Who are Most,Average, or High‐Functioning Adults?

The growing number of high‐functioning adults seeking accommodations from testing agencies and postsecondary institutions presents an urgent need to ensure reliable and valid diagnostic decision making. The potential for this population to make significant contributions to society will be greater if we provide the learning and testing accommodations to allow them access to knowledge, as well as the means to demonstrate their extraordinary abilities. The criteria and decision making used to identify high‐functioning adults with learning disabilities (LD) must be robust yet flexible enough to account for individual differences, measurement fallibility, and examiner expertise. The purpose of this article is to explore legal, measurement, and clinical issues surrounding the provision of accommodations to high‐functioning individuals with LD.     

The Limits of Professional Architectural Education

Professional architectural education is overwhelmingly predicated on skills development. Consequently, the humanities are given short shrift. Students overburdened with an abundance of practical tasks cannot be expected to do much beyond completing studio project work with any degree of depth. Such splitting has a negative outcome: at the end of their education, many graduates still have difficulty constructing a convincing argument about their own work. And when professional qualification is achieved, many architects are arguably missing the humanities half of their education. Such a narrowly focused training surely contributes to the general low quality of the built environment that we inhabit. The apparent causes and effects of the current situation are analysed here, especially the degree to which the rise of an academic culture in architecture has paradoxically exacerbated a split between the humanities and design. By widening the divide between speculative, theoretical and historical research and the professional education delivery systems that architectural researchers teach into, the ascendancy of (humanities‐based) research in architecture schools has intensified the separation of theory and history from design. Ultimately, only if the production model that so often organises architecture education is rethought, will it be possible to recuperate a strong humanities stream in design education.     

Does cardiopulmonary resuscitation cause rib fractures in children? A systematic review

BACKGROUND: There is a diagnostic dilemma when a child presents with rib fractures after cardiopulmonary resuscitation (CPR) where child abuse is suspected as the cause of collapse. We have performed a systematic review to establish the evidence base for the following questions: (i) Does cardiopulmonary resuscitation cause rib fractures in children? (ii) If so, what are the frequency and characteristics of these fractures that may help to distinguish them from rib fractures caused by physical abuse? METHODS: We performed a literature search of original articles, references, textbooks, and conference abstracts, published in any language from 1950 to 1 October 2005. Articles were identified from ASSIA, Caredata, Medline, Ovid Medline in Process, ChildData, CINAHL, Embase, ISI Proceedings, SIGLE, Science Citation Index, Social Science Citation Index, and TRIP databases. We included all studies that addressed rib fractures and CPR in children less than 18 years, and excluded review articles, expert opinion, consensus guidelines, and studies that were significantly methodologically flawed on critical appraisal. Each study underwent two independent reviews (with a third review if there was disagreement). Each reviewer used standardized criteria for study definition, data extraction, and critical appraisal, to determine the quality of the study and to establish if it met the inclusion criteria of this systematic review. FINDINGS: Of the 427 studies reviewed, 6 were included: 1 case control, 4 cross-sectional, and 1 case series. These represent data on 923 children who underwent CPR. Three children sustained rib fractures as a result of resuscitation; all three of these had fractures that were anterior (two mid-clavicular and one costo-chondral). We did not find any child in the literature who had a posterior rib fracture due to CPR. Resuscitation was performed variably by both medical and non-medical personnel. CONCLUSION: Rib fractures after cardiopulmonary resuscitation are rare. When they do occur, they are anterior and may be multiple. As the studies performed to date did not use the most sensitive techniques for detecting rib fractures, further prospective studies of children would be valuable to provide additional clarification on this question.     

A DEMONSTRATION MODEL: OUTREACH CONTINUING EDUCATION FOR RURAL GERIATRIC HEALTH CARE PROVIDERS

This article describes an outreach continuing education program designed to increase the knowledge and skills of licensed practical nurses employed in long‐term care facilities in 26 rural southeast Georgia counties. The program used a modular self‐directed approach and was heavily supported with audiovisual materials. Four independent learning activities made up each of the nine modules. After pilot implementation of the curriculum, nonnurse health care providers asked to enroll in the course. Upon completion of the course, participants earned certificates as specialists in long‐term care of the elderly as well as continuing education credit.     

Incorrigible Offenders

As a contribution to the historiography of female criminality, this article charts the discursive contours of media representations of female habitual criminals. The discussion is based on analysis of the ways in which the late Victorian and Edwardian newspaper press in New Zealand reported cases of female criminals through the gendered and classed trope of ‘the adventuress’. The specific focus is on how concepts of class were implicated in the ways in which competing representations of female fraudsters, swindlers and thieves were portrayed in syndicated international articles and local news media. It is argued that representations of adventuresses sensationalised as headline-making anomalies in the news media need to be understood within the context of changing constructions of the thief. Newspaper reporting of their ‘exploits’ operated as implicit cautionary moral tales that reinforced normative constructions of feminine respectability.     

Examining movement variability in the basketball free-throw action at different skill levels

The analysis of variability both within and between performers can reveal important information about how athletes satisfy situational constraints. Transitory changes in the basketball free-throw shot were examined across different stages in skill development. Six female basketball players were selected, representing a range of playing expertise (pretest: 0-90% baskets scored). Each participant was video recorded performing 30 shots. Contrary to predictions, there was not a clear pattern of a reduction in trajectory variability with increasing skill level. However, improvements in skill level were associated with an increasing amount of intertrial movement consistency from the elbow and wrist joints. It is suggested that the angular motions of the elbow and wrist joints were compensated for each other toward the end of each throw to adapt to subtle changes in release parameters of the ball.     

Case studies from morning report: librarians' role in helping residents find evidence-based clinical information

In primary care specialties, Morning Report is a traditional vehicle for expanding medical residents' training in diagnosis and treatment. At one academic medical center, residents and faculty in the Department of Family and Community Medicine use case-based teaching, centered around planning and reviewing patient management, to review intriguing cases from patient encounters in the department's hospital service. Seeking to improve the level of evidence-based information exchanged at Morning Report, department leaders invited reference librarians from the health sciences library to attend weekly Morning Report. The librarians saw this as an opportunity not only to improve residents' information-seeking skills, but also to improve librarians' teaching skills and understanding of the needs of users in clinical settings. This paper describes the evolution of librarians' involvement in Morning Report, examples of the kinds of contributions librarians have made in this setting, and changes made in Morning Report sessions to facilitate this activity.     

A cultural approach to patriotism

This study explores an under-researched phenomenon of how African Americans communicate about patriotism via ordinary political conversation. We conducted two studies that offer a critical-qualitative analysis of how patriotism is colloquially articulated among African Americans. In study one, focus group interviews were conducted, transcribed, and analyzed using constant comparative method. In study two, we conducted a quantitative content analysis. The findings from study one revealed that there are three relational conceptualizations that help characterize one’s orientation to their nation (i.e., community: subordinate, guardian, and tumultuous). Participants expressed having an attachment to, identification with, and commitment to their communities.