Cardiac Dimensions in Elite Young Track Athletes

The purpose of the study was to compare young sprint and distance runners for changes in their cardiac dimensions with increased age (10–17 years) or body surface area (1–2 m²). Echocardiographic dimensions were obtained on 73 male track athletes competing in the 1983 National Age Group Track and Field Association championships. Each group of athletes was also compared with a hypothetical normal population (matched for weight and age) generated from prediction equations derived by Henry, Gardin, & Ware (1980). The cardiac dimensions examined were: Left ventricular internal diameter, left ventricular posterior wall thickness, and interventricular septum thickness. The male distance runners (n = 38) had a significantly greater increase in left ventricular posterior wall thickness and interventricular septum thickness with increasing age or increasing body surface area compared to the sprinters (n = 35) or compared to the predicted normal population. The left ventricular internal diameter was not significantly different between the groups. These results indicate that the hearts of male distance runners are undergoing a training hypertrophy whereas the hearts of sprinters are no different than hearts in a normal population. The changes in cardiac dimensions of these young athletes run counter to the generalizations stated for adult athletes: That endurance training enlarges the left ventricular internal diameter, but does not increase the left ventricular posterior wall or interventricular septum thickness.     

Nondisclosure in Triadic Supervision: A Phenomenological Study of Counseling Students

Triadic supervision is common within counselor training; however, limited research in professional counseling literature exists describing counseling students' experiences of choosing what to disclose within triadic supervision. Using transcendental phenomenological research, the authors investigated supervisees' nondisclosure within triadic supervision. Critical nondisclosure themes were relationships, presence of peer, and sharing time.     

Exploring the Robustness of a Unidimensional Item Response Theory Model With Empirically Multidimensional Data

Unidimensionality and local independence are two common assumptions of item response theory. The former implies that all items measure a common latent trait, while the latter implies that responses are independent, conditional on respondents’ location on the latent trait. Yet, few tests are truly unidimensional. Unmodeled dimensions may result in test items displaying dependencies, which can lead to misestimated parameters and inflated reliability estimates. In this article, we investigate the dimensionality of interim mathematics tests and evaluate the extent to which modeling minor dimensions in the data change model parameter estimates. We found evidence of minor dimensions, but parameter estimates across models were similar. Our results indicate that minor dimensions outside the primary trait have negligible consequences on parameter estimates. This finding was observed despite the ratio of multidimensional to unidimensional items being above previously recommended thresholds.     

Strategies in assessing the need for updating evidence-based guidelines for six clinical topics: an exploration of two search methodologies

BACKGROUND: Because of the expense of updating practice guidelines, recent attention has focused on approaches that can reliably assess any updating required. Shekelle et al. (Journal of the American Medical Association 2001, 286, 1461-7) proposed using limited literature searches with expert involvement to reduce resources used in assessing whether a guideline needs updating. OBJECTIVES: This study compared Shekelle's method and the traditional systematic review method regarding comprehensiveness and effort. METHODS: Two research teams translated critical key questions on screening test treatments and outcomes to Medical Subjects Headings (MeSH) and search strategies. They refined Shekelle's method over three iterations, seeking greater efficiency. Using both methods independently, teams assessed the need to update six topics from the 1996 Guide to Clinical Preventive Services (US Preventive Services Task Force). Outcomes included completeness of study identification, importance of missed studies and effort involved. RESULTS: The revised review approach produced fewer citations than the traditional approach and saved time, identifying fewer eligible studies than the traditional approach. None of the studies missed was rated important by the experts consulted. CONCLUSIONS: The revised review approach provides an acceptable method for judging whether a guideline requires updating. Librarians were an integral part of the research process that streamlined the searches.     

Towards a Comprehensive Account of Effective Thinking

Due to its strong focus on reasoning and argumentation, critical thinking lacks the breadth required of a comprehensive account of higher order thinking. In particular, critical thinking does not promote reflection on the underlying problems or situations that people think about. This paper reviews various proposed additions to and reorientations of the critical thinking paradigm. It presents a conceptual framework that encompasses the most promising extensions as topics in a broadened account of higher order thinking. This account can be understood as an elaboration of problem solving along two dimensions: Problem types, which are generic thinking situations; and problem solving functions, which are generic thinking tasks. The proposed topic-level account of higher order thinking offers a greatly enlarged view of what should be taught in general thinking skills programs.     

Medical students' attitudes toward the anatomy dissection room in relation to personality

Assessment of the personalities of medical students could enable medical educators to formulate strategies for the best development of academic and clinical competencies. In this article, we focus on the experience of students in the anatomy dissecting room. While there have been many attempts to evaluate the emotional responses of medical students to human cadaveric dissection, there has been no investigation into how different personality traits affect the responses. The main hypothesis tested was that there is a relationship between personality traits and attitudes toward the dissection room. For the present study, a group of French medical students (n = 403; mean age 21.3 ± 1.6; 65.3% female) completed a "Big Five" personality inventory and a questionnaire to assess their attitudes in regard to human dissection. The findings are consistent with our hypothesis, in that we found a relationship between reporting anxiety and four of the "Big Five" dimensions (all except openness). The rated level of anxiety was positively correlated with negative affectivity, more strongly at the beginning than at the end of the course. There were significant gender differences in attitudes toward dissection. The findings are discussed in relation to the possibility of preparing students for the dissecting room experience and also in relation to the students' understanding of mortality issues.     

Education and poverty in affluent countries

This article reflects on the desire to defend and claim public education amidst the educational policy effects of contemporary neoliberal politics. The defence of public education, from schools to higher education, undoubtedly provides a powerful counter-veiling weight to the neoliberal policy logic of education-as-individual-value-accrual. At a time of intense global policy reform centred on marketisation in education, the public education institutions of the post-war welfare state are often characterised as being lost, attacked, encroached upon and dismantled. In this paper, I contend it is important to avoid mobilising a memory of public educational pasts that do not account for their failings and inequalities. Turning to a historical engagement with the emergence of neoliberal politics, the paper explores how challenges and contestations surrounding ‘the public’ from multiple standpoints converged in the rise of neoliberalism. Recognition of these convergences and contestations, I suggest, assists to provide a more nuanced account of the relationship between neoliberal reform and the welfare state, and thus of the complex task of imagining, claiming and working towards a just and equitable public education.     

The effect of inquiry teaching and advance organizers upon student outcomes in science education

Two areas of research were explored in this meta-analysis: comparison of inductive versus deductive teaching approachs, and the use of advance organizers. This study involved the coding of 128 characteristics for 39 studies which spanned the period from 1957 through 1980. The coding variables included 57 which were concerned with features of the treatment while 12 were concerned with outcome attributes. Aspects such as research methodology, sample characteristics, and instructional experiences were examined quantitatively in terms of their relationships to the treatment effects through the use of a common metric for all studies. Mean effect sizes were calculated and reported.