scholarly journals From "Communication Mode" to "Language Access Profile" in Research with DHH Children

2017 ◽  
Author(s):  
Matthew L Hall
Keyword(s):  
Service Providers ◽  
Clinical Care ◽  
Hierarchical Cluster ◽  
Communication Mode ◽  
Dynamic Nature ◽  
Language Access ◽  
Early Experiences ◽  
Wide Range ◽  
Communicative Input ◽  
Cumulative Experience

For d/Deaf and hard of hearing (DHH) children, “communication mode” is often included as a predictor of performance across a wide range of developmental outcomes; however, the operationalization of communication mode is highly variable and often falls short of what would be ideal. Here, I argue that DHH children, their families and service providers, and the field as a whole would benefit from replacing the concept of “communication mode” with that of “language access profile”: a term that reflects the child’s cumulative experience with various types of communicative input, beginning at birth. Language access profiles are intended to capture the multidimensional and dynamic nature of DHH children’s early experiences with diverse types of communicative input. I present data from a study that presents a new method of estimating individual language access profiles. I also use hierarchical cluster analysis to organize individuals with similar profiles into coherent, data-driven groups. Results suggest that this is a promising approach with strong potential for use in diverse contexts, including education, clinical care, and research.

Measuring “Language Access Profiles” in Deaf and Hard-of-Hearing Children With the DHH Language Exposure Assessment Tool

2020 ◽  
pp. 1-25
Author(s):  
Matthew L. Hall ◽  
Stephanie De Anda
Keyword(s):  
Cluster Analysis ◽  
Exposure Assessment ◽  
Hard Of Hearing ◽  
Assessment Tool ◽  
Communication Mode ◽  
Developmental Potential ◽  
Language Access ◽  
Retest Reliability ◽  
Language Exposure ◽  
Test Retest Reliability

Purpose The purposes of this study were (a) to introduce “language access profiles” as a viable alternative construct to “communication mode” for describing experience with language input during early childhood for deaf and hard-of-hearing (DHH) children; (b) to describe the development of a new tool for measuring DHH children's language access profiles during infancy and toddlerhood; and (c) to evaluate the novelty, reliability, and validity of this tool. Method We adapted an existing retrospective parent report measure of early language experience (the Language Exposure Assessment Tool) to make it suitable for use with DHH populations. We administered the adapted instrument (DHH Language Exposure Assessment Tool [D-LEAT]) to the caregivers of 105 DHH children aged 12 years and younger. To measure convergent validity, we also administered another novel instrument: the Language Access Profile Tool. To measure test–retest reliability, half of the participants were interviewed again after 1 month. We identified groups of children with similar language access profiles by using hierarchical cluster analysis. Results The D-LEAT revealed DHH children's diverse experiences with access to language during infancy and toddlerhood. Cluster analysis groupings were markedly different from those derived from more traditional grouping rules (e.g., communication modes). Test–retest reliability was good, especially for the same-interviewer condition. Content, convergent, and face validity were strong. Conclusions To optimize DHH children's developmental potential, stakeholders who work at the individual and population levels would benefit from replacing communication mode with language access profiles. The D-LEAT is the first tool that aims to measure this novel construct. Despite limitations that future work aims to address, the present results demonstrate that the D-LEAT represents progress over the status quo.

Interventions to change clinician behaviour in relation to suicide prevention care in the emergency department: A scoping review protocol

2020 ◽  
Author(s):  
Hwayeon Danielle Shin ◽  
Christine Cassidy ◽  
Janet Curran ◽  
Lori Weeks ◽  
Leslie Anne Campbell ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicide Prevention ◽  
Behaviour Change ◽  
Clinical Care ◽  
Grey Literature ◽  
Allied Health Professionals ◽  
Wide Range ◽  
Knowledge And Attitude ◽  
Clinician Behaviour ◽  
Google Search

