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Recent News and Articles on the Keywords: health + widening + language  Related to the article below (Last Update: 8/5/2008)

Health Care and the Presidential Elections
Political Affairs Magazine, NY - Aug 4, 2008
2) Obama proposes expanding existing public insurance programs such as widening eligibility for Medicare and the State Children's Health Insurance Program ...
Africa: AU Summit And G8 Review
AllAfrica.com, Washington - Aug 1, 2008
For Africa, this means that economic growth without investment in social development is negative growth - because all it ends up doing is widening the abyss ...
Mobile Phones and the Digital Divide
PC World - Jul 29, 2008
But the more I do, the more I see a widening knowledge, or awareness, gap. In the West, when we talk of mobiles helping close the digital divide, ...
July in Review
The Dominion, Canada - Aug 1, 2008
Six people were arrested in Halifax for protesting the widening of a residential road to accommodate 300 additional cars per hour. Some demonstrators sat in ...
Street work, protests continue
TheChronicleHerald.ca, Canada - Jul 8, 2008
We are being made laughing stocks of the whole country because of the police enforce, the backward widening of the roads and the lack of viable alternate ...
Of Tech Earnings ?
Wall Street Journal - Jul 18, 2008
But "these four firms are benefiting from healthy technology demand outside the US, the growing economic importance of the Internet, and widening use of ...
Katz retires as MHS principal
Montclair Times, NJ - Jul 17, 2008
However, results from tests conducted in May by a team from the state Department of Education showed a widening achievement gap for MHS minority and special ...
United Way?s new ?Growmobile? brings kindergarten readiness to ...
West Central Tribune, MN - Jul 27, 2008
Surveys show as many as half of preschoolers in Kandiyohi County aren?t prepared for kindergarten, and this gap is widening. Mueller, who?sa student at St. ...
Palestine in the Middle East: Opposing Neoliberalism and US Power
Socialist Project, Canada - Jul 15, 2008
[7] Nevertheless, the strike did indicate the widening chasm between the Palestinian Authority's neoliberal trajectory and its ever-weakening claim to ...
AFLAC, Inc. Q2 2008 Earnings Call Transcript
Seeking Alpha, NY - Jul 24, 2008
Even though we have seen a sharp rise in unrealized losses on the fixed income investments, they have primarily resulted from the widening of credits for it ...AFL
Source: Google News

Area Deprivation and Widening Inequalities in US Mortality, 1969-1998 -
GK Singh - American Journal of Public Health, 2003 - Am Public Health Assoc
... Area Deprivation and Widening Inequalities in US Mortality ... of social disparities
in health and mortality ... or motor vehicles; English language proficiency; divorce ...

MENTAL HEALTH: Widening the Attack on Combat-Related Mental Health Problems -
G Miller - Science, 2006 - sciencemag.org
... MENTAL HEALTH: Widening the Attack on Combat-Related ... better spent on expanding mental
health services and ... to soldiers because it uses language they understand ...

Widening socioeconomic inequalities in mortality in six Western European countries -
JP Mackenbach, V Bos, O Andersen, M Cardano, G … - International Journal of Epidemiology, 2003 - IEA
... While the international (English language) literature on trends ... The widening of the
gap in total ... of cardiovascular disease, such as health-related behaviours ...

Examining what self-rated health question is understood to mean by respondents -
K Manderbacka - Scandinavian Journal of Public Health, 1998 - sjp.sagepub.com
... descriptions ranged from ??nothing restricts my daily in terms of medical diagnosis,
in common language ... widening health to include physical fitness, con- ...

[PDF] Healthcare Inequities in US Widening among Hispanics
K Gale - Medscape-Reuters Health Information, 2006 - consejo.org
Healthcare Inequities in US Widening Among ... "Hispanics are less likely to have health
insurance than ... "An Issue that also affects some Hispanics is language." ...

Language disturbances in corticobasal degeneration -
CM Frattali, J Grafman, N Patronas, F Makhlouf, I … - Neurology, 2000 - AAN Enterprises
... at the National Institutes of Health (NIH) Clinical ... We administered language subtests
from the Western Aphasia ... had cortical atrophy involving widening of the ...

