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Impaired Visuospatial Processing in Cerebral Visual Impairment Revealed by Performance on a Conjunction Visual Search Task. 连接视觉搜索任务的表现揭示了脑视觉障碍的视觉空间加工受损
IF 0.7 Q4 OPHTHALMOLOGY Pub Date : 2024-09-01 Epub Date: 2023-07-22 DOI: 10.1177/02646196231187550
Claire E Manley, Corinna M Bauer, Peter J Bex, Lotfi B Merabet

Cerebral visual impairment (CVI) is a brain-based visual disorder associated with injury and/or maldevelopment of central visual pathways. Visuospatial processing impairments are a cardinal feature of the complex clinical profile of individuals with CVI. Here, we assessed visuospatial processing abilities using a classic conjunction search task. Twenty-three (23) individuals previously diagnosed with CVI (mean age 18.55 years ± 4.98 SD) and 37 controls with neurotypical development (mean age 21.11 years ± 4.56 SD) participated in the study. Subjects were instructed to search for a two-feature target (a white or black letter "O" or "C") presented among a varying number of surrounding distractors (set sizes ranging from 1 to 32 items). Behavioral outcomes collected were reaction time (RT), accuracy, as well as slope and intercept values derived from the RT x set size function. Overall, participants with CVI took longer and were less accurate in finding the target than controls. Analysis of RT x set size functions revealed a profile consistent with less efficient search and slower visual orienting responses as indexed by higher slope and intercept values, respectively. These results are consistent with clinical reports of impaired visuospatial processing abilities and deployment of visual selective attention in individuals with CVI.

脑性视觉障碍(CVI)是一种与中枢视觉通路损伤和/或发育不良相关的脑性视觉障碍。视觉空间加工障碍是CVI患者复杂临床特征的主要特征。在这里,我们使用一个经典的连接搜索任务来评估视觉空间处理能力。23名既往诊断为CVI的患者(平均年龄18.55岁±4.98 SD)和37名神经发育正常的对照组(平均年龄21.11岁±4.56 SD)参加了研究。受试者被要求在周围不同数量的干扰物(集合大小从1到32个)中寻找一个有两个特征的目标(白色或黑色字母“O”或“C”)。收集的行为结果包括反应时间(RT)、准确度以及由RT ×集大小函数得出的斜率和截距值。总的来说,与对照组相比,患有CVI的参与者花了更长的时间,找到目标的准确性也更低。RT ×集大小函数的分析显示,搜索效率较低,视觉定向响应较慢,分别以较高的斜率和截距值为指标。这些结果与CVI患者的视觉空间处理能力和视觉选择注意部署受损的临床报告一致。
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引用次数: 0
Exploring methodologies for establishing prevalence of deafblindness in children: A scoping review 探索确定儿童聋盲患病率的方法:范围审查
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-11 DOI: 10.1177/02646196231212830
Leo Meekins-Doherty, Meredith Prain, Giorgina Elise Maxwell, Susan Silveira, Emily Shepard
Deafblindness refers to a functional restriction of both hearing and vision, and presents at all ages. Determining prevalence of deafblindness, particularly in children, is challenging. The aim of this review was to explore and assess methodologies previously used to determine the prevalence of childhood deafblindness in both peer-reviewed and grey literature. Five databases were included in the search – Medline (OVID), PubMed, Scopus, CINAHL, and PsycINFO. Thirteen peer-reviewed articles and 11 documents from the grey literature met inclusion criteria for the review. In exploring the literature on deafblindness in children, it is evident that the characteristics and needs of this population are not well described. Approaches adopted by researchers show inconsistencies in how deafblindness is defined, assessed and diagnosed, making comparison challenging. To understand the needs of this group, it is critical that the childhood deafblind population is accurately described. Recommendations are made for the assessment of the population of children with deafblindness.
