text:
YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and comprehensive business information to help evaluate a business's suitability for you. "Preferred" listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page.
Auto Salvage Yards in Cary, NC
Deals On Wheels Auto Salvage
14473 Nc 96 Hwy N Zebulon, Zebulon, NC, 27597
1.One Direct Towing
302 W Chatham St
0.41 mi
Repossessing ServiceAutomotive Roadside ServiceTowingAutomobile Salvage
Allow One Direct Towing & Storage in Cary, North Carolina, to lend you a helping hand with considerate vehicle towing service. We'll get you back on the road in no time. Your Needs Come First One Direct Towing & Storage has more than 25 years of experience in towing and transportation helping people on and off the road. We provide you with emergency roadside services in a timely manner and for an affordable price. Call us and we'll be on the scene as fast as possible with a number of tried and tested solutions to any of your motoring problems. Save our number to your mobile device now—we hope you never need it!
2.Raleigh Metal Recycling
2310 Garner Rd
8.95 mi
Automobile SalvageScrap MetalsMetalsRecycling Centers
3.Raleigh Metal Recycling
2310 Garner Rd
8.95 mi
Battery SuppliesComputer & Electronics RecyclingWaste Recycling & Disposal Service & EquipmentAutomobile Salvage
Raleigh Metal Recycling is a Industrial and a Public Recycling operation that pays cash for Metal. From factories, demolition sites, from the public-Cars, Trucks, appliances, batteries, e-waste, copper and more. Not just a Salvage yard, or junk yard, but a major Wake County Recycling operation.
4.Wagner's Auto Salvage
4115 S Alston Ave
10.59 mi
Automobile SalvageTruck WreckingAutomobile Parts & Supplies-Used & Rebuilt-Wholesale & ManufacturersUsed Car Dealers
Our business includes a full service salvage yard, crushing facility, used car lot as well as Towing and Recovery Services. We sell, pull, clean and load every part a customer needs. We have over 3000 vehicles on our yard and we process each one and remove all of the fluids from them before they are inventoried and parked on the yard. We buy local wrecked and disabled vehicles, and purchase them from Salvage Auctions as well. We take pride in the services that we provide to our loyal customers.
5.Mclamb's Auto Shop & Salvage Inc
7001 S Nc 55 Hwy
Fuquay Varina,NC
15.44 mi
Automobile SalvageAuto Repair & ServiceAutomobile Parts & SuppliesTowing
Welcome to McLamb's Auto Shop & Salvage, Inc. We are locally owned and operated since 1963. McLamb's Auto Shop & Salvage, Inc., has been offering quality automobile parts and supplies. Our products come with a 30-day warranty and some late model parts have longer warranties. Call or visit us today for more information!
Find The Children
Serving the Cary area. Open 365 days 24/7. Free pick-up.We speak Spanish. Running or not.
6.Cash For Junk Cars & Used CarsServing the Cary, NC area
Scrap MetalsAutomobile SalvageRubbish RemovalUsed Car Dealers
Cash For Junk Cars Inc is ready to get you top dollar for your junk car. Here is how it works: Step 1. Call and receive an immediate quote for your car right over the phone. Step 2. Schedule a convenient time to have your vehicle picked up. Step 3. Get paid on the spot at your scheduled pick up. It's really that simple! So give us a call and put big money in your pocket today!
7.Martin's Auto Salvage Inc
5810 Poole Rd
13.59 mi
Automobile SalvageAutomobile Parts & SuppliesUsed & Rebuilt Auto PartsSurplus & Salvage Merchandise
8.Fuller's Auto Salvage
1036 Harvest Rd
15.64 mi
Automobile SalvageAutomobile Parts & Supplies-Used & Rebuilt-Wholesale & ManufacturersAutomobile Parts & SuppliesUsed & Rebuilt Auto Parts
a great place to call towing and parts
9.Cash For Cars
Automobile SalvageTruck BrokersJunk DealersAutomobile & Truck Brokers
Cash For Cars is the official website and hotline to get connected to a local cash car buyer. Whether your car, truck, van or SUV is running or not, you can sell it fast with one simple call to Cash For Cars. We buy all makes, models, years and conditions. For every situation where you need to get cash for your car, we can help. We can provide free towing, and also handle all paperwork at no additional charge. Sell a car fast with just one simple call to Cash For Cars. If you need free junk car removal, we can provide that. If you just bought a new car and the dealer didn't offer you enough for your trade in...we can get you more. If you have extra or unwanted cars and just don't want to deal with the hassle of selling it on your own, call us today. We buy all brands of vehicles. Toyota, Honda, Nissan, Ford, Chevrolet, Cadillac, Hyundai, Kia, VW, Audi, BMW, Porsche, Mercedes Benz, Mini, Acura, Infiniti, Lexus, Lincoln, Mercury, Pontiac, Oldsmobile, Plymouth, Dodge, Chrysler, Subaru, Jeep, Mazda, Buick, GMC, Isuzu, Suzuki, Ram, Jaguar, Land Rover, Volvo, Saturn...we buy them ALL! If you have a junk car or truck and need junk car removal, we can help with that as well. If you are looking to donate your car to charity for a tax write off, please let our friendly customer service reps know and they will arrange this for you with no hassle. Our goal is to get you top dollar for your car, truck, van or SUV. Call today!
10.Car Buyer
Automobile SalvageAlternative LoansJunk DealersAutomobile & Truck Brokers
Do you love selling cars? I personally do, but it's so much harder to do that when you have an almost new model and everyone is offering low prices. I got a bit disappointed in this dealership because of the low price it offered on my 2015 vehicle.
Kars 4 Kids
Serving the Cary area. Free Towing + Get a Hotel Voucherand Tax Deductible Receipt
Automobile SalvageJunk Dealers
I called half dozen places and either got blocked call blocks or no desire to help. Then I called this company,the lady was very friendly, helpful and anxious to receive my business, which I will provide. thank you
12.Kars 4 Kids
Automobile Salvage
Kars4kids Car Donation program will accept your old car, even if the car is not running. The auto donation process is simple and convenient. With your vehicle donation, you'll receive a tax deductible receipt, plus a free hotel voucher. Kars4Kids will provide hassle free pick-up when you donate a car. Just give us a call. Live operators are standing by. The average pickup time for your car is usually between 24-48 hours. There is absolutely no charge for our service. All proceeds from your old car will benefit Joy for Our Youth, an IRS registered tax-exempt 501(c)(3). Get rid of your car today!
13.Find The Children
Automobile Salvage
Find The Children is a non-profit organization dedicated to the recovery of missing children and the prevention of child abduction. Your donated car or truck helps prevent abductions, find missing kids and support their families. Running or not, we provide fast free pickup of your donated vehicle, and your donation qualifies for a tax deduction! Call today to donate your car, truck, van or SUV!
14.Pay Max Cash For Cars
Automobile SalvageAutomobile & Truck BrokersJunk DealersAlternative Loans
PayMax Cash For Cars is the SMARTEST way to sell a 2002-2015 used or DAMAGED vehicle. We're ready with your instant and guaranteed offer for your car, truck, SUV, boat or RV. We won't talk you down! We guarantee our over-the-phone prices and WE COME TO YOU with free towing from anywhere in the nation AND cash at vehicle pick-up. PayMax Cash For Cars is the easiest and safest way to get CASH for your vehicle TODAY!
15.Donate Car - Breast Cancer GIV Foundation
Automobile SalvageJunk DealersCharities
Voices family has tried to focus on four major categories to help charitable efforts worldwide. Feed, Clothe, Shelter and Cure are the founding principles and what we have dedicated our life's work to. We feel with these four elements all humans can have equal value. These are just some of our many charitable projects we support throughout our country and abroad.
Serving the Cary area. Get Top Dollar For Your CarCall Now - Instant Quote & Free Tow
16.We Buy Junk Cars & Pay More
Automobile SalvageUsed Car DealersJunk DealersTowing
Cash For Junk Cars Inc is ready to get you top dollar for your junk car. Here is how it works: Step 1. Call and receive an immediate quote for your car right over the phone. Step 2. Schedule a convenient time to have your vehicle picked up. Step 3. Get paid on the spot at your scheduled pick up. It's really that simple! So give us a call and put big money in your pocket today!
17.Mad Cash For Cars
Satellite Beach,FL
Automobile SalvageJunk Dealers
I called Mad Cash for just a quote. Stefanie will get you the best prices in town! Did better on pricing than anyone else and her service was very professional.
