1,396 research outputs found
PISA as a political instrument: one history behind the formulating of the PISA programme
El objetivo principal de este artÃculo es el análisis histórico que se halla en el desarrollo de las
evaluaciones internacionales como mecanismo de gobernación.
AsÃ, el autor analiza el contexto económico y polÃtico que ha servido de base para las evaluaciones
internacionales en general y PISA en particular. Se describe la génesis de la evaluación educativa
desde el siglo XIX hasta las primeras décadas del siglo XX como un primer hito en el desarrollo de
la evaluación educativa, una vez establecida la idea de la evaluación como base para las reformas
educativas y cada vez más ligada a las posiciones sociales y salarios.The main focus of his historical analysis is on the development of international assessment as a
device for political governing.Thus, the autor analyses the economic and political context which formed the background for
international assessment in general and PISA in particular. It traces the genesis of educational
assessment back to the 19th century and identifies the early decades of the 20th century as a first
milestone in the development of educational assessment, when the idea of the evaluation as a
base for educational reforms was established and educational assessment was increasingly linked
to social positions and salaries.Grupo FORCE (HUM-386). Departamento de Didáctica y Organización Escolar de la Universidad de Granada
Aging in a Two-Dimensional Ising Model with Dipolar Interactions
Aging in a two-dimensional Ising spin model with both ferromagnetic exchange
and antiferromagnetic dipolar interactions is established and investigated via
Monte Carlo simulations. The behaviour of the autocorrelation function
is analyzed for different values of the temperature, the waiting
time and the quotient , and being the
strength of exchange and dipolar interactions respectively. Different
behaviours are encountered for at low temperatures as is
varied. Our results show that, depending on the value of , the dynamics
of this non-disordered model is consistent either with a slow domain dynamics
characteristic of ferromagnets or with an activated scenario, like that
proposed for spin glasses.Comment: 4 pages, RevTex, 5 postscript figures; acknowledgment added and some
grammatical corrections in caption
RELEVANCE, RELIABILITY AND LIMITATIONS OF A DROP AND STICK LANDING ANALYSIS
The vertical force data from a drop and stick landing can be used to derive a number of variables. Previous studies have generally focused on the time to stabilization and peak force aspects, and issues related to reliability have been reported. This study investigated reliability for time to stabilisation, peak force, time to peak force, stiffness, rate of force dissipation, impulse and eccentric power (EP) among five professional elite surfing athletes. This data was also compared to data of aerial success in World Championship Tour competitions. The results revealed the best relationship between relative stiffness as well as eccentric power and completion rate of aerial manoeuvres. Further, eccentric power had the best reliability of the variables and may therefore be an interesting variable to study further
Postpartum consultation: Occurrence, requirements and expectations
<p>Abstract</p> <p>Background</p> <p>As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour.</p> <p>Methods</p> <p>All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis.</p> <p>Results</p> <p>Of the 150 interviewed women, 56% (n = 84) had a postpartum consultation of which 61.9% (n = 52) had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear.</p> <p>Conclusion</p> <p>The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care.</p
Anomalous diffusion as a signature of collapsing phase in two dimensional self-gravitating systems
A two dimensional self-gravitating Hamiltonian model made by
fully-coupled classical particles exhibits a transition from a collapsing phase
(CP) at low energy to a homogeneous phase (HP) at high energy. From a dynamical
point of view, the two phases are characterized by two distinct single-particle
motions : namely, superdiffusive in the CP and ballistic in the HP. Anomalous
diffusion is observed up to a time that increases linearly with .
Therefore, the finite particle number acts like a white noise source for the
system, inhibiting anomalous transport at longer times.Comment: 10 pages, Revtex - 3 Figs - Submitted to Physical Review
Patient engagement with antibiotic messaging in secondary care: a qualitative feasibility study of the ‘review & revise’ experience
Background: We aimed to investigate and optimise the acceptability and usefulness of a patient leaflet about antibiotic prescribing decisions made during hospitalisation, and to explore individual patient experiences and preferences regarding the process of antibiotic prescription ‘review & revise’ which is a key strategy to minimise antibiotic overuse in hospitals.
Methods: In this qualitative study, run within the feasibility study of a large, cluster-randomised stepped wedge trial of 36 hospital organisations, a series of semi-structured, think-aloud telephone interviews were conducted and data were analysed using thematic analysis. Fifteen adult patients who had experienced a recent acute medical hospital admission during which they had been prescribed antimicrobials and offered a patient leaflet about antibiotic prescribing were recruited to the study.
Results: Participants reacted positively to the leaflet, reporting that it was both an accessible and important source of information which struck the appropriate balance between informing and reassuring. Participants all valued open communication with clinicians, and were keen to be involved in antibiotic prescribing decisions, with individuals reporting positive experiences regarding antibiotic prescription changes or stopping. Many participants had prior experience or knowledge of antibiotics and resistance, and generally welcomed efforts to reduce antibiotic usage. Overall, there was a feeling that healthcare professionals (HCPs) are trusted experts providing the most appropriate treatment for individual patient conditions.
