Dyslexia

阅读障碍
  • 文章类型: Journal Article
    Through a reflexive thematic analysis of a large online support group for dyslexia and a sensemaking lens, this study investigated how mothers made sense of their child\'s dyslexia through metaphors. Mothers used metaphors to characterise their feelings surrounding dyslexia, their school-based interactions and their identity as advocates. The language mothers use offers a generative, textured way to understand the lived experiences of supporting a child with learning differences. Whilst mothers articulated much frustration and anger, they also voiced encouragement, advice-giving, empathy and hope, illustrating how their sense of agency was both threatened and empowered by the experience of having a child with dyslexia. There is much mothers must process, understand and navigate surrounding their child\'s dyslexia and the findings underscore the need for early school-based screening, support and intervention.
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  • 文章类型: Journal Article
    阅读障碍是一种影响阅读的特定学习困难,写作和拼写。实践护理需要一套独特的技能,包括有效的沟通,批判性思维,和组织能力。本文重点介绍了阅读障碍护士的经验,揭示了他们遇到的不同挑战,以及他们用来驾驭自己的角色并在健康专业中脱颖而出的弹性策略。
    Dyslexia is a specific learning difficulty impacting reading, writing and spelling. Practising nursing requires a unique set of skills that encompass effective communication, critical thinking, and organisational skills. This article focuses on the experiences of nurses with dyslexia, shedding light on the distinct challenges they encounter and the resilient strategies they employ to navigate their roles and excel in the health profession.
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  • 文章类型: Journal Article
    我们报告了一项小型研究,在该研究中,我们探讨了操纵叙事文本对有和没有阅读障碍的学生的理解水平的影响。使用两个被认为具有相似难度和长度的标准化叙事文本,我们操纵文本,以便我们可以向每个参与者呈现两个文本,在每种情况下。第一个条件是使用标准字间间距的文本;第二个条件使用增加的字间间距。对于阅读障碍的参与者,标准化理解问题的分数显着提高。此外,鉴于有证据表明患有特定形式的阅读障碍的人的视觉注意力延迟脱离,我们假设,对于某些读者来说,字母和单词的迁移现象可能会通过增加单词间距来缓解。我们确实发现,在这种情况下,所有参与者的迁移发生率都显着降低。
    We report a small study in which we explored the effects of manipulating narrative text on levels of comprehension for students with and without dyslexia. Using two pieces of standardised narrative text deemed to be of similar difficulty and length, we manipulated the texts such that we could present two texts to each participant, one in each condition. The first condition was text using standard inter-word spacing; the second condition used increased inter-word spacing. Scores on standardised comprehension questions were significantly improved for participants with dyslexia. Additionally, given that there is evidence of delayed visual attention disengagement in individuals with specific forms of dyslexia, we hypothesised that the phenomena of migration of letters and words for some readers might be mitigated by increasing inter-word spacing. We did indeed find that incidence of migration was significantly reduced in this condition for all participants.
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  • 文章类型: Journal Article
    人类大脑的语言网络在额叶下皮层和上/中颞叶皮层具有核心组成部分,在大多数人的左半球占主导地位。这些新皮质区域的功能专业化和相互连通性可能反映在它们的分子和细胞谱中。皮层区域之间的兴奋连接根据层特定的模式出现并神经支配。这里,我们从核心语言网络区域的人类死后皮质组织样本中生成了一个基因表达数据集,使用空间转录组学区分皮质层的基因表达。将这些数据与现有的单细胞表达数据整合,确定了56个基因,这些基因显示了额叶和颞叶语言皮层之间的层状表达谱差异,以及II/III层和/或V/VI层兴奋性神经元的上调。根据大规模全基因组筛查的数据,这56个基因中的DNA变异显示了与左半球额叶和颞叶语言皮层之间结构连接的个体间变异的集合水平关联,以及与大脑相关的障碍阅读障碍和精神分裂症,这些障碍通常涉及受影响的语言。这些发现将层状基因表达的特定区域模式确定为大脑语言网络的特征。
    The language network of the human brain has core components in the inferior frontal cortex and superior/middle temporal cortex, with left-hemisphere dominance in most people. Functional specialization and interconnectivity of these neocortical regions is likely to be reflected in their molecular and cellular profiles. Excitatory connections between cortical regions arise and innervate according to layer-specific patterns. Here, we generated a gene expression dataset from human postmortem cortical tissue samples from core language network regions, using spatial transcriptomics to discriminate gene expression across cortical layers. Integration of these data with existing single-cell expression data identified 56 genes that showed differences in laminar expression profiles between the frontal and temporal language cortex together with upregulation in layer II/III and/or layer V/VI excitatory neurons. Based on data from large-scale genome-wide screening in the population, DNA variants within these 56 genes showed set-level associations with interindividual variation in structural connectivity between the left-hemisphere frontal and temporal language cortex, and with the brain-related disorders dyslexia and schizophrenia which often involve affected language. These findings identify region-specific patterns of laminar gene expression as a feature of the brain\'s language network.
