Methodology for Creating of Objective and Balanced Linear Tests Based on the Item Response Theory

Report published in the Proceedings of the National Conference on "Education and Research in the Information Society", Plovdiv, May, 2014

Sleepiness and vigilance tests

Objective assessments of subjective complaints such as sleepiness, tiredness or fatigue using sleepiness and vigilance tests aim to identify its causes and to judge the fitness to drive or to work of the affected person. "Vigilance" comprises wakefulness, alertness and attention and is therefore not merely reciprocal to sleepiness. Since it is a complex phenomenon with several dimensions it is unlikely to be appropriately assessed by one single "vigilance test". One important dimension of vigilance discussed here is wakefulness with its counterpart of overt sleep and the whole spectrum of various levels in between. The transit zone between full wakefulness and overt sleep is mainly characterised by the subjective complaint of sleepiness, which cannot be measured directly. Only the consequences of reduced wakefulness such as a shortened sleep latency, slowed cognitive function and prolonged reaction time can be measured objectively. It is, therefore, more promising to combine a battery of subjective and objective tests to answer a specific question in order to achieve the most appropriate description for a given clinical or medicolegal situation. However even then we must keep in mind that many other important aspects of fitness to drive / fitness to work such as neurological, psychiatric and neuropsychological functions including risk taking behaviour are not covered by vigilance tests. A comprehensive, multidisciplinary approach is essential in such situations.

Implementation of a chest pain management service improves patient care and reduces length of stay

Objective Chest pain is one of the most common complaints in patients presenting to an emergency department. Delays in management due to a lack of readily available objective tests to risk stratify patients with possible acute coronary syndromes can lead to an unnecessarily lengthy admission placing pressure on hospital beds or inappropriate discharge. The need for a co-ordinated system of clinical management based on enhanced communication between departments, timely and appropriate triage, clinical investigation, diagnosis, and treatment was identified. Methods An evidence-based Chest Pain Management Service and clinical pathway were developed and implemented, including the introduction of after-hours exercise stress testing. Results Between November 2005 and March 2013, 5662 patients were managed according to a Chest Pain Management pathway resulting in a reduction of 5181 admission nights by more timely identification of patients at low risk who could then be discharged. In addition, 1360 days were avoided in high-risk patients who received earlier diagnosis and treatment. Conclusions The creation of a Chest Pain Management pathway and the extended exercise stress testing service resulted in earlier discharge for low-risk patients; and timely treatment for patients with positive and equivocal exercise stress test results. This service demonstrated a significant saving in overnight admissions.

Computer usage and the validity of self-assessed computer competence among first-year business students

Abstract This study evaluates the reliability of self-assessment as a measure of computer competence. This evaluation is carried out in response to recent research which has employed self-reported ratings as the sole indicator of students’ computer competence. To evaluate the reliability of self-assessed computer competence, the scores achieved by students in self-assessed computer competence tests are compared with scores achieved in objective tests. The results reveal a statistically significantly over-estimation of computer competence among the students surveyed. Furthermore, reported pre-university computer experience in terms of home and school use and formal IT education does not affect this result. The findings call into question the validity of using self-assessment as a measure of computer competence. More generally, the study also provides an up-to-date picture of self-reported computer usage and IT experience among pre-university students from New Zealand and South-east Asia and contrasts these findings with those from previous research.

Diagnóstico da aprendizagem: uma forma produtiva e eficaz de realizá-lo

Esta pesquisa teve por objetivo viabilizar a utilização do método de atribuição de escores com ponderação da confiança ("confidence testing") para avaliar o rendimento de cada aluno "per se" e do grupo no qual está inserido, obtendo informações que conduzem a tomada de decisões sobre o processo de ensino-aprendizagem, uma vez que proporciona • melhores condições para levar a efeito uma retificação da aprendizagem do aluno devido a propiciar um conhecimento da extensão dessa aprendizagem; • maior envolvimento do educando no processo de avaliação; • possibilidade de investigar, em relação a cada aluno, o nível de conhecimentos e/ou habilidades que assimilou; possibilidade de detectar possíveis distorções na percepção que cada aluno tem de si próprio, enquanto aprendiz. Os resultados obtidos permitiram não só demonstrar esta viabilidade, como também avaliar as vantagens do emprego deste método de avaliação em provas objetivas -questões de múltipla escolha recomendando-o como sistema de avaliação do nível de informação do examinando quanto ao conteúdo aferido.

