Language profiles and naming in children with word finding difficulties

Objective: To examine whether lexical access problems in children with word finding difficulties (WFDs) are restricted to measures of naming or include wider language impairments and the extent to which language skills are related to performance in the accuracy, latency and definitions of lexical items that are comprehended. Patients and Methods: Thirty-one children with identified WFDs completed a set of standardized language measures and an experimental naming and definition task. Results: The current cohort had difficulties with a range of language tasks. Phonological fluency and non-word repetition measures were significantly impaired and different from those of typically developing children. Phonological processes and measures of receptive and expressive language predicted accuracy in naming comprehended items but failed to predict the latency to name or the provision of accurate definitions. Conclusion: Children with WFDs often have additional language difficulties; these difficulties are predictive of performance on confrontational naming tasks. Latency to name, although a significant impairment, was not related to the standardized measures. Further research is needed to identify measures associated with speed of lexical retrieval. The data highlight the importance of examining the precursors to lexical access difficulties and examining different indices of lexical performance when intervening with children's WFDs

Dog bites of the head and neck: an evaluation of a common pediatric trauma and associated treatment

PURPOSE: To identify which patients and canines are involved in dog bites of the head and neck, and how they impact health systems. MATERIALS AND METHODS: This is a single center, retrospective cohort study conducted from January 2012 to June 2013 from an academic, tertiary care center situated between multiple suburban and urban communities. Patients were identified by queried search for all bite-related diagnoses codes. RESULTS: 334 unique dog bites were identified, of which 101 involved the head and neck. The mean patient age was 15.1 years ± 18.1. Of the more than 8 different breeds identified, one-third were caused by pit bull terriers and resulted in the highest rate of consultation (94%) and had 5 times the relative rate of surgical intervention. Unlike all other breeds, pit bull terriers were relatively more likely to attack an unknown individual (+31%), and without provocation (+48%). Injuries of the head and neck had an average follow-up of 1.26 ± 2.4 visits, and average specialty follow-up of 3.1 ± 3.5 visits. CONCLUSIONS: The patients most likely to suffer dog bite injuries of the head and neck are children. Although a number of dog breeds were identified, the largest group were pit bull terriers, whose resultant injuries were more severe and resulted from unprovoked, unknown dogs. More severe injuries required a greater number of interventions, a greater number of inpatient physicians, and more outpatient follow-up encounters. Healthcare utilization and costs associated with dog bites warrant further investigation

Bite injuries to the hand: microbiology, virology and management.

Bites to the human hand, be it from a pet, a stray animal or even a fellow human, may often have dire consequences for the person suffering the insult. Bites by mammals are a common problem and they account for up to 1% of all visits to hospital emergency rooms, in the UK. Clenched fist injuries to the mouth ('fight bite') are notorious for being the worst human bites. Bite injuries of the hand and their related infections must be monitored vigilantly and managed proactively, by experts in this field of surgery. In this review article we discuss the associated microbiology and virology of these injuries as well as their management