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  • 文章类型: Journal Article
    背景:阅读障碍是一种神经发育障碍,会导致学习困难的模式,其特征是单词阅读准确性不足,速度或流畅性,阅读理解。由于所有这些损坏,在文献中已经描述了情感困难,主要是针对童年和青春期。在这种情感成分中,个性可以包括在内。在巴西,在进行这项研究的时候,没有研究发现对阅读障碍成年人的人格进行调查。因此,本研究旨在调查巴西成人阅读障碍患者的人格特征。
    方法:进行了半结构化访谈,基于五大人格特质。样本由两组组成:一组患有阅读障碍,另一组为对照。第一个是由九名参与者组成的,年龄在18至47岁之间(M=31.7;标准偏差(SD)=11.8),其中六个是女性。对照组由60名参与者组成,年龄在18至45岁之间(M=26.4;SD=8.8),其中38人是妇女。
    结果:数据显示,在大多数分析因素和亚因素中,组间没有显着差异。在阅读障碍组中,“被动/缺乏能量”的比率增加,“对新思想的开放性”的比率降低。
    结论:这些结果可能有助于描述阅读障碍成年人的人格特征,这些描述可能为诊断和干预程序提供临床支持。
    BACKGROUND: Dyslexia is a neurodevelopmental disorder that causes a pattern of learning difficulties that can be characterized by deficits in word reading accuracy, speed or fluency, and reading comprehension. Due to all this damage, emotional difficulties have been described in the literature mainly for childhood and adolescence. Within this emotional component, personality can be included. In Brazil, at the time of carrying out this research, no research had been found that investigated the personality of dyslexic adults. Thus, the present study aimed to investigate the personality of Brazilian adults with dyslexia.
    METHODS: A semi-structured interview was administered and the Factorial Personality Battery, based on the Big Five personality traits. The sample was composed of two groups: one with dyslexia and another control. The first was formed by nine participants, aged between 18 and 47 (M = 31.7; standard deviation (SD) = 11.8), six of whom were women. The control group was formed by 60 participants, aged between 18 and 45 years (M = 26.4; SD = 8.8), 38 of whom were women.
    RESULTS: The data did not show significant differences between the groups in most of the analyzed factors and subfactors. Increased rates of \"passivity/lack of energy\" and lowered rates of \"openness to new ideas\" were identified in the group with dyslexia.
    CONCLUSIONS: These results could be useful for describing personality profiles in dyslexic adults, with these descriptions possibly providing clinical support for diagnoses and intervention procedures.
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  • 文章类型: Journal Article
    图形学语义灵活性是阅读中的认知灵活性,使个人能够同时管理文本的多个语音和语义方面。这项研究调查了阅读障碍儿童的语言语义灵活性及其对阅读理解的贡献,将它们与年龄匹配的比较,通常是发展中的同行。30名8-11岁的儿童使用特定阅读分类任务进行了评估,他们在2x2矩阵中按初始音素和含义对单词卡进行分类。排序后,参与者解释了他们的安排,和它们的分拣速度,准确度,并对综合评分进行评价。此外,阅读理解能力是通过段落和问题进行评估的。结果显示,阅读障碍儿童与同龄人在分类准确性和综合得分方面存在显着差异。患有阅读障碍的儿童表现出更差的准确性和更长的分类时间,导致较低的综合得分,表明字词语义灵活性降低。年龄与排序精度和综合得分呈正相关。此外,排序准确性和综合分数是阅读理解的强预测因子。这些发现表明,阅读障碍儿童在同时管理文本的语音和语义方面面临挑战,强调字词语义灵活性在阅读发展中的重要性。
    Graphophonological-semantic flexibility is the cognitive flexibility in reading that enables individuals to manage multiple phonological and semantic aspects of text simultaneously. This study investigated graphophonological-semantic flexibility and its contribution to reading comprehension in children with dyslexia, comparing them to age-matched, typically developing peers. Thirty children aged 8-11 were assessed using a reading-specific sorting task, where they categorized word cards by initial phoneme and meaning within a 2x2 matrix. After sorting, participants explained their arrangements, and their sorting speed, accuracy, and composite scores were evaluated. Additionally, reading comprehension was assessed through passages followed by questions. Results revealed significant differences between children with dyslexia and their peers in sorting accuracy and composite scores. Children with dyslexia exhibited poorer accuracy and longer sorting times, leading to lower composite scores indicative of reduced graphophonological-semantic flexibility. Age showed a positive correlation with sorting accuracy and composite scores. Moreover, sorting accuracy and composite scores were strong predictors of reading comprehension. These findings suggest that children with dyslexia face challenges in managing both phonological and semantic aspects of text concurrently, highlighting the importance of graphophonological-semantic flexibility in reading development.
