The Problem with Value-Added Measurement

Measuring student learning through standardized tests is a lot harder than modern education reformers would have you believe.

The Effect of Proximity, Explicitness, and Representation of Basic Science Information on Student Clinical Problem-Solving

Problem: Medical and veterinary students memorize facts but then have difficulty applying those facts in clinical problem solving. Cognitive engineering research suggests that the inability of medical and veterinary students to infer concepts from facts may be due in part to specific features of how information is represented and organized in educational materials. First, physical separation of pieces of information may increase the cognitive load on the student. Second, information that is necessary but not explicitly stated may also contribute to the student’s cognitive load. Finally, the types of representations – textual or graphical – may also support or hinder the student’s learning process. This may explain why students have difficulty applying biomedical facts in clinical problem solving. Purpose: To test the hypothesis that three specific aspects of expository text – the patial distance between the facts needed to infer a rule, the explicitness of information, and the format of representation – affected the ability of students to solve clinical problems. Setting: The study was conducted in the parasitology laboratory of a college of veterinary medicine in Texas. Sample: The study subjects were a convenience sample consisting of 132 second-year veterinary students who matriculated in 2007. The age of this class upon admission ranged from 20-52, and the gender makeup of this class consisted of approximately 75% females and 25% males. Results: No statistically significant difference in student ability to solve clinical problems was found when relevant facts were placed in proximity, nor when an explicit rule was stated. Further, no statistically significant difference in student ability to solve clinical problems was found when students were given different representations of material, including tables and concept maps. Findings: The findings from this study indicate that the three properties investigated – proximity, explicitness, and representation – had no statistically significant effect on student learning as it relates to clinical problem-solving ability. However, ad hoc observations as well as findings from other researchers suggest that the subjects were probably using rote learning techniques such as memorization, and therefore were not attempting to infer relationships from the factual material in the interventions, unless they were specifically prompted to look for patterns. A serendipitous finding unrelated to the study hypothesis was that those subjects who correctly answered questions regarding functional (non-morphologic) properties, such as mode of transmission and intermediate host, at the family taxonomic level were significantly more likely to correctly answer clinical case scenarios than were subjects who did not correctly answer questions regarding functional properties. These findings suggest a strong relationship (p < .001) between well-organized knowledge of taxonomic functional properties and clinical problem solving ability. Recommendations: Further study should be undertaken investigating the relationship between knowledge of functional taxonomic properties and clinical problem solving ability. In addition, the effect of prompting students to look for patterns in instructional material, followed by the effect of factors that affect cognitive load such as proximity, explicitness, and representation, should be explored.

Baseline evaluation of environmental physical activity and nutrition support of Texas Medical Center hospital worksites

Background: Obesity is a major health problem in the United States that has reached epidemic proportions. With most U.S adults spending the majority of their waking hours at work, the influence of the workplace environment on obesity is gaining in importance. Recent research implicates worksites as providing an 'obesogenic' environment as they encourage overeating and reduce the opportunity for physical activity. Objective: The aim of this study is to describe the nutrition and physical activity environment of Texas Medical Center (TMC) hospitals participating in the Shape Up Houston evaluation study to develop a scoring system to quantify the environmental data collected using the Environmental Assessment Tool (EAT) survey and to assess the inter-observer reliability of using the EAT survey. Methods: A survey instrument that was adapted from the Environmental Assessment Tool (EAT) developed by Dejoy DM et al in 2008 to measure the hospital environmental support for nutrition and physical activity was used for this study. The inter-observer reliability of using the EAT survey was measured and total percent agreement scores were computed. Most responses on the EAT survey are dichotomous (Yes and No) and these responses were coded with a '0' for a 'no' response and a '1' for a 'yes' response. A summative scoring system was developed to quantify these responses. Each hospital was given a score for each scale and subscale on the EAT survey in addition to a total score. All analyses were conducted using Stata 11 software. Results: High inter-observer reliability is observed using EAT. The percentage agreement scores ranged from 94.4%–100%. Only 2 of the 5 hospitals had a fitness facility onsite and scores for exercise programs and outdoor facilities available for hospital employees ranged from 0–62% and 0–37.5%, respectively. The healthy eating percentage for hospital cafeterias range from 42%–92% across the different hospitals while the healthy vending scores were 0%–40%. The total TMC 'healthy hospital' score was 49%. Conclusion: The EAT survey is a reliable instrument for measuring the physical activity and nutrition support environment of hospital worksites. The study results showed a large variability among the TMC hospitals in the existing physical activity and nutrition support environment. This study proposes cost effective policy changes that can increase environmental support to healthy eating and active living among TMC hospital employees.^

