Towards a more effective model for distance education

What is the most effective model for academic distance education, given that drop-out numbers in traditional distance education institutions are too high and the demands from the various stakeholders are changing? In this paper this question is answered from the perspective of the Open University of the Netherlands (OUNL). The OUNL has planned to redesign its educational model from the traditional guided self-study model towards a model of active online learning. In essence this means that education will be less content driven; more focus is put on activating students to engage with real world problems supported by tutors and peers using distance media. The drivers for change, the change process and the resulting redesign of the educational model are presented in this paper.

Who stays, who benefits? Predicting dropout and change in cognitive behaviour therapy for psychosis

This study investigates predictors of outcome in a secondary analysis of dropout and completer data from a randomized controlled effectiveness trial comparing CBTp to a wait-list group (Lincoln et al., 2012). Eighty patients with DSM-IV psychotic disorders seeking outpatient treatment were included. Predictors were assessed at baseline. Symptom outcome was assessed at post-treatment and at one-year follow-up. The predictor x group interactions indicate that a longer duration of disorder predicted less improvement in negative symptoms in the CBTp but not in the wait-list group whereas jumping-to-conclusions was associated with poorer outcome only in the wait-list group. There were no CBTp specific predictors of improvement in positive symptoms. However, in the combined sample (immediate CBTp+the delayed CBTp group) baseline variables predicted significant amounts of positive and negative symptom variance at post-therapy and one-year follow-up after controlling for pre-treatment symptoms. Lack of insight and low social functioning were the main predictors of drop-out, contributing to a prediction accuracy of 87%. The findings indicate that higher baseline symptom severity, poorer functioning, neurocognitive deficits, reasoning biases and comorbidity pose no barrier to improvement during CBTp. However, in line with previous predictor-research, the findings imply that patients need to receive treatment earlier.

The role of substance abuse treatment in preventing human immunodeficiency virus transmission among injecting drug users

This exploratory study assesses the utility of substance abuse treatment as a strategy for preventing human immunodeficiency virus (HIV) transmission among injecting drug users (IDUs). Data analyzed in this study were collected in San Antonio, TX, 1989 through 1995 using both qualitative and quantitative methods. Qualitative data included ethnographic interviews with 234 active IDUs; quantitative data included baseline risk assessments and HIV screening plus interviews follow-up interviews administered approximately six months later to 823 IDUs participating in a Federally-funded AIDS community outreach demonstration project.^ Findings that have particularly important implications for substance abuse treatment as an HIV prevention strategy for IDUs are listed below. (1) IDUs who wanted treatment were significantly more likely to be daily heroin users. (2) IDUs who want treatment were significantly more likely to have been to treatment previously. (3) IDUs who wanted treatment at baseline reported significantly higher levels of HIV risk than IDUs who did not want treatment. (4) IDUs who went to treatment between their baseline and follow-up interviews reported significantly higher levels of HIV risk at baseline than IDUs who did not go to treatment. (5) IDUs who went to treatment between their baseline and follow-up interviews reported significantly greater decreases in injection-related HIV risk behaviors. (6) IDUs who went to treatment reported significantly greater decreases in sexual HIV risk behaviors than IDUs who did not go to treatment.^ This study also noted a number of factors that may limit the effectiveness of substance abuse treatment in reducing HIV risk among IDUs. Findings suggest that the impact of methadone maintenance on HIV risk behaviors among opioid dependent IDUs may be limited by the negative manner in which it is perceived by IDUs as well as other elements of society. One consequence of the negative perception of methadone maintenance held by many elements of society may be an unwillingness to provide public funding for an adequate number of methadone maintenance slots. Thus many IDUs who would be willing to enter methadone maintenance are unable to enter it and many IDUs who do enter it are forced to drop out prematurely. ^

NLL QCD contribution of the electromagnetic dipole operator to B -> Xs gamma gamma with a massive strange quark

We calculate the O(αs) corrections to the double differential decay width dΓ77/(ds1ds2) for the process B¯→Xsγγ, originating from diagrams involving the electromagnetic dipole operator O7. The kinematical variables s1 and s2 are defined as si=(pb−qi)2/m2b, where pb, q1, q2 are the momenta of the b quark and two photons. We introduce a nonzero mass ms for the strange quark to regulate configurations where the gluon or one of the photons become collinear with the strange quark and retain terms which are logarithmic in ms, while discarding terms which go to zero in the limit ms→0. When combining virtual and bremsstrahlung corrections, the infrared and collinear singularities induced by soft and/or collinear gluons drop out. By our cuts the photons do not become soft, but one of them can become collinear with the strange quark. This implies that in the final result a single logarithm of ms survives. In principle, the configurations with collinear photon emission could be treated using fragmentation functions. In a related work we find that similar results can be obtained when simply interpreting ms appearing in the final result as a constituent mass. We do so in the present paper and vary ms between 400 and 600 MeV in the numerics. This work extends a previous paper by us, where only the leading power terms with respect to the (normalized) hadronic mass s3=(pb−q1−q2)2/m2b were taken into account in the underlying triple differential decay width dΓ77/(ds1ds2ds3).

