Academic literature on the topic 'Speech therapy/pathology'

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Journal articles on the topic "Speech therapy/pathology"

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Benselama, Z. A., M. Guerti, and M. A. Bencherif. "Arabic Speech Pathology Therapy Computer Aided System." Journal of Computer Science 3, no. 9 (September 1, 2007): 685–92. http://dx.doi.org/10.3844/jcssp.2007.685.692.

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Salter, Claire, and Weh Yeoh. "Small Steps Towards a Speech Therapy Profession in Cambodia: Lessons Learned So Far." Perspectives of the ASHA Special Interest Groups 2, no. 17 (January 2017): 104–13. http://dx.doi.org/10.1044/persp2.sig17.104.

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This paper provides a contemporary overview of speech language pathology services and professional training in Cambodia. The unique national context, including Cambodia's conflict-ridden past, its resource-poor and underdeveloped health sector institutions, and the proliferation of many international non-governmental organizations (NGOs) operating in the country, all serve to make the delivery of speech-language pathology services and establishment of a local speech-language pathology profession challenging and complex. The increasing numbers of international speech-language pathology professionals volunteering their services on a short-term basis in Cambodia is given focus, and the subsequent impact on establishing sustainable local services. We profile the efforts of one NGO, OIC Cambodia, and its “Exit Strategy,” aimed at developing a local speech-language pathology professional infrastructure through local training, a more robust Cambodian government policy framework, establishing local career pathways and professional network, and public awareness raising of speech-language pathology needs and services. The paper concludes that there will be more significant and ongoing benefits for the Cambodian health and education sectors and general population by focussing efforts on establishing a local speech-language pathology profession and institutional presence.
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Maszewska, Sylwia. "Music therapy as an augmentative method in practicing speech‑language pathology." Logopaedica Lodziensia, no. 1 (December 30, 2017): 79–89. http://dx.doi.org/10.18778/2544-7238.01.07.

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The article presents therapeutic actions toward restoring linguistic and communicative competence, and its aim is to show how music therapy enriches the methods of speech‑language rehabilitation. The rise of music therapy and speech‑language pathology as scientific disciplines was gradual and started almost exactly at the same juncture, i.e. at the beginning of the 20th century. The origins of both go back in time to the remote past, and both are characterized by an interdisciplinary nature. The methods of music therapy are in line with the speech‑language therapy scenario:– eurhythmics, initially supporting education and upbringing, stimulates psychomotor development in a versatile manner,– speech‑movement therapy supports general and motor development and aids speech capabilities,– the Good Start method is applied for children with reading and writing difficulties and has a corrective‑compensatory influence,– mobile music recreation stimulates the development of children suffering from cerebral palsy,– high‑frequency sounds in the Tomatis method have a therapeutic effect for memory disorders, school‑related difficulties, dyslexia, autism, and emotional disorders,– singing, which is a traditional method of music therapy, is widely applied in speech therapy for neurological disorders and in the treatment of stammering, as well as in psychosocial rehabilitation.
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Amico, Peter, Gregory C. Pope, Poonam Pardasaney, Ben Silver, Jill A. Dever, Ann Meadow, and Pamela West. "Refinements of the Medicare Outpatient Therapy Annual Expenditure Limit Policy." Physical Therapy 95, no. 12 (December 1, 2015): 1638–49. http://dx.doi.org/10.2522/ptj.20140423.

