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articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation plateaued and began to decline: speech was 100% intelligible at 3 years, but at 4 she was only 75% intelligible. Three months prior to presentation, her diet shifted from structured meals to softer solids and frequent, small snacks. Swallowing was difficult, with dribbling of liquids

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulation and word finding. She also appeared more clumsy than usual with slight gait ataxia. Consciousness was preserved. Diagnostic Workup Brain MRI showed extensive areas of abnormal T2/FLAIR hyperintensity in the cerebellar hemispheres, cerebellar peduncles, internal capsules, and periventricular white matter extending into the corona radiata

articulation has illuminated the limitations of formerly hegemonic categories and words. Twentieth-century terms have been found narrow and constricting; thus, a myriad of descriptions for gender and sexuality are emerging. The changing language surrounding gender signals that the times indeed have changed. Psychoanalysts have just begun

articulate” or Asian Americans are assumed to be good at math and sciences). The third theme, color blindness, occurs when White people refuse to acknowledge race and convey that racism does not exist and that people of color should assimilate into the dominant White culture. The fourth

articulated. Acknowledgment has been given to those historical legacies and forces of oppression, stigmatization, and discrimination that have served to compromise the pursuit of equity in health for all. Emphasis has been placed on paying special attention to those vulnerable groups that have suffered injustice with

articulated previously partly reflect the solutions and cutting-edge advances put forth over a decade ago by the Gay & Lesbian Medical Association (GLMA, 2006) through their Guidelines for Care of Lesbian, Gay, Bisexual, and Transgender Patients. Important standards advanced by GLMA (2006) included: the importance of creating