Total Tumor Volume and Alpha Fetoprotein for selection of transplant candidates with hepatocellular carcinoma: A prospective validation.

The selection of liver transplant candidates with hepatocellular carcinoma (HCC) is currently validated based on Milan criteria. The use of extended criteria has remained a matter of debate, mainly because of the absence of prospective validation. The present prospective study recruited patients according to the previously proposed Total Tumor Volume (TTV ≤115 cm(3) )/alpha fetoprotein (AFP ≤400 ng/ml) score. Patients with AFP >400 ng/ml were excluded, and as such the Milan group was modified to include only patients with AFP <400 ng/ml; these patients were compared to patients beyond Milan, but within TTV/AFP. From January 2007 to March 2013, 233 patients with HCC were listed for liver transplantation. Of them, 195 patients were within Milan, and 38 beyond Milan but within TTV/AFP. The average follow-up from listing was 33,9 ±24,9 months. The risk of drop-out was higher for patients beyond Milan but within TTV/AFP (16/38, 42,1%), than for patients within Milan (49/195, 25,1%, p=0,033). In parallel, intent-to-treat survival from listing was lower in the patients beyond Milan (53,8% vs. 71,6% at four years, p<0,001). After a median waiting time of 8 months, 166 patients were transplanted, 134 patients within Milan criteria, and 32 beyond Milan but within TTV/AFP. They demonstrated acceptable and similar recurrence rates (4,5% vs. 9,4%, p=0,138) and post-transplant survivals (78,7% vs. 74,6% at four years, p=0,932). CONCLUSION Based on the present prospective study, HCC liver transplant candidate selection could be expanded to the TTV (≤115 cm(3) )/AFP (≤400 ng/ml) criteria in centers with at least 8-month waiting time. An increased risk of drop-out on the waiting list can be expected but with equivalent and satisfactory post-transplant survival. This article is protected by copyright. All rights reserved.

High Hepatic and Extrahepatic Mortality and Low Treatment Uptake in HCV-coinfected Persons in the Swiss HIV Cohort Study between 2001 and 2013

BACKGROUND & AIMS The landscape of HCV treatments is changing dramatically. At the beginning of this new era, we highlight the challenges for HCV-therapy by assessing the long-term epidemiological trends in treatment uptake, efficacy and mortality among HIV/HCV-coinfected people since the availability of HCV therapy. METHODS We included all SHCS participants with detectable HCV RNA between 2001 and 2013. To identify predictors for treatment uptake uni- and multivariable Poisson regression models were applied. We further used survival analyses with Kaplan-Meier curves and Cox regression with drop-out as competing risk. RESULTS Of 12,401 participants 2107 (17%) were HCV RNA positive. Of those, 636 (30%) started treatment with an incidence of 5.8/100 person years (PY) (95% CI 5.3-6.2). Sustained virological response (SVR) with pegylated interferon/ribavirin was achieved in 50% of treated patients, representing 15% of all participants with replicating HCV infection. 344 of 2107 (16%) HCV RNA positive persons died, 59% from extrahepatic causes. Mortality/100 PY was 2.9 (95% CI 2.6-3.2) in untreated patients, 1.3 (1.0-1.8) in those treated with failure, and 0.6 (0.4-1.0) in patients with SVR. In 2013, 869/2107 (41%) participants remained HCV RNA positive. CONCLUSIONS Over the last 13 years HCV treatment uptake was low and by the end of 2013, a large number of persons remain to be treated. Mortality was high, particularly in untreated patients, and mainly due to non-liver related causes. Accordingly, in HIV/HCV-coinfected patients, integrative care including the diagnosis and therapy of somatic and psychiatric disorders is important to achieve mortality rates similar to HIV-monoinfected patients.