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Background A Medicare beneficiary's annual outpatient therapy expenditures that exceed congressionally established caps are subject to extra documentation and review requirements. In 2011, these caps were $1,870 for physical therapy and speech-language pathology combined and $1,870 for occupational therapy separately. Objective This article considers the distributional effects of replacing current cap policy with equal caps by therapy discipline (physical therapy, occupational therapy, and speech-language pathology) or a single combined cap, and risk adjusting the physical therapy cap using beneficiary characteristics and functional status. Methods Alternative therapy cap policies are simulated with 100% Medicare claims for 2011 therapy users (N=4.9 million). A risk-adjusted cap for annual physical therapy expenditures is calculated from a quantile regression estimated on a sample of physical therapy users with diagnoses and clinician assessments of functional ability merged to their claims (n=4,210). Results Equal discipline-specific caps of $1,710 each for physical therapy, occupational therapy, and speech-language pathology result in the same aggregate Medicare expenditures above the caps as 2011 cap policy. A single combined-disciplines cap of $2,485 also results in the same aggregate expenditures above the cap. Risk adjustment varies the physical therapy cap by as much as 5 to 1 across beneficiaries and equalizes the probability of exceeding the physical therapy cap across diagnosis and functional status groups. Limitations One limitation of the study was the assumption of no behavioral response on the part of beneficiaries or providers to a change in cap policy. Additionally, analysis of risk adjusting the therapy caps was limited by sample size. Conclusions Equal discipline-specific caps for physical therapy, occupational therapy, and speech-language pathology are more equitable to high users of both physical therapy and speech-language pathology than current cap policy. Separating the physical therapy and speech-language pathology caps is a change that policy makers could consider. Risk adjustment of the therapy caps is a first step in incorporating beneficiary need for services into Medicare outpatient therapy payment policy.
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Cardoso, Carla, and Melaine Luz Montenegro. "Speech and Language Pathology and Autistic Spectrum." Spanish journal of psychology 12, no. 2 (November 2009): 686–95. http://dx.doi.org/10.1017/s1138741600002055.

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The aim of this study was to identify variations from different language therapy processes times in two groups of children with autistic spectrum disorders. 8 subjects, from 3 to 17 years old, participated of this study and they were divided in two groups: Group 1: 4 subjects, in language therapy for 12 months, with therapist change after 6 months; Group 2: 4 subjects, also in language therapy for 12 months, but without therapist change in this period. Data was collected from two videotapes recordings: initial and final and all the recordings had fifteen minutes of duration. The analysis was done according to the criteria proposed by Fernandes (2004a), for functional evaluation of language and the statistical analysis were done with the Wilcoxon signed ranks test and the Mann-Whitney test, with 5% of significance. The results showed no difference between the two groups. This outcome may be related to the small size of the groups or to the duration of the study. Nevertheless, a better functional profile of communication was noted on group 2, witch had no therapist change. This outcome was represented by the improving of the communicational acts and the use of the communicative space, it was also noted an increasing of the utilization of the verbal mean and decreasing of the vocal mean, besides a greater utilization of the more interactive functions.
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Raheem, Amreen, M. Azzam Khan, Bareera Saeed, M. Sikander Ghayas K., M. Ahmad, Lubna Noreen, Ruhamah Y., and Khadija Saleem. "Awareness of Therapeutic Field of Language and Communication in General Population, Lahore Pakistan." Pakistan Journal of Medical and Health Sciences 15, no. 8 (August 26, 2021): 2100–2106. http://dx.doi.org/10.53350/pjmhs211582100.

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Factual levels of awareness about speech-language therapy/pathology (SLP) and communication disorders are right now obscure in the general population in the city of Punjab, Pakistan. This study assess the awareness about SLP in general population. A cross-sectional study was accomplished by using a random sampling technique. A totality of 331 members with the age range 19 years to 55 years were surveyed through structured questionnaire regarding their awareness of the profession of speech-language therapy and of communication clutters at public places. The result of this study shows that general population perception and basic understanding about speech -language therapy in Lahore- Pakistan come out as to be quite restricted. Members who had much precise understanding of speech-language therapy and communication clutters are mainly women with children. Conclusion(s): This research has revealed the female respondents had much knowledge about speech-language pathology and more positive attitudes toward communication disorders compared to males. Keywords: Speech Language Pathology, Speech Language Therapist, Speech technicians, communications problems, awareness, basic knowledge, Lahore, Pakistan. Public.
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Merson, Richard M., and Michael I. Rolnick. "Speech-language Pathology and Dysphagia in Multiple Sclerosis." Physical Medicine and Rehabilitation Clinics of North America 9, no. 3 (August 1998): 631–41. http://dx.doi.org/10.1016/s1047-9651(18)30254-7.

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BEREZAN, V. "EMIL FROESCHEL'S CONTRIBUTION TO THE DEVELOPMENT OF SPEECH THERAPEUTIC SCIENCE AND PRACTICE." ТHE SOURCES OF PEDAGOGICAL SKILLS, no. 28 (December 31, 2021): 9–15. http://dx.doi.org/10.33989/2075-146x.2021.28.250319.