18.Prices Auto Parts
1900 Old Crews Rd
16.65 mi
Automobile SalvageAutomobile Parts & SuppliesAuto Repair & ServiceAutomobile Parts & Supplies-Used & Rebuilt-Wholesale & Manufacturers
During the hell of the snow my car was towed like everyone else's, but not by just any'ol wrecker service but by Price's. To make a long story short my car was on their lot for about month accrueding up to over $1000 bucks. Well I talk to the receptionist and the owner a few times, they understood my disstress and came to my rescue by letting it go for half that. Talking abou. A blessing.
19.Tilley Brothers Body Shop, Inc..
1200 Broad St
Fuquay Varina,NC
13.28 mi
Automobile SalvageAuto Repair & ServiceWindshield RepairTowing
Tilley Bros Body Shop is a Fuquay-Varina, NC, auto body repair and auto painting shop. We are family owned and operated and offer complete auto body repair and painting services on foreign and domestic vehicles. We also provide local wrecker services. You can count on us with more than 50 years of experience and free towing on all collision repairs. We offer: • Regular and heavy-duty towing • Window replacements • Scratch removal • Dent repair • Laser tech frame straightening • Expert paint services • Graphics removal We understand how important your vehicle is in your everyday life. If your auto needs repair due to an accident or just normal wear and tear, let us improve the look and performance of it and get you back on the road in no time. Our superior service and results will have you coming back the next time you need any work done. Call Tilley Bros Body Shop today for rates!
20.Raleigh Cash For Junk Cars
Automobile Salvage
Cash For Junk Cars Inc is ready to get you top dollar for your junk car. Here is how it works: Step 1. Call and receive an immediate quote for your car right over the phone. Step 2. Schedule a convenient time to have your vehicle picked up. Step 3. Get paid on the spot at your scheduled pick up. It's really that simple! So give us a call and put big money in your pocket today!
21.All European Engines & Transmissions - Specialized German
Automobile SalvageAutomobile Parts & Supplies
We are leaders in our industry with a priority for customer satisfaction. We bring a higher level of customer service and product fulfillment than our competitors. With over 20 years leading our industry online and in the local community, our goal is to satisfy each and every customer. Located at 3600 Recycle Road in Rancho Cordova, California for the last 15 years we have finally outgrown our facility. Late this year (2016) we are moving to a new and larger facility located at 3688 Omec Circle in Rancho Cordova. With over 15,000 feet of indoor storage and 7 acres of yard storage our goal is to service customers with every European car line. We currently service Audi, Volkswagen, Porsche, Land Rover, Jaguar, Smart For two, we will be adding BMW and Mini Cooper. We are looking forward to the future and challenge of adding a new line and I promise that our commitment to customer service will amaze you.
22.1-800 Donate Cars
Automobile SalvageCharitiesFoundations-Educational, Philanthropic, ResearchJunk Dealers
Donate Your Car, Boat or RV FREE TOWING TAX DEDUCTIBLE Available in all 50 states Free pick up within about 1-3 days WE ACCEPT: Cars ~ Vans ~ RVs Trucks ~ Boats Heavy Equipment Pianos ~ Real Estate As a special thank-you for your donation, Get a FREE 3-day vacation voucher to over 80 destinations! It doesn't matter if your vehicle runs or not! It will be towed away for FREE. Your tax-deductible donation helps Heritage for the Blind, a national non-profit organization Servicing the blind and visually impaired since 1979 Providing Braille and large-print materials free to those in need Collects eyeglasses for the poor in underdeveloped countries A 501(c)(3) non-profit organization, IRS tax ID 58-2164446 Call right now.
More InfoPREFERRED
23.Donate Car- Humane Society of the US
Automobile Salvage
Donate your car to The Humane Society of the United States and help reduce suffering and cruelty. You can drive your car to us, or we'll come and tow it away for free, then we'll sell it at auction. You'll make a difference - and may even earn a tax break too. The Humane Society of the United States is rated a 4-star charity (the highest possible) by Charity Navigator, approved by the Better Business Bureau for all 20 standards for charity accountability, voted by GuideStar's Philanthropedia experts as the #1 high-impact animal protection group, and named by Worth Magazine as one of the 10 most fiscally responsible charities.
24.Dunn Auto Salvage
Automobile SalvageAutomobile Parts & Supplies-Used & Rebuilt-Wholesale & ManufacturersAutomobile Parts & SuppliesAutomobile Parts, Supplies & Accessories-Wholesale & Manufacturers
Since 1988, we've been offering superior used parts for cars and trucks, both domestic and foreign. Dunn Auto Salvage, located in Dunn, NC, is a family-owned and operated company, and we look forward to providing you with everything you need. Our high-quality parts will help you get back on the road - fast! No matter what you're looking for, Dunn Auto Salvage is the place to go. We carry a wide variety of exceptional parts, including: Radiators Air bags Transmissions Hubcaps Fenders Cooling fans All of our parts carry a 30-day warranty, and all of our work is guaranteed. We even offer parts installation, for your ultimate convenience. Call Dunn Auto Salvage today or stop by!
25.McLambs Towing & Recovery
Automobile SalvageAutomobile Parts & SuppliesAutomobile Parts, Supplies & Accessories-Wholesale & ManufacturersSurplus & Salvage Merchandise
Welcome to McLamb's Auto Shop & Salvage, Inc. We are locally owned and operated since 1963. McLamb's Auto Shop & Salvage, Inc., has been offering quality automobile parts and supplies. Our products come with a 30-day warranty and some late model parts have longer warranties. Call or visit us today for more information!
26.Lkq Raleigh Auto Parts
Highway 70 E
11.83 mi
Automobile SalvageAutomobile Parts & SuppliesAutomobile AccessoriesUsed & Rebuilt Auto Parts
I am a firm believer that if you run a respective business by a computer, that you need to have info concerning parts that has been removed to be reported on file and then you could call in and confirm that the part has been sold or it is still available. That would be very helpful to an individual to decide to drive a certain distance for a specific part. Considering that you are making a healthy profit for charging a admission fee.
27.Lifetime Audi Parts
1010 Harvest Rd
15.50 mi
Automobile Salvage
28.Deals On Wheels Auto Salvage
14473 Nc 96 Hwy N
27.48 mi
Automobile SalvageAutomobile Parts & SuppliesAutomobile Parts & Supplies-Used & Rebuilt-Wholesale & ManufacturersAuto Body Parts
huge place! Has everything!!
29.Deals On Wheels Auto Salvage
14473 Nc 96 Hwy N Zebulon
22.87 mi
Automobile SalvageAutomobile Parts & SuppliesAuto Repair & ServiceAuto Transmission
I buy junk cars call 919-725-3765
30.Young's Auto Center & Salvage
2500 Nc Highway 242 S
34.13 mi
Automobile SalvageAutomobile Parts & SuppliesAutomobile Electrical EquipmentAuto Repair & Service
The Carolina's Largest Independent Auto Salvage Dealer. Quality Used Auto & Truck Parts since 1963. We have six used parts sales locations in NC. We are privately owned and managed.Ask about our National Delivery & Shipping services. Convenient Online Used Parts Search is available 24 hours a day. Auto Salvage, Scrap and Running Vehicle Buyers and Mobile Car Crushing Fleet available. We buy all cars!Visit our website anytime
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Pro Cast Inc
1727 Orphans Home Rd Cullman, Alabama 35055(256) 739-6437
Print | Save | Directions
AboutPro Cast Inc is located at the address 1727 Orphans Home Rd in Cullman, Alabama 35055. They can be contacted via phone at (256) 739-6437 for pricing, hours and directions.
Pro Cast Inc has an annual sales volume of 0 - 500K. .For more information contact Gary Sheetz, Manager
For maps and directions to Pro Cast Inc view the map to the right. For reviews of Pro Cast Inc see below.
Phone: (256) 739-6437
Main Contact First Name: Gary
Main Contact Last Name: Sheetz
Main Contact Title: Manager
Employee Size: 1 To 4
Exact Employee Count: 3
Exact Sales Volume: 0
Location Type: Branch Location
Sales Volume: 0 - 500K
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40 County Road 230 Cullman, Alabama 35057
You must Sign in to post reviews.
0 Reviews
Key Contacts
- Gary Sheetz
- Manager

subset: commoncrawl


text:
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Brookline, MA Bakeries
YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and comprehensive business information to help evaluate a business's suitability for you. "Preferred" listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page.
Shari's Berries
Serving the Brookline area.
