Dopo la crisi. Una nuova società possibile

In che modo la crisi economica che stiamo attraversando agisce sulle tendenze a lungo termine che trasformano le nostre società? Come prevedere ciò che ci attende quando riusciremo ad uscirne? Queste le due questioni attorno alle quali si snoda il saggio più anticipatore di Alain Touraine.How the economic crisis that we are experiencing acts on long-term trends that transform our society? How to predict what awaits us when we get out of it? These are the two issues around which winds the most wise forerunner of Alain Touraine

A phenomenological study of italian students’ responses to professional dilemmas. A cross-cultural comparison

Phenomenon: Medical professionalism is a complex construct, based in social and cultural influences, yet little research has been done to show how culture influences the behaviors and attitudes of medical students. We presented Italian students with the same professional dilemmas used in a previous Canadian and Taiwanese cross-cultural study to look for similarities and differences and detect elements of Italian culture that influenced how students responded to dilemmas. The aim was to provide medical educators with some insights into students’ behavioral strategies and feelings when faced with a professional dilemma. Approach: Using Giorgi’s method, we performed a phenomenological analysis of 15 interviews of Italian medical students who responded to standardized video scenarios representing professional dilemmas. These videos were used in Canada and Taiwan and were translated into Italian. All students were from the same degree course, at Year 6, and were recruited on a voluntary basis at the beginning of the Internal Medicine course. Interview transcripts were anonymized before analysis. Findings: Scenarios were perceived as realistic and easy to envision in Italy. Four themes emerged: establishing priority among principles, using tactics to escape the dilemma, defending the self, and defending the relationships. When compared with previous studies, we noted that Italian students did not mention the principles of reporting inappropriate behavior, seeking excellence, or following senior trainees’ advice. Insights: This is the first cross-cultural study of professionalism that involves a Mediterranean country and the observed differences could be interpreted as expressions of Italian cultural traits: distrust toward authority and a cooperative rather than competitive attitude. These findings have practical implications for educators to design and run curricula of professionalism with culturally appropriate topics. They highlight the need for more cross-cultural research

LexMeter. Validation of an automated system for the assessment of lexical competence of medical students as a prerequisite for the development of an adaptive e-learning system

Distance learning is used in medical education, even if some recent meta-analyses indicated that it is no more effective than traditional methods. To exploit the technological capabilities, adaptive distance learning systems aim to bridge the gap between the educational offer and the learner’s need. A decrease of lexical competence has been noted in many western countries, so lexical competence could be a possible target for adaptation. The “Adaptive message learning” project (Am-learning) is aimed at designing and implementing an adaptive e-learning system, driven by lexical competence. The goal of the project is to modulate texts according to the estimated skill of learners, to allow a better comprehension. LexMeter is the first of the four modules of the Am-learning system. It outlines an initial profile of the learner’s lexical competence and can also produce cloze tests, a test based on a completion task. A validation test of LexMeter was run on 443 medical students of the first, third, and sixth year at the University “Sapienza” of Rome. Six cloze tests were automatically produced, with 10 gaps each. The tests were different for each year and with varying levels of difficulty. A last cloze test was manually created as a control. The difference of the mean score between the easy tests and the tests with a medium level of difficulty was statistically significant for the third year students but not for first and sixth year. The score of the automatically generated tests showed a slight but significant correlation with the control test. The reliability (Cronbach alpha) of the different tests fluctuated under and above 0.60, as an acceptable level. In fact, classical item analysis revealed that the tests were on the average too simple. Lexical competence is a relevant outcome and its assessment allows an early detection of students at risk. Cloze tests can also be used to assess specific knowledge of technical jargon and to train reasoning skill

A novel global postural alteration? Qualitative assessment of hallux valgus and swallowing disorder in human posture: A preliminary investigation on the incidence during age span for promoting psycho-physical and postural well-being

Hallux Valgus (HV) and Swallowing Disorder (SD) are two multifactorial postural and biomechanical alterations. It is very important to look for the incidence of these two conditions in order to promote psycho-physical and postural well-being. Our study aimed to clinically assess the presence of HV and SD in a large group with different ages spans. Fours skilled professionals performed the assessment following clinical criteria. A total of 61 volunteers subjects (163.5 ± 14.1 cm; 59.7 ± 15.7 kg; 22.9 ± 13.2 yrs.) were selected for the study. The 51% of the sample showed the HV alteration, 30% and 73% respectively for male and female. Regarding ages cluster, the HV was present in 44% under 20 yrs., in 53% between 21 and 40 yrs., in 75% over 40 yrs. The 46% of the sample showed a SD condition, 50% and 42% respectively for male and female. As for ages cluster, the incidence of SD was in 50% of subjects under 20 yrs., in 41% between 21 and 40 yrs., in 50% over 40 yrs. The 39% of subjects with HV showed a SD condition. On the other hand, the 43% of subjects with SD showed the HV deformity. HV and SD are postural disorders and most often occur together. In this framework, HV and SD should be interpreted as sign of global postural alteration and for this reason it is fundamental to assess them. Further research is needed on these two parameters in order to find out the optimal relationship between HV and SD