Interacting with adults with congenital deafblindness : the experiences of disability support workers

Background This study aimed to gain greater insight into the perspectives of staff on their interactions with adults with congenital deafblindness in light of the research literature reporting these interactions to be lacking in quality and quantity.

Method Data from interviews with 8 disability support workers were analysed using the approach described by Charmaz (2006).

Results Three key themes emerged from the interview data, which support and elaborate on fi ndings of previous studies. These were (1) the construction of client happiness, (2) the rationalisation of client disengagement, and (3) imperatives of the staff role. These fi ndings elucidate the reasons for staff behaviour in their interactions with adults with congenital deafblindness.

Conclusion The fi ndings suggest the need for staff policy and procedural documents to be explicit about the importance of social interaction between staff and clients.

Resuscitating students’ learning : exploring the “Living Dead” phenomenon

There is research spanning the 20th century on student disengagement. Despite all the research, the problem remains. It is time to adopt a different perspective. This article attempts to make transparent the influences on disengagement in schools by applying Jean Gebser’s (1985) empirical phenomenological study of cultural consciousness. What differentiates this approach from previous arguments is the basic premise that the “problem” of disengagement lies not with an individual or group, but with the cultural consciousness.

Advancing science by enhancing learning in the laboratory (ASELL)

Final report of the the Advancing Science by Enhancing Learning in the Laboratory (ASELL) project. 

Most researchers agree that the laboratory experience ranks as a significant factor that influences students’ attitudes to their science courses. Consequently, good laboratory programs should play a major role in influencing student learning and performance. The laboratory program can be pivotal in defining a student's experience in the sciences, and if done poorly, can be a major contributing factor in causing disengagement from the subject area. The challenge remains to provide students with laboratory activities that are relevant, engaging and offer effective learning opportunities.

The Advancing Science by Enhancing Learning in the Laboratory (ASELL) project has developed over the last 10 years with the aim of improving the quality of learning in undergraduate laboratories, providing a validated means of evaluating and improving the laboratory experience of students, and effective professional development for academic staff. After successful development in chemistry and trials using the developed principles in physics and biology, the project, with ALTC funding, has now expanded to include those disciplines.

The launching pad for ASELL was a multidisciplinary workshop held in Adelaide in April, 2010. This workshop involved 100 academics and students, plus 13 Deans of Science (or delegates), covering the three enabling sciences of biology, chemistry and physics. Thirty-nine undergraduate experiments were trialled over the three days of the workshop. More importantly, professional development in laboratory education was developed in the 42 academic staff that attended the workshop.

Following the workshop, delegates continued to evaluate, develop and improve both individual experiments and whole laboratory programs in their home institutions, mentored by the ASELL Team. Some highlights include:
- more than 15,000 student surveys carried out by delegates during 2010/11
- 10 whole lab programs were surveyed by delegates
- 4 new ASELL-style workshops, conducted by ASELL-trained delegates were run in 2010/11
- more than 100 ASELL-tested experiments available on the website (www.asell.org)
- ASELL workshops conducted in Philippines, Ireland in 2010, and planned in the USA and Thailand for 2011
- significant improvement in student evaluation of whole laboratory programs and individual experiments measured in universities using the ASELL approach
- high profile of ASELL activities in the Australian Council of Deans of Science (ACDS)
- research project on the misconceptions of academic staff about laboratory learning completed
- significant research on student learning in the laboratory, and staff perceptions of student learning have been carried out during 2010/11
- research results have been benchmarked against staff and students in the USA.

The biggest unresolved issue for ASELL is one of sustainability in the post-ALTC funding era. ASELL will make a series of recommendations to the ACDS, but the future of the program depends, to a large part, on how the ACDS responds.

A clustered randomised trial examining the effect of social marketing and community mobilisation on the age of uptake and levels of alcohol consumption by Australian adolescents

