Key Educational Factors in the education of students with a medical condition

The education of children with a medical condition represents a unique educational context. The key educational factors that can help these children continue their education despite the burdens associated with their illness were discussed and analysed by a pool of experts for an EU funded project. In this context, relationships, making sense and constructing knowledge, assuming roles in front of others, metacognition, individualities and inter‐institutional communication emerged as the 6 Key Educational Factors (KEF) that are crucial for the education of this vulnerable population. The implications of the KEFs for home and hospital education are discussed, with a particular focus on practices that meet the relational and communicational needs of these children. Specific recommendations for the practice, policy, and research regarding these KEF within this unique educational context are presented.     

Effects of the financial crisis on university choice by gender

This study analyses the university choices of male and female students in Italy over the 2003–2012 period and for two sub-periods before (2003–2008) and after (2009–2012) the 2008 financial crisis. The analysis is guided by human capital, signalling and preference theories and implemented through a competing destinations model that controls for the socio-economic features of both the region of origin and destination. The findings show that in the post-crisis period, males became more career-oriented in their university choices due to increasingly constrained and competitive labour markets. The constrained post-crisis labour markets led females to focus more on the educational experience than on future employability prospects. Our results suggest that the financial crisis maintained or even widened gendered social roles as they relate to university choices; specifically, males assumed an even greater career-centred family role, whereas females adopted more adaptive lifestyles that potentially place them at a disadvantage in the labour market and in society in years to come.     

Regulating research: The problem of theorizing community on LambdaMOO

This article considers ongoing attempts to regulate or even ban researchon LambdaMOO. Industry, private individuals, and research institutionshave supported MOOs, or multi-user object-oriented worlds. The earlyresearch on MOOs by Pavel Curtis, who was one of the key designers,suggests that these systems are part of a research project and have beenresearched since they were originally designed. However, a group ofMOOers have grown increasingly uncomfortable about the quotation ofcertain texts on web sites and academic journals and the potentiallypanoptic effect of research. Some of these practices have breachedcommunity conventions. Yet, such things as testing, invisibly watching,freely quoting characters, and ignoring certain rules have always beenaspects of the system. The dispute over research ethics and theparticipation of varied researchers within this setting indicate thatdiverse values are represented among MOOers and different expectationsexist about how the MOO might be a community. The term ``community' andthe presumption that online characters are people may have alsoincorrectly informed the research debate by making it seem that onlinesettings provide immediate access onto spaces, bodies, and individuals.Many MOOers may believe that research threatens individuals andcommunity. However, critical histories and analysis are needed in orderto explain the system to new users and encourage alternative forms ofdevelopment. Such work can only be produced if online systems are opento research and critique.     

Are we using Thyroid Function Tests Appropriately?

Thyroid function tests are very important for the diagnosis and monitoring of patients with thyroid dysfunction. The guidelines recommend serum thyroid stimulating hormone (TSH) as the single most reliable test to diagnose all common forms of hypothyroidism and hyperthyroidism. The aim of this study was to analyze the ordering pattern for thyroid function tests by physicians and the analysis of results based on the clinical history. The mean age of the patients was 32.5 ± 6.5 years. Majority of samples (87.7% of total) were received from the departments of Medicine and Gynae. Thyroid profiles (47.5%) were ordered more frequently as compared to TSH only (46%). There was no significant difference in the percentage of normal reports for both types of tests. 77.8% of TFT and 76.6% of TSH samples had results within the reference range. The percentage of abnormal results was 13.7% in the patients who were screened for thyroid disorders. There is a need to redefine the case definition for thyroid dysfunction and order the appropriate test in a rational and cost effective manner.     

Mandatory provisioning of digital public services as a feasible service delivery strategy: Evidence from Italian local governments

Several governments are actively encouraging their administrations to deliver public services exclusively through digital channels. This strategy consists of putting in place a series of complex and specific actions that bring into play numerous actors, to ensure that users are willing to accept digital channels and that weaker users are not disadvantaged. Although this strategy is being increasingly adopted in various countries, scholars have scarcely begun to explore its logic. This research explores how to define a service delivery strategy that forces users to adopt digital channels. Four in-depth case studies have been conducted on Italian local governments that started delivering their non-educational school services through digital channels alone. We found that a mandatory service delivery strategy is feasible when the starting point is to understand the users' characteristics, skills and behaviours and, as a consequence, whether they perceive the service as complex and/or ambiguous. With this in mind, public organisations can select the proper mix of channels for each category of users and combine their change in approach with behavioural-type interventions, i.e. by creating the right conditions to modify the users' behaviour.