Rehabilitation and Prevention of Coronary Heart Disease: An Overview of the Type A Behavior Pattern

In recent years, physical education has provided the impetus for an increasing number of subspecialties. Among one of the more prominent health-related developments has been the growth of cardiac rehabilitation programs. The complexity of cardiovascular disease necessitates that exercise specialists are cognizant of both the psychological and physiological dilemma of the paticnt. Therefore, this paper provides an integrative review of literature perianing to the coronary-prone behavior pattern (type A). It presents a discussion of the behavioral predispositions associated with this action-emotion complex together with the physiological consequences and concomitant eardiovaseular risk observed in individuals identified as type A. Finally, a social learning framework is offered as an aid to the practitioner in understanding and influencing the modification of such behavior.     

Geriatric Training Needs of Nursing-Home Physicians

Medical care in nursing homes is not provided by board-licensed geriatricians; it mainly comes from physicians in need of educational programs in the field of geriatrics. Such programs, based on curriculum guidelines, should be developed. The purpose of this study was to seek input from nursing home physicians on their perceived needs for training in geriatrics. A mail questionnaire survey was sent to nursing home physicians regarding their opinion on the most needed subjects and preferred training methods. Of the 210 surveys mailed, 132 (63%) were returned. More than a quarter of the respondents had not had any kind of geriatric medical education. A desire for geriatric training was evident, preferably in the form of courses and periodic seminars. Use of medications, infectious diseases, depression, dementia and cardiac disorders were the most important topics indicated by the respondents. These data can be of help in preparing the curriculum for a continuous medical education program in geriatrics, preferably in the form of courses and periodic seminars.     

Growth in Precursor and Reading‐Related Skills: Do Low‐Achieving and IQ‐Discrepant Readers Develop Differently?

Poor readers who met low achievement and IQ‐discrepancy definitions of reading disability were compared with nonimpaired readers on their development of eight precursor and reading‐related skills to evaluate developmental differences prior to students’ identification as reading disabled. Results indicated no evidence for differences between the two groups of poor readers in the development of the eight skills, with three exceptions. Students in the IQ‐discrepant group demonstrated greater growth in letter sound knowledge, greater mean performance in visual‐motor integration at the beginning of first grade, and greater deceleration in rapid naming of letters. When compared to the nonimpaired group, low‐achieving readers demonstrated poorer performance and development in all skills, while the IQ‐discrepant readers demonstrated poorer performance and development in phonemic awareness, rapid naming of letters and objects, spelling, and word reading. The largely null results for comparisons between the two groups of poor readers challenges the validity of the two‐group classification of reading disabilities based on IQ‐discrepancy.     

The value of digital tutoring and accelerated expertise for military veterans

This report concerns use of a digital tutor to accelerate veterans’ acquisition of expertise and improve their preparation for the civilian workforce. As background, it briefly discusses the need to improve veterans’ employability, the technology of digital tutoring, its ability to produce advanced levels of technical expertise, and the design, development, and earlier assessment of a specific digital tutor, which motivated use of this tutor to develop veterans’ technical expertise and employability. The report describes the tutor’s use in an experimental program for veterans, an assessment of its success in preparing veterans for employment, and return on investment from its use compared to other investments in education and training.