Using communication to manage uncertainty about cervical cancer screening guideline adherence among Appalachian women

Changes to the United States Preventive Services Task Force (USPSTF) recommendations for cervical cancer preventive services have led to patient confusion, especially in medically underserved populations. We investigated how patient uncertainty concerning cervical cancer screening guidelines is appraised and managed through communication with healthcare providers by conducting in-depth, face-to-face interviews with 24 adult women between the ages of 24 and 65 (m?=?41, SD?=?14) living in Appalachia Kentucky. In general, participants expressed a high degree of uncertainty about the updated cervical cancer screening guidelines and appraised this uncertainty as both a danger and an opportunity. Communication with healthcare providers served both to exacerbate and to mitigate patient uncertainty. The study identifies how healthcare providers may use the change in USPSTF guidelines as a “teachable moment” to productively counsel patients on the importance of timely screening, the typical progression of certain types of high-risk HPV (human papillomavirus) infection to cervical cancer, and the importance of follow-up care.     

The Participation of Boys and Girls in Home Economics

This study examined whether male students dominated classroom interactions in home economics lessons and whether other classroom processes sustained gender divisions in this subject in two Form I and two Form II classes in two schools. The sample included two female home economics teachers and all the students in the four classes (34 boys and 31 girls). Data were collected during five 60‐minute observation sessions in each class (inter‐observer reliability reached 94%) and structured interviews with both teachers and 24 students (three boys and three girls from each class). Statistically significant (p < 0.001) differences were found in the number of times students were helped by the teachers (boys received 76% of teachers’ help) and in the number of reprimands they received (boys received 87%). Boys and girls received a comparable amount of praise but boys received a greater amount of interaction in all other categories (direction of teacher questions, choice of students to answer questions, call‐outs and calling students by name) although these differences were not statistically significant. There were major individual differences between students of the same sex in all the categories. More boys (19) than girls (seven) were high participants in different classroom processes. Most of the students in mixed‐gender kitchenettes co‐operated in cleaning up. Teachers expected the same standard of work from all the students but they allotted more special jobs to girls.     

The professionalization of Hong Kong teachers: Dilemma between technical rationality and individual autonomy

This article studies the dilemma between professionalization and professionalism in the development of teaching into a bureaucratic organization in Hong Kong. Professionalization and bureucractization are simultaneous processes. Teaching as an occupation has grown from a state of idiosyncrasy to a profession with defined boundaries. However, achieving system efficiency and technical rationality, both features of bureaucracy, could undermine or suppress teachers’ individual autonomy. Thus, bureaucratization supports professionalization by raising the status of teaching, but undermines professionalism by constraining teachers’ autonomy. The article examines the changing pattern of stratification and how it shaped the relationship between the professionalization, bureaucratization and professionalism of teaching in Hong Kong. It argues that teaching cannot be a true profession without realizing professionalism, and that teacher education has a central role in the drive towards it. Key Words: Hong Kong teachers, teacher education, professionalization, professionalism, stratification     

Students with Self-identified Special Educational Needs and Disabilities (si-SEND): Flourishing or Languishing!

Students’ wellbeing is an essential component of their ability to function well, not only at school but also in all life domains. Many studies have investigated student wellbeing. However, empirical studies about the wellbeing of students with special educational needs and disabilities (SEND) are scarce. Furthermore, many studies have adopted a deficit view of wellbeing and mental [ill]-health. This study adopted a more positive perspective. We administered a questionnaire assessing social-emotional and psychological wellbeing, global self-concept, resilience, bullying, mental ill-health and school satisfaction to 1930 students, aged 13–15 years, who were attending seven mainstream schools in South Australia. Of those students, 172 self-identified as having SEND. Results showed significant differences, with students who self-identified with SEND not faring as well as other students on all measures. In particular, just over one third (39.9%) of students who self-identified as having SEND reported that they were flourishing, compared with just over half (57.6%) of the students who did not indicate that they had special needs. The findings indicate that more attention needs to be given to designing and implementing supports to improve the wellbeing and school satisfaction of students who self-identify as having SEND.     

