Journal articles on the topic 'SLTs'
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1
Pickering, Jack. "Transgender Voice and Communication: Introduction and International Context." Perspectives on Voice and Voice Disorders 25, no. 1 (March 2015): 25–31. http://dx.doi.org/10.1044/vvd25.1.25.
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Transgender voice and communication is a growing area of clinical service delivery in the United States and around the world; however, many clinicians are unsure where to begin if they are interested in working with people who are transgender, transsexual, or gender nonconforming/gender variant. Recently, at the Biennial Symposium of the World Professional Association for Transgender Health (WPATH) in Bangkok, Thailand, a group of speech-language pathologists (SLPs) and speech-language therapists (SLTs) from around the world gathered to discuss ways of disseminating information about transgender voice and communication to clinicians interested in serving this underrepresented and misunderstood clinical population. The symposium participants also brainstormed ways of reaching out to students so they would have an increased awareness of this area of clinical service delivery. In order to address these goals, this article introduces transgender voice and communication with a focus on: (a) key terminology for practicing SLPs and SLTs, (b) the role of WPATH in voice and communication intervention, and (c) a group therapy program for people in the transgender community.
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Tiedemann, Fredrik, Joakim Wikner, and Eva Johansson. "Understanding lead-time implications for financial performance: a qualitative study." Journal of Manufacturing Technology Management 32, no. 9 (May 31, 2021): 183–207. http://dx.doi.org/10.1108/jmtm-06-2020-0247.
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PurposeThe purpose of the study is to describe the implications of strategic lead times (SLTs) for return on investment (ROI).Design/methodology/approachThis study was part of an interactive research project and is based on the logic of theory application leading to theory building. It uses a multiple case study with five holistic single cases. Empirical data (ED) have mainly been collected from interviews and focus groups.FindingsThe length of and uncertainty in SLTs have implications for companies' financial performance. These implications vary in strength and can be either direct or indirect. These findings are incorporated into a framework on SLTs' implications for ROI.Research limitations/implicationsThe presented array of SLTs' implications for ROI could be further investigated, focussing on their strength. Additionally, it would be interesting to substantiate the findings in the context of environmental and social sustainability (i.e. the triple bottom line).Practical implicationsThe findings offer practitioners a rich description and understanding of SLTs' actual implications for financial performance in terms of ROI. This knowledge can support practitioners in analysing supply chain designs based on financial performance.Originality/valueUsing a combination of a relative financial performance measure (ROI) and a set of SLTs (systems perspective), this study focuses on SLTs' actual implications for ROI. The findings provide evidence that different sections of a supply chain can have different implications for revenue, cost and investment (i.e. the three absolute measures related to ROI).
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Sauerbier, Anna, Pia Bachon, Leire Ambrosio, Philipp A. Loehrer, Alexandra Rizos, Stefanie T. Jost, Alexandra Gronostay, et al. "The New Satisfaction with Life and Treatment Scale (SLTS-7) in Patients with Parkinson’s Disease." Journal of Parkinson's Disease 12, no. 1 (January 21, 2022): 453–64. http://dx.doi.org/10.3233/jpd-212823.
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Background: The satisfaction with life and, in particular, with treatment in Parkinson’s disease (PD) is understudied. Objective: To explore a new 7-item rating tool assessing satisfaction with life and treatment (SLTS-7) in PD. Methods: In this cross-sectional, multi-center study, including patients screened for advanced therapies, psychometric characteristics of the SLTS-7 were analyzed. An exploratory factor analysis identified the underlying factorial structure of the SLTS-7. Results: 117 patients were included, and the data quality of the SLTS-7 was excellent (computable data 100%), and acceptability measures satisfied standard criteria. Besides the global assessment (item 1), the exploratory factor analysis produced item 2 (physical satisfaction) as an independent item and two factors among the remaining items: items 3–5 (psycho-social satisfaction), and items 6 and 7 (treatment satisfaction). Cronbach’s alpha was 0.89, indicative of high internal consistency. The SLTS-7 total score correlated moderately with motor symptoms and weakly with non-motor symptoms total scores. SLTS-7 showed the highest correlations with the European Quality of Life with 5 items (EQ-5D) visual analog scale (0.43–0.58, p < 0.01), indicating a moderate convergent validity. The SLTS-7 significantly increased with higher non-motor symptoms burden levels (p = 0.002). Conclusion: Life satisfaction in PD covers three specific aspects, namely physical, psycho-social, and treatment satisfaction. The new SLTS-7 is a valid, reliable, and easy-to-use tool to assess satisfaction with life and treatment in patients with PD screened for advanced therapies. Longitudinal studies analyzing the effect of advanced PD treatment on life and treatment satisfaction are warranted.
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Cacciante, Luisa, Błażej Cieślik, Sebastian Rutkowski, Anna Rutkowska, Katarzyna Kacperak, Tomasz Kuligowski, and Pawel Kiper. "Feasibility, Acceptability and Limitations of Speech and Language Telerehabilitation during COVID-19 Lockdown: A Qualitative Research Study on Clinicians’ Perspectives." Healthcare 9, no. 11 (November 5, 2021): 1503. http://dx.doi.org/10.3390/healthcare9111503.
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The COVID-19 pandemic brought out the need to deliver health care services at a distance in the form of telerehabilitation (TR). This study aimed to analyse the Italian speech and language therapists’ (SLTs) opinions on the feasibility of the TR in the field of speech-language therapy during the COVID-19 pandemic. We developed an anonymous survey to determine the SLTs’ opinions on feasibility of TR during lockdown caused by COVID-19. We analysed the survey’s answers provided by 136 SLTs. Cronbach’s alpha coefficient showed good reliability of the survey. The SLTs working previously with TR showed better judgements regarding this method. The comparison analysis between TR and face-to-face treatment delivery showed statistically significant differences as follows: “importance” (4.35 vs. 3.32, p = 0.001), “feasibility” (3.37 vs. 2.11, p < 0.001), “alternative form” (3.64 vs. 2.58, p = 0.001) and “comparison” (2.24 vs. 1.69, p < 0.001), but not with “familiarity” (p = 0.81). The survey showed that most of the Italian SLTs were not satisfied with TR systems. SLTs who used TR previously had a better opinion on this treatment modality. Experience and familiarity with TR systems were key factors for the use of this new rehabilitation modality.
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Evans, Rachel, Mirella Longo, and Annmarie Nelson. "Defining the Speech and Language Therapist role in palliative care of neuro-oncology patients: A qualitative research study." Neuro-Oncology 21, Supplement_4 (October 2019): iv9. http://dx.doi.org/10.1093/neuonc/noz167.036.
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Abstract Speech and language therapists (SLTs) are experts in the management of swallowing and communication disorders. Although there is increasing recognition of SLTs in palliative care, evidence specifically supporting their role with primary malignant gliomas (PMG) patients is lacking, despite the prevalence of swallowing and communication difficulties in this non-curable disease. This study aimed to explore the contribution of SLT to PMG, as perceived by SLTs themselves and by members of the regional neuro-oncology multidisciplinary team (MDT). Following ethical approval, semi-structured one-to-one interviews were conducted with ten SLTs working with PMG in outpatients and community settings across South East Wales. In addition, five members of the regional neuro-oncology MDT were interviewed. Thematic analysis was used to analyse the data and to identify and pinpoint salient themes. The findings indicate that despite lack of professional guidance and previous evidence, SLTs provided evidence to suggest that they contribute beyond swallowing and communication management, to areas such as shared decision-making, key-working, patient advocacy, advanced care planning and support for psychological wellbeing. However, these extended roles are inconsistently recognised by the MDT. Five barriers were identified which hampered SLT contributions: a perceived identity crisis affecting PMG patients, lack of confidence from SLTs, inconsistent MDT integration, reduced resources and strategic direction. The study suggests that SLTs need to promote and educate the MDT in order to achieve routine integration and enhance patient-centred and holistic care. The profession may also benefit from capturing the value of their involvement with PMG to drive service developments.
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Wium, Anna-Marie, and Brenda Louw. "The South African national school curriculum: Implications for collaboration between teachers and speech-language therapists working in schools." South African Journal of Childhood Education 5, no. 1 (September 4, 2015): 23. http://dx.doi.org/10.4102/sajce.v5i1.348.
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This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in order to ensure the best possible outcomes for all learners. This collaboration is reviewed by identifying the benefits of, and barriers to, the process, as well as crucial areas of collaboration. Inclusive education is mandated by White Paper 6, and collaborative support of teachers by SLTs is presented from the learners’ perspective within the context of the curriculum. An example of teacher support through the response to intervention (RTI) approach is described.
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Zhou, Jialin, Xin Zhang, Hongsheng Jiang, Chunhao Lyu, and Erwin Oh. "Static and Dynamic Load Tests of Shaft and Base Grouted Concrete Piles." Advances in Civil Engineering 2017 (2017): 1–11. http://dx.doi.org/10.1155/2017/2548020.
