Understanding Deaf bilingual education from the inside: a SWOT analysis

This article reports on a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis using a nominal group process undertaken to identify and tackle significant factors, both internal and external, affecting those current Deaf bilingual practices in Spain which promote or prevent the processes through which more inclusive (barrier-free) education for Deaf children can be successfully implemented. Seventeen school representatives (eight Deaf, nine hearing) from nine school sites with leading Deaf bilingual initiatives for Deaf children from different parts of the country participated in the study. Ways to improve accessibility to the whole SWOT process were explored to ensure that genuine and significant participation of All school representatives was actually possible. The main strengths pointed out the importance of participation and involvement of staff and others in the educational community. The primary weakness was found in the lack of a learning environment fully accessible to Deaf children. Notable opportunities included a growing acceptance of the bilingual and inclusive school concept by regional educational administrations and societal and parental changes towards bilingualism and sign language. The lack of official recognition of sign language was reported as a major threat. Understanding these four internal and external interrelated factors can: (1) help insiders reflect on their practices and use the findings to improve their practice; (2) guide policy decisions on matching resources and capabilities to the environment in which schools catering for Deaf children operate; and (3) provide the starting point upon which policy-making and further research could be built.     

Larger differences in utilization of rarely requested tests in primary care in Spain

Introduction

The study was performed to compare and analyze the inter-departmental variability in the request of rarely requested laboratory tests in primary care, as opposed to other more common and highly requested tests.

Materials and methods

Data from production statistics for the year 2012 from 76 Spanish laboratories was used. The number of antinuclear antibodies, antistreptolysin O, creatinine, cyclic citrullinated peptide antibodies, deaminated peptide gliadine IgA antibodies, glucose, protein electrophoresis, rheumatoid factor, transglutaminase IgA antibodies, urinalysis and uric acid tests requested was collected. The number of test requests per 1000 inhabitants was calculated. In order to explore the variability the coefficient of quartile dispersion was calculated.

Results

The smallest variation was seen for creatinine, glucose, uric acid and urinalysis; the most requested tests. The tests that were least requested showed the greatest variability.

Conclusion

Our study shows through a very simplified approach, in a population close to twenty million inhabitants, how in primary care, the variability in the request of laboratory tests is inversely proportional to the request rate.Key words: primary care, laboratory proficiency testing, clinical laboratory services, test requesting, preanalytical phase     

Education and communication is the key for the successful management of vitamin D test requesting

Introduction

Pre-preanalytical and post-postanalytical phases are steps where the laboratory professional may play a crucial role. Measuring the serum circulating 25 hydroxyvitamin D level (25(OH)D) is recommended to evaluate vitamin D status in patients at risk for vitamin D deficiency while 1,25 hydroxyvitamin D (1,25(OH)₂D) is only recommended to monitor several particular conditions (chronic kidney disease, hereditary phosphate-losing disorders, and some other) clearly defined by the current clinical guidelines of Endocrine Society.
Our research hypothesis was that through education and communication through comments in the Laboratory Information System (LIS), we could improve appropriateness in the request vitamin D tests.

Materials and methods

A retrospective observational cross-sectional study was conducted from January 2005 to December 2014. Each 1,25(OH)₂D request was reviewed individually by a member of the laboratory staff. Starting in November 2011, each inappropriate 1,25(OH)₂D request was registered in LIS and 25(OH)D was measured instead of 1,25(OH)₂D. We counted the overall number of 1,25(OH)₂D requests and the number of inappropriate requests which then were marked with a comment.

Results

The request of 25(OH)D increased along years. However, 1,25(OH)₂D requests increased until 2012 when demand began to diminish.

Conclusions

Education and communication through comments in the LIS, corrected the inappropriate request of 1,25(OH)₂D and promoted the use of 25(OH)D to study vitamin D deficiency.Key words: clinical laboratory services, utilization, vitamin D, communication, education     

Does rhetorical competence moderate the effect of rhetorical devices on the comprehension of expository texts beyond general comprehension skills?

Many studies have demonstrated the facilitating role of rhetorical devices in text comprehension, but there are also studies where rhetorical devices have not shown such effect. The present study sets out to explore whether readers’ knowledge of rhetorical devices (that is, rhetorical competence) moderates their effectiveness beyond general comprehension skills and, consequently, whether rhetorical competence may be considered a component skill of reading comprehension. 192 sixth- to seventh-grade students were assessed on rhetorical competence and were required to read a difficult marked text with specific rhetorical devices (a refutation, an objective, and four organizational signals) or the same text without them. After reading, students produced a summary in order to obtain three dependent variables: main ideas (as a measure of participants’ ability to select relevant information from the text), causal links between them (as an indicator of participants’ ability to grasp the logical structure of the text and to organize its ideas), and the combination of main ideas plus causal links (as an indicator of participants’ global comprehension of the text). Analyses controlling for general comprehension skills and other important variables (working memory, prior knowledge, decoding) demonstrated that: (a) readers of the marked text scored higher in terms of all dependent variables, and (b) rhetorical competence level moderated the effect of rhetorical devices on the composite measure (main ideas plus causal links) and on the organization of the summary by means of causal links.     

Processing speed in childhood and adolescence: longitudinal models for examining developmental change

The primary aim of the present study was to examine longitudinal models to determine the function that best describes developmental change in processing speed during childhood and adolescence. In one sample, children and adolescents (N= 503) were tested twice over an average interval of 2 years on two psychometric measures of processing speed: Visual Matching and Cross Out. In another sample, children and adolescents (N= 277) were tested four times, every 6 months, on Cross Out. Age-related changes in performance on both tasks were examined using six longitudinal models representing different hypotheses of growth. Linear, hyperbolic, inverse regression, and transition models yielded relatively poor fit to the data; the fit of the exponential and quadratic models was substantially better. The heuristic value of these latter models is discussed.     

Can differences in the ability to recognize words cease to have an effect under certain reading conditions?

In this study, we aimed to ascertain whether it is possible to create reading contexts that eliminate the impact of word recognition on reading comprehension and permit pupils with reading disabilities (RD) to attain a level of comprehension similar to that of their peers without RD. Specifically, the study compared a traditional reading situation with one of reading with aids (joint reading). In both situations, pupils' comprehension level was assessed by means of a summary and a series of inferential questions, and we controlled the effect on comprehension of word recognition, previous knowledge, rhetorical competence, and working memory. The results showed that the aids provided during reading do not eliminate the effect of word recognition, but they do permit readers with RD to attain a comprehension level similar to that of their peers.     

Evidence of open access of scientific publications in Google Scholar: A large-scale analysis

This article uses Google Scholar (GS) as a source of data to analyse Open Access (OA) levels across all countries and fields of research. All articles and reviews with a DOI and published in 2009 or 2014 and covered by the three main citation indexes in the Web of Science (2,269,022 documents) were selected for study. The links to freely available versions of these documents displayed in GS were collected. To differentiate between more reliable (sustainable and legal) forms of access and less reliable ones, the data extracted from GS was combined with information available in DOAJ, CrossRef, OpenDOAR, and ROAR. This allowed us to distinguish the percentage of documents in our sample that are made OA by the publisher (23.1%, including Gold, Hybrid, Delayed, and Bronze OA) from those available as Green OA (17.6%), and those available from other sources (40.6%, mainly due to ResearchGate). The data shows an overall free availability of 54.6%, with important differences at the country and subject category levels. The data extracted from GS yielded very similar results to those found by other studies that analysed similar samples of documents, but employed different methods to find evidence of OA, thus suggesting a relative consistency among methods.