Language Delay
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Language Delay
A language delay is a language disorder in which a child fails to develop language abilities at the usual age-appropriate period in their developmental timetable. It particularly affects deaf children who are denied sign language. It is most commonly seen in children ages two to seven years-old and can continue into adulthood. The reported prevalence of language delay ranges from 2.3 to 19 percent. Language is a uniquely human form of communication that entails the use of words in a standard and structured way. Language is distinct from communication. Communication is a two-stage process. The first stage is the process of encoding the message into a set of words (or signs in the case of Sign Languages) and sentence structures that convey the required meaning, i.e. into language. In the second stage, language is translated into motor commands that control the articulators (hands, face, body, lungs, vocal cords, mouth, tongue, teeth, etc.), thereby creating speech. Language delays a ...
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Language Disorder
Language disorders or language impairments are disorders that involve the processing of linguistic information. Problems that may be experienced can involve grammar (syntax and/or morphology), semantics (meaning), or other aspects of language. These problems may be receptive (involving impaired language comprehension), expressive (involving language production), or a combination of both. Examples include specific language impairment, better defined as developmental language disorder, or DLD, and aphasia, among others. Language disorders can affect both spoken and written language, and can also affect sign language; typically, all forms of language will be impaired. Current data indicates that 7% of young children display language disorder, with boys being diagnosed twice as often as girls. Preliminary research on potential risk factors have suggested biological components, such as low birth weight, prematurity, general birth complications, and male gender, as well as family ...
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Wernicke's Area
Wernicke's area (; ), also called Wernicke's speech area, is one of the two parts of the cerebral cortex that are linked to speech, the other being Broca's area. It is involved in the comprehension of written and spoken language, in contrast to Broca's area, which is primarily involved in the production of language. It is traditionally thought to reside in Brodmann area 22, which is located in the superior temporal gyrus in the dominant cerebral hemisphere, which is the left hemisphere in about 95% of right-handed individuals and 70% of left-handed individuals. Damage caused to Wernicke's area results in receptive, fluent aphasia. This means that the person with aphasia will be able to fluently connect words, but the phrases will lack meaning. This is unlike non-fluent aphasia, in which the person will use meaningful words, but in a non-fluent, telegraphic manner. Structure Wernicke's area is traditionally viewed as being located in the posterior section of the superior tempor ...
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Risk Factor
In epidemiology, a risk factor or determinant is a variable associated with an increased risk of disease or infection. Due to a lack of harmonization across disciplines, determinant, in its more widely accepted scientific meaning, is often used as a synonym. The main difference lies in the realm of practice: medicine (clinical practice) versus public health. As an example from clinical practice, low ingestion of dietary sources of vitamin C is a known risk factor for developing scurvy. Specific to public health policy, a determinant is a health risk that is general, abstract, related to inequalities, and difficult for an individual to control. For example, poverty is known to be a determinant of an individual's standard of health. Correlation vs causation Risk factors or determinants are correlational and not necessarily causal, because correlation does not prove causation. For example, being young cannot be said to cause measles, but young people have a higher rate of meas ...
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UK National Screening Committee
The UK National Screening Committee co-ordinates the screening of people for medical conditions within the United Kingdom. Since April 2013 it has been part of Public Health England. The committee was established in 1996, with Sir Kenneth Calman ( Chief Medical Officer for England 1991–1998) as its first chairman. Professor Bob Steele (a specialist in colorectal cancer) has held the post since August 2016. The committee maintains a list of policies in relation to various types of screening, and attempts to balance the risks against the benefits in each case. Some policies say that screening should be provided for everyone or some people, others that screening is not recommended. Each year it publishes a report reviewing its work. In November 2013, the committee were involved in the testing of a new non-invasive prenatal blood test for Down's Syndrome at Great Ormond Street Hospital for Children. Invasive screening methods, either amniocentesis or chorionic villus sampling, res ...
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United States Preventive Services Task Force
The United States Preventive Services Task Force (USPSTF) is "an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services". The task force, a volunteer panel of primary care clinicians (including those from internal medicine, pediatrics, family medicine, obstetrics and gynecology, nursing, and psychology) with methodology experience including epidemiology, biostatistics, health services research, decision sciences, and health economics, is funded, staffed, and appointed by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality. Intent The USPSTF evaluates scientific evidence to determine whether medical screenings, counseling, and preventive medications work for adults and children who have no symptoms. Methods The methods of evidence synthesis used by the Task Force have been described in detail. In 2007, their methods ...
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American Academy Of Pediatrics
The American Academy of Pediatrics (AAP) is an American professional association of pediatricians, headquartered in Itasca, Illinois. It maintains its Department of Federal Affairs office in Washington, D.C. Background The Academy was founded in 1930 by 35 pediatricians to address pediatric healthcare standards. It has 67,000 members in primary care and sub-specialist areas. Qualified pediatricians can become fellows (FAAP). The Academy runs continuing medical education (CME) programs for pediatricians and sub-specialists. The Academy is divided into 14 departments and 26 divisions that assist with carrying out its mission. Publications It has the largest pediatric publishing program in the world, with more than 300 titles for consumers and over 500 titles for physicians and other healthcare professionals. These publications include electronic products, professional references/textbooks, practice management publications, patient education materials, and parenting books. The ...
