How Can The Orton-Gillingham Approach Be Used As An Effective Tool To Receive A Deeper Understanding Of Syllables And Word Spelling For Students Who Are Hard Of Hearing?

Students who are deaf or hard of hearing come to school with limitations to learning that the average student does not have. Being able to hear words and sounds is an important part of learning to spell those words. This paper will identify some characteristics in the development of learning word syllable recognition and phonics, as well as, strategies to help improve learning for students who are deaf and hard of hearing by using the Orton-Gillingham Approach. The OrtonGillingham Approach uses a multisensory strategy that includes audio, visual, and feeling to help solidify word recognition and spelling. Although the approach was intended for students with dyslexia I feel it can benefit students who are deaf and hard of hearing

Constructed clothing: Fiber to finish

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Materiais restauradores provisórios em prótese fixa: importância estética, funcional e manipulação de contornos teciduais periodontais

Uma correta reabilitação protética baseia-se no estudo detalhado de técnicas específicas, através das quais a combinação de materiais restauradores provisórios e protocolos de confeção adequados se mostra fundamental para o sucesso do tratamento. O estudo das propriedades dos materiais provisórios, em conjunto com um protocolo de confeção apropriado, permitiu o desenvolvimento de várias tecnologias e soluções reabilitadoras, nas quais participam uma equipa multiprofissional e o paciente, visando atingir o objetivo terapêutico. Este trabalho visa realizar uma revisão da literatura relativa à evolução e à relevância dos materiais restauradores provisórios na busca da excelência estética e funcional, durante o processo de reabilitação protética, e na manutenção da arquitetura tecidual periodontal, desafio atual de equipas multidisciplinares. Para isso foi elaborada uma pesquisa bibliográfica na PubMed/Medline, B-On, Scielo e na biblioteca da Universidade Fernando Pessoa.A correct prosthetic rehabilitation is based on the detailed study of specific techniques, through which the combination of temporary restorative materials and suitable confection protocols is fundamental to a successful treatment. The study of the properties of the provisional materials, combined with an appropriate preparation protocol, allowed the development of several rehabilitation technologies and solutions, in which participate a multiprofessional team and the patient, aiming at reaching the therapeutic objective. This work aims to review the literature on the evolution and relevance of temporary restorative materials in the pursuit of aesthetic and functional excellence, during the prosthetic rehabilitation process, and in the maintenance of periodontal tissue architecture, the current challenge of multidisciplinary teams. For this, a bibliographic research was elaborated in PubMed /Medline, B-On, Scielo and in the library of the Fernando Pessoa University

Recommendation system using the k-nearest neighbors and singular value decomposition algorithms

Nowadays, recommendation systems are used successfully to provide items (example: movies, music, books, news, images) tailored to user preferences. Amongst the approaches existing to recommend adequate content, we use the collaborative filtering approach of finding the information that satisfies the user by using the reviews of other users. These reviews are stored in matrices that their sizes increase exponentially to predict whether an item is relevant or not. The evaluation shows that these systems provide unsatisfactory recommendations because of what we call the cold start factor. Our objective is to apply a hybrid approach to improve the quality of our recommendation system. The benefit of this approach is the fact that it does not require a new algorithm for calculating the predictions. We are going to apply two algorithms: k-nearest neighbours (KNN) and the matrix factorization algorithm of collaborative filtering which are based on the method of (singular-value-decomposition). Our combined model has a very high precision and the experiments show that our method can achieve better results

Increasing competitive advantage through upgrading : the automotive component manufacturing industry in South Africa

The research project investigates whether automotive component manufacturers located in South Africa are taking advantage of their participation in global value chains to functionally upgrade. Two factors, namely position in the value chain and global connectedness are assessed in terms of their effect on the propensity for firms to innovate and upgrade. Continuous pressure from value chain leaders to reduce costs coupled with increasing competition from other low-cost, developing economies means that South African automotive component manufacturers have to upgrade to improve their competitiveness and maintain their positions in the global value chain. This quantitative study analysed data collected through interviews from 76 companies in the National Association of Automotive Component and Allied Manufacturer‟s database of firms. The results support previous literature and demonstrate that indigenous innovation does occur under certain conditions. Whilst participation in global value chains seems to stimulate innovation, it does not necessarily guarantee that innovation will occur nor does it mean that innovation will automatically result in upgrading. Questions that require further investigation include among others the upgrading trajectory firms over time and a deeper understanding of the mechanisms used by innovation leaders to absorb and deploy the knowledge and technology obtained from global interactions. CopyrightDissertation (MBA)--University of Pretoria, 2010.Gordon Institute of Business Science (GIBS)unrestricte

