Christopher J. Moreland

The Form of Children's Early Signs: Iconic or Motoric Determinants?

The two major language modalities—the visual-gestural modality of sign and the oral-aural modality of speech—offer different resources to the infant word learner and impose differing constraints on the infants production of lexical items. For example, the attraction of iconicity to signing children could be such that their errors would reveal little role for biomechanical factors analogous to those that constrain early speech production. The earliest ASL signs of four deaf infants, aged 8 to 17 months, are examined. Three studies of a corpus of 632 early sign tokens are reported. The first study examined the effects of childrens errors on the iconicity of the target signs. Childrens signs were—with few exceptions—judged to be either as iconic (or noniconic) as the adult model or to be less iconic than the adult model. The second and third studies examined two independently-attested tendencies from general motor development: in many motor domains (including speech), infants exhibit repetitive movement patterns; infants may also proximalize movement vis-à-vis what would be expected from adults. Both tendencies are shown to predict error patterns found in the early sign data.

U.S. Medical Schools’ Compliance With the Americans with Disabilities Act: Findings From a National Study

Purpose Physician diversity improves care for underserved populations, yet there are few physicians with disabilities. The authors examined the availability of technical standards (TSs) from U.S. medical schools (MD- and DO-granting) and evaluated these relative to intent to comply with the Americans with Disabilities Act (ADA). Method Document analysis was conducted (2012–2014) on U.S. medical schools’ TSs for hearing, visual, and mobility disabilities. Primary outcome measures were ease of obtaining TSs, willingness to provide reasonable accommodations, responsibility for accommodations, and acceptability of intermediaries or auxiliary aids. Results TSs were available for 161/173 (93%) schools. While 146 (84%) posted these on their Web sites, 100 (58%) were located easily. Few schools, 53 (33%), had TSs specifically supporting accommodating disabilities; 79 (49%) did not clearly state policies, 6 (4%) were unsupportive, and 23 (14%) provided no information. Most schools, 98 (61%), lacked information on responsibility for providing accommodations, 33 (27%) provided accommodations, and 10 (6%) had students assume some responsibility. Approximately 40% allowed auxiliary aids (e.g., motorized scooter), but < 10% allowed intermediaries (e.g., sign language interpreter). Supportive schools were more likely to allow accommodations (P < .001), assume responsibility for accommodations (P < .001), and accept intermediaries (P < .002). DO-granting schools were more supportive for students with mobility disabilities. Conclusions Most medical school TSs do not support provision of reasonable accommodations for students with disabilities as intended by the ADA. Further study is needed to understand how schools operationalize TSs and barriers to achieving ADA standards.

Deafness among physicians and trainees: a national survey.

Purpose To describe the characteristics of and accommodations used by the deaf and hard-of-hearing (DHoH) physician and trainee population and examine whether these individuals are more likely to care for DHoH patients. Method Multipronged snowball sampling identified 86 potential DHoH physician and trainee participants. In July to September 2010, a Web-based survey investigated accommodations used by survey respondents. The authors analyzed participants’ demographics, accommodation and career satisfaction, sense of institutional support, likelihood of recommending medicine as a career, and current/anticipated DHoH patient population size. Results The response rate was 65% (56 respondents; 31 trainees and 25 practicing physicians). Modified stethoscopes were the most frequently used accommodation (n = 50; 89%); other accommodations included auditory equipment, note-taking, computer-assisted real-time captioning, signed interpretation, and oral interpretation. Most respondents reported that their accommodations met their needs well, although 2 spent up to 10 hours weekly arranging accommodations. Of 25 physicians, 17 reported primary care specialties; 7 of 31 trainees planned to enter primary care specialties. Over 20% of trainees anticipated working with DHoH patients, whereas physicians on average spent 10% of their time with DHoH patients. Physicians’ accommodation satisfaction was positively associated with career satisfaction and recommending medicine as a career. Conclusions DHoH physicians and trainees seemed satisfied with frequent, multimodal accommodations from employers and educators. These results may assist organizations in planning accommodation provisions. Because DHoH physicians and trainees seem interested in primary care and serving DHoH patients, recruiting and training DHoH physicians has implications for the care of this underserved population.