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The article presents the figure of the prominent Austrian scientist Emil Froeschels, who introduced the term “logopedics” into clinical practice, is considered the founder of speech pathology (speech therapy) education, founded the world's first International Association of Logopedics and Phoniatrics (IALP) and a number of other national associations and unions. The article focuses on his leadership qualities as a scientist, teacher and public figure. On the basis of the research the directions of researches of the scientist are defined: problems of speech therapy (stuttering, aphasia, dysarthria, etc.), speech and voice therapy, methodical materials and the analysis of comparative researches, researches of physiology and problems of speech and voice and speech organs, philosophical researches, questions speech psychology, problems of education, training and upbringing of children with and without disabilities, phonetic observations, etc. The methods of speech pathology (speech therapy) work with the patient proposed by E. Froeschels, which were introduced into clinical practice, are analyzed.
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Pontius, Elizabeth A., and Robert S. Anderson. "Physical Therapy, Occupational Therapy, and Speech Language Pathology in the Emergency Department." Emergency Medicine Clinics of North America 39, no. 2 (May 2021): 419–27. http://dx.doi.org/10.1016/j.emc.2021.01.005.

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Chiari, Brasília M., Débora B. Grossi, Fernanda D. Fernandes, Leslie P. Ferreira, Marco T. Mello, Pedro C. Hallal, and Sérgio T. Fonseca. "Research productivity grants: Physical Education, Physical Therapy, Speech Pathology, and Occupational Therapy." Brazilian Journal of Physical Therapy 20, no. 1 (February 2016): 1–3. http://dx.doi.org/10.1590/bjpt-rbf.2014.0150.

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Dissertations / Theses on the topic "Speech therapy/pathology"

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McAllister, Sue. "Competency based assessment of speech pathology students' performance in the workplace." Connect to full text, 2005. http://hdl.handle.net/2123/1130.

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Thesis (Ph. D.)--University of Sydney, 2006.
Title from title screen (viewed May 1, 2007). Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Communication Sciences and Disorders. Includes bibliographical references. Also issued in print.
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Davenport, M. J., and Faith W. Akin. "A Multidisciplinary Approach to Vestibular Rehabilitation Therapy." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/2468.

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Klop, Daleen. "Quality management in a private speech-language therapy practice." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/26577.

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This study investigated the principles of quality management and their application to a private speech-language therapy practice. The history of quality management and the development of quality management in industry and health care services were reviewed. Quality was defined in terms of the context of the author's private speech-language therapy practice and a working definition of quality was developed. The principles in the development of a quality management programme were described. These principles were used to develop and implement a quality management programme in the author's private speech-language therapy practice. Financial management and client satisfaction were selected as strategic quality factors in the initial stages of the quality management programme. Practice policies were revised to establish success criteria and to measure the practice's conformance to these criteria. The quality management programme enabled the author to improve the quality and effectiveness of her practice's financial management system and to demonstrate the client-centered orientation of the practice by implementing client satisfaction as a quality indicator.
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Guntupalli, Vijaya K., (Guntupalli) Chaya D. Nanjundeswaran, Joseph Kalinowski, and Vikram N. Dayalu. "Past Speech Therapy Experiences of Individuals Exploring a New Stuttering Treatment." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/1766.

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Perceptions of benefits of speech therapy, success of therapy across clinical settings, reasons for returning to therapy, client-clinician relationships, and clinicians' competency were assessed in 57 participants (47 men, 10 women; M age = 34 yr.) trying a new therapy. A majority of respondents had cumulatively five or more years in therapy and at least two stuttering therapies. Respondents rated university or hospital settings as more successful than services in public schools. 70% of the respondents noted difficulty communicating basic needs; they blamed themselves for inability to maintain posttherapeutic gains while perceiving their clinicians to be competent and attentive ? although 47% of the respondents had minimal to no contact with their therapist after therapy.
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Rhéaume, Agathe. "Bilingual aphasia : efficacy and generalization of bilingual therapy." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61335.

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The present study was conducted in order to investigate the effects of bilingual therapy on the naming skills of a bilingual aphasic patient. The nature of the word-finding difficulties of a French-English bilingual aphasic subject was assessed. Theory-based anomia therapy was administered to the patient first in English and then in French to explore within- and across-language treatment effects. General language skills were also assessed before and after therapy. Results revealed significant improvement in naming of treated words, but very limited generalization to untreated items in only one of the languages. Transfer of therapy effects from treated to untreated language was not observed. Findings are discussed in relation to the efficacy of bilingual therapy; implications for models of bilingual lexical organization are considered.
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Lyrenmann, Rebecca. "Examiner and child contributions to therapy." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/3134.

