INPUT ARTICLE: Article: Certification signifies that the speech therapist has passed necessary coursework from an accredited program, has passed a national exam, has completed a one year clinical fellowship, and participates in continuing education programs. Look for speech therapists who are associate members of ASHA for even more certification of experience. Speech therapists work with both children and adults so it is important to determine what age group the therapist is more comfortable treating. If services are for your child, it is important to look for a therapist that easily interacts with children and makes your child feel comfortable. If services are for an adult, look for a more mature office setting and a professional who is used to working with adults. When determining if a therapist is a good fit for your child, there are a few questions to ask yourself: Is the therapist really interacting with the child, does your child seem like they are having fun, and does your child show a willingness to trust this person? If you are seeking a speech therapist for an adult, make sure their interventions align with your particular need. For example, if your speech difficulty was caused by injury, be certain that it is listed as one of the therapist's specialties. Not only should you look at how many years of service the speech therapist has, but look specifically at their specialties. How many other patients have they had with the similar condition, what are their treatment plans, and are their interventions research-based? Questions to pose include how much of your caseload is made up of cases like mine/ours, what treatment do you recommend, and what's the evidence that supports these recommendations? If you have seen your primary care physician or have a referral from a school professional, you may be able to narrow down your need before seeing the speech therapist. You can search for a therapist based on articulation problems, fluency problems, resonance or voice problems, or oral feeding problems. Knowing a speech therapist's specialties can help you find the right one for your particular problem. Articulation problems means the patient doesn't speak clearly or makes errors in sounds. Fluency problems include trouble with the flow of speech such as stuttering. Voice problems include trouble with pitch, volume and quality. Oral feeding problems are demonstrated by trouble with eating, swallowing, or drooling. Adults can be treated for many communication problems including articulation, voice, or those brought on by injury or disease (such as traumatic brain injury or Parkinson's disease).

SUMMARY: Ask the speech therapist if they are certified. Determine if they are age-appropriate for the patient. Check their experience and knowledge level. Determine their specialties.

INPUT ARTICLE: Article: Heat a heavy skillet over medium heat on the stove. Add the dried guajillo chiles to the skillet and cook for about 5 minutes, or until they turn puffy and change color. Do not add any oil, butter, or margarine to the pan before toasting the chiles. Turn the chiles occasionally as they cook. When done, set the chiles aside for a couple of minutes until they are cool enough to touch. Once cool, you need to remove the stems, seeds, and veins. Wear food-grade plastic gloves when handling chiles to protect your skin and eyes. Place the toasted and deveined chiles in a small bowl and pour boiling water on top of them. Cover the bowl with a lid or plastic wrap, and let the chiles soak for a full 1 hour. Add the cumin and cloves to the hot skillet used for your chiles. Toast, stirring frequently, until the cumin seeds just begin to pop. Remove the toasted seeds from the heat as soon as they are ready. Note that this step can be done while you are waiting for the chiles to cool, or it can be done afterward. Regardless, the pan should be both hot and dry when you add the cumin and cloves to it. Place them in spice grinder or coffee grinder and grind them into a powder. If using a coffee grinder, make sure that it has been thoroughly cleaned before use and is thoroughly cleaned after use. Otherwise, you could end up with coffee-flavored sauce or cumin and clove tainted coffee. Place the cumin powder, clove powder, ancho chile powder, onion, garlic, oregano, thyme, vinegar, and lime juice in a blender. Remove the chiles from the water and add them as well, along with 3 Tbsp (45 ml) of the chile-infused water. Cover and blend at a medium to high speed until a smooth paste forms. A food processor could be used instead of a blender, but either way, you need to produce a smooth paste when done. Stop the blender occasionally and scrape the sides down with a spatula before continuing to blend. Place the beef into a large mixing bowl and cover it with the marinade paste. Cover the bowl securely using plastic wrap, then put it in the refrigerator 6 hours to overnight for marinating purposes. For best results, turn the beef several times before you sealing off the bowl. Coat all sides of the beef in the sauce as you turn the roast. Prepare a large roasting pan by lightly spraying it with nonstick cooking spray. Wait until the oven has completely finished preheating before moving on to the next step. Transfer the beef roast to the roasting pan. Pour the marinade over it, and place the bay leaf on top. Cover the whole thing with an oven-safe lid or aluminum foil and cook until the meat becomes very tender. Remove the finished beef barbacoa out of the oven. Allow it to rest on the counter for roughly 45 to 60 minutes. When done, shred the beef with two forks. Keep the cover on the roasting pan while the beef rests. This resting period allows the beef to finish cooking and forces the juices to distribute themselves more easily. It also gives the beef a little time to cool to a more comfortable, easier to eat temperature. Discard the bay leaf before shredding the beef. The beef barbacoa is ready to eat at this point. It is usually served warm with tortillas and various toppings, like chopped onions or cilantro.

SUMMARY: Toast the chiles. Soak the chiles in boiling water. Toast the cumin and cloves. Grind the toasted cumin and cloves. Combine with the other marinade ingredients. Marinate the beef. Preheat the oven to 325 degrees Fahrenheit (165 degrees Celsius). Roast the barbacoa beef for 6 hours. Let stand before shredding. Serve.

INPUT ARTICLE: Article: They will all deliver the omega 3 fatty acids so form is a matter of preference. The oil tends to be more "fishy" and the powders often contain other vitamins or minerals. Depending on the dose, capsules can be large, but most are enteric coated. Enteric coated means the capsule will not dissolve until it reaches the intestine. This helps alleviate upset stomach or having a "fishy" taste in your mouth. Some supplements will have more than just omega 3 fatty acids. They may also have vitamins, minerals, herbs or other nutrients. Always check the label to make sure you know exactly what is in the supplement to avoid taking anything you are unsure of. The FDA regulates supplements, but not as strictly as drugs. It is important to check the supplement to ensure you can trust taking it. You want to avoid anything that might be high in mercury or other environmental contaminants. Most companies will put information on purity testing on their label. If you don't find any information on this, you should consider another supplement.

SUMMARY:
Choose the best form for the supplement. Be wary of other ingredients. Check for purity testing.