Introduction
Throughout the world, alcohol consumption is common among adolescents. Adolescent alcohol use and misuse have prognostic significance for several adverse long-term outcomes, including alcohol problems, alcohol dependence, school disengagement and illicit drug use. The aim of this study was to evaluate whether randomisation to a community mobilisation and social marketing intervention reduces the proportion of adolescents who initiate alcohol use before the Australian legal age of 18, and the frequency and amount of underage adolescent alcohol consumption.
Method and analysis
The study comprises 14 communities matched with 14 non-contiguous communities on socioeconomic status (SES), location and size. One of each pair was randomly allocated to the intervention. Baseline levels of adolescent alcohol use were estimated through school surveys initiated in 2006 (N=8500). Community mobilisation and social marketing interventions were initiated in 2011 to reduce underage alcohol supply and demand. The setting is communities in three Australian states (Victoria, Queensland and Western Australia). Students (N=2576) will complete school surveys in year 8 in 2013 (average age 12). Primary outcomes: (1) lifetime initiation and (2) monthly frequency of alcohol use. Reports of social marketing and family and community alcohol supply sources will also be assessed. Point estimates with 95% CIs will be compared for student alcohol use in intervention and control communities. Changes from 2006 to 2013 will be examined; multilevel modelling will assess whether random assignment of communities to the intervention reduced 2013 alcohol use, after accounting for community level differences. Analyses will also assess whether exposure to social marketing activities increased the intervention target of reducing alcohol supply by parents and community members.

Tribes as civil society organisations: the case of Iraq

The socio-political discourse about civil society inclines to use Western models in coneptualising civil society both in Western and non-Western societies. Iraq is one of those countries where civil society is mostly discussed the formally organised type. This paper critiques the disengagement of literature and empirical studies with exploring social structures like tribe within the civil society arena. It contends that civil society organisations should be understood based on their functions rather than forms. This paper argues that studying civil society should be comprehensive by studying other non-Western theories like 14th century Ibn Khaldun’s Muslim/Arab theories in its indigenous Arab and Muslim societies. On the premise of two factors: the Khaldunian asabiya or olidarity concept and the function of tribes in peace-building, policy formulation and democratisation, this paper uncovers how tribes in Iraq can be regarded civil society organisations.

Positive effects of nicotine on cognition: the deployment of attention for prospective memory

Rationale 

Why has the safety and quality movement been slow to improve care?

Buist and Middleton lament that the safety and quality 'agenda' has failed to fundamentally alter the safety of healthcare systems, in part because of the disengagement of doctors from their responsibilities for patient safety . While there have been discernable improvements in the efficiency and effectiveness of care in some settings, patients still experience unacceptable harm and often struggle to have their voices heard; processes are not as efficient as they could be; and costs continue to rise at alarming rates while quality issues remain . Perhaps of most concern, recent public reports into health system failures continue to document a widespread lack of attentiveness to patient concerns, a culture of denial and widespread lack of professionalism . Alarmingly, clinician discontentment, cynicism and burn-out are reflected in antagonistic language by clinicians about the healthcare system and their patients. Taken together with the many dissatisfied and now more vocal patient groups, all point to an unprecedented crisis of faith in our healthcare systems which has been getting worse over past decade . This personal perspective aims to address the fundamental tensions that are keeping much of healthcare reform efforts from successfully transforming the culture and outcomes except at the margins.

Temporal patterns and psychosocial consequences of adolescent help-seeking behaviour

This doctoral thesis presented an investigation of adolescent help-seeking behaviour that is likely to inform future studies examining adolescent psychology. Few prior studies have examined the factor structures of typical social support measures to examine whether family help-seeking and family support are single constructs or can be conceptualised as separate constructs. This three-year longitudinal study investigated the temporal characteristics and psychosocial consequences of early adolescent help-seeking behaviour. Findings highlighted that family help-seeking can be measured separately from family support, and discussed the role of family help-seeking and support in reducing adverse outcomes (e.g. mental health problems, school disengagement) for adolescents. The discussion contends there is interplay between family help-seeking and family support; however, the two constructs represent separate components within an over-arching adaptive process, and should be conceptualised and measured in this manner.

Intensive case management for high-risk patients with first-episode psychosis: service model and outcomes

Background : The first episode of psychosis is a crucial period when early intervention can alter the trajectory of the young person's ongoing mental health and general functioning. After an investigation into completed suicides in the Early Psychosis Prevention and Intervention Centre (EPPIC) programme, the intensive case management subprogramme was developed in 2003 to provide assertive outreach to young people having a first episode of psychosis who are at high risk owing to risk to self or others, disengagement, or suboptimal recovery. We report intensive case management model development, characterise the target cohort, and report on outcomes compared with EPPIC treatment as usual.

Methods : Inclusion criteria, staff support, referral pathways, clinical review processes, models of engagement and care, and risk management protocols are described. We compared 120 consecutive referrals with 50 EPPIC treatment as usual patients (age 15–24 years) in a naturalistic stratified quasi-experimental real-world design. Key performance indicators of service use plus engagement and suicide attempts were compared between EPPIC treatment as usual and intensive case management, and psychosocial and clinical measures were compared between intensive case management referral and discharge.

