Literacy

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  • 文章类型: Journal Article
    背景技术智障人士在刑事司法系统中的比例过高。《联合国残疾人权利公约》(UNCRPD)规定了残疾人平等诉诸司法的权利(UNCRPD第13条)。无障碍信息是行使这一权利的一个关键方面。然而,许多司法管辖区,包括爱尔兰,尚未为可能被捕的残疾人提供可访问的信息。本文旨在描述通过多学科的合作发展,并倡导为爱尔兰警方拘留的智障人士提供可访问(易读)权利通知(ERNR)的共识。方法由爱尔兰的智障人士代表组织制定的指南和国际惯例的例子被用于由主要研究人员与智障人士代表组织的专家合作制定ERNR草案。此后,通过两个焦点小组制定了ERNR,以期达成共识,重点是可访问性,精度和布局。这包括一个多学科焦点小组,参与者来自一个智障人士代表组织,心理学,言语和语言治疗,警察部队,公共卫生,法医精神病学,心理健康,法律和,随后,一群有智力残疾经历的人。结果ERNR的逐步发展导致文本准确性的逐步提高以及更易于访问的语言和图像的纳入。原创性/价值这是第一次尝试开发一份易于阅读的文件,涉及爱尔兰警方拘留的嫌疑人的合法权利,因此,这种程序创新有望提供帮助,不仅仅是智障人士,还有那些在被捕时识字能力有限的人。编写文件时使用的方法,聘请焦点小组在多个学科和智障人士的参与下达成共识,这与联合国民主与发展委员会的精神是一致的。已批准《公约》但尚未制定适用于国内法规定的被逮捕者的法律权利和应享权利的其他成员国可能会采用这种方法。
    Background People with intellectual disabilities are over-represented in the criminal justice system. The United Nations\' Convention on the Rights of Persons with Disabilities (UNCRPD) enshrines a right to equal access to justice for persons with disabilities (Article 13, UNCRPD). Accessible information is a key aspect of exercising this right. Yet, many jurisdictions, including Ireland, are yet to develop accessible information for disabled people who may be arrested. Aims This paper describes the collaborative development through multidisciplinary and advocate consensus of an accessible (Easy -to- Read) Notice of Rights (ERNR) for people with intellectual disabilities in police custody in Ireland. Methods Guidelines developed by Ireland\'s representative organisation for people with intellectual disabilities and examples of international practice were used to develop a draft ERNR by the primary researcher in partnership with an expert from a representative organisation for people with intellectual disabilities. The ERNR was developed thereafter through two focus groups with a view to achieving consensus with a focus on accessibility, accuracy and layout. This included a multidisciplinary focus group with participants from a representative organisation for people with intellectual disabilities, psychology, speech and language therapy, the police force, public health, forensic psychiatry, mental health, law and, subsequently, a focus group of people with lived experience of intellectual disability. Results Progressive development of the ERNR resulted in incremental improvements in textual accuracy as well as the inclusion of more accessible language and imagery. Originality/value This is the first attempt at developing an easy-to-read document relating to the legal rights of suspects in police custody in Ireland and, accordingly, this procedural innovation promises to assist, not just persons with intellectual disabilities, but also those with limited literacy at the point of arrest. The methodology used in the preparation of the document, employing a focus group to achieve consensus with participation from both multiple disciplines and persons with an intellectual disability, is in harmony with the ethos of the UNCPRD. This methodology may usefully be employed by other member states that have ratified the Convention but have yet to develop accessible version of the legal rights and entitlements that extend to arrested persons under their domestic law.
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  • 文章类型: Journal Article
    语音-语言病理学领域的先前虚拟护理文献主要集中在验证干预计划的虚拟使用。关于进行虚拟评估的有效性的文章较少,特别是对儿童口语和识字能力的标准化评估。此外,缺乏实际,有用的建议可用于支持临床医生和研究人员如何虚拟地进行这些评估措施。鉴于最近由于冠状病毒-19大流行而导致虚拟护理和研究的迅速增长,临床医生和研究人员需要有关虚拟管理这些工具的最佳实践的指导。本文旨在通过提供此类建议来填补文献中的这一空白。
    我们(a)完成了对现有文献的叙述性回顾,和(b)对一组12名临床医生进行半结构化访谈,对各种单语和多语种学龄儿童进行标准化语言和识字评估的学生和研究人员,有或没有言语和语言障碍,在临床和研究环境中。六个主题:虚拟评估候选人资格,与护理人员的沟通和合作,技术和设备,虚拟管理,伦理,同意和保密,作为这两个过程的结果,确定了双语人群的考虑因素,并用于制定一套建议,以指导在虚拟环境中使用标准化评估。根据国际网络准则,这些建议由小组成员评分,并由外部利益相关者审查。使用准德尔菲共识程序就建议的评级达成协议。
    我们为临床医生和研究人员制定并概述了一些建议,以指导他们在虚拟护理中使用标准化的语言和识字评估。跨越六个关键主题。
    本文是为临床医生和研究人员分享口头语言和识字评估领域虚拟评估的实用建议之一。我们希望目前的建议将促进该领域未来的临床研究,随着该领域研究的发展,本文将作为制定正式临床实践指南的基础.
