Addressing the Psychosocial Needs of Individuals with Communication Disorders: The Integration of Animal-Assisted Therapy within Counseling.

Individuals with speech, language, and communication disorders often present with psychosocial concerns that span the physiological, intrapersonal, and interpersonal domains of functioning. Despite this fact, the provision of counseling service by speech-language pathologist (SLP) that directly addresses clients' psychosocial needs is sparse. Research shows the primary counseling strategy used by therapists is psychoeducation, failing to effectively address the psychosocial concerns.

Attaining a British consensus statement on managing idiopathic congenital talipes equinovarus (CTEV) through a Delphi process: a study protocol.

Introduction: Idiopathic congenital talipes equinovarus (CTEV) is the most common congenital limb deformity. Non-operative intervention using the Ponseti method has shown to be superior to soft tissue release and has become the gold standard for first-line treatment. However, numerous deviations from the Ponseti protocol are still reported following incomplete correction or deformity relapse.

Novel Electromagnetic Sensors Embedded in Reinforced Concrete Beams for Crack Detection.

This paper investigates the possibility of applying novel microwave sensors for crack detection in reinforced concrete structures. Initially, a microstrip patch antenna with a split ring resonator (SRR) structure was designed, simulated and fabricated. To evaluate the sensor's performance, a series of structural tests were carried out and the sensor responses were monitored.

An analyses of the status of landfill classification systems in developing countries: Sub Saharan Africa landfill experiences.

Municipal solid waste (MSW) management remains a challenge in developing countries due to increasing waste generation, high costs associated with waste management and the structure of the containment systems implemented. This study analyses the classification of landfilling systems by using documented cases reported mainly in publications in waste management in relation to non-engineered landfilling systems/approved dumpsites in Sub Saharan African (SSA) countries from 2000 to 2018. The work identifies an existing system for the classification of landfill sites and utilises this system to determine the situation of landfill sites in SSA countries.

Surgical Outcomes of Single-Level Bilateral Selective Dorsal Rhizotomy for Spastic Diplegia in 150 Consecutive Patients.

Objectives: Selective dorsal rhizotomy (SDR) is used to improve spasticity, gait, and pain in children with spastic diplegia. There is growing evidence supporting its long-term benefits in terms of functional outcomes, independence, and quality of life. There is, however, little contemporary work describing the surgical morbidity of this irreversible procedure.

Possible source term of high concentrations of mecoprop-p in leachate and water quality: impact of climate change, public use and disposal.

Mecoprop-p herbicide is often found in wells and water abstractions in many areas around Europe, the UK inclusive. There is a growing environmental and public health concern about mecoprop-p herbicide pollution in ground and surface water in England. Reviews suggest that extensive work has been carried out on the contribution of mecoprop-p herbicides from agricultural use whilst more work needs to be carried out on the contribution of mecoprop-p herbicide from non-agricultural use.

Assessing combined sewer overflows with long lead time for better surface water management.

During high-intensity rainfall events, the capacity of combined sewer overflows (CSOs) can exceed resulting in discharge of untreated stormwater and wastewater directly into receiving rivers. These discharges can result in high concentrations of microbial pathogens, biochemical oxygen demand, suspended solids, and other pollutants in the receiving waters. The frequency and severity of the CSO discharge are strongly influenced by climatic factors governing the occurrence of urban stormwater runoff, particularly the amount and intensity of the rainfall.

The medial approach for the treatment of children with developmental dysplasia of the hip.

The medial approach for the treatment of children with developmental dysplasia of the hip (DDH) in whom closed reduction has failed requires minimal access with negligible blood loss. In the United Kingdom, there is a preference for these children to be treated using an anterolateral approach after the appearance of the ossific nucleus. In this study we compared these two protocols, primarily for the risk of osteonecrosis.

Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: a case study.

Proper management and safe disposal of medical waste (MW) is vital in the reduction of infection or illness through contact with discarded material and in the prevention of environmental contamination in hospital facilities. The management practices for MW in selected healthcare facilities in Lagos, Nigeria were assessed. The cross-sectional study involved the use of questionnaires, in-depth interviews, focused group discussions and participant observation strategies.

Implementation of a "learner-driven" curriculum: an screening, brief intervention, and referral to treatment (SBIRT) interdisciplinary primary care model.