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The purpose of this research was to analyze child and clinician factors affecting language therapy outcomes and to analyze the potential bi-directional relationship between child and clinician factors. Transcripts of intervention sessions with one child and one trained examiner were coded for factors relating to children's language ability, examiners' strategies for reaching session targets, and differences in examiners' interactional styles. It was found that differences in children's language ability and examiners' interactional styles did not have a strong relationship with therapy outcomes. Differences were observed in the overall frequency of examiners' strategy use across children; however, examiners were not sensitive to individual children's responsiveness to particular strategies. This is a secondary data analysis on an intervention study, which affects interpretation of the results: variability in examiner and child behaviors was decreased due to adherence to intervention protocol. However, the mismatch between examiner strategies and child responses is of interest. Making clinicians explicitly aware of the many types of elicitation and response strategies available may increase examiners' effectiveness, efficiency, or responsiveness.
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Birtler, Erika R. "Group therapy and knowledge of neuroplastic principles| The impact of health literacy on client locus of control in a therapy setting." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527888.

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The sequelae of brain injury often result in the need for life-long rehabilitation. Yet, patients in the United States often have limited opportunity to participate in a professional rehabilitation environment following their initial injury. This research investigates whether provision of a health literacy presentation on neuroplasticity and translational rehabilitation principles can contribute to increased internal Locus of Control (LoC) in rehabilitation participants. The researcher provided a 15 minute presentation to participants in two community brain injury groups. Results indicate an increase in the understanding of neuroplastic principles in two of three probes and in internal LoC in four of six probes. Clinical implications are discussed.

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Andrews, Courtney M. "Speech Therapy via Telepractice: A New Direction for Rural Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1500.

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Perez, Rachel. "Perspectives of Bilingual Speech-Language Pathology Assistants (SLPAs)| Are They Prepared to Assist with Non-Biased Assessments?" Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10750207.

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A central challenge in California is how best to provide speech and language services to linguistically and culturally diverse (CLD) populations, given that only a small percentage of speech-language pathologists (SLPs) identify as bilingual. The present thesis investigated whether bilingual speech-language pathology assistants (SLPAs) can serve as suitable collaborators with SLPs in the process of carrying out screenings and assessments of CLD students/clients. A survey was administered to 6 bilingual SLPAs who reported that they currently assist with bilingual assessment. The results revealed that these participants expressed confidence in their ability to assist in assessments of CLD students/clients. This confidence seems to stem from their linguistic fluency, as well as from their cultural competency. Moreover, these SLPAs reported making use of materials and procedures identified as best practices. However, training for assisting in CLD assessments was largely obtained during work experience, not from formal coursework. Future research will be needed to identify how SLPA training programs can best train bilingual SLPAs to competently assist in CLD assessments in California schools and clinics.

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Fagelson, Marc A. "Tinnitus Retraining Therapy (TRT) in Practice." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1652.

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Books on the topic "Speech therapy/pathology"

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Enderby, Pamela M. Therapy outcome measures: Speech-language pathology. San Diego, Calif: Singular Pub. Group, 1997.

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Enderby, Pamela M. Therapy outcome measures: Speech-language pathology. San Diego, Calif: Singular Pub. Group, 1997.

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E, Groher Michael, ed. Medical speech pathology. Rockville, Md: Aspen Publishers, 1990.

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K, Worthington Colleen, ed. Treatment resource manual for speech-language pathology. 4th ed. Clifton Park, NY: Delmar, 2011.

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Ball, Martin J. Phonetics for speech pathology. London: Taylor & Francis, 1989.

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Ball, Martin J. Phonetics for speech pathology. London: Whurr Publrs., 1989.

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Enderby, Pamela. Therapy outcome measures (TOM): Speech-language pathology. San Diego: Singular, 1997.

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Hicks, Patricia Larkins. Opportunities in speech-language pathology careers. Lincolnwood, Ill: VGM Career Horizons, 1996.

