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For patients in the chronic phase of left hemisphere stroke with aphasia

Integrity of Right Brain Predicts Speech Fluency After Stroke

Findings for patients in chronic phase of left hemisphere stroke with aphasia
Declines in cognition could have a greater impact on the ability of Parkinson's disease patients to converse than physical impairment

Cognitive Impairment Affects Speech of Parkinson’s Patients

Those with cognitive difficulties struggle to follow conversations or recall words
A higher homeostatic model assessment-insulin resistance index score may be an early marker for an increased risk of cognitive decline in women

Insulin Resistance Tied to Signs of Cognitive Decline in Women

Specifically, higher HOMA-IR score associated with poorer verbal fluency in women, but not in men
The U.S. Preventive Services Task Force has concluded that the current evidence is insufficient to weigh the benefits and harms of screening for speech and language delays in children aged younger than 5 years. The final recommendation statement has been published online July 7 in Pediatrics.

USPSTF: Evidence Lacking for Speech, Language Screening

Grade I recommendation finds insufficient evidence for assessing benefits, harms of preschool screening