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Purpose: This study investigated the effectiveness of the stuttering modification intervention Kinder Dürfen Stottern (KIDS) in school-age children who stutter.
Method: Seventy-three children who stutter were included in this multicenter, two-group parallel, randomized, wait-list controlled trial with a follow-up of 12 months. Children aged 7–11 years were recruited from 34 centers for speech therapy and randomized to either the immediate-treatment group or the 3 months delayed-treatment group. KIDS was provided by 26 clinicians who followed a treatment manual. Although the primary outcome measure was the impact of stuttering (Overall Assessment of the Speaker’s Experience of Stuttering–School-Age [OASES-S]), the secondary outcomes included objective and subjective data on stuttering severity.
Results: At 3 months postrandomization, the mean score changes of the OASESS differed significantly between the experimental (n = 33) and control group (n = 29; p = .026). Furthermore, treatment outcomes up to 12 months were analyzed (n = 59), indicating large effects of time on the OASES-S score (p < .001, partial η2 = .324). This was paralleled by significant improvements in parental ratings and objective ratings (stuttering severity, frequency, and physical concomitants).
Conclusions: The significant short-term treatment effects in the OASES-S are in line with the (initial) focus of KIDS on cognitive and affective aspects of stuttering.
Over 12 months, these changes were maintained and accompanied by
behavioral improvements. The results suggest that individual treatment with KIDS is an adequate treatment option for this age group.
Background: Establishing a healthy lifestyle has a great potential to reduce the prevalence of non-communicable diseases (NCDs) and their risk factors. NCDs contribute immensely to the economic costs of the health care system arising from therapy, medication use, and productivity loss.
Aim: The aim of this study was to evaluate the effect of the Healthy Lifestyle Community Program (cohort 2; HLCP-2) on medication use and consequently on medication costs for selected NCDs (diabetes, hypertension, and dyslipidemia).
Methods: Data stem from a 24-month non-randomised, controlled intervention trial aiming to improve risk factors for NCDs. Participants completed questionnaires at six measurement time points assessing medication use, from which costs were calculated. The following medication groups were included in the analysis as NCD medication: glucose-lowering medications (GLM), antihypertensive drugs (AHD) and lipid-lowering drugs (LLD). Statistical tests for inter- and intra-group comparison and multiple regression analysis were performed.
Results: In total, 118 participants (intervention group [IG]: n = 79; control group [CG]: n = 39) were considered. Compared to baseline medication use decreased slightly in the IG and increased in the CG. Costs for NCD medication were significantly lower in the IG than in the CG after 6 (p = 0.004), 12 (p = 0.040), 18 (p = 0.003) and 24 months (p = 0.008). After multiple regression analysis and adjusting for confounders, change of costs differed significantly between the groups in all final models.
Conclusion: The HLCP-2 was able to moderately prevent an increase of medication use and thus reduce costs for medication to treat NCDs with the greatest impact on AHD.
The Educational Journal of Renewable Energy Short Reviews (EduJRESR, formally published as `EGU Journal of Renewable Energy Short Reviews') is a teaching project rather than a regular scientific journal. To publish in this journal, it is a premise to take part in the master course wind power, hydro power and biomass usage at the department of Energy, Building Services and Environmental Engineering of the Münster University of Applied Sciences.
Students receive an equivalent of 2.5 credit points (European Credit Transfer and Accumulation System - ECTS) for their engagement in the course and for publishing a short review article of at most 3000 words in this periodical. The publication process closely mimics the typical publication procedure of a regular journal. The peer-review process, however, is conducted within the group of course-participants.
Although being just an exercise, we think that publishing the outcome of this course in a citable manner is not only promoting the motivation of our students, but may also be a helpful source of introductory information for researchers and practitioners in the field of renewable energies. We encourage students to write their articles in English, but this is not mandatory. The reader will thus find a few articles in German language. To further encourage students practicing English writing, perfect grammar is not part of the assessment.
