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M Shapley

Publications and source records attributed to M Shapley.

3 recordsLinked to original sources
PubMed1997

Endometrial sampling and general practice.

Endometrial sampling is an 'office' technique that has gained widespread acceptance in the United States (US). It is as accurate as dilatation and curettage (D&C) in the diagnosis of endometrial atypia and carcinoma. It appears to be the most suitable method of endometrial assessment for general practice. It has the potential for the earlier detection of endometrial abnormality and for increasing the number of women with abnormal vaginal bleeding who can be wholly managed within primary care. However, research is lacking on the effect of the widespread introduction of the technique into general practice. This paper puts forward recommendations for the use of endometrial sampling by general practitioners (GPs) based on current evidence.

Biopsy↗
PubMedDate not supplied

Units of intonation in discourse: a comparison of acoustic and auditory analyses.

Measurements were made of the correspondence between acoustic (declination) units and auditory (intonation) units in American English conversation in an attempt to relate these two levels of description. The results showed that 99% of the acoustic unit boundaries coincided with auditory unit boundaries, indicating that the acoustic cues of F0 reset, pause, and speaker change used in defining the acoustic units were perceived, verifying the validity of both types of analyses. However, the units differed in scope, with many more auditory units occurring than acoustic units. This result suggests that the common practice of assuming the 'intonational phrase' to be the primary domain of prosodic phenomena such as declination does not adequately account for our data of larger periods of speech. Both acoustic and auditory analysis are needed for a satisfactory description of intonation. The establishment of a methodological connecting link between the acoustic and auditory dimensions suggests that further comparisons of such different data types may yield guidelines for regularizing the relationship between the two levels.

Adult↗