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Developmental Disability
Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living".Center for Disease Control and Prevention. (2013)Developmental disabilities.Retrieved October 18, 2013 Developmental disabilities can be detected early on and persist throughout an individual's lifespan. Developmental disability that affects all areas of a child's development is sometimes referred to as global developmental delay. The most common developmental disabilities are: * Motor disorders, and learning difficulties such as dyslexia, Tourette's syndrome, dyspraxia, dysgraphia, Irlen syndrome, and dyscalculia. * Autism and Asperger syndrome are a series of conditions called autistic spectrum disorders that causes difficulties in communications. Autistic s ...
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Comorbidity
In medicine, comorbidity - from Latin morbus ("sickness"), co ("together"), -ity (as if - several sicknesses together) - is the presence of one or more additional conditions often wikt:co-occur#Verb, co-occurring (that is, wikt:concomitant#Adjective, concomitant or wikt:concurrent#Adjective, concurrent) with a primary condition. Comorbidity describes the effect of all other conditions an individual patient might have other than the primary condition of interest, and can be physiological or psychological. In the context of mental health, comorbidity often refers to Mental disorder, disorders that are often coexistent with each other, such as Major depressive disorder, depression and Anxiety disorder, anxiety disorders. The concept of multimorbidity is related to comorbidity but presents a different meaning and approach. Definition The term "comorbid" has three definitions: # to indicate a medical condition existing simultaneously but independently with another condition in a patie ...
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Expressive Language
A spoken language is a language produced by articulate sounds or (depending on one's definition) manual gestures, as opposed to a written language. An oral language or vocal language is a language produced with the vocal tract in contrast with a sign language, which is produced with the body and hands. Definition The term "spoken language" is sometimes used to mean only oral languages, especially by linguists, excluding sign languages and making the terms 'spoken', 'oral', 'vocal language' synonymous. Others refer to sign language as "spoken", especially in contrast to written transcriptions of signs. Context In spoken language, much of a speaker's meaning is determined by the context. That contrasts with written language in which more of the meaning is provided directly by the text. In spoken language, the truth of a proposition is determined by common-sense reference to experience, but in written language, a greater emphasis is placed on logical and coherent argument. Similarly, ...
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Receptive Language
Language processing refers to the way humans use words to communicate ideas and feelings, and how such communications are processed and understood. Language processing is considered to be a uniquely human ability that is not produced with the same grammatical understanding or systematicity in even human's closest primate relatives. Throughout the 20th century the dominant model for language processing in the brain was the Geschwind-Lichteim-Wernicke model, which is based primarily on the analysis of brain damaged patients. However, due to improvements in intra-cortical electrophysiological recordings of monkey and human brains, as well non-invasive techniques such as fMRI, PET, MEG and EEG, a dual auditory pathway has been revealed and a two-streams model has been developed. In accordance with this model, there are two pathways that connect the auditory cortex to the frontal lobe, each pathway accounting for different linguistic roles. The auditory ventral stream pathway is re ...
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Intonation (linguistics)
In linguistics, intonation is variation in pitch used to indicate the speaker's attitudes and emotions, to highlight or focus an expression, to signal the illocutionary act performed by a sentence, or to regulate the flow of discourse. For example, the English question "Does Maria speak Spanish or French?" is interpreted as a yes-or-no question when it is uttered with a single rising intonation contour, but is interpreted as an alternative question when uttered with a rising contour on "Spanish" and a falling contour on "French". Although intonation is primarily a matter of pitch variation, its effects almost always work hand-in-hand with other prosodic features. Intonation is distinct from tone, the phenomenon where pitch is used to distinguish words (as in Mandarin) or to mark grammatical features (as in Kinyarwanda). Transcription Most transcription conventions have been devised for describing one particular accent or language, and the specific conventions therefore need t ...
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Stress (linguistics)
In linguistics, and particularly phonology, stress or accent is the relative emphasis or prominence given to a certain syllable in a word or to a certain word in a phrase or sentence. That emphasis is typically caused by such properties as increased loudness and vowel length, full articulation of the vowel, and changes in tone. The terms ''stress'' and ''accent'' are often used synonymously in that context but are sometimes distinguished. For example, when emphasis is produced through pitch alone, it is called ''pitch accent'', and when produced through length alone, it is called ''quantitative accent''. When caused by a combination of various intensified properties, it is called ''stress accent'' or ''dynamic accent''; English uses what is called ''variable stress accent''. Since stress can be realised through a wide range of phonetic properties, such as loudness, vowel length, and pitch (which are also used for other linguistic functions), it is difficult to define stress ...
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