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    واقع العنف في مدارس ضواحي القدس من وجهة نظر الطلبة والمرشدين التربويين
    (2021) سعيد عوض; بعاد الخالص
    هدفت الدراسة إلى الكشف عن واقع العنف في مدارس ضواحي القدس من وجهة نظر الطلبة والمرشدين التربويين وتكونت عينة الدراسة من (50) طالبا وطالبة و (11) مرشدا ومرشدة من مدارس ضواحي القدس، واستخدم الباحثون استبانة للكشف عن واقع العنف في مدارس ضواحي القدس من وجهة نظر الطلبة كما تم استخدام المقابلة مع المرشدين التربويين وأظهرت النتائج عدم وجود فروق ذات دلالة احصائية في واقع العنف في مدارس ضواحي القدس تعزى للجنس، ووجود فروق ذات دلالة احصائية في واقع العنف في مدارس ضواحي القدس تعزى للصف لصالح الصف السابع الأساسي.
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    دور قانون الدمج الفلسطيني في الحد من فقدان فرص الحق في التعليم كما يراها العاملون في قسم التربية الخاصة في مديريات التربية والتعليم
    (مجلة الفنون والادب وعلوم الانسانيات والاجتماع, 2024-10) عبدالله الطيطي; سعيد عوض
    هدفت الدراسة الى التعرف على مدى فاعلية قانون الدمج الفلسطيني في الحد من فقدان فرص الحق في التعليم كما يراها العاملون في قسم التربية الخاصة في مديريات التربية والتعليم في محافظة الخليل، وقد اتبع الباحثان المنهج الوصفي باستخدام التحليل الكمي، وقد استخدم الباحثان اذاة الاستبانة لجمع المعلومات ، وتكون مجتمع الدراسة من جميع العاملين في اقسام التربية الخاصة في مديرات التربية والتعليم في الضفة الغربية والبالغ غددهم (60) وتكونت عينة الدارسة من (15) موظف ممن يعلمون في قسم التربية الخاصة في مديريات التربية والتعليم في محافظة الخليل، وقد اظهرت نتائج الدراسة أن متوسطات الدرجة الكلية لاستجابات عينة الدراسة على مجالات الدراسة تراوحت ما بين ( 3.44) لمجال معيقات تطبيق قانون الدمج الفلسطيني الخاص بالحق بالتعليم و (4.44) لمجال تفعيل اليات تطبيق قانون الدمج الفلسطيني، فيما بلغ المتوسط الكلي (4.09) أي بدرجة مرتفعة، كذلك اظهرت التنجية الكلية للمجال الاول آلية عمل قسم التربية الخاصة مع قانون الدمج بلغ (4.14) بانحراف معياري (0.21) جاء بدرجة مرتفعة ، كذلك اظهرت النتيجة الكلية للمجال الثاني انعكاس قانون الدمج الفلسطيني على تكافؤ الفرص في التعليم بلغ (4.36) بانحراف معياري (0.38) جاء بدرجة مرتفعة، كذلك اظهرت النتيجة الكلية للمجال الثالث مستوى معيقات تطبيق قانون الدمج الفلسطيني الخاص بالحق بالتعليم بلغ المتوسط (3.44) بانحراف معياري (0.54) جاء بدرجة متوسطة، كذلك اظهرت النتيجة الكلية للمجال الرابع مستوى تفعيل دور قسم التربية الخاصة في اليات التطبيق بلغ المتوسط الحسابي (4.44) بانحراف معياري (0.36) جاء بدرجة مرتفعة، كذلك اظهرت نتائج الدراسة عدم وجود فروق وفقا لمتغيرات الجنس والمؤهل العلمي في حين كان هنالك فروق في متغير سنوات الخبرة لصالح ذوي الخبرة 5-10 سنوات واكثر من 10 سنوات ، كما اظهرت الدراسة وجود فروق في متغير المسمى الوظيفي لصالح مسمى رئيس القسم ، وقد اوصت الدراسة باستقطاب الخبرات المتخصصة في موضوع الدمج وارفادها في اقسام التربية الخاصة في مديرات التربية والتعليم.