聋盲是指听力和视力都受到功能性限制,各个年龄段都会出现。确定聋盲的患病率,尤其是儿童的患病率,是一项具有挑战性的工作。本综述旨在探讨和评估以往用于确定儿童聋盲患病率的同行评审和灰色文献方法。检索包括五个数据库:Medline (OVID)、PubMed、Scopus、CINAHL 和 PsycINFO。有 13 篇同行评议文章和 11 篇灰色文献符合审查的纳入标准。在对有关儿童聋盲的文献进行探讨时,我们发现对这一人群的特征和需求并没有进行很好的描述。研究人员所采用的方法在聋盲的定义、评估和诊断方面存在不一致的情况,这使得比较具有挑战性。要了解这一群体的需求,准确描述儿童视听障人群至关重要。本文就聋盲儿童群体的评估提出了建议。
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引用次数: 0
Assessment of level of awareness about children eye diseases and routine eye screening among a sample of Egyptian general population 评估埃及普通民众对儿童眼疾和常规眼科筛查的认识水平
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-06 DOI: 10.1177/02646196231217408
Esraa El-Mayah, Marwa M Zein, Bassam Essam Hassan, Eman O Abdelghany
Assessment of the level of awareness and attitude among parents and the determinants regarding eye diseases and visual impairments in their children focusing on the importance of early screening of children to avoid amblyopia and its complications. Our study was a cross-sectional analytical study that included 368 participants in Egypt. A pre-tested self-administered (screen) e-questionnaire was used to collect data from the study participants via social media (Facebook and WhatsApp) groups. Parents’ knowledge about squint, refractive errors, and nasolacrimal duct obstruction was considered high (89.03%, 77.31%, and 59.98%, respectively), while knowledge about amblyopia, cataract, retinopathy of prematurity (ROP) and glaucoma was considered low (58.98%, 38.53%, 36.91%, and 34.41%, respectively). The attitude concerning going for regular eye screening, wearing spectacles, and undergoing ophthalmic surgery when needed was positive in 35.3%, 77.31%, and 65.2% of parents, respectively. Physicians, social media, and friends were reported to be the preferred sources for acquiring knowledge (78%, 40.2%, and 26.9%, respectively). Participants with higher education, working individuals, and medical professionals had statistically significant higher knowledge scores about childhood eye diseases. The levels of awareness about common pediatric eye problems and the importance of early eye screening among parents were reported to be unsatisfactory. Physicians and social media as preferred sources for gaining knowledge could be used for health promotion in our community.
评估家长对儿童眼病和视力障碍的认识和态度水平及其决定因素,重点是对儿童进行早期筛查以避免弱视及其并发症的重要性。我们的研究是一项横断面分析研究,包括368名埃及参与者。使用预先测试的自我管理(屏幕)电子问卷,通过社交媒体(Facebook和WhatsApp)群组收集研究参与者的数据。家长对斜视、屈光不正、鼻泪管梗阻的知晓率高(分别为89.03%、77.31%、59.98%),对弱视、白内障、早产儿视网膜病变(ROP)、青光眼的知晓率低(分别为58.98%、38.53%、36.91%、34.41%)。35.3%、77.31%和65.2%的家长对定期接受眼科检查、配戴眼镜和必要时接受眼科手术持肯定态度。医生、社交媒体和朋友是获得知识的首选来源(分别为78%、40.2%和26.9%)。受过高等教育的参与者、有工作的个体和医疗专业人员对儿童眼病的知识得分有统计学意义上的更高。据报道,家长对常见儿科眼病的认识水平和早期眼科筛查的重要性并不令人满意。医生和社交媒体作为获取知识的首选来源可以用于我们社区的健康促进。
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引用次数: 0
Smart traffic lights for people with visual impairments: A literature overview and a proposed implementation 面向视障人士的智能交通灯:文献综述和实施建议
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-01 DOI: 10.1177/02646196221099154
P. Theodorou, A. Meliones, Costas Filios
Attempting to establish aids for individuals who are visually impaired has urged many cities to seek solutions for improving their quality of life. Namely, cities have installed sound-emitting devices into traffic lights as well as sidewalks that assist their navigation. Moreover, as cities are always striving to move forward and achieve innovations concerning navigation for disabled individuals, smart traffic lights, capable of synchronizing in real-time according to traffic and individual mobility conditions, are already being installed around the world. This is in line with the adoption of the smart city concept, which involves a set of methodologies and indicators that regulate how cities perform regarding the promotion of citizens’ quality of life. Another important principle is the techno-economic aspect indicating the need for low-cost careful planning to produce cost-efficient solutions, while additional important issues are maintenance, power efficiency, and the means to coordinate numerous devices to facilitate operation in a timely and reliable manner. In this article, we present an overview of the existing solutions for the navigation of people who are blind and visually impaired along with a requirement analysis performed on the feedback received from interviews with members of the Lighthouse for the Blind of Greece both of which lead to the proposal of a new implementation that pushes the state of the art.
