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When schools closed their doors to students due to the COVID-19 pandemic, some children were left without necessary services they were used to getting at school--everything from counseling to speech therapy."Definitely, first thing I thought of was how can we continue the speech therapy and not disrupt his normal schedules," said parent Ryan Flynn. Flynn says his 6-year old son, Dylan, was in speech therapy at school twice a week and was doing so well that his sessions went down to once a week. When the pandemic hit and their school shut down, he was worried his son’s progress would regress. So, he researched virtual speech therapy and says the results were unbelievable."He loves being on the computer anyways, right, so he’s naturally drawn because of that,” Flynn said. “But they really tailor the sessions based on their needs and likes and dislikes, so not only do they go through a specific kind of curriculum for speech therapy, but they integrate games that he likes that they’ve identified through the initial assessment.”Avivit Ben-Aharon, founder and clinical director of Great Speech, says services online can be just as helpful."Studies have shown that the efficacy of doing services online is just as effective as doing it in a brick-and-mortar traditional setting,” Ben-Aharon explained. Great Speech offers virtual speech therapy across the country. Ben-Aharon says they've seen an increase in people who are turning to virtual speech therapy after their in-person sessions were cancelled."What we typically see when kids stop service mid-service--not because they’ve graduated from service but because of a situation like now--you tend to see a regression on skills. We have to re-practice and re-teach the skills and it makes our whole process that much longer," said Ben-Aharon. She says many students rely on speech therapy to help them academically and socially, so continuing is crucial."We can share whiteboards. We can do screen share. We can write. We can type and communicate, and it makes such big difference because it’s so interactive," said Ben-Aharon. Plus, going virtual has its benefits."Doing this virtual model, you no longer have to deal with the stressors such as traffic, scheduling conflicts and concerns," said Ben-Aharon.Flynn agrees."It's so convenient, especially since I have shared custody with my ex-wife. I mean, we don’t have to worry about coordinating schedules. It's him jumping on a computer and doing these half-an-hour sessions each, so there’s really no reason for me to stop," said Flynn.His son, Dylan, has seen so much progress with virtual speech therapy sessions that his parents will likely continue them even after school has started back up in order to give their son the resources he needs to develop successfully. 2799
Welcome to Crashville. Got stuck waiting on a plane at BNA due to weather on the way back to Atlanta. We finally pull back and they crash the plane into another plane. Took the S right off. What’s going on @SouthwestAir #Crashville #outhwest #Letsgo pic.twitter.com/zZrf5JP3sZ— eric borden (@HundredproofEB) July 21, 2019 333

When Jill Lorentz was in her 20s, she said her mother started showing signs of forgetfulness. “As we got a little bit older, she started having mild memory loss and we didn’t think anything of it really," she recalled. "We just thought it comes with age.” However, she later learned her mother had Alzheimer’s Disease, a form of dementia.“She would ask you the same question that you had just answered,” Lorentz explained.Dementia causes a decline in memory, language, and problem solving.“The disease takes them in a place in the progression where they start losing the ability to go A to Z on any action,” Lorentz said. Lorentz saw this happen to her mom over the years, and eventually, to other members of her family, too. “We have had eight people in our family with some type of dementia,” she said.Every 65 seconds, someone in the U.S. develops Alzheimer’s Disease. Nearly six million people in the U.S. over the age of 65 are living with it, according to 2020 stats from the Alzheimer’s Association. “A lot of the focus is on today, what do we do now that we don’t have a cure and every little in the way of a treatment,” Amelia Schafer, the executive director of Alzheimer’s Association Colorado Chapter, said. “We now have more people living with Alzheimer’s and dementia than ever in our country and when we look at the trajectory we know it’s not slowing down.”One of the biggest risk factors is age.“Age is the number one risk factor so as we are aging as a population here in the U.S. it’s possible we’re more at risk,” said JJ Jordan, the Community Chair for Dementia Friendly Denver, a nonprofit that educates communities about dementia.As more people enter the later years of their life, with more awareness and more knowledge of the warning signs, different types of dementia are able to be diagnosed easier today than before.“I get about 90, 95 percent of my diagnosis from talking to them, getting to know them,” Dr. Samantha Holden, a behavioral neurologist with University of Colorado Health, said. “Even though we can’t cure these things, we can definitely manage them and make sure we’re improving people’s quality of life.”That’s where caregivers like Lorentz play an important role in the life of someone who has been diagnosed. After learning lessons taking car of her mom, she is now a caregiver to her sister, Judy, who also has dementia and lives in another state.“The one thing that I’ve done with my sister is having really open and honest conversations with her and having a safe place for her to come,” Lorentz said. 2561
Virginia lawmakers have voted to ban firearms at the state Capitol, the first in what's expected to be many contentious gun votes in coming weeks. Newly empowered Democrats in the General Assembly voted Friday to ban guns at the Capitol and a legislative office building, saying the move was needed to protect public safety. Republicans have voiced opposition to such a ban and some GOP lawmakers routinely carry guns into the Capitol. Public officials have expressed concerns about planned Jan. 20 rallies that are set to draw huge crowds of pro-gun and gun-control advocates. 589
Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223
来源:资阳报