Enabling integrated knowledge acquisition and management in health care teams

Basing treatment, policy and planning decisions on the best available research knowledge remains a central principle in modern health care around the world, yet many health professionals find acquiring and managing published research knowledge challenging. In this paper, we report on a Soft Systems Methodology-based collaborative action research initiative with a specialist mental health service from the United Kingdom's National Health Service. Our objective was to design and implement improvements to their knowledge acquisition and management activities in order to facilitate sustained and effective evidence-based practices. We report on both the factors found to impede effective research knowledge acquisition and management and the development of more integrated knowledge management processes designed to improve the situation.     

Learning whom not to trust across early and middle adolescence: A longitudinal neuroimaging study to trusting behavior involving an uncooperative other

Longitudinal changes in trusting behavior across adolescence and their neural correlates were examined. Neural regions of interest (ROIs) included the medial prefrontal cortex (mPFC), dorsal anterior cingulate cortex (dACC), left anterior insula (AI), bilateral ventral striatum (VS), and right dorsal striatum (DS). Participants (wave 1 age: M = 12.90) played the investor in a Trust Game with an uncooperative trustee three times (1-year interval). Analyses included 77 primarily Dutch participants (33 females). Participants decreased their investments with wave. Furthermore, activity was heightened in mPFC, dACC, and DS during investment and repayment, and in right VS (investment) and AI (repayment). Finally, DS activity during repayment increased with wave. These findings highlight early–middle adolescence as an important period for developing sensitivity to uncooperative behavior.     

Effects of school choice on the margin: The cream is already skimmed

Critics of school choice argue that cream-skimming will worsen outcomes for those left behind in public schools. Since “high ability” families may have already sorted themselves out of the schools in question, this paper will examine whether existing within-school heterogeneity leaves any scope for cream-skimming to operate. It asks, “given the current level of within-school heterogeneity, how strong would peer effects have to be to significantly worsen outcomes for those left behind?” In order for cream-skimming to lower math test scores by one half-year's progress, the peer effect would have to be as strong as increasing class sizes by 8–20 students, or cutting per-student funding by $400–2000. These results indicate that current levels of within-school heterogeneity are so low that peer effects would have to be unrealistically strong to give cream-skimming any bite.     

Effective conditioning of female soccer players

We compared the efficacy of three physical conditioning programmes provided over a 12 week period (24 h in total) on selected anthropometric and physical fitness parameters in female soccer players. Two of the groups received physical conditioning training in accordance with speed, agility and quickness (SAQ); one group used specialized resistance and speed development SAQ equipment (equipment group; n = 12), while the other group used traditional soccer coaching equipment (non-equipment group; n = 12). A third group received their regular fitness sessions (active control group; n = 12). All three interventions decreased (P < 0.001) the participants' body mass index (-3.7%) and fat percentage (-1.7%), and increased their flexibility (+14.7%) and maximal aerobic capacity (VO2max) (+18.4%). The participants in the equipment and non-equipment conditioning groups showed significantly (P < 0.005) greater benefits from their training programme than those in the active control group by performing significantly better on the sprint to fatigue (-11.6% for both the equipment and non-equipment groups versus -6.2% for the active control group), 25 m sprint (-4.4% vs -0.7%), left (-4.5% vs -1.0%) and right (-4.0% vs -1.4%) side agility, and vertical (+18.5% vs +4.8%) and horizontal (+7.7% vs +1.6%) power tests. Some of these differences in improvements in physical fitness between the equipment and non-equipment conditioning groups on the one hand and the active control group on the other hand were probably due to the specificity of the training programmes. It was concluded that SAQ training principles appear to be effective in the physical conditioning of female soccer players. Moreover, these principles can be implemented during whole team training sessions without the need for specialized SAQ equipment. Finally, more research is required to establish the relationship between physical fitness and soccer performance as well as the principles underlying the improvements seen through the implementation of SAQ training programmes.     

A Study of Functional Literacy Skills in Young Adults with Down Syndrome

This paper presents data from a study of young adults with Down syndrome who were born either just before, or during the period when radical changes to special education services for people with intellectual disabilities were introduced. The specific aim of the study was to examine the development of language and literacy skills in a group of young adults with Down syndrome, some of whom had been educated at a time when there was an increase in expectations for achievement and opportunity to learn. Results showed that all but one of the young adults had learned to read, though for some, these skills were limited. In general, there was evidence of a positive relationship between age (for those born after 1970), attendance at an integrated school situation, and the achievement of more advanced reading and language skills. It was also evident that learning to read provides both a functional daily living skill and a satisfying recreational activity for young adults with Down syndrome.     

Case Study on the Free University of Bozen/Bolzano,Italy

Bozen/Bolzano is situated in a trilingual region in Italy of which the three mother tongue languages are German, Italian, and Ladin (the latter only spoken by 4 percent of the population). The aim of the Free University of Bozen/Bolzano, which was founded in 1997 and launched its first programmes in 1998, is to offer its students a multilingual, practice-oriented education that meets the demands of the local and the European labour market. Trilingual educational activities are conducted in German, Italian, and English in the case of the School of Economics and its courses and in the course programmes in Industrial Engineering. The only exception is found in the Faculty of Education. This Faculty offers the German-, Italian-, and Ladin-speaking students separate training sections.     

Writing learning journals: Instructional support to overcome learning-strategy deficits

Although writing learning journals is a powerful learning tool, instructional support is needed to overcome deficits in the use of self-regulated learning strategies. In a 2 × 2 experimental design with high-school students (N = 70), we analysed the effects of two modes of instruction (namely, informed prompting and learning-journal example) along with prompts. Informed prompting that provided background information on the prompted strategies enhanced learning in the training and transfer session. A learning-journal example that modelled the application of the strategies primarily fostered the strategy used in the training session and learning in the transfer session. Theoretically, the results provide support for the self-regulation view of writing-to-learn.     

Student Loans: are the Policy Objectives being Achieved?

This paper examines two of the stated objectives of the government's student loans scheme, 'to increase the resources available to students' and 'to increase economic awareness among students, and their self reliance'. Following Farrell and Tapper (1992) we also consider a third, less explicit objective, that of exerting an influence on the shape of higher education itself, through economic pressure on students to select courses that are earnings related and vocationally oriented.
The results of a survey of a random sample of students conducted annually between 1992 and 1996 at the University of Brighton demonstrate a substantial increase in student debt over this period. Among students increasing support for the principles underlying the loan scheme was found, as were high levels of 'economic awareness' and 'self-reliance'. There was no evidence of a demand for changes in the pattern of course provision and it is suggested that this is because of the way in which students have responded to their changed financial situation, in particular the high reliance of many on part-time employment in preference to student loans and a desire to maximise current rather than future earnings.