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Abstract: Rural communities are geographically isolated from large urban areas, affecting access to definitive care, specialists and other health services that only service urban areas. Rural decision-makers are often faced with numerous challenges regarding the availability, capacity, sustainability and performance of health systems in rural and remote areas. We evaluated the current body of literature on educational initiatives being used in under-resourced areas to increase the knowledge or skills of healthcare workers. This rapid review followed the methods laid out by the Cochrane Rapid Reviews Methods Group and included published articles from any of three databases that described and evaluated an educational intervention, in which healthcare workers were the learners and which took place in an under-resourced area. Papers were excluded if they were deemed to be too resource intensive, were an opinion or concept paper or took place in an urban area. Results were synthesised descriptively. Ten studies were identified that contained information on educational initiatives in a variety of countries. The healthcare workers targeted in the studies varied from physicians, nurses and midwives to community health workers and students. The quality of studies also varied and included randomised control trials, systematic reviews and both prospective and retrospective studies. Initiatives involving simulation or point-of-care ultrasound were most common and showed the most benefit to a learner's knowledge and skill development. A limited body of literature exists on educational initiatives for healthcare workers in under-resourced areas. While simulation and hands-on learning showed positive results, the opportunity remains for a low-cost, high-yield educational initiative tailored to the unique needs of healthcare workers in under-resourced areas.Les communautés rurales sont géographiquement isolées des grandes zones urbaines, ce qui affecte l'accès à des soins définitifs, à des spécialistes et à d'autres services de santé qui ne desservent que les zones urbaines. Les décideurs ruraux sont souvent confrontés à de nombreux défis concernant la disponibilité, la capacité, la durabilité et la performance des systèmes de santé dans les zones rurales et éloignées. Nous avons évalué l'ensemble de la littérature actuelle sur les initiatives éducatives utilisées dans les zones sous-dotées pour améliorer les connaissances ou les compétences des travailleuses et travailleurs de la santé. Cette examen rapide a suivi les méthodes définies par le Cochrane Rapid Reviews Methods Group et a inclus des articles publiés dans l'une des trois bases de données qui décrivaient et évaluaient une intervention éducative dans laquelle les travailleuses et travailleurs de la santé étaient les apprenants et qui SE déroulait dans une zone manquant de ressources. Des articles jugés trop gourmands en ressources, des opinions, des documents conceptuels ou en lien avec des zones urbaines, ont été exclus. Les résultats ont été synthétisés de manière descriptive. 10 études ont été identifiées, contenant des informations sur des initiatives éducatives dans divers pays. Les travailleurs de la santé ciblés dans les études variaient des médecins, des infirmières et des sages-femmes aux travailleurs de la santé communautaire et aux étudiants. La qualité des études était également variable et comprenait des essais contrôlés randomisés, des revues systématiques et des études prospectives et rétrospectives. Les initiatives impliquant la simulation ou le POCUS étaient les plus courantes et présentaient le plus d'avantages pour le développement des connaissances et des compétences de l'apprenant. Il existe un nombre limité de documents sur les initiatives éducatives destinées aux travailleurs de la santé dans les zones sous-dotées. Bien que la simulation et l'apprentissage pratique aient donné des résultats positifs, il est toujours possible de mettre en place une initiative éducative peu coûteuse et à haut rendement, adaptée aux besoins spécifiques des travailleuses et travailleurs de la santé dans les zones sous-dotées., (Copyright © 2024 Copyright: © 2024 Society of Rural Physicians of Canada.)

The recent rise in the visibility of participatory research has contributed to reshaping its epistemic frameworks. The challenges it faces provide the opportunity to study the power dynamics within research systems. This paper therefore discusses the links between health research, participatory research, and political context. Conducted from the perspective of a service-user/survivor researcher inspired by survivor research, the context analysis is based on a critical approach to user participation in two participatory research projects carried out in collaboration with the World Health Organization. The context is considered in light of the political circumstances, goals, and issues that affect the environment in which participatory research operates. The author argues that the practical, ethical, and methodological challenges of participatory research have less to do with epistemic issues than they do with research’s role as a social practice. By neglecting these political issues in favor of epistemic interrogations, research participates in knowledge subjugation, at the expense of affected communities. Taking into account social power struggles within research highlights the need for the development of research directly carried out by service users.

Community-based research, that is, the meaningful involvement of affected populations in the production of scientific knowledge that concerns them, is a political struggle and an ethical necessity. Coalition PLUS, an international network of organizations (most of them NGOs) fighting against HIV and hepatitis, created a community-based research laboratory (CBRL) composed of people from more than sixteen countries and various disciplinary fields. The objectives of the CBLR are to build research capacity, ensure collaboration with local and international academic research centers, and develop international research projects. The CBRL acts as a bridge between different partners, reconciling sometimes divergent interests, and must provide mediation and support to promote dialogue, transparency, and a relationship of trust between the communities and academic researchers. However, the need for scientific legitimacy obliges us to continuously seek a balance between responding to the needs of the field and using rigorous scientific methods, while optimizing and prioritizing existing resources. The permanent quest for this balance has led the CBRL to reorganize its mode of operation to optimize existing synergies with academic research laboratories, with a view to asserting its scientific legitimacy and continuing to contribute to social transformation through community-based research that is both innovative and of high quality. This paper provides a critical reflection on the issues, challenges, practices, and solutions of community-based research within the Coalition PLUS network.

