To use constructed-response questions, or not to use constructed-response questions? that is the question

RePEc Working Paper Series: No. 69/2010Advocates of Constructed Response (CR) questions argue that CR questions provide a different assessment of student knowledge than is available from Multiple Choice (MC) questions. If that is the case, and if the benefit in terms of improved assessment is substantial, then it follows that grade outcomes using CR questions should be different from those using MC questions. We investigate this using a large dataset composed of individual assessment results from thousands of students in introductory economics classes at a large public university. Empirical analysis of our large sample of students indicates that a switch to an all-MC format would result in grade changes that are in the “small” to moderate range when compared to grade changes that occur between assessments. This evidence suggests that CR questions could be abandoned at relatively little cost in grading accuracy. However, there are other arguments in favour of keeping CR questions. In particular, it has been suggested that students perceive a mix of CR and MC as “fairer” than an assessment composed exclusively of one or the other question type. Further, some instructors believe that CR questions encourage students to study harder. We provide survey evidence that supports both arguments

“When that understanding is there, you work much better together”: the role of family in audiological rehabilitation for older adults

OBJECTIVE: This study aimed to explore the experiences and perceptions of adults with hearing impairment and family members regarding the role of family in audiological rehabilitation. DESIGN: A qualitative descriptive methodology was used. STUDY SAMPLE: A total of 37 people participated, 24 older adults with hearing impairment and 13 family members (11 spouses and 2 adult children). Four focus group interviews were conducted with the adults with hearing impairment, and 3 with family members. RESULTS: Five key themes emerged from analysis of the transcripts: (1) knowledge and understanding of hearing impairment and treatment; (2) the role of family members in rehabilitation is complex and multifaceted; (3) audiologists have an influential role in facilitating family member involvement; (4) the role of communication in rehabilitation; and (5) outcomes of family member involvement. Importantly, although perceptions were generally very positive, there was some uncertainty about the role of family. CONCLUSIONS: Audiologists have a key role in facilitating family involvement in audiological rehabilitation that is identified by adults with hearing impairment and their families. Although participants reported limited involvement in audiological rehabilitation currently, they identified potential for involvement in areas such as goal setting and decision-making

Perspectives on quality of life by people with aphasia and their family: Suggestions for successful living

Understanding the client's perspective is essential for good practitioner care in rehabilitation after stroke, and nothing is more relevant than enquiring directly about our clients' quality of life to inform our management. Relatively little is known about how older people with aphasia consider the quality of their current lives, and this article seeks to explore this issue. Four women's accounts of their life quality are presented, as well as their husbands' or daughter's accounts of their lives. Their stories share some common elements. Who you love or share your life with; where you live; feeling independent and/or in control; and engaging in satisfying activities mattered to these women's life quality. The impact of aphasia varies across the cases, and the need to accept change for successful living is illustrated in all accounts

A Metapopulation Model of Tuberculosis Transmission with a Case Study from High to Low Burden Areas

Tuberculosis (TB) is a growing problem worldwide, especially with the emergence and high prevalence of multidrug-resistant strains. We develop a metapopulation model for TB spread, which is particularly suited to investigating transmission between areas of high and low prevalence. A case study of cross-border transmission in the Torres Strait region of Australia and Papua New Guinea (PNG) is considered and a sensitivity analysis is conducted. We find that only 6 of the 50 parameters analysed are important to the cumulative number of clinically active TB patients in the entire region. Of these, only the detection rate in PNG is found to be an important intervention parameter. We therefore give insight into the extent the area with the high burden of TB (PNG in the case study) is dominating the TB dynamics of the entire region. Furthermore, the sensitivity analysis results give insight into the data that most important to collect and refine, which is found to be data relating to the PNG parameters