[BOOK] Reaching Across Boundaries of Culture and Class: Widening the Scope of Psychotherapy
RMP Foster, M Moskowitz, RA Javier - 1996 - Jason Aronson

New players for a new era: how up to date is health promotion?
I Kickbusch - Health Promotion International, 1996 - Oxford Univ Press
... feelings or sense of language?and finally ... the possi- bilities of creating health
promotion foundations throughout the world, widening the scope ...

Widening participation for black and ethnic minority women: A pilot educational intervention using …
P Gregory, C Lester, MO'Neill, L Gray - Health Education Journal, 2005 - hej.sagepub.com
... & Equity, National Public Health Service for Wales. 3 Research Associate, School
of Social Sciences, Cardiff University. 4 Widening Participation Officer ...

Socioeconomic disparities in health in the US: an agenda for action -
N Moss - Social Science & Medicine, 2000 - Elsevier
... the other hand, the US shares with Europe a widening gap in health status between ...
non-governmental policy makers was as important as the language used to ...

Source: Google Scholar

Language a Widening Barrier to Health Care

 WEDNESDAY, July 19 (HealthDay News) -- One of the biggest barriers to high-quality health care for millions of U.S. residents has nothing to do with medicine.

It has to do with language.

"We're looking at 50 million people in the U.S., 19 percent of the population, who speak a language other than English at home and 22 million who have limited English proficiency, so that's a lot of people," said Dr. Glenn Flores, director of the Center for the Advancement of Underserved Children, and a professor of pediatrics, epidemiology and health policy at the Medical College of Wisconsin in Milwaukee.

And the number is growing, added Flores, who is author of a perspective article in the July 20 issue of the New England Journal of Medicine that outlines the issues and possible solutions.

Between 1990 and 2000, the number of Americans speaking a language other than English at home grew by 15.1 million (a 47 percent increase) and the number with limited English proficiency grew by 7.3 million (a 53 percent increase).

Patients who face language barriers have difficulty accessing care, receive fewer preventive services, and are less likely to follow medication directions. For example, asthmatic children with language barriers are more likely to end up intubated in intensive care.

"Patients who do not have the opportunity to have a culturally and linguistically competent physician often don't get as good care," confirmed Dr. Robert Schwartz, chairman of family medicine and community health at the University of Miami Miller School of Medicine. "It's a critical issue to be able to speak to a patient."

Schwartz's department serves a predominantly Hispanic part of Miami. And in Miami, according to the journal article, 75 percent of residents speak a language other than English at home.

Examples cited by Flores range from the near-comic to the tragic.

There was, for instance, the interpreter who mistranslated a nurse practitioner's instructions and told a mother to put oral antibiotics into her 7-year-old daughter's ear.

In another example, the mistranslation of a single word resulted in preventable quadriplegia. The patient, an 18-year-old Spanish male, said he felt "intoxicado," meaning "nauseated," before collapsing. A paramedic took the word to mean "intoxicated" and the patient spent more than 36 hours being worked up for a drug overdose. The delay resulted in the rupture of a brain aneurysm. The case was settled for $71 million.

And one Spanish-speaking woman told a hospital resident that her 2-year-old daughter had "hit herself" falling off her tricycle. The resident misinterpreted the statement to mean abuse and contacted the appropriate authorities, who had the mother sign over custody of both her children.

The language issues are most pronounced in the emergency room and in psychiatric settings. One study found that no interpreter was used in 46 percent of emergency-room cases involving patients with limited English proficiency.

Psychiatric patients who have language barriers are more likely to receive a diagnosis of severe psychopathology, and are also more likely to leave the hospital against doctors' orders.

What can be done?

"We need to keep making the case based on the evidence, which is that you see a lot of adverse consequences," Flores said. "There's a long laundry list we've accumulated and all of this is adding up to suboptimal quality of care, excessive costs, lower patient satisfaction, medical errors, and even morbidity and death. We can do a better job."

Currently, only 13 states provide third-party reimbursement for interpreter services. Unfortunately, most of the states containing the largest numbers of patients with limited English proficiency have not followed suit, sometimes citing concerns about costs.

