Assessment and diagnosis of Developmental Language Disorder: The experiences of speech and language therapists

© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).Background: For many years research and practice have noted the impact of the heterogeneous nature of Developmental Language Disorder (also known as language impairment or specific language impairment) on diagnosis and assessment. Recent research suggests the disorder is not restricted to the language domain and against this background, the challenge for the practitioner is to provide accurate assessment and effective therapy. The language practitioner aims to support the child and their carers to achieve the best outcomes. However, little is known about the experiences of the language practitioner in the assessment process, in contrast to other childhood disorders, yet their expertise is central in the assessment and diagnosis of children with language disorder. Aims: This study aimed to provide a detailed qualitative description of the experiences of speech and language therapists involved in the assessment and diagnosis of children with Developmental Language Disorder. Methods & Procedures: The qualitative study included three focus groups to provide a credible and rich description of the experiences of speech and language therapists involved in the assessment of Developmental Language Disorder. The speech and language therapists who participated in the study were recruited from three NHS Trusts across the UK and all were directly involved in the assessment and diagnosis procedures. The lengths of practitioner experience ranged from 2 years to 38 years. The data was analysed using a thematic analysis in accordance with the principles set out by Braun & Clarke (2006). Outcomes & Results: The data showed a number of key themes concerning the experiences of speech and language therapists in assessing children with Developmental Language Disorder (DLD). These themes ranged from the participants’ experiences of the barriers to early referral, challenges for assessment and the concerns over continued future support. Conclusions & Implications: This study provides first-hand evidence from speech and language therapists in the assessment of children with Developmental Language Disorder, drawing together experiences from language practitioners from different regions. The findings provide insight to the barriers to referral, the potential variations in the assessment process, the role of practitioner expertise and the challenges faced them. The importance of early intervention, useful assessment tools and future support were expressed. Taken together, the results relate to some issues to be addressed on a practical level and a continuing need for initiatives to raise awareness of DLD in the public domain.Peer reviewe

Growth in densely populated Asia: implications for primary product exporters

Economic growth and integration in Asia is rapidly increasing the global economic importance of the region. To the extent that this growth continues and is strongest in natural resource-poor Asian economies, it will add to global demand for imports of primary products, to the benefit of (especially nearby) resource-abundant countries. How will global production, consumption and trade patterns change by 2030 in the course of such economic developments and structural changes? We address this question using the GTAP model and Version 8.1 of the 2007 GTAP database, together with supplementary data from a range of sources, to support projections of the global economy from 2007 to 2030 under various scenarios. Factor endowments and real gross domestic product are assumed to grow at exogenous rates, and trade-related policies are kept unchanged to generate a core baseline, which is compared with an alternative slower growth scenario. We also consider the impact of several policy changes aimed at increasing China's agricultural self-sufficiency relative to the 2030 baseline. Policy implications for countries of the Asia-Pacific region are drawn out in the final section

Effect of Particle Non-Sphericity on Satellite Monitoring of Drifting Volcanic Ash Clouds

Volcanic eruptions loft gases and ash particles into the atmosphere and produce effects that are both short term (aircraft hazards, interference with satellite measurements) and long term (atmospheric chemistry, climate). Large (greater than 0.5mm) ash particles fall out in minutes [Rose et al, 1995], but fine ash particles can remain in the atmosphere for many days. This fine volcanic ash is a hazard to modem jet aircraft because the operating temperatures of jet engines are above the solidus temperature of volcanic ash, and because ash causes abrasion of windows and airframe, and disruption of avionics. At large distances(10(exp 2)-10(exp 4) km or more) from their source, drifting ash clouds are increasingly difficult to distinguish from meteorological clouds, both visually and on radar [Rose et al., 1995]. Satellites above the atmosphere are unique platforms for viewing volcanic clouds on a global basis and measuring their constituents and total mass. Until recently, only polar AVHRR and geostationary GOES instruments could be used to determine characteristics of drifting volcanic ash clouds using the 10-12 micron window [Prata 1989; Wen and Rose 1994; Rose and Schneider 1996]. The NASA Total Ozone Mapping Spectrometer (TOMS) instruments aboard the Nimbus-7, Meteor3, ADEOS, and Earth Probe satellites have produced a unique data set of global SO2 volcanic emissions since 1978 (Krueger et al., 1995). Besides SO2, a new technique has been developed which uses the measured spectral contrast of the backscattered radiances in the 330-380nm spectral region (where gaseous absorption is negligible) in conjunction with radiative transfer models to retrieve properties of volcanic ash (Krotkov et al., 1997) and other types of absorbing aerosols (Torres et al., 1998)