The Effect of Computer-Assisted Intervention Programs on Mathematics Achievement of High School Students in a Virtual School

The United States ranks in the middle of the nations participating in the Programme for International Student Assessment, and secondary education has not seen growth in mathematics achievement since the 1970s. Computer-assisted math education offers a new opportunity to increase mathematical achievement with students. Pearson Education’s MyMathLab has shown promise at the higher education level with enhancing student proficiency in concepts. The purpose of this study was to determine if the use of Math XL, the secondary counterpart to MyMathLab, could increase mathematics achievement, measured by the performance on the end-of-course test for Algebra I and Geometry for high school students in a computer-assisted math intervention program. The quasi-experimental posttest-only study enhanced the current knowledge of MyMathLab/Math XL as a tool for higher education and demonstrated the effects of using it at the secondary level. The sample was taken from high school Algebra I and Geometry students at an online high school in a southern state. A comparison group was created from students meeting the same criteria for the computer-assisted math intervention program who chose not to participate. An analysis of variance was used to test for statistically significant differences in the end-of-course test scores in those students enrolled in a computer-assisted math intervention program and those students not enrolled in a computer-assisted math intervention program. The analysis found no significant difference in the mean between the group enrolled in computer-assisted intervention and those not enrolled

Are Land-use Changes Reflected in Diets of Mourning Doves (Zenaida macroura) in Eastern South Dakota

Food habits of the mourning dove (Zenaida macroura) have been extensively studied in the southern United States (McClure 1943, Korschgen 1958, Carpenter 1971) and consist primarily of vegetable matter throughout their range (Beckwith 1959). Diet studies in several states have indicated agricultural crops, specifically corn and wheat, were the most readily consumed plant seeds (Korshgen 1958, Carpenter 1971). Similarities observed in diets of doves were dependent on the agricultural crops available within the area. For example, in Missouri, some seasonal variability was documented suggesting doves forage based on food availability as much as by food preference (Korschgen 1958). However, in the agriculturally dominated landscape of east central South Dakota (SD), the two most important food items for doves were green (Setaria viridis) and yellow foxtail (S. glauca; Van’t Hul and Jenks 1992)

NOTES: ARE LAND-USE CHANGES REFLECTED IN DIETS OF MOURNING DOVES (ZENAIDA MACROURA) IN EASTERN SOUTH DAKOTA

Food habits of the mourning dove (Zenaida macroura) have been extensively studied in the southern United States (McClure 1943, Korschgen 1958, Carpenter 1971) and consist primarily of vegetable matter throughout their range (Beckwith 1959). Diet studies in several states have indicated agricultural crops, specifically corn and wheat, were the most readily consumed plant seeds (Korshgen 1958, Carpenter 1971). Similarities observed in diets of doves were dependent on the agricultural crops available within the area. For example, in Missouri, some seasonal variability was documented suggesting doves forage based on food availability as much as by food preference (Korschgen 1958). However, in the agriculturally- dominated landscape of east central South Dakota (SD), the two most important food items for doves were green (Setaria viridis) and yellow foxtail (S. glauca; Van’t Hul and Jenks 1992). Large-scale land use changes have occurred in eastern South Dakota in the past few decades and several factors have contributed to increased grassland to cropland conversion (Wright and Wimberly 2013). Conversion of grasslands to agricultural crops has increased as demand for biofuels and commodity prices increased (Secchi and Babcock 2007, Searchinger et al. 2008, Fargione et al. 2009, Wright and Wimberly 2013). In east central South Dakota, corn and soybean plantings have increased from 2,400,000 ha in 1991 to 4,400,000 ha in 2013 (United States Department of Agriculture 2014). These significant land-use changes that have occurred in the intervening 20 years may influence mourning dove feeding habits. We compared mourning dove diet composition in Minnehaha County, South Dakota, USA, to those published 20 years earlier from a study conducted approximately 60 km north (Van’t Hul and Jenks 1992)

Primary Care Physicians’ Views on Medical Error and Disclosure in Cancer Care

Introduction: Effective physician-patient communication is critical in cancer care. Breakdowns in communication may follow an actual or suspected medical error because of various professional or medicolegal concerns about those events. We examined views of primary care physicians (PCPs) regarding two hypothetical medical errors, their perceptions of responsibility and intent to communicate these events to patients. Objectives: To describe PCPs views on medical errors, perceived responsibility and communication after errors during cancer care. Methods: We surveyed 630 PCPs at 3 healthcare organizations participating in the Cancer Research Network. Questionnaires included two vignettes describing possible medical errors: a delayed diagnosis of breast cancer and; preventable complications of colon cancer treatment. Questions assessed perceived responsibility and intent to communicate with the patient after the event. Results: A total of 333 PCPs responded (response rate =53%). Eighty-one percent felt that the delayed diagnosis vignette described a serious error; (60%) believed that the preventable complications of colon cancer treatment vignette represented a serious medical error. Few would offer no apology at all for the delayed diagnosis (4%) or the colon cancer complications complications (7%). The most common expression of regret was “I am sorry about what happened to you” without elaboration (48% delayed diagnosis; 56% complications). Just over half (51%) would not volunteer the cause of the delayed diagnosis; compared to 25% in the complications vignette. Perception of the error as serious, and of greater personal responsibility were both predictive of being more forthcoming when communicating to patient after the event; perceived self-efficacy in communication and the belief that one’s organization values good communication were not. Conclusion: PCPs vary in their attitudes towards medical errors, and their perceptions of responsibility. These attitudes and perceptions are predictive of how physicians intend to communicate with patients after such events, at least in response to two hypothetical cases