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Hicks, Patricia Larkins. Opportunities in speech-language pathology careers. Lincolnwood, Ill., U.S.A: VGM Career Horizons, 1988.

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Opportunities in speech-language pathology careers. New York: McGraw-Hill, 2007.

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Book chapters on the topic "Speech therapy/pathology"

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Dipper, Lucy T., and Madeleine Pritchard. "Discourse: Assessment and Therapy." In Advances in Speech-language Pathology. InTech, 2017. http://dx.doi.org/10.5772/intechopen.69894.

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"44 Posttreatment Speech-language PathologySwallowingposttreatment therapy forSpeech-language pathologyposttreatmentSpeechposttreatment therapy forPosttreatment speech-language pathology." In Oral Cancer, edited by Carole Fakhry, Karen T. Pitman, Ana P. Kiess, and David W. Eisele. Stuttgart: Georg Thieme Verlag, 2020. http://dx.doi.org/10.1055/b-0040-176930.

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Woźniak, Tomasz. "Zaburzenia mowy dzieci i młodzieży ze schizofrenią." In Problemy badawcze i diagnostyczne w logopedii. Wydawnictwo Uniwersytetu Łódzkiego, 2016. http://dx.doi.org/10.18778/8088-476-2.13.

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The article describes language disorders occur in children with very early onset schizophrenia in comparison with the speech pathology diagnosed in adolescents and adults with schizophrenia. The conclusions of the study are applicable in programming speech‑language therapy.
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Weatherill, Maryanne. "Dysphagia and Considerations for Nutritional Intervention." In Cases on Medical Nutrition Therapy for Gastrointestinal Disorders, 1–23. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3802-9.ch001.

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This chapter discusses a clinical case from the interdisciplinary practice of dysphagia and the collaboration between speech-language pathology clinicians and dietetics professionals from the perspective of the speech-language pathologist. The discussion begins with an introduction to the normal swallowing process to better understand disordered swallowing and the role of therapeutic and compensatory interventions. Changes in swallowing that occur with normal aging and their impact are identified and reviewed. Common interventions and considerations in the clinical management of dysphagia from the perspective of the speech-language pathologist are included with rationale based on the current literature. Swallowing motor functions and factors in dysphagia decision making are discussed in relationship to clinical problem solving with a sample case and nutritional interventions. The chapter closes with general recommendations and conclusions to assist in learning and understanding of the concepts discussed.
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Lin, Dennis, Megan Borjan, Seanell D. San Andres, and Christina Kelly. "The Role of PT, OT, and Other Therapies in Palliative Care for Seriously Ill Patients." In Oxford Textbook of Palliative Nursing, edited by Betty Rolling Ferrell and Judith A. Paice, 682–89. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190862374.003.0056.

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This chapter describes the roles of physical therapy, occupational therapy, speech language pathology, and recreation therapy in providing rehabilitation for patients receiving palliative care. Palliative rehabilitation should be included as part of a comprehensive interdisciplinary effort to support patients who experience functional impairments or symptoms that impact daily life and that result from terminal illness. Palliative rehabilitation focuses on creating collaborative goals that address disability and easing symptom burden to maximize or maintain function throughout every stage of disease. Patients receiving the appropriate rehabilitative interventions can adapt to the changes and foster an optimal quality of life. Nurses collaborate with the rehabilitation team so that patients and their caregivers can achieve a greater benefit from their palliative care.
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Reznik, Michael E., and Amy K. Wagner. "Rehabilitation in Neurocritical Care." In Neurocritical Care, edited by Samuel A. Tisherman and Sara Hefton, 286–96. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199375349.003.0027.

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Rehabilitation is a process that should begin in the neurointensive care unit. Once a rough prognosis has been made within the context of goals of care discussions, and a decision has been made to proceed with measures geared toward recovery, the focus of clinical care should begin to shift toward the transition to rehabilitation in order to maximize functional gains. In the acute care setting, this necessitates the collaboration of a multidisciplinary team, including physical medicine and rehabilitation, physical and occupational therapy, speech and language pathology, neuropsychology, social work, and nursing. Among the most challenging issues facing intensivists and the rehabilitation team in the critical care setting is the management of the various rehabilitation-related medical complications associated with acquired brain injury, including decreased level of arousal, agitation, sleep disturbances, depression, dysautonomia, bowel and bladder dysfunction, and spasticity. This chapter highlights current management strategies for dealing with these issues.
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Luiza Bejenaru, Paula, Raluca Grigore, Bogdan Popescu, Alexandru Nicolaescu, Mihnea Cojocărița-Condeescu, Catrinel Simion-Antonie, Gloria Berteșteanu, et al. "Pharynx Reconstruction and Quality of Life." In Pharynx – the Incredible Rendezvous Sites of Gas, Liquid and Solid [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.104411.

