A Study on Reflective Reciprocal Peer Coaching for Pre-service Teachers: Change in Reflectivity

Reflective practice is considered as an effective way for professional development in order to gain awareness of one’s own teaching as well as to compete with the changing needs of the students. Especially in pre-service period, when pre-service teachers work cooperatively with their peers in a reciprocal fashion towards reflectivity, it has a potential to promote advancement in reflective practices and help them focus on the underlying meaning behind their actions. Based on these ideas, this study aimed at engaging pre-service teachers in a reflective reciprocal peer coaching experience and investigating whether such experience caused any changes in their reflectivity. For this purpose, 12 pre-service teachers in a Turkish ELT context participated in the study and a reflective reciprocal peer coaching program was implemented with a training aspect. In a mixed method study design, change in participants’ reflectivity was measured with a profile of reflective thinking attributes scale quantitatively and data were supported qualitatively with reflective diaries, video recordings of post-conference sessions and focus-group interviews. Results of quantitative and qualitative analyses put forward that the pre-service teachers advanced in their reflectivity throughout the reflective reciprocal peer coaching practice and benefited much from this experience before they embark into professional life. This study provides valuable implications to use reflection embedded in a peer coaching program and offers suggestions for teacher educators

Bland-Altman Plots for Evaluating Agreement Between Solid Tumor Measurements

Rationale and Objectives. Solid tumor measurements are regularly used in clinical trials of anticancer therapeutic agents and in clinical practice managing patients\u27 care. Consequently studies evaluating the reproducibility of solid tumor measurements are important as lack of reproducibility may directly affect patient management. The authors propose utilizing a modified Bland-Altman plot with a difference metric that lends itself naturally to this situation and facilitates interpretation. Materials and Methods. The modification to the Bland-Altman plot involves replacing the difference plotted on the vertical axis with the relative percent change (RC) between the two measurements. This quantity is the same one used in assessing tumor response to therapeutic agents and is very familiar to radiologists and clinicians working with cancer patients.The distribution of the RC is explored and revised equations for the limits of agreement (LoA) are presented. These methods are applied to positron emission tomography (PET) data studying two radiotracers. Results. The RC can be calculated separately for each lesion measured or at the patient level by summing over lesions within patient. In both cases, the distribution of the RC is highly skewed and is approximated by a negative shifted lognormal distribution. The standard equations for the 95% LoA assume the differences are approximately normally distributed and are not appropriate for the RC. Conclusions. The modified Bland-Altman plot with correctly calculated LoA can aid in evaluating agreement between solid tumor measurements

Structure of amyloid-β (20-34) with Alzheimer's-associated isomerization at Asp23 reveals a distinct protofilament interface.

Amyloid-β (Aβ) harbors numerous posttranslational modifications (PTMs) that may affect Alzheimer's disease (AD) pathogenesis. Here we present the 1.1 Å resolution MicroED structure of an Aβ 20-34 fibril with and without the disease-associated PTM, L-isoaspartate, at position 23 (L-isoAsp23). Both wild-type and L-isoAsp23 protofilaments adopt β-helix-like folds with tightly packed cores, resembling the cores of full-length fibrillar Aβ structures, and both self-associate through two distinct interfaces. One of these is a unique Aβ interface strengthened by the isoaspartyl modification. Powder diffraction patterns suggest a similar structure may be adopted by protofilaments of an analogous segment containing the heritable Iowa mutation, Asp23Asn. Consistent with its early onset phenotype in patients, Asp23Asn accelerates aggregation of Aβ 20-34, as does the L-isoAsp23 modification. These structures suggest that the enhanced amyloidogenicity of the modified Aβ segments may also reduce the concentration required to achieve nucleation and therefore help spur the pathogenesis of AD

Assessing noninferiority in a three-arm trial using the Bayesian Approach

Non-inferiority trials, which aim to demonstrate that a test product is not worse than a competitor by more than a pre-specified small amount, are of great importance to the pharmaceutical community. As a result, methodology for designing and analyzing such trials is required, and developing new methods for such analysis is an important area of statistical research. The three-arm clinical trial is usually recommended for non-inferiority trials by the Food and Drug Administration (FDA). The three-arm trial consists of a placebo, a reference, and an experimental treatment, and simultaneously tests the superiority of the reference over the placebo along with comparing this reference to an experimental treatment. In this paper, we consider the analysis of noninferiority trials using Bayesian methods which incorporate both parametric as well as semi-parametric models. The resulting testing approach is both flexible and robust. The benefit of the proposed Bayesian methods is assessed via simulation, based on a study examining Home Based Blood Pressure Interventions

Inferential Methods to Assess the Difference in the Area Under the Curve From Nested Binary Regression Models

The area under the curve (AUC) is the most common statistical approach to evaluate the discriminatory power of a set of factors in a binary regression model. A nested model framework is used to ascertain whether the AUC increases when new factors enter the model. Two statistical tests are proposed for the difference in the AUC parameters from these nested models. The asymptotic null distributions for the two test statistics are derived from the scenarios: (A) the difference in the AUC parameters is zero and the new factors are not associated with the binary outcome, (B) the difference in the AUC parameters is less than a strictly positive value. A confidence interval for the difference in AUC parameters is developed. Simulations are generated to determine the finite sample operating characteristics of the tests and a pancreatic cancer data example is used to illustrate this approach

Ocular changes in primary hypothyroidism

<p>Abstract</p> <p>Background</p> <p>To determine the ocular changes related to hypothyrodism in newly diagnosed patients without orbitopathy.</p> <p>Findings</p> <p>Thirty-three patients diagnosed to have primary overt hypothyroidism were enrolled in the study. All subjects were assigned to underwent central corneal thickness (CCT), anterior chamber volume, depth and angle measurements with the Scheimpflug camera (Pentacam, Oculus) and cup to disc ratio (C/D), mean retinal thickness and mean retinal nerve fiber layer (RNFL) thickness measurements with optical coherence tomography (OCT) in addition to ophthalmological examination preceeding the replacement therapy and at the 1^st, 3^rdand 6^thmonths of treatment.</p> <p>The mean age of the patients included in the study were 40.58 ± 1.32 years. The thyroid hormone levels return to normal levels in all patients during the follow-up period, however the mean intraocular pressure (IOP) revealed no significant change. The mean CCT was 538.05 ± 3.85 μ initially and demonstrated no statistically significant change as the anterior chamber volume, depth and angle measurements did. The mean C/D ratio was 0.29 ± 0.03 and the mean retinal thickness was 255.83 ± 19.49 μ initially and the treatment did not give rise to any significant change. The mean RNFL thickness was also stable during the control visits, so no statistically significant change was encountered.</p> <p>Conclusions</p> <p>Neither hypothyroidism, nor its replacement therapy gave rise to any change of IOP, CCT, anterior chamber parameters, RNFL, retinal thickness and C/D ratio.</p