A Comparative Study of The Need for Prerequisite Subjects for Clinical Observation between Speech Therapy Students and Supervisors

2015 ◽  
Vol 24 (4) ◽  
pp. 9-16
Author(s):  
김선희 ◽  
이지윤
1976 ◽  
Vol 85 (4) ◽  
pp. 451-459 ◽  
Author(s):  
Herbert H. Dedo

Spastic dysphonia is a severe vocal disability in which a person speaks with excessively adducted vocal cords. The resulting weak phonation sounds tight, as if he were being strangled, and has also been described as laryngeal stutter. It is often accompanied by face and neck grimaces. In the past it has been regarded as psychoneurotic in origin and treated with speech therapy and psychotherapy with disappointing results. Because of laboratory and clinical observation that recurrent nerve paralysis retracts the involved vocal cord from the midline, it was proposed that deliberate section of the recurrent nerve would improve the vocal quality of patients with spastic dysphonia. In 34 patients the recurrent nerve was sectioned after Xylocaine® temporary paralysis showed significant improvement in vocal quality. Several patients have been advised against this operation because of the type of voice they developed with one vocal cord temporarily paralyzed. With nerve section plus postoperative speech therapy, approximately half of the patients have returned close to a “normal” but soft phonatory voice. The rest had varying degrees of improvement, but all, so far, have been pleased with the improvement in ease and quality of phonation and reduction or elimination of face and neck grimaces. Two men have a breathy component in their phonatory voices, and one woman has variable pitch.


Author(s):  
I. V. Maev ◽  
Yu. A. Kucheryaviy ◽  
E. V. Barkalova ◽  
M. A. Ovsepyan

Aim.In this paper, we discuss the clinical significance of belching and present a clinical case with the description of the belching differential diagnosis.Main findings.Belching may be either a physiological or a pathological phenomenon. Pathological belching requires an adequate diagnostic approach in order to clarify the nature of its occurrence. Gastric belching occurs reflexively at the moment of stomach stretching by excess air trapped during swallowing, which initiates the transient relaxation of the lower esophageal sphincter. As a consequence, the swallowed air escapes from the stomach first into the esophagus and then into the throat. Supragastric belching is a phenomenon, in which the air entering the esophagus does not reach the stomach, but rapidly returns to the throat. In this case, unlike aerophagia, the air entering the esophagus is not accompanied by the act of swallowing. Supragastric belching is not a reflex process; rather, it is considered to be a manifestation of behavioural disorders. 24-hour pH-impedancemetry and high-resolution esophageal manometry are highly informative methods for detecting various types of belching (gastric and supragastric), as well as their mechanisms. We present a clinical observation of a 47-year-old patient suffering from supragastric belching and treated by speech therapy under the supervision of a speech therapist.Conclusion.24-hour pH-impedancemetry and high-resolution esophageal manometry (also in combination with impedancemetry) provide a complete differential diagnosis of belching and allow the most effective patient management strategy to be selected.


2021 ◽  
Vol 55 ◽  
pp. 19-26
Author(s):  
Modi Al-Moteri ◽  
Amani A. Alrehaili ◽  
Virginia Plummer ◽  
Ruba W.H. Yaseen ◽  
Reem Ali Alhakami ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 1124-1124
Author(s):  
M.P. Novakovic ◽  
D. Mitrovic ◽  
Z. Maksimovic ◽  
Z. Naskovic ◽  
R. Novakovic

AimsTo analyze the forms of anxiety with BEN of the dialyzed patients with sub-hypothesis: socio-demographical, psychopathological, and biological influences.MethodIn B&H dialyzed in 2009. 2879 patients because of chronic renal insufficiency. Dialysis started in B&H on patients with BEN (n = 348) were in the first group, and other the N18 group was formed of patients with other diseases (n = 405). Controls group consists of the patients with other nephrology diseases. Clinical observation lasted from 01.01.2000. to 31.12.2009. when the study was done. Research is a comparative study cut, and the patients are questioned: Renal Registry of B&H, BAI, HDRS, and MMSE.ResultsPatients of the Cases group are the age of: 64.77 ± 8.86, and Controls 53.85 ± 13.6. High socio-demographic significations are the places of living of the Cases group (c2 = 23. 970), P < 0.01; renal diseases in the place of residence (c2 = 23. 970), P < 0.01; in the family (c2 = 23,970); P < =0.001 and the migration (c2 = 4,874); P < 0. 01. BAI scale has very significant group differences P < 0.001 and the level differences at the emerging of the fear, HDRS scale has group signification P < 0.001 and the variables point out depressive and anxiety differences and MMSE cognitive differences.ConclusionAll patients which are interrogated at the dialysis in B&H from 2000. to 2009 have anxiety. Anxiety is more expressed in Cases group due to Control group, and comorbidity gives endemic factors for presuicidal risk for both groups.


1972 ◽  
Vol 120 (558) ◽  
pp. 523-530 ◽  
Author(s):  
J. Mendlewicz ◽  
R. R. Fieve ◽  
J. D. Rainer ◽  
J. L. Fleiss

Early studies (21, 22, 25, 12) have pointed to a genetic component in the aetiology of manic-depressive disorders. More recently, careful clinical observation has suggested the division of the affective disorders into two distinct groups: the so-called bipolar or manic-depressive group and the unipolar type with recurrent depressions only (14, 27, 1). Although genetic differences in terms of family risk have been demonstrated between the so-called bipolar and unipolar psychoses, it is not yet evident whether each group constitutes a homogeneous entity. Moreover, the diagnosis of unipolar depressive disease for the authors cited above includes such syndromes as involutional psychotic reactions, psychotic depressive reactions, and probably also psychoneurotic depressions.


2020 ◽  
Author(s):  
Bruno Oliveira Ferreira de Souza ◽  
Éve‐Marie Frigon ◽  
Robert Tremblay‐Laliberté ◽  
Christian Casanova ◽  
Denis Boire

1976 ◽  
Vol 7 (4) ◽  
pp. 207-219 ◽  
Author(s):  
Constance P. DesRoches

A statistical review provides analysis of four years of speech therapy services of a suburban school system which can be used for comparison with other school system programs. Included are data on the percentages of the school population enrolled in therapy, the categories of disabilities and the number of children in each category, the sex and grade-level distribution of those in therapy, and shifts in case-load selection. Factors affecting changes in case-load profiles are identified and discussed.


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