There is legislation in the works, including a bill in California that would prohibit state-funded organizations from using children younger than 15 years of age as medical interpreters. But more needs to be done, Flores said. One government report estimated that it would only cost, on average, $4.04 more per physician visit to provide all U.S. patients who need them with language services.

In the meantime, individual institutions do what they can. Montefiore Medical Center in New York City, for example, has about 80 languages spoken there, including Gujarati, spoken on the west coast of India, and Zapotec, a native Mexican-Indian dialect.

"About five years ago, we put up our patient bill of rights in 10 different languages and that barely scratches the surface," said CEO and President Pamela Brier.

The center relies on a network of interpreters from the existing staff and volunteers, including people who were doctors in their own country and are hoping to get into a residency program. About four years ago, the hospital hired enough people to have round-the-clock coverage in Mandarin, Cantonese and Russian.

"For all we do, we have not nailed it," Brier said. "It's going to be a life's work."

More information

Some recommendations for setting up interpreter programs in hospitals can be found at Universal Health Care.

Gemzar Approved for Recurrent Ovarian Cancer

WEDNESDAY, July 19 (HealthDay News) -- Eli Lilly & Co.'s popular cancer drug Gemzar has received U.S. Food and Drug Administration approval to be used as a treatment for recurrent ovarian cancer, the company said.

This new approval covers the use of Gemzar in combination with carboplatin to treat women who've suffered an ovarian cancer relapse at least six months after treatment, the Associated Press reported.

Ovarian cancer recurs in 90 percent of women who are diagnosed and treated, according to Lilly. There will be an estimated 20,180 new cases of ovarian cancer in the United States this year, the American Cancer Society says.

Gemzar already had FDA approval to treat breast cancer, lung cancer, and pancreatic cancer, the AP reported.

More information

To learn about ovarian cancer, visit the U.S. National Cancer Institute.

 

Autistic Brains Show a Key Difference

 WEDNESDAY, July 19 (HealthDay News) -- New research shows that males with autism have fewer neurons in the amygdala, an area of the brain that plays a role in emotion and memory.

Neurons are brain cells responsible for creating and transmitting electrical signals. This study, by a team from the University of California, Davis, is the first to identify this distinct neuroanatomical feature in the brains of people with autism.

"While we have known that autism is a developmental brain disorder, where, how and when the autistic brain develops abnormally has been a mystery," Dr. Thomas R. Insel, director of the U.S. National Institute of Mental Health, said in a prepared statement.

"This new finding is important because it demonstrates that the structure of the amygdala is abnormal in autism. Along with other findings on the abnormal function of the amygdala, research is beginning to narrow the search for the brain basis of autism," Insel said.

In this study, published in the July 19 issue of the Journal of Neuroscience, researchers compared brain tissue from nine deceased males with autism to that of 10 deceased males who did not have autism. In both groups, the age at the time of death ranged from 10 to 44 years.

 

Gender Gap in Scientific Research Shows Up in Print

 WEDNESDAY, July 19 (HealthDay News) -- Women still lag behind men in the field of scientific research, particularly in getting their work published in prestigious publications.

That's the finding of new research that shows while a greater number of women have become medical researchers over the last four decades, their studies are still much less likely to see the light of day in major medical journals.

"Women have come a very long way, but there's still a very long road ahead," concluded study author Dr. Reshma Jagsi, who conducted the research while at Harvard Medical School's Office of Women's Careers.

"The percentage of first authors who are women has gone up from 6 percent in 1970 to almost 30 percent in 2004, and that's quite an accomplishment," added Jagsi, who is now at the University of Michigan in Ann Arbor. "But that's still not parity [with men], and that's what we all hope will someday be the case."

Her team's findings are reported in the July 20 issue of the New England Journal of Medicine.

The issue of sexism within medicine and other sciences resurfaced early last year when then-Harvard University president Larry Summers gave a speech suggesting that women were somehow less well-equipped for the sciences than their male peers.

Just last week, in a rebuttal to Summer's remarks, transgendered Stanford University neuroscientist Ben Barres penned an essay in Nature, in which he said his career path got noticeably easier when he switched his sex from female to male.