An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

open acces

Diffuse Light in Hickson Compact Groups: The Dynamically Young System HCG 44

Compact groups are associations of a few galaxies in which the environment plays an important role in galaxy evolution. The low group velocity dispersion favors tidal interactions and mergers, which may bring stars from galaxies to the diffuse intragroup light. Numerical simulations of galaxy clusters in hierarchical cosmologies show that the amount of the diffuse light increases with the dynamical evolution of the cluster. We search for diffuse light in the galaxy group HCG 44 in order to determine its luminosity and luminosity fraction. Combining with literature data, we aim to constrain the dynamical status of Hickson compact groups. We use Intra Group planetary nebulae (IGPNe) as tracers of diffuse light. These are detected by the so-called on band-off band technique. We found 12 emission line objects in HCG 44, none of them associated with the galaxies of the group. 6/12 emission line objects are consistent with being IGPNe in HCG 44, but are also consistent with being Ly$\alpha$ background galaxies. Thus we derive an upper limit to the diffuse light fraction in HCG 44 of 4.7%. We find a correlation between the fraction of elliptical galaxies and the amount of diffuse light in Hickson compact groups. Those with large fraction of diffuse light are those with large fractions in number and luminosity of E/S0 galaxies. We propose an evolutionary sequence for Hickson compact groups in which the amount of diffuse light increases with the dynamical evolution of the group.Comment: 9 pages, 4 figures, accepted for publication at A&

Models of Stephan's Quintet: Hydrodynamic Constraints on the Group's Evolution

We present smoothed particle hydrodynamic models of the interactions in the compact galaxy group, Stephan's Quintet. This work is extension of the earlier collisionless N-body simulations of Renaud et al. in which the large-scale stellar morphology of the group was modeled with a series of galaxy-galaxy interactions in the simulations. Including thermohydrodynamic effects in this work, we further investigate the dynamical interaction history and evolution of the intergalactic gas of Stephan's Quintet. The major features of the group, such as the extended tidal features and the group-wide shock, enabled us to constrain the models reasonably well, while trying to reproduce multiple features of the system. We found that reconstructing the two long tails extending from NGC 7319 toward NGC 7320c one after the other in two separate encounters is very difficult and unlikely, because the second encounter usually destroys or distorts the already-generated tidal structure. Our models suggest the two long tails may be formed simultaneously from a single encounter between NGC 7319 and 7320c, resulting in a thinner and denser inner tail than the outer one. The tails then also run parallel to each other as observed. The model results support the ideas that the group-wide shock detected in multi-wavelength observations between NGC 7319 and 7318b and the starburst region north of NGC 7318b are triggered by the high-speed collision between NGC 7318b and the intergalactic gas. Our models show that a gas bridge is formed by the high-speed collision and clouds in the bridge continue to interact for some tens of millions of years after the impact. This produces many small shocks in that region, resulting a much longer cooling time than that of a single impact shock.Comment: 9 figures (some with reduced resolution) and 1 table. MNRAS in pres

Rethinking Peer Review: Detecting and Addressing Medical Malpractice Claims Risk

A medical center department chair has just been notified that a physician in his department, Dr. G, is being sued for the fifth time in seven years. The CEO of co-defendant hospital wants the chair to solve Dr. G\u27s claims problems. At the chair\u27s request, the hospital peer review committee evaluates Dr. G\u27s malpractice cases. While committee members note some minor concerns in the cases, they conclude that in each circumstance he has met the standard of care. They cannot identify any specific technical or educational need, nor can they supply justification for a disciplinary action. The chair is in a vexing situation. Is Dr. G. the victim of bad luck, or is something more systematic at work? Is there some failure or deficiency other than technical incompetence which is making this physician vulnerable to malpractice suits? If so, is it remediable? In this Article, we analyze the ability of peer review to recognize and reduce physicians\u27 risk of medical malpractice claims. Critics argue that peer review neither consistently identifies substandard physicians, nor ensures their removal, while it unfairly targets colleagues for reasons such as economic competition. They suggest that the solution may be to modify statutes governing privilege and immunity, or to increase penalties for healthcare institutions that violate reporting statutes. Critics\u27 concerns may be misplaced. We will argue that peer review is not deficient in its basic conception, but rather aspects of its design and implementation which often do not directly link it to an institution\u27s risk management activities. We assert that peer review can effectively identify a physician\u27s risk of generating a disproportionate share of medical malpractice claims ex ante, and present a sample methodology which allows peer review to more effectively help physicians address that risk. Part I of this Article discusses the background and authority for peer review. Part II outlines common criticisms of peer review and discusses shortcomings in these analyses. Part III describes background medical malpractice research and introduces the Patient Advocacy Reporting System ( PARSSM ) program for peer review. In Part IV we conclude with a discussion of programmatic elements which, if incorporated into the legal framework for peer review, may allow peer review committees to systematically evaluate, monitor, and, potentially reduce physicians\u27 medical malpractice claims risk