Differential effectiveness of integrated cognitive remediation therapy for schizophrenbia outpatients: The impact oft he duration of illness

Background Nowadays there is extensive evidence available showing the efficacy of cognitive remediation (CR). To date, only limited evidence is available about the impact of the duration of illness on CR effects. The Integrated Neurocognitive Therapy (INT) represents a new developed CR approach. It is a manualized group therapy targeting all 11 NIMH-MATRICS domains. Methods In an international multicenter study, 166 schizophrenia outpatients (DSM-IV-TR) were randomly assigned either to INT or to Treatment-As-Usual (TAU). 60 patients were defined as Early Course group (EC) characterized by less than 5 years of illness, 40 patients were in the Long-Term group (LT) characterized by more than 15 years of illness, and 76 patients were in the Medium-Long-Term group (MLT) characterized by an illness of 5-15 years. Treatment comprised of 15 biweekly sessions. Assessments were conducted before and after treatment and at follow up (1 year). Multivariate General Linear Models (GLM) examined our hypothesis, whether EC, LT, and MLT groups differ under INT and TAU from each other in outcome. Results First of all, the attendance rate of 65% was significantly lower and the drop out rate of 18.5% during therapy was higher in the EC group compared to the other groups. Interaction effects regarding proximal outcome showed that the duration of illness has a strong impact on neurocognitive functioning in speed of processing (F>2.4) and attention (F>2.8). But INT intervention compared to TAU only had a significant effect in more chronically ill patients of MLT and LT, but not in younger patients in EC. In social cognitive domains, only the EC group showed a significant change in attribution (hostility; F>2.5), LT and MLT groups did not. However, no differences between the 3 groups were evident in memory, problem solving, and emotion perception. Regarding more distal outcome, LT patients had more symptoms compared to EC (F>4.4). Finally, EC patients showed higher improvements in psychosocial functioning compared to LT and MLT (F=1.8). Conclusions Against common expectations, long-term, more chronically ill patients showed higher effects in basal cognitive functions compared to younger patients and patients without any active therapy (TAU). On the other hand, early-course patients had a greater potential to change in attribution, symptoms and psychosocial functioning. Consequently, more integrated therapy offers are also recommended for long-term course schizophrenia patients.

Spit & lies: Does social desirability predict smoking cessation success?

This study examines the role of socially desirable responding (SDR) on smoking cessation program success. SDR is the tendency for individuals to give responses that put themselves in what they perceive to be a socially desirable light. ^ This research is a secondary analysis of data from Project Cognition, a study designed to examine the associations between performance on cognitive assessments and subsequent relapse to smoking. Adult smokers (N=183) were recruited from the greater Houston area to participate in the smoking cessation study. In this portion of the research, participants' smoking status was assessed on their quit day (QD), one week after QD, and four weeks after QD. Primary outcome measures were self-reported relapse, true cessation determined by biological measure, discrepancies between self-reported smoking status and biological assessments of smoking, and dropping out. ^ Primary predictor measures were the Balanced Inventory of Desirable Responding (BIDR) and self-reported motivation to quit smoking. The BIDR is a 40-item questionnaire that assesses Self-deceptive Enhancement (SDE; the tendency to give self-reports that are honest but positively biased) and Impression Management (IM; deliberate self-presentation to an audience). Scores were used to create a dichotomous BIDR total score group variable, a dichotomous SDE group variable, and a dichotomous IM group variable. Participants at one standard deviation above the mean were in the "high" group, and scores below one standard deviation were in the "normal" group. In addition, age, race, and gender were analyzed as covariates. ^ The overall findings of this study suggest that in the general population BIDR informs participants' self-reports and the IM and SDR subscales inform participants' behavior. BIDR predicted self-reported relapse in the general population and trended toward indicating that a participant will claim smoking cessation success when biological measures indicate otherwise. SDE interacted with motivation to predict biologically verified cessation success. There was no main effect for BIDR, IM, or SDE predicting drop out; however, IM interacted with age to predict participants' likelihood of drop out. Used in conjunction, the BIDR, IM subscale, and SDR subscale can be used to more accurately tailor smoking cessation programs to the needs of individual participants.^

Una metodología diferente para el estudio de un nuevo curriculum. Facultad de Ciencias Agrarias, UNCuyo.

