1,045 research outputs found
Comparison of Scale Identification Methods in Mixture IRT Models
The effects of three scale identification constraints in mixture IRT models were studied. A simulation study found no constraint effect on the mixture Rasch and mixture 2PL models, but the item anchoring constraint was the only one that worked well on selecting correct model with the mixture 3PL model
Why Defining the Construct Matters: An Examination of Teacher Knowledge Using Different Lenses on One Assessment
What does it mean to align an assessment to the domain of interest? In this paper, we analyze teachers’ performance on the Learning Mathematics for Teaching assessment of Proportional Reasoning. Using a mixture Rasch model, we analyze their performance on the entire assessment, then on two different subsets of items from the original assessment. We consider the affordances of different conceptualizations of the domain and consider the implications of the domain definition on the claims we can make about teacher performance. We use a single assessment to illustrate the differences in results that can arise based on the ways in which the domain of interest is conceptualized. Suggestions for test development are provided
The Impact of Equating on Detection of Treatment Effects
Equating makes it possible to compare performances on different forms of a test. Three different equating methods (baseline selection, subgroup, and subscore equating) using common-item item response theory equating were examined for their impact on detection of treatment effects in multilevel models
Media Witnessing: Exploring the Audience of Distant Suffering
This article aims at demonstrating the relevance of the concept of ‘media witnessing’ as an analytical lens for the study of audience engagement with media reports of distant suffering. Drawing upon existing theoretical work on the concept, the article approaches media witnessing as a distinct modality of audience experience and constructs an analytical framework for its study. Applying this framework on an empirical study of Greek audiences, the article provides a typology of witnessing, consisting of four different types of audience engagement with media stories of human suffering. This typology illustrates the complexities inherent in the practice of watching suffering on television, as well as the limitations of mediated cosmopolitan imagination
Toll-like receptor gene variants and bacterial vaginosis among HIV-1 infected and uninfected African women.
Bacterial vaginosis (BV) is a common vaginal syndrome associated with altered microflora that increases the risk of preterm delivery and acquisition of sexually transmitted diseases. The cause of BV is unknown although toll-like receptors (TLRs), that are central to innate immune responses, may be important. We evaluated associations between TLR SNPs and BV among HIV-1 infected and uninfected African women. Logistic regression was used to assess associations between SNPs (N=99) in TLRs 2-4, 7-9 and BV (as classified by Nugent's criteria). Among HIV-1 uninfected women, TLR7 rs5743737 and TLR7 rs1634323 were associated with a decreased risk of BV, whereas TLR7 rs179012 was associated with an increased risk. TLR2 SNP rs3804099 was associated with a decreased risk of BV among HIV-1 infected women. Our findings indicate that there may be differences in TLR association with BV among HIV-1 infected and HIV-1 uninfected women
Canada's Compassionate Care Benefit: Is it an adequate public health response to addressing the issue of caregiver burden in end-of-life care?
Abstract
Background
An increasingly significant public health issue in Canada, and elsewhere throughout the developed world, pertains to the provision of adequate palliative/end-of-life (P/EOL) care. Informal caregivers who take on the responsibility of providing P/EOL care often experience negative physical, mental, emotional, social and economic consequences. In this article, we specifically examine how Canada's Compassionate Care Benefit (CCB) - a contributory benefits social program aimed at informal P/EOL caregivers - operates as a public health response in sustaining informal caregivers providing P/EOL care, and whether or not it adequately addresses known aspects of caregiver burden that are addressed within the population health promotion (PHP) model.
Methods
As part of a national evaluation of Canada's Compassionate Care Benefit, 57 telephone interviews were conducted with Canadian informal P/EOL caregivers in 5 different provinces, pertaining to the strengths and weaknesses of the CCB and the general caregiving experience. Interview data was coded with Nvivo software and emerging themes were identified by the research team, with such findings published elsewhere. The purpose of the present analysis was identified after comparing the findings to the literature specific to caregiver burden and public health, after which data was analyzed using the PHP model as a guiding framework.
Results
Informal caregivers spoke to several of the determinants of health outlined in the PHP model that are implicated in their burden experience: gender, income and social status, working conditions, health and social services, social support network, and personal health practises and coping strategies. They recognized the need for improving the CCB to better address these determinants.
