SUVAG Polyclinic Repository
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Mobile service of support to educational integration of hearing and/or speech impaired students
No full textObjectives: Education of regular school teachers is one of the key factors of successful inclusive education of hearing and/or speech impaired students. The Education and Teacher Training Agency (ETTA) of the Republic of Croatia continuously introduces programs for the improvement of the quality of education of children with developmental difficulties by matching the existing system to European standards. This goal is achieved in collaboration with specialized institutions, such as the SUVAG Polyclinic, since the knowledge of educators and teachers, acquired during formal education, is insufficient for work with students with developmental difficulties. Methods: The Education and Teacher Training Agency of the Republic of Croatia and SUVAG Polyclinic initiated the work of the mobile service of support to educate teachers and other professionals in the regular schools. Data presented in this poster were collected during the past ten years. The poster presentation will show the model of speech pathology support to inclusive education, as well as statistical data showing the frequency of support during the ten- year period of work of the mobile service of support (2007-2016). Results: Mode of support to primary and secondary schools in Croatia from a mobile service of support will be presented. The support service is implemented through three modules: 1. Improving knowledge about hearing and/or speech impairments, and the characteristics of the functioning of students with difficulties in the educational process. 2. Making individualized programs, adapting them to students with those difficulties. 3. Education of regular school teachers in the SUVAG Polyclinic. Members of the mobile service of support are speech pathologists and other professionals from the SUVAG Polyclinic who work on inclusive education of hearing and/or speech impaired students. Conclusions: This kind of collaboration is a good example how the government can take advantage of the specific knowledge of SLTs and other experts from highly specialised health institutions and use their knowledge to create better conditions for inclusive education
17. kongres Međunarodnog udruženja za kliničku fonetiku i lingvistiku (ICPLA). St. Julians, Malta, od 23. do 25. listopada 2018. godine
No full textOsvrt na 17. kongres Međunarodnog udruženja za kliničku fonetiku i lingvistiku (ICPLA). St. Julians, Malta, od 23. do 25. listopada 2018. godine
Group-based direct and indirect approaches to language therapy for children with developmental language disorder: a pre- experimental study
No full textDevelopmental Language Disorder (DLD) is among the most frequent communication disorders in early childhood. It affects the quality of the child’s academic and social life. Speech- language therapy to counter this impairment is usually individual and based on the direct approach with the therapist. New approaches begin to emerge, involving group settings, as well as indirect involvement of a parent who is constantly monitored and supervised by the therapist. Group and indirect therapies are infrequently used in Croatia, even though their effectiveness is well demonstrated worldwide. The aims of the current study were: 1) to examine whether two approaches to language therapy ; group-based direct and indirect at home, can foster early literacy in children with DLD, and 2) to gain insight into parental perception of the group therapy and how they perceived its potential influence on children’s lives. It has a pre-experimental design and thus presents the first step towards an evidence-based effectiveness study. Eight children and their parents participated in the programme. Children’s language progress was measured using language tests before and after the programme, and parents' perception of the therapy was evaluated using a post-programme questionnaire. The results suggest that group- based direct and indirect approaches can foster early literacy in preschool children with DLD. Parental perception of the therapy was positive ; they expressed strong trust in the therapy and reported finding it useful for their children. The outcomes of the present pre- experimental study further corroborate positive effects of carefully planned therapies and serve as the step forward in conducting effectiveness studies in order to establish evidence-based practices in Croatia
Pravovremeno uključivanje djeteta u program rane intervencije unutar specijalističke zdravstvene usluge
