The health services contribution to the language development of children, especially as regards the hearing-impaired.
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Otitis media can be a vexing, recurrent problem. An episode is often treated with antibiotics, followed by reevaluation at two weeks. The complete resolution of effusion, however, may never be documented. Impairments in children's speech, language and cognition have been related to chronic and continuous middle ear disease. Responses to antibiotic regimens must be carefully monitored. Follow-up is essential.
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To understand better the cognitive sequelae of mild perinatal brain injury, we studied three groups of high-risk infants, using the Early Language Milestone Scale (ELM Scale). Premature infants with Grades I and II intraventricular hemorrhages (IVH) were delayed on the expressive but not the receptive subscale of the ELM Scale. Mildly asphyxiated full-term infants were slightly delayed on both the expressive and receptive subscales. Premature infants without IVH performed the same as the normal sample on which the scale was based. Although normal intellectual functioning has been reported in infants with Grade I-II IVH, this study demonstrates early specific deficits in expressive language in these children. These results are discussed in relation to localization of language in the adult brain, and the influence of subcortical structures on development and maturation of the cortex.
The turn exchanges of normally developing 8-year-old boys and girls were examined within adult-child dyadic interaction. Videotaped language samples were analyzed for gender differences in the children's production of simultaneous and nonsimultaneous speech. The results indicated no gender differences for nonsimultaneous turn exchange behaviors but significant differences in the overlap subtypes and simultaneous resolution patterns between the boys and the girls. Sex of the adult partner influenced the negotiation and ultimate length of the children's turns. The children's gender differences were consistent with the adult literature that characterizes men as more assertive conversationally than women.
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