Although screening, brief intervention, and referral to treatment (SBIRT) has been a popular model to address potential substance abuse issues in primary care, there is a need for innovative approaches for training providers and staff on SBIRT protocols. An interdisciplinary approach to SBIRT training, named ICARE, was implemented at 3 different medical settings. The ICARE team trained 85 employees at an academic family medicine residency center and 37 employees across 2 rural community health care clinics.

The success of management with the Pavlik harness for developmental dysplasia of the hip using a United Kingdom screening programme and ultrasound-guided supervision.

We present the results of treatment of developmental dysplasia of the hip in infancy with the Pavlik harness using a United Kingdom screening programme with ultrasound-guided supervision. Initially, 128 consecutive hips in 77 patients were reviewed over a 40-month period; 123 of these were finally included in the study. The mean age of the patients at the start of treatment was five weeks (1 to 12).

Head-at-risk signs in Legg-Calvé-Perthes disease: poor inter- and intra-observer reliability.

Background: The head-at-risk signs are used as prognostic indicators in Legg-Calvé-Perthes disease. These signs have been assessed only once regarding inter-observer reliability, however. Intra-observer reliability seems not to have been studied to date.

The reliability and validity of assessment of sagittal plane deviations in children who have spastic diplegia.

Objective: To assess the reliability and validity of a newly described classification of sagittal plane alignment in spastic diplegic gait.

Design: Twenty split-screen videos of children with spastic diplegia, Gross Motor Function Classification System levels I to III, were viewed on 2 occasions, 6 weeks apart, by 5 raters. The sagittal plane alignments of the right and left lower limbs in gait were classified separately as true equinus, jump knee, apparent equinus, or crouch, based on the published classification.

A year's trauma admissions and the effect of the weather.

Purpose Of The Study: To study the admissions to a busy trauma unit on a day-by-day basis over a 1 year period, and to look for any correlation with local weather variation or temporal factors (day of the week, weekends/school holidays, etc.).

Method: Admissions data for the Trauma Unit at the Leicester Royal Infirmary was collected from an administrative database and ward records for the calendar year of 1998.

Inter- and intra-measurer error in the measurement of Reimers' hip migration percentage.

Reimers' hip migration percentage is commonly used to document the extent of subluxation of the hip in children with spasticity. In this study, two measurers, with six months paediatric orthopaedic experience, measured the migration percentage on 44 pelvic radiographs of children with cerebral palsy, aged between two and eight years. Unknown to the measurers, each radiograph was duplicated, giving 22 non-identical radiographs (44 hips) which were measured twice at time 0 and twice six weeks later.

The empty sella.

Objective: To discuss the diagnostic imaging findings of an empty sella in a chiropractic patient with emphasis on magnetic resonance imaging (MRI) of normal and abnormal pituitary appearances.

Clinical Features: A 44-year-old woman started having headache, dizziness, nausea, vomiting, and diarrhea after an argument with her boyfriend. She had been treated for acute torticollis for three weeks when the new symptoms began.

Follow-up after carpal tunnel decompression - general practitioner surgery or hand clinic? A randomized prospective study.

We prospectively randomized 100 patients following carpal tunnel decompression who were having a 2-week postoperative assessment and removal of stitches to either their local general practitioner (GP) or the hospital outpatient department. All patients were seen at hospital 6 weeks postoperatively for a final assessment. The waiting time for assessment and suture removal was shorter at the GP surgery than in the outpatient department (mean 13 min and 28 min respectively) but significantly more patients were diagnosed as having wound infections (14% and 0% respectively); most were given antibiotics, perhaps unnecessarily.

Sodium and chloride transport across rabbit ileal brush border. I. Evidence for Na-H exchange.

A series of experiments were performed to demonstrate the presence of and characterize the Na-H exchanger on rabbit ileal brush border with a vesicle preparation. An outwardly directed proton gradient (pH 5.5 inside, pH 7.

SOME CONSEQUENCES OF SEXUAL DIMORPHISM: FEEDING IN MALE AND FEMALE FIDDLER CRABS, UCA PUGNAX (SMITH).

1. There were no differences in the respiratory rates of male and female Uca pugnax of comparable sizes. 2.