Conveying medication prescriptions in American Sign Language: Use of emphasis in translations by interpreters and deaf physicians

This is an exploratory inquiry into signed language interpreters’ perceptions of interpreter e-professionalism on social media, specifically Facebook. Given the global pervasiveness of Facebook, this study presents an international perspective, and reports on findings of focus groups held with a total of 12 professional signed language interpreters from the United States of America, the United Kingdom, and Denmark, all of whom are also Facebook users. The findings reveal that Facebook is seen to blur the traditional boundaries between personal and professional realms – an overlap which is perceived to be compounded by the nature of the small community in which signed language interpreters typically work –necessitating boundary management strategies in order to maintain perceptions of professionalism on the site. Facebook is considered a valuable professional resource to leverage for networking, professional development, problem solving and assignment preparation, but it is also perceived as a potential professional liability for both individual interpreters and the profession at large. Maintaining client confidentiality was found to be the most pressing challenge Facebook brings to the profession. Educational measures to raise awareness about e-professionalism were generally viewed favourably.The study probes into translation students’ perception of the value of online peer feedback in improving translation skills. Students enrolled in a translation degree in Australia translated a 250-word text on two separate occasions. On each occasion, the students were given another fellow student’s translation of the same text to mark and provide anonymous peer feedback. The original translations from all the students, together with any peer feedback, were uploaded onto an online forum. The students were encouraged to download their own translation to review the peer feedback in it. They were also encouraged to download and peruse other students’ peer reviewed translations for comparison. Upon completion of the project, the students were surveyed about their perceptions and appreciation of their engagement in the process in the following three capacities: (i) as a feedback provider, (ii) as a feedback recipient, and (iii) as a peruser of other students’ work and the peer feedback therein. Results suggest that translation students appreciate online peer feedback as a valuable activity that facilitates improvement. The students found receiving peer feedback on their own translation especially rewarding, as it offered alternative approaches and perspectives on tackling linguistic/translation issues. In comparing the three capacities, students perceived reviewing feedback on their own work and perusing other students’ work as more beneficial than engaging in giving feedback to others.Title: Tarjamat al-khadamaat al-’aammah ( Community Interpreting and Translation) Author: Dr. Mustapha Taibi (University of Western Sydney) Year of publication: 2011 Publisher: Dar Assalam , Rabat (Morocco) ISBN: 978-9954-22-088-7 191 pagesAccent is known to cause comprehension difficulty, but empirical interpreting studies on its specific impact have been sporadic. According to Mazzetti (1999), an accent is composed of deviated phonemics and prosody, both discussed extensively in the TESL discipline. The current study seeks to examine, in the interpreting setting, the applicability of Anderson-Hsieh, Johnson and Koehlers (1992) finding that deviated prosody hinders comprehension more than problematic phonemics and syllable structure do. Thirty-seven graduate-level interpreting majors, assigned randomly to four groups, rendered four versions of a text read by the same speaker and then filled out a questionnaire while playing back their own renditions. Renditions were later rated for accuracy by two freelance interpreters, whereas the questionnaires analysed qualitatively. Results of analyses indicated that 1) both phonemics and prosody deteriorated comprehension, but prosody had a greater impact; 2) deviated North American English post-vowel /r/, intonation and rhythm were comprehension problem triggers. The finding may be of use to interpreting trainers, trainees and professionals by contributing to their knowledge of accent.The title Conference of the Tongues at first sight raises questions as to the particularities of its pertinence to translation studies, i.e. the range of possible subject matters subsumed, and is somewhat loosely explained in the preface by a short and factual hint to its historical origins (in sixteenth-century Spain in a paratext to a translation of Aesop). There is no further elaboration on the motivation for the choice of this title however.The market for translation services provided by individuals is currently characterized by significant uncertainty because buyers lack clear ways to identify qualified providers from amongst the total pool of translators. Certification and educational diplomas both serve to reduce the resulting information asymmetry, but both suffer from potential drawbacks: translator training programs are currently oversupplying the market with graduates who may lack the specific skills needed in the market and no certification program enjoys universal recognition. In addition, the two may be seen as competing means of establishing qualification. The resulting situation, in which potential clients are uncertain about which signal to trust, is known as a signal jam . In order to overcome this jam and provide more consistent signaling, translator-training programs and professional associations offering certification need to collaborate more closely to harmonize their requirements and deliver continuing professional development (CPD) that help align the outcomes from training and certification.Interpreting is rather like scuba diving. With just a bit of protective equipment, we interpreters plunge for a short time into an often alien world, where a mistake can be very serious, not only for ourselves but for the other divers who are depending on us to understand their surroundings. And as all who dive, we interpreters find this daily foray into a new environment fascinating, exhilarating, but also at times, challenging. One of the high-risk dive sites into which we venture often is the sea of healthcare, where the strange whale-song of medical dialogue, the often incomprehensible behavior of local denizens such as doctors, and the tricky currents of the healthcare system itself require special knowledge and skill to navigate successfully. Did you ever wish for a dive manual for unique world of healthcare? Well, here’s a good one, from linguist, RN and interpreter trainer, Dr. Ineke Crezee of New Zealand.Among all the difficulties inherent in interpreting, numbers stand out as a common and complex problem trigger. This experimental study contributes to research on the causes of errors in the passive simultaneous interpretation (SI) of numbers. Two groups of Italian Master’s degree students (one for English and one for German) were asked to interpret simultaneously a number-dense speech from their respective B language into their mother tongue, Italian. Note-taking was allowed during the test and both the study participants and their lecturers completed a questionnaire afterwards. Data analysis was conducted with statistical and qualitative methods, combining the cognitivist and contextualist approach. The objective was to ascertain whether one main variable may be held responsible for the high error rate related to interpreting numbers and the difficulty perceived by students in the task. The analysis quantifies the relative impact of different causes of difficulties on participants’ delivery of numbers. It stresses the crucial role of the subjective variable represented by interpreters’ skills. Didactic implications and directions for future research are discussed in the conclusion.

