Extending Complexity to Word-Final Position via Telepractice: Intervention Effects for English-Speaking Children With Speech Sound Disorder.

Purpose: Phonologically complex targets (e.g., [pl-]) are understood to facilitate widespread gains following speech sound intervention, and yet, available research largely features word- clusters.

Point of Care Ultrasounds Obtained by Novice Physician Assistant Residents (POCUS ON PAR).

Introduction: The integration of Point of Care Ultrasound (POCUS) into the care of trauma patients, specifically the E-FAST, has improved the accuracy of initial diagnoses and improved time to surgical intervention in critically ill patients. Physician assistants (PAs) are critically important members of any military trauma resuscitation team and are often team leaders in a pre-hospital setting. They may receive training in ultrasound but there are little data to support their use or evaluate their effectiveness in using POCUS.

Hereditary Creutzfeldt-Jakob Disease: A Case Presentation of a Rare Stroke Mimic.

Acute ischemic cerebrovascular accident (CVA) is a time-sensitive emergent diagnosis, requiring rapid diagnosis and consideration of thrombolytic administration. However, a myriad of cerebrovascular mimics creates a diagnostic challenge. A rare CVA mimic is Creutzfeldt-Jakob disease (CJD), a rapidly progressive fatal dementia due to protein misfolding.

Substitution Errors and the Role of Markedness in Bilingual Phonological Acquisition.

Purpose: The purpose of this study was to (a) provide evidence for a theoretical model of between-language interaction in bilingual phonological production through the examination of substitution error patterns and to (b) provide developmental data on bilingual children with and without speech sound impairments for use in clinical assessment and diagnosis. Through the lens of markedness, or relative featural complexity, patterns of between-language interaction were observed to provide a foundation for clinical decision making in phonological assessment.

Method: Seventy children, ages 3;11-6;7 (years; months), participated in this study: 63 typically developing bilingual Spanish-English-speaking children (x¯ = 5;2) and seven bilingual Spanish-English-speaking children with speech sound impairments (x¯ = 4;6).

Word-final complexity in speech sound intervention: two case studies.

In speech sound intervention, consonant clusters promote generalisation (i.e. improvement in untreated sounds and words), ostensibly due to their relative complexity compared to other phonological targets.

A non-randomised pragmatic trial for the early detection and prevention of surgical wound complications using an advanced hydropolymer wound dressing and smartphone technology: The EDISON trial protocol.

Total hip or knee arthroplasty is a highly effective intervention for treating the symptoms of degenerative joint disease or osteoarthritis (OA), often an unwelcome consequence of obesity. A safe and common surgical procedure, hip and knee arthroplasty procedures are not immune to the occurrence of postoperative complications such as surgical site infection (SSI) or surgical wound dehiscence (SWD). While published rates of SSI following hip or knee arthroplasty are low, 1% to 2% in some cases, it is the resulting wound complication and its clinical management and the impact on patient well-being and return to daily life for the 1% to 2% that is of concern.

Complexity and cross-linguistic transfer in intervention for Spanish-English bilingual children with speech sound disorder.

With bilingual children, intervention for speech sound disorders must consider both of the child's phonological systems, which are known to interact with each other in development. Further, cross-linguistic generalization following intervention for bilingual children with speech sound disorders (i.e.

Automated phonological analysis and treatment target selection using AutoPATT.

Automated analyses of speech samples can offer improved accuracy and timesaving advantages that streamline clinical assessment for children with a suspected speech sound disorder. In this paper, we introduce AutoPATT, an automated tool for clinical analysis of speech samples. This free, open-source tool was developed as a plug-in for Phon and follows the procedures of the Phonological Analysis and Treatment Target Selection protocol, including extraction of a phonetic inventory, phonemic inventory with corresponding minimal pairs, and initial consonant cluster inventory.

A Hard Case to Swallow: Crucifix Esophageal Foreign Body in a Nonverbal Patient.

Delayed presentation of esophageal foreign bodies places patients at high risk for esophageal perforation and infection. In nonverbal patients as well as children and adults with other concomitant illnesses, it is important to consider a broad differential diagnosis for presentations with upper respiratory complaints. The authors present a case of a nonverbal, elderly woman who presented after several days of mild, dry cough and was ultimately found to have a large esophageal foreign body that had been present for an unclear amount of time.

Sympathetic Joint Effusion in an Urban Hospital.

Objective: Sympathetic joint effusion (SJE) and sympathetic synovial effusion (SSE) are recognized as causes of noninflammatory effusion with <2000 white blood cell (WBC) WBC/mm in the joint and bursa, respectively. Data on normal range SJE/SSE with <200 WBC/mm are unknown. We aimed to investigate the incidence, disease characteristics, and associated triggers of normal range SJE/SSE and to propose diagnostic criteria.

Quantifying phonological knowledge in children with phonological disorder.

Generative phonologists use contrastive minimal pairs to determine functional phonological units in a language. This technique has been extended for clinical purposes to derive phonemic inventories for children with phonological disorder, providing a qualitative analysis of a given child's phonological system that is useful for assessment, treatment, and progress monitoring. In this study, we examine the single-word productions of 275 children with phonological disorder from the Learnability Project (Gierut, 2015b) to confirm the relationship between phonemic inventory - a measure of phonological knowledge - and consonant accuracy - a quantitative, relational measure that directly compares a child's phonological productions to the target (i.

