Enhancement of anatomical learning and developing clinical competence of first‐year medical and allied health profession students

Hands‐on educational experiences can stimulate student interest, increase knowledge retention, and enhance development of clinical skills. The Lachman test, used to assess the integrity of the anterior cruciate ligament (ACL), is commonly performed by health care professionals and is relatively easy to teach to first‐year health profession students. This study integrated teaching the Lachman test into a first‐year anatomy laboratory and examined if students receiving the training would be more confident, competent, and if the training would enhance anatomical learning. First‐year medical, physician assistant and physical therapy students were randomly assigned into either the intervention (Group A) or control group (Group B). Both groups received the course lecture on knee anatomy and training on how to perform the Lachman test during a surface anatomy class. Group A received an additional 15 minutes hands‐on training for the Lachman test utilizing a lightly embalmed cadaver as a simulated patient. One week later, both groups performed the Lachman test on a lightly embalmed cadaver and later completed a post‐test and survey. Students with hands‐on training performed significantly better than students with lecture‐only training in completing the checklist, a post‐test, and correctly diagnosing an ACL tear. Students in Group A also reported being more confident after hands‐on training compared to students receiving lecture‐only training. Both groups reported that incorporating clinical skill activities facilitated learning and created excitement for learning. Hands‐on training using lightly embalmed cadavers as patient simulators increased confidence and competence in performing the Lachman test and aided in learning anatomy. Anat Sci Educ 7: 181–190. © 2013 American Association of Anatomists.     

The longitudinal association of childhood school engagement with adult educational and occupational achievement: findings from an Australian national study

The research investigated the association between school engagement and adult education and occupation outcomes, within the context of a 1985 Australian longitudinal national cohort study of the factors affecting children's long‐term health and well‐being. School engagement may be more modifiable than other factors related to academic success, such as academic attainment, which is influenced by family background. A School Engagement Index was constructed using questionnaire items on school enjoyment and boredom. Related school engagement items included learner self‐concept, motivation to learn, sense of belonging, participation in school or extra‐mural activities, and enjoyment of physical activity. In 2004–2006, participants (aged 26 to 30 years) reported their highest level of education achieved and current occupation. Potential covariates included age, sex, markers of socio‐economic status in childhood, personality and school‐level variables (i.e., number of students, single sex versus co‐education; government, private or independent). Logistic regression was used to estimate the odds of achieving post‐compulsory school education and achieving higher status occupations. Findings revealed that each unit of school engagement was independently associated with a 10% higher odds (OR 1.10 95% CI 1.01,1.21) of achieving a post‐compulsory school education. Maternal education, self‐concept as a learner, motivation to learn, all also significantly predicted achieving post‐compulsory school education. School engagement was found to mediate the association between the personality characteristic of agreeableness and education outcomes. Higher school engagement was also independently associated with achieving higher status occupations 20 years later (OR 1.11 95% CI 1.03, 1.20). Importantly, this was independent of a host of background factors.     

Suicidal Behavior and Help Seeking Among Diverse College Students

Suicidal and help‐seeking behaviors of students of color remain a significant problem on college campuses. Self‐reported suicidal experiences and help‐seeking behavior of diverse students are examined on the basis of results from a national survey of college student mental health. The results suggest significant differences in the expression of suicidal thoughts and behavior across racial and ethnic groups and different experiences in their referral for, and utilization of, professional help.     

Disorganized Behavior in Adolescent–Parent Interaction: Relations to Attachment State of Mind,Partner Abuse,and Psychopathology

Disoriented, punitive, and caregiving/role‐confused attachment behaviors are associated with psychopathology in childhood, but have not been assessed in adolescence. A total of 120 low‐income late adolescents (aged 18–23 years) and parents were assessed in a conflict‐resolution paradigm. Their interactions were coded with the Goal‐Corrected Partnership in Adolescence Coding Scales. Confirmatory factor analysis demonstrated that the three disorganized constructs (punitive, caregiving, and disoriented interaction) were best represented as distinct factors and were separable from a fourth factor for collaboration. The four factors were then assessed in relation to measures of attachment disorganization, partner abuse, and psychopathology. Results indicate that forms of disorganized behavior first described in early childhood can also be reliably assessed in adolescence and are associated with maladaptive outcomes across multiple domains.     

Stability of Core Language Skill from Early Childhood to Adolescence: A Latent Variable Approach

This four‐wave prospective longitudinal study evaluated stability of language in 324 children from early childhood to adolescence. Structural equation modeling supported loadings of multiple age‐appropriate multisource measures of child language on single‐factor core language skills at 20 months and 4, 10, and 14 years. Large stability coefficients (standardized indirect effect = .46) were obtained between language latent variables from early childhood to adolescence even when accounting for child nonverbal intelligence and social competence and maternal verbal intelligence, education, speech, and social desirability. Stability coefficients were similar for girls and boys. Stability of core language skill was stronger from 4 to 10 to 14 years than from 20 months to 4 years, so early intervention to improve lagging language is recommended.     

