Reaction to videocolposcopy in the assessment of child sexual abuse.

OBJECTIVE: The purpose of this study was to clinically assess children's reactions to videocolposcopy with real-time observation of magnified anogenital images (VCO), and to evaluate whether these reactions are affected by patient or other characteristics such as response to preparation, disclosure of child sexual abuse (CSA), or examination findings. METHOD: Consecutive cases of children ages less than 18 years referred to a children's hospital clinic for nonemergent evaluation of suspected CSA during 1997 through 1999 were studied. We noted the child's response with clinical observation before and after videocolposcopy, and used the Genital Examination Distress Scale (GEDS) after evaluation. We compared these responses to patient gender, age, ethnicity, pubertal status, disclosure of child sexual abuse (CSA), and physical examination findings using univariate and regression analyses. RESULTS: Two hundred twenty-seven children (mean age 7.2 years, range 0-17) underwent videocolposcopy, of whom 55.1% disclosed sexual abuse and 17.2% had a positive examination. More than 80% were female, prepubertal, and non-Hispanic White. Most (85%) watched their examination on the monitor and were either cooperative or enthusiastic before and after videocolposcopy. Fewer very young children (ages 0-3 years) or female adolescents (13-17 years) watched the monitor. Summed GEDS scores were strongly correlated with observed responses after the procedure (p = .01), and children with CSA disclosure were three times more likely to watch the monitor and five times more likely than those without disclosure to have improved comfort. Other patient characteristics were not significantly associated with patient reaction to VCO. CONCLUSIONS: Most children are interested in watching their anogenital examination using magnified real-time images obtained during videocolposcopy and tolerate the procedure well. The GEDS is highly correlated with subjective clinical observation. While some children may particularly benefit from participating in their examination by using VCO, long-term effects of the evaluation and any relationship of a child's reaction to videocolposcopy with their history of sexual victimization remain to be established.     

A theory of instruction for introductory programming skills

ABSTRACT

Background and Context: Current introductory instruction fails to identify, structure, and sequence the many skills involved in programming.

Objective: We proposed a theory which identifies four distinct skills that novices learn incrementally. These skills are tracing, writing syntax, comprehending templates (reusable abstractions of programming knowledge), and writing code with templates. We theorized that explicit instruction of these skills decreases cognitive demand.

Method: We conducted an exploratory mixed-methods study and compared students’ exercise completion rates, error rates, ability to explain code, and engagement when learning to program. We compared material that reflects this theory to more traditional material that does not distinguish between skills.

Findings: Teaching skills incrementally resulted in improved completion rate on practice exercises, and decreased error rate and improved understanding of the post-test.

Implications: By structuring programming skills such that they can be taught explicitly and incrementally, we can inform instructional design and improve future research on understanding how novice programmers develop understanding.     

Weighing Fog: Modeling on Day 1 of Differential Equations

Abstract

The first day of many mathematics classes is filled with the formalities of the syllabus and a lecture introduction to the course content. Here, an alternative is presented where modeling is placed as the centerpiece to orient students to the work of differential equations; namely, to capture as beautifully and compactly as possible through the process of inquiry, conjecture, and experimentation, the deep and interesting aspects of modeling the physical world. A demonstration of the sublimation of dry ice in water serves as the nucleus of the lesson.     

Constructing inside-ness to physics: how matter comes to matter in physics identity work

Cultural Studies of Science Education - In this paper, I engage with arguments put forth by Anna Günther-Hanssen in her article “A swing and a child: How scientific phenomena can come to...     

What’s your goal? The importance of shaping the goals of engineering tasks to focus learners on the underlying science

Instructional Science - Engaging in engineering tasks can help students learn science concepts. However, many engineering tasks lead students to focus more on the success of their construction than...     

The Role of Students’ Personality Characteristics, Self-Perceived Competence and Learning Conceptions in the Acquisition and Development of Social Communicative Competence: A Longitudinal Study

An important purpose of higher social work education is to guide students to acquire and develop social-communicative competencies. The purpose of this study was to investigate the role students’ personality characteristics, self-perceived communicative competence and learning conceptions play in the acquisition and development of social-communicative competencies. We designed and tested a hypothetical model on the student-related variables – self-perceived communicative competence, learning conceptions and reported learning activities regarding communication – in relation to performance scores. We were interested in developmental trends in the above mentioned variables. We also wanted to gain insight into the relationships among the variables. The study was set up according to a longitudinal, within-subjects design in order to study intra-individual changes. One-hundred and twenty-three first-year social-work students participated in this study. Many changes were found in students characteristics, reported deployed learning activities and study results during their first academic year. Except for confidence in “showing sympathy”, which was already relatively high at the beginning of the study, all scores on aspects of students’ self-perceived social-communicative competence increased. Assessment scores on comparable communication tests also increased significantly. Extraversion and emotional stability were the only two personality characteristics, which seemed rather stable. Agreeableness decreased while autonomy increased continuously during the first academic year. It seemed to be possible to set up a model, which may serve as a starting point for further research into the development of social-communicative competence.     

Stichwort: Professionelle Kompetenz von Lehrkräften

Ohne Zusammenfassung      

Recognizing the face of Johnny, Suzy, and me: insensitivity to the spacing among features at 4 years of age

Four-year-olds were tested for their ability to use differences in the spacing among features to recognize familiar faces. They were given a storybook depicting multiple views of 2 children. They returned to the laboratory 2 weeks later and used a "magic wand" to play a computer game that tested their ability to recognize the familiarized faces and their own face based on the spacing of features. Children performed at chance levels. Follow-up studies confirmed that they had attended to internal facial features and validated the stimuli. The results contrast with studies showing some sensitivity to the spacing of features in infants and preschool children; multiple mechanisms of face processing may make use of spatial relations and develop at different rates.