    OBJECTIVE: Previous virtual care literature within the field of speech-language pathology has primarily focused on validating the virtual use of intervention programmes. There are fewer articles addressing the validity of conducting virtual assessments, particularly standardized assessment of oral language and literacy abilities in children. In addition, there is a lack of practical, useful recommendations available to support clinicians and researchers on how to conduct these assessment measures virtually. Given the recent rapid rise in virtual care and research as a result of the Coronavirus-19 pandemic, clinicians and researchers require guidance on best practices for virtual administration of these tools imminently. This article seeks to fill this gap in the literature by providing such recommendations.
    METHODS: We (a) completed a narrative review of the extant literature, and (b) conducted semi-structured interviews with a group of 12 clinicians, students and researchers who had administered standardized language and literacy assessments with a variety of monolingual and multilingual school-aged children, with and without speech and language difficulties, in clinical and research settings. Six themes: candidacy for virtual assessment, communication and collaboration with caregivers, technology and equipment, virtual administration, ethics, consent and confidentiality, and considerations for bilingual populations were identified as a result of these two processes and were used to develop a set of recommendations to guide the use of standardized assessments in a virtual setting. In line with the Guidelines International Network, these recommendations were rated by group members, and reviewed by external stakeholders. A quasi-Delphi consensus procedure was used to reach agreement on ratings for recommendations.
    RESULTS: We have developed and outlined several recommendations for clinicians and researchers to guide their use of standardized language and literacy assessments in virtual care, across six key themes.
    CONCLUSIONS: This article is one of the first to share practical recommendations for virtual assessment in the domain of oral language and literacy assessment for clinicians and researchers. We hope the current recommendations will facilitate future clinical research in this area, and as the body of research in this field grows, this article will act as a basis for the development of formal Clinical Practice Guidelines.
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  • 文章类型: Journal Article
    背景:心肺复苏(CPR)被认为是医务人员最重要的技能,他们需要了解CPR指南的最新变化,以便他们能够在CPR的关键条件下采取最有效的措施。因此,本研究旨在根据2019年最新的2015年CPR指南,确定克尔曼沙和胡泽斯坦省医学院校人员的CPR素养水平.
    方法:在此描述中,分析,横断面研究,采用两阶段整群抽样方法选择525名受试者作为样本人群。对于数据收集,使用了研究人员制作的问卷,其内容效度和信度得到证实(r=0.71)。本研究采用SPSSStatistics软件23.0版,通过tttest和Spearman相关系数对收到的数据进行筛选,并对有效数据集进行分析。此外,P<0.05被认为具有统计学意义。
    结果:样本的2015年CPR素养水平如下:优秀(85名受试者或16.2%),良好(404科目或77%),和平均水平(36名受试者或6.9%)。皮尔逊相关系数的结果表明,CPR素养水平与样本年龄(r=-0.092)和工作经验(-0.029)之间存在微弱的负相关关系,具有统计学意义。此外,Mann-WhitneyU检验结果表明,Ahwaz医科大学人员的CPR素养水平超过了Kermanshah医科大学人员的CPR素养水平(P<0.001)。
    结论:建议在对护理和辅助医务人员进行再培训时,与2010年相比,心肺复苏术更强调本指南中引入的变化,包括食管气管气道,停止心肺复苏的原因,骨内输注,诱导体温过低.
    BACKGROUND: Cardiopulmonary resuscitation (CPR) is regarded as the most important skill of the medical staff who is required to be aware of the latest changes to the CPR guidelines so that they can take the most effective actions in the critical conditions of CPR. Therefore, the present study aimed to determine the levels of CPR literacy among the personnel of universities of medical sciences based in Kermanshah and Khuzestan provinces based on the latest 2015 CPR guidelines in 2019.