为视障人士建立辅助设施的尝试促使许多城市寻求改善视障人士生活质量的解决方案。也就是说,城市在交通信号灯和人行道上安装了声音发射装置,以帮助他们导航。此外,由于城市一直在努力向前发展,并在残疾人导航方面实现创新,能够根据交通和个人移动条件实时同步的智能交通灯已经在世界各地安装。这与智慧城市概念的采用是一致的,智慧城市概念涉及一套方法和指标,用于规范城市在提高公民生活质量方面的表现。另一个重要的原则是技术经济方面,表明需要低成本的仔细规划,以产生具有成本效益的解决办法,而其他重要的问题是维护、电力效率和协调众多设备的手段,以促进及时和可靠的方式操作。在本文中,我们概述了为盲人和视障人士提供导航的现有解决方案,并根据对希腊盲人灯塔(Lighthouse for the blind of Greece)成员的采访反馈进行了需求分析,从而提出了推动最新技术发展的新实施方案。
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引用次数: 3
External factors and their effect on the learning of English as a foreign language among students with visual impairments 外部因素及其对视障学生将英语作为外语学习的影响
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-01 DOI: 10.1177/02646196221104899
Revital Nagar, Miri Krisi
This qualitative study addressed the external factors that influence the experience of learning English as a foreign language among students who are visually impaired (VI). Overall, 28 university students with VI were interviewed about their experience of learning a foreign language (English) both in high school and in university. Three themes, representing external factors, emerged from the interviews: parents, peers, and English teachers. Findings showed that behavioural, academic, and parental expectations, and a stable and caring home setting, fostered participants’ success in learning a foreign language. Furthermore, the study illustrated the importance of friends in aiding the success of individuals with VI, both socially and academically. Differences in the school atmosphere and culture regarding the inclusion of students with VI acted as either a promoting or impeding factor in motivating students with VI to succeed in their foreign language learning.
本定性研究探讨了影响视障学生(VI)学习英语作为外语体验的外部因素。总体而言,28名视障大学生接受了关于他们在高中和大学学习外语(英语)体验的访谈。访谈中出现了三个代表外部因素的主题:家长、同龄人和英语教师。研究结果表明,行为、学业和父母的期望,以及一个稳定和充满爱心的家庭环境,都促进了参与者在学习外语方面的成功。此外,该研究还说明了朋友在帮助VI患者在社交和学业上取得成功方面的重要性。学校氛围和文化的差异在融入患有VI的学生方面起到了促进或阻碍VI学生在外语学习中取得成功的作用。
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引用次数: 0
Assessing the impact of auditory media on Braille reading and writing skills: The case of elementary school students who are blind in Sudan 评估听觉媒体对盲文读写能力的影响:苏丹盲人小学生的案例
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-01 DOI: 10.1177/02646196221099156
Hisham E Bilal Salih, T. Kakizawa
This study explores the impact of using auditory media in school curricula on the braille-related skills of students who are blind at a Sudanese school. Three sets of braille-related skills (6-dot braille writing, Arabic alphabet writing, and Arabic text reading) were used to evaluate and compare the students’ ability to read braille versus listening to text via audio media. The purpose of testing full cells of braille writing was to determine writing speed while that of testing braille writing of the Arabic alphabet was to examine students’ accuracy and proficiency in writing. Arabic text reading was tested to determine braille-reading speed. The three braille-related skills were evaluated for a total of 34 students in two groups (Group 1: grades 3 and 4; Group 2: grades 5–8), but the listening speed test was only administered to the second group. T-tests were used to compare the results for the braille-related tests with those for the listening speed test to determine whether braille-related skills were affected by the use of auditory media when accessing school curricula in the early grades of elementary school. The statistical results indicated there were significant differences between the two groups in 6-dot writing and Arabic text reading, whereas there was no significant difference in Arabic alphabet writing. As mastery of braille is an integrated process that requires instruction towards the parallel development of all braille-related skills, the ratio of instructional time devoted to listening compared to that devoted to braille may require adjustment.