Impact of nurse-surgeons on patient-centred outcomes : A systematic review

Background: Nurse-surgeons have been performing surgeries for decades. Yet, their impact on perioperative clinical outcomes has not been explored in detail. Objective: To investigate the impact of nurse-surgeons on patient-centred outcomes. Design: Systematic review Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram and checklist for systematic reviews were used as the screening and reporting guideline. CINAHL, Cochrane Library, MEDLINE, and PubMed databases were searched for articles that fit the review’s eligibility criteria. A combination of Medical Subject Headings, keywords and filters for each database were used. Following screening and full text review, the Mixed Methods Appraisal Tool was used for quality assessment and the Grading of Recommendations, Assessment, Development and Evaluations framework for certainty and confidence assessment. Narrative synthesis was used to report the findings due to the design heterogeneity of the included studies. Results: Forty-eight (n = 48) patient-centred outcomes were identified from 25 included studies. These outcomes were grouped into four categories: patient satisfaction and experience; waiting list; perioperative complications; and quality of surgical care. Patient satisfaction and experience was rated high to very high in 16 studies; none reported patient dissatisfaction. Waiting lists improved in eight studies. Perioperative complications were none to very low in nine studies. Mortality rates in the nurse-surgeon group were better than the physician group in three studies. The quality of care in the performance of surgeries by nurse-surgeons was either similar or better than physicians in ten studies. Conclusions: Nurse-surgeons performed safe, satisfactory, and high-quality surgeries with minimal perioperative complications similar to physicians. The use of nurse-surgeons has significantly reduced waiting lists regardless of surgical specialty. Policies around nurse-surgeon practice needs to be developed at national and international levels to streamline the delivery of much needed surgical services amidst the coronavirus pandemic in the areas of cancer diagnostic surgeries, emergency surgeries, minor surgeries, and remote and rural health

Love and Challenges of the World of Chess in Walter Tevis' The Queen's Gambit

Skripsi ini memberikan analisis menyeluruh tentang cinta dan tantangan seperti yang ditunjukkan oleh Walter Tevis dalam novelnya The Queen's Gambit. Mahakarya yang menyajikan gambaran mendalam tentang kehidupan dan permainan catur ini telah menjadi lambang sastra modern. Pendekatan Kritik Biografis digunakan dalam karya ini untuk memahami dan menggali pemikiran kompleks Tevis tentang dunia catur. Metode Kritik Biografi memungkinkan penulis untuk melihat karya sastra ini melalui lensa kehidupan dan pengalaman pribadi penulis. Studi ini mengikuti kehidupan Walter Tevis, mencari indikator cinta dan benci terhadap dunia catur yang mungkin memengaruhi penggambaran karakter utamanya, Beth Harmon, dalam karyanya. Untuk memahami latar belakang cerita lebih lengkap, faktor-faktor seperti perjuangan pribadi Walter Tevis dan hubungannya dengan pelaku catur akan dianalisis. Kajian ini memberikan kontribusi yang signifikan bagi pemahaman pembaca tentang bagaimana pengalaman pribadi seorang penulis dapat memberikan makna yang mendalam bagi karya sastra. Penelitian ini juga menunjukkan dampak The Queen's Gambit pada dunia catur modern. Tesis ini menciptakan portal segar untuk penilaian yang lebih mendalam atas literatur Walter Tevis melalui analisis terarah kritik biografis

