一位患有抗药性的西班牙语青少年的非典型语言组织:一个多元文化病例报告
Jenna A Chiang1,2, Laura K Winstone-Weide3, Dave F Clarke3
1Neurological Institute, Division of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
本案例研究突出了西班牙语拉丁裔患者的非典型语言组织. 对非英语发言者进行手术评估至关重要.
科学领域:
- 神经心理学 神经心理学
- 发病学 (Epileptology) 是一个专业的学科.
- 多元文化健康 多元文化健康
背景情况:
- 不成比例地影响了西班牙裔/拉丁裔儿童,尤其是那些在国外出生的人.
- 健康差异,包括语言障碍,加剧了少数民族的护理差距.
- 有限的规范语言评估工具阻碍了非英语发言者的手术前评估.
研究的目的:
- 为神经心理学家提供非英语使用者的最佳实践信息.
- 在多元文化框架内讨论西班牙语患者的非典型语言组织.
- 突出使用协作治疗评估过程的使用.
主要方法:
- 一个16岁的单语西班牙语拉丁裔女孩的案例研究,患有抗药性焦点发作.
- 综合性术前评估,包括神经成像 (fMRI,PET,MEG),EEG和Wada测试.
- 由双语提供者进行的基线神经心理评估.
主要成果:
- 神经心理测试显示了语言,工作记忆和处理速度的显著缺陷.
- 功能性MRI显示了双边语言激活.
- 瓦达的测试证实了双边语言和记忆表现.
结论:
- 诊断,治疗和外科干预都是通过多元文化的视角来讨论的.
- 研究了国际卫生服务和美国医疗保健获取障碍.
- 提供了关于患者管理中文化知情护理的建议.
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