Este trabajo se realizó en el contexto del Plan de estudios que la Facultad de Ciencias Agrarias (UNCuyo) implementó a partir de 1994 para las carreras de Ingeniería Agronómica y Licenciatura en Bromatología. Se calcularon algunos indicadores educativos (Tasa de Aprobación, Tasa de Deserción, Tasa de Recursado y Tasa de Permanencia) con el objeto de efectuar un seguimiento en la aplicación de dicho Plan de estudios, a través de una nueva metología. Para el análisis de los datos se utilizaron cuatro métodos: "Determinación de distancias entre matrices y sus respectivos valores ideales", que permitió elaborar un índice de lejanía del sistema en su conjunto; "Análisis de Componentes Principales (ACP)" seguido de un "Análisis de Conglomerados (AC)", que permitieron agrupar las materias de acuerdo con sus similitudes. Finalmente, se realizó un "Análisis Discriminante", que permitió concluir que las tasas calculadas no establecen diferencias entre las asignaturas de los ciclos Básico e Instrumental (únicamente en el caso de Ingeniería Agronómica).

Aportes para examinar las desigualdades educativas en los grandes centros urbanos : El uso del coeficiente de Gini para analizar la distribución del abandono escolar entre las escuelas secundarias de la Ciudad Autónoma de Buenos Aires

La Ley de Educación Nacional promulgada en 2006 en Argentina establece la obligatoriedad de la educación secundaria en todo el país, la Ciudad Autónoma de Buenos Aires ha sido pionera al respecto estableciendo esta meta en el año 2002. En este marco, se propone analizar los desafíos que este tipo de política enfrenta en la actualidad, centrando la atención en la capacidad de los sistemas e instituciones educativas para garantizar este derecho en términos de acceso, permanencia y promoción de los alumnos en el nivel secundario. Este trabajo tiene por objeto plantear un ejercicio de análisis del abandono escolar que ocurre durante el ciclo lectivo en las escuelas a partir de la consideración del análisis del porcentaje de alumnos "salidos sin pase", e incorporar, a la vez, una medida de dispersión (coeficiente de Gini) que permita visibilizar las desigualdades entre escuelas a nivel territorial en la Ciudad Autónoma de Buenos Aires

Registro de lectura : Dispositivo pedagógico que acompaña trayectorias formativas universitarias

El siguiente trabajo se enmarca en la línea de investigación sobre formación docente en Educación Física, desarrollada en el Centro Regional Universitario Bariloche de la Universidad Nacional del Comahue (CRUB-UNCo). Los proyectos que la integran, a partir del incremento sostenido del número de estudiantes que abandonan la carrera durante los dos primeros años, procuran interrogar las prácticas pedagógicas universitarias en ese campo, desentrañar sus modos particulares de producción y analizar su impacto en la constitución de los trayectos formativos de los y las estudiantes. En las indagaciones hallamos indicios de un trabajo docente sistemático para mejorar las condiciones de la enseñanza y del aprendizaje e identificamos dispositivos pedagógicos institucionales y áulicos a modo de andamiaje de las trayectorias estudiantiles y modos de recepción a los y las ingresantes. En esta oportunidad describimos y analizamos uno de estos dispositivos, denominado "registro de lectura", generado en la cátedra Pedagogía del 1º año del Profesorado en Educación Física del mencionado centro universitario. Dicho instrumento forma parte de una serie de prácticas pedagógicas deliberadamente planificadas en relación con el ingreso, la permanencia y el egreso del nivel superior, que pretende habilitar mejores escenarios para el desarrollo de los procesos educativos. El dispositivo, construido a modo de andamiaje de las prácticas lectoras de los y las estudiantes, pretende contribuir a la promoción de trayectorias formativas democráticas y procura dar lugar a nuevas explicaciones en tanto anclajes para la transformación y para la construcción de nuevos conocimientos así como lograr mejores intervenciones pedagógicas

Aportes para examinar las desigualdades educativas en los grandes centros urbanos : El uso del coeficiente de Gini para analizar la distribución del abandono escolar entre las escuelas secundarias de la Ciudad Autónoma de Buenos Aires

La Ley de Educación Nacional promulgada en 2006 en Argentina establece la obligatoriedad de la educación secundaria en todo el país, la Ciudad Autónoma de Buenos Aires ha sido pionera al respecto estableciendo esta meta en el año 2002. En este marco, se propone analizar los desafíos que este tipo de política enfrenta en la actualidad, centrando la atención en la capacidad de los sistemas e instituciones educativas para garantizar este derecho en términos de acceso, permanencia y promoción de los alumnos en el nivel secundario. Este trabajo tiene por objeto plantear un ejercicio de análisis del abandono escolar que ocurre durante el ciclo lectivo en las escuelas a partir de la consideración del análisis del porcentaje de alumnos "salidos sin pase", e incorporar, a la vez, una medida de dispersión (coeficiente de Gini) que permita visibilizar las desigualdades entre escuelas a nivel territorial en la Ciudad Autónoma de Buenos Aires

