The essential, up-to-date guide for helping children with language and listening problems. Does your child have trouble getting the right words out, following directions, or being understood? In this revised new edition of Childhood Speech, Language, and Listening Problems, speech-language pathologist Patricia Hamaguchi - who has been helping children overcome problems like these for more than 30 years - answers your questions to help you determine what's best for your child. This newest edition: Expands on speech and articulation issues affecting toddlers. Includes a new chapter on socially "quirky" children. Explains how to get the right help for your child, including when to wait before seeking help, how to find the right specialist, and how the problem may affect your child academically, socially, and at home. Covers major revisions in educational laws and programs and insurance coverage as well as current information on new interventions and cutting-edge research in the field. Updates information on autism spectrum disorders, neurobiological disorders, and auditory processing disorders. More than 1.1 million children receive special education services each year to address speech and language problems, and many others struggle with language and listening to some degree. If your child is one of them, this book gives you the crucial and up-to-date guidance you need to help him or her both in school and at home. PLEASE NOTE: When you purchase this title, the accompanying reference material will be available in your My Library section along with the audio. 1. Language: English. Narrator: Darla Middlebrook. Audio sample: http://samples.audible.de/bk/acx0/001654/bk_acx0_001654_sample.mp3. Digital audiobook in aax.
Research Paper (postgraduate) from the year 2008 in the subject Business economics - Banking, Stock Exchanges, Insurance, Accounting, grade: 1,7, University of applied sciences, Neuss, course: General Economics, language: English, abstract: The subprime mortgage financial crisis is an ongoing financial crisis which was caused by the sharp rise in the US subprime mortgage market that began in the United States in fall 2006 and became to a global financial crisis in July 2007. Rising interest rates increased the monthly payments on newly-popular adjustable rate mortgages and property values suffered declines from the demise of the US housing bubble, leaving home owners unable to meet financial commitments and lenders without a means on their losses. Many observers believe this has resulted in a severe credit crunch, threatening the solvency of a number of financial institutions and marginal banks. Declines in stock markets worldwide, several worthless hedge funds, central bank interventions, contractions of retail profits and bankruptcy of several mortgage lenders are some of the results we saw in this subprime crisis. The crisis was caused by several reasons, e. g. the developments on the US housing market, the insolvency of many American loan takers, the absence of appropriate diligence of the financial institutions and within the created financial assets, the delayed intervention of the regulating authorities and the activities of the rating agencies while evaluating the credit derivatives and securitizations. The theoretical optimum for an investment is a high return without any risk and without loosing liquidity. The real situation shows that an investor has to match these three points optimal for his own investment strategy. A higher return is always linked to a higher risk and increased uncertainty. And if the money is expended the investor looses a part of his liquidity. Credit derivatives and securitizations are used to separate the risk of credits from the original credit relation. These instruments can be handled on markets for credit risk transfer and have a great impact on credit business. The market for credit risk transfer can be separated into the market for credit derivatives, on which single credit risks or baskets of few similar risks are dealt, and the market for securitizations, which means that a lot of different risks are bundled together to a separate estate and dealt afterwards. The aim of these instruments is to make credit risks dealable and therefore a standardisation with appropriate transparency is necessary. [...]
Master's Thesis from the year 2017 in the subject Economy - Health Economics, grade: 1,0, Apollon University of Applied Sciences Bremen (Gesundheitsökonomie), course: Masterstudiengang, language: English, abstract: In February 2016, approximately 100,000 people in Germany were affected by chronic kidney disease. 80,000 people in a dialysis program and 20,000 in post-transplant care. The figures are based on projections of health insurance data. 95 % of the dialysis treatment is carried out in a dialysis facility 3 times a week for 4 to 5 hours. A suitable vessel access/shunt is necessary to carry it through. As a 'lifeline' and at the same time 'Achilles heel' it influences the quality of dialysis and thus also the quality of life of chronically ill people. The access of first choice is an arterio-venous fistula (AVF), which is punctured 375 times a year during 3 dialysis treatments per week 2 punctures per dialysis treatment in 52 weeks per year. Mispunctures and additional dialysis were not considered. Aim: The work examines the benefits of ultrasound-guided shunt puncture from the point of view of cost units and service providers. The following questions are to be answered: 1. Provides the use of ultrasound-guided shunt puncture for payers and for the in-dividual dialysis unit a concrete monetary benefit? 2. Is the acceptance of the shunt punctures by the patients with the use of ultra-sound technique improved? 3. Is the use of ultrasound technology associated with an improvement in puncture quality and a longer shunt survival? Results: There are only a few studies on the use of ultrasonic controlled shunt puncture. None of the users has yet investigated and documented their benefits in a structured manner. The more than 10 years of experience of the team of the slide analysis facility of the Ev. Stift Koblenz under the leadership of Doctor Morgenstern and Doctor Kurb could be used for this work. The greatest monetary benefit results for the cost objects. Outpatient care and radiolog-ical interventions without inpatient admissions represent considerable savings potential. From the perspective of nephrologists in private practice, additional costs are initially incurred for the acquisition of ultrasound technology and the further training of nursing staff. The introduction of ultrasound-assisted shunt puncture requires organizational and personal adjustments, which must be supported and supported by the medical directors of the dialysis facilities.