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This paper examines shaft and base grouted concrete piles by conducting vertical static load tests (SLTs) and dynamic load tests. Three concrete piles with shaft and base grouting, with base grouting only, and without grouting techniques were selected, and compressive SLTs were conducted. Two piles with grouting were also assessed with dynamic load tests. Another two uplift SLTs were conducted to one shaft and base grouted pile and one pile without grouting. Traditional presentations were provided to check whether the bored piles reached the design requirement. Interpretations of test results were also provided to determine the ultimate pile capacity. Results from these 5 SLT programs indicated that double-tangent and DeBeer's methods are close to each other, and Chin's method overestimates the pile capacity. Comparison of the results from the SLTs and dynamic load tests shows that the results from Chin's method are close to dynamic results, and Mazurkiewicz's method overestimates for friction resistance. The results also demonstrate that base and shaft grouted pile and base grouted pile increase by 9.82% and 2.89% in compressive capacity, respectively, and compared to the uplift SLTs; there is a 15.7% increment in pile capacity after using base and shaft grouting technology.
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Soulette, Cameron M., Oliver Oliverio, and Scott W. Roy. "On the Function of Trans-Splicing: No Evidence for Widespread Proteome Diversification in Trypanosomes." Genome Biology and Evolution 11, no. 10 (October 1, 2019): 3014–21. http://dx.doi.org/10.1093/gbe/evz217.
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Abstract A long-standing mystery of genomic/transcriptomic structure involves spliced leader trans-splicing (SLTS), in which short RNA “tags” transcribed from a distinct genomic locus is added near the 5′ end of RNA transcripts by the spliceosome. SLTS has been observed in diverse eukaryotes in a phylogenetic pattern implying recurrent independent evolution. This striking convergence suggests important functions for SLTS, however no general novel function is known. Recent findings of frequent alternative SLTS (ALT-TS) suggest that ALT-TS could impart widespread functionality. Here, we tested the hypothesis that ALT-TS diversifies proteomes by comparing splicing patterns in orthologous genes between two deeply diverged trypanosome parasites. We also tested proteome diversification functions of ALT-TS by utilizing ribosome profiling sequence data. Finally, we investigated ALT-TS as a mechanism to regulate the expression of unproductive transcripts. Although our results indicate the functional importance of some cases of trans-splicing, we find no evidence for the hypothesis that proteome diversification is a general function of trans-splicing.
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Yang, Yao, Zhengwei Huang, Xuan Zhang, Jinyuan Li, Ying Huang, Wanxin Chen, Xin Pan, and Chuanbin Wu. "Development of Paroxetine Hydrochloride Single Layer Controlled-Release Tablets Based on 32 Factorial Design." Pharmaceutics 10, no. 4 (November 20, 2018): 243. http://dx.doi.org/10.3390/pharmaceutics10040243.
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Major depressive disorder (MDD) is one of the main contributors to disability and suicide mortality globally. Paroxetine hydrochloride (PHH) is the most potent antidepressant used for MDD treatment. Due to its reduced side effects PAXIL® CR is a widely-used controlled-release formulation of PHH. However, the complicated double-layer production of PAXIL® CR faces the risk of layer separation. In this study, PHH enteric coating single layer controlled-release tablets (PHH-EC-SLTs) were designed as a simplified substitution of PAXIL® CR through a rational formulation screening. The optimized PHH-EC-SLTs showed similar release behaviors in vitro to PAXIL® CR and the release profiles corresponded to a zero-order release model (R2 = 0.9958). Polymer matrix erosion was the main release mechanism, according to the fitting exponents n > 1 in the Korsmeyer-Pappas model. Crucial pharmacokinetic parameters including peak-reaching time (Tmax), peak concentration (Cmax) and the area under the blood level-time curve (AUC0-48) of PHH-EC-SLTs and PAXIL® CR had no significant difference (p > 0.05) and the relative bioavailability (F = 97.97%) of PHH-EC-SLTs demonstrated their similar pharmacokinetic profiles in vivo. In view of avoiding layer separation risk and simplifying the preparation processing, the self-made PHH-EC-SLTs could be considered as a safe and economic alternative to PAXIL® CR.
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Palikara, Olympia, Geoff Lindsay, Mairi-Ann Cullen, and Julie E. Dockrell. "Working together? The practice of educational psychologists and speech and language therapists with children with specific speech and language difficulties." Educational and Child Psychology 24, no. 4 (2007): 77–88. http://dx.doi.org/10.53841/bpsecp.2007.24.4.77.
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Meeting the needs of children with specific speech and language difficulties (SSLD) has recently been an area of public policy concern, because of the difficulties in securing speech and language therapy for children with special educational needs (SEN). There is a clear need for education and health service staff working together to support children with speech and language difficulties.The present research involved case studies of six English local authorities (LAs), along with the eight speech and language therapy services provided by the relevant local health trust. They were chosen as examples of good practice in education and health services working together, on the basis of information provided during a previous national study. The purpose of the research was to explore the collaborative practice of educational psychologists (EPs) and speech and language therapists (SLTs) with respect to the education of children with SSLD.This paper reports the views of 51 EPs and 120 SLTs, who worked in the case study LAs with respect to: collaboration; approach to assessment; provision; monitoring of progress; training and views on good practice. Despite the positive regard for collaboration expressed by both EPs and SLTs, their practice revealed little evidence of this occurring. Differences in approach, including the use of assessments for diagnostic purposes and the preference for inclusive as opposed to specialist provision, revealed important differences in conceptualisation between EPs and SLTs. The paper argues that these must be addressed so that collaborative practice by EPs and SLTs may be used not only to developgoodpractice but also to improve outcomes for children byeffectivepractice.
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Bloder, Theresa, Maren Eikerling, Tanja Rinker, and Maria Luisa Lorusso. "Speech and Language Therapy Service for Multilingual Children: Attitudes and Approaches across Four European Countries." Sustainability 13, no. 21 (November 3, 2021): 12143. http://dx.doi.org/10.3390/su132112143.
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Educational equality and the reduction of discrimination are among the UN’s Sustainability Goals. Previous studies as well as policy recommendations suggest that the extent to which these are implemented in the field of speech and language therapy for multilingual children depends on sufficient knowledge and material. To this end, an online survey was carried out with 300 Speech and Language Therapists (SLTs) from Austria, Germany, Italy, and Switzerland, investigating their attitudes and approaches regarding the service provision for multilingual children. Their responses were analyzed taking the SLTs’ language background, experience, and country of origin into account. Results were interpreted in the context of country-specific SLT service-related policies and SLT training as well as migration history. There seems to be a gap between the SLTs’ knowledge about the specific requirements for providing Speech Language Therapy (SLT) for multilingual children and their common practice, which—despite the continuous need of further training—points to sufficient awareness but a lack of materials or resources. We found experience in working with multilingual children to be the most influential factor on attitudes and approaches towards multilingualism. This suggests the importance of improving pre-exam and early-career professional experience to foster SLTs’ development of mindful attitudes and appropriate approaches towards multilingualism in their clinical practice.
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Basavarajappa, Suman, Vijayalakshmi Konddajji Ramachandra, and Shrawan Kumar. "Fractal dimension and lacunarity analysis of mandibular bone on digital panoramic radiographs of tobacco users." Journal of Dental Research, Dental Clinics, Dental Prospects 15, no. 2 (May 5, 2021): 140–46. http://dx.doi.org/10.34172/joddd.2021.024.
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Background. This study aimed to evaluate and compare changes in the mandibular trabecular bone pattern using the fractal dimension (FD) and lacunarity analysis in tobacco users with healthy controls. Methods. This study was carried out on digital panoramic radiographs of 225 subjects divided into three groups: smokeless tobacco users (SLTs), smokers, and control (n=75). ImageJ program with FracLac plugin was used to assess the FD and lacunarity of mandibular trabecular bone on the digital panoramic radiographs. Results. The differences in the mean FD values of the study and control groups were statistically significant (P<0.001). Mean FD was lower in the case groups than the control group, with SLTs having the least FD value. A significant difference in lacunarity was noted between SLTs and controls (P<0.001). On the contrary, there was no significant difference in lacunarity between smokers and controls. Conclusions. FD values were lower in tobacco users, suggesting that tobacco users have a less complex trabecular bone pattern than healthy controls. Higher lacunarity values in SLTs indicated a more heterogeneous bone pattern. These findings signify that FD and lacunarity analysis on digital panoramic radiographs can serve as promising predictive tools to assess bone quality for osteoporotic changes in tobacco users, thereby facilitating prompt referral for further management.
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Cliffe, Joanne, Kay Fuller, and Pontso Moorosi. "Secondary school leadership preparation and development." Management in Education 32, no. 2 (March 21, 2018): 85–91. http://dx.doi.org/10.1177/0892020618762714.
