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Children who use augmentative and alternative communication (AAC) are multimodal communicators. However, in classroom interactions involving children and staff, achieving mutual understanding and accomplishing task-oriented goals by attending to the child's unaided AAC can be challenging. This study draws on excerpts of video recordings of interactions in a classroom for 6-9-year-old children who used AAC to explore how three child participants used the range of multimodal resources available to them - vocal, movement-based, and gestural, technological, temporal - to shape (and to some degree, co-control) classroom interactions. Our research was concerned with examining achievements and problems in establishing a sense of common ground and the realization of child agency. Through detailed multimodal analysis, this paper renders visible different types of practices rejecting a request for clarification, drawing new parties into a conversation, disrupting whole-class teacher talk-through which the children in the study voiced themselves in persuasive ways. It concludes by suggesting that multimodal accounts paint a more nuanced picture of children's resourcefulness and conversational asymmetry that highlights children's agency amidst material, semiotic, and institutional constraints.
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http://dx.doi.org/10.1080/07434618.2023.2283853 | DOI Listing |
Int J Eat Disord
September 2025
Department of General Psychology, University of Padova, Padova, Italy.
Smartphone applications (apps) represent promising tools to overcome common barriers to treatment in individuals within the Eating Disorders (EDs) spectrum, thanks to their constant availability and cost-effectiveness. In this context, Cruz et al. (2025) conducted the first meta-analysis of randomized controlled trials (RCTs) evaluating the efficacy of app-based interventions for EDs.
View Article and Find Full Text PDFPsychiatr Serv
September 2025
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
A distinctive feature of psychiatry is the presence of countermovements that critically question the validity of diagnostic systems and the value of psychoactive drugs. Polarized positions frequently involve mutual accusations of being unscientific, a claim that may obscure underlying assumptions and hinder meaningful dialogue. Advancing the field requires that fundamental conceptual disagreements be made visible, thereby laying the groundwork for more informed, less polarized dialogues that could ultimately minimize stigma and promote an inclusive constructive dialogue.
View Article and Find Full Text PDFEnviron Monit Assess
September 2025
Department of Geography, Institute of Integrated & Honors Studies, Kurukshetra University, Kurukshetra, 136119, Haryana, India.
The Chhilchhila Wildlife Sanctuary serves as a vital wintering ground and key stopover for the Central Asian Flyway, providing essential habitats for numerous migratory bird species. Fortnightly field surveys for 2 years were conducted periodically from October 2022 to September 2024, employing line-cum-point transect counts across four transects of the study area. A total of 62 winter migrant avian species from 10 orders, 26 families, and 42 genera were recorded.
View Article and Find Full Text PDFJAMIA Open
October 2025
Division of Pulmonary and Critical Care, Brigham and Women's Hospital, Boston, MA, United States.
Objectives: Unstructured data, such as procedure notes, contain valuable medical information that is frequently underutilized due to the labor-intensive nature of data extraction. This study aims to develop a generative artificial intelligence (GenAI) pipeline using an open-source Large Language Model (LLM) with built-in guardrails and a retry mechanism to extract data from unstructured right heart catheterization (RHC) notes while minimizing errors, including hallucinations.
Materials And Methods: A total of 220 RHC notes were randomly selected for pipeline development and 200 for validation from the Pulmonary Vascular Disease Registry.
Cureus
August 2025
Internal Medicine, Walter Reed National Military Medical Center, Bethesda, USA.
Renal cysts are common, typically asymptomatic, fluid-filled sacs that rarely require intervention. Nevertheless, in rare cases, large symptomatic cysts can cause significant morbidity. We report the case of an 87-year-old man presenting to the emergency department with right chest wall pain following a ground-level fall, accompanied by worsening nausea, vomiting, and decreased oral intake over 6-7 months.
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