Fragile X speech phonology in Finnish

Fragile X syndrome is a recently discovered relatively common syndrome linked with an anomaly of the X chromosome and causing handicaps of cognitive development especially in males. In the present phonological analysis we will discuss the sound patterns of two Finnish fragile X speakers, a five (borderline intelligence)- and an eight (mildly mentally retarded)-year-old boy. The fragile X syndrome is not necessarily linked with any anomalies of speech organs. The subjects could produce all Finnish speech sounds in isolated test words. However, in the present samples of connected speech they exhibited general dysphonology. What is noteworthy is that their phonological error patterns resembled each other to a great extent. Among the common features were the tendencies to substitute and omit phonemes. As for vowels, our results showed about one-half of the errors to be omissions. Labiality and quantity oppositions were quite resistant to substitution. Most substitution errors of place of consonants occurred in dentals. As for the feature of manner, /r/ and /s/ were the phonemes most prone for substitution. A tendency toward spirantization or /h/ sation was common for both patients. The number of additions was clearly lower than has been reported for English-speaking developmentally dyspraxic children and also for Finnish Broca's aphasics. The speech problems of our patients seemed to indicate higher level motor encoding problems of linguistic information rather than peripheral articulatory deficits.     

Altruism in surgery of AIDS patients

There is usually a long period of time between infection with the AIDS virus and manifestation of symptoms. Asymptomatic patients often would benefit from elective surgery for diseases such as arthritis which are unrelated to their infection. The surgeons' decisions to accept the risks to themselves, their spouses, and their operating teams in order to relieve pain and suffering appear to be based upon two covenants; one concerns their role within the doctor-patient relationship, and the other concerns their relationship to what they see as the ultimate meaning in life.     

Predictors of short-term treatment outcome in bulimia nervosa inpatients.

Recent studies, mostly performed on bulimic outpatients, did not find consistent predictors of treatment outcome in bulimia nervosa. This is the first study to investigate anamnestic and clinical factors predictive of the short-term outcome of hospital treatment in 31 female bulimia nervosa patients with a mean age of 22.9 yr. Treatment outcome was assessed by several self-rating instruments measuring different features of the specific and unspecific psychopathology of bulimia nervosa. The most relevant predictors of the outcome of the 8-week hospital treatment were duration of previous inpatient treatments for bulimia, the intensity of anorexic tendency and the pretreatment level of depression. The majority of predictors tested did not show a strong relationship to treatment outcome. The findings are discussed in relation to results of other studies as well as to possible implications for treatment and research.     

Internal consistency reliability of the fractionated and whole University of Pennsylvania Smell Identification Test

The internal consistency reliability (ICR) of the 40-item University of Pennsylvania Smell Identification Test (UPSIT) and its 10-, 20-, and 30-item fractions was explored, as well as the relationships between the fractions and the entire 40-item test. Pearson correlation coefficients (rs) were computed among all independent combinations and permutations of the four 10-item UPSIT booklets using data from 774 subjects. The median r values of the 10- and 20-item combinations were used to establish the ICRs of the 10- and 20-item tests. The ICRs of the 30- and 40-item tests were estimated using the Spearman-Brown formula and the median rs of the 20-item combinations. Additional ICR estimates of the 40-item UPSIT were obtained from nonsymmetrical fractions using the Horst formula. The ICRs for the UPSIT and its 10-, 20-, and 30-item fractions were 0.922, 0.752, 0.855 and 0.898, respectively. No major sex differences emerged. Estimates of correlations between (1) single booklets and two-booklet combinations and (2) the 40-item UPSIT using Guilford's (1953) correction for nonindependence ranged from 0.812 to 0.871. Overall, these results indicate that (1) the UPSIT and its 10-, 20-, and 30-item fragments have very high ICRs and (2) individual UPSIT booklets or their combinations can be used to assess smell function in a reliable manner where extreme time constraints are present (e.g., in surveys and in brief neuropsychological test batteries).     

Treatment of chronic global aphasia with a nonverbal communication system

Four chronic global aphasics were treated with Blissymbols (C. K. Bliss, 1965, Semantography-Blissymbolics, Sydney: Semantography Pub.). As soon as possible the therapeutic communication was based solely on the use of the symbols. Three patients seemed to benefit from therapy. In one case therapy had to be discontinued because of massive perseveration. In one patient expression of needs relied solely on the use of the symbols. In another, expressive speech could be restored to such an extent that communication by the use of symbols was discontinued.     

Further observational data on the behavioral and social world of institutions for the aged

This study is an extension of previous observational work on the social ecology of dependence and independence in the institutionalized elderly. Observations of everyday, naturally occurring interactions between elderly residents of two different long-term institutions and their social partners were extended such that, aside from the identification of type of behavior, the dyadic form and continuity of each behavior was specified. The following were among the major results: (a) Previously found interaction patterns between elderly residents and their social partners, replicated in both a nursing home and a home for the chronically ill, supported the notion of discrepant social ecologies for dependent versus independent behaviors of residents: (b) specification of each behavioral act as to its dyadic form underscored the fact that the interactions were controlled largely by social partners and not by the elderly residents; (c) coding continuity or discontinuity of behavior suggested that independent behaviors were maintained by chaining; and (d) elderly residents in the home for the chronically ill evinced, as expected, more dependence-related behaviors.     

Central nervous system manifestations in patients with systemic lupus erythematosus. Review of pathogenetic aspects

CNS manifestation is considered as a diagnostic as well as prognostic important variation of SLE course. Disturbances of blood flow and immunopathologic process participate in its induction. Antineuronal antibodies and circulating immune complexes in liquor show tight relations to CNS involvement.     

A computerized system for monitoring and controlling intracranial electrical self-stimulation behavior

An automated system for measuring intracranial self-stimulation behavior is described. The system consists of two Commodore 6502 microcomputers interfaced with a constant-current generator and a standard operant chamber. The system hardware allows sine- and square-wave stimulation. Stimulus intensity can be varied in 256 steps between 0 and 100, 0 and 500, or 0 and 1,000 /µA. The system programs, which are written in machine language, allow the control of various schedules of reinforcement, the counting of operant responses and reinforcements, the measurement of interresponse intervals, and the storage of the data on disk. The software is designed for the determination of the threshold of reinforcement, on the basis of the titration of postreinforcement pauses caused by changeover in schedule control between concurrent continuous reinforcement and fixed ratio schedules.