Evaluation of adverse drug reaction formatting in drug information mobile phone applications

Objective:To evaluate the differences in presentation (formatting) of adverse drug reaction (ADR) information within drug monographs in commonly used drug information (DI) mobile device applications.Methods:A cross-sectional analysis of ADR formatting of twenty commonly prescribed oral medications within seven DI mobile applications was performed. Databases were assessed for ADR information, including presence of placebo comparisons, severity of ADR, onset of ADR, formatting of ADRs in percentile (quantitative) format or qualitative format, whether references were used to cite information, and whether ADRs are grouped by organ system. Data was collected by two study investigators and discrepancies were resolved via consensus.Results:The seven DI mobile applications varied significantly on every analyzed ADR variable with the exception of ADR onset, which was absent in all databases. Significant differences were found for variables known to impact clinical judgment such as placebo comparisons and qualitative versus quantitative formatting. Placebo comparisons were most common among monographs in Lexicomp (30%) but were absent among monographs within other applications. Quantitative information was commonly used in most databases but was absent in Epocrates. Qualitative formatting was present in all Epocrates and Micromedex applications but absent in the majority of other applications. Substantial variations were also found in severity and grouping information.Conclusion:Substantial variation in ADR formatting exists among the most common DI mobile applications. These differences may translate into alternative interpretations of medical information and thus impact clinical judgment. Health care librarians and clinicians should consider ADR formatting when choosing between DI applications.     

信念

Believe in what Nakes you feel good 　　and what hakes you happy. 　　Believe in the dreams 　　you've always wanted to come true, 　　and give then every chance to. 　　If you ape villing to take the 　　opportunities you are given 　　and utilize the abilities you have, 　　you viii constantly fill 　　your lite vith special moments 　　and unforgettable times.……     

The experience of burnout among English language teachers in Iran: self and other determinants

Burnout in teachers is an important concern since it adversely impacts their instruction as well as their psychological, mental, and physical health. The present study examined the levels of burnout (i.e. emotional exhaustion, depersonalization, and reduced personal accomplishment) experienced by Iranian English language teachers. Specifically, the relationships of participants’ gender, workplace context, grade level taught, and teaching experience to their burnout were investigated. Data were collected from 40 teachers using the Maslach Burnout Inventory. Overall, findings revealed that English teachers (N = 40) were experiencing high levels of reduced personal accomplishment (M = 18.72) and emotional exhaustion (M = 17.80). Results of one-way ANOVA showed significant differences among English language teachers with respect to burnout subscales. Significant correlations were found between burnout, workplace context, and grade level taught. A number of helpful suggestions for programs and individuals involved in relieving stress and burnout among teachers are presented.     

The Lived Experiences of Men in a Master's Counseling Program

Using phenomenological methodology, the authors explored the experiences of 11 men in a master's‐level counseling program. Participants described the challenges and advantages of being a minority in number, being in a relational environment, and having an awareness of a patriarchal system. These findings suggest the importance of counselor educator awareness of the unique barriers male students face.     

An expert’s mind in action: Assessing attentional focus,workload and performance in a dynamic,naturalistic environment

ABSTRACT

The aims of this study were to (1) to explore attentional strategies in expert judo players and (2) investigate how attentional focus affects performance effectiveness and perceptions of workload in expert judo players during real competitions. Fourteen expert male judo players participated in the study. A simulated recall method was used following participants’ competition to explore contents of attention qualitatively. The data analysis process for the qualitative portion of the study was an iterative process between inductive and deductive analyses. Quantitative analyses of performance outcomes and workload were then associated with the qualitative findings. Qualitative results revealed that the focus of attention was dynamic and complex, with technical aspects of the movements as the highest identified focus. Quantitative analyses revealed that reporting a lower quantity of attentional cues and higher percentage of focus on opponent resulted in higher performance effectiveness and less perceptions of workload. This study indicates that cognitive control and automaticity may work in a synergistic manner for successful skill execution in expert performance.     

Correlates of Rapid-Guessing Behavior in Low-Stakes Testing: Implications for Test Development and Measurement Practice

Previous research has shown that rapid-guessing behavior can degrade the validity of test scores from low-stakes proficiency tests. This study examined, using hierarchical generalized linear modeling, examinee and item characteristics for predicting rapid-guessing behavior. Several item characteristics were found significant; items with more text or those occurring later in the test were related to increased rapid guessing, while the inclusion of a graphic in a item was related to decreased rapid guessing. The sole significant examinee predictor was SAT total score. Implications of these results for measurement professionals developing low-stakes tests are discussed.