Conclusions
This study, from the perspective of family caregivers, demonstrates that the CCB is not living up to its full potential in sustaining informal P/EOL caregivers. Effort is required to transform the CCB so that it may fulfill the potential it holds for serving as one public health response to caregiver burden that forms part of a healthy public policy that addresses the determinants of this burden.
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The Asylum-Seeker and Refugee Experience - An Interpretative Phenomenological Analysis of Interview Data Elicited Through the Use of Artefacts
Theme 3: Protection of the ‘most vulnerable’ - children, young people growing up in ‘austerity’ older people, migrants Background: There is a pressing need to understand the experiences of those who undertake forced migration. The UNHCR (2016) has reported that “one in every 113 people globally is now either an asylum-seeker, internally displaced or a refugee” - this is at its highest level since the Second World War. Aims: This study sought to explore the lived experiences of asylum-seekers and refugees based in the United Kingdom in an effort to understand the psycho-social challenges and support systems in place for them. Methods: This was a qualitative study. 11 participants were interviewed on two separate occasions. In the first interview, each participant was asked to bring an artefact of something that was personal to them and best represented their life experiences. The second interview allowed for further exploration of issues that arose from the first interview and also enabled rapport to be developed in an effort to elicit a deeper level understanding of the lived experience of being an asylum-seeker or refugee from conversations in the second interview. Findings: Findings to be reported in this presentation will show themes related to: meaning-making, offering and receiving collective support, and the potential for growth via connections with spiritual communities. Conclusions: A detailed analysis of these personal accounts from this sample of asylum-seekers and refugees could help inform an understanding and appropriate intervention planning on a local, national, and global level when aiming to address the psycho-social and spiritual needs of this target group. Mainstreaming community psychology interventions: reflections on workin
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Psychiatric intensive care units: A literature review
Background: Psychiatric Intensive Care Units (PICU) have been part of most inpatient psychiatric services for some time, however information about their functioning and outcome has not previously been collated.
Aim: To conduct a systematic literature review to assess the current state of knowledge about such services.
Method: A search of electronic databases was undertaken, followed by obtaining additional references from items obtained.
Results: Over 50 papers in English containing some empirical data were identified. Most studies were retrospective. Typical PICU patients are: male; younger; single; unemployed; suffering from schizophrenia or mania; from a black Caribbean or African background; legally detained; with a forensic history. The most common reason for admission is for aggression management, and most patients stay a week or less. Evidence of the efficacy of PICU care is very poor.
Conclusions: Most research so far has been small scale, and more substantial work using better methodologies is clearly required
General relativistic corrections to the Sagnac effect
The difference in travel time of corotating and counter-rotating light waves
in the field of a central massive and spinning body is studied. The corrections
to the special relativistic formula are worked out in a Kerr field. Estimation
of numeric values for the Earth and satellites in orbit around it show that a
direct measurement is in the order of concrete possibilities.Comment: REVTex, accepted for publication on Phys. Rev.
‘What are you going to do, confiscate their passports?’ Professional perspectives on cross-border reproductive travel
Objective: This article reports findings from a UK-based study which explored the phenomenon of overseas travel for fertility treatment. The first phase of this project aimed to explore how infertility clinicians and others professionally involved in fertility treatment understand the nature and consequences of cross-border reproductive travel. Background: There are indications that, for a variety of reasons, people from the UK are increasingly travelling across national borders to access assisted reproductive technologies. While research with patients is growing, little is known about how ‘fertility tourism’ is perceived by health professionals and others with a close association with infertility patients. Methods: Using an interpretivist approach, this exploratory research included focussed discussions with 20 people professionally knowledgeable about patients who had either been abroad or were considering having treatment outside the UK. Semi-structured interviews were recorded, transcribed verbatim and subjected to a thematic analysis. Results: Three conceptual categories are developed from the data: ‘the autonomous patient’; ‘cross-border travel as risk’, and ‘professional responsibilities in harm minimisation’. Professionals construct nuanced, complex and sometimes contradictory narratives of the ‘fertility traveller’, as vulnerable and knowledgeable; as engaged in risky behaviour and in its active minimisation. Conclusions: There is little support for the suggestion that states should seek to prevent cross-border treatment. Rather, an argument is made for less direct strategies to safeguard patient interests. Further research is required to assess the impact of professional views and actions on patient choices and patient experiences of treatment, before, during and after travelling abroad
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