- (888) 396-1892
1. Kay Kay Cakes
14 Marion StBrookline, MA 02446
2. Classic Confections
1356 Beacon StBrookline, MA 02446
3. Creative Pastries
392 Harvard StBrookline, MA 02446
4. Pastry Land N More
417 Harvard StBrookline, MA 02446
5. When Pigs Fly Bread
1378a Beacon StBrookline, MA 02446
6. Tatte Fine Cookies & Cakes
1003 Beacon StBrookline, MA 02446
7. Cakes To Remember
248 Cypress StBrookline, MA 02445
8. Japonaise Bakery
1020 Beacon StBrookline, MA 02446
9. Au Bon Pain
75 Francis StBrookline, MA 02446
Small sandwiches, half cups of hot chocolate, expensive and terrible customer service. Cashier argued with me when he charged me for salmon in addit…
10. Clear Flour Bread
i hate to say it because the lines are already long enough but this is a good place to know about if you live in the boston-cambridge area. happily…
11. New Paris Bakery
Let me put it this way: the concept is good: small village bakery full of lots of sweets and goodies - but the execution is deplorable. I cannot bel…
12. When Pigs Fly Breads
1378 Beacon StBrookline, MA 02446
13. Athan's Bakery
Amazing pastry selection. Delicious!
14. Kupel's Bakery
Undoubtedly the BEST bagels in Boston - bagels and extensive pastries are made on premises. All kosher too! Be sure to try their homeade cream che…
15. Koo Koo Cafe
Tucked around the corner from the Brookline Village Post Office on Station Street, KooKoo has fortunately increased it's size, so more than a few ca…
16. Dunkin' Donuts
1659 Beacon StBrookline, MA 02445
17. Bruegger's
253 Harvard StBrookline, MA 02446
18. J.P. Licks
The ice cream here is so good - very rich and smooth. They've got the best varieties and they also have low-fat kinds as well. If you like peanut …
19. Better Batch
133 Buckminster RdBrookline, MA 02445
20. Mike's Pastry
It should be illegal to taste this good
21. Flour Bakery & Cafe
I wanted to rave about Flour for a special order they handled. I contacted them to make a birthday cake for a friend and asked for an off-menu selec…
22. The Icing on the Cake
I ordered a birthday cake, and not only was it beautiful, it was absolutely delicious! I've been telling all my friends about this place. I won't b…
23. Sugar Bakery
It can be chilly by the front door in the winter. All cashiers are friendly. The homemade bread is delicious and there's a good variety of flavors…
24. Athan's Bakery
407 Washington StBrighton, MA 02135
25. Blacker's Bake Shop
551 Commonwealth AveNewton Center, MA 02459
26. Donna's Cakes
I have been going to Donna's for years. Their cakes are always beautiful and delicious. They are so busy that they do need more ordering time in May…
27. Chau Bakery
1456 Dorchester AveDorchester, MA 02122
28. Campo De Fiori
1352 Massachusetts AveCambridge, MA 02138
29. Rosie's Bakery
If you just have to cheat on your diet, I say do it at Rosies. So many tempting treats. Everything is sinfully delicous. I hight recommend all the b…
30. Blue Frog Bakery
3 Green StJamaica Plain, MA 02130


text:
Re: vim-cocoa source code for GSoC final evaluation
Expand Messages
- Hi George,
2007/9/15, georgeharker@... <georgeharker@...>:
> The font panel doesn't currently set the guifont option. And theThese two problems had been fixed in current SVN. I created a new
> horizontal scrollbar doesn't show unless you hide then show it (even
> if it's in your guioptions from vimrc).
patch [1] and built a new binary [2] with these fixes applied. Thanks
for reporting them.
[1] http://vim-cocoa.googlecode.com/files/vim-cocoa-r101.patch
[2] http://vim-cocoa.googlecode.com/files/vim-cocoa-r101.tar.bz2
> Will this end up in the main source base?I hope so.
- Jiang
You received this message from the "vim_mac" maillist.
For more information, visit http://www.vim.org/maillist.php
Your message has been successfully submitted and would be delivered to recipients shortly.


text:
The public has lost faith in the ability of Social Security and Medicare to provide for old age. They've lost faith in the banking system and in conventional medical insurance.
I studied at a grammar school and later at the University of Vienna in the Faculty of Medicine.
I have been shocked at the number of people who don't watch television.
For un-subscribe please check the mail footer.


text:
to save this item to your jcp.com account
Citizen® Quartz Womens Gold Tone Stainless Steel Swarovski Crystal Accent Bracelet Watch Eu6052-53Ppp5007850005
web ID: 0515950
Brand: Citizen®
Dial Color: Champagne
Accents: CRYSTALLIZED™ - Swarovski® Elements
Strap: Gold-tone stainless steel
Clasp: Push-button foldover clasp
Movement: Quartz
Water Resistance: 50m
Case Width: 26mm
Case Thickness: 7mm
Bracelet Dimensions: 7¼" long; 13mm wide
Model No.: EU6052-53P
Special Features: Date function
Jewelry photos are enlarged to show detail.
Rated 3 out of 5 by MarJean from Beautiful but too large It was a beautiful watch but much larger than it looked online. I returned it for a refund, minus s/h. I have another Citizen watch which I like. This one was very similar, but having a small wrist, it was too large. Other than that, it was a good buy.
Date published: 2017-01-31
true2 year watch protection plan $30 manufacturer shipped (ships in 1 week(s)),MS1W
No additional protection
Same Day Pickup items ordered after 3 p.m. will be available the next day.
to save this item to your jcp.com account


text:
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MOSCOW, January 30 (Itar-Tass) – Moscow City court has refused to consider an appeal by Yekaterina Samutsevich, a member of the Pussy Riot notorious punk group, over a previous ruling, which classified four video clips of group as extremist ones.
The judges of the appeals court said Samutsevich was not regarded as a party to the courtroom litigation and hence could not appeal a judiciary act.
The rejection of Samutsevich's appeal means that the previous ruling has been left unchallenged and is taking legal effect now. The video clips of the mischief-making group are now officially ranked as extremist materials.
Earlier, Moscow City's Zamoskroretsky district court ruled that the clips had an extremist nature. It ordered to restrict public access to four clips uploaded at five Internet portals.


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iTechnology and Communicative Drawing for Individuals with Aphasia
Dr. O Jennifer A. Ostergren, PhD, CCC-SLP Jennifer Raminick, B.A.
Welcome Thank We hope you enjoy 3 hours, etc. Much ground to cover Drawing on an iPad by an individual with aphasia (Ostergren, 2012)
Thank You To our clients (our wonderful teachers)
Thank you for your inspiration and willingness to participate in our research To my students (future SLPs) Thank you for your help in preparing this presentation. In particular thank you Kristen Churney for her guest appearance in describing the CDP Kristen Churney is a graduate students at CSULB, study to become an SLP…….
House Keeping A handout for this presentation, including links to the technology discussed is available at: __________ (insert CD page web address once loaded)
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers Dr. O
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers
What is Multimodality Communication?
Using different modes of communication to meet the needs of the individual and to allow them the opportunity to participate in their communities (ASHA, 2004) Writing Gesturing Drawing AND Speech Won't spend time on aphasia As Neuro-typical communicators we use multimodal communication in our speech/communication constantly – by using gestures such as "talking with your hands", and here in this presentation we are supplementing our discussion with written notes on the power-point. These are all examples of how we use multimodal communication everyday. Multimodality communication has been shown to be an effective means for aphasic individuals to access residual language capabilities and increase communication effectiveness (Purdy, Duffy, & Coelho, 1994). Often, therapy focuses on retreiving a lexicon and decreasing anomia through verbal output. however we are discussing therapy that makes use of more than one communication system to increase overall communication output and increase verbal output.
Total Communication Use in PWA (Rautakoski, 2011)
Many people with aphasia (PWA) use nonverbal methods of communication spontaneously, including: Pointing Gesturing Facial expressions Pantomime Drawing Concrete signs Some PWA also use low-tech devices Not used as much as the spontaneous nonverbal communication Some PWA need special training in use of total communication Based on survey of PWA and their families about PERCEIVED communication strategies Low tech devices (e.g., writing, using picture boards, picture books, and readymade wordlists) Authors recommend that……Using different nonverbal techniques to enable communication and participation in social interaction.
Varied Approaches Given:
Key Elements to Multimodality Communication (Beukelman & Mirenda, 2012) Co-Construction Partner Training Varied Approaches Given: Partner Dependent Communicators Partner Independent Communications Direct training and generalization to real-world settings is KEY!
