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From French vocabulary to the Unified Medical Language System: a preliminary study.

The Unified Medical Language System (UMLS) is an extensive source of biomedical knowledge developed and maintained by the U.S. National Library of Medicine (NLM). The UMLS began to include biomedical terms in other languages a few years ago. However, providing foreign terms for existing concepts is only the first step for the UMLS to become international. The current limits of the use of the UMLS in French are analyzed (partial translation, unique source of the translated concepts, improper character set, and absence of lexical resources for lexical matching tools). Some suggestions are given for French to be better integrated into the UMLS, especially for adapting the lexical resources to French. Once completed, our present work is expected to give the UMLS the capability to be effectively queried in French.

France↗

Brain responses reveal the learning of foreign language phonemes.

Learning to speak a new language requires the formation of recognition patterns for the speech sounds specific to the newly acquired language. The present study demonstrates the dynamic nature of cortical memory representations for phonemes in adults by using the mismatch negativity (MMN) event-related potential. We studied Hungarian and Finnish subjects, dividing the Hungarians into a naive (no knowledge of Finnish) and a fluent (in Finnish) group. We found that the MMN for a contrast between two Finnish phonemes was elicited in the fluent Hungarians but not in the naive Hungarians. This result indicates that the fluent Hungarians developed cortical memory representations for the Finnish phoneme system that enabled them to preattentively categorize phonemes specific to this language.

Adult↗

Language barriers and bibliographic retrieval effectiveness: use of MEDLINE by French-speaking end users.

OBJECTIVE: A study was conducted to determine if bibliographic retrieval performed by French-speaking end users is impaired by English language interfaces. The American database MEDLINE on CD-ROM was used as a model. METHODS: A survey of self-administered questionnaires was performed at two libraries of Victor Segalen Bordeaux 2 University, during a two-month period in 1997. Three study groups were constituted: MEDLINE / Ovid end users, MEDLINE / Ovid librarian-mediated users, and Pascal, a French bibliographic database, end users. RESULTS: Among 191 respondents, only 22% thought English was an obstacle to their bibliographic retrieval. However, the research software was generally underused and the quality of the retrieval weak. The differences were statistically significant between users trained by librarians and the self-trained group, the former performing better. CONCLUSION: Special efforts need to be made to develop curriculum training programs for computerized bibliographic retrieval in medical schools, regardless of the native language of the student.

CD-ROM↗

MedSpanish: a language tool for the emergency department.

Language barriers frequently impede the ability of the health care professional to provide the highest quality health care to his or her patients. Spanish speaking people are rapidly becoming the largest minority population in the United States. In order to facilitate access to appropriate medical care that would not be inhibited by miscommunication or lack of a trained translator, the MedSpanish Web Site was developed for use in the Emergency Department. The site contains common Spanish vocabularies, including translations and audio clips, that would be used in such a setting. The various sections are formatted so that they could easily become pocket cards rather than relying on the availability of a computer in a medical emergency. While MedSpanish is not designed to replace a trained translator, it does offer an effective alternative if such translations services are not available.

Communication Barriers↗

My hysterectomy.

Explore the source record for details and available documents.

Attitude of Health Personnel↗

Bilingualism, school achievement, and mental wellbeing: a follow-up study of return migrant children.

In the first phase of this follow-up study we investigated how the use of more than one language affects mental wellbeing and school achievement among 320 school-aged Finnish-Swedish re-migrant children. Now, in the second phase, we screened the same series of children 6 years after migration for psychiatric and psychosomatic symptoms. Out of five groups distinguished in terms of patterns of language use, two had fared well and three showed evident vulnerability. Both successful groups were marked by consistent use of the two languages, Finnish and Swedish, whereas the risk groups were characterised by mixed use of languages before re-migration or substantial language shift after re-migration.

Achievement↗

Dissociation of reading strategies: letter-by-letter reading in the native language and normal reading in the learned language. A case study.

In letter-by-letter reading, which is typically observed in Dejerine's (1892) "pure alexia," oral reading seems to be mediated by the naming of the constituent letters of the printed sequence: reading time rises abnormally as a function of the number of letters of the target item. We describe a patient with fluent aphasia who showed the unusual pattern of letter-by-letter reading together with surface dyslexia in her native language (French) and apparently normal reading in the second, learned language (English). Thus, letter-by-letter reading should be considered as a description of a symptom rather than the consequence of a unique type of functional impairment.

Brain Injuries↗

Early communication intervention within a community-based intervention model in South Africa.

Infants and toddlers with special needs within the developing context in South Africa are not currently receiving adequate early communication intervention services. The development of a model for service delivery to this population is imperative for the successful implementation of early communication intervention in the developing context in South Africa. The basic model of early intervention service delivery provides a theoretical basis for early intervention service delivery but has certain limitations when applied to the developing context in South Africa. Community-based intervention is proposed as an avenue for the delivery of health care services within primary health care although constraints in the application of community-based intervention exist. An integrated model of early communication intervention service delivery within community-based intervention is proposed and illustrated by presenting a case example.

Child, Preschool↗

[Speech understandability test in Sepedi].