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In England, school leadership preparation has shifted from the National College and local authorities to teaching schools, their alliances and multi-academy trusts. Against this changing educational landscape, we investigate opportunities presented to men and women in secondary school leadership teams (SLTs). Drawing on interview data from a British Educational Leadership, Management and Administration Society funded investigation, we report on leadership preparation and development opportunities, aspiration to headship, headteachers’ support of ‘in house’, regional and national preparation programmes, coaching and mentoring involvement as well as access to formal and informal networks. Our analysis of SLTs as sites of potential for headship demonstrated some variability in women’s and men’s reported experiences. Accredited courses, higher degrees and workplace-based preparation provided access to leadership preparation and development opportunities; access was not transferrable from school to school. We identified a fragmented system and suggest policy and cultural changes to allow SLTs to offer inclusive and sustainable opportunities for succession planning.
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Heller, Valentin. "THE NEED FOR A PARADIGM SHIFT IN SUBAERIAL LANDSLIDE-TSUNAMI RESEARCH." Coastal Engineering Proceedings, no. 36v (December 28, 2020): 36. http://dx.doi.org/10.9753/icce.v36v.currents.36.
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Subaerial landslide-tsunamis (SLTs) are caused by mass movements such as landslides, rock falls or glacier calving. Research into SLTs is ongoing for many decades, however, the advancement in the physical understanding and reliability of hazard assessment methods is not reflecting the number of articles published per year. It appears that a paradigm shift in SLT research is required for a genuine advancement. This article critically reviews the state-of-the-art of SLT research, highlights current limitations and introduces potential candidates to perform this needed paradigm shift.
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Pratama, Andika, and Jumiati Jumiati. "Peran Pemerintahan Nagari dalam Proses Pelaksanaan Subsidi Listrik Tepat Sasaran (SLTS) di Nagari Kasang Kecamatan Batang Anai Kabupaten Padang Pariaman." PUBLICNESS: Journal of Public Administration studies 1, no. 4 (December 10, 2022): 228–34. http://dx.doi.org/10.24036/publicness.v1i4.40.
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This article aims to describe the role of the Nagari Government in the Implementation of Targeted Electricity Subsidies (SLTS) in Nagari Kasang, Batang Anai District, Padang Pariaman Regency. This study used qualitative research method. Data were obtained from informants through observation, interviews and documentation studies. The validity of the data was tested by means of triangulation of sources. The findings of this study indicate that the Nagari Government has a role in the distribution process of the Targeted Electricity Subsidy (SLTS) in Nagari Kasang. This role can be seen from the process of collecting data on residents who are entitled to receive subsidies, to receiving citizen complaints regarding electricity subsidies. The researcher's findings also show that in the process of implementing the Targeted Electricity Subsidy (SLTS), there are still several obstacles. These obstacles include the lack of socialization regarding electricity subsidies to the community, the existence of poor people who have not received electricity subsidies because of the rule that subsidies can only be given to residents who have previously received government assistance, there is still discrimination in the provision of electricity subsidies to residents, until there is no complaint post for electricity subsidy.
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Santos, Joaquim, Mário Vairinhos, and Luis M. T. Jesus. "Treating Children With Speech Sound Disorders: Development of a Tangible Artefact Prototype." JMIR Serious Games 7, no. 4 (December 5, 2019): e13861. http://dx.doi.org/10.2196/13861.
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Background A prototype of a tangible user interface (TUI) for a fishing game, which is intended to be used by children with speech sound disorders (SSD), speech and language therapists (SLTs), and kindergarten teachers and assistants (KTAs) and parents alike, has been developed and tested. Objective The aim of this study was to answer the following question: How can TUIs be used as a tool to help in interventions for children with SSD? Methods To obtain feedback and to ensure that the prototype was being developed according to the needs of the identified target users, an exploratory test was prepared and carried out. During this test using an ethnographic approach, an observation grid, a semistructured questionnaire, and interviews were used to gather data. A total of 4 different types of stakeholders (sample size of 10) tested the prototype: 2 SLTs, 2 KTAs, and 6 children. Results The analysis of quantitative and qualitative data revealed that the prototype addresses the existing needs of SLTs and KTAs, and it revealed that 5 out of 6 (83%) children enjoyed the activity. Results also revealed a high replay value, with all children saying they would play more. Conclusions Serious games and tangible interaction for learning and problem solving serve both teachers and children, as children enjoy playing, and, through a playful approach, learning is facilitated. A clear pattern was observed: Children enjoyed playing, and numerous valid indicators showed the transposition of the traditional game into the TUI artefact was successful. The game is varied and rich enough to be attractive and fun. There is a clear need and interest in similar objects from SLTs and educators. However, the process should be even more iterative, with a multidisciplinary team, and all end users should be able to participate as co-designers.
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Bruinsma, Gerda, Frank Wijnen, and Ellen Gerrits. "Focused Stimulation Intervention in 4- and 5-Year-Old Children With Developmental Language Disorder: Exploring Implementation in Clinical Practice." Language, Speech, and Hearing Services in Schools 51, no. 2 (April 7, 2020): 247–69. http://dx.doi.org/10.1044/2020_lshss-19-00069.
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Purpose Applying evidence-based grammar intervention can be challenging for speech and language therapists (SLTs). Language in Interaction Therapy (LIT) is a focused stimulation intervention for children with weak morphosyntactic skills, which was developed to support SLTs in incorporating results from effect studies in daily practice. The aims of this Clinical Focus are (a) to explain the principles and elements of LIT and stimulate use in daily SLT practice and (b) to describe the effects of LIT on morphosyntactic skills of 4- to 5-year-olds in special education, compared to usual care. Method With a description of LIT, we provide guidance to implement evidence-based intervention. Important elements are as follows: proper selection of therapy goals, language facilitating techniques, child-centered and clinician-directed elements, and the use of scripts. Our focus in the description is on the support and practical solutions LIT tries to provide to SLTs. We also explored the implementation of LIT in special education, to improve morphosyntax in 4- and 5-year-old children. We provided SLTs with training and designed protocols for each therapy session. The effects of LIT were measured in a single-case A–B design, repeated in five children with developmental language disorders (ages 4;2–5;7 [years;months]). Conclusion We conclude that implementation of LIT is possible if LIT is enriched with support in goal selection, protocols to guide therapy sessions, and training and coaching. In the single-case study, four children showed more growth in mean length of utterance during and directly following the LIT intervention phase, compared to the baseline phase with usual care, and in two of them, this difference was significant. The grammatical complexity measure “TARSP-P” showed an overall significantly higher score at group level during LIT, but limited effects on an individual level.
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Hansen, Dorthe. "Parent perspectives in paediatric SLTs’ evidence-based practice." Revista de Logopedia, Foniatría y Audiología 37, no. 4 (September 2017): 155–63. http://dx.doi.org/10.1016/j.rlfa.2017.05.003.
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Misir, Anil, and Monalisa Sur. "Sertoliform Endometrioid Carcinoma of the Ovary: A Potential Diagnostic Pitfall." Archives of Pathology & Laboratory Medicine 131, no. 6 (June 1, 2007): 979–81. http://dx.doi.org/10.5858/2007-131-979-secoto.
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Abstract Sertoliform endometrioid carcinoma of the ovary (SEC) is an uncommon variant that bears histologic similarity to Sertoli and Sertoli-Leydig cell tumors (SLTs). Clinically, SEC affects an older population (60–70 years), while patients with SLT have an average age of 25 years and may exhibit endocrine manifestations. A number of histologic features can be used to distinguish the 2 entities, the most important ones being (1) the presence of areas with the usual pattern of endometrioid carcinoma, and (2) the presence of mucin at the apical borders of the tumor cells. Cytokeratin stains positively, while inhibin and calretinin stain negatively in SEC; the converse is true for SLTs. Based on the clinicopathologic behavior of this entity, SEC should be considered a well-differentiated carcinoma with relatively good prognosis if limited to the ovary.
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Bidmead, Elaine, Tilly Reid, Alison Marshall, and Veronica Southern. "“Teleswallowing”: a case study of remote swallowing assessment." Clinical Governance: An International Journal 20, no. 3 (July 6, 2015): 155–68. http://dx.doi.org/10.1108/cgij-06-2015-0020.
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Purpose – Telemedicine has enabled speech and language therapists (SLTs) to remotely assess swallowing difficulties (dysphagia) experienced by nursing home residents. The new technique, “teleswallowing”, was designed by the Speech and Language Therapy Service at Blackpool Teaching Hospitals NHS Foundation Trust. It allows prompt assessment, avoiding potential risks of aspiration pneumonia, malnutrition, poor rehabilitation, increased hospital stays and reduced quality of life (Hinchey et al., 2005; Langmore et al., 1998). The purpose of this paper is to report on a second pilot of teleswallowing and the concomitant adoption study. Design/methodology/approach – The adoption study employed qualitative methods, including consultations with senior managers, semi-structured interviews with nursing home matrons/managers and nurses, two focus groups and semi-structured interviews with SLTs. The project clinical lead kept an activity log, which was used to estimate resource savings. Findings – Over a three-month period, six SLTs and 17 patients in five nursing homes participated in teleswallowing assessments. Teleswallowing benefited both patients and participating nursing homes. Better use of therapist time and cost savings were demonstrated and evidence showed that the service could be successfully scaled up. Despite this, a number of barriers to service transformation were identified. Originality/value – This is the first implementation of teleswallowing in the UK, but it has been used in Australia (Ward et al., 2012). The approach to engaging stakeholders to understand and address barriers to adoption is novel. The value lies in the lessons learned for future innovations.
