Regulation of the Frequency of Part-Word Repetitions Using Electromyographic Feedback

This study investigated the use of electromyographic feedback in regulating the frequency of part-word repetitions. Two adult stutterers, one female (Subject A) and one male (Subject B) were employed. The frequency of part-word repetitions during baserate, EMG uV raising, and EMG uV lowering conditions was assessed for Subject B. As hypothesized, results indicate that there was a notable decline in the frequency of part-word repetitions during the EMG uV lowering sessions. However, contrary to the second hypothesis, (i.e. that an increase in EMG uV would correspond with an increase in part-word repetitions) there was also a decline in the frequency of part-word repetitions during the EMG raising sessions

Evidence base for pre-employment medical screening

This paper examines the evidence base for the use of pre-employment/pre-placement medical examinations. The use of pre‑employment examinations is often driven more by cultural practices than evidence. There is a lack of evidence on their effectiveness in preventing health-related occupational risks. Hypertension screening is highlighted as a common pre-employment practice for which there is no standardized criteria to use to determine fitness for work. There are inherent problems in screening for psychiatric disorders and substance abuse as well as potential for racial bias and other unintended negative effects. This paper questions the economic case for this practice and also expresses concerns about paternalism related to identified risk factors. Health assessments should only be included when appropriate to the task environment and the general use of pre-employment exams and drug screening should be eliminated. Generally, a health assessment by questionnaire should suffice. Occupational health providers should advise against the application of physical or mental standards that are not relevant to fulfilment of the essential job functions. Consensus development regarding best practice, as well as consideration for acquiring outcome data related to pre-employment practice, is recommended

Effect of Classical Conditioning and Semantic Generalization of Noxious Stimulation on the Ratio of Speech Dysfluencies of Normal Speakers

The present study investigated a theory of the etiology and generalization of stuttering behavior. The subjects were 24 male students at a medical center who responded to advertisements requesting participation in a research project on learning and heart rate. The age range of the subjects was 22-28 years, and the mean age was 22.8 years. Three stimulus topic words were used in the present study. Two of these words were semantically equivalent. The independent variables were the three words that the subjects were instructed to discuss: neutral word condition, experimentally induced noxious word condition, and word semantically equivalent to the noxious word condition. The six dependent measures were percentage of part-word repetitions, percentage of interjections, heart-rate beats per minute, electromyographic microvolts per minute, galvanic skin response ohms conductance per minute, and self-report ratings of "state" anxiety. As predicted, heart rate and a self-report "state" anxiety measure achieved significance in a pattern corresponding to part-word repetitions. Two other measures of state anxiety (galvanic skin response and frontalis electromyographic activity) did not reach significance, although the results were in the predicted direction. The theory that "trait" anxiety accounts for susceptibility of fluency failure under emotional stress was not confirmed. The hypothesis offered here (that part-word repetitions generalize along a semantic dimension) received only tentative support. Discussion of the results centered around the demonstration in the present study of the need for multifaceted treatments tailored to the individual learning histories of specific stuttering behaviors, as well as molecular assessments of stuttering prior to treatment