Diseño acústico y electroacústico de Waipahu Transit Center en Honolulú, Hawái

El objetivo de este Proyecto Fin de Grado es el diseño de megafonía y PAGA (Public Address /General Alarm) de la estación de tren Waipahu Transit Center en la ciudad de Honolulú, Hawái. Esta estación forma parte de una nueva línea de tren que está en proceso de construcción actualmente llamada Honolulu Rail Transit. Inicialmente la línea de tren constará de 21 estaciones, en las que prácticamente todas están diseñadas como pasos elevados usando como referencia las autopistas que cruzan la isla. Se tiene prevista su fecha de finalización en el año 2019, aunque las primeras estaciones se inaugurarán en 2017. Se trata en primer lugar un estudio acústico del recinto a sonorizar, eligiendo los equipos necesarios: conmutadores, altavoces, amplificadores, procesador, equipo de control y micrófonos. Este primer estudio sirve para obtener una aproximación de equipos necesarios, así como la posible situación de estos dentro de la estación. Tras esto, se procede a la simulación de la estación mediante el programa de simulación acústica y electroacústica EASE 4.4. Para ello, se diseña la estación en un modelo 3D, en el que cada superficie se asocia a su material correspondiente. Para facilitar el diseño y el cómputo de las simulaciones se divide la estación en 3 partes por separado. Cada una corresponde a un nivel de la estación: Ground level, el nivel inferior que contiene la entrada; Concourse Level, pasillo que comunica los dos andenes; y Platform Level, en el que realizarán las paradas los trenes. Una vez realizado el diseño se procede al posicionamiento de altavoces en los diferentes niveles de la estación. Debido al clima existente en la isla, el cual ronda los 20°C a lo largo de todo el año, no es necesaria la instalación de sistemas de aire acondicionado o calefacción, por lo que la estación no está totalmente cerrada. Esto supone un problema al realizar las simulaciones en EASE, ya que al tratarse de un recinto abierto se deberán hallar parámetros como el tiempo de reverberación o el volumen equivalente por otros medios. Para ello, se utilizará el método Ray Tracing, mediante el cual se halla el tiempo de reverberación por la respuesta al impulso de la sala; y a continuación se calcula un volumen equivalente del recinto mediante la fórmula de Eyring. Con estos datos, se puede proceder a calcular los parámetros necesarios: nivel de presión sonora directo, nivel de presión sonora total y STI (Speech Transmission Index). Para obtener este último será necesario ecualizar antes en cada uno de los niveles de la estación. Una vez hechas las simulaciones, se comprueba que el nivel de presión sonora y los valores de inteligibilidad son acordes con los requisitos dados por el cliente. Tras esto, se procede a realizar los bucles de altavoces y el cálculo de amplificadores necesarios. Se estudia la situación de los micrófonos, que servirán para poder variar la potencia emitida por los altavoces dependiendo del nivel de ruido en la estación. Una vez obtenidos todos los equipos necesarios en la estación, se hace el conexionado entre éstos, tanto de una forma simplificada en la que se pueden ver los bucles de altavoces en cada nivel de la estación, como de una forma más detallada en la que se muestran las conexiones entre cada equipo del rack. Finalmente, se realiza el etiquetado de los equipos y un presupuesto estimado con los costes del diseño del sistema PAGA. ABSTRACT. The aim of this Final Degree Project is the design of the PAGA (Public Address / General Alarm) system in the train station Waipahu Transit Center in the city of Honolulu, Hawaii. This station is part of a new rail line that is currently under construction, called Honolulu Rail Transit. Initially, the rail line will have 21 stations, in which almost all are designed elevated using the highways that cross the island as reference. At first, it is treated an acoustic study in the areas to cover, choosing the equipment needed: switches, loudspeakers, amplifiers, DPS, control station and microphones. This first study helps to obtain an approximation of the equipments needed, as well as their placement inside the station. Thereafter, it is proceeded to do the simulation of the station through the acoustics and electroacoustics simulation software EASE 4.4. In order to do that, it is made the 3D design of the station, in which each surface is associated with its material. In order to ease the design and calculation of the simulations, the station has been divided in 3 zones. Each one corresponds with one level of the station: Ground Level, the lower level that has the entrance; Concourse Level, a corridor that links the two platforms; and Platform Level, where the trains will stop. Once the design is made, it is proceeded to place the speakers in the different levels of the station. Due to the weather in the island, which is about 20°C throughout the year, it is not necessary the installation of air conditioning or heating systems, so the station is not totally closed. This cause a problem when making the simulations in EASE, as the project is open, and it will be necessary to calculate parameters like the reverberation time or the equivalent volume by other methods. In order to do that, it will be used the Ray Tracing method, by which the reverberation time is calculated by the impulse response; and then it is calculated the equivalent volume of the area with the Eyring equation. With this information, it can be proceeded to calculate the parameters needed: direct sound pressure level, total sound pressure level and STI (Speech Transmission Index). In order to obtain the STI, it will be needed to equalize before in each of the station’s levels. Once the simulations are done, it is checked that the sound pressure level and the intelligibility values agree with the requirements given by the client. After that, it is proceeded to perform the speaker’s loops and the calculation of the amplifiers needed. It is studied the placement of the microphones, which will help to vary the power emitted by the speakers depending on the background noise level in the station. Once obtained all the necessary equipment in the station, it is done the connection diagram, both a simplified diagram in which there can be seen the speaker’s loops in each level of the station, or a more detailed diagram in which it is shown the wiring between each equipment of the rack. At last, it is done the labeling of the equipments and an estimated budget with the expenses for the PAGA design.

