Child maltreatment prevalence and mental disorders outcomes among American Indian women in primary care

OBJECTIVE: To examine (1) the prevalence, types, and severity of child abuse and neglect (CAN) and (2) the relationship between CAN and lifetime psychiatric disorders among American Indian women using primary care services. METHODS: A cross-sectional study was conducted among 234 American Indian women, age 18-45 who presented for outpatient ambulatory services at a community-based Indian Health Service Hospital in Albuquerque, New Mexico. Dependent measures included mood, substance abuse, and anxiety disorders as well as posttraumatic stress disorder (PTSD) as measured by the Composite International Diagnostic Interview. CAN was assessed using the Childhood Trauma Questionnaire. RESULTS: Approximately three-quarters of respondents (76.5%; 95% CI = 70.4, 81.7) reported some type of childhood abuse or neglect; over 40% reported exposure to severe maltreatment. Severity of child maltreatment was associated in a dose response manner with lifetime diagnosis of mental disorders. After adjusting for social and demographic correlates, severe child maltreatment was strongly associated with lifetime PTSD (prevalence ratio [PR] 3.9; 95% CI = 1.9, 8.0); and was moderately associated with lifetime substance use disorders (PR = 2.3; 95% CI = 1.6, 3.3); mood disorders (PR = 2.1; 95% CI 1.4, 3.2); and with two or more disorders (PR = 2.3; 95% CI = 1.6, 3.4). CONCLUSION: CAN was common in our sample of American Indian women in primary care and was positively associated with lifetime psychiatric disorders outcomes. Screening for CAN and psychiatric disorders would enhance the treatment of patients seeking primary care services. Primary prevention of child maltreatment might reduce the high prevalence of mental disorders among American Indian women.     

E-learning by design

Teachers in higher education throughout the world are making use of course-management systems (CMS) to support their courses. None of these teachers grew up with using a CMS; they must themselves learn how to use them effectively at the same time that they are using them with their students. While institutions commonly provide some sort of introductory workshop for CMS use, these workshops have limitations in terms of their transfer value into practice. In this paper we discuss an example of embedded justin-time support within the CMS itself to help teachers learn how to use a CMS efficiently but also so that both they and their students can take on new roles in the learning process. A new form of computer-based support for teaching and learning has emerged since the late 1990s. It is a system of integrated tools that makes use of both database and web functionalities in order to make a web environment available to support a course or learning event. One name for such a system is a course-management system (CMS). Course-management systems are new tools for teachers and thus teachers must learn how to use them in a technical sense as well as in a meaningful sense. By meaningful, we mean not only to increase the efficiency of participating in a course but also to enrich and extend learning processes.     

Views of South African Chemistry Students in University Bridging Programs on the Reliability of Experimental Data

This paper reports an investigation of the status of procedural knowledge in chemistry amongst students entering into bridging programs at two South African universities. The students answered a questionnaire which investigated their perceived reasons for repeating readings and their ideas about handling data. Students also answered a question on laboratory apparatus which was used to assess their laboratory experience. The overall responses were analysed, as well as their relationship to laboratory experience and home language. The findings show that students overall tend to repeat in order to get a recurring reading. Very few students were able to use a line of best fit for a set of graphical data. There is some relationship between their responses and previous laboratory experiences, but little fundamental difference between the responses of the two main language groups. Some implications for tertiary education in chemistry are discussed.     

One Goal,Two Institutions: How a Community College and 4-Year University Partner to Bridge Student College Readiness Gaps

ABSTRACT

Recent national attention on college completion poses unique challenges and opportunities for community colleges. Moving underprepared students through basic skills educational courses to degree attainment represents an ongoing challenge. With more than 60% of community college students enrolled in remedial education, 2-year institutions must explore innovative approaches aimed at underprepared student completion. One community college did just that and partnered with a 4-year institution to expand postsecondary pathway options for underprepared first-year students. By establishing the Tiger Gateway Program, these two institutions collaborated to address student college readiness gaps using a summer bridge model. Seventy-five percent of participants self-reported as Hispanic/Latino with the remaining 25% identifying as African American or Black. Outcomes indicate participants who completed the program, 23 of 26, made gains in intellectual, academic, and social development. Findings support scholarship attesting that highly structured, meaningful, well-defined collaboration particularly benefits students from low-socio-status and underserved populations.