O aluno de aprendizagem lenta no âmbito da marginalização cultural

O presenté trabalho estuda o aluno de aprendiza~ gem lenta no âmbito da marginalização cultural, utilizando literatura específica e amostra de educandos da rede escolar oficial do Município do Rio de Janeiro. A literatura específica procurou esclarecer pontos importantes relativos ao desenvolvimento intelectua~ i marginalização cultural, aos distúrbios de aprendizagem, i relação da criança com a família, ã relação do aluno com o professor bem como estudos relativos ao aluno de aprendiz~ gem lenta. Com base na literatura específica foram elaboradas entrevistas com as mães e os professores dos alunos, assim como escolhidos testes objetivos para aferição do ní vel mental e nível de prontidão para a aprendizagem de lei tura, escrita e números .dos alunos. Os resultados da analise confirmaram as hipóteses levantadas de que a carência de estimulação ambiental prejudica o desenvolvimento intelectual e acarreta maior difi culdade de aprendizagem, que a relação professor-aluno tan to pode reforçar como minimizar a problematica apresentada e que a criança oriunda de classe de baixa renda econ~mica tem maiores possibilidades de enquadrar-se na marginalização cultural. Ao final do trabalho, algumas sugestoes foram tra çadas quanto a procedimentos que possam ser adotados tanto com a população estudada como com populações semelhantes.

Ocorrência e tratamento de monogenoides em alevinos de pampo (Trachinotus carolinus) cultivados experimentalmente na região norte do estado de São Paulo

This work had as objective tests therapeutic treatments seeking the monogenea eradication in fingerlings Florida Pompano (Trachinotus carolinus) servants in cage net in the area of Ubatuba, State of São Paulo. The fingerlings presented an accentuated weigh loss and strong discoloration and through observation of scraped of gills under light microscope were identified a high amount of monogenea. Three treatments were tested in form of baths: T1 (fresh water for 5 minutes); T2 (formalin: 1: 1.000 for 20 minutes) and T3: (formalin: 1:4.000 for 30 minutes). The treatments were appraised through scraped of gills, mounted among you laminate and laminulas and observed to the light microscope. It was observed that in the tested conditions all of the treatments were efficient in the elimination of the monogenea without presenting lethality to the fish. The treatment is recommended T I (take a bath in fresh water for 5 minutes) for the facility in the application and for the absence of use of chemical products.

Prospective study of postoperative sensory disturbances after surgical treatment of mandibular fractures

Introduction: This present study's purpose is to evaluate the degree of paresthesia and recovery of inferior alveolar nerve in patients with mandible fractures who underwent surgical treatment. Material and methods: Nineteen patients were evaluated (27 hemimandibles) at six different times: preoperative (T1), postoperative 1 week (T2), postoperative 1 month (T3), postoperative 3 months (T4), postoperative 6 months (T5), and postoperative 1 year (T6). Subjective and objective methods were used for this evaluation. Results: The results were analyzed using likelihood ratio chi-square test for the hypothesis of no association between indicators of sensitivity and responses to the questionnaire, and the Cochran-Mantel-Haenszel test for equality hypothesis. All objective tests showed a statistically significant worsening in sensitivity at T2 (p < 0. 0001) and a significant improvement after T4 (α < 0. 05). The subjective tests showed an association with the objectives tests, and improvement in sensitivity after T4 (p < 0. 0001) was noted. Discussion: The first postoperative week is the period in which there are major changes with respect to sensitivity, and after 3 months postoperatively, the recovery reaches its apex with little difference observed after this period. In this research 100 % of the patients analyzed recovered all sensibility until T6. © 2012 Springer-Verlag.