本研究探讨了在学校课程中使用听觉媒体对苏丹一所学校盲人学生盲文相关技能的影响。三套与盲文相关的技能(6点盲文写作、阿拉伯字母写作和阿拉伯文本阅读)被用来评估和比较学生阅读盲文和通过音频媒体听文本的能力。盲文书写全细胞测试的目的是确定书写速度,而阿拉伯字母盲文书写测试的目的是检查学生写作的准确性和熟练程度。阿拉伯文阅读测试,以确定盲文阅读速度。对两组共34名学生的三项盲文相关技能进行评估(第一组:三年级和四年级;第二组:5-8年级),但听力速度测试只对第二组进行。采用t检验对盲文相关测试结果与听力速度测试结果进行比较,以确定在小学低年级学习学校课程时,使用听觉媒体是否会影响盲文相关技能。统计结果显示,两组学生在6点书写和阿拉伯文本阅读方面存在显著差异,而在阿拉伯字母书写方面无显著差异。由于掌握盲文是一个综合的过程,需要对所有盲文相关技能的平行发展进行指导,因此用于听力的教学时间与用于盲文的教学时间的比例可能需要调整。
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引用次数: 0
Oral health and knowledge of sighted children and children with visual impairment and their parents’ role in it: A comparative study 视力正常儿童和视力障碍儿童的口腔健康和知识及其父母在其中扮演的角色:比较研究
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-12-01 DOI: 10.1177/02646196221099152
Soraia Ramos Cunha, Maria de Fátima Bizarra
Aim: The present study aims to evaluate oral health knowledge and habits of children with visual impairment by comparison with their sighted counterparts and also evaluates parental knowledge and involvement in children’s oral hygiene routines. Methods: This observational and transversal study included the participation of 68 children (34 were visually impaired and 34 were sighted), from seven schools from Lisbon. The participants with visual impairment were age and gender-matched with their sighted counterparts to minimize variations in the analysis. In all, 52.9% of children were male, with average age of 11.15 (±3.413) years [6; 18]. The children and parents completed one survey each. Children were submitted to an oral examination to evaluate oral health. Results: Participants with visual impairment showed a non-significant increase in the decayed, missing, and filled teeth index (dmft), gingival, and oral hygiene indexes. Both groups’ gingival state was mostly classified as excellent, and oral hygiene was mainly classified as excellent/good. More children with visual impairment (85.7%) needed help with teeth brushing (p = .046) and were more likely to miss dentist check-ups more often (p = .025). Also, sighted children and their parents demonstrated more knowledge about oral health. Conclusion: Children with visual impairment and their parents showed less favorable results, justifying the need to promote oral health education to this demographic.