Teaching Lean Six Sigma within A Supply Chain Context: The Airplane Supply Chain Simulation

Lean six sigma is a management methodology that firms can employ to achieve substantial improvement in supply chain performance. However, few pedagogical exercises facilitate students’ use of a comprehensive set of lean six sigma principles within a supply chain context. We describe the Airplane Supply Chain Simulation that helps students understand how lean six sigma concepts may be leveraged to improve supply chain performance. The basis of this simulation is a four‐tier supply chain, consisting of suppliers (two tiers), a manufacturer, and a customer, that produces three models of paper airplanes to meet randomly distributed customer demand. In the first of three successive runs, a highly structured simulation is executed in which supply chain roles are well defined, material flows are convoluted, and a “push” production strategy is followed. The first simulation as the “current state” and, for the second and third simulation runs, challenge competing student teams to leverage lean six sigma concepts to develop a “future state” that enables the fulfillment of all customer orders at the lowest cost. Results based on statistical analyses of survey response data from 194 MBA students show that the Airplane Supply Chain Simulation is an effective participative, team‐based learning tool.     

Drawing on the variation theory to enhance students’ learning of Chinese characters

The variation theory of Ference Marton and his collaborators has widely been used as a framework for explaining what can possibly be learned in a particular classroom and what cannot. This paper reports on an experiment that put this theory to test in the context of students’ learning of the orthographic structures of Chinese characters. The experiment was carried out in the classrooms of two primary schools in Hong Kong. In each of the schools, two classes of students were taught differently, as informed by the theory, about the significance of the location of a component in the orthographic structure of a character in relation to whether the component provided a clue to the meaning of the character (called the part–part relations). The results of the experiment are consistent with the prediction of the theory that those students who were given the possibility to experience variation in the locations of components in the orthographic structures significantly outperformed those who were not. The results of the experiment demonstrate the power of the theory in guiding the design of teaching that affords students’ learning to happen.     

Predicting Suicide Risks Among Outpatient Adolescents Using the Family Environment Scale: Implications for Practice and Research

This study was designed to identify characteristics of family functioning that relate to suicide potential in an outpatient adolescent population. Participants included 51 adolescents between the ages of 14 and 18 who were involved in outpatient counselling. The Family Environment Scale and the Suicide Probability Scale were used to assess adolescents’ perception of family social climate and degree of suicide risk respectively. Results revealed significant correlations between suicide risk and family systems characterized by heightened conflict and lower levels of cohesion, independence, and organization. A stepwise multiple regression analysis suggested that organization (related to clarity and structure in family activities and responsibilities) was the strongest predictor of suicide risk. Implications for research and practice are considered.     

Information recall of younger and older skilled athletes: The role of display complexity,attentional resources and visual exposure duration

This study was concerned with the interactive role of experience of athletic skill with other relevant environmental variables (display complexity, attentional resources, exposure time of stimuli) on perception (recall) of structured handball game situations. Nineteen experienced (older) and 19 less experienced (younger) handball players were assigned randomly either to ball‐bouncing (diverted attention) or to calm seated (focused attention) conditions. In each of the two conditions, the subjects were exposed to a total of 36 slides containing 2–3, 5–6 and 8–10 players. Eighteen slides were exposed for 0.5 s and 18 for 1.0 s. All the slides contained structured defence and offence situations. Recall scores were subjected to repeated‐measures ANOVA using attention condition and age as between‐subject factors and task complexity and exposure duration as within‐subject factors. The results showed that the recall of less experienced players deteriorated more than the recall of more experienced players following exposure to complex displays (≥ 8 players) while engaging in a secondary task (bouncing). The findings suggest that research paradigms should be applied in the field of sport which share both ecological validity and a potential to discover the cognitive substrates underlying experience and age in skilled motor performance.     

‘Second death’, or revival of the ‘third world’ in the context of neo‐liberal globalization

Abstract

This paper tries to analyze the historical change in the Third World in its emergent stage, in the authoritarian stage and in the current democratic stage and, thereafter, find a way to revive the Bandung spirit in the current globalization context. I define the Bandung spirit as one of a ‘non‐aligned self‐helped “organization against” the dominant powerful countries’; that is, spirit of ‘anti‐predominance’. This spirit has emerged on the base of such domestic orientation and realities as economic self‐reliance, nationally integrated political regime, convergence of the state and civil society around anti‐colonialism. However, according to intensification of the Cold War confrontation on the international level and its centrifugal influence, the early Third World changed to a ‘new’ authoritarian Third World. The Third World in this stage could be characterized by an exclusive authoritarian political regime, dependent‐developmentalist economic orientation and coercively repressed and mobilized, in the top‐down way, civil society. This authoritarian Third World began to be confronted with a strong struggle from the bottom for democratization. In order for democratization of the Third World to become its true revival in the context of globalization, the following tasks should be considered. First, the democratic Third World should be a great driving force for the institutionalization of the transnational public regulatory mechanism. Second, the democratic Third World countries try to go over a kind of ‘transformed’ dependent development strategy. Third, democratization should go along with recovery of political inclusiveness and openness of the state to civil society’s demands. Thereafter, I tried to construct globalist re‐interpretation of the Bandung, by way of conceptualizing the current globalization as imperial globalization, unlike the imperialist globalization which the historical Bandung wanted to confront. I argue that the Bandung spirit of collective self‐help organizations against the newly emerging dominant order should be revived in this worse imperial globalization context. In addition, I argue that a nationalist resistance is also one component of the multiple resistances in the current imperial globalization.