AS: Example of Multimodality Communication
What did you do yesterday? Drew a hamburger Said, "Hamburger. Big" Put up four fingers Wrote : UCLA, DDS, 2 Viet, 1 Japan, and 2 white The client had gone out to eat hamburgers with four of his friends from dental school at UCLA; two friends were Vietnamese and two were Caucasian, and the "1 Japan" was referring to himself.
Neuroplasticity Rich body of research on neuroplasticity in the past decade (Saur & Hartwigsen, 2012) Neuroplasticity is defined as, " ... functional reorganization/ compensation within residual neural tissue, mediated by changes in neural circuitry" (Gonzalez Rothi, Musson, Rosenbeck, & Sapienza, 2008) Be sure to connect back to multimodality and drawing Good news for our clients is that changes in neuroorganization have been noted in the chronic phase – and with TX!
Educating Clients about Neuroplasticity
Empowering Individuals with Aphasia with Neuroplastic Principles: From Theory to Practice. Birtler, E., Hayes, M., Kim, J., Sibby, K., Weltz, K., Navarro, A., & Ostergren, J. (2012). California Speech and Hearing Association (CSHA) Magazine, 42 (1), July 2012. Share with you briefly how we educate clients on neuroplasticity and how it applies to the use of drawing and total communication by PWA Based on recent article published last summer in the CSHA magazine.
Explaining Neuroplasticity to PWA
WHAT YOUR BRAIN IS DOING FOR YOU…. Researchers have identified four strategies your brain uses to compensate for damaged areas: 1. Homologous area adaptation 2. Cross-modal reassignment 3. Map expansion 4. Compensatory masquerade No matter how long since your stroke, your brain is still working to get the job done! Homologous area adaptation: Similar area on the opposite side takes over ….Just like the right-handed pitcher who pitches left handed when he breaks his right arm, the brain can compensate for damage on one side by training the area on the opposite side to do the same job. 2. Cross-modal reassignment: Using a new area of the brain, not previously involved, changing functional organization and inputs (e.g., blind person who registers touch from braille in visual cortex – while reading) ……Ever heard how little of your brain you actually use? Sometimes, after a brain injury, your brain assigns the duties of the damaged area to an area that was not being used. 3. Map expansion: Areas around the damaged area previously responsible for function expand ….Like asking your neighbor for a cup of sugar, the brain expands into neighboring areas to "borrow" undamaged neurons to complete tasks. 4. Compensatory masquerade: Brain re-routes to figuring out an alternative strategy for carrying out a task …..(e.g., like after a RCVA when a persons sense of direction is impaired and they navigate their environment instead using landmarks) Ever taken a surface street to avoid a traffic jam? Your brain does the same thing -- since damaged areas are too jammed up to use any more, your brain finds a different pathway to get the same destination! Grafman (2000). Conceptualizing Neuroplasticity
Explaining Neuroplasticity to PWA
WHAT YOU CAN DO FOR YOUR BRAIN…. Repeat, Repeat, Repeat Why does your clinician make you keep repeating the same thing over and over? Raymer et. al (2008). Translational research in aphasia
Explaining Neuroplasticity to PWA
Raymer et. al (2008). Translational research in aphasia
Explaining Neuroplasticity to PWA
Pulvermüller & Berthier (2008). Aphasia therapy on a neuroscience basis
Outcome of Education Clients and family members are very receptive to information about neuroplasticity Visual aids and reducing jargon critical Qualitative changes were noted immediately: Increased motivation/participation More attempts to verbalize More willingness to try alternative modalities Seeking areas of change in their own environments EDUCATING CLIENTS ABOUT DRAWING, as part of multimodality communication, is critical!
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers
Effects of Brain Damage on Drawing
Left hemisphere lesions May have difficulty depicting internal details of a target picture, but little difficulty depicting external shape Some are unable to generate a mental image of the target items Some may have difficulty choosing the correct color for images Right hemisphere lesions May retain ability to produce internal details but fail to correct spatial relations or relative size May omit all or the left half of external configuration May interfere with ability to discriminate between colors Jenn (Helm-Estabrooks & Albert, 2004)
Left or Right Hemisphere Lesion?
Left hemisphere ? (Helm-Estabrooks & Albert, 2004)
History of Drawing and Aphasia
Long history in the research literature (Lyons, 1995) Two primary areas of emphasis in the research: Realm of AAC and improving functional communication (Beeson & Ramage, 2000; Sacchett, 2002; Sacchett & Lindsay, 2007; Helm-Estabrook & Albert, 2004) For its impacts on verbal output as a source of de-blocking and semantic access (Davis, Farias, Baynes, 2005; Farias, Davis, Harrington, 2006) Describe results of each
Drawing and AAC Drawing can be used to compensate when a PWA is not able to use written or verbal language (Lyons, 1995) Advantage - no limitations caused by deficits in short-term memory and/or sequential ability (Sacchett, 2002) A move toward interactive (Sacchett, 2002) Supplementing Language Communication is enhanced by the drawings, so the emphasis is on the exchange of information and ideas Substituting Language Drawings are the communication, so emphasis is on producing recognizable content units. Supplementing – therapy focuses on the interactive message and using drawing and graphic symbols such as arrows to add to the message Substituting – therapy focuses on improving the content of the drawing. Burden of communication is on the PWA
De-blocking, Semantic Access, and Drawing
Drawing vs. writing as a cue for verbal expression Drawing more effective in increasing verbal naming (Davis, Farias, Baynes, 2005; Farias, Davis, Harrington, 2006) Quality of the drawings has no impact on the ability to access the semantic features of a word (Farias, Davis, Harrington, 2006) Possible Explanation? One plausible explanation for these findings is that act of drawing accesses the semantic features of a word, which are in turn are connected to the phonological representation needed for naming. Findings from fMRI studies have suggested that during drawing tasks, increase right hemispheric activation occurs, particularly in the right frontal lobe, and as such, homologous right-hemisphere activation of the left-hemisphere language areas may promote improved naming ability in individuals with aphasia during drawing tasks (Farias, Davis, Harrington, 2006; Harrington, Farias, Davis, Cortex, 2009). Transition to CDP – one program available to target drawing is the CDP – Kristen Farias (2006) found that drawing, as opposed to writing, was a more effective modality when used as a cueing strategy for increasing speech production.
Communicative Drawing Program (CDP)
"The functional goal of the CDP is for patients with aphasia who are unable to convey desired messages through speech or writing to communicate instead through drawing." (Helm-Estabrooks & Albert, 2004, pg. 273)
CDP Candidate Profile (Helm-Estabrooks & Albert, 2004)
Inability to communicate information through speech or writing Ability to use a medium-point felt-tip pen to copy one dimensional shapes Relatively intact visual memory Good visual attention skills Alert, cooperative, and willing to pursue a drawing program to improve functional communication Pre-morbid artistic skills are not required, nor it is necessary to draw with the dominant hand * Comprehension of the client should be functional.
Overview of Steps Basic semantic-conceptual knowledge
Knowledge of object color properties Outlining pictures of objects with distinct shape properties Copying geometric shapes Completing drawings with missing internal and external features Drawing objects with characteristic shapes from memory Drawing objects to command from stored representations Drawing objects within superordinate categories Generative drawing- animals and modes of transportation Drawing cartooned scenes (Helm-Estabrooks & Albert, 2004)
Step 1 Basic Semantic-Conceptual Knowledge
"Circle the objects that belong together." Criterion: 100% identification of the 5 items in 5 different superordinate categories
Step 2 Knowledge of Object Color Properties
"Select the correct color (from 12 colored markers) and color that item." Criterion: Correct color choices for all nine items.
Step 2 Knowledge of Object Color Properties
"Select the correct color (from 12 colored markers) and color that item." Criterion: Correct color choices for all nine items.
Step 3 Outlining Pictures of Objects with Distinct Shape Properties
"Take this pen and draw an outline around each object without touching the lines of the pictures" Criterion: Each object outline conforms to shape and does not touch or trace the lines of printed stimuli
Step 4 Copying Geometric Shapes
"Take this pen and copy each figure. Your drawings should not touch the examples." Criterion: For each shape, all lines are present, in correct proportion and in proper relation to one another
Step 5 Completing Drawings with Missing External and Internal Features
"Show me what is missing in this picture…Okay, now take this pen and fill in the missing part." Criterion: All completions are successfully rendered, complete, and conceptually reasonable
Step 6 Drawing Objects with Characteristic Shapes from Memory
"Look at this object. (Present single card.) Remember what it looks like, because I'm going to ask you to draw it. Okay, are you ready? Take this pen and draw the object here." Criterion: For each shape, all lines are present, in correct proportion and in proper relation to one another
Step 7 Drawing Objects to Command from Stored Representations
"Look at this word. It says____ Can you draw____right here?" ice cream Criterion: Drawings of each object can be correctly identified by a naïve judge who is not shown the target words
Step 8 Drawing Objects Within Superordinate Categories
"See this word? It says ___. I want you to think of a _____ and draw it right here." tool Criterion: All responses belong to the named superordinate category and can be identified correctly by a naïve judge not provided with the target words.