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Pampoulou, Eliada. "Exploring professionals’ experiences when choosing graphic symbol sets." Journal of Enabling Technologies 11, no. 2 (June 19, 2017): 49–58. http://dx.doi.org/10.1108/jet-07-2016-0014.
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Purpose The ongoing development of new graphic symbol sets in conjunction with a lack of literature supporting professionals in choosing the optimum set(s) for their users was the driving force behind this research project. The purpose of this paper is to explore the factors that professionals take into consideration when they choose one graphic symbol set instead of another. Design/methodology/approach Based on the phenomenology of pedagogy, semi-structured interviews were used with three speech and language therapists (SLTs), three special education teachers, one teacher for pupils with hearing loss, one foundation year teacher and one SENCo/deputy head teacher. Thematic analysis was used to process the data. Findings The results have shown that when professionals choose a graphic symbol set for their user(s), they focus on the iconicity, the software availability and its features. They are also influenced by any existing graphic symbol policies in the area they work. Training and follow-up support also influence professionals’ experiences when choosing graphic symbol sets for their users. Practical implications Given the limited literature pertaining to the topic of this paper, it is proposed that further research is conducted in order to build the theoretical and practical frameworks upon which professionals (such as SLTs and teachers), symbols developers and academics can base their future work. Originality/value This research aims to contribute to the scant literature regarding the factors that SLTs take into consideration when choosing a graphic symbol set for their user(s).
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Lee, Alice, and Niamh Moore. "A Survey of the Usage of Nonspeech Oral Motor Exercises by Speech and Language Therapists in the Republic of Ireland." Journal of Clinical Speech and Language Studies 21, no. 1 (September 1, 2014): 1–40. http://dx.doi.org/10.3233/acs-2014-21104.
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Objective: To collect information on the usage of nonspeech oral motor exercises (NSOMEs) by speech and language therapists (SLTs) for treating speech sound disorders (SSDs) in children in the Republic of Ireland. Method: SLTs who had worked with children with SSDs were invited to complete an online questionnaire adapted from a previous survey conducted in the US by Lof and Watson (2008). Main results:: 22/39 (56%) of the respondents reported using NSOMEs. Information from a colleague about the usefulness of NSOMEs, continuing education, and literature influenced the respondents the most to use NSOMEs. Most respondents used NSOMEs as a “warm up”, mainly with children with childhood apraxia of speech, dysarthria, and Down Syndrome. Conclusion: NSOMEs are used by over half of the respondents despite the lack of evidence that supports this treatment approach. Continuous effort to encourage the application of evidence-based practice in clinics is warranted.
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Pant, M. C., P. S. Bisht, O. PS Negi, and B. S. Rajput. "Dirac spinors and tachyon quantization." Canadian Journal of Physics 78, no. 4 (April 4, 2000): 303–15. http://dx.doi.org/10.1139/p00-049.
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Dirac spinors for spin-1/2 free tachyons are derived from the Dirac and Klein-Gordon equations in terms of the standard helicity representation of the Poincaré group and superluminal transformations (SLTs). It is shown that the proposed theory of second quantization is Lorentz invariant without inverting the spin-statistics relationship and without introducing indefinite pseudotachyonic states. Second quantized theory of spin-1/2 tachyons in the time-energy representation shows that tachyons are localized in time and that the most natural space for the description of tachyons is T4-space. It has been emphasized that on passing from R4-space (bradyons) to T4-space (tachyons) via either, i.e., complex or real SLTs, tachyons behave in T4-space exactly as bradyons do in R4-space. T4-space can be visualized as an internal space for a subluminal observer while R4-space appears as an internal space for a superluminal observer. PACS Nos.: 14.80K, 03.30t
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Savolainen, Irina, Anu Klippi, Tuula Tykkyläinen, and Kaisa Launonen. "Linguistic and temporal resources of pre-stored utterances in everyday conversations." Child Language Teaching and Therapy 36, no. 3 (September 1, 2020): 195–214. http://dx.doi.org/10.1177/0265659020950388.
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Aided communicators often have an opportunity to express themselves with speech-generating devices (SGDs) that produce symbol by symbol (SBS) and/or pre-stored (PS) utterances. Studies on the usage of PS utterances report that these utterances affect conversations positively, but it appears that aided communicators and professionals may have divergent views on their benefits. The aim of this study is to analyse how school-aged aided communicators, their mothers, peers, and speech and language therapists (SLTs) co-construct the social actions of PS utterances during their everyday interactions. The theoretical framework of this study is conversation analysis. This approach to analysing the data enhances our understanding of the linguistic and temporal resources of PS utterances and how they are used to reinforce various rich social actions that promote the progress of aided conversations to resemble natural spoken conversations. The results of this study will help SLTs and teachers in their planning content for SGDs as well as in teaching, and guiding aided communicators and their partners to utilize PS utterances in combination with SBS utterances during their conversations.
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BODEA HAȚEGAN, Carolina, Dorina TALAȘ, and Raluca TRIFU. "Resursele materiale și virtuale utilizate în terapia tulburărilor de limbaj. Studiu descriptiv bazat pe focus-grup." Revista Română de Terapia Tulburărilor de Limbaj şi Comunicare 7, no. 1 (March 2021): 93–105. http://dx.doi.org/10.26744/rrttlc.2021.7.1.11.
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This article describes a research study developed during the webinar organized in order to celebrate 6 th of March as European Day of Speech & Language Therapy. In this research participated Romanian SLTs (N=150). The research was based on the following objectives: to identify the typology of the present used resources in the Romanian SLT field; to implement the Padlet as a tool for collecting and sharing data and to identify the area of resources that has to be developed. Results demonstrated that SLTs mainly use virtual resources (VR=106) in their present work and that material resources that can be used online is the less detailed and mentioned category (MRV=17). The third category of resources is the category of material resources (MR), those that are to be used mainly during face-to-face SLT therapy. This category is represented by a relatively low number of units, compared with VR (MR=61). Regarding the use of Padlet, we consider that this focused-group based research was enhanced with success, participants in the research, even if they were a numerous group, and the research was developed online, had the chance to express their points of view, without difficulties.
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Osen, Christina, Nicola Litke, Michel Wensing, and Aline Weis. "Development of a concept for a mobile application to support orofacial myofunctional therapy." International Journal of Orofacial Myology 47, no. 1 (November 1, 2021): 5–13. http://dx.doi.org/10.52010/ijom.2021.47.1.2.
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This study aimed to develop a concept for a mobile health application, an app-based exercise tool, to support the treatment of orofacial myofunctional disorders by speech-language therapists (SLTs). Method:A sequential mixed research design combining qualitative research and user-centered software development was applied. Qualitative interviews and focus groups were conducted with eight SLTs, one patient and three relatives to gather ideas for an app to support orofacial myofunctional therapy. On the basis of the findings, a paper-based prototype was developed, which was then evaluated by seven end users, to refine the concept of the app. Results: Qualitative data on desirable functionalities were clustered into topics and related subcategories containing general ideas for the app – a control mechanism, a reward system, the visualization of exercises, and pop-up messages for reminders and recommendations. The paper prototype was developed that addressed these functionalities. Discussion: An app-based exercise tool is considered to have added value for orofacial myofunctional therapy. A prototype for a mobile application is ready for programming and subsequent testing in the treatment of orofacial myofunctional disorders by conducting additional interviews to ascertain patients’ perceptions.
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Raimondo, Francesca, Clizia Chinello, Luigi Porcaro, Fulvio Magni, and Marina Pitto. "Urinary Extracellular Vesicles and Salt-Losing Tubulopathies: A Proteomic Approach." Proteomes 8, no. 2 (May 9, 2020): 9. http://dx.doi.org/10.3390/proteomes8020009.
