Denise L Perpich

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PURPOSE The mean length of children's utterances is a valuable estimate of their early language acquisition. The available normative data lack documentation of language and nonverbal intelligence levels of the samples. This study reports age-referenced mean length of utterance (MLU) data from children with specific language impairment (SLI) and children(More)
Although cancer presents obstacles for all who experience it, persons in rural communities must negotiate additional challenges. This study determined the cancer information (CI) needs and the CI-seeking behavior and preferences among rural-dwelling persons. Patients (N = 801) = 50 years of age seen in 36 rural Kansas primary care practices completed a(More)
CONTEXT Breast cancer screening rates are lower in rural communities. Although studies have addressed barriers to mammography for rural residents, physician practice barriers have received less attention. PURPOSE Controlled clinical trials have shown that the use of office reminder systems in primary care practices is related to increased clinical care(More)
Purpose: The present work describes how vocabulary ability as assessed by three different forms of the Peabody Picture Vocabulary Test (PPVT) can be placed on a common latent metric through item response theory (IRT) modeling, by which valid comparisons of ability between samples or over time can then be made. Method: Responses from 2,625 cases in a(More)
CONTEXT One in 4 Americans lives in a rural community and relies on rural hospitals and medical systems for emergent care of acute myocardial infarctions (AMI). The infrastructure and organization of AMI care in rural and urban Kansas hospitals was examined. METHODS Using a nominal group process, key elements within hospitals that might influence quality(More)
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