Includes bibliographical references (leaves 213-224).

Background Since its introduction in the 1980s, reports show an increase in the placement of gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date, little has been reported on the practices, perceptions and experiences of the health care practitioners when engaging in the management of children with gastrostomies. Research aims This study aims to provide insight into the practices as well as the perceptions and experiences of the health care practitioners working with gastrostomies in a paediatric setting. Method A qualitative interpretative design was used. Eighteen healthcare practitioners, who form part of the multidisciplinary team working with paediatric gastrostomies, from one of the two prominent tertiary institutions in Cape Town, South Africa were recruited for this study. Semi structured interviews were conducted after which data analysis took place. Results Four themes emerged from the data collected; experience of better patient health evolving post gastrostomy despite complications, health care practitioners’ perceived change to a family’s quality of life, the gastrostomy process: just as you think it’s going right then something goes wrong; and experiencing multidisciplinary team work, and its influences on the management of patients with gastrostomies. Conclusion The health care practitioners reflected on their practices, perceptions and experiences of gastrostomy management as being a process. During the different stages of the process, they engaged with the advantages and disadvantages the gastrostomy has on the health of a child; the positive and negative influences on the quality of life for families and identified the importance of but also the lacking in the provision of education and ongoing support for caregivers. An effective multidisciplinary team is a requirement for the management of the gastrostomy; inadequacies within the team contributed to undesirable service delivery and poor health outcomes for the child. This study highlights the importance of and the need for the implementation of best practice guidelines for gastrostomy decision-making, placement and management in the paediatric setting.

Research suggests that speech and language disorders are among the most prevalent childhood disabilities in many countries. Identification and intervention for children with communication disorders are sought at an early stage, to avoid the consequences of untreated childhood speech and language problems that can lead to academic underachievement and even persist into adulthood. However, no study has been reported on the prevalence of speech and language disorders in the general population in Cameroon. Despite the published literature on the national burden of disease suggesting that a significant number of Cameroonian children might have limitations in their speech and language abilities. This descriptive cross-sectional study aimed to determine the prevalence of speech and language disorders, specifically, articulation, expressive language, receptive language, fluency and voice disorders; in a representative sample of French-speaking preschool children in Yaoundé, the capital city of Cameroon. A total of 460 children aged 3 to 5 years were recruited from the seven communes of Yaoundé city using multi-stage random sampling method. As there was no validated speech and language test available for the population of French-speaking preschool aged children in Cameroon, this study has contributed in its first part, to provide norms on three subtests of a standardised French speech and language test, the 'Evaluation du Langage Oral' (ELO) for this population. These norms can be used for clinical practice and research purpose in Cameroon. In order to determine the prevalence of articulation, expressive and receptive language disorders, a cut-off of two Standard Deviations (SD) below the normative mean was applied. The identification of fluency and voice disorders among participants was based on clinical judgement. All the assessments were performed by the researcher who is a qualified speech-language therapist with experience of practice in Cameroon. The findings indicated that the prevalence of articulation disorders was 3.6%, expressive language disorders was 1.3%, receptive language disorders was 3%, fluency disorders was 8.4% and voice disorders was 3.6%. The overall prevalence of speech disorders was 14.7%, language disorders 4.3% and speech and language disorders 17.1%. There was no significant difference in the prevalence of speech and language disorders according to gender. The prevalence of speech and language disorders in the present study was higher than that of many previous investigations conducted in other countries. The findings of this research reveals and emphasises the urgent need to build a strategy to develop speech and language services to serve the Cameroonian population.

Recent shifts in the philosophy of aphasia rehabilitation have engendered research interests in the broad and long-term consequences of the condition. In response, this study aimed to describe and compare acute and long-term consequences of aphasia. Indepth interviews were conducted with fifteen adults at different stages of recovery poststroke. Topics probed included communication, family relationships, friendships, daily activities, independence, emotional status and self-image. Data was analysed thematically and meaningful units were coded and classified according to the International Classification of Functioning, Disability and Health (ICIDH-2). Results revealed common themes across the broad psychosocial consequences for individuals with aphasia and a concerning lack of public awareness of the aphasic condition. Further, a pattern of declining participation across the continuum of recovery was apparent. Drawing on the data obtained, the importance of long-term service delivery that focuses on the psychosocial adjustment of the individual with aphasia and their environment is highlighted.

Inlcudes bibliographical references / Teachers form an important part of the multidisciplinary team as one of main communication intervention partners for children who stutter (CWS). Teachers' attitudes towards stuttering are therefore important as attitudes are likely to influence behaviour. Through determining their attitudes as well as examining the factors influencing their attitudes, speech - language therapists will be able to develop and implement professional development programmes specifically tailored for teachers, if needed. The primary aim of the study is to describe primary school teachers' attitudes toward stuttering related to their beliefs, reactions and classroom management strategies. Furthermore, it compares South African teachers' attitudes to the Public Opinion of Human Attributes – Stuttering (POSHA-S) database archive. As a secondary aim, the study explores the association between selected demographic factors and participants' attitudes toward stuttering. A quantitative, cross - sectional survey design was used. The POSHA-S was administered to a cluster randomised sample of 469 participant s in two education districts in the Western Cape. The results indicated an overall positive attitude toward stuttering. The attitudes of the South African sample were slightly more positive compared with the samples in current POSHA-S database. Analysis of the selected demographic factors revealed significant results for the teaching – related factors: quintile and years of teaching experience, and for personal factors: gender, first language, familiarity and age. The implications of these data for planning professional development programmes specifically tailored for the South African context are discussed.

