scholarly journals Expert consensus statement to guide research into evidence-based classification of athletes for Para-Taekwondo -- A Delphi study

2021 ◽  

Background and Objective: The objective of this study was to investigate various issues surrounding participation in Para-Taekwondo Kyorugi (sparring), with the aim of focusing on future research initiatives to improve the classification system and safety for participation in Para-Taekwondo. Material and Methods: For this, a series of online questionnaires and in-person round-table discussions were conducted prior to the World Para-Taekwondo Championships (Antalya, Turkey, 2019), with a final online questionnaire thereafter. A select group of experts, such as athletes, coaches, administrators, classifiers, and athletes were invited to partake, with the main outcome measures being the expert opinions and ranking of importance for research into issues affecting Para Taekwondo athletes. Results: The results of the discuss provide suggestions and opinions for the following areas are provided for the aim of classification, minimum impairment criteria, fairness of classes, combination of classes, competition time, mixing of different impairments, safety of cerebral palsy athletes, weight classes, gender differences, intentional misrepresentation, personal protectors, time for re-classification, and research priorities. Conclusion: The most prevalent issue highlighted was the concern for athlete safety, especially for the K44 class, which has a mixture of neurological impairments, i.e. an athlete with mild cerebral palsy (CP) competing against an athlete with an amputation. Furthermore, on the issue of safety, developing protectors for athletes was another key issue raised. Therefore, in the future, we can strongly recommend research initiatives to examine the safety of athletes with various impairment types in the same class, and the development of protectors for Para Taekwondo athletes.

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e021361 ◽  
Author(s):  
Lindsay H Dewa ◽  
Kevin Murray ◽  
Bethan Thibaut ◽  
Sonny Christian Ramtale ◽  
Sheila Adam ◽  
...  

ObjectivePhysical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health.DesignSemistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements.Setting and participantsAcademic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included.Main outcome measuresAgreement in research priorities on a five-point scale.ResultsSeventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important.ConclusionsThis is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this.


2020 ◽  
Author(s):  
Sammyh Khan ◽  
Daniella Hult Khazaie

The COVID-19 pandemic has led to calls for contributions from the social and behavioural sciences in responding to the social and behavioural dimensions of the pandemic. The current Delphi study explored expert opinions and consensus about the contributions that can be made by social psychology and social psychologists, and research priorities and strategies to this end. A two-round Delphi process was employed involving a panel of 52 professors of social psychology from 25 countries. Responses to open-ended questions presented to the panel in Round 1 were condensed and reformulated into 100 closed-ended statements that the panel rated their agreement with in Round 2. Consensus was reached for 55 topics to which social psychology can contribute, 26 topics that should be prioritised, and 19 strategies that should be implemented. The findings contribute to further focusing research efforts in psychology in its response to the social and behavioural dimensions of the COVID-19 and future pandemics.


Author(s):  
Adriano da Silva Acosta ◽  
Sayonara de Fátima Faria Barbosa ◽  
Grace Teresinha Marcon Dal Sasso

Objective: to analyze the nursing research priorities in critical care in Brazil identified by specialists and researchers in the area, as well as to establish the consensus of the topics suggested by the experts. Method: a descriptive study, using the e-Delphi technique in three rounds. The research participants were 116 Brazilian nurses who are experts in critical care in the first round, ending up with 68 participants in the third round of the study. Descriptive statistics were used to analyze the demographic variables and the results of the research topics in the second round. In the final analysis, the Kappa agreement coefficient was calculated, comparing the answers between rounds two and three. Results: 63 research topics were generated, grouped into 14 domains of intensive care practice in the first round, and consensus was settled in the subsequent rounds. Topics such as humanization of care (0.56), bloodstream infection control (0.54), and nursing care for polytrauma patients (0.51) were items rated above 0.50 in the agreement analysis between the topics in the two rounds using the Kappa coefficient. Conclusion: this study provides an important guideline for nursing research in critical care in Brazil, guiding for future research efforts in the area.


2021 ◽  
Vol 12 ◽  
Author(s):  
Bernard Dan

Current societal and technological changes have added to the ethical issues faced by people with cerebral palsy. These include new representations of disability, and the current International Classification of Functioning, Disability, and Health, changes in legislation and international conventions, as well as applications of possibilities offered by robotics, brain–computer interface devices, muscles and brain stimulation techniques, wearable sensors, artificial intelligence, genetics, and more for diagnostic, therapeutic, or other purposes. These developments have changed the way we approach diagnosis, set goals for intervention, and create new opportunities. This review examines those influences on clinical practice from an ethical perspective and highlights how a principled approach to clinical bioethics can help the clinician to address ethical dilemmas that occur in practice. It also points to implications of those changes on research priorities.


