The Index Of Narrative Microstructure: A Clinical Tool For Analyzing School-Age Children's Narrative Performances

Purpose: This research was conducted to develop a clinical tool-the Index of Narrative Microstructure (INMIS)-that would parsimoniously account for important microstructural aspects of narrative production for school-age children. The study provides field test age- and grade-based INMIS values to aid clinicians in making normative judgments about microstructural aspects of pupils' narrative performance. Method: Narrative samples using a single-picture elicitation context were collected from 250 children age 5-12 years and then transcribed and segmented into T-units. A T-unit consists of a single main clause and any dependent constituents. The narrative transcripts were then coded and analyzed to document a comprehensive set of microstructural indices. Results: Factor analysis indicated that narrative microstructure consisted of 2 moderately related factors. The Productivity factor primarily comprised measures of word output, lexical diversity, and T-unit output. The Complexity factor comprised measures of syntactic organization, with mean length of T-units in words and proportion of complex T-units loading most strongly. Principal components analysis was used to provide a linear combination of 8 variables to approximate the 2 factors. Formulas for calculating a student's performance on the 2 factors using 8 narrative measures are provided. Conclusions: This study provided a method for professionals to calculate INMIS scores for narrative Productivity and Complexity for comparison against field test data for age (5- to 12-year-old) or grade (kindergarten to Grade 6) groupings. INMIS scores complement other tools in evaluating a child's narrative performance specifically and language abilities more generally.Communication Sciences and Disorder

On target: minority outreach strategies of the Let's Move! campaign

Obesity among adults and children is a growing concern in the United States. Launched in 2010, First Lady Michelle Obama's Let's Move! initiative aims to eradicate childhood obesity in a generation. This case study explores the campaign's communication tactics and strategies targeted to minority audiences. Research showed that the primary minority outreach tactics implemented thus far have been multimedia PSAs and the use of minority spokespersons. However, research also uncovered the apparent lack of a coordinated minority communication strategy. Recommendations are offered for the improvement of the campaign's minority outreach strategies going forward

Distributing SOM Ensemble Training using Grid Middleware

In this paper we explore the distribution of training of self-organised maps (SOM) on grid middleware. We propose a two-level architecture and discuss an experimental methodology comprising ensembles of SOMs distributed over a grid with periodic averaging of weights. The purpose of the experiments is to begin to systematically assess the potential for reducing the overall time taken for training by a distributed training regime against the impact on precision. Several issues are considered: (i) the optimum number of ensembles; (ii) the impact of different types of training data; and (iii) the appropriate period of averaging. The proposed architecture has been evaluated in a grid environment, with clock-time performance recorded

The fractional shortening-velocity ratio: Validation of a new echocardiographic doppler method for identifying patients with significant aortic stenosis

AbstractPrevious studies have shown that Doppler echographic methods based on the continuity equation can accurately determine aortic valve area in patients with clinically significant aortic stenosis; nonetheless, methods based on the continuity equation are time-consuming and may not be technically possible in all subsets of patients. Thee purpose of this study was to develop and prospectively evaluate a simpler new noninvasive method for determining aortic valve area. With this new method, aortic valve area is obtained by dividing the percent fractional anteroposterior shortening at the midventriclevel by 4V2, where V is the peak instantaneous Doppler-derived How velocity across the aortic valve.In the fast part of the study, the fractional shortening-velocity ratio was used to examine a group of 25 patients evaluated retrospectively. There was a highly significant linear relation between the fractional shortening-velocity ratio (FSVR) and the aortic valve area (AVA) determined by the Gorlin formula at cardiac catheterization: FSVR = 1.1(AVA) − 0.1 (r = 0.88; significance of slope p < 0.001). Furthermore, a fractional shortening-velocity ratio <1.1 reliably identified all patients with clinically significant aortic stenosis (aortic valve area <1 cm2), whereas a fractional shortening-velocity ratio <0.8 reliably identified all patients with critical aortic stenosis (aortic valve area <0.7 cm2).This new method was then validated by prospectively applying the fractignal shortening-velocity ratio to a group of 44 patients from two separate institutions. This prospective study showed that a fractional shortening-velocity ratio <l.l had a seRR-Jitivity of 90% to 96% and a positive predictive accuracy of 90% to 92% for identifying patients with significant aortic stenosis, whereas a fractional shortening-velocity ratio <0.8 had a sensitivity of 100% and a predictive accuracy of 74% to % for identifying patients with critical aortic stenosis.In summary, the fractional shortening-velocity ratio is a new Doppler echocardiographic method that reliably identifies patients with clinically significant aortic stenosis. The simplicity of this new noninvasive method readily lends itself to routine clinical use

A Comparison of the Storage-Only Deficit and Joint Mechanism Deficit Hypotheses of the Verbal Working Memory Storage Capacity Limitation of Children with Developmental Language Disorder