Objective: This review aims to explore, characterize, and map the literature on interventions implemented to change emergency department (ED) clinicians’ behaviour related to suicide prevention using the Behaviour Change Wheel (BCW) as a guiding theoretical framework. Introduction: An ED is a critical place for suicide prevention. Yet, many patients who present with suicide-related thoughts and behaviours are discharged without proper assessment or appropriate treatment. Supporting clinicians (who provide direct clinical care, including nurses, physicians, allied health professionals) to make the desired behaviour change following evidence-based suicide prevention care is an essential step toward improving patient outcomes. However, reviews to date have yet to take a theoretical approach to investigate interventions implemented to change clinicians’ behaviour. Inclusion criteria: This review will consider literature that includes interventions that target ED clinicians’ behaviour change related to suicide prevention. Behaviour change refers to observable practice changes as well as proxy measures of behaviour change including knowledge and attitude. There are many ways in which an intervention can change clinicians’ behaviour (e.g., education, altering service delivery). This review will include a wide range of interventions that target behaviour change regardless of the type but exclude interventions that exclusively target patients.Methods: Multiple databases will be searched: PubMed, PsycInfo, CINAHL and Embase. We will also include grey literature, including Google search, ProQuest Dissertations and Theses Global, and Scopus conference papers. Full text of included studies will be reviewed, critically appraised and extracted. Extracted data will be coded to identify intervention functions using the BCW. Findings will be summarized in tables accompanied by narrative reports.

scholarly journals 322. Evaluation of the BioFire® Bone and Joint Infection (BJI) Panel for the Detection of Microorganisms and Antimicrobial Resistance Genes in Synovial Fluid Specimens

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S233-S234
Author(s):  
Corrin Graue ◽  
Bryan H Schmitt ◽  
Amy Waggoner ◽  
Frederic Laurent ◽  
Lelia Abad ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Synovial Fluid ◽  
Resistance Genes ◽  
Clinical Care ◽  
Joint Infection ◽  
High Morbidity ◽  
Bone And Joint Infection ◽  
Microbiological Methods ◽  
Antimicrobial Resistance Genes ◽  
Wide Range

Abstract Background Bone and Joint Infections (BJIs) present with non-specific symptoms that may include pain, swelling, and fever and are associated with high morbidity and significant risk of mortality. BJIs can be caused by a variety of bacteria and fungi, including anaerobes and microorganisms that can be challenging to culture or identify by traditional microbiological methods. Clinicians primarily rely on culture to identify the pathogen(s) responsible for infection. The BioFire® Bone and Joint Infection (BJI) Panel (BioFire Diagnostics, Salt Lake City, UT) is designed to detect 15 gram-positive bacteria (including seven anaerobes), 14 gram-negative bacteria (including one anaerobe), two yeast, and eight antimicrobial resistance (AMR) genes from synovial fluid specimens in about an hour. The objective of this study was to evaluate the performance of an Investigational Use Only (IUO) version of the BioFire BJI Panel compared to various reference methods. Methods Remnant synovial fluid specimens, which were collected for routine clinical care at 13 study sites in the US and Europe, underwent testing using an IUO version of the BioFire BJI Panel. Performance of this test was determined by comparison to Standard of Care (SoC) consisting of bacterial culture performed at each study site according to their routine procedures. Results A total of 1544 synovial fluid specimens were collected and tested with the BioFire BJI Panel. The majority of specimens were from knee joints (77.9%) and arthrocentesis (79.4%) was the most common collection method. Compared to SoC culture, overall sensitivity was 90.2% and specificity was 99.8%. The BioFire BJI Panel yielded a total of 268 Detected results, whereas SoC yielded a total of 215 positive results for on-panel analytes. Conclusion The BioFire BJI Panel is a sensitive, specific, and robust test for rapid detection of a wide range of analytes in synovial fluid specimens. The number of microorganisms and resistance genes included in the BioFire BJI Panel, together with a reduced time-to-result and increased diagnostic yield compared to culture, is expected to aid in the timely diagnosis and appropriate management of BJIs. Disclosures Benjamin von Bredow, PhD, BioFire (Grant/Research Support) Jennifer Dien Bard, PhD, BioFire Diagnostic (Consultant, Scientific Research Study Investigator) Bart Kensinger, PhD, BioFire Diagnostics (Employee) Benedicte Pons, PhD, bioMerieux SA (Employee) Corinne Jay, PhD, bioMerieux SA (Employee)

scholarly journals Virtual Body Ownership Illusions for Mental Health: A Narrative Review