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Renal tubular cells release urinary extracellular vesicles (uEV) that are considered a promising source of molecular markers for renal dysfunction and injury. We investigated uEV proteomes of patients with hereditary salt-losing tubulopathies (SLTs), focusing on those caused by Gitelman and Bartter (BS) syndromes, to provide potential markers for differential diagnosis. Second morning urine was collected from patients with genetically proven SLTs and uEV were isolated by the ultracentrifugation-based protocol. The uEV proteome was run through a diagonal bidimensional electrophoresis (16BAC/SDS-PAGE), to improve hydrophobic protein resolution. Sixteen differential spots from the proteome of two variants (BS2 and BS3) were analysed by nLC-ESI-MS/MS after in-gel tryptic digestion. A total of 167 protein species were identified from 7 BS2 spots and 9 BS3 spot. Most of these proteins were membrane-associated proteins, in particular transmembrane proteins, and were related to typical renal functions. The differential content of some uEV was then validated by immunoblotting. Our work suggests that uEV proteomics represents a promising strategy for the identification of differential SLT proteins. This could play a role in understanding the pathophysiological disease mechanisms and may support the recognition of different syndromes.
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Kindell, Jacqueline, Karen Sage, and Madeline Cruice. "Supporting communication in semantic dementia: clinical consensus from expert practitioners." Quality in Ageing and Older Adults 16, no. 3 (September 14, 2015): 153–64. http://dx.doi.org/10.1108/qaoa-08-2014-0016.
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Purpose – The purpose of this paper is to gain consensus regarding the clinical priorities and tasks required in supporting communication needs in those living with semantic dementia and their families, by specialist speech and language therapists (SLTs), working in clinical practice within dementia care settings in the UK. Design/methodology/approach – A nominal group technique was used, followed by further exploration and refinement of issues using a modified Delphi technique with a group of six SLTs who specialised in dementia care and who had experience of working with individuals with semantic dementia and their families. Findings – The findings in the study demonstrate a broader scope of practice than is evident within the research literature with this client group. Therapists identified a range of psychosocial issues for both the person with semantic dementia and their family, in particular finding ways to support activity and participation in conversation and explore barriers and facilitators within the communication environment. Originality/value – This represents the first study to explore everyday practice in this rarer dementia and the information gathered here will be of use to a variety of health and social care professions interested in supporting those with semantic dementia and their families.
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Ershov, N. I., D. E. Maslov, and N. P. Bondar. "Evaluation of various RNA-seq approaches for identification of gene outrons in the flatworm Opisthorchis felineus." Vavilov Journal of Genetics and Breeding 24, no. 8 (December 31, 2020): 897–904. http://dx.doi.org/10.18699/vj20.688.
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The parasitic flatworm Opisthorchis felineus is one of the causative agents of opisthorchiasis in humans. Recently, we assembled the O. felineus genome, but the correct genome annotation by means of standard methods was hampered by the presence of spliced leader trans-splicing (SLTS). As a result of SLTS, the original 5’-end (outron) of the transcripts is replaced by a short spliced leader sequence donated from a specialized SL RNA. SLTS is involved in the RNA processing of more than half of O. felineus genes, making it hard to determine the structure of outrons and bona fide transcription start sites of the corresponding genes and operons, being based solely on mRNA-seq data. In the current study, we tested various experimental approaches for identifying the sequences of outrons in O. felineus using massive parallel sequencing. Two of them were developed by us for targeted sequencing of already processed branched outrons. One was based on sequence-specific reverse transcription from the SL intron toward the 5’-end of the Y-branched outron. The other used outron hybridization with an immobilized single-stranded DNA probe complementary to the SL intron. Additionally, two approaches to the sequencing of rRNA-depleted total RNA were used, allowing the identification of a wider range of transcripts compared to mRNAseq. One is based on the enzymatic elimination of overrepresented cDNAs, the other utilizes exonucleolytic degradation of uncapped RNA by Terminator enzyme. By using the outron-targeting methods, we were not able to obtain the enrichment of RNA preparations by processed outrons, which is most likely indicative of a rapid turnover of these trans-splicing intermediate products. Of the two rRNA depletion methods, a method based on the enzymatic normalization of cDNA (Zymo-Seq RiboFree) showed high efficiency. Compared to mRNA-seq, it provides an approximately twofold increase in the fraction of reads originating from outrons and introns. The results suggest that unprocessed nascent transcripts are the main source of outron sequences in the RNA pool of O. felineus.
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Durkin, Kevin, and Gina Conti-Ramsden. "Turn off or tune in? What advice can SLTs, educational psychologists and teachers provide about uses of new media and children with language impairments?" Child Language Teaching and Therapy 30, no. 2 (November 26, 2013): 187–205. http://dx.doi.org/10.1177/0265659013511471.
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New media are commonplace in children’s lives. Speech and language therapists (SLTs), educational psychologists and teachers are sometimes called upon by caregivers to provide advice on whether or how children and young people with language impairments should be encouraged to use these media. This article aims to illuminate some of the key issues and to review the implications of different types of advice that practitioners might provide. Four broad strategies are considered: Prohibition, Laissez-faire, Restriction, and Constructive use. Possible consequences of each strategy are outlined and it is proposed that Constructive use should be the strategy of choice. Reasons in favour of a constructive orientation include the benefits of joint engagement, enjoyment, cognitive and perceptual challenges and social motivation; effective uses can support educational attainment in young people with language impairments. Some areas where children and young people with language impairments need support with new media are noted. Decisions that we make about whether to constrain or support uses of new media have direct implications for the quality of young people’s lives and futures. SLTs, educational psychologists and teachers have important roles to play in the development of better-informed policies and strategies concerning language impaired youngsters and digital media.
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White, Sarah, and Sarah Spencer. "A school-commissioned model of speech and language therapy." Child Language Teaching and Therapy 34, no. 2 (June 2018): 141–53. http://dx.doi.org/10.1177/0265659018780961.
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Many speech and language therapy (SLT) services have limited capacity for providing school-based input. Some offer commissioned SLT input, to enhance the service provided by the UK National Health Service (NHS), giving schools the option to increase the amount and scope of SLT intervention. This two-tiered model of service provision is relatively new and has not been researched. This study investigated the experiences of schools who had commissioned input from the local SLT service, in terms of (1) describing how this was utilized and (2) exploring perceptions of its value. Semi-structured interviews were carried out with special educational needs co-ordinators (SENCos) from 11 schools and were thematically analysed using Framework Analysis. SENCos reported many positive aspects of the commissioned model, including better communication with Speech and Language Therapists (SLTs) and improved outcomes for children. SENCos felt that the numbers of children with speech, language and communication needs (SLCN) had reduced following commissioned input. Very few disadvantages of the model were identified. SLTs delivered a range of activities, including training staff and providing direct input for children. SENCos would recommend the service, and perceived the cost to be moderate. These data suggest that SENCos place a high value on SLT in schools, and welcome the opportunity to purchase additional input.
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POPESCU, Teodora. "The use of humour in speech and language therapy – specialists’ opinions." Revista Română de Terapia Tulburărilor de Limbaj şi Comunicare VIII, no. 2 (October 31, 2022): 59–70. http://dx.doi.org/10.26744/rrttlc.2022.8.2.07.
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This paper addresses an important and innovative subject for the speech language therapy settings and it is the first research study which investigates specialists’ opinions on the use of humour in the Romanian speech and language therapy domain. The design of the study implies the development of a new questionnaire created during the research. Data were collected through this survey in an on-line format and thematic analysis method for data analysis was performed. In this research participants were SLTs (N=210) who work in different urban and rural areas in Romania. The research results highlight the presence of humour in SLTs settings and the interest in this field among specialists, suggesting that humour has notable implications in SLT’s domain. Access to humour for people with language impairment is dependent on: age; level of language development; specificity of language impairment; type of humour used. The main difficulties in understanding and using humour for children with language disorders are related to: understanding abstract linguistic concepts; vocabulary limits and constraints; poor executive functions; understanding social rules; accepting another person’s perspective. Humour can be incorporated into speech and language therapy activities in a variety of ways and used at different stages of the speech and language therapy approach.
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Whiting, Penny, Maiwenn Al, Marie Westwood, Isaac Corro Ramos, Steve Ryder, Nigel Armstrong, Kate Misso, Janine Ross, Johan Severens, and Jos Kleijnen. "Viscoelastic point-of-care testing to assist with the diagnosis, management and monitoring of haemostasis: a systematic review and cost-effectiveness analysis." Health Technology Assessment 19, no. 58 (July 2015): 1–228. http://dx.doi.org/10.3310/hta19580.
