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PubMed2004

Relationship between small group problem-solving activity and lectures in health science curricula.

Components of problem-based education, such as small group teaching, are being implemented in diverse health curricula. Implementation, however, is often motivated by the intuitive appeal of many problem-based learning components, when what is needed is the detailed examination of how these components support students' integration of knowledge as well as continuity of their learning experiences. This study presents an investigation of the relationship between lecture and small group teaching (SGT) in a medical curriculum. Four problem-oriented SGT sessions representing diverse topics in the first-year curriculum and their corresponding lectures were videotaped and analyzed using techniques of concept mapping, where the broad concepts from the lectures were identified and matched to the case-specific concepts in the small group sessions. The results show that lectures function as an anchor for the students' discussion of issues relevant to clinical problem-solving and interventions in small group sessions. These discussions extended to contextual aspects of clinical practice that were not dealt with in the lectures, such as ethical/cultural issues around the treatment of patients. Furthermore, small group environments were found to promote discussions that allowed the integration of information from different sources and encompassed concepts across a number of disciplines. These results suggest that carefully designed small group sessions serve the purposes of 1) illustrating broader concepts in lectures to case-specific, clinically relevant problem-solving and 2) promoting knowledge integration from diverse sources of information. The implications of these results for learning and reasoning in health science curricula are discussed.

Cardiology↗

PubMed1997

HACCP (Hazard Analysis Critical Control Points): is it coming to the dairy?

The risks and consequences of foodborne and waterborne pathogens are coming to the forefront of public health concerns, and strong pressure is being applied on agriculture for immediate implementation of on-farm controls. The FDA is considering HACCP (Hazard Analysis Critical Control Points) as the new foundation for revision of the US Food Safety Assurance Program because HACCP is considered to be a science-based, systematic approach to the prevention of food safety problems. In addition, the implementation of HACCP principles permits more government oversight through requirements for standard operating procedures and additional systems for keeping records, places primary responsibility for ensuring food safety on the food manufacturer or distributor, and may assist US food companies in competing more effectively in the world market. With the HACCP-based program in place, a government investigator should be able to determine and evaluate both current and past conditions that are critical to ensuring the safety of the food produced by the facility. When this policy is brought to the production unit, the impact for producers and veterinarians will be substantial.

Animals↗

PubMed2003

Students' motivations for data handling choices and behaviors: their explanations of performance.

Cries for increased accountability through additional assessment are heard throughout the educational arena. However, as demonstrated in this study, to make a valid assessment of teaching and learning effectiveness, educators must determine not only what students do, but also why they do it, as the latter significantly affects the former. This study describes and analyzes 14- to 16-year-old students' explanations for their choices and performances during science data handling tasks. The study draws heavily on case-study methods for the purpose of seeking an in-depth understanding of classroom processes in an English comprehensive school. During semistructured scheduled and impromptu interviews, students were asked to describe, explain, and justify the work they did with data during their science classes. These student explanations fall within six categories, labeled 1) implementing correct procedures, 2) following instructions, 3) earning marks, 4) doing what is easy, 5) acting automatically, and 6) working within limits. Each category is associated with distinct outcomes for learning and assessment, with some motivations resulting in inflated performances while others mean that learning was underrepresented. These findings illuminate the complexity of student academic choices and behaviors as mediated by an array of motivations, casting doubt on the current understanding of student performance.

Adolescent↗

PubMed2006

Preparing K-12 students for the new interdisciplinary world of science.

The increasing importance of interdisciplinary science brings with it the need to consider what impact this has on the educational process. Such considerations extend even to the earliest educational years of K-12, and also exhibit a strong overlap with many issues involved in improving science education across the board. I will offer some general remarks, followed by a focus on three educational objectives of importance to interdisciplinary science as well as to improved science education as a whole. I will close with a brief discussion of the challenges involved in implementing such ideas in the educational system.

Adolescent↗

PubMed2004

Forests and water--closing the gap between public and science perceptions.