Treatment Targets for Co-Occurring Speech-Language Impairment: A Case Study.

Purpose: The intersection of speech and language impairments is severely understudied. Despite repeatedly documented overlap and co-occurrence, treatment research for children with combined phonological and morphosyntactic deficits is limited. Especially little is known about optimal treatment targets for combined phonological-morphosyntactic intervention.

Questions Posed by Residents in the Operating Room: A Thematic Analysis.

Objective: Questioning behavior is a type of intraoperative communication for which little information exists on the types of questions that residents ask. The purpose of this study is to describe and identify themes of questions asked by residents in the operating room.

Design: Trained observers documented questions asked by residents during operations.

Influences of Phonological Context on Tense Marking in Spanish-English Dual Language Learners.

Purpose: The emergence of tense-morpheme marking during language acquisition is highly variable, which confounds the use of tense marking as a diagnostic indicator of language impairment in linguistically diverse populations. In this study, we seek to better understand tense-marking patterns in young bilingual children by comparing phonological influences on marking of 2 word-final tense morphemes.

Method: In spontaneous connected speech samples from 10 Spanish-English dual language learners aged 56-66 months (M = 61.

Dialect Density in Bilingual Puerto Rican Spanish-English Speaking Children.

It is still largely unknown how the two phonological systems of bilingual children interact. In this exploratory study, we examine children's use of dialect features to determine how their speech sound systems interact. Six monolingual Puerto Rican Spanish-speaking children and 6 bilingual Puerto Rican Spanish-English speaking children, ages 5-7 years, were included in the current study.

Age of acquisition and allophony in Spanish-English bilinguals.

This study examines age of acquisition (AoA) in Spanish-English bilinguals' phonetic and phonological knowledge of /l/ in English and Spanish. In English, the lateral approximant /l/ varies in darkness by context [based on the second formant (F2) and the difference between F2 and the first formant (F1)], but the Spanish /l/ does not. Further, English /l/ is overall darker than Spanish /l/.

Effects of Neighborhood Density on Adult Word Repetition.

Presumable lexical competition has been found to result in higher perceptual accuracy for words with few versus many neighbors. Previous studies have typically only analyzed the lexical-semantic level, however. In order to also explore the possibility of phonological effects, a word repetition task was administered to 46 typical adults in which 80 stimuli differed only in neighborhood density.

A comparison of word lexicality in the treatment of speech sound disorders.

The goal of this research programme was to evaluate the role of word lexicality in effecting phonological change in children's sound systems. Four children with functional speech sound disorders (SSDs) were enrolled in an across-subjects multiple baseline single-subject design; two were treated using high-frequency real words (RWs) and two were treated using (low-frequency) non-words (NWs). Dependent variables were learning during treatment, generalization of treated and untreated sounds post-treatment and error consistency indices.

A retrospective study of phonetic inventory complexity in acquisition of Spanish: implications for phonological universals.

This study evaluates 39 different phonetic inventories of 16 Spanish-speaking children (ages 0;11 to 5;1) in terms of hierarchical complexity. Phonetic featural differences are considered in order to evaluate the proposed implicational hierarchy of Dinnsen et al.'s phonetic inventory typology for English.

Age-related changes in acoustic characteristics of adult speech.

Unlabelled: This paper addresses effects of age and sex on certain acoustic properties of speech, given conflicting findings on such effects reported in prior research. The speech of 27 younger adults (15 women, 12 men; mean age 25.5 years) and 59 older adults (32 women, 27 men; mean age 75.

Characteristics of the sound systems of monolingual Vietnamese-speaking children with phonological impairment.

There has been little or no research on Vietnamese phonological development, let alone on phonological disorders of Vietnamese-speaking children. The goal of this study is to evaluate the sound systems of monolingual Vietnamese-speaking children with phonological impairment. Independent and relational analyses of four children (ages 4;4 to 5;5) are presented in terms of error patterns, dialectal patterns, phonotactic constraints, and phonetic and phonemic inventories.

Phonological change and the representation of consonant clusters in Spanish: a case study.

This single-subject case study evaluates effects of treatment of a complex onset on the sound system of a monolingual Spanish-speaking child (female, aged 3;9) with phonological delay. Pre-treatment, the child excluded all consonant+liquid clusters, as well as tap /[symbol: see text]/ and trill /r/. Immediately following training on /f[symbol: see text]-/ in non-words, the child generalized across consonant+liquid clusters and the tap singleton.

Constraint conflict in cluster reduction.

When children reduce onset clusters to singletons, a common pattern is for the least sonorous member of the adult cluster to be produced. Within optimality theory (Prince & Smolensky, 1993), this pattern has been accounted for in terms of a fixed ranking of onset constraints that evaluate a segment's degree of sonority, whereby onset glides violate the highest ranked constraint, and onset stops the lowest. Not all children follow the sonority pattern, however.

Minimal pair approaches to phonological remediation.

This article considers linguistic approaches to phonological remediation that emphasize the role of the phoneme in language. We discuss the structure and function of the phoneme by outlining procedures for determining contrastive properties of sound systems through evaluation of minimal word pairs. We then illustrate how these may be applied to a case study of a child with phonological delay.