Sixty-five 6-yr-old deaf children from state supported schools were given an adaptation of the Goldman Fristoe test of articulation to assess their spontaneous speech production. Responses were measured in terms of features of manner, place, voice visibility, position, and error type and compared to imitative samples. A rank order of difficulty for each phoneme, error type, and word position is presented. Results show that of the phonemes, low back vowels, diphthongs, laterals, and voiced consonants were more easily produced. A relationship could be found between fundamental frequency, formant frequency, intensity, and phoneme production, suggesting that these variables and features may be providing the governance underlying the phonological rules in the development of speech in the deaf. Suggestions for training are given.

Child↗

PubMed1976

Oral stereognostic ability among tongue thrusters with interdental lisp, tongue thrusters without interdental lisp and normal children.

30 children, i.e., 10 children per group, 8 yr. of age, were given an oral stereognostic test. This test of 10 geometric forms varying in shape were developed by NIDR. 47 stimuli pairs were used and 10 pairs were repeated to measure test reliability. Subjects were blindfolded and asked to respond whether Items 1 and 2, presented consecutively, were the same or different. Results indicated that both groups of tongue thrusters with and without interdental lisp scored significantly more poorly than did normal children (t = 4.68, P less than .001; t = 5.00, P less than .001), respectively. There were no significant differences, however, between tongue thrusters with and without interdental lisp (t = .33, P greater than .05). Observations indicated that normal children used the tongue tip more frequently and accurately when discriminating the geometric forms than did the other groups.

Child↗

PubMedDate not supplied

Effect of hydrochlorothiazide upon serum and urinary calcium in patients with hypoparathyroidism.

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Adult↗

PubMedDate not supplied

[A study of mortality in patients with acute cerebrovascular pathology in the Castellon General Hospital].

OBJECTIVE: To analyse the hospital death rate caused by acute cardiovascular disorder and their factors conducted. METHODS: We made a retrospective review of all patients suffering from this pathology who had gone into the Casualty Ward of the Castellón General Hospital in the course of 1991: we also looked for all patients with acute cardiovascular disorder who had died in the hospital. We studied the risk factors for the patients referred using a univariant analysis, comparing those still living with those who had died. RESULTS: We find 514 patients diagnosed as having acute cardiovascular disorder, with an stroke/TIA incidence rate of 188 cases per 100,000 inhabitants. The proportion of referred patients was 52%. Among these, the death rate was 27.8%. Factors affecting the death rate were the age of the patients, the reduction in the level of consciousness, and lateral gaze at the start of the stroke. CONCLUSIONS: We believe that the high death rate in our selection was due to the severity of the strokes and the advanced age of the patients, as was in accordance with the methodology used in the gathering of data, which made it possible to include patients who died early.

Acute Disease↗

PubMedDate not supplied

[The management of acute cerebrovascular disorders at the Emergency Services at the Castellon General Hospital].

OBJECTIVE: To analyse the policy for hospital admission in the case of the patients who come to the Emergency Ward with acute cerebrovascular disorders. METHOD: The study was based on a retrospective analysis of the release reports from the Emergency Ward of Castellón General Hospital in the course of 1991, in which stroke, or transitory ischemic attack (TIA) were diagnosed. RESULTS: 514 patients were attended to who went to the Emergency Ward because of cerebrovascular disorder. Of these, 57.2% were referred to hospital, with 42% being sent home. It was observed that 10.65% (n = 23) they did not accomplish the criteria for stroke. There was an overwhelming number of cases of TIA diagnosed (50.2%) in patients who were not admitted, contrasting with only 7.5% being selected for admission. We considered possible explanations for this. CONCLUSIONS: We observed that as far as making the decision to admit a patient with acute cerebrovascular disorder, priority for admission was given in those cases which showed the worst neurological deficiencies, and had a worse prognosis as a consequence. Similarly, the older age (average 76.5 years old) was a prominent factor as far as those who were not admitted.

Acute Disease↗