No full textPočeci rane intervencije za djecu urednog sluha kod koje je bilo prisutno kašnjenje u jezično-govornom razvoju datiraju od 2003. godine kad su obuhvaćena djeca u dobi od 3 godine. Nedugo iza toga usustavljen je i savjetodavni rad s roditeljima djece koja su bila uključena u praćenje i poticanje govorno-jezičnog razvoja. Provodili su ih logopedi s dodatnom edukacijom iz posebnih verbotonalnih postupaka. Od 2009. u Poliklinici za rehabilitaciju slušanja i govora SUVAG djeluje i Centar za ranu rehabilitaciju i podršku u zajednici, u kojem se provodi rana intervencija s posebnim naglaskom na polisenzoričku verbotonalnu rehabilitaciju. Multidisciplinarnost je okosnica u dijagnostici i terapiji stručnjaka različitih profila Poliklinici SUVAG. U timu sudjeluju logoped, psiholog, neuropedijatar, audiolog, psihijatar, fizijatar i socijalni radnik. Pristupajući svakom djetetu individualno, određuje se rehabilitacijska optimala, povezujući djelovanje svih stručnjaka u Poiklinici SUVAG, objedinjujući različite programe koje provode ti stručnjaci i surađujući sa stručnjacima izvan Poliklinike s ciljem pružanja sveobuhvatne usluge. Broj djece koja pokazuju odstupanja na planu razvoja komunikacije, jezika i govora sustavno se povećava. Komunikacijsko-jezično-govorni razvoj djeteta teče prema točno određenim razvojnim miljokazima koje je moguće predvidjeti te postoje specifični predkazatelji navedenih teškoća. Od izuzetne je važnosti djetetu koje pokazuje odstupanja na planu komunikacijskog i jezično-govornog razvoja osigurati pravovremeno uključivanje u rehabilitacijske postupke kojima bi se otklonile spomenute ili prevenirale buduće teškoće. Kako bi se navedeno i ostvarilo, nužna je suradnja među stručnjacima i institucijama nadležnima za bavljenje gore spomenutom problematikom
Reduced memory traces for words during automatic lexical processing in aphasic subjects: a mismatch negativity study
No full textThe aim of this study is to investigate the influences of left hemisphere stroke in patients with comprehension deficits in the automatic processing of lexical contrast and the relationship between MMN responses and behavioral results. Word- related enhancement observed in both subject groups supports the notion of “word advantage effect” and existence of memory trace for words in human brain as it has been reported by previous studies in the literature. Lower amplitude and prolonged latency of MMN response in aphasic subjects compared to control subjects lead to the conclusion that memory trace for words is weaker in aphasic patients with comprehension difficulties which can be an indicator of difficulties of automatic lexical processing. One way this study expands previous research is that it found that the more severe the language comprehension disabilities, the more likely people with aphasia will falsely identify pseudowords as real words, which was seen in the amplitude enhancement of MMN response in the pseudowords condition in the patients with more severe comprehension disabilities
Challenges of assessment and treatment of ultra high risk for psychosis in an adolescent
No full textThe onset of psychosis is typically preceded by a prodromal phase that is characterised by the emergence of "attenuated"
psychotic symptoms. This phase is described as ultra-high risk (UHR) or at-risk mental state (ARMS) of psychosis. Criteria have
been established for identifying these young people who are at clinical high risk. People at ultra-high risk (UHR) of psychosis have about 30% chance of developing the illness within two years. This category was introduced with the goal of developing treatments for prevention of psychotic disorders. Recent research suggests that early interventions appear to be effective in delaying and even preventing the onset of psychosis. These treatments include antipsychotic medication, nutritional supplements such as omega-3 fatty acids and psychological treatment. Cognitive behavioral therapy (CBT) has been tested as a potentially effective intervention in this group. Here we describe a case of a male adolescent with UHR psychotic symptoms with focus on challenges of assessing the UHR in adolescents and issues of providing effective age appropriate interventions
Ispitivanje stavova i uvjerenja o mucanju: pilot primjena UTBAS upitnika u Hrvatskoj
No full textAlong with disrupted speech fluency, people who stutter often develop a fear of speaking or fear of social situations that may lead to the emergence of social anxiety disorder. This has been the subject of numerous studies during recent decades, and specific questionnaires have been developed to assess relationships between stuttering and anxiety. The Unhelpful Thoughts and Beliefs About Stuttering (UTBAS) Questionnaire (St Clare et al. 2009) was developed recently and has been applied to evaluate the frequency and belief in thoughts about stuttering and the degree of anxiety induced by such thoughts.