Step 9 Generative Drawing: Animals and Modes of Transporting People
"On this page, I want you to draw as many types of animals/modes of transportation as you can. Make your drawings clear enough so that anyone could name the animals/modes of transportation that you draw." Criterion: All responses are correct exemplars of the superordinate categories and are correctly identified by a naïve judge.
Step 10 Drawing Cartooned Scenes
"Show me what is funny about this picture…Now study the picture well because I'm going to ask you to draw it from memory." Criterion: Each panel should be accurate enough for a naïve judge to identify all elements necessary for understanding and stating the message (joke) of each cartoon.
CDP: Case Study (A.S) 45-yr-old male
Status post left basal ganglia intracranial hemorrhagic CVA 10/03/2008 Dentist Bilingual in English (primary) and Japanese Mixed , non-fluent aphasia - Verbal expression characterized by: - 1-word utterances - verbal apraxia - decreased loudness and pitch range - confrontational naming relatively intact - Written expression characterized by 1-word phrases - Severe auditory and reading comprehension deficits (1-2 word phrases) - Used writing and gestures to supplement verbal expression
Sample CDP Goals (A.S.) Goal: To improve multimodality communication, the client will draw three-panel drawings from memory with enough detail so that a naive judge can identify the message. Objective 1: In the clinical setting, when given the name of an object with distinct visual features (i.e., ice cream cone, palm tree, etc), the client will draw the object with enough detail so that a naive judge can identify the object with 100% accuracy in a minimum of 10 trials. Objective 2: In the clinical setting, when given a superordinate category (e.g., tool, animals, vehicle, etc.) and no prompts, the client will draw at least one object within the specified category with enough detail so that a naive judge can identify the object with 100% accuracy in a minimum of 10 trials. Objective 3: In the clinical setting, when given a three-panel cartooned story, the client will draw the story from memory with enough detail so that a naive judge can identify the message of the cartoon in 2 out of 3 trials.
CDP Training/Tasks (A.S.)
Began with Step 3 of the CDP During Step 7 Modeled adding more detail to unrecognizable drawings Client began to spontaneously add more detail Clinician provided the client with a puzzled look whenever his drawings were not recognizable Homework given for Steps 8-9 CDP supplemented by multimodality communication Barrier tasks encouraged all modalities Step 3 = (outlining objects with distinct outer configurations) Step 7 = drawing objects to command from stored representations Once the client began to spontaneously add more detail to his drawings, the clinician provided the client with a puzzled look whenever his drawings were not recognizable in order to encourage the addition of more detail Homework tasks were given for Steps 8-9 CDP tasks were supplemented by multimodality communication training requiring the client to use all modalities (verbal expression, written expression, gestures, and drawing) to communicate pictures in a barrier task
CDP Outcome Measure The client will draw one-, two-, and three-panel cartooned stories from memory. Panel should be accurate enough for a naïve judge to identify all elements necessary for understanding and stating the message (joke) of each cartoon. (Helm-Estabrooks & Albert, 2004)
1-Panel Model Copyright Helm-Estabrooks, N. Communicative Drawing Program Cartoons
Pre-Therapy Post-Therapy
2-Panel Model Copyright Helm-Estabrooks, N. Communicative Drawing Program Cartoons
Pre-Therapy Post-Therapy
3-Panel Model Copyright Helm-Estabrooks, N. Communicative Drawing Program Cartoons
Pre-Therapy Post-Therapy
Maintenance/Generalization Data
Copyright Helm-Estabrooks, N. Communicative Drawing Program Cartoons
Maintenance/Generalization Data
1 2 3 Caregiver interview and the Communicative Effectiveness Index (CETI) indicate that A.S. primarily communicates via verbal and written expression and drawing
Potential Supplemental Practice - Game Apps
Draw Something Social drawing and guessing game Whiteboard Collaborative drawing app These game apps are popular social games where you can connect with friends to create interactive drawings. While these apps are not therapeutic in nature, they emphasize the therapy activities and create opportunities to generalize
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers
New Frontier The role of new technologies in multimodal communication, including drawing. More questions than answers Is new technology applicable for drawing purposes? What technology is best? Any hidden pitfalls? Any potential advantages? Where to begin??????
Technology for PWA Most often technology is used in speech therapy for: stimulus material, data tracking, and AAC (ASHA, 2011) Technology-aided therapy effective, due to the increased intensity of treatment (van de Sandt-Koenderman, 2011) Likely due to potential for use with multiple communication partners and use across multiple settings Apps and tech used in ST for children – especially Autism & Child Language Therapy apps for target drills and practice, social apps to use outside of therapy for reinforcement of skills Van de Sandt-Koenderman found that computer-aided therapy for people with aphasia was more effective due to the increased intensity of treatment as technology improved performance of functional goals and increased social participation. Tactus Therapy Solutions – Comprehension therAppy which works on auditory and reading comprehension, Naming Therappy which provides target drills for naming AAC apps Dragon Diction – text to speech Notes + - allows for drawing, writing and typing
What is a Smartphone? "Smartphone is a mobile phone that includes software that a user is able to modify and update. The user controlled software must be able to transfer information to and from external systems" (Toyysy & Helenius, 2006, p. 110).
Smartphone Options Blackberry Android $250-$500 Windows Phone
$300-$400 Windows Phone $400-$500 Here are some examples of smartphones. These are intuitive devices that offer direct touch interface These can access thousands of apps. They also come with built in apps which are useful such as calendars, alarms, timer, notepads, voice recorder, and navigation.
iPhone $400-$600 HP Palm $400-$600 Nokia $400-$600
A few more smartphones – the iPhone has access to 350,000 +apps Some smartphones require set-up which can be difficult – the store can set-up and provide support if needed
Alternate Formats - Tablets
iPad Android Tablet $500 - $750 $480-$750 There are now other ways to access iTechnology – the tablet Here is the iPad from Apple and the Android tablet Another advantage of the tablet is the size – easier to read, larger work space Also, some of the newer e-readers (i.e., Kindle) offer access to apps
Alternate Formats – iPod Touch
The iTouch is the same size as the smartphone and has the same capabilities to access the apps. There is just no phone access. $299-$399
What is an App? "Apps" is an abbreviation for application
Piece of software that can run on the Internet, on a computer, on a phone or other electronic devices Variety of available on different smartphones Some require internet connectivity, while others do run off-line These are able to be directly downloaded to your device. The average price of an app is $2 – but many social/game apps are free Most apps are paid with a 1 time fee – some run on a monthly service.
What is iTechnology? Technology manufactured by
Apple, collectively referred to as: iTechnology or iDevices For example: iPads iPod Touch iPhones Selection of iTechnology for this presentation and current research isn't value judgment, just starting point. There are other manufacturers, such as Android
Potential Benefits of Drawing Apps
Unlimited numbers of pages accessible without erasing Save and organize drawings created for future access/modification Enhance drawings with colors, stored symbols, and backgrounds. Incorporate real photographs Possibility? GPS Picture Prediction (e.g., Locabulary for picture) Export and send drawings via Some apps include keyboard function to augment drawing with typed letters, words, or phrases. Possibility? Text-to-speech Possibility? Interactive Alphabet Board/Phoneme cue Dr. O. iTechnology allows drawing to be even more interactive and allow for more communication opportunities – not just face-to-face. Now we can import pictures from the internet and incorporate them in our drawings, save and the drawings or save and access for future conversations. GPS Picture Prediction Guessing photos to import, based on location. Locabulary is an iphone app that does this with text (word or phrases). Based on GPS – guesses vocabulary (e.g., in coffee house, suggests words associated with coffee). Picture prediction = suggest images from Google images associated with location Text-to-speech Click on word written or typed to say it? Interactive Alphabet Board/Phoneme cue Click on letter written or typed to say sound
iTechnology: A Pilot Study
Ostergren, J., & Raminick, J. (n.d.) Drawing and iTechnology: A pilot study in the use of a drawing iApp by individuals with aphasia (n.d.). Unpublished manuscript. Methods 4 PWA Ages 20 – 80 years old Non-fluent forms of aphasia Participants were evaluated on their ability to: Access and navigate within a drawing app (NotesPlus) Intelligibility of their drawings (as compared to traditional paper and pencil methods) Jenn Participants were four individuals with non-fluent aphasia who were given initial training in the use of an iApp for communicative drawing purposes, followed by practice opportunities within bi-weekly therapy sessions. Participants were evaluated on their ability to access and navigate within this iApp, as well as the intelligibility of the drawings rendered using this app, as compared to traditional paper and pencil methods.
