Client’s Age: 49 Disorder: Dysphonia and Vocal Fold Nodules Observation #1 Amanda is a police officer, and her responsibilities include frequent speaking engagement in which she must speak a lot of ambient noise. In addition, she has smoked a pack of cigarettes a day for 25 years. Amanda was referred to a speech pathologist for evaluation of her voice. An examination revealed an abnormal change in the voice, or dysphonia, most likely bilateral true vocal nodule on the medial surface of the left…
to unilateral vocal fold paralysis is a common voice disorders in adults. Another cause that leads to hypophonic voice is vocal fold atrophy due to certain neurologic diseases or aging. However, considering its prevalence among adults, treatments are limited. Treatment typically consists of voice therapy combined with behavioral approaches or surgery. Behavioral treatment includes exercises, such as vocal Function Exercise, to forcefully adduct the vocal folds. Surgery involves vocal fold…
voice clinic. Her complaints include her voice giving out and losing her voice when faced with heavy speaking demands and recent international travel. This has affected Ms. Chang’s career aspirations. The ENT found nothing physically wrong with the vocal mechanism. Assessment, referrals and treatment will be included in the case study for Ms. Chang. Assessment: I would begin the assessment by learning more case history information…
M.septentrionalis usually reside within the forests and caves, therefor their geographic range include forested places and mountainous locations. According to U.S Fish & Wildlife Services (USFWS), M.septentrionalis’s range include much of the eastern and north central parts of United States. Thus including 37 states: Alabama, Arkansas, Connecticut, Delaware, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri,…
(-- removed HTML --) The LandRover Range Rover Evoque is the smallest and most affordable model in the Range Rover line. Introduced in 2012, the Evoque brings Range Rover attainability to the Land Rover brand and comes in two- and four-door layouts as well as a convertible. If you’re shopping for a used LandRover for sale in Toronto, the Evoque is one we recommend. Here’s what makes a used Evoque worth your consideration: 1. The Range Rover Evoque offers a beautiful design. If you’re looking…
Team Poland in support of the Operation Atlantic Support. 1. Mr. Viegas continuously looked for ways to improve live firing ranges by performing in-house projects resulting in a cost savings of $15.000. He renovated/repaired the Range# 3A target frame retaining wall and constructed/installed Safety Danger Zone (SDZ’s) markings for seven Live Fire Ranges at Oberdachstetten Range Complex. Mr Viegas assisted the Local Training Area (LTA) Coordinator with ITAM projects by identifying improvements…
Australia is the flattest continent, with an average height of 330 metres above sea level, as well as an average annual precipitation of 450 millimetres, making it the driest inhabited continent there is. These characteristics are hidden beneath the range of exclusive topographic features and river systems that are found in Australia. While Australia is part of a global community there are many features of the physical and human environment that make the country unique. Taken together, these…
Overall the Btu/lb of the coal ranges from 12,210 to 15,150 on a dry basis and increases from the northern to the southern parts of the Raton Basin (Flores and Bader, 1999). The coal within the Vermejo Formation ranges from High Volatile bituminous C to low volatile bituminous (Rooper et al., 2006). Coal petrology indicates a vitrinite reflectance values of 0.57 to 1.58 percent…
devices in the entry level tier are the Roku Express and Express+. Roku has not only unleashed a deluge of streaming devices, but also some new functionality available in the Roku operating System. Furthermore, two of the devices support High Dynamic Range (HDR) video on HDR compatible TV 's. You can read about HDR video in this article,…
The client and context o Downtown Colorado, Inc (DCI) is a state-wide non-profit association working for commercial district and downtown revitalization. o The Downtown Loveland Association (DLA) is a 501c3 non-profit who is assisting and support with economic development in downtown Loveland. o DCI was approached by DLA with for assistance in developing and revitalizing the city of Loveland downtown. DLA has identified the Lovelander Hotel in the city of Loveland historic downtown district as…