Behavioural scale

  • 文章类型: Journal Article
    长期意识障碍(DOC)的结果预测仍然具有挑战性。这可能导致不适当的治疗退出或不必要的治疗延长。脑电图(EEG)是一种廉价的,便携式,和非侵入性的设备与复杂的信号分析的各种机会。计算脑电图测量,如脑电图连通性和网络指标,可能是DOC调查的理想人选,但是他们的预测能力仍未透露。我们进行了一项荟萃分析,旨在比较广泛使用的临床量表的预后能力,昏迷恢复量表-修订版-CRS-R和EEG连通性和网络指标。我们发现CRS-R量表的预后能力中等(AUC:0.67(0.60-0.75)),但脑电图连通性和网络指标预测结果具有显著(p=0.0071)更高的准确性(AUC:0.78(0.70-0.86))。我们还估计了脑电图谱功率的预后能力,与EEG连通性和图论测量(AUC:0.75(0.70-0.80))相比,没有显着(p=0.3943)。多变量自动结果预测工具似乎优于临床和脑电图标记。
    Outcome prediction in prolonged disorders of consciousness (DOC) remains challenging. This can result in either inappropriate withdrawal of treatment or unnecessary prolongation of treatment. Electroencephalography (EEG) is a cheap, portable, and non-invasive device with various opportunities for complex signal analysis. Computational EEG measures, such as EEG connectivity and network metrics, might be ideal candidates for the investigation of DOC, but their capacity in prognostication is still undisclosed. We conducted a meta-analysis aiming to compare the prognostic power of the widely used clinical scale, Coma Recovery Scale-Revised - CRS-R and EEG connectivity and network metrics. We found that the prognostic power of the CRS-R scale was moderate (AUC: 0.67 (0.60-0.75)), but EEG connectivity and network metrics predicted outcome with significantly (p = 0.0071) higher accuracy (AUC:0.78 (0.70-0.86)). We also estimated the prognostic capacity of EEG spectral power, which was not significantly (p = 0.3943) inferior to that of the EEG connectivity and graph-theory measures (AUC:0.75 (0.70-0.80)). Multivariate automated outcome prediction tools seemed to outperform clinical and EEG markers.
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  • 文章类型: Journal Article
    职业教育和培训系统(VET)在满足低收入家庭弱势青年的经济和社会需求方面的作用可能很大。它能够赋予经济权力,为他们提供可持续就业机会的途径;改善他们的整体福祉和个人认同感。本文提供了定性和定量数据,阐明了此类青年面临的就业能力问题的不同要素。它将弱势群体从更大的人口中区分和泄露出来,从而为确定和满足他们的需求提供了强有力的理由。因此,该方法不是“一刀切”的训练方法。来自孟买和新德里市区的学生从自助小组(SHGs)等多个渠道动员起来,国家开放学校研究所(NIOS),远程教育机构,地方政府学院,夜校和通过直接的社区外展。在仔细匹配人口和经济特征后,我们选取了一组387名年龄在18至24岁的学生进行了访谈.第一组数据是为一系列个人数据生成的,经济,和家庭特征。数据体现了结构性障碍,人力资本禀赋差和排斥。为了进一步了解特征,并为总人口中的130名学生设计有针对性的干预措施,通过问卷和访谈生成第二个数据集。其中,作为准研究的一部分,形成了两个相等的组-实验组和对照组。第三种类型的数据是使用5点Likert量表问卷和个人讨论生成的。来自实验(经过训练的和熟练的)和比较(未训练的)组的总共2600个响应为干预前和干预后两组之间的得分比较提供了基础。整个数据采集过程是实用的,直截了当,和简单。易于解释-可以利用数据集来生成基于证据的见解,以及关于资源分配的明智决定,减少风险因素的方案设计和策略。可以调整多方面的数据收集方法,以准确识别弱势青年,并为技能发展和重新技能创造一个新的框架。它可用于为参与VET的人员开发就业能力的衡量工具,并努力为高潜力但处境不利的青年创造可行的就业机会。
    The role of vocational education and training system (VET) in addressing the economic and social needs of vulnerable youth from low-income households can be significant. It enables economic empowerment, providing them with a pathway to sustainable employment opportunities; improving their overall well-being and sense of personal identity. This article presents qualitative and quantitative data elucidating different elements of employability issues faced by such youth. It distinguishes and divulges a vulnerable group out of a larger population thereby making a strong case for identifying and addressing their needs. The approach is therefore not a \'one size fits all\' training method. Students from urban Mumbai and New Delhi were mobilized from multiple channels such as self-help groups (SHGs), the National Institute of Open School (NIOS), distance education institutes, local government colleges, night schools and through direct community outreach. After carefully matching for demographic and economic characteristics, a group of 387 students in the age bracket of 18 to 24 years were selected and interviewed. This first set of data was generated for a range of personal, economic, and household characteristics. Data manifests structural barriers, poor human capital endowments and exclusion. To gain further insight into characteristics and to design a