Purpose: The storage-only deficit and joint mechanism deficit hypotheses are two possible explanations of the verbal working memory (vWM) storage capacity limitation of school-age children with developmental language disorder (DLD). We assessed the merits of each hypothesis in a large group of children with DLD and a group of same-age typically developing (TD) children. Method: Participants were 117 children with DLD and 117 propensity-matched TD children 7-11 years of age. Children completed tasks indexing vWM capacity, verbal short-term storage, sustained attention, attention switching, and lexical long-term memory (LTM). Results: For the DLD group, all of the mechanisms jointly explained 26.5% of total variance. Storage accounted for the greatest portion (13.7%), followed by controlled attention (primarily sustained attention 6.5%), and then lexical LTM (5.6%). For the TD group, all three mechanisms together explained 43.9% of total variance. Storage accounted for the most variance (19.6%), followed by lexical LTM (16.0%), sustained attention (5.4%), and attention switching (3.0%). There was a significant LTM by Group interaction in which stronger LTM scores were associated with significantly higher vWM capacity scores for the TD group as compared to the DLD group. Conclusions: Results support a joint mechanism deficit account of the vWM capacity limitation of children with DLD. Results provide substantively new insights into the underlying factors of the vWM capacity limitation in DLD

“Whatdunit?” Developmental changes in children\u27s syntactically based sentence interpretation abilities and sensitivity to word order

Aim 1 of this study was to examine the developmental changes in typically developing English-speaking children’s syntactically-based sentence interpretation abilities and sensitivity to word order. Aim 2 was to determine the psychometric standing of the novel sentence interpretation task developed for this study, as we wish to use it later with children with Specific Language Impairment (SLI). Children listened to semantically implausible sentences in which noun animacy and the natural affordance between the nouns were removed, thus controlling for event probability. Using this novel “whatdunit?” agent selection task, 256 children 7-11 years listened to two structures with canonical word order and two with non-canonical word order. After each sentence, children selected as quickly as possible the picture of the noun they believed was “doing the action.” Children interpreted sentences with canonical word order with greater accuracy and speed than those with non-canonical word order. Older children (AgeM = 10:8) were more accurate and faster than younger children (AgeM = 8:1) across all sentence forms. Both older and younger children demonstrated similar error patterns across sentence type. The “whatdunit?” task also proved to have strong validity and reliability, making it suitable for studies with children with SLI

Creative and Stylistic Devices Employed by Children During a Storybook Narrative Task: A Cross-Cultural Study

Purpose: The purpose of this study was to analyze the effects of culture on the creative and stylistic features children employ when producing narratives based on wordless picture books. Method: Participants included 60 first- and second-grade African American, Latino American, and Caucasian children. A subset of narratives based on wordless picture books collected as part of a larger study was coded and analyzed for the following creative and stylistic conventions: organizational style (topic centered, linear, cyclical), dialogue (direct, indirect), reference to character relationships (nature, naming, conduct), embellishment (fantasy, suspense, conflict), and paralinguistic devices (expressive sounds, exclamatory utterances). Results: Many similarities and differences between ethnic groups were found. No significant differences were found between ethnic groups in organizational style or use of paralinguistic devices. African American children included more fantasy in their stories, Latino children named their characters more often, and Caucasian children made more references to the nature of character relationships. Conclusion: Even within the context of a highly structured narrative task based on wordless picture books, culture influences children’s production of narratives. Enhanced understanding of narrative structure, creativity, and style is necessary to provide ecologically valid narrative assessment and intervention for children from diverse cultural backgrounds

Knowledge of Brazilian dentists and students in treating dentine hypersensitivity

Objective: To evaluate knowledge of undergraduates and qualified dentists from a Brazilian Dental School in treating Dentine Hypersensitivity (DH). Methodology: Data obtained from a 22-item questionnaire were analysed and arranged in distribution figures. Results: Of 100 respondents, 66.3% indicated that up to 25% of their patients had DH; 41.7%, that the duration of discomfort was up to eight weeks; 78.4%, that they examined a patient with DH within the last two-four weeks; and 70.4%, that this was done after the patient initiated the conversation on DH. Most of participants responded DH affects patients’ quality of life, and its aetiology was attrition, exposed dentine, occlusal interference, gingival recession or abrasion. The most common ways to diagnose DH were sensitivity history analysis, clinical examination, clinical testing and probing; and conflicting conditions were fractured restoration, bleaching sensitivity, marginal leakage, chipped tooth and periodontal disease. Furthermore, 82.5% and 78.7% of respondents indicated they were confident in diagnosing DH and providing advice to patients, but only 38.8% identified hydrodynamic theory as its underlying mechanism. To evaluate pain from DH they considered self-assessment, dental examination, dietary analysis and thermal assessment; and as recommendations, the use of desensitizing dentifrices, education on toothbrushing, in-office application of desensitizing products, and restorations. Conclusion: There is still confusion concerning the aetiology, the diagnosis and the subsequent management of DH, and both students and qualified dentists need better education

On a Watson-like Uniqueness Theorem and Gevrey Expansions

We present a maximal class of analytic functions, elements of which are in one-to-one correspondence with their asymptotic expansions. In recent decades it has been realized (B. Malgrange, J. Ecalle, J.-P. Ramis, Y. Sibuya et al.), that the formal power series solutions of a wide range of systems of ordinary (even non-linear) analytic differential equations are in fact the Gevrey expansions for the regular solutions. Watson's uniqueness theorem belongs to the foundations of this new theory. This paper contains a discussion of an extension of Watson's uniqueness theorem for classes of functions which admit a Gevrey expansion in angular regions of the complex plane with opening less than or equal to (\frac \pi k,) where (k) is the order of the Gevrey expansion. We present conditions which ensure uniqueness and which suggest an extension of Watson's representation theorem. These results may be applied for solutions of certain classes of differential equations to obtain the best accuracy estimate for the deviation of a solution from a finite sum of the corresponding Gevrey expansion.Comment: 18 pages, 4 figure