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At least 1,261 records · Page 70Linked to original sources
PubMed1981

Early perceptual strategies for the replication of consonants from polysyllabic lexical models.

Perceptual processing strategies for the selection and organization of consonants for early replicas of polysyllabic models were investigated as a related study to the classification of productive strategies (Klein, 1981). The present study investigated the ways in which selected word factors (stress level and serial position of the syllable) provided facilitating cues for the production of polysyllabic words. The original procedure involved collecting a language sample from four children (ages 20-24 months) as each informally interacted with an adult during a play activity that included the manipulation of palpable and picturable objects represented by polysyllabic words. This paper focuses specifically on the perceptual strategies of only two of the four children; each demonstrated equally consistent but dissimilar production patterns. Each child's perceptual strategy is described on the basis of the proportion of instances that his/her consonant replicas could be related with the occurrence of specific word factors. Results revealed that (a) primary stress was an important processing cue for the selection of consonant(s) from 2-syllable words or from longer words containing one major stress, and (b) when two major stress levels occurred in a word, preferences for specific interactions of stress and serial position, as processing cues, appeared to be closely related to the number of syllables a child typically produced. The children, whose productions of the same word were dissimilar, exhibited similar perceptual strategies.

Child Language↗
PubMed1976

[Mediastinopulmonary sarcoidosis; the indications for corticosteroid therapy].

The authors, following prolonged observation for from one to ten years, on average 5 years, of 60 cases of thoracic sarcoidosis, of lymph node or miliary type, propose a therapeutic attitude which, although not new, is frankly oriented towards therapeutic abstinence in the lymph node forms, and very restricted indications for hormone therapy in the miliary forms. In this respect, they agree with many authors, in particular English language authors, who consider that corticosteroid therapy is only justified in the acute forms, with a disturbance of general health and characteristic functional involvement. Such an attitude may appear shocking to those who tend to prescribe corticosteroids for their immediate efficacy, but in the long-term, it appears justified.

Adrenal Cortex Hormones↗
PubMed1975

In search of a language intervention lexicon.

An analysis of the syntactic, semantic and phonological features of a corpus of therapy words drawn form recent publications dealing with remedial language instruction was performed to determine whether these words would in theory support full grammatical acquisition. Percentage of occurrence data were compared with distributional statiscs for adult (Berger, 1967a) and child (Weir, 1962) usage. The results suggested a bias in favor of concrete words referring to everyday objects around the home, nouns, verbs and adjectives, and morphemes of simple syllable and sound structure. In general the words analyzed appeared more suitable for children under 3 years of age than for older children. Of factors guiding the clinician's selection of therapy words, native speaker intuition for distributional characteristics of the language was regarded as the major factor of judgment.

Age Factors↗
PubMed2001

Barrett's-related esophageal adenocarcinoma: is chemoprevention a potential option?

OBJECTIVE: Review the rationale behind secondary prevention of Barrett's related esophageal adenocarcinoma and critically appraise the emerging literature regarding prevention of neoplasia in Barrett's esophagus with antisecretory and/or cyclo-oxygenase inhibition therapy. METHODS: The existing English language literature regarding secondary cancer prevention in patients with Barrett's esophagus is reviewed and its potential clinical implications discussed. RESULTS: There is biologic plausibility to pursue "chemoprevention" trials with antisecretory and/or cyclo-oxygenase inhibition therapy in patients with Barrett's esophagus. CONCLUSION: Chemoprevention trials using potent antisecretory therapy coupled with cyclo-oxygenase 2 inhibition are warranted and may provide a means of decreasing the occurrence of cancer and cancer-related mortality in this disease.

Adenocarcinoma↗
PubMed1982

The development of an objective observation tool for parent-child interaction.

To address the need for objective evaluation of parent-child interactions, the investigators created a taxonomy of interactional behaviors used by parents and preverbal/early verbal children. This taxonomy was used by four judges to rate 40 1-min videotaped segments of parent-child freeplay, and the results were compared to four judges' subjective ratings of the same segments. Based on statistical analysis, the taxonomy was shortened to include only those objective behaviors that were highly correlated with the overall subjective ratings. The resultant 10-item taxonomy is discussed in relation to language development and to implications for therapy.

Adult↗
PubMed2005

Complementary and alternative medical therapy use among Chinese and Vietnamese Americans: prevalence, associated factors, and effects of patient-clinician communication.

OBJECTIVE: We examined the use of complementary and alternative medical (CAM) therapies among Chinese and Vietnamese Americans who had limited proficiency with the English language and explore the association between patient-clinician discussions about CAM therapy use and patient assessments of quality of care. METHODS: We surveyed Chinese and Vietnamese Americans who visited 11 community health centers in 8 major cities throughout the United States. RESULTS: Of the 4410 patients surveyed, 3258 (74%) returned completed questionnaires. Two thirds of respondents reported they had "ever used" some form of CAM therapy; however, only 7.6% of these patients had discussed their use of CAM therapies with clinicians. Among patients who had used CAM therapies during the week before their most recent visits, clinician-patient discussions about CAM therapy use were associated with better overall patient ratings of quality of care. CONCLUSION: Use of CAM therapies was common among Chinese and Vietnamese Americans who had limited proficiency with the English language. Although discussions about CAM therapy use with clinicians were uncommon, these discussions were associated with better ratings of quality of care.

Asian↗
PubMed1995

[Differential development of 2 children with developmental dysphasia].

The development of two boys with the diagnosis of specific language impairment each of whom spoke only five words at the age of three is described through the third grade (regular school). In spite of similarities in nonverbal abilities and in conditions of therapy and general care the two children developed quite differently. One achieved an average language level by about age five, whereas the other seemed to stagnate from about this age on even though he made good progress in other areas. The author discusses the role of auditory perception, learning strategies, memory and behavior in the latter child's development.