The aim of this study was to develop the "Sepedi-toets vir Spraakverstaanbaarheid" to objectively evaluate the speech intelligibility of the client and to give appropriate phonetic information. This study evolved from the present need for evaluation mechanisms and therapeutic services in the indigenous African languages. The words used in the test had to conform to the requirements of certain phonetic criteria. Words and sentences of differing lengths were included. The procedures followed by the test administrator were different for mother tongue speakers than those for non-mother tongue speakers. After the compilation of the test it was applied to four dysarthria speakers. Upon execution of the test it was evident that differences in judgment of speech intelligibility exist between mother tongue and non-mother tongue speakers. Useful phonetic information was obtained through the qualitative analysis of the speech productions. It appears that the "Sepedi-toets vir Spraakverstaanbaarheid" can be used in the clinical environment to obtain a more objective evaluation of the client.

Adolescent↗

Effective use of interpreters in health care: guidelines for nurse managers and clinicians.

Because of the rapid growth of the non-English-speaking population in the United States, nurses are increasingly likely to be called on to provide care for patients whose first language is not English. As a result, nurse managers may need to make interpreters available to health care providers in a variety of settings to facilitate effective communication and provide quality care. The purpose of this article is to present nurse managers and nurse clinicians with information that will enable them to work effectively with interpreters.

Communication Barriers↗

Integrated Internet based tools for learning and evaluating the International Classification of Nursing Practice.

This paper presents some tools designed and implemented for learning-related purposes; these tools can be downloaded or run on the TeleNurse web site. Among other facilities, TeleNurse web site is hosting now the version 1.2 of SysTerN (terminology system for nursing) which can be downloaded on request and also the "Evaluation of Translation" form which has been designed in order to improve the Romanian translation of the ICNP (the International Classification of Nursing Practice). SysTerN has been developed using the framework of the TeleNurse ID--ENTITY Telematics for Health EU project. This version is using the beta version of ICNP containing Phenomena and Actions classification. This classification is intended to facilitate documentation of nursing practice, by providing a terminology or vocabulary for use in the description of the nursing process. The TeleNurse site is bilingual, Romanian-English, in order to enlarge the discussion forum with members from other CEE (or Non-CEE) countries.

Curriculum↗

[Counseling of immigrant families].

The quality and efficiency in the process of psychological counseling with migrant families depends on the counselor's insight in the constellations of migration and culture. Both have a special influence on the way of coping with problems and the relation between client and counselor during the therapy. It is therefore necessary to adapt the own therapeutical approach to the migrant's experiences and abilities of comprehension. The author presents one example of intercultural family counseling by three short case explorations.

Adolescent↗

Adaptation and validation of the rheumatoid arthritis quality of life scale for use in Canada.

OBJECTIVE: The Rheumatoid Arthritis Quality of Life questionnaire (RAQoL) was developed simultaneously in the UK and the Netherlands to measure quality of life in patients with RA. We adapted and validated the RAQoL for the English-Canadian and French-Canadian languages and culture. METHODS: The UK RAQoL was translated into French-Canadian by a bilingual translation panel. Separate lay panels were then used to ensure that this and the English-Canadian instruments were appropriate for use with Canadian patients. Interviews were conducted with 15 French-Canadian and 15 English-Canadian patients with RA to determine the content validity. Reliability and construct validity were established by means of test-retest mail surveys conducted with 92 French-Canadian and 87 English-Canadian RA patients. The survey consisted of the adapted RAQoL, the Health Assessment Questionnaire (HAQ), and a demographic questionnaire. RESULTS: The RAQoL was successfully adapted for both the French and English-Canadian cultures. Field testing showed both versions to be well received by respondents. Of the French-Canadian patients included in the postal survey, 52 responded at Time 1 and 50 at Time 2. For the English-Canadian sample, 54 responded at both time points. Missing data rates for the RAQoL were low and floor and ceiling effects were minimal. Test-retest reliability was good for both versions: 0.87 for the French-Canadian and 0.95 for the English-Canadian. Alpha coefficients (0.92 for the French-Canadian, 0.93 for the English-Canadian) showed the items to be adequately interrelated and scores on the measure showed moderate to high correlations with the HAQ, confirming construct validity. Both versions of the RAQoL were also able to distinguish patient groups that differed according to perceived health status and perceived severity of RA. In addition, the French-Canadian version was able to distinguish patients who rated today as bad or very bad from those who rated today as good or very good. CONCLUSION: The new versions of the RAQoL were well received by both French and English speaking Canadians. The psychometric quality of the adapted questionnaires means they are suitable for inclusion in clinical trials involving patients with RA.

Adult↗

Non-word repetition and grammatical morphology: normative data for children in their final year of primary school.

It is likely that tests of phonological short-term memory (non-word repetition) and grammatical morphology (past tense, third-person singular) are clinical markers for specific language impairment (SLI). The study provides normative data on three specific tests covering the aforementioned areas for 100 children attending the final year of primary schooling (10-11 year olds). Data from typically developing age controls can be used to provide a benchmark against which to compare the ability of language-impaired children. This is particularly important given that the transition from primary to secondary schooling is a key stage in a child's education.

Analysis of Variance↗