initial radiation, stock diversity decreases with time. A simple model is outlined that predicts these dynamics. It assumes that early in the peopling of continents, there are many unfilled niches for communities to live in, and so fissioning into new lineages is frequent. As the habitat is filled up, the rate of fissioning declines and lineage extinction becomes the dominant evolutionary force.

Americas↗
PubMed2002

How loss of meaning with preservation of phonological word form affects immediate serial recall performance: a linguistic account.

We present HP, a patient who following the occurrence of herpes simplex encephalitis, lost the ability to understand a subset of words while others remained preserved. Of particular interest is the fact that the meaningless items retained their lexical status. HP's immediate serial recall of meaningless words was thus compared with that of meaningful words to assess the unique contribution of semantic knowledge without the confounding influence of phonological word (lexical) form. The results revealed a clear recall advantage for meaningful over meaningless words, indicating a specific contribution to recall from the semantic level of representation. Furthermore, an error analysis showed that phonemic errors were most common when semantic information was lacking. Interestingly, the same error pattern was found for pseudo-words that shared phonological elements with meaningless words. These findings support a linguistic and interactive activation account of short-term serial recall, which assumes that all levels of representation, including semantic knowledge about words, contribute to recall performance. In addition, the findings provide preliminary evidence that this view may be extended to the recall of pseudo-words, as there appear to be some influences of semantic representation on pseudo-word recall.

Adult↗
PubMed1975

A linguistic and cognitive persepctive on retardation.

The idea of critical readiness periods for both language learning and cognitive development was reviewed and related to mental subnormalities. A basic model of a synthesized theory of language and cognition was presented, and a theoretical "Basal Person" was constructed to illustrate a new perspective on retardation. The general conclusions reached were that (a) the basal person represents the lowest normal level of cognitive linguistic development, and (b) retardation can be defined in terms of impeded or disrupted development during critical readiness periods.

Age Factors↗
PubMed1976

The effects of perceived status and linguistic diversity upon judgment of speaker attributes and message effectiveness.

It has been shown previosly that high linguistic diversity positively affects listeners' judgments of speaker attributes and message effectiveness. Diversity refers to the degree of lexical and syntactic redundancy in a message. In the present study it was predicted that listeners' initial perceptions of a speaker's status would influence their judgments of high- and low-diversity messages. Ss were 46 male and female undergraduates at The University of Iowa. Three competing predictions were offered, and the results supported a status-attribution explanation. A high-status speaker was rated especially negatively when he delivered a low-diversity message. High- and low-diversity messages did not differ in their evaluative consequences for a low-status speaker; in this case both message types produced ratings that fell between the relatively positive or negative ratings given to the high-status speaker.

Communication↗
PubMed1989

Developmental aspects of linguistic and mnestic abilities in normal children.

The Peabody Picture Vocabulary Test-Revised (PPVT-R), Boston Naming Test (BNT), Paired Associate Learning of the Wechsler Memory Scale (PAL), and verbal fluency tests were administered to 241 normal children aged 6-12 years. Normative data were compiled for the BNT, PAL, and verbal fluency tests. A Principal Components Factor Analysis with Varimax Rotation was conducted to determine whether the tests evaluated similar or differential functions. Three factors emerged, accounting for 67.7% of the variance: Factor 1 contained loadings from two semantic fluency measures (animals and food), Factor 2 contained the PPVT-R and the BNT, and Factor 3 contained two measures from the PAL (easy and hard associations). In children, the BNT relates more to word knowledge than to retrieval or fluency, and verbal memory appears to be relatively independent of these linguistic functions.

Child↗
PubMed2003

A pilot study exploring electronic (or e-mail) mail in users with acquired cognitive-linguistic impairments.

This paper reports the results of an exploratory study into the usability of a simplified e-mail interface for eight individuals with acquired cognitive-linguistic impairments. Participatory Action Research, a qualitative research method, was used to capture the range of performance variables and to emphasize a 'user-centred' approach to the research process. The participants were asked to read and reply to e-mails across four writing prompt conditions. An analysis of errors and participant preferences for the prototype e-mail system was conducted. Errors fell into two general categories: (1) computer usability (e.g. conceptual understanding of mouse/cursor operation) and (2) message composition (e.g. generating ideas for a message). Participant preferences for the writing prompt conditions varied considerably. All participants endorsed the use of customized e-mail interfaces as a means of connecting with friends and family, thereby reducing social isolation. Implications for interface design, rehabilitation and future research into assistive technology are discussed.

Adult↗
PubMed1986

Linguistics of nucleotide sequences: morphology and comparison of vocabularies.

The concept of "words" in continuous languages devoid of blanks is introduced and an operational definition of words given. With this novel concept nucleotide sequences become object for linguistic analysis. The typical word size of the nucleotide language is found to be 3 to 5 (tri- to pentamers). Different genomes have distinct vocabularies. Comparison of these vocabularies can serve as a basis for revealing functional and evolutionary relatedness of sequences.