Includes abstract. / Includes bibliographical resources. / Feeding and/or swallowing difficulties (FSD) have been associated with some of the leading causes of infant and child mortality in South Africa. Preventable conditions such as lower respiratory tract infections (LRTI) and under-nutrition may be caused by FSD. FSD are frequently reported in paediatric populations and may occur with various medical co-morbidities. The nature of FSD is however under described and information specific to developing countries is scarce. Furthermore, limited information regarding the service delivery requirements of the paediatric population with FSD is available. To describe in a paediatric population: the nature and frequency of FSD, the nature of FSD in different medical conditions or participant characteristics, and the nature of the services and interventions received by infants and children with FSD. A descriptive, retrospective survey design was used to examine the medical records of 446 infantsand children aged less than 13 years who accessed services for FSD at a paediatric tertiary hospital from January 2007 to December 2009. Seventy percent of participants were under the age of 2 years at the time of first assessment. The nature of participants’ FSD, the medical conditions present, and services/interventions received were recorded. The data were described and associations were analysed statistically. Infants and children with FSD often presented with various medical co-morbidities affecting multiple organ systems with neurologic and gastro-intestinal tract conditions occurring most frequently. A third (34%) of the participants had confirmed aspiration on instrumental assessment. Participants with confirmed aspiration presented with statistically significantly more aspiration pneumonia (x2 = 26.4314, p <; .001) and unspecified LRTI (x2 = 21.2757, p <; .001) than those without aspiration. Participants required a range of services for FSD from Speech-Language Therapists (SLT) as well as medical intervention, and surgical procedures. Most participants (91%) received intervention for FSD for an average of 6 months with a mean of 6 SLT consultations. Forty-three percent of participants completed intervention while 20% continued to receive intervention. The present study profiled paediatric FSD in the Western Cape, South Africa. Infants and children with FSD presented with varied and multiple underlying medical conditions. The safety of swallowing was often (34%) compromised in this population which may have affected respiratory health negatively. Infants and children with FSD frequently presented with LRTI and growth faltering/under-nutrition, two of the leading causes of death in children under the age of 5 years. There is a need for dysphagia services at primary and district levels of health care in the Western Cape to detect and prevent paediatric FSD. While the management of FSD requires the collaboration of many health care professionals, the inclusion of SLTs and dieticians into primary and district level teams may assist with the identification of FSD for early intervention and may prevent FSD-related LRTI and undernutrition in infants and children with FSD

Purpose: The purpose of this document is threefold: (a) review the uses of the terms “vocal fatigue,” “vocal effort,” “vocal load,” and “vocal loading” (as found in the literature) in order to track the occurrence and the related evolution of research; (b) present a “linguistically modeled” definition of the same from the review of literature on the terms; and (c) propose conceptualized definitions of the concepts. Method: A comprehensive literature search was conducted using PubMed/MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Scientific Electronic Library Online. Four terms (“vocal fatigue,” “vocal effort,” “vocal load,” and “vocal loading”), as well as possible variants, were included in the search, and their usages were compiled into conceptual definitions. Finally, a focus group of eight experts in the field (current authors) worked together to make conceptual connections and proposed consensus definitions. Results: The occurrence and frequency of “vocal load,” “vocal loading,” “vocal effort,” and “vocal fatigue” in the literature are presented, and summary definitions are developed. The results indicate that these terms appear to be often interchanged with blurred distinctions. Therefore, the focus group proposes the use of two new terms, “vocal demand” and “vocal demand response,” in place of the terms “vocal load” and “vocal loading.” We also propose standardized definitions for all four concepts. Conclusion: Through a comprehensive literature search, the terms “vocal fatigue,” “vocal effort,” “vocal load,” and “vocal loading” were explored, new terms were proposed, and standardized definitions were presented. Future work should refine these proposed definitions as research continues to address vocal health concerns.

Late language emergence (LLE) may result from genetic and environmental factors. Little is known about environmental factors in LLE in South Africa. The study describes the nature of differences in language functioning between toddlers with LLE and without LLE, and which factors were associated with LLE in a middle-income area in South Africa. Toddlers, aged 24- to 36 months with LLE (n=20) were matched with a control group (n=21) for household income, age, gender, maternal education and parental employment. The research group showed moderate delays in expressive and receptive language, and play skills, while the controls exhibited no delay. Significant differences in early feeding history and multilingual exposure were found between the groups. As far as known it is the first study utilising a South African middle-income sample indicating that multilingual exposure may play a role in LLE. The study focusses the attention on environmental factors which are potentially modifiable in LLE. / Dissertation (MA (Speech-Language therapy))--University of Pretoria, 2021. / Speech-Language Pathology and Audiology / MA (Speech-Language therapy) / Unrestricted

Graduate Student Scholarship and Student Research Grant recipients, along with National Student Speech Language Hearing Association representatives, enjoy the 2019 ASHFoundation Founders Breakfast in Orlando.

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