The effects of performance-based assessment criteria on student performance and self-assessment skills

This study investigated the effect of performance-based versus competence-based assessment criteria on task performance and self-assessment skills among 39 novice secondary vocational education students in the domain of nursing and care. In a performance-based assessment group students are provided with a preset list of performance-based assessment criteria, describing what students should do, for the task at hand. The performance-based group is compared to a competence-based assessment group in which students receive a preset list of competence-based assessment criteria, describing what students should be able to do. The test phase revealed that the performance-based group outperformed the competence-based group on test task performance. In addition, higher performance of the performance-based group was reached with lower reported mental effort during training, indicating a higher instructional efficiency for novice students

Exploring the impact of patient-specific clinical features on osimertinib effectiveness in a real-world cohort of patients with EGFR mutated non-small cell lung cancer

Osimertinib is prescribed to patients with metastatic non-small cell lung cancer (NSCLC) and a sensitizing EGFR mutation. Limited data exists on the impact of patient characteristics or osimertinib exposure on effectiveness outcomes. This was a Dutch, multicenter cohort study. Eligible patients were ≥18 years, with metastatic EGFRm+ NSCLC, receiving osimertinib. Primary endpoint was progression-free survival (PFS). Secondary endpoints included overall survival (OS) and safety. Kaplan-Meier analyses and multivariate Cox proportional hazard models were performed. In total, 294 patients were included. Primary EGFR-mutations were mainly exon 19 deletions (54%) and p.L858R point mutations (30%). Osimertinib was given in first-line (40%), second-line (46%) or beyond (14%), with median PFS 14.4 (95% CI: 9.4-19.3), 13.9 (95% CI: 11.3-16.1) and 8.7 months (95% CI: 4.6-12.7), respectively. Patients with low BMI (&lt;20.0 kg/m2) had significantly shorter PFS/OS compared to all other subgroups. Patients with a high plasma trough concentration in steady state (Cmin,SS; &gt;271 ng/mL) had shorter PFS compared to a low Cmin,SS (&lt;163 ng/mL; aHR 2.29; 95% CI: 1.13-4.63). A significant longer PFS was seen in females (aHR = 0.61, 95% CI: 0.45-0.82) and patients with the exon 19 deletion (aHR = 0.58, 95% CI: 0.36-0.92). A trend towards longer PFS was seen for TP53 wild-type patients, while age did not impact PFS. Patients with a primary EGFR exon 19 deletion had longer PFS, while a low BMI, male sex and a high Cmin,SS were indicative for shorter PFS and/or OS. Age was not associated with effectiveness outcomes of osimertinib.</p

Comparison of characteristics of patients with lung cancer in U.K. primary care databases: Clinical Practice Research Datalink Aurum and GOLD

INTRODUCTION: In recent years, the number of general practices contributing to the Clinical Practice Research Datalink (CPRD) database GOLD is decreasing. Therefore, for research questions addressing for instance novel treatments requiring up-to-date data, sample size will become an important consideration in study feasibility. In recent years, CPRD Aurum, containing information of practices that use EMIS software, has become an additional data source that is being used for CPRD studies. In order to establish whether Aurum is suited to act as data source for future studies in the field of lung cancer research, we aimed to compare characteristics between patients with lung cancer in Aurum and GOLD. METHODS: A retrospective study was performed comparing characteristics and overall survival (OS) of patients with lung cancer in Aurum and GOLD. To further evaluate similarity, hypothetical eligibility of these patients in Aurum and GOLD was compared for 11 randomized clinical trials (RCTs). RESULTS: Baseline characteristics registered in Aurum and GOLD were largely similar, with some clinically irrelevant differences for previous malignancies, deviant laboratory values and drug use. Median OS was 9.8 and 9.0 months for patients in Aurum and GOLD, respectively. Potential RCT eligibility varied between 49.4% and 79.5% and 49.1% and 78.1% for patients in Aurum and GOLD, respectively. Mortality rates and the comparison of the obtained HRs per hypothetical eligibility cohort per RCT were similar in Aurum and GOLD. CONCLUSION: This study showed that data of patients with lung cancer in Aurum and GOLD are largely comparable, suggesting that Aurum is suitable for future epidemiological lung cancer research

Methods for characterising the steel–concrete interface to enhance understanding of reinforcement corrosion: a critical review by RILEM TC 262-SCI

The steel–concrete interface (SCI) is a complex, multi-phase and multi-scale system. It is widely known to influence the performance and long-term durability of concrete structures. However, a fundamental understanding of its properties and effects on corrosion initiation of embedded reinforcing steel remains elusive. This is attributed to its complicated heterogeneity and time-dependent nature, exacerbated by the lack of suitable techniques for systematic and detailed characterisation. This paper, prepared by members of the RILEM Technical Committee 262-SCI, critically reviews available information regarding current methods (laboratory or field-based) for characterising local properties of the SCI that have been identified as governing factors affecting corrosion initiation. These properties include characteristics of the steel such as mill scale and rust layers, and characteristics of the concrete such as interfacial voids, microstructure and moisture content. We evaluated over twenty methods and summarised their advantages, applications and limitations. The findings show a severe lack of well established, non-destructive techniques that are suitable for direct monitoring of the SCI at a representative scale with sufficiently high resolution (spatial, temporal), particularly for moisture related aspects. Several promising novel techniques with significant potential for further development and application were identified and discussed. Finally, we provide several recommendations for future research needs that are required to advance this critically important topic

Gezond en duurzaam eetgedrag volgens experts in het werkveld

Voedingsbeleid heeft zich tot nu toe vooral gefocust op het bevorderen van de gezondheidswinst voor het individu. Het belang van het includeren van het duurzaamheidsperspectief wordt echter steeds meer benadrukt. Daarom startte het SWITCH project met de vraag: hoe benaderen experts in het werkveld deze combinatie van gezond én duurzaam voedingsgedrag

Towards competence-based VET: dealing with the pitfalls

This article builds on a previous 2004 Journal of Vocational Education and Training (JVET) contribution by Biemans et al., in which several possible pitfalls in designing and implementing competence-based education (CBE) were discussed. The present article reports on the results of an extensive research programme on competence development and CBE consisting of four empirical studies carried out in schools for secondary and higher vocational education in the life sciences in the Netherlands in the years 2004 to 2008. Based on the research findings, the article examines how the CBE pitfalls have been dealt with in Dutch VET. The conclusion can be drawn that the various pitfalls have received attention during the design and implementation of CBE, but not all problems have been solved yet. The article provides clues as to how the various pitfalls might be further addressed in the future to improve the quality of competence-based VET. Keywords: competence; competence-based education; vocational education; VE