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  • 文章类型: Case Reports
    Twice-exceptionality is characterized as the presence of high performance concomitantly with deficiencies or incompatible conditions. An example is when giftedness manifest associated with neurodevelopmental disorders. This study is a clinical case report referring to the evaluative and interventional process of a 9- year-old child with the paradoxical combination of giftedness associated with dyslexia. It aims to compare the performance in phonological processing, reading and writing before and after phonological remediation. In the first assessment, the child demonstrated alphabetic level in reading, a transition phase between syllabic-alphabetic and alphabetical writing levels, and below-expected performance in phonological processing skills. After intervention, the results showed consistent improvements in phonological processing, the consolidation of alphabetical writing and orthographic reading level. In general, children with isolated dyslexia have persistent difficulties in several skills after intervention. The evolution shown after phonological remediation, especially at reading level, shows different characteristics than expected. Thus, it can be concluded that twice-exceptionality may have favored the overcoming of some of the shown difficulties more successfully. Studies on these combined conditions can contribute to a better understanding of this framework during the development of learning and to formulate specialized interventions.
    A dupla-excepcionalidade é caracterizada pela presença de alto desempenho concomitante a deficiências ou condições incompatíveis, como é o caso de altas habilidades associadas a transtornos do neurodesenvolvimento. Esse estudo é um relato de caso clínico referente ao processo avaliativo e interventivo de uma criança de 9 anos com a combinação paradoxal de altas habilidades associadas à dislexia. O objetivo foi comparar o desempenho nas tarefas de processamento fonológico, leitura e escrita pré e pós remediação fonológica. Na primeira avaliação, a criança apresentou nível alfabético na leitura, fase de transição entre os níveis silábico-alfabético e alfabético na escrita e desempenho abaixo do esperado nas habilidades do processamento fonológico. Após a intervenção, houve melhora em habilidades do processamento fonológico, consolidação da escrita alfabética e do nível ortográfico de leitura. Em geral, crianças com dislexia isolada apresentam dificuldades persistentes em várias habilidades após intervenção. A evolução demonstrada após a remediação fonológica, principalmente no nível de leitura, mostra características diferentes do esperado. Assim, pode-se concluir que a dupla-excepcionalidade pode ter favorecido a superação de algumas de suas dificuldades de forma mais exitosa. Estudos sobre estas condições combinadas podem contribuir para a melhor compreensão deste quadro durante o desenvolvimento da aprendizagem e para a formulação de intervenções especializadas.
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  • 文章类型: Journal Article
    背景:较高的产前睾酮暴露调节大脑发育并直接影响学习和智力。数字比率(2D:4D)被认为是产前睾酮暴露的指标。这项研究旨在调查患有特定学习障碍(SLD)的个体的2D:4D比率和智力水平,并将其与健康受试者进行比较。
    方法:本研究共纳入117例诊断为SLD的患者和67例健康对照。我们测量了2D:4D比率,并实施了韦氏儿童智力量表修订版,以评估SLD组的智商(IQ)得分。获得了患者和健康受试者的社会人口统计学数据,并在两组中进行了比较。以及2D:4D比率。
    结果:与健康对照组相比,在SLD组中发现双向2D:4D比率较低。此外,男性和女性SLD参与者的双手2D:4D比率低于对照组。在SLD组中,随着右手2D:4D比率和年龄的增加,WISC-R的总分降低。
    结论:我们的研究结果为研究产前睾酮暴露对SLD样本中学习和智力影响的文献提供了补充。该领域的进一步研究可能会对SLD的管理的潜在机制和潜在的临床意义产生有价值的见解,这些变量可能会影响性激素对大脑发育的影响。
    BACKGROUND: Higher prenatal testosterone exposure regulates brain development and affects learning and intelligence directly. The digit ratio (2D:4D) is regarded as an indicator of prenatal testosterone exposure. This study aims to investigate the 2D:4D ratios and intelligence levels in individuals with specific learning disorders (SLD) and compare the ratios with healthy subjects.