In this latest study on the issue, Jagsi's team looked at articles published in the years 1970, 1980, 1990, 2000 and 2004 in six major U.S. medical journals: the New England Journal of Medicine, the Journal of the American Medical Association, the Annals of Internal Medicine, the Annals of Surgery, Obstetrics & Gynecology, and the Journal of Pediatrics.

Her group focused specifically on the two most prestigious names heading any given study: the "first" or "lead" researcher (always listed first in the list of authors), and the "senior" researcher (listed last, often a senior faculty member).

Jagsi's team found that the percentage of clearly female names listed as first study author rose from a paltry 5.9 percent overall in 1970, to 29.3 percent by 2004. The share of senior authors who were female also rose, from 3.7 percent in 1970 to 19.3 percent in 2004.

The team also looked at the names of experts who were asked to write guest editorials in the NEJM or JAMA over the past few decades.

Again, they found that the number of female commentators rose from zero (in JAMA) and 1.5 percent (in NEJM) in 1970 to between 18 percent and 20 percent by 2004.

According to Jagsi, these increases in numbers reflect the rising participation of women in medicine, generally. Recent data show that women hold one third of the faculty positions at American medical schools. However, the data also shows that only 10 percent of female faculty members have full, tenured professorships, compared to 28 percent of male faculty members.

Frequent publication in prestigious journals can make or break a researcher's career, Jagsi said. That's why increasing the profile of women in medical journals is key to bringing true equality to the profession.

However, research is time-consuming and typically peaks in the 30s and 40s, she added. That's also the point in many women's lives where they face the dilemma of choosing between children or career.

"That means that women [researchers] are most likely facing barriers even before they get to the point of submitting an article to a journal, or they are not taking those key senior or first-author roles," said Jagsi.

She believes that specific interventions on the part of medical schools -- such as increasing mentorship for young female researchers and finding creative ways to help free up their time -- would go a long way to boosting their publication rates.

"There's already quite an effort going on across the country at different medical centers to try and address those issues," noted Dr. Mary Beth Hamel, an assistant professor of medicine at Harvard and the co-author of a related NEJM editorial.

Hamel is also deputy editor at NEJM. She said the journal doesn't track the gender of authors it publishes, and study selection is made solely on the merits and importance of the science.

However, there's more leeway in the journal's selection of guest editorialists, Hamel added.

"We really just try and find the best people we can to write the commentary articles -- we don't intentionally try and find women," she said. "But I think the numbers that this study found does suggest that it might be helpful to make more of an effort to find highly qualified women."

Both Hamel and Jagsi believe that practical constraints -- many related to the tension between childrearing and careers -- are probably the prime culprit driving women's lack of parity in terms of publication.

But Marianne LaFrance, a Yale University specialist on gender and sexuality issues, said gender bias can and probably does influence the selection process. As far back as 1968, she said, psychologists conducted studies where they found that simply attributing the authorship of an essay or other work to a woman triggered a decline in the reviewer's estimation of its artistic or academic worth.

In the sciences, especially, "the data is really clear that, all else being equal, people think males are better -- that they're smarter, have more creative intelligence, more core ability," LaFrance said.

To help eliminate bias, many journals "blind" reviewers from knowing the study authors' names during the selection process, but LaFrance said study details often make it clear who an author might be.

She also believes that women are socialized to be more cautious about their research output than men. "They tend to get second-guessed a lot, and they second-guess themselves -- often waiting to submit for publication until they've done just that one extra test of validity," LaFrance said. "That obviously cuts into the sheer quantity of publication that gets out there."

On the other hand, she said, men tend to have a more confident, "go for it" sensibility, probably a result of their socialization as boys.

Still, there's hope that gradual shifts in gender roles could change all that. Jagsi pointed out that as more male American researchers decide that they, too, want to spend more time with their kids, that could end up helping their female peers.

"Because it's becoming more socially acceptable for men to play a bigger role at home, it may well be that the real pressure comes from that side," she said. "And that would be great."

More information

To learn more, go to the Association for Women in Science.

 

 
 
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