In adults and teenagers, airway clearance physiotherapy techniques (ACPT) are various and numerous. However, they for still awaiting scientific validation. Among ACPTs, Slow Expiration with the Glottis Opened in the Lateral Posture (ELTGOL), Autogenic Drainage (DA), and Active Cycling Breathing Technique (ACBT) present a Grade B level of evidence with weak recommendations. Even though these maneuvers are widely applied, precise description of chest physiotherapy (CP) is largely absent from the scientific literature; it is difficult to standardize its implementation and reproduce the results; scientific validation and faithful execution of the techniques are consequently problematic. In this paper, the authors aim to depict each of the three CP techniques as precisely as possible; with this in mind, graphic modeling of the different respiratory exercises is presented in such a way that they can be easily learned, applied and reproduced by physiotherapists., (Copyright © 2023 SPLF. Published by Elsevier Masson SAS. All rights reserved.)

Cancers: INCIDENCE AND SURVIVAL IN METROPOLITAN France. Incidence and survival rates are key indicators for cancer surveillance. They also help to drive cancer control programs and public health policies. Focusing on the main cancer localisations, this paper describes the latest incidence (2023) and survival (2018) rates, as well as their evolutions since 1990 in metropolitan France. In 2023, the number of new cases of cancer was estimated to be 433 136, of which 57% occurring in men. Both gender considered, the most frequent cancers are: breast cancer (61 214 new cases), prostate cancer (59 885 new cases) and lung cancer (52 777 new cases). Although the « all cancer » incidence rate as remained quite stable for 33 years in men, it has been raising by almost 1% per year in women. Regarding survival, the standardized net survival (SNS) at 5 years shows great disparities among tumor sites, and it is overall higher in women. Cancers with the best prognosis are thyroid cancer (SNS at 5 years: 96%), prostate cancer (93%), skin melanoma (93%) and uterine cancer (74%). On the contrary, a few tumor locations, including the pancreas (SNS at 5 years of 11%), the liver (18%) and the lung (20%) are still associated with a poor prognosis, even if survival rates have increased in most of cancer locations since 1990., Competing Interests: Les auteurs déclarent n’avoir aucun lien d’intérêts.

This paper reports on a research-training module in a conference interpreter training environment where students strive to acquire high-level interpreting skills through intensive practice over two years. Both theory and research are remote from their concerns. The module described was designed specifically for this environment. The aim was to raise the students’ awareness of the nature of research, of the gains it could offer to interpreters-in-training and to the interpreting profession, and of practical challenges it faces. Care was taken not to add a significant workload which they might view as irrelevant to their endeavours. This translated as an introductory two-lecture part followed by micro-experiments in which the students’ own interpreting exercises were used as material. The students were asked to record and transcribe their interpretations of experimental source speeches, to analyse and reflect on the data. In one exercise, they were asked to perform an experiment as researchers with other students as participants. Throughout the process, the instructors provided detailed guidance and explained how the experiments were designed, taking on board challenges and uncertainties, and what inferences could or could not be drawn from the data and why. A questionnaire at the end of the module suggests that the students found the module interesting, not excessively taxing, that it taught them something about research and also about interpreting. Since this module entails virtually no overheads as regards the students’ daily practice and gives them a good sense of the practical issues associated with research, it is suggested that it could be integrated into curricula with more traditional research training as well.

The paper describes the state of legal interpreting training in the Czech Republic, which, as it currently stands, focuses on legal terminology rather than specific interpreting techniques. Against this background of the existing training opportunities, the paper presents a pilot course on legal interpreting, including court interpreting, for BA and MA students of English for Translators and Interpreters at Palacký University Olomouc. It describes the design of the course, its content and the methodology applied. Specifically, it describes the different settings addressed in the courses and the materials and activities used to train interpreters for these settings, including a mock trial. Finally, the paper also discusses the challenges and potential room for further development.

The aim of this paper is to discuss some of the challenges resulting from the fact that interpreting classes at the Institute of Translation Studies (Charles University, Prague, Czechia) are attended by students whose mother tongue is not Czech (double degree students from Universität Leipzig or Erasmus+ incoming students). Drawing on the results of action research conducted in two different interpreting courses, we describe the challenges that this non-standard situation represents for the teacher, how teaching methods need to be adapted, what implications this distorted directionality has on student assessment, how this combination of students with different mother tongues can enrich interpreting seminars and their participants, and what benefits it brings to the interaction between teacher and student and among students.

Healthcare interpreting has been a topic of interest for various fields of study around the world for over 60 years; however, it has not yet been discussed comprehensively in the Czech Republic. This paper aims to lay the groundwork for future research in the country by providing a basic overview of the research findings abroad. Drawing on the summary article by Pöchhacker (2021), the contribution first examines studies and other works on interpreting in healthcare by researchers in fields other than translation studies, such as nursing, psychiatry, linguistics, and social sciences from the 1960s to the early 1990s. Afterwards, the paper compiles the findings of more recent studies from Africa; Asia and Australia; the United States, Canada and Mexico; and Northern, Southern, and Central Europe, concluding with remarks on the few works on healthcare interpreting that have been produced in the Czech Republic.