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PubMed1998

Neuropsychological comparisons of Spanish-speaking participants from the U.S.-Mexico border region versus Spain.

Two samples of participants from the U.S.-Mexico Borderland (N = 185) versus Spain (N = 205) were compared on 16 Spanish-language neuropsychological measures. In most measures the two samples obtained similar results. There were some significant main effects of place of birth and some significant interactions between education and place of birth. Differences between the samples diminished with increasing levels of education. Within the Borderland sample, percent of life span spent in the U.S. and bilingual status were correlated with performance in some tests. Increased percent of life span spent in the U.S. was negatively correlated with performance on a Spanish word-generation task, and positively correlated with performance on the Wisconsin Card Sorting Test. Bilingual Borderland participants performed significantly better than monolingual speakers in learning a list of words. We suggest that the most likely causes for the observed interaction effects are documented regional differences in early SES-related nutrition, medical care, quality of educational experiences, and general socioeconomic conditions.

Acculturation↗
PubMed1998

NOAH--New York Online Access to Health: library collaboration for bilingual consumer health information on the Internet.

New York Online Access to Health (NOAH) is a Web site that provides accurate, timely, relevant, and unbiased full-text health information in both English and Spanish. A joint project of The City University of New York Office of Library Services, The New York Academy of Medicine Library, the Metropolitan New York Library Council, and The New York Public Library, NOAH brings consumer health information to the public in New York City and around the world via the Internet. NOAH is an example of a successful collaboration among different types of libraries (academic, public, medical society) and voluntary health agencies to use new technologies to reach a very broad public. This paper discusses the involvement of the library partners in terms of the management and funding of the site. Web site construction is described including how the information is gathered and organized. Future plans and funding issues for NOAH are considered in terms of the expected increase in the need for consumer health information. NOAH can be reached at: www.noah.cuny.edu.

Health Education↗
PubMed1998

The Interhospital Interpreter Project.

My family immigrated to Canada when I was a child. Soon after we arrived, I became ill with acute appendicitis. For days, I lay in pain while my parents searched desperately for a physician. But in the small Ontario town where we had moved, there were no cultural interpreters. My parents faced not just a language barrier, but the barrier of a lack of knowledge of the health care system. They were unaware that an ill person could seek treatment in the emergency department of a general hospital. My parents finally found someone who could help, and I was treated just hours before my appendix would have ruptured. I will never forget those days of pain and fear.

Communication Barriers↗
PubMed1998

[The interpreter in an intercultural clinical milieu].

The public's diversified language profile means that nursing practice must adjust to provide the same quality of care to all clients, no matter what language they speak. To improve quality and quantity of information exchanged in the nurse-client-interpreter triangle, the authors have investigated the type of information likely to be filtered and studied the various factors underlying the interpreter's choice to filter information. The authors also analyzed the values interpreters assign to information and the factors that form the background for filtering, including mistrust. The authors suggest adequately preparing interpreters; using interpreters' expertise; and developing an appropriate training program for intercultural interpreters to enable them to better function within health care institutions.

Communication↗
PubMed1998

SAPHIRE International: a tool for cross-language information retrieval.

The world's foremost medical literature is written in English, yet much of the world does not speak English as a primary language. This has led to increasing research interest in cross-language information retrieval, where textual databases are queried in languages other than the one in which they are written. We describe enhancements to the SAPHIRE concept-retrieval system, which maps free-text documents and queries to concepts in the UMLS Metathesaurus, that allow it to accept text input and provide Metathesaurus concept output in any of six languages: English, German, French, Russian, Spanish, and Portuguese. An example of the use of SAPHIRE International is shown in the CliniWeb catalogue of clinically-oriented Web pages. A formative evaluation of German terms shows that additional work is required in handling plural and other suffix variants as well as expanding the breadth of synonyms in the UMLS Metathesaurus.

Clinical Medicine↗