The aim of our preliminary study was to test the Croatian translation of the UTBAS (UTBAS-C) on people who stutter and those who do not stutter and to determine whether there is a statistically significant difference between these two groups, i.e. whether people who stutter are more socially anxious than people who do not stutter. Participants were 16 adults who stutter and 16 controls with normal fluence, aged 18-40 years. Because the results were not distributed normally, all data were analyzed with a non-parametric statistical method. The results showed a statistically significant difference between adults who stutter and those who do not. People who stutter had higher total scores on the Questionnaire, i.e. they are more socially anxious or have more negative thoughts and beliefs regarding speech-related situations than fluent adults.
The results of our preliminary study are not unexpected and are consistent with most previous studies on the relationship between stuttering and anxiety. However, as there is a lack of specific instruments in the Croatian language that can be used in diagnosing adults who stutter, especially their attitudes and emotions, our translation of and further research on the UTBAS should help to fill that absence. This study should also alert clinicians working with adults who stutter of the importance and influence of attitudes and beliefs on therapy outcome.Kod osoba koje mucaju, uz netečan govor, često se može razviti strah od govornih i socijalnih situacija što može dovesti do poremećaja socijalne anksioznosti. Tijekom zadnjih desetljeća veza između mucanja i anksioznosti bila je predmet brojnih istraživanja, te je razvijen specifičan upitnik kojim se to ispituje. Upitnik Negativni stavovi i uvjerenja o mucanju (Unhelpful Thoughts and Beliefs About Stuttering Questionnaire - UTBAS-C) razvijen je i primijenjen kako bi se ispitala učestalost razmišljanja i vjerovanja o mucanju te stupanj anksioznosti kojeg izazivaju takva razmišljanja (UTBAS, St Clare et al. 2009). Cilj je ovog pilot istraživanja bio ispitati hrvatsku inačicu UTBAS-C upitnika uključujući osobe koje mucaju i osobe koje ne mucaju, te utvrditi postoji li statistički značajna razlika između te dvije skupine, odnosno utvrditi jesu li osobe koje mucaju anksioznije od osoba koje ne mucaju. Uzorak je činilo 16 odraslih osoba koje mucaju i 16 tečnih govornika, u dobi od 18 do 40 godina. Budući da se rezultati nisu normalno distribuirali, svi podaci su analizirani neparametrijskim statističkim metodama.
Rezultati su pokazali da postoji statistički značajna razlika između osoba koje mucaju i osoba koje ne mucaju. Osobe koje mucaju imale su više rezultate na cijelom upitniku, odnosno pokazale su se više anksioznima te je kod njih utvrđeno da imaju više negativnih misli i vjerovanja o govornim situacijama od odraslih koji su tečni.
Rezultati ovog pilot istraživanja nisu neočekivani i u skladu su sa većinom do sada provedenih istraživanja o vezi između mucanja i socijalne anksioznosti. S obzirom na to da postoji manjak dijagnostičkih testova za odrasle koji mucaju, osobito o stavovima i emocijama, ovaj prijevod i daljnja primjena UTBAS-C upitnika trebalo bi popuniti tu prazninu. Ovo istraživanje bi također trebalo skrenuti pažnju kliničarima koji rade s odraslima koji mucaju na važnost i utjecaj stavova i vjerovanja na ishod terapije
The relationship of speech-language disorders by gender in the primary school of the SUVAG Polyclinic to general population data for period from 2013 to 2016 in the Republic of Croatia
No full textThe aim of this paper is to compare the proportion of girls and boys, pupils of the Primary school of the SUVAG Polyclinic that are involved in complex rehabilitation, with general statistical data, i.e. number of pupils in the Republic of Croatia and number of children with speech-language disorders. It was observed whether there are any notable differences in gender distribution. General statistical data pertaining to the entire population of primary school students from the school year 2010/2011 to 2015/2016 were provided in the introductory section. Then, the data pertaining to children with developmental disabilities according to the Croatian Register of Persons with Disabilities with data from the SUVAG Polyclinic were compared. It is clear from the compared data that the ratio of boys and girls in complex rehabilitation of the school age children is larger than the one at the level of the Republic of Croatia. The trend is clear through 10-years period analyzed. Since Primary school of the SUVAG Polyclinic and the complex rehabilitation of speech and listening is attended by pupils with higher degree of speech-language disorders, the possible interpretation of the obtained results is that with degree of speech-language difficulty number of boys compared to number of girls increases. The results obtained can be used to create preventive programs and educations for educators, teachers and expert associates