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    An Early Intervention Program to Improve Productive language Skills for Children with Hearing loss And Measuring Its Effectiveness
    (Middle East Journal of Scientific Publishing, 2024-03-12) said awad
    The current study aimed at constructing an early intervention program to improve the Productive language skills for children with hearing loss. The effectiveness of the new program was tested in the Hebron area, on children aged (3-6) years old, according to the five component of language , Phonology , morphology , syntax , semantic and pragmatics. A quasi-experimental design was followed with a purposeful chosen sample (n=20 students) from Al Enjelia Al Arabia school in Hebron city. The students were randomly assigned to two groups: tu experimental group, (n=10, 6 M. & 4 F.)., and The control group (n=10, 6 M. & 4 F.). The experimental group was exposed to (44) sessions of the constructed program during the second semester of the school year 2012/2013 , using one outcome indicator, expressive language skills as a measure of the program efficiency. The pre-post test scores for both groups were analyzed using means, standard deviations as well as the statistical procedures :(ANCOVA) and (MANCOVA) to test for any statistical significant differences. The study results showed the presence of a positive impact of the early intervention program on improving expressive language skills for children with hearing loss. There were statistically significant differences at the level of (α≥ 0.05 ) between the total test mean scores of the control and experimental groups in (α≥0.05) between the overall mean scores of the control and experimental groups in total expressive language skills in favor of the experimental group, and There Were statistically significant differences (α = 0.05) between the mean scores of the two groups on the components of expressive language ( phonology, semantic, and pragmatic) in favor of the experimental group. While there were no statistically significant differences between the mean scores of the control and experimental groups in two components of the expressive language (morphology and syntax). This clearly shows the positive impact of the intervention program used in the study, and the need for early screening and intervention in order to achieve better outcomes with the expressive language skills of the children with hearing loss, as well as the need for additional studies with different variables such as the age and gender.
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    Can environment or allergy explain international variation in prevalence of wheeze in childhood?
    (Eur J Epidemiol, 2019-05-01) Weinmayr G; Jaensch A; Ruelius AK; Forastiere F; Strachan DP; ISAAC Phase Two Study Group.
    Asthma prevalence in children varies substantially around the world, but the contribution of known risk factors to this international variation is uncertain. The International Study of Asthma and Allergies in Childhood (ISAAC) Phase Two studied 8-12 year old children in 30 centres worldwide with parent-completed symptom and risk factor questionnaires and aeroallergen skin prick testing. We used multilevel logistic regression modelling to investigate the effect of adjustment for individual and ecological risk factors on the between-centre variation in the prevalence of recent wheeze. Adjustment for single individual-level risk factors changed the centre-level variation from a reduction of up to 8.4% (and 8.5% for atopy) to an increase of up to 6.8%. Modeling the 11 most influential environmental factors among all children simultaneously, the centre-level variation changed little overall (2.4% increase). Modelling only factors that decreased the variance, the 6 most influential factors (synthetic and feather quilt, mother's smoking, heating stoves, dampness and foam pillows) in combination resulted in a 21% reduction in variance. Ecological (centre-level) risk factors generally explained higher proportions of the variation than did individual risk factors. Single environmental factors and aeroallergen sensitisation measured at the individual (child) level did not explain much of the between-center variation in wheeze prevalence.
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    Clinical standards for the diagnosis and management of asthma in low- and middle-income countries
    (Int J Tuberc Lung Dis., 2023-09-01) Jayasooriya S; Stolbrink M; Khoo EM; Sunte IT; Awuru JI; Cohen M; Lam DC; Spanevello A; Visca D; Centis R; Migliori GB; Ayuk AC; Buendia JA; Awokola BI; Del-Rio-Navarro BE; Muteti-Fana S; Lao-Araya M; Badellino H; Somwe SW; Anand MP; Garcí-Corzo JR; Bekele A; Soto-Martinez ME; Ngahane BHM; Ngahane BHM; Florin M; Voyi K; Tabbah K; Bakki B; Alexander A; Garba BL; Salvador EM; Fischer GB; Falade AG; ŽivkoviĆ Z; Romero-Tapia SJ; Erhabor GE; Zar H; Gemicioglu B; Brandão HV; Kurhasani X; El-Sharif N; Singh V; Ranasinghe JC, Kudagammana ST, Masjedi MR, Velásquez JN, Jain A, Cherrez-Ojeda I, Valdeavellano LFM, Gómez RM, Mesonjesi E, Morfin-Maciel BM, Ndikum AE, Mukiibi GB, Reddy BK, Yusuf O, Taright-Mahi S, Mérida-Palacio JV, Kabra SK, Nkhama E, Filho NR, Zhjegi VB, Mortimer K, Rylance S, Masekela RR.