CDP Cartoon Copyright Helm-Estabrooks, N. Communicative Drawing Program Cartoons
Paper/Pencil vs. iPad Intelligible to a naive judge using pen and paper Intelligible to a naive judge using the iPad PT1HPR One-Panel Yes Two-Panel Three-Panel No PT2 PT3 PT4HPL Jenn We had participants draw the 1,2, and 3 panel cartoons from the CDP – shown previously using paper and pen and also the iPad Most participants drawings were comparable with both the ipad and paper/pen PT __: Premorbid _____hand dominant Hemiparesis in _____hand Used ______hand to draw PT 4: Premorbid _____hand dominant Add MC handedness
Example (PT 1): Paper/Pencil vs. iPad
Here is an example of one participant's drawings. This is the one-panel drawing with the paper/pen drawing on the left and the iPad drawing on the right. They are very comparable in detail and both intelligible from the model
App Use: Ease of Use After Training
In the pilot study, the participants used Notesplus which had the capability for individuals to draw, write and type all on the same screen. The app was used in therapy as a platform for multimodal communication. One of the research questions we had was, will the participants be able to access and navigate the app and the iTechnology. All but one participant (PT4) was rated as either completely independent or needing minimal assistance in effectively opening the app, opening a new page within the app, and retrieving a previously drawn page. PT4's frustration with touch screen use (as described above) appeared to carry over into her overall desire to use this technology, such that she often selected to utilize paper and pencil format for communicative drawing purposes. This may have resulted in less practice time and less motivation in learning to navigate within this iApp. The use of iTechnology was found to be successful for most participants as an efficient and effective platform for multimodality communication with minimal training and instruction required for the app/iPad. Two participants in this study did have upper extremity hemiparesis of the dominant hand. PT4 utilized her non-dominant hand for drawing as did PT2. In contrast to PT4 though, PT2 was not rated as having significant difficulty in touch screen use. This warrants further investigation. All participants were given the option of utilizing either the iPad or paper and pencil during communicative drawing tasks. Interestingly, at times, even those rated as independent in iPad use were observed to select paper and pencil over technology use. This was an unanticipated observation and was not formally tracked throughout this study. Qualitatively, it was noted, however, that these instances appeared most frequently when short, quick responses were needed or after long periods without communication when the iPad "slept" and required a touch screen swipe before accessing the drawing app. Communication by nature takes place rapidly. This additional step in accessing the app, may have added time to the communication task, and for some individuals this may have been a barrier to its use for communicative purposes. Additional research is needed in this area, including the potential for eliminating this automatic "sleep" function so that the drawing app is consistently accessible without an additional step in re-activating it for use in communication.
PT 4: Words of Caution Still obstacles to over-come
Non-dominant hand use/Limited control Registering drawing contact (false starts) No different in stylus vs. finger-tip Difficulty and frustration with touch screen use (with and without stylus) No previous touch screen use Lower levels of use and confidence with computers and technology in general Participant 4 had hemiparesis, so she was using her non-dominant hand in drawing. Because it was difficult to use that hand and she had never used a touch screen, she had increased levels of frustration. We surveyed all of the participants prior to using the iPad on their comfort and frequency of use of computers/technology and this participant had lower levels of comfort with technology than the rest of the group.
Finding the Right App: Recommended Feature Analysis -
ASHA defines feature matching as: "…devices are selected based on relationships between an individual's strengths… capabilities and communication needs in relation to various features of a device (ASHA, 2004, page 9). Dr. O
Best predictor of long-term success with AT is careful selection of aids to ensure they are well-matched to the user and the environment (Scherer et al., 2007)
Which Apps to Use: App Analysis
Ostergren, J. & Gastelum, M. (n.d.). An Exploration iTechnology Drawing Apps for Individuals with Aphasia. Unpublished manuscript. Evaluation of Drawing and Writing apps for communicative drawing purposes, given: Phase 1 Phase 2 Phase 3 As researchers have pointed out and anyone who uses this technology knows ….numerous good, great, and not so good apps available So after the initial pilot study, we endeavored to identify which might work _ NO EASY TASK!
Phase 1 – App Identification (Part A)
METHODS Search Terms: Apps with "drawing" or "handwriting" in search terms Consumer Ratings: Apps highly rated by users on the Apple Market place as a 4 or higher stars Device Mode: Apps that could be utilized on an iPad. Category: "Productivity" apps RESULTS 22 drawing apps 112 writing apps identified TOTAL = 134 apps Start Dr. O. Search Terms These search terms were utilized to yield apps which potentially contained drawing functions. All apps with instructions and marketing information in a language other than English were also removed from this list. A rating of 3+ star (on a scale of 0 to 4+ stars) was utilized to identify apps that a wide range of individuals found helpful, suggesting that the app was user friendly, contained more features, and/or had initial bugs addressed. Consumer Ratings Given the nature of drawing, it was felt that the larger workspace provided on an iPad would facilitate the greatest potential for effective drawing, both in future use by individuals with aphasia and given pilot studies to assess drawing use of each app. Device Mode Removed apps in non-applicable categories such as "reference," "books," "games," "music," and "sports" apps. "Education**," "entertainment" or "photo & video" apps also Category: Eliminate duplicates Removed drawing apps that were for professional use (e.g., computer assisted drawing (CAD) apps, architectural and blue print apps, etc.) NOTE: Several of the apps in "education" category could be revisited to incorporate within CDP or other drawing programs, including drawing games, such as Draw Something
Phase 1 – App Identification (Part B)
METHODS Line Sizes. Apps with at least 8 line size options Color Choices. Apps with at least 8 color options Background Choices. Apps with the ability to modify the background in some fashion beyond strictly a white canvas were selected. Saving Capacity. Apps with the ability to save drawings for future retrieval and easily modification. Ability to . Apps with an function. RESULTS 5 drawing apps 9 writing apps identified TOTAL = 14 apps were selected. It was felt that this would give individuals with varying visual and motor dexterity more choices in apps use and functionality. Line Size Still needed to narrow it down…. This criterion was utilized given that color enhancement for communicative drawing purpose can be a valuable feature, for example, in distinguishing drawing of similar shape/features, but unique color representation (e.g., apple vs. orange). In addition, research suggested that the act of drawing in individuals with aphasia may strengthen the activation of the associated lexical-phonological processes (Farias, Davis, and Harrington, 2005). Hence more color options in this respect would be a valuable feature for individuals with aphasia who wanted to incorporate color in this fashion. Color Choices Background Choices. Certain apps included a variety of backgrounds to choose from, including: 1) the option to change the type of "paper", such as white paper, colored paper, or line paper options, 2) the option to use a set of pre-stored backgrounds, such as nature scenes, textured or abstract backgrounds, and 3) the option to import photos as a background options. These varied options permit the drawing canvas to be individually adapted to the patient's needs. Background Ability to – form of communication some individuals with aphasia can't do Saving Capacity – add to drawings and co-construction
Phase 3 – App Evaluation METHODS
Apps from Phase 2 rated using 5 point scale, as follows Ease of Navigation: 1 = Complex navigation………………5 = Minimal/Easy Navigation Visual Distraction 1 = Maximal Distraction… = Minimal Distraction Workspace: 1 = Small Icons/Workspace…………..5 = Large Icons/Workspace Iconicity: 1 = Opaque Icons……………………………………5 = Transparent Icons Ease of Navigation. number of steps needed to draw within the app (e.g., layers to draw, change color, erase, etc.) and the number layers to save and a drawing Visual Distraction. Amount of visual distractors, such as advertisements common of "free" or "lite" versions Visual Demand. size and placement of visual icons and the size and orientation of the drawing field (e.g., drawing space that was large and adjustable in orientation) for use by individuals with potentially limited vision or other impairments in, such as visual field cuts Iconicity. This criteria consisted of the researchers ranking the app given the transparency in visual icons for us by someone potentially unfamiliar with common technology symbols, such as buttons for deleting, ing, changing settings, etc.