Health Literacy and Cancer Prevention: It’s Not What You Say It’s What They Hear

Background: A growing body of literature documents the relationship between health literacy and important health behaviors and outcomes. Most research to date has focused on print literacy–few studies have examined literacy with respect to spoken information (“spoken health literacy”). We sought to examine the extent to which responses to physician advice about cancer prevention and screening were associated with spoken health literacy. Methods: Participants listened to 3 simulated physician-patient discussions addressing: 1) Prostate Specific Antigen (PSA) testing; 2) tamoxifen for breast cancer prevention; and 3) colorectal cancer (CRC) screening. The physician provided information on risks and benefits but did not endorse one course of action. Post-vignette questions assessed understanding and reactions to the physician’s advice. Participants had previously completed the Cancer Message Literacy Test-Listening (CMLT-L), a measure of spoken health literacy. Bivariate analyses examined the relationship between CMLT-L scores and comprehension, attitudes, and behavioral intentions. Results: Four hundred thirty-eight adults from 3 HMORN sites participated. Comprehension: Post-vignette comprehension scores were correlated with CMLT-L scores (r=0.62, p Discussion: The ability to understand spoken information is a critical component of health literacy. In this study, spoken health literacy influenced patients’ comprehension of, and reaction to spoken health information provided by a physician. The findings that participants scoring in the lowest quartile on the CMLT-L were more likely to respond favorably to physician advice on cancer prevention but were less likely to comprehend content of the vignettes, may indicate that physician mention of a prevention service is interpreted as endorsement of a prevention service in the absence of a full understanding of its risks and benefits

Broad H-alpha wings from the optically thin stellar wind of the hot components in symbiotic binaries

Aims: To model broad H-alpha wings observed in symbiotic binaries by an optically thin, bipolar stellar wind from their hot components as an alternative to that considering the Raman scattering of Ly-beta photons on atomic hydrogen. Methods: Profile-fitting analysis. Comparison of the observed broad H-alpha wings and their luminosity with those predicted by the model. Results: Synthetic H-alpha profiles fit excellently the observed wings for |RV| > 200 km/s in our sample of 10 symbiotic stars during the quiescent as well as active phases. The wing profile formed in the stellar wind can be approximated by a function f(RV) proportional to RVexp-2, which is of the same type as that arising from the Raman scattering. Therefore it is not possible to distinguish between these two processes only by modeling the line profile. Some observational characteristics of the H-alpha emission suggest the ionized stellar wind from the hot component to be the dominant source contributing to the H-alpha wings during active phases. The model corresponding mass-loss rates from the hot components are of a few x 10exp(-8) M(Sun)/yr and of a few x (10exp(-7) - 10exp(-6)) M(Sun)/yr during quiescent and active phases, respectively.Comment: 9 pages, 5 figures, 2 tables, accepted for A&A (13/07/2006

Suicide Attempts Among a Cohort of Transgender and Gender Diverse People

INTRODUCTION: Transgender and gender diverse people often face discrimination and may experience disproportionate emotional distress that leads to suicide attempts. Therefore, it is essential to estimate the frequency and potential determinants of suicide attempts among transgender and gender diverse individuals. METHODS: Longitudinal data on 6,327 transgender and gender diverse individuals enrolled in 3 integrated healthcare systems were analyzed to assess suicide attempt rates. Incidence was compared between transmasculine and transfeminine people by age and race/ethnicity and according to mental health status at baseline. Cox proportional hazards models examined rates and predictors of suicide attempts during follow-up. Data were collected in 2016, and analyses were conducted in 2019. RESULTS: During follow-up, 4.8% of transmasculine and 3.0% of transfeminine patients had at least 1 suicide attempt. Suicide attempt rates were more than 7 times higher among patients aged45 years, more than 3 times higher among patients with previous history of suicide ideation or suicide attempts than among those with no such history, and 2-5 times higher among those with 1-2 mental health diagnoses and more than 2 mental health diagnoses at baseline than among those with none. CONCLUSIONS: Among transgender and gender diverse individuals, younger people, people with previous suicidal ideation or attempts, and people with multiple mental health diagnoses are at a higher risk for suicide attempts. Future research should examine the impact of gender-affirming healthcare use on the risk of suicide attempts and identify targets for suicide prevention interventions among transgender and gender diverse people in clinical settings

Pitfalls in the measurement of muscle mass: a need for a reference standard

Background All proposed definitions of sarcopenia include the measurement of muscle mass, but the techniques and threshold values used vary. Indeed, the literature does not establish consensus on the best technique for measuring lean body mass. Thus, the objective measurement of sarcopenia is hampered by limitations intrinsic to assessment tools. The aim of this study was to review the methods to assess muscle mass and to reach consensus on the development of a reference standard. Methods Literature reviews were performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis working group on frailty and sarcopenia. Face‐to‐face meetings were organized for the whole group to make amendments and discuss further recommendations. Results A wide range of techniques can be used to assess muscle mass. Cost, availability, and ease of use can determine whether the techniques are better suited to clinical practice or are more useful for research. No one technique subserves all requirements but dual energy X‐ray absorptiometry could be considered as a reference standard (but not a gold standard) for measuring muscle lean body mass. Conclusions Based on the feasibility, accuracy, safety, and low cost, dual energy X‐ray absorptiometry can be considered as the reference standard for measuring muscle mass

The authors reply: Letter on: 'Pitfalls in the measurement of muscle mass: a need for a reference standard' by Clark et al.

However, semantics aside, we think that DXA can indeed serve as a reference standard for measuring muscle mass. Obviously, CT and MRI are advanced techniques that can and have been used to obtain important information such as muscle size/volume and more recently amount and distribution of intra- and intermuscular adipose tissue. Also individual muscles can be assessed separately. However, with respect to muscle mass, the comparison of DXA with CT/MRI is rather difficult because DXA and QCT/MRI measure different physical parameters