The wonder years: A profile of Madhav Chavan

An idea took shape in the slums of Mumbai in the early nineties and went on to become a peoples’ movement to address the problem of providing quality education for all of India’s children. This piece profiles Dr. Madhav Chavan, the man who provided the dynamic vision for and creative leadership of that mission/movement. Dr. Chavan combined the wisdom of an ancient Chinese philosopher and lessons from the fast-food restaurant model to develop innovations in education that are enabling children and youth to learn. His unwavering focus on the human values behind the big numbers, as well as his celebration of the joy and wonder at the heart of all learning, are a large part of the educational story that is unfolding in faraway villages in India and providing a trigger for social change. This article is an attempt to present his contributions to education innovation in India.     

Evaluation of the changes in serum iron levels in pre-eclampsia

Serum iron levels were studied in 50 patients with pre-eclampsia and the results were compared with 50 control cases. Their serum iron levels were found to be higher than the controls. Increase in serum iron was directly proportional to the increased levels of uric acid, urea and creatinine. Mean reticulocyte counts, plasma free haemoglobin and unconjugated bilirubin levels were also higher in these patients. It is suggested that haemolysis may be a major contributory factor for the increased levels of serum iron in pre-eclampsia.     

The impact of orphan drug policies in treating rare diseases

This paper is based on Shalini Weerasooriya's Masters dissertation in Public Health at the University of Sheffield. A literature review was conducted to understand the role that orphan drug policies have played in the development of new treatments for rare diseases. The impacts of the policies were categorised as ‘tangible’ or ‘intangible’ and further synthesis identified 10 main themes such as incentives for investment, criteria for eligibility and assessment of drug applications and further guidance to industry during the drug development cycle. The review concludes that whilst policies have contributed positively towards improving the research and development of orphan drugs it has not exhausted its uses and must now shift its focus to facilitating greater accessibility and affordability of the treatments and that stakeholders are essential to the success of this process. Implications for practice are identified, for example the need to further update and refine the policy with changing demographics and advancing technologies and, in particular, greater collaboration and involvement through, for example, evidence based training programmes is recommended. It is concluded that focus must shift to address the gap between having available drugs and being able to access and afford them. F.J.     

A Survey Validation and Analysis of Undergraduate Medical Biochemistry Practical Curriculum in Maharashtra,India

In order to review the strengths and weaknesses of medical biochemistry practical curriculum for undergraduates and to generate ideas to improve it, a questionnaire was sent to 50 biochemistry faculty members selected (through simple random sampling method) from 42 medical colleges of Maharashtra, India. 39 responded to the questionnaire, representing a 78% response rate. The internal consistency of the questionnaire sections was found to be satisfactory (>0.7). The respondents did not agree that the ongoing curriculum was in alignment with learning outcomes (8%), that it encouraged active learning (28%), helped to apply knowledge to clinical situations (18%) and promoted critical thinking and problem solving skills (28%). There were a number of qualitative experiments that were rated ‘irrelevant’. Qualitative and quantitative experiments related to recent advances were suggested to be introduced by the respondents. Checklists for the practicals and new curriculum objectives provided in the questionnaire were also approved. The results of the curriculum evaluation suggest a need for re-structuring of practical biochemistry curriculum and introduction of a modified curriculum with more clinical relevance.     

Small-Sample Equating Using a Single-Group Nearly Equivalent Test (SiGNET) Design

A single-group (SG) equating with nearly equivalent test forms (SiGNET) design was developed by Grant to equate small-volume tests. Under this design, the scored items for the operational form are divided into testlets or mini tests. An additional testlet is created but not scored for the first form. If the scored testlets are testlets 1–6 and the unscored testlet is testlet 7, then the first form is composed of testlets 1–6 and the second form is composed of testlets 2–7. The seven testlets are administered as a single administered form, and when a sufficient number of examinees have taken the administered form, the second form (testlets 2–7) is equated to the first form (testlets 1–6) using an SG equating design. As evident, this design facilitates the use of an SG equating and allows for the accumulation of data, both of which may reduce equating error. This study compared equatings under the SiGNET and common-item equating designs and found lower equating error for the SiGNET design in very small sample size conditions (e.g., N = 10).     

Using Log-Linear Smoothing to Improve Small-Sample DIF Estimation

This study examined the extent to which log-linear smoothing could improve the accuracy of differential item functioning (DIF) estimates in small samples of examinees. Examinee responses from a certification test were analyzed using White examinees in the reference group and African American examinees in the focal group. Using a simulation approach, separate DIF estimates for seven small-sample-size conditions were obtained using unsmoothed (U) and smoothed (S) score distributions. These small sample U and S DIF estimates were compared to a criterion (i.e., DIF estimates obtained using the unsmoothed total data) to assess their degree of variability (random error) and accuracy (bias). Results indicate that for most studied items smoothing the raw score distributions reduced random error and bias of the DIF estimates, especially in the small-sample-size conditions. Implications of these results for operational testing programs are discussed.     

Substitutive competition: Virtual pets as competitive buffers to alleviate possible negative influence on pupils

Although competition is regarded as a powerful motivator in game‐based learning, it might have a negative influence, such as damage to confidence, on students who lose the competition. In this paper, we propose an indirect approach, substitutive competition, to alleviate such negative influences. The approach is used to develop a My‐Pet v3 system, in which pupils master subject materials to make their pets stronger, and compete against each other. Specifically, pupils learn Chinese idioms in a pet‐training game scenario, and their mastery of the material is related to the pets' strength to win the competition. The result of the competition is influenced by whether pupils spend enough effort on the learning tasks. This intention is expected to alleviate the negative influence that results from direct competition. A within‐subject experiment was conducted to examine the influence of substitutive competition. The results indicated that substitutive competition seems a promising scheme to maximise the power of competition. However, there were no apparent evidences in this study to demonstrate its effect to alleviate pupils' sense of failure, as compared with other two direct competition conditions.     

Choosing Among Tucker or Chained Linear Equating in Two Testing Situations: Rater Comparability Scoring and Randomly Equivalent Groups With an Anchor

Tucker and chained linear equatings were evaluated in two testing scenarios. In Scenario 1, referred to as rater comparability scoring and equating, the anchor‐to‐total correlation is often very high for the new form but moderate for the reference form. This may adversely affect the results of Tucker equating, especially if the new and reference form samples differ in ability. In Scenario 2, the new and reference form samples are randomly equivalent but the correlation between the anchor and total scores is low. When the correlation between the anchor and total scores is low, Tucker equating assumes that the new and reference form samples are similar in ability (which, with randomly equivalents groups, is the correct assumption). Thus Tucker equating should produce accurate results. Results indicated that in Scenario 1, the Tucker results were less accurate than the chained linear equating results. However, in Scenario 2, the Tucker results were more accurate than the chained linear equating results. Some implications are discussed.