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Patients who are diagnosed with squamous cell carcinoma of the pharynx have a first delayed presentation, with advanced stages of the disease. Therefore, they frequently require a multimodal approach—by surgery, radio, and chemotherapy. Due to anatomic spatial limits and particularities, therapy can imply large organ resection with difficulties in reconstruction. Nowadays, there is a paradigm shift in the management of this pathology, with significant first referral to oncology departments and initiation as the first line of treatment of radio/radio-chemotherapy. As a consequence, salvage surgery may be mandatory in some selected cases. The proposed chapter will address the oncological particularities of the pharynx, with a focus on the oro- and hypopharynx, ways of reconstruction after oncological ablative surgery of these segments, and impact on quality of life (QoL) index. Speech, respiratory, and deglutition rehabilitation of these patients is essential and will be a distinct topic. This paper will have the structure of a literature review with clinical examples of reconstruction from ENT and Head and Neck Surgery Department of Coltea Clinical Hospital, Bucharest. Reconstruction methods used in our clinic are regional flaps and biocompatible prostheses in advanced stages. QoL index in our clinic is assessed with questionnaires developed by the European Organization for Research and Treatment of Cancer – EORTC QLQ C30.
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Hegele, Arden. "The Madness of Free Indirect Style." In Romantic Autopsy, 101–42. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780192848345.003.0004.

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This chapter considers the emergence of moral therapy in early psychiatry in order to argue that the Romantic-era innovation of free indirect style shares an affinity with eighteenth-century psychiatric diagnosis and case records. While the origin of free indirect style is often ascribed to Jane Austen, the chapter finds emergent forms of free indirect style appearing in psychiatric notebooks by mad-doctors practicing moral management, as well as in the political literature of the 1790s and in Romantic-era realist prose fiction. Free indirect style has a monitory function that abetted the psychiatric practice of moral management in the late eighteenth century: as a strategy for mediating the voice of a speaker in a text, free indirect style allowed early psychiatrists, who believed madness was transmitted orally, to regulate their patients’ conditions by moderating their speech. Free indirect style continues to bear the traces of the madhouse in novels by Mary Wollstonecraft and Jane Austen. The chapter thus uncovers pathological traces underlying the representational device that has been called the novel’s most distinctive formal feature. Free indirect style also thus inaugurates the association of the novel with the patient’s narrative, anticipating modern discussions of “psycho-narration” as a medico-literary formal device. Ultimately, free indirect style allows the writer to intimate forms of pathology that the reader is invited to, in effect, diagnose.
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Lee, Hochang Ben, and John R. Lipsey. "Stroke." In Psychiatric Aspects of Neurologic Diseases. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780195309430.003.0010.