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BackgroundPatients with substantive bleeding usually require transfusion and/or (re-)operation. Red blood cell (RBC) transfusion is independently associated with a greater risk of infection, morbidity, increased hospital stay and mortality. ROTEM (ROTEM®Delta, TEM International GmbH, Munich, Germany;www.rotem.de), TEG (TEG®5000 analyser, Haemonetics Corporation, Niles, IL, USA;www.haemonetics.com) and Sonoclot (Sonoclot®coagulation and platelet function analyser, Sienco Inc., Arvada, CO) are point-of-care viscoelastic (VE) devices that use thromboelastometry to test for haemostasis in whole blood. They have a number of proposed advantages over standard laboratory tests (SLTs): they provide a result much quicker, are able to identify what part of the clotting process is disrupted, and provide information on clot formation over time and fibrinolysis.ObjectivesThis assessment aimed to assess the clinical effectiveness and cost-effectiveness of VE devices to assist with the diagnosis, management and monitoring of haemostasis disorders during and after cardiac surgery, trauma-induced coagulopathy and post-partum haemorrhage (PPH).MethodsSixteen databases were searched to December 2013: MEDLINE (OvidSP), MEDLINE In-Process and Other Non-Indexed Citations and Daily Update (OvidSP), EMBASE (OvidSP), BIOSIS Previews (Web of Knowledge), Science Citation Index (SCI) (Web of Science), Conference Proceedings Citation Index (CPCI-S) (Web of Science), Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Register of Controlled Trials (CENTRAL), Database of Abstracts of Reviews of Effects (DARE), Health Technology Assessment (HTA) database, Latin American and Caribbean Health Sciences Literature (LILACS), International Network of Agencies for Health Technology Assessment (INAHTA), National Institute for Health Research (NIHR) HTA programme, Aggressive Research Intelligence Facility (ARIF), Medion, and the International Prospective Register of Systematic Reviews (PROSPERO). Randomised controlled trials (RCTs) were assessed for quality using the Cochrane Risk of Bias tool. Prediction studies were assessed using QUADAS-2. For RCTs, summary relative risks (RRs) were estimated using random-effects models. Continuous data were summarised narratively. For prediction studies, the odds ratio (OR) was selected as the primary effect estimate. The health-economic analysis considered the costs and quality-adjusted life-years of ROTEM, TEG and Sonoclot compared with SLTs in cardiac surgery and trauma patients. A decision tree was used to take into account short-term complications and longer-term side effects from transfusion. The model assumed a 1-year time horizon.ResultsThirty-one studies (39 publications) were included in the clinical effectiveness review. Eleven RCTs (n = 1089) assessed VE devices in patients undergoing cardiac surgery; six assessed thromboelastography (TEG) and five assessed ROTEM. There was a significant reduction in RBC transfusion [RR 0.88, 95% confidence interval (CI) 0.80 to 0.96; six studies], platelet transfusion (RR 0.72, 95% CI 0.58 to 0.89; six studies) and fresh frozen plasma to transfusion (RR 0.47, 95% CI 0.35 to 0.65; five studies) in VE testing groups compared with control. There were no significant differences between groups in terms of other blood products transfused. Continuous data on blood product use supported these findings. Clinical outcomes did not differ significantly between groups. There were no apparent differences between ROTEM or TEG; none of the RCTs evaluated Sonoclot. There were no data on the clinical effectiveness of VE devices in trauma patients or women with PPH. VE testing was cost-saving and more effective than SLTs. For the cardiac surgery model, the cost-saving was £43 for ROTEM, £79 for TEG and £132 for Sonoclot. For the trauma population, the cost-savings owing to VE testing were more substantial, amounting to per-patient savings of £688 for ROTEM compared with SLTs, £721 for TEG, and £818 for Sonoclot. This finding was entirely dependent on material costs, which are slightly higher for ROTEM. VE testing remained cost-saving following various scenario analyses.ConclusionsVE testing is cost-saving and more effective than SLTs, in both patients undergoing cardiac surgery and trauma patients. However, there were no data on the clinical effectiveness of Sonoclot or of VE devices in trauma patients.Study registrationThis study is registered as PROSPERO CRD42013005623.FundingThe NIHR Health Technology Assessment programme.
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Wray, Faye, David Clarke, Madeline Cruice, and Anne Forster. "Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes." PLOS ONE 16, no. 11 (November 23, 2021): e0259103. http://dx.doi.org/10.1371/journal.pone.0259103.
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Background Self-management is a promising approach to improve quality of life after stroke. However, evidence for the appropriateness and effectiveness of self-management for stroke survivors with aphasia is limited. This article reports on the process used to develop a supported self-management intervention for stroke survivors with aphasia (SSWA) using co-production and behaviour change theory. Preparatory research included systematic reviews, and qualitative interviews and focus groups with SSWA, family members and speech and language therapists (SLTs). Materials and methods We conducted six, 2 hour long intervention development workshops with key stakeholders. The workshops were informed by principles of co-production and the intervention development process outlined by the Behaviour Change Wheel (BCW). We also incorporated the findings of our preparatory research within workshops. Each workshop included an introduction, 1–2 co-production tasks and time for feedback at the end of the session. Data were analysed on an ongoing basis so that findings could be used to feed in to subsequent workshops and intervention development. Results Workshop participants (n = 12) included; SSWA (n = 5), family members (n = 3) and SLTs (n = 4). Together, participants engaged with accessible and participatory co-production tasks which aligned with the BCW framework. Participants engaged in discussion to define self-management in behavioural terms (behavioural diagnosis) and to identify what needed to change to support self-management. Participant’s co-produced solutions for supporting self-management and discussed options to implement these in practice. Prototype materials were generated by the research team and evaluated by participants. Intervention functions and behaviour change techniques (BCTs) were mapped to the solutions generated by participants by the research team, after the final workshop. A supported self-management intervention for SSWA was developed which will be delivered by SLTs through community stroke services. Conclusions This paper reports the process we used to integrate co-production work with behaviour change theory to develop a complex self-management intervention. This is of relevance for researchers looking to harness the strengths of co-production methods and theory in intervention design. Future research will feasibility test the supported self-management intervention developed. This paper provides transparency to our intervention development process which will help others to better interpret the findings of our feasibility work.
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Wei, Yingjie, Duli Wang, Jiawang Li, Yuxin Jie, Zundong Ke, Jianguang Li, and Tsunming Wong. "Evaluation of Ultimate Bearing Capacity of Pre-Stressed High-Strength Concrete Pipe Pile Embedded in Saturated Sandy Soil Based on In-Situ Test." Applied Sciences 10, no. 18 (September 9, 2020): 6269. http://dx.doi.org/10.3390/app10186269.
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Estimation of ultimate bearing capacity (UBC) of pre-stressed high-strength concrete (PHC) pipe pile is critical for optimizing pile design and construction. In this study, a standard penetration test (SPT), static cone penetration test (CPT) and static load test (SLT) were carried out to assess, determine and compare the UBC of the PHC pipe pile embedded in saturated sandy layers at different depths. The UBC was calculated with three methods including the JGJ94-2008 method, Meyerhof method and Schmertmann method based on in-situ blow count (N) of SPT (SPT-N) which was higher than the values recommended in survey report regardless of pile length. The average UBC values calculated with cone-tip resistance and sleeve friction from CPTs was also higher than the value recommended in the survey report. Moreover, the actual UBC values directly obtained by load-displacement curves from SLTs were in line with the calculated values based on in-situ SPTs and CPTs, but approximately twice as high as the values recommended in the survey report regardless of pile length. For the SPT method, the application of bentonite mud in saturated sand layers is critical for the assessment of pile capacity in the survey phase, CPTs can provide reliable results regardless of soil characteristics and groundwater if the soil layer can be penetrated, and SLTs are necessary to accurately determine the UBC in complex stratum.
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Smith-Tamaray, Michelle, Sarah Verdon, and Laura Hoffman. "Retention in rural speech and language therapy: The impact of rural tertiary education in Australia." Advances in Communication and Swallowing 24, no. 2 (February 15, 2022): 111–24. http://dx.doi.org/10.3233/acs-210032.
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BACKGROUND: Recruitment and retention of skilled health workers into rural areas is a major challenge to achieving equity in health between rural and urban populations. OBJECTIVE: This study explored the impact of rurally-based tertiary education in promoting the recruitment and retention of speech and language therapists (SLTs) in non-metropolitan areas and intention to remain in the profession. METHODS: Participants in this cohort study were 133 graduates from a rurally-based speech and language therapy course in Australia who completed the course between 1998 and 2018. Data were collected via an online survey. Data were analysed using inferential statistics, ArcGIS mapping software and content analysis in NVivo12. RESULTS: 65.0% of the graduates practiced in rural or remote areas with just 21.1% practicing in major cities. Most participants’ ideal work location was in a rural area. Benefits of rural practice included seeing a mixed caseload, living near family, work/life balance and loving their location. Challenges of rural practice included limited opportunities for specialist caseloads and career progression. In total, 93.2% of the rural graduates intended to remain in the speech and language therapy profession for the next 5 years. CONCLUSIONS: This study indicates that SLTs who are trained in rural areas with a focus on servicing rural populations are highly likely to enter and remain in rural practice, consistent with the rural pipeline model.
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Utiarahman, Siti Andini, and Hastuti Dalai. "Penerapan Metode Analitycal Hierarchy Process dalam Sistem Pendukung Keputusan Kelayakan Rumah Tangga Penerima Listrik Gratis." JURIKOM (Jurnal Riset Komputer) 9, no. 5 (October 31, 2022): 1659. http://dx.doi.org/10.30865/jurikom.v9i5.4857.
