Effect of oromotor exercises on energy and duration of anterior voiceless non-emphatic consonants in spastic dysarthria

Treatment of dysarthric children may rely on speech therapy [direct therapy] or on oro-motor exercises [indirect therapy]. Some authors believe that therapy is more effective when both methods are applied. Others believe that application of oro-motor exercises provide little or no beneficial effect. The aim of this work was to study the effect of oromotor therapy on the energy and duration of anterior non-emphatic voiceless Arabic consonants prior to and after therapy in order to obtain a more objective view about the progress achieved by therapy which would aid in selecting the most appropriate line of therapy for such patients. Subjects and methods: Thirty dysarthric children and fifteen normal children of both gender participated in this study. The dysarthric children were randomly divided using a customized random sample into 2 groups. One group received speech therapy while the other group received speech therapy, in addition to, oromotor exercises. Spectrographic analysis of the anterior voiceless non-emphatic consonants /f/, /thea/, /t/, and /s/ was performed prior to and after therapy. Spectrographic analysis for the normal group was done during the study. The study extended over a period of about 9 months. Spectrographic analysis revealed reduction in the duration of consonants and increase in their energy values for both patients group with more significant improvement when oromotor exercises were applied the application of oromotor exercises in conjunction with speech therapy can aid in improving the production of anterior non-emphatic voiceless consonants in dysarthric patients. 1-Considering oromotor therapy while planning any speech rehabilitation program for dysarthric patients as it can be beneficial in some patients. 2- Thorough objective analysis of other phonemes and follow up for longer duration to detect any subclinical improvement achieved by different lines of therapy which would help in selecting the most effective and rapid ones in improving the speech of dysarthric patients

Evaluation of post-partum blood loss after misoprostol induced labor.

To objectively evaluate postpartum blood loss after successful misoprostol induction, and compare itwith blood loss after oxytocin induction of labor.One hundred women with completed 40 weeks singleton normal pregnancy, average size cephalic fetus,fifty in oxytocin induction group, and fifty in misoprostol induction group. Blood was collected in suction set andmeasured in the delivery room starting after delivery of the fetus, and was evaluated by pad weighing in thefollowing six hours.Blood loss was significantly greater in the misoprostol induction group than in oxytocin .induction group [392.5 +/- 110.3 vs. 283.75+64 ml]. Blood loss in misoprostol induction group was significantly correlated withhigher Bishop score, and short labor duration. Misoprostol induction is associated with increased blood loss, and is better reserved for casesrequiring cervical ripening

Clasificaciòn de tumores ovaricos por ultrasonografia / Clasification of ovarian tumors by ultrasonography

Se presenta una experiencia de aplicaciòn de la Tabla de Clsificaciòn Ultrasònica de Tumores Ovàricos desarollada por el departamento de Ginecologia y Obstetricia de la Universidad de Tokio Japòn. Se trata de 50 casos de tumores ovàricos diagnosticados o confirmados por ecografia con propòsitos operatorios en la Clinica del Centro Mèdico de Diagnòstico de la ciudad de Potosi, Bolivia. Delos 50 tumores, 22 fueron sometidos a estudios histològicos. Con los patrones ecoicos de la clasificaciòn el indice de negatividad es de 44.0 porciento de 28.0 porciento el de sospecha de malignidad y de 40.0 porciento el de malignidad. Se concluye que la clasificaciòn es ilustrativa y simple, aunque es recomendable la confrontaciòn permanente con la histopatologia y la acumulaciòn de casos para ganar experiencia en el uso de la tabla