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With an annual incidence of more than 600,000 cases, thromboembolic stroke is the third leading cause of death in the United States after heart disease and cancer (Kochanek et al., 2004). The number of stroke survivors has increased to 4.5 million adults nationally as the management of acute stroke continues to improve (AHA, 2002). Psychiatric syndromes are common complications of stroke and are associated with psychologic distress, increased impairment, poor rehabilitation outcomes, and excess morbidity. The purpose of this chapter is to describe clinically important poststroke psychiatric disorders and suggest appropriate treatment. Cognitive deficits are the most common psychiatric complication of stroke and affect nearly all stroke survivors. The type of cognitive disturbance depends on the location of the brain injury. Left hemisphere strokes frequently cause aphasia. Right hemisphere strokes cause substantial (but often underrecognized) cognitive impairments such as diminished insight, decreased attention, impaired spatial reasoning, and neglect syndromes. Furthermore, depending on the location of a stroke, other functions such as motivation, memory, judgment, and impulse control may also be affected. A large stroke or a series of small strokes affecting both hemispheres may lead to the global cognitive impairment of dementia. When a series of strokes is involved, the cognitive decline develops in a stepwise manner. This vascular dementia or multi-infarct dementia may be difficult to distinguish from Alzheimer’s disease. Autopsy studies of patients diagnosed with vascular dementia have often demonstrated the presence of Alzheimer’s disease pathology. As many as 25% of all dementia cases are attributable to a combined neuropathology of Alzheimer’s disease and multiple infarcts (Massoud et al., 1999). In addition to strategies such as speech and language therapy, physical and occupational therapy, and cognitive rehabilitation, pharmacologic treatment may improve cognitive deficits in some stroke patients. The parallels between vascular dementia and Alzheimer’s disease, as well as the evidence that reduced cholinergic function may play a role in both (Gottfries et al., 1994) have encouraged the use of acetylcholinesterase inhibitors (eg, donepezil) in vascular dementia. These drugs have shown modest benefits in such patients (Roman et al., 2005), and their use is described in Chapter 20.
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E. Khrulev, Alexey, Irina V. Belova, Irina V. Soloveva, Anna G. Tochilina, Natalya A. Shiyanova, Anastasiya A. Nikitina, and Natalya S. Khruleva. "Specific Cerebrovascular Risk Factors, Colon Microbiocenosis and Its Correction in Patients Receiving Long-Term Programmed Hemodialysis." In Multidisciplinary Experiences in Renal Replacement Therapy. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.101300.

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Introduction: The problem of acute and chronic cerebrovascular disorders in dialysis patients remains the most urgent. Risk factors for cerebrovascular diseases in CKD and dialysis patients can be conditionally divided into “traditional” (arterial hypertension, diabetes mellitus, hypercholesterolemia) and “specific” (associated with renal pathology and dialysis procedures). The spectrum of specific factors of cerebrovascular risk in patients with dialysis stage of the CKD includes specific dialysis factors that form during programmed HD, as well as impaired phosphorus-calcium metabolism and calcification of the arterial microvasculature, increased blood levels of β2-microglobulin, homocysteine, malondialdehyde and superoxide dismutase, a decrease in the level of nitric oxide (II) metabolites, development of nephrogenic anemia and dysfunction of blood cells, malnutrition and dietary features of patients with renal pathology, accumulation of uremic toxins and toxins of intestinal bacteria, etc. Opportunistic gut microorganisms can produce uremic toxins, which are associated with an increased risk of inflammation, increased oxidative stress, and a higher risk of cardiovascular disease (CVD). Description of the spectrum of risk factors for cerebrovascular pathology in dialysis patients and effective control over them seems to be an effective strategy aimed at increasing the duration and quality of life in patients receiving renal replacement therapy. The aim of the investigation was to study the species composition of colon microbiocenosis in patients with CKD receiving programmed HD treatment and to evaluate the effectiveness of its correction using a new immobilized synbiotic. Materials and methods: Samples of colon microbiota from 62 patients undergoing programmed hemodialysis were studied before and after a course of diet therapy that included probiotic components, in particular, the immobilized synbiotic LB-complex L. Isolation of microorganisms was carried out according to our original method; for bacteria identification, a MALDI-TOF Autoflex speed mass spectrometer (Bruker Daltonik, Germany) was used in the Biotyper program mode. The results were assessed using the criteria proposed by the authors and based on the OST 91500.11.0004-2003. The efficacy of the immobilized synbiotic was determined based on the clinical data, questionnaires, and bacteriological tests. Results: In patients receiving programmed hemodialysis (before the start of the diet therapy), chronic moderate inflammation and azotemia were found. Dysbiotic changes in microbiocenosis were revealed in all the examined patients; in the absence or suppression of lacto- and bifidoflora, the number and diversity of Bacteroides spp., Clostridium spp., Collinsella spp., Eggerthella spp. and other bacteria increased, which was consistent with the theory of functional redundancy of gut microbiota. From the answers to the questionnaires, a decrease in the quality of life was found (up to 70 points out of 100) according to six of the eight scales used. After the combined therapy using the synbiotic LB-complex L in the study group, 56% of the examined patients showed their microbiocenosis restored to normal; no grade III dysbiosis was detected in any patient. There was a significant decrease in CRP and ESR in these patients and an improvement in the quality of life by criteria reflecting physical health. Conclusion: Acute/chronic CVD in patients with CKD of the pre-dialysis and dialysis periods are the most frequent and formidable complications. The spectrum of “traditional” and “specific” CV risk factors in dialysis patients will be described in the chapter. Special attention will be paid to the intestinal microbiota and opportunistic intestinal microorganisms. The aim was to study the species composition of colon microbiocenosis in HD patients, and to evaluate the effectiveness of its correction using a new immobilized synbiotic. Materials and Methods. Samples of colon microbiota from 62 HD patients were studied before/after a course of diet therapy that included probiotic components, the immobilized synbiotic LB-complex L. MALDI-TOF Autoflex speed mass spectrometer was used in the Biotyper program mode. The efficacy of the immobilized synbiotic was determined based on the clinical data, questionnaires, and bacteriological tests. Results. Dysbiotic changes in microbiocenosis were revealed in all patients; in the absence/suppression of lacto-and bifidoflora, the number and diversity of Bacteroides spp.,Clostridium spp.,Collinsella spp.,Eggerthella spp. and other bacteria increased. After the combined therapy using the synbiotic LB-complex L in the study group, 56% of the examined patients showed their microbiocenosis restored to normal; no grade III dysbiosis was detected in any patient.
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Conference papers on the topic "Speech therapy/pathology"