Drawing Apps
Writing Apps Now we would like to demonstrate the top rated apps in each category – plug in iPad – Jenn demo
Looking Deeper: Additional Trends Uncovered
Options for setting hand use (right vs. left) Moveable palm rests Icon knowledge required Layers in saving – Less is more Remote access/additional accounts (e.g., EverNote) Start position important Access knowledge required Tapping, swiping, and finger expansion Now we would like to demonstrate the top rated apps in each category – plug in iPad – Jenn demo
SketchTime $1.99 Language: English Developer: Hansol Huh
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Recent Replication: Pilot Study
13 additional PWA Varying forms of aphasia (fluent and non-fluent) Varying ages All in chronic stage of recovery from a CVA All receiving services at CSULB for communication impairments Asked to draw a 1-panel CDP cartoon using paper and pen and one (1) of the following apps: Sketch Time Jotter Absolute Board Noteshelf Dr. O.
Intelligible to a naive judge
Sketch Time Intelligible to a naive judge using pen/paper Intelligible to a naive judge using the iPad PT 1 Yes No PT 2HPL PT 3
Intelligible to a naive judge
Jotter Intelligible to a naive judge using pen/paper Intelligible to a naive judge using the iPad PT 1 No PT 2HPL Yes No* PT 3HPL *NOTE: Patient experienced notable difficulty app registering finger placement (both with stylus and finger tip). – frustrated and appeared to abandon task early
Intelligible to a naive judge
Absolute Board Intelligible to a naive judge using pen/paper Intelligible to a naive judge using the iPad PT 1 Yes No PT 2HPR PT 3HPL PT 4
Intelligible to a naive judge
Noteshelf Intelligible to a naive judge using pen/paper Intelligible to a naive judge using the iPad PT 1HPL No PT 2HPR PT 3
RESULTS 5/17 PWA had intelligible drawings in the paper and pencil mode (29%) Two (2) had equally intelligible app drawings (Notesplus) Three (3) had less intelligible app drawings (Jotter, Absolute Board, and Sketch-Time)* Noteshelf N/A because no intelligible
Ad Hoc and Qualitative Motor control and app use:
9/17 individuals had hemiparesis (52%) 3 of these individuals had intelligible drawings in one mode (33%) 1 = equally intelligible drawings in both modes 1 = less intelligible app drawing 1 = less intelligible paper/pencil Most individuals in our study with hemiparesis had unintelligible drawings in both modes (6/9, 67%) Consider OT and CDP?
Conclusion Interpret with CAUTION – small sample!
For some individuals, drawing using an app was less intelligible, with some apps But………
The Devil's in the Details – Aim for Total Communication
Sketch Time
Absolute Board – PA?
Pointed to spot highlighted and said: "Water" and "Hot"
Pointed to spot highlighted and said: "Water" and "Hot". Also, gestured drinking. What is this? Is that a tree? What is this? Jotter
Big Picture: Lessons Learned
Aim for communication, not perfection in drawing. Incorporate within multimodality system (e.g., speech, writing, gestures, AND drawing) Provide education in neuroplasticity and the positive impact of drawing on verbal expression Consider pre-morbid technology use and comfort Increase acceptance by minimizing client frustration Frustration – at least two of the clients abandon due to difficulty in access
Additional Lessons Learned: Experiment/Match to Client
Compare Drawings on Different Apps Explore Palm Rest/Hand Use Settings Evaluate Stylus vs. Finger-tip Individual preference a factor Assess with different "pen" settings on the app (fine vs. large) Assess Case Withstand pressure from resting palm while drawing Adjust to different positions
Additional Lessons Learned: Therapy Tips
Incorporate within Multimodality/Total Communication Training Speaking Gestures Drawing Writing Use Barrier Tasks Train Partners Use CDP to Enhance Details (Internal/External Features) Assess with Referential Communication Tasks
Referential Communication Task
Based on Purdy and VanDyke (2009) CSULB Modifications: 15 real color photographs of common everyday activities Unfamiliar listener: Instructions: A PWA is going to be describing to you pictures shown to them. You will not be able to see these pictures. The PWA may speak, write, draw, gesture (or use a variety of methods) in describing these pictures to you. Please write down what you think the picture represents.
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers
Future Research: Information Needed
Develop and test frameworks for effectively and efficiently evaluating apps Explore communicative drawing and technology Influence of technology in communication dynamics Collect actual efficacy data Just because it is new, doesn't make it better. Move toward dedicate apps for PWA that allow for fluidity in modalities PWA input critical
Agenda Multi-Modality Communication and Aphasia Drawing and Aphasia
Correlations with Neuroplasticity Drawing and Aphasia iTechnologies for Communicative Drawing Examples of available iApps Features of available iApps Recommendations for Selection Communicative Drawing and iTechnology in a Clinical Setting New Directions and Future Research Questions and Answers
Q & A For additional information about this presentation contact:
Dr. Jennifer A. Ostergren Assistant Professor California State University, Long Beach Department of Communicative Disorders
Reference ASHA. (2004). Roles and responsibilities of speech-language pathologists with respect to augmentative and alternative communication: technical report [Technical Report]. Available from Beeson, P.M., & Ramage, A.E. (2000). Drawing from experience: The development of alternative communication strategies. Topics in Stroke Rehabilitation, 7(2), Beukelman, D., & Mirenda, P. (2012). Augmentative and Alternative Communication: Supporting children and adults with complex communication needs (4th Ed.) Baltimore, MD: Brookes Publishing Co. Davis, C.H., Farias, D., Baynes, K. (2005). Understanding the effects of cuing strategies through error analysis. Brain and Language, 95, Farias, D., Davis, C., & Harrington, G. (2006). Drawing: Its contribution to naming in aphasia. Brain and Language , 97, Gonzalez Rothi, L. J., Mussi, N., Rosenbeck, J. C., & Sapieza, C. M. (2008). Neuroplasticity and rehabilitation research for speech, language, and swallowing disorders. Journal of Speech, Language, and Hearing Research, 51(1), S222-S224. doi: / (2008/017).
Reference Grafman, J. (2000). Conceptualizing functional neuroplasticity. Journal of Communication Disorders, July-August, (Posted on Beachboard) Helm-Estabrooks, N. & Albert, M. (2004). Manual of Aphasia and Aphasia Therapy (2nd Ed.). Austin, TX: Pro-Ed. Koul, R. K, & Corwin, M. (2011). Augmentative and alternative communication intervention for persons with chronic severe aphasia: Bringing research to practice. EBP Briefs 6(2), 1–8. Bloomington, MN: Pearson Lyons, J. (1995). Drawing: Its value as a communication aid for adults with aphasia. Aphasiology, 9, Purdy, M., & VanDyke, J. (2009). Intermodal training to facilitate communication in aphasia: A pilot study. In Clinical Aphasiology Conference: Clinical Aphasiology Conference (2009 : 39th : Keystone, CO : May 26-30, Retrieved from:
Reference Pulvermüller, F., & Berthier, M. L. (2008). Aphasia therapy on a neuroscience basis. Aphasiology, 22(6), doi: / Raymer, A. M., et. al (2008). Translational research in aphasia: From neuroscience to neurorehabilitation. Journal of Speech, Language, and Hearing Research, 51, S259-S275. Rautakoski, P. (2011). Training total communication. Aphasiology, 25, Sacchett, C., & Black, M. (2011). Drawing as a window to event conceptualization: Evidence from two people with aphasia. Aphasiology, 25(1), 3 – 26. Sacchett, C. (2002). Drawing in aphasia: moving towards the interactive. International Journals of Human-Computer Studies, 54(4), Sacchett, C., & Lindsay, J. (2007). Revealing competence and rethinking identify in severe aphasia using drawing and a communication book. In S. Byng, J. Duchan, & C. Pound (Eds). The Aphasia Therapy File, Volume 2. Hove, UK: Pyschology Press
Reference Saur, D., & Hartwigsen, G. (2012). Neurobiology of language recovery after stroke: Lessons from neuroimaging studies. Archives of Physical Medicine and Rehabilitation, 93(1), Supplement, S15-S25 Toyssy, S. and Helenius, M. (2006). About malicious software in smartphones. Journal in Computer Virology, 2, van de Sandt-Koenderman WM. (2011). Aphasia rehabilitation and the role of computer technology: can we keep up with modern times?. International Journal of Speechlanguage Pathology 13(1):21-7.