Spacioception in diagnostics and rehabilitation
No full textSpaciocepcijski pristup u dijagnostici i rehabilitaciji smetnji slušanja i govora, ali i drugih bolesti kojima se učestalo bavimo u svakodnevnom radu, a koje uključuju više organskih sustava, njeguje se u Poliklinici SUVAG od samog početka. Poticaj takvom razmišljanju dolazi od autora verbotonalne metode i njegovih najbližih suradnika koji su proučavajući sluh i slušanje shvatili da djelovanje različitih osjetila nije odvojeno, nego da u percepciji prostora, koja je preduvjet ostvarivanja svih ljudskih viših moždanih funkcija, dolazi do njihove suradnje i preklapanja, naročito na centralnoj razini, iako svaki osjetilni podražaj ima svoj optimalni put. Tijekom dijagnostike, ali i rehabilitacije, procjenjuju se mogućnosti svakog od osjetila, traži se optimalan modalitet podražaja kojim se osjetilo stimulira, nastoji se poboljšati diskriminacija osjeta, ali i komunikacija među osjetilima. Suvremena tehnologija i novi dijagnostički postupci uvelike pridonose jasnijem uvidu u anatomiju i funkciju pojedinih organa ili sustava, ali se „spaciocepcijskim“ razmišljanjem dobivenim podacima daje značenje koje pomaže usmjeravanju terapije i praćenju pacijentova napretka.Spacioceptive approach in diagnostics and rehabilitation of hearing and speech disturbances, but also in cases when more organic systems are affected, is fostered in our Polyclinic since the very beginning. The incentive for such an approach comes from the author of the verbotonal method himself, and his closest colleagues. While studying hearing and listening they realized that different senses do not function separately, and that although each sensory input has its optimal pathway in perception of space (that is a precondition of all human cognitive functions) they interact. This interaction is especially important on central levels. Through diagnostic and rehabilitation procedures, we try to evaluate the potential of each sensory system; we search for the optimal modality of the sensory input, try to improve stimulus discrimination, and communication between senses as well. Modern technology and novel diagnostic procedures contribute significantly to our understanding of the anatomy and physiology of sensory organs and systems, but „spacioceptive“ thinking gives additional significance to obtained diagnostic data, helping us to choose optimal therapy and follow-up of the patient
Psychosocial adjustment of children and adolescents with scoliosis
No full textAdolescent Idiopathic Scoliosis (AIS) is a complex process of a three-dimensional spine and trunk deformity, which appears in otherwise healthy subjects, and can progress in relation to multiple factors, during any period of rapid growth (Rigo and Grivas, 2010). Specifcally, the prevalence of postural scoliosis in adolescent population is estimated to be up to 40 %, the majority of which is diagnosed in young girls (Ostojić et al., 2006). The prognosis is dependent on factors such as the location of the curve, the severity of the curve and time of onset. Medical treatment such as bracing is crucial for improvement of physical health, but it affects children and adolescents psychological and social functioning. The objective of this study was to determine stress factors and compliance enhancers. In research we used both qualitative and quantitative methods. Participants were submitted to semi-structured interview that was taped. Seven interviewed participants (two male and fve female) in the age from 11 to 17 years old and all of them were diagnosed with scoliosis during primary school. Participants were asked about their body- and self-image, eating attitudes, distress, life satisfaction and about their sources of information on their condition. Results suggest that the majority of children and adolescents have experienced some change in psychological or social functioning after the diagnosis ranging from feeling shame and trying to hide the diagnosis to feeling uneasiness and discomfort. However, participants did not believe that being diagnosed with scoliosis had a serious impact on their life. Similarly, even though all participants believed that their behavior could impact the condition (i.e. they considered that wearing the brace could help them), only one participant reported wearing the brace for the recommended amount of time and adhering to advised training regimens. As for the emotional reactions, they ranged from denial to anger, sadness and acceptance. Even though four participants emphasized the lack of information provided by medical specialists, doctors were still the main source of information about scoliosis followed by parents and the Internet. The majority of participants did not report issues in social relationships because of their diagnosis. Results and implications will be further discussed in the presentation