Programming for detection and management of communication disorders in British Columbia.
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The study comprised 1,172 clinical cases that were classified according to sex, age and speech disorders. A review is made on the most common alterations that they present, the selective treatment in each type and their rehabilitation.
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Birth defects increase the risk of speech, language, and hearing disorders in childhood. The prevalence of particular congenital anomalies varies from one racial and ethnic group to another. Some conditions such as the hemoglobinopathies, polydactyly, and external ear malformations are more common among black people. Other birth defects are rarer among black children, notably cleft lip and palate, neural tube defects, and phenylketonuria. The more common defects of Down's syndrome, neurofibromatosis, and cerebral palsy appear to occur in equal frequency in black and white Americans.Speech-language pathologists, audiologists, and other health professionals who work with black children with birth defects must be familiar with the special problems and the positive features reflected in this population. Difficulties in obtaining adequate medical care, poor health and nutrition, and inadequate financial support are problems plaguing the poor. However, the shared responsibility assumed by the church, the community, and the extended family often results in positive acceptance of the handicapped child. Many families rely on folk medicine whose remedies can often be combined with traditional therapies for the ultimate benefit of the patient.Health professionals must assume a managerial role to ensure that services reach the child with syndrome-related speech, language, and hearing problems.
Intensive monitoring (prolonged, telemetered EEG recording, video tape recording, and plasma drug level monitoring) has an integral role in the correct diagnosis and treatment of patients with intractable epilepsy or suspected epilepsy. The intensive monitoring unit at the Clinical Epilepsy Section, NINCDS, exemplifies a well-integrated system for clinical epilepsy research. The resulting library of video taped seizures is a valuable resource for teaching and the production of films on epilepsy.
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