Cleft palate. Selected case studies.

These case studies provide small, selected samples of the results of assessments of articulation skills and their phonologic applications and give some information related to velopharyngeal function during speech. These illustrations were based chiefly on perceptual assessment of speech because this type of assessment is used routinely by SLPs, and does not require instrumentation. Indicators for referral and communication to a cleft palate team were derived from the perceptual evaluation.

Expectations of preschool children to protect themselves from cigarette smoke: results of a smoking prevention program for preschool children.

Because preschoolers and first graders show signs of readiness to try smoking and because they are already learning about smoking through their environment, smoking prevention at the preschool level is appropriate. The large numbers of children seen in primary care practices and day care facilities are indicative of the numbers that could be exposed to smoking prevention instruction through these settings. This study assessed the future expectations of children to protect themselves from sidestream smoke after participating in a preschool smoking prevention program offered in four primary care settings.

Stereospecific effects of a kappa-opiate antagonist on the actions of morphine in morphine-tolerant rats.

The effects of kappa-opiate receptor antagonist, MR 2266 and its dextro isomer, MR 2267 on morphine-induced analgesia and changes in colonic temperature were determined in morphine-naive and morphine-tolerant male Sprague-Dawley rats. Intraperitoneal administration of morphine (8 mg/kg) produced analgesia and hyperthermia in morphine-naive rats. MR 2266 (0.

Behavioral prescription writing in smoking cessation counseling: a new use for a familiar tool.

Tobacco use, a self-inflicted epidemic, causes more than 390,000 deaths in the United States each year. Smoking is a habit perpetuated by both physiologic and psychosocial mechanisms. Physician use of behavioral prescriptions is a practical, familiar, and efficient method for achieving smoking cessation.

A developmental basis for social support.

Developmental theory is proposed as a basis for understanding how social support is learned. The effect of life events on learning about social support is described. Six themes common to the developmental process which help to shape individual perceptions about social support are outlined.

Role and functions of the academic coordinator of clinical education in physical therapy education: a survey.

The Academic Coordinator of Clinical Education occupies a unique position in physical therapy education, often serving as the link between the didactic and the clinical domains of the program. A wealth of anecdotal information suggests the need for a more systematic study of the role and functions of the ACCE. A survey based on a self-administered questionnaire was sent to the ACCEs at 101 physical therapy education programs in the United States.

The influence of technology on the future of allied health professionals.

Technology has been a major factor in the creation of allied health disciplines and continues to shape the future of the field. Predictions are made about the effects of technology in allied health. Suggestions are offered to allied health practitioners and educators for taking an active role in directing the future of the field.

Measuring social support: a synthesis of current approaches.

Definitions and concepts of social support are reviewed in an attempt to develop a theoretical structure for future research. Fourteen techniques for measuring social support are assessed to ascertain the degree to which they reflect common theoretical elements. A paradigm that should help to focus research efforts on the construction of a systematic knowledge base about social support is proposed.

The tracer method of curriculum analysis: identifying changes in oncology subject matter in medicine.

Changes occurring in oncology subject matter in an undergraduate medical curriculum over a 5-year period were documented using the tracer method of curriculum analysis. The tracer method is an empirical approach somewhat analogous to tracing one thread through a tapestry, as a way of following a subject matter interwoven throughout a curriculum. Advantages of the method can be to bring particular material to the attention of teaching staff and students, to facilitate more efficient instruction, and to introduce peer review of educational material.

Lessons from Roseto 20 years later: a community study of heart disease.

The findings of a community study of coronary artery disease were reviewed retrospectively to highlight applications to current research and clinical practice. Roseto, Pennsylvania, an ethnically homogenous county, was studied in the 1960s by an interdisciplinary team of researchers. Twenty years later the findings are being confirmed in the studies of other investigators.

Minority recruitment to the health professions: a matched comparison six-year follow-up.

An experiential program was designed to attract minority students to health careers and to affect the supply and distribution of health manpower in a medically underserved area. A six-year follow-up study of participants and a matched comparison group of nonparticipants indicate the value of the program. Participants were found to by employed in health careers and to achieve long-term career preferences more often than nonparticipants, even though they experienced slightly more obstacles to career attainment.

A comparative study of four methods of evaluating velopharyngeal adequacy.

Forty-eight subjects with repaired palatal clefts were divided into three major groups on the basis of speech symptoms and were examined for velopharyngeal valving integrity by means of the R-D nasal manometer, pressure-flow techniques, the Hunter oral manometer, and videofluoroscopy. Videofluoroscopy appeared to provide data that most nearly agreed with predictions of valving made from speech. The Hunter oral manometer was the least useful of the four techniques.

Perceptual evaluation of velopharyngeal competency.

Eight public school speech/language pathologists estimated velopharyngeal competence on the basis of perceptual evaluation of speech characteristics of 24 subjects. These evaluations were made from tape-recorded speech samples. After orientation to a system for scoring speech characteristics associated with velopharyngeal incompetence they reevaluated the same 24 subjects.

Should health systems agencies be involved in environmental health planning?

Public Law 93-641 provides health systems agencies (HSAs) with a broad planning preview which has enabled a number of agencies to address environmental health issues in their health systems plans. Opponents of HSA involvement in environmental health planning charge that these activities overextend agency resources, duplicate efforts of other government agencies and involve HSAs in "issues of public policy." Closer examination of these charges finds them lacking in validity.

Cultural consciousness and minority representation in health professions.

It appears the problems inherent in the underrepresentation of minorities in the health professions, especially medicine, are likely to continue, at least in the near future. This being the case, it becomes important to maximize the effectiveness of those minorities already in the system.This paper describes a study conducted to verify certain assumptions which underlie programs aimed at increasing minority student enrollment in medical schools.