Registro de lectura : Dispositivo pedagógico que acompaña trayectorias formativas universitarias

El siguiente trabajo se enmarca en la línea de investigación sobre formación docente en Educación Física, desarrollada en el Centro Regional Universitario Bariloche de la Universidad Nacional del Comahue (CRUB-UNCo). Los proyectos que la integran, a partir del incremento sostenido del número de estudiantes que abandonan la carrera durante los dos primeros años, procuran interrogar las prácticas pedagógicas universitarias en ese campo, desentrañar sus modos particulares de producción y analizar su impacto en la constitución de los trayectos formativos de los y las estudiantes. En las indagaciones hallamos indicios de un trabajo docente sistemático para mejorar las condiciones de la enseñanza y del aprendizaje e identificamos dispositivos pedagógicos institucionales y áulicos a modo de andamiaje de las trayectorias estudiantiles y modos de recepción a los y las ingresantes. En esta oportunidad describimos y analizamos uno de estos dispositivos, denominado "registro de lectura", generado en la cátedra Pedagogía del 1º año del Profesorado en Educación Física del mencionado centro universitario. Dicho instrumento forma parte de una serie de prácticas pedagógicas deliberadamente planificadas en relación con el ingreso, la permanencia y el egreso del nivel superior, que pretende habilitar mejores escenarios para el desarrollo de los procesos educativos. El dispositivo, construido a modo de andamiaje de las prácticas lectoras de los y las estudiantes, pretende contribuir a la promoción de trayectorias formativas democráticas y procura dar lugar a nuevas explicaciones en tanto anclajes para la transformación y para la construcción de nuevos conocimientos así como lograr mejores intervenciones pedagógicas

Aportes para examinar las desigualdades educativas en los grandes centros urbanos : El uso del coeficiente de Gini para analizar la distribución del abandono escolar entre las escuelas secundarias de la Ciudad Autónoma de Buenos Aires

La Ley de Educación Nacional promulgada en 2006 en Argentina establece la obligatoriedad de la educación secundaria en todo el país, la Ciudad Autónoma de Buenos Aires ha sido pionera al respecto estableciendo esta meta en el año 2002. En este marco, se propone analizar los desafíos que este tipo de política enfrenta en la actualidad, centrando la atención en la capacidad de los sistemas e instituciones educativas para garantizar este derecho en términos de acceso, permanencia y promoción de los alumnos en el nivel secundario. Este trabajo tiene por objeto plantear un ejercicio de análisis del abandono escolar que ocurre durante el ciclo lectivo en las escuelas a partir de la consideración del análisis del porcentaje de alumnos "salidos sin pase", e incorporar, a la vez, una medida de dispersión (coeficiente de Gini) que permita visibilizar las desigualdades entre escuelas a nivel territorial en la Ciudad Autónoma de Buenos Aires

Registro de lectura : Dispositivo pedagógico que acompaña trayectorias formativas universitarias

El siguiente trabajo se enmarca en la línea de investigación sobre formación docente en Educación Física, desarrollada en el Centro Regional Universitario Bariloche de la Universidad Nacional del Comahue (CRUB-UNCo). Los proyectos que la integran, a partir del incremento sostenido del número de estudiantes que abandonan la carrera durante los dos primeros años, procuran interrogar las prácticas pedagógicas universitarias en ese campo, desentrañar sus modos particulares de producción y analizar su impacto en la constitución de los trayectos formativos de los y las estudiantes. En las indagaciones hallamos indicios de un trabajo docente sistemático para mejorar las condiciones de la enseñanza y del aprendizaje e identificamos dispositivos pedagógicos institucionales y áulicos a modo de andamiaje de las trayectorias estudiantiles y modos de recepción a los y las ingresantes. En esta oportunidad describimos y analizamos uno de estos dispositivos, denominado "registro de lectura", generado en la cátedra Pedagogía del 1º año del Profesorado en Educación Física del mencionado centro universitario. Dicho instrumento forma parte de una serie de prácticas pedagógicas deliberadamente planificadas en relación con el ingreso, la permanencia y el egreso del nivel superior, que pretende habilitar mejores escenarios para el desarrollo de los procesos educativos. El dispositivo, construido a modo de andamiaje de las prácticas lectoras de los y las estudiantes, pretende contribuir a la promoción de trayectorias formativas democráticas y procura dar lugar a nuevas explicaciones en tanto anclajes para la transformación y para la construcción de nuevos conocimientos así como lograr mejores intervenciones pedagógicas