The public perception that forests are, in all circumstances, necessarily good for the water environment, that they increase rainfall, increase runoff, regulate flows, reduce erosion, reduce floods, "sterilize" water supplies and improve water quality, has long been questioned by the scientific community. The evolving "modern" science perception suggests a more complex and generally less advantageous view of forests. It is suggested that the disparity between the two perceptions needs to be addressed before we are in a position to devise and develop land and water policies which are aimed at either improving the water environment, and by doing so improving the livelihoods of poor people by greater access to water, or conserving and protecting forests. Examples are given of "interactive" research projects in different parts of the world including the UK, South Africa, Panama and India where, through the involvement of stakeholder groups, often with representatives comprising both the science and public perceptions, research programmes have been designed and are being implemented, not only to derive new research findings with regard to the biophysical processes, but also to achieve better "ownership" and acceptance of these research findings by the stakeholder groups.

Conservation of Natural Resources↗

PubMed1985

Implementing change: the installation of an integrated library system at UTHSCSA.

The implementation of the Library Information System (LIS) and the distributed PHILSOM system at the University of Texas Health Science Center at San Antonio Library is described. These systems were installed over a ten-month period in 1982-1983. Aspects of the implementation, including equipment, staffing, scheduling, data preparation, and public relations, are reviewed. Evaluation of LIS and its costs are discussed.

Computers↗

PubMed2001

The science of youth violence prevention. Progressing from developmental epidemiology to efficacy to effectiveness to public policy.

Public policy in the United States has historically considered youth violence as a moral problem to be punished after the fact, but growing scientific evidence supports a public health perspective on violent behavior as an interaction between cultural forces and failures in development. Prevention science has provided a bridge between an understanding of how chronic violence develops and how prevention programs can interrupt that development. Articles in this journal supplement provide yet another bridge between efficacious university-based programs and effective community-based programs. It is suggested that yet one more bridge will need to be constructed in future research between community-based programs that are known to be effective and community-wide implementation of prevention efforts at full scale. This last bridge integrates the science of children's development, the science of prevention, and the science of public policy.

Child↗

PubMed2005

Engaging rural youth in physical activity promotion research in an after-school setting.

BACKGROUND: West Virginia, the second most rural state in the nation, has a higher than average prevalence of chronic diseases, especially those related to physical inactivity and obesity. Innovative educational approaches are needed to increase physical activity among adults and youth in rural areas and reduce rural health disparities. This paper describes West Virginia's Health Sciences and Technology Academy (HSTA) Education and Outreach on Healthy Weight and Physical Activity. The project involved teachers and underserved high school students in social science research aimed at increasing physical activity among student and community participants. CONTEXT: The HSTA is an ongoing initiative of university-school-community partnerships in West Virginia that offers academic enrichment to high-school students in after-school clubs. For this project, six HSTA clubs were awarded grants to conduct research on physical activity promotion during the 2003-2004 school year. The project was funded by the Centers for Disease Control and Prevention. METHODS: Focus groups, workshops, and targeted technical assistance were used to assist teachers and students with developing, implementing, and evaluating their research projects. Each club completed one project, and students reported on their research at the annual HSTA symposium held in the spring. Teachers documented their experience with the projects in process journals before and during implementation. CONSEQUENCES: Data from the teachers' process journals revealed that they believed this research experience increased their students' interest in health and health science careers and increased their students' understanding of social science research methods. Challenges included lack of time after school to complete all activities, competing student activities, limited social science research experience of both teachers and students, and delays that resulted from a lengthy human subjects approval process. INTERPRETATION: The entire process was too ambitious to be achieved in one school year. Recommendations for future implementation include offering training modules on social science research methods for both teachers and students. These modules could be offered as a graduate course for teachers and as an in-school elective within the curriculum or as a summer institute for students. This preparatory training might alleviate some of the time management issues experienced by all the projects and could result in more skilled teacher and student researchers.

Age Factors↗

PubMed1992

Collecting, communicating and using information: the educational issues. A report from the Royal College of Physicians Committee on Medical Information Technology.

Few of the major advances in information science and technology have yet been successfully introduced in health care. Their implementation could improve both quality of care and the working environment of clinicians, but this will not be achieved by investing in hardware and software alone. Investment in education is also required.

Attitude to Computers↗

PubMed2006

Protection of animal research subjects.