    METHODS: The study included a total of 117 patients diagnosed with SLD and 67 healthy controls. We measured the 2D:4D ratios and administered the Wechsler-Intelligence Scale for Children-Revised to assess intelligence quotient (IQ) scores in the SLD group. Sociodemographic data was obtained for both patients and healthy subjects and compared in both groups, as well as 2D:4D ratios.
    RESULTS: Compared to healthy controls, both-hand 2D:4D ratios were found to be lower in the SLD group. In addition, male and female participants with SLD showed lower 2D:4D ratios in both hands than controls. The total scores on the WISC-R were found to decrease as the right-hand 2D:4D ratios and the age increased in the SLD group.
    CONCLUSIONS: Our findings add to the literature examining the influence of prenatal testosterone exposure on learning and intelligence in the SLD sample. Further research in this domain may yield valuable insights into the underlying mechanisms and potential clinical implications for the management of SLDs examining additional variables that could potentially impact alongside the impact of sex hormones on brain development.
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  • 文章类型: Journal Article
    快速自动化命名(RAN)最近作为阅读困难的一个重要指标,包括诵读困难.尽管有广泛的RAN研究历史,包括最近的荟萃分析,表明RAN对阅读超出音素意识的独特贡献,关于RAN与阅读的关系仍然存在问题。存在关于PA如何调解这种关系以及如何最好地使用来自RAN措施的数据来识别读取失败的风险的具体问题。通过多项研究,我们证明,在进行阅读困难的普遍筛查时,RAN不仅被通常评估的技能所包含(即,音素分割流畅性和字母命名流畅性),但在这些措施之外提供了独特的信息。此外,我们讨论了深度RAN风险切点的制定过程,以及有关教育工作者如何将RAN分数解释为未来阅读困难风险指标的指导。此处提供的结果支持以下观点:与RAN相关的困难不仅反映了在普遍筛查期间通常评估的其他早期识字技能的困难,但构成单独和明显的困难,可能会导致以后的阅读问题。
    Rapid automatized naming (RAN) has surged in popularity recently as an important indicator of reading difficulties, including dyslexia. Despite an extensive history of research on RAN, including recent meta-analyses indicating a unique contribution of RAN to reading above and beyond phonemic awareness, questions remain regarding RAN\'s relationship to reading. Specific questions exist regarding how PA mediates that relationship and how best to use data from RAN measures to identify risk for reading failure. Through multiple studies, we demonstrate that RAN is not merely subsumed by skills typically assessed when conducting universal screening for reading difficulties (i.e., phonemic segmentation fluency and letter naming fluency), but contributes unique information above and beyond these measures. Additionally, we discuss the process for the development of cut points for risk for Acadience RAN, along with guidance regarding how educators can interpret RAN scores as an indicator of risk for future reading difficulties. The results presented here support the idea that difficulties associated with RAN are not merely reflections of difficulties with other early literacy skills typically assessed during universal screening, but constitute separate and distinct difficulties that may precipitate later reading problems.
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  • 文章类型: English Abstract
    患者是一名85岁的男性,有一年的阅读假名困难史。神经心理学评估显示假名(音图)-选择性阅读障碍和汉字(表意文字)-显性书写障碍。MRI显示左枕骨皮质有明显的脑萎缩,导致后皮质萎缩(PCA)的临床诊断。脑脊液淀粉样β1-42水平降低,淀粉样蛋白PET显示在后扣带皮质中积累,precuneus,和额叶.相比之下,tauPET显示在萎缩的大脑区域没有积累。REM睡眠行为障碍的发作和间碘苄基胍(MIBG)心肌闪烁显像的摄取减少提示路易体病理学的参与。具有明显侧向性的PCA很少报道,这是第一个出现假名选择性阅读障碍和汉字显性书写障碍并伴有神经退行性背景的病例。
    The patient was an 85-year-old man with a one-year history of difficulty reading kana. Neuropsychological evaluation revealed kana (phonogram)-selective reading impairment and kanji (ideogram)-dominant writing impairment. MRI revealed significant cerebral atrophy in the left occipital cortex, leading to the clinical diagnosis of posterior cortical atrophy (PCA). Cerebrospinal fluid amyloid β1-42 levels were reduced, and amyloid PET showed accumulation in the posterior cingulate cortex, precuneus, and frontal lobe. In contrast, tau PET showed no accumulation in the atrophied brain areas. Episodes of REM sleep behavior disorder and decreased uptake on meta-iodobenzylguanidine (MIBG) myocardial scintigraphy suggested the involvement of Lewy body pathology. PCA with distinct laterality has been rarely reported, and ‍this is the first case to present Kana-selective reading impairment and Kanji-dominant writing impairment with neurodegenerative background.
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