Psychosocial Distress Screening in a Community Cancer Center: An Examination of Gender Differences

Objective: The aim of this study was to gain a better understanding of the needs of male and female oncology patients within a community cancer setting to inform the provision of psychosocial services. Data obtained from 835 single-page measures of oncology patient distress were collected and analyzed to examine the relationship between gender and reported level of distress, the source of this distress, and requests for follow-up from psychosocial service providers.Method: Patients in medical and radiation oncology were given a distress screener tool that included a distress thermometer, a problem checklist, and a list of psychosocial service providers with whom the patient could request to speak.Results: Women reported higher levels of distress than men (p=.003). Women were also more likely than men to endorse practical problems as the cause of their distress (p=.003). A marginally significant relationship between gender and requesting the cancer resource navigator was also found (p=. 059)Conclusion: Gender is a salient factor in reported distress among cancer patients. Although no single variable can entirely explain an individual's response to cancer, male and female patients do appear to have distinctive, gender-specific needs. Psychosocial interventions that account for differences related to gender-role may be particularly beneficial. These results also illustrate the utility of consistent screening practices to better understand and meet the psychosocial needs of oncology

United States : a growing problem for law enforcement /

Title on t.p. verso: Illegal immigration to the United States, a growing problem for law enforcement.

An analysis of mopeds as a potential safety problem in the United States. Volume II: data analysis and usage and accident projections. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Truck lane needs methodology: a heuristic approach to solve a five option discrete network design problem. Interim report.

Texas State Department of Highways and Public Transportation, Transportation Planning Division, Austin

Quadratic assignment problem /

Includes bibliographies (p. 14).

The finite range Wiener-Hopf integral equation and a boundary value problem in a waveguide /

"Contract No. AF33(616)-6079 Project No. 9-(13-6278) Task 40572. Sponsored by: Wright Air Development Center"

Report of a survey of the fish poisoning problem in the Marshall Islands /

Mode of access: Internet.

Attacking the fire problem : a plan for action /

Mode of access: Internet.

Response of millet to nitrogen and irrigation; an application of simulation to the problem of weather uncertainty,

Mode of access: Internet.

A solution of the general analytical aerotriangulation problem.

"Contract no. DA-44-009 Eng 2986, Department of the Army Project no. 8-35-11-101."

Implications of non-response of older women to a short form of the Center for Epidemiologic Studies Depression Scale

The Center for Epidemiologic Studies Depression Scale (CES-D) is frequently used in epidemiological surveys to screen for depression, especially among older adults. This article addresses the problem of non-completion of a short form of the CES-D (CESD-10) in a mailed survey of 73- to 78-year-old women enrolled in the Australian Longitudinal Study on Women's Health. Completers of the CESD-10 had more education, found it easier to manage on available income and reported better physical and mental health. The Medical Outcomes Study Short Form Health Survey (SF-36) scores for non-completers were intermediate between those for women classified as depressed and not depressed using the CESD-10. Indicators of depression had an inverted U-shaped relationship with the number of missing CESD- 10 items and were most frequent for women with two to seven items missing. Future research should pay particular attention to the level of missing data in depression scales and report its potential impact on estimates of depression.