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One of the government programs includes free electricity connection assistance for underprivileged households through the Targeted Electricity Subsidy (SLTS) program. In implementing the SLTS program, recipients of free electricity must meet several predetermined criteria to qualify as recipients. Every year there are a lot of registrants for RT candidates who receive free electricity in Gorontalo province, so obtaining information takes a long time because accuracy is required in the selection process to determine the eligibility of RT candidates to receive free electricity. The purpose of the study was to apply the AHP method to the decision support system for the eligibility of households receiving free electricity by calculating the value of the priority results of the sub-criteria and the feasibility value. The calculation process is carried out based on the criteria, the results of the priority sub-criteria are obtained where the applicant with a feasibility value = 1 gets a decent status. On the other hand, applicant 2 with a sub-criteria priority of 0.2983 and applicant 3 with a sub-criteria priority of 0.0847 gets an unfeasible status because the value obtained is < 1. So it can be concluded that the AHP method can be used in a decision support system to assist related parties in determining the eligibility of households receiving free electricity
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Davies, Karen E., Julie Marshall, Laura J. E. Brown, and Juliet Goldbart. "SLTs’ conceptions about their own and parents’ roles during intervention with preschool children." International Journal of Language & Communication Disorders 54, no. 4 (February 19, 2019): 596–605. http://dx.doi.org/10.1111/1460-6984.12462.
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Allen, Marcus, and Anne Chant. "Exploring key facilitating factors to achieving the eight Gatsby Benchmarks in secondary schools in Kent." Journal of the National Institute for Career Education and Counselling 47, no. 1 (October 1, 2021): 21–30. http://dx.doi.org/10.20856/jnicec.4704.
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The 2017 UK Careers Strategy required schools to meet the eight Gatsby Benchmarks. This paper describes a survey of Careers Leaders in schools in Kent which finds that key to success with the Gatsby Benchmarks were support from the Senior Leadership Team (SLT), sufficient resources as well as earmarked staff and curriculum time. This was irrespective of school type. The results indicate that SLTs within schools need to engage with career development activities, ensure that they are fully resourced, and allow them to pervade throughout their institutions.
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Boltežar, Lučka, and Maja Šereg Bahar. "Voice Disorders in Occupations with Vocal Load in Slovenia / Glasovne Težave V Poklicih Z Glasovno Obremenitvijo V Sloveniji." Slovenian Journal of Public Health 53, no. 4 (December 1, 2014): 304–10. http://dx.doi.org/10.2478/sjph-2014-0033.
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Abstract Aim. The aim of this paper is to compare the prevalence of voice disorders and the risk factors for them in different occupations with a vocal load in Slovenia. Methods. A meta-analysis of six different Slovenian studies involving teachers, physicians, salespeople, catholic priests, nurses and speech-and-language therapists (SLTs) was performed. In all six studies, similar questions about the prevalence of voice disorders and the causes for them were included. Results. The comparison of the six studies showed that more than 82% of the 2347 included subjects had voice problems at some time during their career. The teachers were the most affected by voice problems. The prevalent cause of voice problems was the vocal load in teachers and salespeople and respiratory-tract infections in all the other occupational groups. When the occupational groups were compared, it was stated that the teachers had more voice problems and showed less care for their voices than the priests. The physicians had more voice problems and showed better consideration of vocal hygiene rules than the SLTs. The majority of all the included subjects did not receive instructions about voice care during education. Conclusions. In order to decrease the prevalence of voice disorders in vocal professionals, a screening program is recommended before the beginning of their studies. Regular courses on voice care and proper vocal technique should be obligatory for all professional voice users during their career. The inclusion of dysphonia in the list of occupational diseases should be considered in Slovenia as it is in some European countries.
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Ise, Hayato, Hiroto Kitahara, Kyohei Oyama, Keiya Takahashi, Hirotsugu Kanda, Satoshi Fujii, Takayuki Kunisawa, and Hiroyuki Kamiya. "Hypothermic circulatory arrest induced coagulopathy: rotational thromboelastometry analysis." General Thoracic and Cardiovascular Surgery 68, no. 8 (June 7, 2020): 754–61. http://dx.doi.org/10.1007/s11748-020-01399-y.
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Abstract Objectives Hypothermic circulatory arrest (HCA) has been considered to cause coagulopathy during cardiac surgery. However, coagulopathy associated with HCA has not been understood clearly in details. The objective of this study is to analyze the details of coagulopathy related to HCA in cardiac surgery by using rotational thromboelastometry (ROTEM). Methods We retrospectively analyzed 38 patients who underwent elective cardiac surgery (HCA group = 12, non-HCA group = 26) in our hospital. Blood samples were collected before and after cardiopulmonary bypass (CPB). Standard laboratory tests (SLTs) and ROTEM were performed. We performed four ROTEM assays (EXTEM, INTEM, HEPTEM and FIBTEM) and analyzed the following ROTEM parameters: clotting time (CT), clot formation time (CFT), maximum clot firmness (MCF) and maximum clot elasticity (MCE). The amount of perioperative bleeding, intraoperative transfusion and perioperative data were compared between the HCA and non-HCA group. Results Operation time and hemostatic time were significantly longer in the HCA group, whereas CPB time had no difference between the groups. The amount of perioperative bleeding and intraoperative transfusion were much higher in the HCA group. SLTs showed no difference between the groups both after anesthesia induction and after protamine reversal. In ROTEM analysis, MCE contributed by platelet was reduced in the HCA group, whereas MCE contributed by fibrinogen had no difference. Conclusion Our study confirmed that the amount of perioperative bleeding and intraoperative transfusion were significantly higher in the HCA group. ROTEM analysis would indicate that clot firmness contributed by platelet component is reduced by HCA in cardiac surgery.
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van der Gaag, Anna, Pauline McCartan, Anne McDade, and Dot Reid. "An Audit Tool for Health Visitors and SLTs Working with the Pre-School Population." International Journal of Language & Communication Disorders 33, S1 (January 1998): 37–41. http://dx.doi.org/10.3109/13682829809179392.
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Bateman, Claire, Paula Leslie, and Michael J. Drinnan. "Adult Dysphagia Assessment in the UK and Ireland: Are SLTs Assessing the Same Factors?" Dysphagia 22, no. 3 (February 10, 2007): 174–86. http://dx.doi.org/10.1007/s00455-006-9070-3.
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Clarke, Elaine M., and Anna Collins. "Mapping speech and language therapy provision for school-aged children with receptive-expressive language impairment: Speech and language therapist opinion and practice." Educational and Child Psychology 24, no. 4 (2007): 89–100. http://dx.doi.org/10.53841/bpsecp.2007.24.4.89.
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Children who experience receptive-expressive language impairment (R-E LI) have a significantly increased risk that their language disability will persist throughout their school years compared to children who experience expressive difficulties only. Effective speech and language therapy (SLT) intervention for these children is therefore of major concern to practitioners yet relatively little is know about current practice and little attention has been paid to SLT practitioner opinions on best provision. This paper reports the proportion of children with specific language impairments (SLI) on caseloads in one SLT service with R-E LI and the intervention offered to these children across the school years as well as SLT practitioner opinions on best practice. All paediatric SLTs across one Primary Care Trust completed an audit pro-forma on all children with language impairments on their caseloads during the month of October 2005. Eight SLTs, representing a range of experience, were then interviewed to gauge professional opinion on current practice and on what they felt was best practice for children with R-E LI. Two-hundred and sixty-four children on SLT caseloads had R-E LI and the majority of these children were of pre-school and key stage 1–2 age. Provision varied and included consultancy models of management as well as classroom based behavioural approaches to teaching language skills. At present, provision for children with R-E LI appears to focus on pre-school and primary school age children. Interview responses highlight the potentially greater perceived need for specialist (SLT) involvement in provision for children with R-E LI in the secondary school years.
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Okalidou, Areti, Mariana Kitsona, Flora Anagnostou, Marinella Tsoukala, Stella Santzakli, Stamatia Gouda, and Thomas P. Nikolopoulos. "Knowledge, experience and practice of SLTs regarding (re)habilitation in deaf children with cochlear implants." International Journal of Pediatric Otorhinolaryngology 78, no. 7 (July 2014): 1049–56. http://dx.doi.org/10.1016/j.ijporl.2014.04.001.
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McCluskey, Jessica, Aoife Gallagher, and Carol-Anne Murphy. "Reflective practice across speech and language therapy and education: a protocol for an integrative review." HRB Open Research 4 (March 22, 2021): 29. http://dx.doi.org/10.12688/hrbopenres.13234.1.