The enactment of literacy curriculum policy by early childhood teachers in two Australian schools

Since the early 2000s, literacy education has become an area of intense focus in Australian education policy, positioned to have a role in Australia's pursuit of enhanced international competitiveness in the “global knowledge economy”. Policy called for improvements in literacy outcomes, monitored by mandated annual assessments, and policy statements recognised the need to establish solid literacy foundations in early childhood to facilitate learning, and desired improvements, in later years. This article is derived from a larger study that investigated the production and enactment of literacy curriculum policy by early childhood teachers in Australian schools. It focuses on the school level within the State of Western Australia, presenting findings derived from thematic and critical discourse analysis of participant interview and documentary data collected in two case‐study schools. Comparative analysis revealed that literacy curriculum policy processes in both case‐study schools were focused on achieving improved test results in mandated testing regimes. This was impacting upon literacy curriculum in the early childhood years of schooling, in Australia deemed to involve children up to 8 years of age, in many, possibly adverse, ways. These findings may offer insights in other contexts about literacy curriculum policy processes that are focused on enhancing competitive positioning.     

Auditing a national system of examinations: issues of selectivity in the Secondary Education Certificate (SEC) examination in Malta

For several decades, the Maltese educational system was almost entirely reliant on English examination boards for certification in secondary and post‐secondary education. In the 1990s, Maltese policy‐makers decided to establish an affordable local examination system aimed at a wide range of students. This paper focuses on the review of the Secondary Education Certificate (SEC) examination introduced in 1994 and intended to attract 80% of the 16‐year‐old cohort. Although its main aim was certification of individual competence, and its underlying philosophy and approach were non‐selective in nature, the SEC examination introduced a number of features that unintentionally led to selectivity. These include the system of differentiated papers, the language policy of the examination papers, the perceived need of private tuition to reach the required standard and the introduction of a September re‐sit session. These issues are discussed with a view to explore how selectivity is involved in all of them and whether it can be avoided. The relevant recommendations of the review are later discussed in order to evaluate how these issues of selectivity have been addressed.     

Tracking control design for interval type-2 fuzzy nonlinear unreliable networked control systems

This paper deals with the interval type-2 (IT2) fuzzy tracking control problem for nonlinear networked control systems with unreliable communication links. The plant is described by an IT2 fuzzy system, and the IT2 fuzzy sampled-data tracking controller is designed under the unreliable communication mechanism. By utilizing the Lyapunov theory, the stability demonstration is carried out under the mathematical expectation. The characteristics of membership functions are applied to enhance the stability of the IT2 fuzzy system. With the more sampling information used in the stability analysis, the less conservative sufficient condition is provided based on which a networked tracking controller is designed to ensure the anticipant tracking performance. Finally, the efficiency and the merits of this paper are shown by two simulation examples.     

Electrifying Engagement in Middle School Science Class: Improving Student Interest Through E-textiles

Most interventions with “maker” technologies take place outside of school or out of core area classrooms. However, intervening in schools holds potential for reaching much larger numbers of students and the opportunity to shift instructional dynamics in classrooms. This paper shares one such intervention where electronic textiles (sewable circuits) were introduced into eighth grade science classes with the intent of exploring possible gains in student learning and motivation, particularly for underrepresented minorities. Using a quasi-experimental design, four classes engaged in a traditional circuitry unit while the other four classes undertook a new e-textile unit. Overall, students in both groups demonstrated significant learning gains on standard test items without significant differences between conditions. Significant differences appeared between groups’ attitudes toward science after the units in ways that show increasing interest in science by students in the e-textile unit. In particular, they reported positive identity shifts pertaining to their perceptions of the beliefs of their friends, family, and teacher. Findings and prior research suggest that student-created e-textile designs provide opportunities for connections outside of the classroom with friends and family and may shift students’ perceptions of their teacher’s beliefs about them more positively.     

Developing and Assessing Curriculum on the Physics of Medical Instruments

Undergraduate educational settings often struggle to provide students with authentic biologically or medically relevant situations and problems that simultaneously improve their understanding of physics. Through exercises and laboratory activities developed in an elective Physics in Biomedicine course for upper-level biology or pre–health majors at Portland State University, we aim to teach fundamental physical concepts, such as light absorption and emission and atomic energy levels, through analysis of biological systems and medical devices. The activities address the properties of electromagnetic waves as they relate to the interaction with biological tissue and make links between physics and biomedical applications such as microscopy or laser eye surgery. We report on the effect that engaging students in tasks with actual medical equipment has had on their conceptual understanding of light and spectroscopy. These initial assessments indicate that students’ understanding improves in some areas as a result of taking the course, but gains are not uniform and are relatively low for other topics. We also find a promising “nonshift” in student attitudes toward learning science as a result of taking the course. A long-term goal of this work is to develop these materials to the extent that they can eventually be imported into an introductory curriculum for life sciences majors.