2021 ◽  
Vol 10 (1) ◽  
pp. 139
Author(s):  
Marta Matamala-Gomez ◽  
Antonella Maselli ◽  
Clelia Malighetti ◽  
Olivia Realdon ◽  
Fabrizia Mantovani ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
Well Being ◽  
Narrative Review ◽  
Future Research ◽  
Body Ownership ◽  
Surrounding Environment ◽  
Wide Range ◽  
Clinical Conditions ◽  
Virtual Body

Over the last 20 years, virtual reality (VR) has been widely used to promote mental health in populations presenting different clinical conditions. Mental health does not refer only to the absence of psychiatric disorders but to the absence of a wide range of clinical conditions that influence people’s general and social well-being such as chronic pain, neurological disorders that lead to motor o perceptual impairments, psychological disorders that alter behaviour and social cognition, or physical conditions like eating disorders or present in amputees. It is known that an accurate perception of oneself and of the surrounding environment are both key elements to enjoy mental health and well-being, and that both can be distorted in patients suffering from the clinical conditions mentioned above. In the past few years, multiple studies have shown the effectiveness of VR to modulate such perceptual distortions of oneself and of the surrounding environment through virtual body ownership illusions. This narrative review aims to review clinical studies that have explored the manipulation of embodied virtual bodies in VR for improving mental health, and to discuss the current state of the art and the challenges for future research in the context of clinical care.

Improving the Delivery of Prenatal Care and Outcomes of Pregnancy: A Randomized Trial of Nurse Home Visitation

PEDIATRICS ◽  
1986 ◽  
Vol 77 (1) ◽  
pp. 16-28 ◽  
Author(s):  
David L. Olds ◽  
Charles R. Henderson ◽  
Robert Tatelbaum ◽  
Robert Chamberlin
Keyword(s):  
Low Socioeconomic Status ◽  
Service Providers ◽  
Home Visitation ◽  
Community Services ◽  
Young Adolescents ◽  
Support Person ◽  
Developmental Problems ◽  
Nurse Home ◽  
Positive Effects ◽  
Wide Range

We evaluated a comprehensive program of prenatal and postpartum nurse home visitation. The program was designed to prevent a wide range of health and developmental problems in children born to primiparous women who were either teenagers, unmarried, or of low socioeconomic status. During pregnancy, women who were visited by nurses, compared with women randomly assigned to comparison groups, became aware of more community services; attended childbirth classes more frequently; made more extensive use of the nutritional supplementation program for women, infants, and children; made greater dietary improvements; reported that their babies' fathers became more interested in their pregnancies; were accompanied to the hospital by a support person during labor more frequently; reported talking more frequently to family members, friends, and service providers about their pregnancies and personal problems; and had fewer kidney infections. Positive effects of the program on birth weight and length of gestation were present for the offspring of young adolescents (<17 years of age) and smokers. In contrast to their comparison-group counterparts, young adolescents who were visited by nurses gave birth to newborns who were an average of 395 g heavier, and women who smoked and were visited by nurses exhibited a 75% reduction in the incidence of preterm delivery. (P ≤ .05 for all findings.

GOVERNMENT REGULATIONS OF THE USING CLOUD SERVICES

2022 ◽  
Author(s):  
Olexander Melnikov ◽  
◽  
Konstantin Petrov ◽  
Igor Kobzev ◽  
Viktor Kosenko ◽  
...  
Keyword(s):  
Cloud Computing ◽  
Large Scale ◽  
Service Providers ◽  
Cloud Service ◽  
Cloud Services ◽  
Government Agencies ◽  
Remote Work ◽  
Cloud Infrastructure ◽  
Wide Range ◽  
Technological Base