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Effective co-practice is considered a linchpin of inclusive education. Speech and language therapists (SLT), in collaboration with teachers, are amongst the professionals who have a role in ensuring inclusion for students. The challenges of collaboration are well documented, with communication considered a potential antidote. Proposals for how collaborative communication can take place often align with models of reflection. Uncertainty around a shared language for reflection within and across the professions of teaching and SLT may pose a barrier to it occurring. Reflection has long been documented as a strategy used by effective clinicians to improve practice. Hence, teachers and SLTs reflecting together could be considered ‘a port of entry’ for effective collaborative practice. This study aims to synthesise literature and knowledge on the phenomenon of reflective practice across the professions to facilitate collaboration for inclusive education. The method of qualitative evidence synthesis will be an integrative review. A systematic search will be conducted to extract empirical studies, reviews and theoretical papers on the topic of reflection across both professions. An adapted version of the PRISMA reporting guidelines will be used in the development, design and reporting of this review. Four databases will be searched: CINAHL, SCOPUS, Education Source and ERIC. A web-based search will also be conducted to retrieve relevant policy documents. Included literature will be appraised using the M-MAT and an adapted checklist from the Joanna Briggs Institute. Deductive content analysis will endeavour to determine if a shared language exists about reflection, across the professions of teaching and speech and language therapy. Establishing a shared language represents a first step towards the development of a framework for collaborative reflection between teachers and SLTs. This is turn serves to inform future research, policy and practice regarding how speech and language therapist can work collaboratively with teachers in schools.
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Beeke, Suzanne, Anna Volkmer, and Claire Farrington-Douglas. "TeleCPT: Delivery of a Better Conversations Approach to Communication Partner Training During a Global Pandemic and Beyond." Perspectives of the ASHA Special Interest Groups 6, no. 6 (December 17, 2021): 1776–85. http://dx.doi.org/10.1044/2021_persp-21-00160.
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Purpose: This case report provides an overview of telehealth delivery of our Better Conversations approach to communication partner training (CPT) for people with primary progressive aphasia (PPA) and their communication partner (CP). The purpose is to advance the knowledge of speech and language therapists/pathologists (SLTs) on this type of CPT and empower them to deliver teleCPT as part of their clinical practice. Method: We provide a case report describing therapy delivery, outcomes, and self-reflections from our clinical practice, which represents a collaboration between a UK National Health Service CPT clinic and the Better Conversations Research Lab at University College London, UK. A man with PPA and his CP (a dyad) video-recorded everyday conversations at home using a video conferencing platform. These formed the basis of an evaluation of conversation barriers and facilitators, which led to four weekly 1-hr therapy sessions covering the mechanics of conversation, identification of barriers and facilitators, goal setting, and practice of positive conversation strategies. Results: Dyad self-rating of goal attainment revealed that three of four conversation strategies were achieved much more than expected, a positive outcome given the progressive nature of F.F.'s condition. SLT access to the dyad at home via teleCPT facilitated the carryover of strategies from the session to everyday conversations in the home environment. TeleCPT was acceptable to this couple during a global pandemic, with benefits including no travel, ease of therapy scheduling around the CP's work and family commitments, and access to a specialist CPT clinic outside their geographical area. Conclusions: TeleCPT is feasible and acceptable to clients, improving access to therapy in a way that should not just be the preserve of service delivery during a global pandemic. SLTs can enable clients and their families to have better conversations despite communication difficulties by offering teleCPT. We have shared practical suggestions for delivering teleCPT.
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Isogai, Emiko, Hiroshi Isogai, Koichi Kimura, Shunji Hayashi, Toru Kubota, Nobuhiro Fujii, and Koichi Takeshi. "Role of Tumor Necrosis Factor Alpha in Gnotobiotic Mice Infected with an Escherichia coli O157:H7 Strain." Infection and Immunity 66, no. 1 (January 1, 1998): 197–202. http://dx.doi.org/10.1128/iai.66.1.197-202.1998.
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ABSTRACT Gnotobiotic mice inoculated with an enterohemorrhagicEscherichia coli (EHEC) O157:H7 strain developed a flaccid paresis, usually culminating in death. The bacteria colonized feces at 109 to 1010 CFU per g (inoculum size: 2.0 × 109 CFU/mouse), and Shiga-like toxins (SLTs) were detected in the feces. A microscopic examination of colons showed mild inflammatory cell infiltration, thinning of the intestinal wall, or necrotic foci. Necrosis of tubular cells was noted in these symptomatic mice. Microhemorrhage, thrombosis, and edematous changes of the brain were also seen. Inflammatory cytokines, tumor necrosis factor alpha (TNF-α), interleukin 1α (IL-1α), and IL-6, were detected in the kidney after EHEC infection, but not in the serum. In the brain, only TNF-α was detected. When 2.0 × 102 CFU of EHEC O157:H7 was fed to germ-free mice, the number of bacteria began to rise rapidly on day 1 and was maintained at 108 to 109 CFU/g of feces. SLTs were detected in the feces of the mice. However, the mice showed no histological changes and no cytokine responses, similar to what was found for controls. Treatment with TNF-α modified the clinical neural signs, histopathological changes, and cytokine responses; mice treated with TNF-α developed severe neurotoxic symptoms and had higher frequencies of systemic symptoms and glomerular pathology. Strong cytokine responses were seen in the kidney and brain. Serum cytokines were also detected in this group. In contrast, a TNF-α inhibitor (protease inhibitor) inhibited these responses, especially in the brain. However, local synthesis of the cytokines was observed in the kidney. Thus, TNF-α and the other proinflammatory cytokines could be important in modifying the disease caused by EHEC.
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Walsh, Mary, and Aideen Lawlor. "240 Assisted Decision Making (Capacity) Act 2015: Embracing the Paradigm Shift." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.144.
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Abstract Background In a conference 2018, Senator Kelleher said she concurred with the statement describing ADMA “…. as a paradigm shift…a major, major culture shift which has yet to work through our societal systems….”(1) In 2016, a senior and manager speech and language therapist (SLT) won the Dementia Elevator Innovation Award with the project “Empowering Persons with Dementia to Become More Active Participants in Decision Making Related to Their Present and Future Needs”. The IASLT Position Statement on the role of the speech and language therapist (SLT) in assessing Capacity and Facilitating Understanding to Support Decision Making for Adults with Communication Disabilities 2017 names training others in assisted decision making as a key SLT role. Talking Mats (TM) (2) may help address some training issues outlined. TM is discussed in NICE-Capacity Guidelines 2018. The Phase 1 project outlined recommends progression to Phase 2. Methods In 2018, the senior SLT trained SLTs working professionally with people with dementia across different service settings. They made a prior commitment to attend and complete the course and to trial TM with people with dementia. Results The Phase 1 report Dec 18 contains 16 brief case studies. Some initial findings: Facilitates strengths rather than deficits.Helpful for assisted decision-making when listeners are trained.Pictures help maintain attention and aid comprehension.Pictorial record of photographed TM viewed very positively, particularly for meetings.Video recording sessions, with consent, greatly enhances reflective practice.It helped address the unmet needs of one person with dementia who presented with responsive behaviour. Conclusion Talking Mats was strongly endorsed by all participants. Recommendations in Phase 1 report 2018 included progressing to Phase 2 i.e. training the six SLTs to become TM trainers and commence cascading through the system. We are currently awaiting funding approval.
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Sheridan, Lisa, Cathy McHale, Joshi Dookhy, Tara Coughlan, Desmond O'Neill, Ronan Collins, Dan Ryan, and Sean Kennelly. "264 Incorporating Neurolinguistics and the Role of Speech and Language Therapy in a Specialist Memory Service." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.164.
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Abstract Background Speech and Language Therapy (SLT) is recognised as having a unique role in contributing to the overall neuropsychological assessment of people living with dementia and cognitive impairment. The role of the SLT within a memory clinic has become more widely understood. It is now recognised that speech and language characteristics are reported to be amongst the most reliable behavioural markers for distinguishing amongst different dementia subtypes, and specific analysis of a language production and delivery facilitates timely and more accurate diagnosis. Methods Patients with a language predominant presentation or those with subjective complaints of speech/language difficulties were referred for SLT assessment through the tertiary memory assessment and support service from January 2018 – March 2019. Assessment of speech and language skills, and overall cognitive communications skills were reviewed, and this information was used to aid with differential diagnosis and contribute to the person’s overall cognitive profile. The SLT attends weekly memory service interdisciplinary consensus diagnosis conference. Data was collected on these patients to observe the profiles of those patients referred to SLT. Results 22 patients were seen for full SLT assessment during this period, 13 women, 9 men; mean age 69.5 (range 48- 80). Diagnoses include: AD (32%), FTD behavioural variant (14%), Primary Progressive Aphasia (14%), Non-amnestic MCI (18%), Amnestic MCI (14%), Other neurological disorder (8%). 68% of these patients required ongoing SLT intervention for their cognitive communication difficulties following diagnosis. Conclusion SLTs fulfil an integral role in supporting both the diagnostic and post-diagnostic care pathways of people living with dementia and cognitive impairment attending memory services. SLTs have a unique role and skillset in identifying the specific nature of language difficulties for a person with dementia or cognitive impairment and in reducing the impact of the communication difficulties for the person and for their family members.