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Sazhina, Svetlana D. "Field service of correctional and developmental assistance to children with speech pathology living in rural areas." In Особый ребенок: Обучение, воспитание, развитие. Yaroslavl state pedagogical university named after К. D. Ushinsky, 2021. http://dx.doi.org/10.20323/978-5-00089-474-3-2021-336-340.

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The article presents the rationale and summary results of the project, supported by the Presidential Grants Fund in 2019 and 2020, aimed at providing diagnostic and correctional speech therapy assistance to children of preschool and primary school age, as well as advisory assistance to parents and teachers living in rural areas of the Komi Republic.
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Silva, Ianne Melo da, and Francieli Goulart Ribeiro. "Phonoaudiological profile of patients in post-operative research of intracranial tumor." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.645.

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Introduction: Primary intracranial tumors have increased the incidence and mortality rate in recent years. The speech-language disorders found in patients with intracranial tumor vary according to the histological type and anatomical location. Objective: To characterize the population of post-surgical patients with resection of intracranial tumors treated by the Speech-Language Pathology Service from January 2015 to January 2018. Methods: This is a cross-sectional retrospective study, carried out at the University Hospital of the Maranhão Federal Unit-Presidente Dutra Unit, with a sample by convenience, based on the data collected in the medical records and speech therapy protocols. The data were treated using the Stata software, version 14.0. The normality of continuous variables was verified by the Shapiro Wilk test. Student’s t-tests were used for continuous variables and Fisher’s exact or Chi-square tests for categorical ones. Results: 22 speech therapy protocols were analyzed. Gender equality was observed (50% men and 50% women). Average age of 48.77. Meningioma was the most prevalent type of tumor (41.0%). As for location, most tumors were located in the left frontal region (22.7%), but it was observed that tumors in the posterior fossa were more severe. Changes in speech articulation (p=0.002), vocal quality (p=0.007), mobility (p=0.001), sensitivity (p=0.020), tonicity (p=0.003), altered oropharyngeal dynamics (p=0.048) and wet vocal quality (p=0.034) were associated with a worse speech-language profile. Conclusion: The speech-language disorders found and the degree of dysphagia were directly associated with the location of the tumor in the posterior fossa.
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Reports on the topic "Speech therapy/pathology"

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Larina, E. Speech therapy examination of children with impaired violation disorder, rate of speech, stutterinq: еducational methodical manual. SIB-Expertise, December 2022. http://dx.doi.org/10.12731/er0662.15122022.

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Еducational methodical manual guide is intended for full-time and part-time students enrolled in special (defectological) education 44.03.03, training profile Speech therapy. The manual consists of theer sections, they contain a description of the sequence of stages of speech therapy examination of children with violation disorder, rate of speech, stutterinq, the structure of drawing up a speech therapy opinion, a summary on the topic, questions and control tasks for independent work, a list of references and a glossary. The educational-methodical is intended for students of the defectology department of the university, practicing speech therapists, specialists in the field of speech pathology.
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