targeted intervention for a sub-group of 130 students from the total population, a second dataset is generated through a questionnaire and interview. Of this, two equal groups - an experiment group and a comparison group are formed as part of quasi-research. The third type of data is generated using a 5-point Likert scale questionnaire and personal discussions. A total of 2600 responses from the experiment (trained and skilled) and comparison (not trained) groups provides a basis for comparison of scores between the two groups pre-and post-intervention. The entire data collection process is practical, straightforward, and simple. Easy to explain - the dataset can be leveraged to generate evidence-based insights, and informed decisions on resource allocation, program design and strategies to mitigate risk factors. The multifaceted approach of data collection can be adapted to accurately identify vulnerable youth and create a newer framework for skill development and re-skilling. It can be used to develop measurement tools for employability by those involved in VET and in their efforts to create viable employment opportunities for high-potential yet disadvantaged youth.
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  • 文章类型: Journal Article
    The primary objective was to assess the effect of prematurity at term-equivalent age on skin conductance and behavioural responses to acute stress. The secondary objective was to explore the reliability of skin conductance in detecting neonatal discomfort in preterm and full-term populations.
    Very preterm infants at term-equivalent age and healthy full-term neonates, 34 infants in each group, underwent the hip dysplasia screening test. The acute pain in newborn infants (APN) scale was scored before and 15, 45 and 90 seconds after stimulus. Skin conductance was measured in the 30-second time-lap before and after stimulus.
    The APN score was lower in preterm infants after intervention (term: 5.4 ± 2.8 vs. preterm: 3.9 ± 2.2; p = 0.03). Peaks-per-second, a skin conductance parameter, exhibited lower basal values in preterm infants than in term infants, with similar rise induced by stressful challenge. Peaks-per-second values were correlated to the 15-second APN score in both groups (term: r = 0.55, p < 0.001; preterm: r = 0.43, p = 0.01).
    Preterm birth changed skin conductance signal and behavioural response to stress at term-equivalent age. The skin conductance device may be an objective tool for a continuous monitoring of acute neonatal stress.
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  • 文章类型: Journal Article
    Misdiagnosis rate is high in patients with disorders of consciousness, potentially leading to an inappropriate clinical management of these patients. Sensitive standardised rating scales offer some protections from these diagnostic errors. In this context, the use of the Coma Recovery Scale-Revised (CRS-R) has strongly been recommended by the American Congress of Rehabilitation Medicine.
    Here, we present the work that has been performed to translate this important diagnostic tool in Chinese.
    The scale has been translated from its original English version to Chinese by a team of native Chinese speakers in agreement with an expert highly trained in the use of the original version of the CRS-R and, then, back-translated to English by four independent translators blinded to the original version. The resulting translation has been sent to the original author for final approval.
    The Chinese version of the CRS-R is now available for use in clinical practise. Further investigations will nevertheless be needed in order to show that its psychometric properties are identical to the original English version.
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