    METHODS: In this descriptive, analytical, cross-sectional study, 525 subjects were selected as the sample population using the two-stage cluster sampling. For data collection, a researcher-made questionnaire was used, whose content validity and reliability were confirmed (r = 0.71). The study screened the data received and analyzed valid data set through the ttest and Spearman\'s correlation coefficient by incorporating SPSS Statistics software version 23.0. In addition, P < 0.05 was considered statistically significant.
    RESULTS: The 2015 CPR literacy levels of the samples were as follows: excellent (85 subjects or 16.2%), good (404 subjects or 77%), and average (36 subjects or 6.9%). The results of Pearson\'s correlation coefficient revealed a weak and inverse relationship between the levels of CPR literacy and the age of samples (r = -0.092) and work experience (-0.029), which were statistically significant. In addition, the results of Mann-Whitney U-test demonstrated that the level of CPR literacy among the personnel of Ahwaz University of Medical Sciences exceeded that among the personnel of Kermanshah University of Medical Sciences (P < 0.001).
    CONCLUSIONS: It is suggested that in retraining the nursing and paramedical personnel, CPR be carried out with more emphasis on the changes introduced in this guideline compared to that in 2010, including esophageal tracheal airway, reasons for the cessation of CPR, intraosseous infusion, and induced hypothermia.
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  • 文章类型: Journal Article
    This consensus statement reflects the views of a diverse group of stakeholders convened to explore the concept of \"food literacy\" as it relates to children\'s health. Evidence-based conceptions of food literacy are needed in light of the term\'s popularity in health promotion and educational interventions designed to increase food skills and knowledge that contribute to overall health. Informed by a comprehensive scoping review that identified seven main themes of food literacy, meeting participants ranked those themes in terms of importance. Discussions highlighted two key points in conceptualizing food literacy: the need to recognize varying food skill and knowledge levels, and the need to recognize critical food contexts. From these discussions, meeting participants created two working definitions of food literacy, as well as the alternative conception of \"radical food literacy\". We conclude that multiple literacies in relation to food skills and knowledge are needed, and underline the importance of ongoing dialogue in this emergent area of research.
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  • 文章类型: Journal Article
    BACKGROUND: Education level is considered as an important factor for post-stroke functional outcome. Our previous study confirms the feasibility of SMART program to improve adherence of secondary stroke prevention in China.
    OBJECTIVE: We aim to investigate whether this program can influence the impact of educational level on post-stroke functional outcome in this sub-group analysis of SMART study.
    METHODS: We enrolled 3722 patients with acute ischemic stroke from multicenter (n = 47) SMART cohort. Patient\'s educational level was categorized as three: illiterate, 6th grade or lower, and 7th grade or higher. Functional outcome at six-month post-stroke was assessed by Modified Rankin Scale (mRS) and categorized as favorable (mRS: 0-2) or poor (mRS: 3-5). Binary logistic model, adjusting for age, gender, stroke history, hypertension, diabetes, hyperlipidemia, educational level, and NIHSS was performed, respectively, in SMART group and usual care group to evaluate the effect of the SMART program on stroke functional outcome among different educated patients.
    RESULTS: In both groups, logistic regression analysis showed that poor functional outcome was independently associated with older age [OR(95% CI):1.81(1.41-2.33), p < 0.001(SMART); OR (95% CI):1.38 (1.09-1.73), p = 0.007(usual care)], higher baseline NIHSS [OR (95% CI): 2.90 (2.38-3.53), p < 0.001(SMART); OR (95% CI): 2.82 (2.32-3.44), p < 0.001(usual care)], and diabetes [OR(95% CI):1.88 (1.18-3.00), p = 0.008(SMART); OR (95%CI):1.68 (1.03-2.73), p = 0.037(usual care)]. Compared to illiterate, higher educational levels were independently associated with favorable outcome in usual care group [OR (95% CI): 0.43 (0.20-0.93), p = 0.032 (6th grade or lower) and OR (95% CI): 0.40 (0.19-0.84), p = 0.016 (7th Grade or higher)], but not in SMART group (p = 0.806 and p = 0.889, respectively).
    CONCLUSIONS: This study demonstrates that implementation of SMART program may improve post-stroke functional outcome among illiterate. This suggests special attention should be paid to illiterate patients with intensive education in order to improve post-stroke disability.
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