The article considers the development and implementation of cloud services in the work of government agencies. The classification of the choice of cloud service providers is offered, which can serve as a basis for decision making. The basics of cloud computing technology are analyzed. The COVID-19 pandemic has identified the benefits of cloud services in remote work Government agencies at all levels need to move to cloud infrastructure. Analyze the prospects of cloud computing in Ukraine as the basis of e-governance in development. This is necessary for the rapid provision of quality services, flexible, large-scale and economical technological base. The transfer of electronic information interaction in the cloud makes it possible to attract a wide range of users with relatively low material costs. Automation of processes and their transfer to the cloud environment make it possible to speed up the process of providing services, as well as provide citizens with minimal time to obtain certain information. The article also lists the risks that exist in the transition to cloud services and the shortcomings that may arise in the process of using them.

scholarly journals Experiment of Telecom Customer’s Needs and Satisfaction Based on Kano Model

2019 ◽  
Vol 9 (2) ◽  
pp. 5074-5077
Keyword(s):  
Customer Satisfaction ◽  
Behavioral Intentions ◽  
Network Performance ◽  
Service Providers ◽  
Kano Model ◽  
One Dimensional ◽  
Wide Range ◽  
Telecom Service ◽  
Four Quadrant

with the changing technology customers are more aware of services available to them. They access wide range of information of available products and services which has lead to change in their perception about services and service providers. This has made telecom a hard sector to survive for telecom service providers. These changes in behavioral intentions has made it necessary to us understand what all services customers feel a mandatory part of telecom service and what attract them to reuse the service. To study these customers needs Kano model was applied to category services of SERVQUAL model on four quadrant - attractive, one dimensional, must-be and indifferent. The result stated that network performance attract telecom customers the most and tangibility factors are the ones which service providers can minimize as customers are indifferent about them. Safety and security in transaction is one dimensional factor that can increase customer satisfaction. Must be attributes need to be continued to maintained customers stay with the telecom brands. Thus study tried to understand behavior of customers and identify factors that could increase customer satisfaction.

scholarly journals Demonstrating the full-value chain of climate services in Southern Africa: the FOCUS-Africa project

2021 ◽  
Author(s):  
Roberta Boscolo ◽  
Hamid Bastani ◽  
Asmerom Beraki ◽  
Nicolas Fournier ◽  
Raül Marcos-Matamoros ◽  
...  
Keyword(s):  
Food Security ◽  
Case Studies ◽  
Scientific Knowledge ◽  
Value Chain ◽  
Service Providers ◽  
End Users ◽  
Climate Change Scenarios ◽  
Climate Information ◽  
Climate Services ◽  
Wide Range

<p><strong><em>FOCUS-Africa</em></strong> is an EU Horizon 2020 project funded to co-develop tailored climate services in the Southern African Development Community (SADC) region. The project, led by the WMO and started in September 2020, gathers 16 partners across Africa and Europe jointly committed to addressing the value of climate services for key economic sectors in Africa: agriculture and food security, water, energy, and infrastructure.</p><p>The project is piloting eight case studies (CSs) in five different countries involving a wide range of end-users. New services derived from seasonal and decadal forecasts are applied for food security and crop production in South Africa, Malawi, Mozambique, and Tanzania. High-resolution climate projections, as well as historical climate reanalyses, are used to support planning and investment decisions for: a railway infrastructure and a mix of renewable energies in Tanzania, hydropower generation assessment under climate change scenarios in Malawi, and water resources management in Mauritius.</p><p>For all the FOCUS-Africa’s case studies, socio-economic impact assessment of the delivered climate services will be carried out in collaboration with the CS leaders, service providers, and end-users, by providing ex-ante and ex-post evaluations grounded in the Global Indicator Framework for the Sustainable Development Goals. The project will align the capacity development efforts with those promoted by WMO for enhancing the capabilities of the NMHSs to deliver climate services to users and will make sure that the project's innovative processes and tools will be part of the WMO training curricula.</p><p>FOCUS-Africa's expected impacts are:</p><ul><li>Build a strong link between the climate scientific community and stakeholders in the SADC region by leveraging the advanced scientific knowledge and strong networks of the implementing team, and by establishing dedicated channels of communications, so as to target the full value chain of our users, from the start of the project</li> <li>Advance the way in which climate information is developed by characterising end-use requirements through regular engagement</li> <li>Contribute to the advancement of the scientific knowledge in the region and strengthened support for international scientific assessments through publications and reports such as those relevant for the IPCC, through the innovative science developed by FOCUS-Africa</li> <li>Demonstrate the effectiveness of the climate information by strengthening the adaptive capacity of end-users by delivering tailored, actionable, and exploitable climate services and by estimating their socio-economic benefits across the full value chain.</li> <li>Enhance policy-making for climate adaptation in the project and other countries</li> <li>Increase women’s access to climate services</li> </ul>

scholarly journals Efficient and Cost-effective Service Broker Policy Based on User Priority in VIKOR for Cloud Computing