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The Romans in Britain
Written by Robert Hull
Illustrated by
Part of the British Heritage Series
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The Romans in Britain by Robert HullEach book contains vivid texts and well organised resources. Clear chapters lead the reader to discover who these people were, how they were successful conquerors and rulers, how they transformed Britain through their customs and beliefs as well as through the everlasting artefacts they left behind. With a detailed glossary, index and further information pages, each book is a valuable resource in the classroom and at home.
About the Author
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Book Info
32 pages
Robert Hull
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Wayland (Publishers) Ltd an imprint of Hachette Children's Books
Publication date
12th July 2007
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Chepang Online Education Project
Starting 1st September 2016, HFN embarked the journey of sparking the lives of the children of 'Chepang Kendra' through an ambitious plan to bolster their learning process.
Our Mission
To empower children from challenging backgrounds living in 'Chepang Kendra' and attending local public schools by enhancing their on-demand and computer literacy skills.
Our Vision
To create a community in 'Chepang Kendra' whose economic development is driven by intellectual skills and inspired by education.
Established a computer room in a secured housing facility with three computers connected to the internet. One power inverter has been donated to ensure continuous power supply and uninterrupted education to the students.
Current Activities
Students have been interacting and sharing their knowledge among each other by utilizing the resources below:
1 http://www.olenepal.org (free online interactive learning modules and open digital library)
2 http://kantipur.ekantipur.com/ (to stay current on daily news)
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4 Microsoft word and http://www.dictionary.com/
Financial Contributors
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Apr 19, 2017
The Delta Trades & Technical Career Fair
Delta School District is excited to be participating in the 5th Annual Delta Trades and Technical Career Fair on April 27th at Sungod Recreation Center from 9:00 am – 8:00 pm. ... Read more
Apr 10, 2017
Summer School Registration
Registration for Summer School opens April 10th ... Read more
Mar 31, 2017
PARENT QUESTIONNAIRE : Indigenous Education in the Delta School District
We would like to hear your voice for the future of Indigenous Education in the Delta School District. This survey has 16 questions and should take approximately 10 minutes of your time. Your comments will be used to help us develop the Aboriginal Education Enhancement Agreement (AEEA) for the next 5 years. ... Read more
Mar 31, 2017
Colton Cares: Richardson Student Launches Campaign to Give Back to Hospital
Colton, now a Grade 6 student at Richardson Elementary, has worked tirelessly to recover from his injury, and is working to give back to the hospital and team that saved his life. ... Read more
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North Delta Student Takes Gold at Provincial Wrestling Championships
NDSS student Gursher Sangha is heading to Ontario for the 2017 Cadet and Juvenile Canadian Wrestling Championships. ... Read more
Mar 14, 2017
Hoop Shoot 2017
Hundreds of elementary students from across Delta competed in this year's Hoop Shoot. ... Read more
Mar 8, 2017
Sunshine Hills Elementary Raises $8000 for Cops for Cancer
Last September, Delta Cops for Cancer Cyclists visited Sunshine Hills and generated an enormous amount of excitement and support for their cause, but little did they know how committed and the students were to helping other kids with Cancer in BC. ... Read more
Feb 22, 2017
Lost and Found - New Video
Check out this video to see if any of the clothes belong to your child.
All items can be found in our main hallway.
Lost and Found Feb 2017 from ashifjiwa on Vimeo.... Read more
Feb 22, 2017
Pink Shirt Day 2017 - New Video
A great day at Cougar Canyon.
Bullying will not be tolerated at our school.
We Choose Kindness
Enjoy the video.
CC Pink Shirt Day 2017 from ashifjiwa on Vimeo.... Read more
Feb 16, 2017
Continuing Education Spring Catalogues are on Their Way
Look for your Continuing Ed Catalogue in your local paper on Feb 23/24 ... Read more
Feb 5, 2017
REMINDER: District Winter Weather Procedures
A reminder to parents/guardians, students, and staff of the Delta School District's winter weather procedures and announcements. Click "Learn More" below for more info. ... Read more
Feb 2, 2017
Career & Apprenticeship Info Evenings Start Next Week
Parents & students are invited to join us for an info session about our 2017-18 District Career & Apprenticeship Programs. ... Read more
Jan 24, 2017
Hawthorne Elementary Gets a Major League Visit
James Paxton paid a visit to his former elementary school as the Seattle Mariners caravan rolled into Hawthorne Elementary Wednesday afternoon. ... Read more
Jan 17, 2017
Congratulations to 2017 Vimy Pilgrimage Award winner: Abhay Sachal
Abhay Sachal, a grade 10 Seaquam Secondary student, is one of 17 students from Canada that has been selected to win the Vimy Pilgrimage Award, which recognizes the actions of young people who demonstrate outstanding service, positive contributions, notable deeds, bravery or leadership. ... Read more
Jan 12, 2017
Icy Conditions Continue in Delta School District
Please read the following advisory on icy conditions in Delta School District. ... Read more
Jan 10, 2017
French Immersion Registration Now Open
... Read more
Dec 16, 2016
Winter Fun at CC - New Video
Winter Fun at CC 2016 from ashifjiwa on Vimeo.
Dec 15, 2016
A Holiday Message from Doug Sheppard, Superintendent of Schools
Happy Holidays from the Delta School District and Board of Education. Schools will be closed from December 17 until January 2, with classes resuming at all schools on Tuesday, January 3, 2017. ... Read more
Dec 14, 2016
Lost and Found - New Video
Check out the video to see if you recognize any of the clothing. All items not collected by Friday, December 16 will be donated to a local charity.
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Corfu Palace
Leoforos Dimokratias 2, Corfu Town, Corfu, 49100, Greece
Built in 1950 as the island's first resort hotel—and these days showing it—the Corfu Palace is a grande dame in back need of a face lift, albeit in an unbeatable location and with some lingering grace notes. This stolidly built landmark's guest rooms have a spaciousness from an earlier age and they are all sweetly decorated with old-fashioned Louis XIV–style furniture. Even better, the hotel is but a couple of minutes' walk from the town center and overlooks Garitsa bay. Every guest room has a sea-view balcony and a marble bathroom. The two restaurants have seating in the gardens that surround the huge saltwater pool, and once a week there's a barbecue. You can book a tennis court at the nearby Corfu Tennis Club and hire facilities at the Corfu Yacht Club. The hotel, one of the few in Corfu to remain open year-round, caters to many older visitors and families who don't want to stay in the busy center of town. The island's only casino is located just off reception and operates 24 hours a day.
- very friendly service
- great breakfast buffet
- wonderful outdoor pool
- decor is showing its age
Rate Includes: Breakfast; All meals; Some meals


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UK complains to Twitter over withdrawal of access to user data
LONDON Britain has protested to Twitter over restricting the government's access to data, a spokesman for Prime Minister Theresa May said on Wednesday.
SAN FRANCISCO Data storage firm EMC Ltd has offered to replace millions of potentially compromised "SecurID" electronic keys after hackers used data stolen from its RSA security division to break into Lockheed Martin's network.
Lockheed Martin, the Pentagon's No. 1 arms supplier and the government's top information technology provider, was attacked last month by hackers, underscoring a growing threat to U.S. national security.
RSA, which makes the SecurID keys, said in a letter published on its website that it had confirmed information taken from it in March was used in the attack on Lockheed Martin.
EMC had previously warned that information stolen from RSA related to its SecurIDs and has now offered to replace the SecurID keys of any customers who ask, a spokesman told Reuters.
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Lockheed's networks house sensitive data on future weapons systems as well as military technology currently used in battles in Iraq and Afghanistan. A source told Reuters last week that several other U.S. military contractors have also been attacked.
Lockheed is the maker of the F-16, F-22 and F-35 fighter jets as well as warships and other multibillion-dollar arms systems sold worldwide.
Other big corporations have suffered from major hacking attacks recently, including Sony Corp and Google.
The widely used electronic keys work using a two-pronged approach to confirming the identity of the person trying to access a computer system.
They are designed to thwart hackers who might use key-logging viruses to capture passwords by constantly generating new passwords to enter the system.
The SecurID generates new strings of digits on a minute-by-minute basis that the user must enter along with a secret PIN before they can access the network.
If the user fails to enter the string before it expires, then access is denied.
(Reporting by Noel Randewich; editing by Carol Bishopric and Vinu Pilakkott)
LONDON Britain has protested to Twitter over restricting the government's access to data, a spokesman for Prime Minister Theresa May said on Wednesday.
BANGKOK Police in Thailand on Wednesday said they would discuss how to expedite taking down "inappropriate online content" after a man broadcast himself killing his 11-month-old daughter in a live video on Facebook.