Findings : Referrals were predominately unemployed males with low levels of functioning and educational attainment. They were characterised by a family history of mental illness, migration and early separation, with substantial trauma, history of violence, and forensic attention. Intensive case management improved psychopathology and psychosocial outcomes in high-risk patients and reduced risk ratings, admissions, bed days, and crisis contacts.

Interpretation : Characterisation of intensive case management patients validated the clinical research focus and identified a first episode of psychosis high-risk subgroup. In a real-world study, implementation of an intensive case management stream within a well-established first episode of psychosis service showed significant improvement in key service outcomes. Further analysis is needed to determine cost savings and effects on psychosocial outcomes. Targeting intensive case management services to high-risk patients with unmet needs should reduce the distress associated with pathways to care for patients, their families, and the community.

Smartphones e profissionais: amigos e inimigos

A utilização de artefatos de Tecnologias da Informação Móveis e Sem Fio (TIMS) traz consigo alguns paradoxos tecnológicos associados, já identificados na literatura. O aumento do uso de TIMS e suas evoluções acabam por permitir novos tipos de uso e interação junto aos usuários. Tendo como base teorias sobre a existência de paradoxos associados ao uso de equipamentos tecnológicos, mormente TIMS, este estudo buscou aprofundar a relação entre smartphones e profissionais. A partir da coleta de dados por meio de questionário estruturado, esta pesquisa utilizou a análise quantitativa e teve como objetivo determinar a presença e medir a intensidade dos paradoxos tecnológicos, identificados na literatura, quando do uso profissional de smartphones. Outro ponto observado no presente trabalho foi a associação estatística entre esses paradoxos tecnológicos e, ainda, a identificação de fatores que poderiam impactar a percepção desses paradoxos associados ao uso do smartphone pelos profissionais que os utilizam. A análise dos dados permitiu verificar quais dos quatorze paradoxos tecnológicos apresentados por Mick e Fournier (1998), Jarvenpaa e Lang (2005) e Mazmanian et al. (2006) foram percebidos por mais respondentes, com destaque para o paradoxo de autonomia e vício, que foi vivenciado por mais de 85% daqueles que responderam à pesquisa. Usando como base o percentual de respondentes que percebem os paradoxos tecnológicos e considerando suas intensidades, esta dissertação também apresenta um ranking das forças dos paradoxos, determinado pela taxa relativa da força dos paradoxos. Esse ranking traz nas primeiras posições as seguintes ambiguidades: autonomia / vício, engajamento / desengajamento e liberdade / escravidão, respectivamente. Outro apontamento dessa pesquisa foi que nenhum dos paradoxos analisados é estatisticamente independente. Por fim, a realização de uma regressão logística ordinal levou à conclusão que apenas dois dos paradoxos em questão sofrem impacto das variáveis independentes observadas.

Adaptação transcultural Portugal-Brasil do Inventário de Burnout de Maslach para estudantes

OBJETIVO: Realizar a adaptação transcultural da versão em português do Inventário de Burnout de Maslach para estudantes e investigar sua confiabilidade, validade e invariância transcultural. MÉTODOS: A validação de face envolveu participação de equipe multidisciplinar. Foi realizada validação de conteúdo. A versão em português foi preenchida em 2009, pela internet, por 958 estudantes universitários brasileiros e 556 portugueses da zona urbana. Realizou-se análise fatorial confirmatória utilizando-se como índices de ajustamento o χ²/df, o comparative fit index (CFI), goodness of fit index (GFI) e o root mean square error of approximation (RMSEA). Para verificação da estabilidade da solução fatorial conforme a versão original em inglês, realizou-se validação cruzada em 2/3 da amostra total e replicada no 1/3 restante. A validade convergente foi estimada pela variância extraída média e confiabilidade composta. Avaliou-se a validade discriminante e a consistência interna foi estimada pelo coeficiente alfa de Cronbach. A validade concorrente foi estimada por análise correlacional da versão em português e dos escores médios do Inventário de Burnout de Copenhague; a divergente foi comparada à Escala de Depressão de Beck. Foi avaliada a invariância do modelo entre a amostra brasileira e a portuguesa. RESULTADOS: O modelo trifatorial de Exaustão, Descrença e Eficácia apresentou ajustamento adequado (χ²/df = 8,498; CFI = 0,916; GFI = 0,902; RMSEA = 0,086). A estrutura fatorial foi estável (λ: χ²dif = 11,383, p = 0,50; Cov: χ²dif = 6,479, p = 0,372; Resíduos: χ²dif = 21,514, p = 0,121). Observou-se adequada validade convergente (VEM = 0,45;0,64, CC = 0,82;0,88), discriminante (ρ² = 0,06;0,33) e consistência interna (α = 0,83;0,88). A validade concorrente da versão em português com o Inventário de Copenhague foi adequada (r = 0,21;0,74). A avaliação da validade divergente do instrumento foi prejudicada pela aproximação do conceito teórico das dimensões Exaustão e Descrença da versão em português com a Escala de Beck. Não se observou invariância do instrumento entre as amostras brasileiras e portuguesas (λ:χ²dif = 84,768, p < 0,001; Cov: χ²dif = 129,206, p < 0,001; Resíduos: χ²dif = 518,760, p < 0,001). CONCLUSÕES: A versão em português do Inventário de Burnout de Maslach para estudantes apresentou adequada confiabilidade e validade, mas sua estrutura fatorial não foi invariante entre os países, apontando ausência de estabilidade transcultural.

