100 Paediatric Picture Tests by Andrew P. Winrow, Michael A. Gatzoulis, G. Supramaniam

By Andrew P. Winrow, Michael A. Gatzoulis, G. Supramaniam

The 1st identify within the new Paediatric Revision sequence. This booklet contains of a hundred distinct scientific photos with questions designed for the candidate venture the MRCP(paed) half 2 exam. each one question/answer is followed by means of appropriate evidence and information plus helping references. the pictures and questions hide many universal and weird scientific situations obvious in daily scientific perform, and likewise within the exam. the pictures are new and feature now not been formerly released.

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Multiple opposition contrasts. Children’s attention is drawn to a set of words and the focus is on developing contrasts between all words in the set. g. the set of words addressed in intervention might include TWO, SHOE, CHEW, SUE for a child who produced /tu/ for targets TWO, SHOE, CHEW, SUE. See Williams, 2000a, b. • Metaphon and other metaphonological approaches. g. if a child has difficulty with the voicing contrast then intervention would focus attention on the concepts of ‘noisy’ (voiced) and ‘quiet’ (voiceless).

Phonological approaches – like their articulatory predecessors – have the ultimate goal of improving a child’s speech production and of helping a child to become more intelligible. In addition, phonological intervention has the goal of ‘facilitating cognitive reorganisation of the child’s phonological system and his [or her] phonologicallyoriented processing strategies’ (Grunwell, 1985, p. 99). There are many 14 Persisting Speech Difficulties in Children different approaches to phonological intervention based on these broad principles.

Persisting Speech Difficulties 23 • Children with persisting speech difficulties form a heterogeneous group. • The group of children with PSDs may include children who have • • • • • • • • been given a diagnosis such as childhood apraxia of speech, or have a cleft-lip and palate, or whose speech difficulties are not linked to any identifiable condition or cause. Children with PSDs pose a challenge for practitioners and require long-term management. In order to maximize our chances of successful intervention, an eclectic approach to intervention may be the most helpful.

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