Notwithstanding past achievements, flood damage continues to rise throughout the world as the magnitudes of floods increase, partly as a result of poor land management and partly by climate change, growing populations and continuing development in flood-prone areas, and the aging and deterioration of flood defences. One of the major goals of water management is the protection of society from floods. That issue is addressed here in terms of such broad issues as flood analysis, flood impact, non-structural and structural flood management measures. Non-structural measures focus on flood plain management, flood insurance, flood forecasting and warning, and emergency measures during floods. Structural measures focus on catchment management, embankments and flood reservoirs. Post-flood measures are also discussed. Future planning of flood management should be based on a clear understanding of the effectiveness interventions and their impacts on river catchment ecosystems.
Taming is for women contemplating childbirth and facing the interventional practices currently the mode. Taming explores the common interventions in hospital birth responsible for the rising incidence of violence, depression and suicide in children. Taming is an in-depth critique of modern obstetrical care while it instructs and encourages safer solutions in childbirth. Taming addresses the cause and effect of fetal trauma stressing fetal consciousness and sentience. Taming offers safe alternatives to the progressively interventional medical management of normal childbirth. Medically managed birth is about considerations of the doctors, the institutions, the insurance companies, and the fear of malpractice claims. Our babies are not products. They are conscious, feeling, sentient beings from the day of conception and must be honored as such. Part One is a review of institutional childbirth care delivery. This section is to give the reader a foundation to understand the medical model and the politics of hospital care. Part Two is designed to open the understanding of the prenatal and birth aspects of obstetrical management and attempts to clarify 'Intentionality'. Part Three offers a solution to and completion of birthing practices contrasted with the prospective of Mother-Baby-Centered childbirth. Taming attempts to answer the question: Is there a way for childbirth to occur where the baby's consciousness and sentience is implicit and where mother's authority over her body and process is maintained and respected?
K. H. Sheikh, MD, MBA Fellow of the American College of Cardiology Diplomate of the American Board of Clinical Lipidology Heart disease caused by atherosclerosis affects 17 million Americans. Nearly 1.5 million Americans have heart attacks each year, 2 million undergo angioplasty, stent or bypass procedures and 700,000 die annually from heart disease. An additional 100 million Americans are at-risk for heart disease on the basis of having abnormalities in blood cholesterol. However, with the proper knowledge and tools, in nearly all instances heart disease can be prevented in those that don't yet have it, and reversed in those that already do. The U.S. national guidelines for the assessment of cardiovascular risk are valuable from the standpoint of public health policy, but in no way insure that on an individualized basis, you will get the best care. To do this requires you acquire the knowledge about what causes heart disease, understand the tools to diagnose and treat heart disease and then partner with your health care provider to develop your personalized plan to manage your heart risk. This book will give you the knowledge and tools to do exactly this. There is abundant scientific evidence that heart disease is almost completely preventable, controllable and even reversible by changes in diet and lifestyle. Heart disease is caused by atherosclerosis, the process by which fat deposits develop inside the arteries of our circulation system. Atherosclerosis is much more complicated than the common misperception that it simply involves clogging of the arteries with cholesterol. By understanding what factors promote atherosclerosis, and assessing your specific and personalized risk profile, you can initiate steps to not only prevent and treat atherosclerosis, you can actually reverse atherosclerosis. This book reviews the various heart risk factors and tells you how and to what extent they affect atherosclerosis. You will learn about which heart tests are actually valuable, which ones to avoid, and which ones to insist upon (even if your insurance company balks). You will learn the how, why, which and when about lifestyle interventions, diets, supplements, vitamins, medications, surgery and angioplasty. You will see insider information about where our medical system for heart care does very well, and where it does very poorly. How is it that the U.S. spends more on heart care than the rest of the world, and we still perform so poorly in heart disease prevention? Why do we so poorly in administering heart care to women, children, elderly and minorities? Dr. K.H. Sheikh is a full-time cardiologist practicing on Florida's Space Coast. Treating a sophisticated population of patients ranging from NASA astronauts, scientists, engineers, and technicians to motivated people just like you, Dr. Sheikh offers the same information and guidance that he has provided his patients who want to help themselves or a loved one prevent or reverse heart disease. Unlike many books on this subject which simplify the science of atherosclerosis, this book is sophisticated and advanced in the level of science presented, but presents the information in a common sense approach with practical applications. Once you understand the science of heart disease, the principles of prevention and treatment not only become clearer, but you can separate the many common misconceptions, myths and misinformation about heart disease prevention and treatment from what is accurate and scientifically proven. This comprehensive guide will help you understand heart disease, cholesterol metabolism and learn how to take charge of implementing your personal cardiovascular disease prevention, treatment and reversal strategies. If you are willing to make the effort, you will find the rewards will be a longer and improved quality of your life. These are the first steps so you 'Don't Let Your Heart Attack!'
This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors-for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender diverse individuals in a clinical setting. You'll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients' different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.