Defining the student burnout construct: a structural analysis from three burnout inventories

College student burnout has been assessed mainly with the Maslach Burnout Inventory (MBI). However, the construct's definition and measurement with MBI has drawn several criticisms and new inventories have been suggested for the evaluation of the syndrome. A redefinition of the construct of student burnout is proposed by means of a structural equation model, reflecting burnout as a second order factor defined by factors from the MBI-Student Survey (MBI-SS); the Copenhagen Burnout Inventory-Student Survey (CBI-SS) and the Oldenburg Burnout Inventory-Student Survey (OLBI-SS). Standardized regression weights from Burnout to Exhaustion and Cynicism from the MBI-SS scale, Personal Burnout and Studies Related Burnout from the CBI, and Exhaustion and Disengagement from OLBI, show that these factors are strong manifestations of students' burnout. For college students, the burnout construct is best defined by two dimensions described as "physical and psychological exhaustion" and "cynicism and disengagement."

Foreign Investment in Latin America and the Caribbean 2001

Includes bibliography

Diagnóstico socioambiental de um alojamento estudantil público e da comunidade do entorno: um estudo da relação entre a universidade e a sociedade

Dormitories are places offered by Brazilian public Universities to undergraduate students evaluated as socio-economically less favored aiming to guarantee the housing of the student in the locality they take a given undergraduate course, once housing is one the points which compose the tripod that supports the concept of student permanence, along with conditions of transportations and food. These places, however, present problems in their management, specially the ones related to social and environmental questions, caused by wrong attitudes and pre-concepts of their own residents, other students and the communities who live around them. So, this project aims to identify and analyze the socio-environmental conditions of a students’ dormitory located in Botucatu/SP which is supported by the Universidade Estadual Paulista “Júlio de Mesquita Filho” (Unesp) as well as the community that surrounds it. The data collecting is based on an exploratory research characterized for interviews that used semi-structured questionnaires and for the creation of a photography record of the region. The obtained data corroborated the tendency of an increasing gap between the Brazilian public universities and the society as well as to the disengagement of them and their students. This diagnosis has permitted to build proposals of educational interventions based on Permaculture, Agroecology and Critical Environmental Education to the improvement of the existing relationships among the students who live at the dormitory and among them and the local community. These interventions may be used as subsidies to the development of future research and extension projects to the local community

Dentistry teachers and the burnout syndrome

The Burnout Syndrome is considered a psychosocial problem to which teachers are routinely exposed. This study was conducted to estimate the prevalence of burnout in Dentistry teachers and its relation to relevant socio-demographic variables. The participants were 70 teachers from the undergraduate Dentistry Course, Faculty of Dentistry of Araraquara – UNESP. Oldenburg Burnout Inventory (OLBI) was used. The prevalence of burnout was estimated. In order to compare performed. Mean age of participants was 46.0 ± 6.1 and teaching experience was 19.6±7.6 years. The prevalence of burnout was 17.1%. Low mean scores for Exhaustion (2.11±0.61) and Disengagement (1.73±0.50) were observed. There reported taking medication due to work (p=0.008) and for those who have thought about quit teaching (p=0.001). There scores according to the habit of taking medication, the experience as a teacher and gender