37 research outputs found
ANALYZING ALGEBRAIC THINKING USING “GUESS MY NUMBER” PROBLEMS
The purpose of this study was to assess student knowledge of numeric, visual and algebraic representations. A definite gap between arithmetic and algebra has been documented in the research. The researchers’ goal was to identify a link between the two. Using four “Guess My Number problems, seventh and tenth grade students were asked to write numeric, visual, and algebraic representations. Seventh-grade students had significantly higher scores than tenth-grade students on visual representation responses. There were no significant differences between the seventh and tenth grade students’ responses on the numeric and algebraic representation. The researchers believed that the semi-concrete and visual models, such as used in this study, may provide the link between numeric and algebraic concepts for many students
The use of measures of obesity in childhood for predicting obesity and the development of obesity-related diseases in adulthood: a systematic review and meta-analysis.
BACKGROUND: It is uncertain which simple measures of childhood obesity are best for predicting future obesity-related health problems and the persistence of obesity into adolescence and adulthood. OBJECTIVES: To investigate the ability of simple measures, such as body mass index (BMI), to predict the persistence of obesity from childhood into adulthood and to predict obesity-related adult morbidities. To investigate how accurately simple measures diagnose obesity in children, and how acceptable these measures are to children, carers and health professionals. DATA SOURCES: Multiple sources including MEDLINE, EMBASE and The Cochrane Library were searched from 2008 to 2013. METHODS: Systematic reviews and a meta-analysis were carried out of large cohort studies on the association between childhood obesity and adult obesity; the association between childhood obesity and obesity-related morbidities in adulthood; and the diagnostic accuracy of simple childhood obesity measures. Study quality was assessed using Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) and a modified version of the Quality in Prognosis Studies (QUIPS) tool. A systematic review and an elicitation exercise were conducted on the acceptability of the simple measures. RESULTS: Thirty-seven studies (22 cohorts) were included in the review of prediction of adult morbidities. Twenty-three studies (16 cohorts) were included in the tracking review. All studies included BMI. There were very few studies of other measures. There was a strong positive association between high childhood BMI and adult obesity [odds ratio 5.21, 95% confidence interval (CI) 4.50 to 6.02]. A positive association was found between high childhood BMI and adult coronary heart disease, diabetes and a range of cancers, but not stroke or breast cancer. The predictive accuracy of childhood BMI to predict any adult morbidity was very low, with most morbidities occurring in adults who were of healthy weight in childhood. Predictive accuracy of childhood obesity was moderate for predicting adult obesity, with a sensitivity of 30% and a specificity of 98%. Persistence of obesity from adolescence to adulthood was high. Thirty-four studies were included in the diagnostic accuracy review. Most of the studies used the least reliable reference standard (dual-energy X-ray absorptiometry); only 24% of studies were of high quality. The sensitivity of BMI for diagnosing obesity and overweight varied considerably; specificity was less variable. Pooled sensitivity of BMI was 74% (95% CI 64.2% to 81.8%) and pooled specificity was 95% (95% CI 92.2% to 96.4%). The acceptability to children and their carers of BMI or other common simple measures was generally good. LIMITATIONS: Little evidence was available regarding childhood measures other than BMI. No individual-level analysis could be performed. CONCLUSIONS: Childhood BMI is not a good predictor of adult obesity or adult disease; the majority of obese adults were not obese as children and most obesity-related adult morbidity occurs in adults who had a healthy childhood weight. However, obesity (as measured using BMI) was found to persist from childhood to adulthood, with most obese adolescents also being obese in adulthood. BMI was found to be reasonably good for diagnosing obesity during childhood. There is no convincing evidence suggesting that any simple measure is better than BMI for diagnosing obesity in childhood or predicting adult obesity and morbidity. Further research on obesity measures other than BMI is needed to determine which is the best tool for diagnosing childhood obesity, and new cohort studies are needed to investigate the impact of contemporary childhood obesity on adult obesity and obesity-related morbidities. STUDY REGISTRATION: This study is registered as PROSPERO CRD42013005711. FUNDING: The National Institute for Health Research Health Technology Assessment programme
Hepatocyte steatosis is an important predictor of response to interferon (IFN) monotherapy in Japanese patients infected with HCV genotype 2a: Virological features of IFN-resistant cases with hepatocyte steatosis
Prioritizing Local Agenda 21 Programmes using Analytic Network Process: A Spanish Case Study
Given that prioritization of programmes is a key concern in Local Agenda 21 processes, the aim of this paper is to explore how the Analytic Network Process (ANP) can provide greater consistency and legitimacy to prioritization of local action plans. Through the analysis of an experience in the municipality of Benetusser in Spain, the study shows how ANP, by modelling reality as a network of multiple and mutual interrelations, embraces complexity and translates it into a set of operational questionnaires that help participants to reflect on their preferences and think deeply on the real implications of programmes for sustainable development. In the case study, citizens, technical staff and politicians of Benetusser carried out the prioritization process by defining a set of criteria and assessing the programmes in an interrelated way. The experience shows that the ANP procedure not only allows prioritization to be dealt with in an organized and systematic way, but also enables reflective thinking on sustainable development and the role of Local Agenda 21 itself. © 2011 John Wiley and Sons, Ltd and ERP Environment. March 2011 10.1002/sd.514 Research Article Research Articles Copyright © 2011 John Wiley and Sons, Ltd and ERP Environment..Peris Peris, J.; García-Melón, M.; Gómez-Navarro, T.; Calabuig Tormo, C. (2013). Prioritizing Local Agenda 21 Programmes using Analytic Network Process: A Spanish Case Study. Sustainable Development. 21(5):338-352. doi:10.1002/sd.514S33835221