Relação entre potenciais evocados auditivos de média latência e distúrbio de processamento auditivo: estudo de casos

The Auditory Evoked Middle Latency Response is one of the most promising objective tests in audiology and in revealing brain dysfunction and neuro-audiologic findings. The main advantages of its clinical use are precision and objectivity in evaluating children. This study aimed to analyze the auditory evoked middle latency response in two patients with auditory processing disorder and relate objective and behavioral measures. This case study was conducted in 2 patients (P1 = 12 years, female, P2 = 17 years old, male), both with the absence of sensory abnormalities, neurological and neuropsychiatric disorders. Both were submitted to anamnesis, inspection of the external ear canal, hearing test and evaluation of Auditory Evoked Middle latency Response. There was a significant association between behavioral test and objectives results. In the interview, there were complaints about the difficulty in listening in a noisy environment, sound localization, inattention, and phonological changes in writing and speaking, as confirmed by evaluation of auditory processing and Auditory Evoked Middle Latency Response. Changes were observed in the right decoding process hearing in both cases on the behavioral assessment of auditory processing; auditory evoked potential test middle latency shows that the right contralateral via response was deficient, confirming the difficulties of the patients in the assignment of meaning in acoustic information in a competitive sound condition at right, in both cases. In these cases it was shown the association between the results, but there is a need for further studies with larger sample population to confirm the data.

O vestibular da UNESP: sobre acesso à educação superior e o currículo de geografia na educação básica (2006-2012)

Pós-graduação em Geografia - IGCE

Educação humanista: um estudo sobre o desempenho dos alunos de 5º e 9º anos do Ensino Fundamental em avaliações em larga escala de Matemática

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Importância da resposta auditiva de estado estável no diagnóstico da surdez em lactentes com risco para a deficiência auditiva: correlações com os achados do potencial evocado auditivo de tronco encefálico

Pós-graduação em Bases Gerais da Cirurgia - FMB

Importância da resposta auditiva de estado estável no diagnóstico da surdez em lactentes com risco para a deficiência auditiva: correlações com os achados do potencial evocado auditivo de tronco encefálico

Pós-graduação em Bases Gerais da Cirurgia - FMB

Entwicklung und Überprüfung objektiver Testverfahren zur Messung von Angstbewältigungsdispositionen

Für die Entwicklung objektiver Testverfahren zur Messung von Angstbewältigungsdispositionen, d.h. von Tests, deren Meßprinzip für die Probanden nicht durchschaubar ist, wurde das Dot-Probe-Paradigma verwendet. Mit diesem Paradigma läßt sich das Aufmerksamkeitsverhalten gegenüber bedrohlichem Material messen. Es wurde angenommen, daß dieses Paradigma besonders gut für eine objektive Messung der Angstbewältigungsdispositionen Vigilanz und kognitive Vermeidung geeignet ist, da Vigilanz durch verstärkte Aufnahme und Verarbeitung bedrohungsbezogener Information gekennzeichnet ist, während sich kognitive Vermeidung in der Abwendung der Aufmerksamkeit von diesen Reizen zeigt. In drei Studien wurde für verschiedene Versionen des Dot-Probe-Paradigmas überprüft, ob die für den Einsatz als Testinstrument in der Persönlichkeitsdiagnostik notwendigen Gütekriterien erfüllt sind. Dabei wurde festgestellt, daß das Dot-Probe-Paradigma sowohl bei Verwendung von Wörtern als auch von Bildern als Stimuli für klinisch unauffällige Testpersonen keine reliable Messung ermöglicht. Die erhobenen Werte waren weder über eine Woche hinweg stabil, noch waren sie intern konsistent. Infolge der ungenügenden Reliabilität fanden sich in den Studien nur unsystematische Befunde zum Zusammenhang zwischen dem Aufmerksamkeitsverhalten im Dot-Probe-Paradigma und verschiedenen Fragebogenmaßen. Darüber hinaus vermag die mangelnde Reliabilität auch die in der Literatur berichteten inkonsistenten Befunde bei der Untersuchung nicht-klinischer Stichproben mit diesem Paradigma zu erklären. Mögliche Gründe für die mangelnde Reliabilität der Messung werden diskutiert.