    BACKGROUND: The aim of these clinical standards is to aid the diagnosis and management of asthma in low-resource settings in low- and middle-income countries (LMICs).METHODS: A panel of 52 experts in the field of asthma in LMICs participated in a two-stage Delphi process to establish and reach a consensus on the clinical standards.RESULTS: Eighteen clinical standards were defined: Standard 1, Every individual with symptoms and signs compatible with asthma should undergo a clinical assessment; Standard 2, In individuals (>6 years) with a clinical assessment supportive of a diagnosis of asthma, a hand-held spirometry measurement should be used to confirm variable expiratory airflow limitation by demonstrating an acute response to a bronchodilator; Standard 3, Pre- and post-bronchodilator spirometry should be performed in individuals (>6 years) to support diagnosis before treatment is commenced if there is diagnostic uncertainty; Standard 4, Individuals with an acute exacerbation of asthma and clinical signs of hypoxaemia or increased work of breathing should be given supplementary oxygen to maintain saturation at 94-98%; Standard 5, Inhaled short-acting beta-2 agonists (SABAs) should be used as an emergency reliever in individuals with asthma via an appropriate spacer device for metered-dose inhalers; Standard 6, Short-course oral corticosteroids should be administered in appropriate doses to individuals having moderate to severe acute asthma exacerbations (minimum 3-5 days); Standard 7, Individuals having a severe asthma exacerbation should receive emergency care, including oxygen therapy, systemic corticosteroids, inhaled bronchodilators (e.g., salbutamol with or without ipratropium bromide) and a single dose of intravenous magnesium sulphate should be considered; Standard 8, All individuals with asthma should receive education about asthma and a personalised action plan; Standard 9, Inhaled medications (excluding dry-powder devices) should be administered via an appropriate spacer device in both adults and children. Children aged 0-3 years will require the spacer to be coupled to a face mask; Standard 10, Children aged <5 years with asthma should receive a SABA as-needed at step 1 and an inhaled corticosteroid (ICS) to cover periods of wheezing due to respiratory viral infections, and SABA as-needed and daily ICS from step 2 upwards; Standard 11, Children aged 6-11 years with asthma should receive an ICS taken whenever an inhaled SABA is used; Standard 12, All adolescents aged 12-18 years and adults with asthma should receive a combination inhaler (ICS and rapid onset of action long-acting beta-agonist [LABA] such as budesonide-formoterol), where available, to be used either as-needed (for mild asthma) or as both maintenance and reliever therapy, for moderate to severe asthma; Standard 13, Inhaled SABA alone for the management of patients aged >12 years is not recommended as it is associated with increased risk of morbidity and mortality. It should only be used where there is no access to ICS.The following standards (14-18) are for settings where there is no access to inhaled medicines. Standard 14, Patients without access to corticosteroids should be provided with a single short course of emergency oral prednisolone; Standard 15, Oral SABA for symptomatic relief should be used only if no inhaled SABA is available. Adjust to the individual's lowest beneficial dose to minimise adverse effects; Standard 16, Oral leukotriene receptor antagonists (LTRA) can be used as a preventive medication and is preferable to the use of long-term oral systemic corticosteroids; Standard 17, In exceptional circumstances, when there is a high risk of mortality from exacerbations, low-dose oral prednisolone daily or on alternate days may be considered on a case-by-case basis; Standard 18. Oral theophylline should be restricted for use in situations where it is the only bronchodilator treatment option available.CONCLUSION: These first consensus-based clinical standards for asthma management in LMICs are intended to help clinicians provide the most effective care for people in resource-limited settings.