Role of nurse-surgeons in global surgical care : A scoping review

Aim To identify the roles of nurse-surgeons in the provision of surgical care. Design Scoping review. Methods This scoping review adhered to the JBI guideline for scoping reviews and EQUATOR Network's PRISMA-ScR checklist. Searches were performed from May 2022 to July 2022 using a combination of MeSH headings, keywords and filters via database and hand searching based on the eligibility criteria. Keywords included nurse-surgeon, nurse endoscopist, nurse hysteroscopist and nurse cystoscopist. Data sources were CINAHL, Cochrane, Google Scholar, PubMed and Scopus. Descriptive analysis was used to report the findings. Results Ninety-six included records indicated nurse-surgeon practice in 26 countries. Forty-one nurse-surgeon titles were found, the majority of which were types of nurse practitioner. A total of 5,684,198 surgeries were performed by nurse-surgeons varying from laparotomies to biopsies. Nine records reported that nurse-surgeons perform surgeries safely and on par with physicians with zero to minimal complications. Nineteen records reported improved surgical care efficiency by nurse-surgeons in terms of patient access to surgery, waiting times, surgery times, patient show rates, patient education, physician workload and junior physicians' training. Seven records reported high patient satisfaction. Nurse-surgeons were cost-effective according to five records. Thirteen records recommended the standardization of nurse-surgeon practice. Conclusion Nurse-surgeons performed millions of surgeries worldwide assisting in easing the global surgical burden. This review identified the roles and benefits nurse-surgeons play in global surgical care. Research gaps on nurse-surgeon roles were discovered including the ambiguity in nurse-surgeon titles and the need to regulate nurse-surgeon practice. Impact This research addressed the clinical safety, quality, contribution to timely surgical access and cost efficiency of nurse-surgeon performed surgeries, as well as the need to standardize nurse-surgeon practice and use a more consistent nurse-surgeon title to ensure role identification and monitoring

High speed rotor assembly shroud

An improved rotor assembly shroud includes at least one reinforcing flange on the upper surface of the shroud. The strength provided by the reinforcing flange allows for a smaller shroud thickness resulting in a net reduction of shroud mass. The lower shroud mass reduces the centrifugal stress on the rotor assembly blade during operation. The strength provided by the reinforcing flanges also significantly reduces the centrifugal bending stress on the shroud during operation. The shroud mass may be further reduced by tapering the shroud leading and trailing edges or, for shrouds incorporating a damper, by providing a damper cavity with a lower diameter surface defining an opening therethrough

Materiais restauradores provisórios em prótese fixa: importância estética, funcional e manipulação de contornos teciduais periodontais

Uma correta reabilitação protética baseia-se no estudo detalhado de técnicas específicas, através das quais a combinação de materiais restauradores provisórios e protocolos de confeção adequados se mostra fundamental para o sucesso do tratamento. O estudo das propriedades dos materiais provisórios, em conjunto com um protocolo de confeção apropriado, permitiu o desenvolvimento de várias tecnologias e soluções reabilitadoras, nas quais participam uma equipa multiprofissional e o paciente, visando atingir o objetivo terapêutico. Este trabalho visa realizar uma revisão da literatura relativa à evolução e à relevância dos materiais restauradores provisórios na busca da excelência estética e funcional, durante o processo de reabilitação protética, e na manutenção da arquitetura tecidual periodontal, desafio atual de equipas multidisciplinares. Para isso foi elaborada uma pesquisa bibliográfica na PubMed/Medline, B-On, Scielo e na biblioteca da Universidade Fernando Pessoa.A correct prosthetic rehabilitation is based on the detailed study of specific techniques, through which the combination of temporary restorative materials and suitable confection protocols is fundamental to a successful treatment. The study of the properties of the provisional materials, combined with an appropriate preparation protocol, allowed the development of several rehabilitation technologies and solutions, in which participate a multiprofessional team and the patient, aiming at reaching the therapeutic objective. This work aims to review the literature on the evolution and relevance of temporary restorative materials in the pursuit of aesthetic and functional excellence, during the prosthetic rehabilitation process, and in the maintenance of periodontal tissue architecture, the current challenge of multidisciplinary teams. For this, a bibliographic research was elaborated in PubMed /Medline, B-On, Scielo and in the library of the Fernando Pessoa University