Communication barrier in family linked to increased risks for food insecurity among deaf people who use American Sign Language

OBJECTIVE Food security is defined as being able to access enough food that will help maintain an active, healthy lifestyle for those living in a household. While there are no studies on food security issues among deaf people, research shows that communication barriers early in life are linked to poor physical and mental health outcomes. Childhood communication barriers may also risk later food insecurity. Design/Setting/Subjects A single food security screener question found to have 82 % sensitivity in classifying families who are at risk for food insecurity was taken from the six-item US Household Food Security Survey Module. Questions related to food insecurity screener, depression diagnosis and retrospective communication experience were translated to American Sign Language and then included in an online survey. Over 600 deaf adult signers (18-95 years old) were recruited across the USA. RESULTS After adjusting for covariates, deaf adults who reported being able to understand little to none of what their caregiver said during their formative years were about five times more likely to often experience difficulty with making food last or finding money to buy more food, and were about three times more likely to sometimes experience this difficulty, compared with deaf adults who reported to being able to understand some to all of what their caregiver said. CONCLUSIONS Our results have highlighted a marked risk for food insecurity and related outcomes among deaf people. This should raise serious concern among individuals who have the potential to effect change in deaf childrens access to communication.

Interpreting for California’s Insured Deaf or Hard of Hearing Population: HMOs’ Language Access Services, 2003–2008

Deaf or hard of hearing (DHOH) people experience significant health disparities in the United States; signed language interpretation services may increase their access to health care via health insurance plans. The authors’ objective is to describe signed language interpretation (SLI) services provided by California’s health maintenance organizations (HMOs) to their DHOH members. They conducted a descriptive review of an annual state-administered survey of California HMOs from 2003 through 2008 via retrospective analysis of annual or biennial survey responses to questions regarding SLI services and DHOH members. From 2003 through 2008, California HMOs increased efforts to inform DHOH members of SLI services while using more formal methods to assess the quality of those services. DHOH members were increasingly discouraged from using family members for medical SLI. California’s HMOs have improved efforts to promote and evaluate SLI services for the DHOH community.

Hepatic Dysfunction as a Paraneoplastic Manifestation of Metastatic Prostate Adenocarcinoma

Cholestasis is a general feature of intrahepatic or extrahepatic biliary obstruction by various mechanisms including cirrhosis, stricture, choledocholithiasis, hepatitis, and neoplasms. Neoplasms can directly impinge on the hepatobiliary tree resulting in bile stasis. Stauffer’s syndrome is another variant of this neoplastic process that can cause cholestasis and liver enzyme elevation without any direct hepatobiliary obstruction, and is thus categorized as a paraneoplastic syndrome of unclear pathophysiology. We report a first case of metastatic prostate adenocarcinoma with features of Stauffer’s syndrome that reversed completely on androgen deprivation therapy. This is in contrast to a previously reported case of Stauffer’s syndrome due to metastatic prostate adenocarcinoma, which reversed partially to androgen deprivation therapy. Our case demonstrates the importance of early recognition of Stauffer’s syndrome and underlying neoplasms in patients who present with cholestasis without clear evidence of intrahepatic or extrahepatic biliary obstruction, which may lead to early initiation of treatment.

State Policies and Language Access in California's HMOs: Public Reporting and Regulation of HMOs' Language Services

Objective. Describe the status of language access services for California’s limited English proficient (LEP) health maintenance organization (HMO) members within the context of voluntary public reporting and anticipated state regulation. Study design. Descriptive analysis of longitudinal data provided by health plans. Methods. Retrospective, descriptive analysis of responses to voluntary annual/biennial surveys of commercial, Medicare, Medicaid, and Healthy Families HMOs, 2003–2008. Results. From 2003 to 2008, during California’s public reporting of HMO language services, the percentage of HMOs providing in-person interpretation free of charge to consumers increased to over 80% across all product lines. By 2008, the percentage of commercial HMO plans matching new LEP members to providers by language increased to 70%, while 79% provided telephone interpretation services in at least seven languages. Conclusions. Increasingly HMOs provide language access services for LEP Californians, perhaps resulting from public reporting and anticipated state regulation, although similar trends in other states cannot be ruled out.