Conclusions: This study offers novel insights into how patients within secondary care are likely to respond to messages advocating a reduction in the use of antibiotics through the ‘review & revise’ approach. Due to the level of trust that patients place in their care provider, encouraging HCPs within secondary care to engage patients with greater communication and information provision could provide great advantages in the drive to reduce antibiotic use. It may also be beneficial for HCPs to view patient experiences as cumulative events that have the potential to impact future behaviour around antibiotic use. Finally, pre-testing messages about antibiotic prescribing and resistance is vital to dispelling any misconceptions either around effectiveness of treatment for patients, or perceptions of how messages may be received
Interleukin-2 therapy in patients with HIV infection
BACKGROUND
Used in combination with antiretroviral therapy, subcutaneous recombinant interleukin-2 raises CD4+ cell counts more than does antiretroviral therapy alone. The clinical implication of these increases is not known.
METHODS
We conducted two trials: the Subcutaneous Recombinant, Human Interleukin-2 in HIV-Infected Patients with Low CD4+ Counts under Active Antiretroviral Therapy (SILCAAT) study and the Evaluation of Subcutaneous Proleukin in a Randomized International Trial (ESPRIT). In each, patients infected with the human immunodeficiency virus (HIV) who had CD4+ cell counts of either 50 to 299 per cubic millimeter (SILCAAT) or 300 or more per cubic millimeter (ESPRIT) were randomly assigned to receive interleukin-2 plus antiretroviral therapy or antiretroviral therapy alone. The interleukin-2 regimen consisted of cycles of 5 consecutive days each, administered at 8-week intervals. The SILCAAT study involved six cycles and a dose of 4.5 million IU of interleukin-2 twice daily; ESPRIT involved three cycles and a dose of 7.5 million IU twice daily. Additional cycles were recommended to maintain the CD4+ cell count above predefined target levels. The primary end point of both studies was opportunistic disease or death from any cause.
RESULTS
In the SILCAAT study, 1695 patients (849 receiving interleukin-2 plus antiretroviral therapy and 846 receiving antiretroviral therapy alone) who had a median CD4+ cell count of 202 cells per cubic millimeter were enrolled; in ESPRIT, 4111 patients (2071 receiving interleukin-2 plus antiretroviral therapy and 2040 receiving antiretroviral therapy alone) who had a median CD4+ cell count of 457 cells per cubic millimeter were enrolled. Over a median follow-up period of 7 to 8 years, the CD4+ cell count was higher in the interleukin-2 group than in the group receiving antiretroviral therapy alone--by 53 and 159 cells per cubic millimeter, on average, in the SILCAAT study and ESPRIT, respectively. Hazard ratios for opportunistic disease or death from any cause with interleukin-2 plus antiretroviral therapy (vs. antiretroviral therapy alone) were 0.91 (95% confidence interval [CI], 0.70 to 1.18; P=0.47) in the SILCAAT study and 0.94 (95% CI, 0.75 to 1.16; P=0.55) in ESPRIT. The hazard ratios for death from any cause and for grade 4 clinical events were 1.06 (P=0.73) and 1.10 (P=0.35), respectively, in the SILCAAT study and 0.90 (P=0.42) and 1.23 (P=0.003), respectively, in ESPRIT.
CONCLUSIONS
Despite a substantial and sustained increase in the CD4+ cell count, as compared with antiretroviral therapy alone, interleukin-2 plus antiretroviral therapy yielded no clinical benefit in either study. (ClinicalTrials.gov numbers, NCT00004978 [ESPRIT] and NCT00013611 [SILCAAT study].
Separation between coherent and turbulent fluctuations. What can we learn from the Empirical Mode Decomposition?
The performances of a new data processing technique, namely the Empirical
Mode Decomposition, are evaluated on a fully developed turbulent velocity
signal perturbed by a numerical forcing which mimics a long-period flapping.
First, we introduce a "resemblance" criterion to discriminate between the
polluted and the unpolluted modes extracted from the perturbed velocity signal
by means of the Empirical Mode Decomposition algorithm. A rejection procedure,
playing, somehow, the role of a high-pass filter, is then designed in order to
infer the original velocity signal from the perturbed one. The quality of this
recovering procedure is extensively evaluated in the case of a "mono-component"
perturbation (sine wave) by varying both the amplitude and the frequency of the
perturbation. An excellent agreement between the recovered and the reference
velocity signals is found, even though some discrepancies are observed when the
perturbation frequency overlaps the frequency range corresponding to the
energy-containing eddies as emphasized by both the energy spectrum and the
structure functions. Finally, our recovering procedure is successfully
performed on a time-dependent perturbation (linear chirp) covering a broad
range of frequencies.Comment: 23 pages, 13 figures, submitted to Experiments in Fluid
Low frequency response of a collectively pinned vortex manifold
A low frequency dynamic response of a vortex manifold in type-II
superconductor can be associated with thermally activated tunneling of large
portions of the manifold between pairs of metastable states (two-level
systems). We suggest that statistical properties of these states can be
verified by using the same approach for the analysis of thermal fluctuations
the behaviour of which is well known. We find the form of the response for the
general case of vortex manifold with non-dispersive elastic moduli and for the
case of thin superconducting film for which the compressibility modulus is
always non-local.Comment: 8 pages, no figures, ReVTeX, the final version. Text strongly
modified, all the results unchange
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