目的:本研究旨在通过与正常儿童的比较,评估视力障碍儿童的口腔卫生知识和习惯,并评估家长对儿童口腔卫生的知识和参与情况。方法:这项观察性和横向研究包括来自里斯本7所学校的68名儿童(34名视障儿童和34名视力正常儿童)。视力受损的参与者与视力正常的参与者年龄和性别相匹配,以尽量减少分析中的差异。男性占52.9%,平均年龄11.15(±3.413)岁[6];18)。孩子和父母各完成一份调查。儿童接受口腔检查以评估口腔健康。结果:有视力障碍的受试者在蛀牙、缺牙和补牙指数(dmft)、牙龈和口腔卫生指数上均无显著增加。两组牙龈状态均以优为主,口腔卫生以优/良为主。视力障碍儿童需要帮助刷牙的比例(85.7%)较高(p = 0.046),错过牙医检查的比例较高(p = 0.025)。此外,视力正常的儿童及其父母对口腔健康的了解也更多。结论:视力障碍儿童及其父母的口腔健康状况不佳,有必要对这一人群进行口腔健康教育。
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引用次数: 0
Training needs of educators for students with visual impairments and additional disabilities: A qualitative inquiry 视力障碍和其他残疾学生教育工作者的培训需求:定性调查
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-11-25 DOI: 10.1177/02646196231212740
M. Grenier, Lauren J. Lieberman, Pamela Beach
Currently, 3% of children in the United States have a visual impairment. An estimated 50%–75% of these children have additional moderate to severe disabilities. Unfortunately, many physical education teachers and teachers of the visually impaired have difficulty including children with visual impairment and additional disabilities. A lack of appropriate training limits students’ opportunities to improve motor skills and engagement in physical activity. The purpose of this research was to determine the training needs of teachers and support staff of children with visual impairment and additional disabilities through the voices of parents and educators. Focus group interviews were conducted with findings organized under two broad sections entitled (a) barriers to participation and (b) training needs to support students with disabilities. A Universal Design for Learning framework was used to analyze the results revealing the need for a variety of trainings and the use of flexible curricula to effectively instruct and support children with visual impairment and additional disabilities.
目前,美国有 3% 的儿童有视力障碍。据估计,这些儿童中有 50%-75% 还患有中度至重度残疾。遗憾的是,许多体育教师和视障教师很难将视障儿童和其他残疾儿童纳入其中。缺乏适当的培训限制了学生提高运动技能和参与体育活动的机会。本研究的目的是通过家长和教育工作者的声音,确定视障儿童和其他残疾儿童的教师和辅助人员的培训需求。研究人员进行了焦点小组访谈,访谈结果分为两大块,分别是:(a)参与障碍和(b)支持残疾学生的培训需求。采用通用学习设计框架对结果进行了分析,结果显示需要进行各种培训和使用灵活的课程,以有效地指导和支持视力障碍和其他残疾儿童。
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引用次数: 0
Teachers’ and students’ perspectives on the extent to which assistive technology maximises independence 教师和学生对辅助技术在多大程度上最大限度地提高独立性的看法
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-11-24 DOI: 10.1177/02646196231212736
Megan Loveys, Cathal Butler
Assistive Technologies (ATs) are extensively used and integrated into society, mainstream and specialist education settings, more so with students who have learning disabilities. Everyone has a perspective on the extent to which these devices provide students with disabilities and specifically in this case study, students with visual impairments (VI) independence during their education. This case study indicates the importance of researching emerging technologies within specialist education such as tablets, multiple forms of braille, and screen readers, while utilising a constructivist paradigm to undertake the mixed methods research. This study triangulates through the use of qualitative and quantitative research tools to discover mixed views on the extent to which AT promotes the independence of students with vision impairment, ultimately discovering the extent is somewhat individualised to each and every student. This study was conducted in an English, special-mainstream partnership further education college. Four students and five teaching staff members were interviewed, alongside five classroom observations of each staff member interviewed. The foci of this article are teacher and student perspectives on the extent to which ATs provide students with VIs independence in their learning, and if ATs play a crucial role in these students’ educations. The findings revealed largely positive views surrounding ATs potential for students with VI. The extent to which the students benefit from these advantages is dependent on the individual. The students focused much of their attention on their personal feelings towards using technology, whereas the teachers elaborated on their feelings and went into detail about particular students’ successes and pitfalls when using ATs. As technology is constantly changing, the participants expressed their concerns for keeping up to date. Recommendations for further research include a longitudinal study at the college where this research took place to discover whether partnership further education facilitates inclusion.