PEDIATRICS ◽  
1953 ◽  
Vol 11 (2) ◽  
pp. 166-173
Author(s):  
MEYER A. PERLSTEIN ◽  
EUGENE T. MCDONALD

Chairman Perlstein: In neuromuscular disabilities there are many problems to consider. However, about half of these comprise that group of diseases we know as cerebral palsy. We will start by orientating ourselves toward cerebral palsy, and in the discussion taking up the question of differential diagnosis and related subjects. Cerebral palsy is not a single disease but a group of conditions which have in common a disorder of the motor system. It can be paralysis, incoordination, tremors or excessive motions, due to involvement of the motor centers of the brain. In other words, palsy and cerebral are defined. The important thing about cerebral is that the motor centers must be involved. If the problem is lack of development because of mental deficiency, you can exclude it. Likewise, spinal palsy, polio, and other causes of motor defects not due to involvement of the motor center are excluded. In schools for children with physical handicaps of all types, about half the children are cerebral palsied. So, from the viewpoint of frequency, cerebral palsy is the most frequent of the disabling conditions. Much confusion exists in the terminology and classification of cerebral palsy. The term "Little's disease" has often been used as a generic term to cover all forms of cerebral palsy. Actually, Little described only one of the many types. Likewise, the term "spastic" is often used by the doctor and laymen to cover all categories. This tendency is conducive to loose thinking. A logical classification of the types of cerebral palsy would help to clarify this confused subject.


2019 ◽  
Vol 32 (5) ◽  
pp. 1130-1152 ◽  
Author(s):  
Curtis C. Campbell

Purpose The purpose of this paper is to investigate the top three cybersecurity issues in organizations related to social engineering and aggregate solutions for counteracting human deception in social engineering attacks. Design/methodology/approach A total of 20 experts within Information System Security Association participated in a three-round Delphi study for aggregating and condensing expert opinions. Three rounds moved participants toward consensus for solutions to counteract social engineering attacks in organizations. Findings Three significant issues: compromised data; ineffective practices; and lack of ongoing education produced three target areas for implementing best practices in countering social engineering attacks. The findings offer counteractions by including education, policies, processes and continuous training in security practices. Research limitations/implications Study limitations include lack of prior data on effective social engineering defense. Research implications stem from the psychology of human deception and trust with the ability to detect deception. Practical implications Practical implications relate to human judgment in complying with effective security policies and programs and consistent education and training. Future research may include exploring financial, operational and educational costs of implementing social engineering solutions. Social implications Social implications apply across all knowledge workers who benefit from technology and are trusted to protect organizational assets and intellectual property. Originality/value This study contributes to the field of cybersecurity with a focus on trust and human deception to investigate solutions to counter social engineering attacks. This paper adds to under-represented cybersecurity research regarding effective implementation for social engineering defense.


Author(s):  
Lilian C. M. Vloet ◽  
Gijs Hesselink ◽  
Sivera A. A. Berben ◽  
Margreet Hoogeveen ◽  
Paul J. T. Rood ◽  
...  

Abstract Background In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study aimed to update the Dutch national EMS research agenda. Methods A three-round online Delphi survey was used to explore and discuss different viewpoints and to reach consensus on research priorities (i.e., themes and special interest groups, e.g. patient types who require specific research attention). A multidisciplinary expert panel (n = 62) was recruited in the field of prehospital EMS and delegates of relevant professional organizations and stakeholders participated. In round one, fifty-nine research themes and six special interest groups (derived from several resources) were rated on importance on a 5-point scale by the panel members. In round two, the panel selected their priority themes and special interest groups (yes/no), and those with a positive difference score were further assessed in round three. In this final round, appropriateness of the remaining themes and agreement within the panel was taken into account, following the RAND/UCLA appropriateness method, which resulted in the final list of research priorities. Results The survey response per round varied between 94 and 100 percent. In round one, a reduction from 59 to 25 themes and the selection of three special interest groups was realized. Round two resulted in the prioritization of six themes and one special interest group ('Vulnerable elderly'). Round three showed an adequate level of agreement regarding all six themes: 'Registration and (digital) exchange of patient data in the chain of emergency care'; 'Mobile care consultation/Non conveyance'; 'Care coordination'; 'Cooperation with professional partners within the care domain'; 'Care differentiation' and 'Triage and urgency classification'. Conclusions The updated Dutch national EMS research agenda builds further on the previous version and introduces new EMS research priorities that correspond with the future challenges prehospital EMS care is faced with. This agenda will guide researchers, policymakers and funding bodies in prioritizing future research projects.


Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 202-206 ◽  
Author(s):  
Karl Andriessen ◽  
Dolores Angela Castelli Dransart ◽  
Julie Cerel ◽  
Myfanwy Maple

Abstract. Background: Suicide can have a lasting impact on the social life as well as the physical and mental health of the bereaved. Targeted research is needed to better understand the nature of suicide bereavement and the effectiveness of support. Aims: To take stock of ongoing studies, and to inquire about future research priorities regarding suicide bereavement and postvention. Method: In March 2015, an online survey was widely disseminated in the suicidology community. Results: The questionnaire was accessed 77 times, and 22 records were included in the analysis. The respondents provided valuable information regarding current research projects and recommendations for the future. Limitations: Bearing in mind the modest number of replies, all from respondents in Westernized countries, it is not known how representative the findings are. Conclusion: The survey generated three strategies for future postvention research: increase intercultural collaboration, increase theory-driven research, and build bonds between research and practice. Future surveys should include experiences with obtaining research grants and ethical approval for postvention studies.


2002 ◽  
Vol 19 (2) ◽  
pp. 72-73
Author(s):  
Jami S. Gattuso ◽  
Elizabeth A. Gilger ◽  
Georgette Chammas ◽  
Samuel Maceri ◽  
Nancy K. West ◽  
...  

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