We especially thank our students for working with LaTeX on Overleaf, although LaTeX is new to some of them. In this way, the editorial workload was reduced to a minimum. We also thank our students for sharing their work under the creative commons attribution licence (CC-BY). We appreciate their contribution to scientific information, being available to every person of the world, almost without barriers. We also thank the corresponding authors and publishers of the cited work, for granting permission to reuse graphics free of charge. All other figures had to be replaced or removed prior to publication.
This review is about where and which tidal power systems are currently deployed. It starts with an insight into the variety of different tidal power systems. With the help of a list from the European Marine Energy Center about currently used systems for tidal power plants, it quickly becomes apparent that two systems stand out. These are the vertical and horizontal turbines. The latter are particularly common, as they are used for both tidal stream and tidal range power plants. Determining the regions with high potential for tidal power is not always easy due to the many influencing factors. Influencing factors are, for example form and conditions of the seabed, topographical features of the coast or currents in the sea [1]. Therefore, each region must be considered separately. n this paper the focus is on the UK, the literature shows that the coastal regions around the UK provide about 50 TWh/year of the European tidal power potential. This is due to the location between the oceans and the geological conditions, which act as a channel for the tides. The two areas with high potential where planning
and construction of tidal power plants is currently underway are in the north of Scotland and in the southwest of England in the Bristol Channel.
For the increasingly important storage of renewably generated electricity, this review explains the construction of a surface and underground pumped storage
power plant. The problems for the construction of an underground pumped storage power plant are further listed. These are geological, environmental and
economic problems as well as a low acceptance by the population. The geological problems are concerns about leaching of minerals and heavy metals as well as the statics of the cavities. Mining companies in Germany are obligated to renaturalize the landscape areas again, which could be realised by a lake. Furthermore, care must be taken to ensure that the mine water does not come into contact with the groundwater. According to a survey by RISP on the subsequent use of the mine areas for an underground pumped
storage power plant, the acceptance of the population is over 70 percent. The economic consideration concludes that the arbitrage profit for a difference between off-peak and peak of 10 €/MWh is about 2.7 M€/a and for 100 €/MWh about 27.3 M€/a. With investment costs of about 630 M€, despite the assumption of 100 €/MWh, more than 20 years are needed for an underground pumped storage power plant to be amortized. The acceptance could be increased by creating a lake as a recreation area as well as being used as an upper storage reservoir. Thus, the cost of renaturation decrease when combined with the creation of the storage basin. The problem of ground conditions can be solved by creating new cavities by means of tunnel boring at an inclination. For static safety as well as against leaching of minerals and heavy metals, the cavity walls can be sealed with reinforced concrete. The technology of underground pumped storage power plants can be used for better utilisation of renewable energies. This is especially in flat and densely populated regions a possibility to store energy, because the main part of the power plant is underground.
This study investigated the ability of electrically conductive carbon rovings to detect cracks in textile-reinforced concrete (TRC) structures. The key innovation lies in the integration of carbon rovings into the reinforcing textile, which not only contributes to the mechanical properties of the concrete structure but also eliminates the need for an additional sensory system, such as strain gauges, to monitor the structural health. Carbon rovings are integrated into a grid-like textile reinforcement that differs in binding type and dispersion concentration of the styrene butadiene rubber (SBR) coating. Ninety final samples were subjected to a four-point bending test in which the electrical changes of the carbon rovings were measured simultaneously to capture the strain. The mechanical results show that the SBR50-coated TRC samples with circular and elliptical cross-sectional shape achieved, with 1.55 kN, the highest bending tensile strength, which is also captured with a value of 0.65 Ω by the electrical impedance monitoring. The elongation and fracture of the rovings have a significant effect on the impedance mainly due to electrical resistance change. A correlation was found between the impedance change, binding type and coating. This suggests that the elongation and fracture mechanisms are affected by the number of outer and inner filaments, as well as the coating.