Aphasia↗
PubMed1983

A comparison of verbal, sign, and simultaneous systems for the acquisition of receptive language by an autistic boy.

The effectiveness of verbal, sign, and simultaneous systems for the acquisition of receptive language by an autistic boy was investigated. The subject received training in all three methods by three teachers on each of 18 days. The order of methods and teachers was counterbalanced daily. The study incorporated a 27-word vocabulary composed of nouns, adjectives (colors), and verbs. The dependent variable was the number of correct responses during three daily sets of 20 assessment trials. Results suggest nonsignificant differences among the three methods. A secondary purpose was to investigate systematically the concomitant increases in subject-initiated interactions and eye contact accompanying the language training. The subject was observed during 10-min rest periods following each of the three daily language sessions; the occurrence of behaviors during timed intervals served as the dependent variables. Significant increases for subject-initiated interactions involving physical contact were observed.

Autistic Disorder↗
PubMed2001

Meta-syntactic therapy using visual coding for children with severe persistent SLI.

The results of a pilot study into meta-syntactic therapy using visual coding for four children (age 11-13 years) with severe receptive and expressive specific language impairment (SLI) are presented. The coding system uses shapes, colours and a system of arrows to teach grammatical rules. A time-series design established baseline pre-therapy measures of comprehension and production of both passives and 'wh' questions. All participants made progress with passives and this was significant in three cases of the four. Comprehension and production of 'wh' questions also improved in all participants, although this did not always reach statistical significance. The results indicate that meta-syntactic therapy of grammatical rules, capitalizing on visual strengths, can improve both comprehension and production in secondary age children with severe persistent SLI.

Adolescent↗
PubMed1999

Technology applications in intervention for preschool-age children with language disorders.

Preschool-age children are capable of using computers and benefiting from developmentally appropriate software. Computer technology has been used successfully in therapy for young children with speech and language disorders; however, the clinician is a crucial factor in such success. Clinicians choose communication goals and appropriate software, plan precomputer activities, provide appropriate models and opportunities during the computer activity, and provide postcomputer activities that ensure the generalization of new skills. In this article, we discuss and illustrate the characteristics of developmentally appropriate computer-based activities and the role of clinicians in planning and implementing these activities for young children.

Child↗
PubMed1983

Increasing verbal interaction among elderly socially isolated mentally retarded adults: a group language training procedure.

The present study examined the effectiveness of a group language training procedure for directly increasing and generalizing the rate of verbal interaction among four elderly, socially isolated, moderately mentally retarded men. A withdrawal of treatment design was used to examine the effect of the procedure that used verbal prompts. behavioral rehearsal, and contingent social praise. Changes in behavior were examined in two generalization settings, one similar to the training environment (Generalization I) and the other arranged as part of the subjects' daily routine (Generalization II). Baseline data indicated no verbal interaction among the subjects. During treatment the training procedure increased the rate of subjects' verbal interactions not only in the training situation, but also in the two generalization settings. An analysis of the data obtained during the Generalization II situation indicated that subjects' verbal interaction increased not only among themselves, but with nonsubject peers present in this setting. Follow-up data showed that increases in rates of verbal interaction were maintained four months after the cessation of training. The implications of the results for program generalization and work with the language deficient individual is discussed.

Behavior Therapy↗
PubMed2002

The role of rehabilitation specialists in Canadian NICUs: a national survey.

Rehabilitation specialists are an integral part of the team in the neonatal intensive care unit (NICU). A national survey was conducted to elucidate the current roles of rehabilitation specialists. Occupational therapy (OT), physical therapy (PT), and speech and language pathology (SLP) departments in all Canadian health care institutions with tertiary level NICUs (n = 38) were surveyed by telephone. Results indicate that 16% have no rehabilitation coverage, while 11% receive very limited external services (< 1/month). Over half of the OT and PT departments provide weekly services whereas only 5/38 provide SLP coverage. Service delivery includes assessment and a number of therapeutic interventions. Splinting and feeding are predominantly performed by OT, whereas chest physiotherapy and ROM are carried out primarily by PT. Rehabilitation specialists are actively involved in education and case management. The extent of involvement of rehabilitation specialists was discrepant, and highly associated with the type of facility. Rehabilitation services, when provided, are comprehensive and include evaluation, treatment, teaching, decision-making, and family support.

Allied Health Occupations↗
PubMed1984

Language and the young stutterer: a new look at old theories and findings.

The major theories and research approaches as to the etiology and development of stuttering are reviewed from a historical perspective. Findings are drawn from different sources indicating that language deficits are an initial contributing factor and a continuing component of this disorder. Those subsets of children which constitute high-risk groups are identified. It is suggested that researchers begin investigating the underlying organic bases of stuttering and its relationship to stages of language development. Finally, clinicians are encouraged to employ a therapy program that is concerned with all areas of language, rather than emphasizing treating only the symptoms of stuttering behavior.

Child↗
PubMed1989

Communication disorders: planning a service to meet the needs.

This paper reviews the size of the speech and language-disabled population in the United Kingdom by client groups and attempts to determine (1) those for whom speech therapy might be appropriate, (2) what pattern and level of speech therapy is appropriate and (3) how many speech therapists are required to provide this pattern and level of speech therapy. It is concluded that under present patterns of speech therapy provision, approximately 26 qualified speech therapists may be required per 100,000 population. However, it is argued that speech therapy may be trying to do too much and may be venturing into areas in which little, if anything, is known about its effectiveness. In conclusion, the paper argues that solutions to the current problems of speech therapy provision must come from the demand and the supply sides of the speech therapy service. The importance of treatment evaluation and further knowledge about patterns of spontaneous recovery are also discussed.

Adult↗