2021 ◽  
pp. 1-8
Author(s):  
Mohammed Radi ◽  
Ali Alwan ◽  
Abedallah Abualkishik ◽  
Adam Marks ◽  
Yonis Gulzar
Keyword(s):  
Cloud Computing ◽  
Response Time ◽  
Service Providers ◽  
Cost Effective ◽  
Cloud Service ◽  
User Preferences ◽  
Cloud Environment ◽  
Data Centre ◽  
Wide Range ◽  
Service Broker

Cloud computing has become a practical solution for processing big data. Cloud service providers have heterogeneous resources and offer a wide range of services with various processing capabilities. Typically, cloud users set preferences when working on a cloud platform. Some users tend to prefer the cheapest services for the given tasks, whereas other users prefer solutions that ensure the shortest response time or seek solutions that produce services ensuring an acceptable response time at a reasonable cost. The main responsibility of the cloud service broker is identifying the best data centre to be used for processing user requests. Therefore, to maintain a high level of quality of service, it is necessity to develop a service broker policy that is capable of selecting the best data centre, taking into consideration user preferences (e.g. cost, response time). This paper proposes an efficient and cost-effective plan for a service broker policy in a cloud environment based on the concept of VIKOR. The proposed solution relies on a multi-criteria decision-making technique aimed at generating an optimized solution that incorporates user preferences. The simulation results show that the proposed policy outperforms most recent policies designed for the cloud environment in many aspects, including processing time, response time, and processing cost. KEYWORDS Cloud computing, data centre selection, service broker, VIKOR, user priorities

scholarly journals Availability of Safe Second-Trimester Abortion Services in Health Facilities in Accra, Ghana

2021 ◽  
Author(s):  
Fred Yao Gbagbo ◽  
Renee Aku Sitsofe Morhe ◽  
Emmanuel Komla Senanu Morhe
Keyword(s):  
Service Providers ◽  
Social Stigma ◽  
Clinical Care ◽  
Internal Validity ◽  
Health Facilities ◽  
Accurate Information ◽  
Second Trimester ◽  
Care Providers ◽  
Trimester Abortion ◽  
Second Trimester Abortion

Abstract Background Despite a liberal abortion law, access to safe second trimester abortion services in Ghana are challenging for many women. This study sought to examine providers, methods employed, cost, and other determinants of availability of second-trimester abortion services in health facilities in Accra, Ghana in 2019 to inform policy and program decisions. Methods A two-stage mixed quantitative and qualitative study designs were employed in the conduct of this study. The first stage was a short interaction of the mystery client with a clinical care provider to identify health facilities that provide second trimester induced abortion, the cost, and referral practices, where the facility did not have the service. The second stage was in-depth interviews of second-trimester abortion care providers and non-providers in various health facilities. For internal validity, it also explored the procedure cost, referral, and other practices at the health facilities included in the study, independent of what was captured in the mystery client survey. Results Second-trimester abortion services in Accra, Ghana are widely unavailable even in most facilities that provided abortion services. Referral policies and practices indicated by the service providers at various facility levels were inadequate. Criminalization of the procedure, social stigma, and fear of complications are the main factors that adversely influence the availability of second-trimester abortion in health facilities in Accra. Conclusions Albeit increasing demand for second-trimester abortion in health facilities in Accra, services are not readily available due to the ambiguity of the law, its interpretation, and limited flow of accurate information on providers. Policies and programs that limit access to Second-trimester abortions in Ghana are amendable to ensure safe services.

Sign in / Sign up

Export Citation Format

Share Document