辅助技术(ATs)被广泛使用并融入社会、主流教育和特殊教育环境中,对于有学习障碍的学生来说更是如此。每个人都对这些设备在多大程度上为残疾学生,特别是本案例研究中的视障(VI)学生提供了独立接受教育的机会有自己的看法。本案例研究表明,研究平板电脑、多种形式的盲文和屏幕阅读器等特殊教育中的新兴技术,同时利用建构主义范式开展混合方法研究具有重要意义。本研究通过使用定性和定量研究工具进行三角测量,以发现人们对智能辅助工具在多大程度上促进视障学生独立性的不同看法,并最终发现这种程度在某种程度上是因人而异的。这项研究在一所英国特殊-主流合作继续教育学院进行。对四名学生和五名教职员工进行了访谈,并对每位受访教职员工进行了五次课堂观察。本文的重点是教师和学生对辅助器具在多大程度上让视障学生独立学习的看法,以及辅助器具是否在这些学生的教育中发挥了关键作用。研究结果表明,对于视障学生使用辅助工具的潜力,教师和学生的看法大多是积极的。学生从这些优势中受益的程度取决于个人。学生们的注意力主要集中在他们使用技术的个人感受上,而教师们则详细阐述了他们的感受,并详细介绍了特定学生在使用辅助工具时的成功与不足。由于技术在不断变化,参与者表达了他们对与时俱进的担忧。对进一步研究的建议包括,在开展这项研究的学院进行纵向研究,以发现合作式继续教育是否有利于全纳教育。
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引用次数: 0
Social justice in higher education: The forgotten needs of students with visual impairments in Bangladesh 高等教育中的社会公正:孟加拉国视障学生被遗忘的需求
IF 0.8 Q4 OPHTHALMOLOGY Pub Date : 2023-11-19 DOI: 10.1177/02646196231212735
Md Mozadded Hossen, Roy K Chen, Nahal Salimi, Jane L Nichols
Students with disabilities face myriad barriers and hurdles to success in higher education settings. Institutions in developing nations often lack the necessary resources to provide accessible instruction, and the absence of clearly defined policies further impedes upholding the educational rights of such a special population. The purpose of this study was to examine how undergraduate students with visual impairments in Bangladesh felt about their experiences related to social justice and challenges in learning during the COVID-19 pandemic. A convenience sample of 133 students was recruited from two public universities. The authors developed two instruments, namely, the Social Justice Experiences in Higher Education Scale and the Social Justice Challenges in Higher Education Scale, to measure how the participants felt. The results showed that most of the participants experienced some sort of difficulty in receiving social justice in higher education. However, the differences in the group mean score on social justice experiences and challenges in higher education were not statistically significant between the male and female participants of this study. The outcomes of the study and their implications for rehabilitation research and practice have also been addressed in this paper.
残疾学生要想在高等教育环境中取得成功,面临着无数的障碍和阻碍。发展中国家的院校往往缺乏必要的资源来提供无障碍教学,而缺乏明确界定的政策则进一步阻碍了对这一特殊群体教育权利的维护。本研究旨在探讨孟加拉国视力障碍本科生在 COVID-19 大流行期间对社会公正和学习挑战的感受。研究人员从两所公立大学方便抽样调查了 133 名学生。作者开发了两种工具,即高等教育中的社会公正体验量表和高等教育中的社会公正挑战量表,以测量参与者的感受。结果显示,大多数参与者在接受高等教育时都遇到了某种社会公正方面的困难。然而,本研究中男女参与者在高等教育中的社会公正体验和挑战方面的小组平均得分差异在统计学上并不显著。本文还讨论了研究结果及其对康复研究和实践的影响。
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引用次数: 0
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British Journal of Visual Impairment
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