Bacteriophages↗
PubMed2001

Linguistic skills in relation to neurological findings at 8 years of age in children born preterm.

The linguistic skills of 8-year-old children born preterm (n = 42) with birthweight < 1750 grams from a 1-year birth cohort for 1985-86 in northern Finland were studied with three different language tests, namely the Illinois Test of Psycholinguistic Abilities (ITPA), the Token Test for Children (TTC) and the Morphological Test (MT) for Finnish children. Full-term control children (n = 42) with birthweight > or = 2500 grams from the same birth cohort were matched individually with their preterm pairs for age, sex, twinship, mother's education, place of residence, birth order and family type. The preterm children's language abilities were studied in relation to their neurological status and to the periventricular leukomalacia (PVL) findings of magnetic resonance imaging (MRI). The preterm children with minor neurodevelopmental dysfunctions (MND) scored worst and differed significantly from their matched controls in TTC. They also differed significantly from other preterm subgroups, namely healthy preterm and preterm children with cerebral palsy (CP), in verbal comprehension measured by TTC. PVL findings were not associated with performance in the language ability tests. A closer and regular follow-up of language development in the MND-disabled group among the low-birthweight preterm children is recommended.

Child↗
PubMed2001

Linguistic acculturation associated with higher marijuana and polydrug use among Hispanic adolescents.

Hispanic sixth and seventh graders in 22 New York City middle schools (mean age: 12.66 years) completed self-report questionnaires with items related to drug use (cigarette smoking, alcohol use, and marijuana) use and linguistic acculturation at two assessments (N = 1299 at baseline; N = 1038 at 1-year follow-up). Adolescents who spoke English with their parents smoked marijuana more frequently than those who spoke Spanish with their parents at both surveys. By the 1-year follow-up, students who spoke English with their parents and bilingual students who spoke English and Spanish with their parents engaged in greater polydrug use than those who spoke Spanish with their parents.

Acculturation↗
PubMed1999

Recent male-mediated gene flow over a linguistic barrier in Iberia, suggested by analysis of a Y-chromosomal DNA polymorphism.

We have examined the worldwide distribution of a Y-chromosomal base-substitution polymorphism, the T/C transition at SRY-2627, where the T allele defines haplogroup 22; sequencing of primate homologues shows that the ancestral state cannot be determined unambiguously but is probably the C allele. Of 1,191 human Y chromosomes analyzed, 33 belong to haplogroup 22. Twenty-nine come from Iberia, and the highest frequencies are in Basques (11%; n=117) and Catalans (22%; n=32). Microsatellite and minisatellite (MSY1) diversity analysis shows that non-Iberian haplogroup-22 chromosomes are not significantly different from Iberian ones. The simplest interpretation of these data is that haplogroup 22 arose in Iberia and that non-Iberian cases reflect Iberian emigrants. Several different methods were used to date the origin of the polymorphism: microsatellite data gave ages of 1,650, 2,700, 3,100, or 3,450 years, and MSY1 gave ages of 1,000, 2,300, or 2,650 years, although 95% confidence intervals on all of these figures are wide. The age of the split between Basque and Catalan haplogroup-22 chromosomes was calculated as only 20% of the age of the lineage as a whole. This study thus provides evidence for direct or indirect gene flow over the substantial linguistic barrier between the Indo-European and non-Indo-European-speaking populations of the Catalans and the Basques, during the past few thousand years.

Base Sequence↗
PubMed1996

Function of the left planum temporale in auditory and linguistic processing.

Previous research suggests that the human left planum temporale (PT) plays an important role in language. To test this hypothesis, functional MRI (fMRI) data were collected from 12 normal right-handed subjects during passive and active listening to words and tone sequences. Several left hemisphere areas, including the superior temporal sulcus, middle temporal gyrus, angular gyrus and lateral frontal lobe showed stronger activation during the word conditions. This was not true of the PT, which responded equally to tones and words during passive listening and more strongly to tones during active listening. The PT is likely to be involved in early auditory processing, while specifically linguistic functions are mediated by multimodal association areas distributed elsewhere in the left hemisphere.

Adult↗
PubMed2000

Translation and linguistic validation of a disease-specific quality of life measure for cystic fibrosis.

OBJECTIVE: To develop a conceptually and semantically valid English version of a French disease-specific measure of quality of life for children, adolescents, and adults with cystic fibrosis (CF). METHODS: Following a backward and forward translation of the measure, 60 participants, including 20 children, 20 parents, and 20 adolescents/young adults completed the Cystic Fibrosis Questionnaire (CFQ) and a series of cognitive probes evaluating their understanding of the items and response choices. RESULTS: Semantic and conceptual problems with the items were identified and modified for the second set of cognitive interviews. Response distributions across items and ages were adequate, and the predicted associations between disease severity and quality of life were obtained. CONCLUSIONS: The English version of the CFQ appears to be a linguistically valid measure of quality of life for patients with CF. A national validation study is now under way to test the psychometric properties of the measure.

Adaptation, Psychological↗