The use of experimental animals, mostly rodents, in biomedical research and especially in oncology and immunology should be acknowledged with respect, recognizing the contribution of animal experimentation in the fascinating scientific progress in these disciplines of research. It is an obligation of the investigator to justify the scientific and ethical aspects of each study requiring the use of animals. The international guiding principles for using animals in biomedical research are well defined and have been distributed worldwide by the International Council for Laboratory Animal Science (ICLAS) since 1956, when this Organization was founded. In Poland the ICLAS philosophy and principles are highly respected and were implemented firstly by the members of the Commission on Biology of Experimental Animals appointed in 1962 by the Department of Medical Science of the Polish Academy of Science in Warsaw. Animal Protection Acts, first proclaimed in 1928 were gradually modified and improved. Actual legislation (enacted in 1997, 2003 and 2005) is consistent with EU Directives (86/609/EEC) and follows the internationally recommended principles that include ICLAS guidelines concerning animal welfare and care condition in biomedical research. The problem of "alternative methods" is briefly discussed.

Animal Experimentation↗

PubMedDate not supplied

Organizing and implementing an Ilizarov program.

The Ilizarov external fixator has made a profound impact on orthopaedic science. With its circular design, it allows correction of three-dimensional deformities including rotation, angulation, translation, shortening, and widening, as well as lengthening and soft tissue defects. Because this device is largely patient centered and patient operated, it has presented a new challenge and career investment for the orthopaedic nurse. A comprehensive Ilizarov program is necessary to address the total patient and his multiple needs in any facility where the Ilizarov method of treatment is adopted. The Ilizarov program is a multidisciplinary team approach that provides a structure for administering and providing total patient care for the Ilizarov patient and his significant other(s).

External Fixators↗

PubMed1987

Measuring productivity in quality assurance.

In a climate of financial viability in early 1986, productivity measurement and analysis were implemented as major components of the quality assurance program at University Medical Center at the Arizona Health Sciences Center. The purpose was basically to balance the benefits of conducting an integrated quality assurance program with the operational costs. A fully integrated quality assurance program was implemented at University Medical Center during June, 1985. Comprehensive, 100 percent chart screening is conducted utilizing occurrence screening criteria and criteria for all required JCAH clinical monitors. The quality assurance program is based on the Medical Management Analysis (MMA) system established by Joyce W. Craddick, M.D. Since the immediate plan of the hospital administration's financial sector was to develop units of service for nonrevenue-producing cost centers, the QA director was obligated to develop standards that would demonstrate effective management of the QA department's resources and would project revenue requirements for program development. The QA director elected to conduct a productivity study which resulted in the establishment of performance standards that are currently utilized in budget development to determine staffing needs; to appraise employee performance; and to perform trend analysis.

Arizona↗

PubMed2003

Educational Reform in Athletic Training: A Policy Analysis.

OBJECTIVE: To apply a policy-analysis framework to the athletic training educational reform policy that will be fully implemented by January 2004. DATA SOURCES: Policy analysis is not a specific science. No one framework exists for conducting all policy analyses. I used literature from the education, policy analysis, and athletic training fields as data sources to provide background and to create a framework from which to conduct the policy analysis. DATA SYNTHESIS: Once the policy-analysis framework was selected, I began data synthesis, using several athletic training sources in support of the findings. The tension among the myriad stakeholders in this policy is clear. Although many see the benefits of accreditation, some experience hardships from the imposed policy. CONCLUSIONS/RECOMMENDATIONS: Of the 4 possible alternatives suggested, following the route currently under implementation (Committee on Accreditation of Health Education Programs accreditation) was the most agreeable solution. The goals as stated by the policy makers are attained by the policy. However, issues within the accreditation process itself need to be addressed. Of the many stakeholders in the reform effort, some will see little gain and have many hardships imposed on them. As the policy is implemented, unintended implications will likely arise, as with any new policy. Thus, I recommend that the National Athletic Trainers' Association develop a system dedicated solely to reducing the hardships faced by many of its members as the policy is implemented.

Journal Article↗

PubMedDate not supplied

[Surgical treatment of occlusive and stenosing lesions of brachiocephalic arteries].

The results of surgical treatment of patients with occlusive and stenosing lesions of brachiocephalic arteries implemented at Burdenko's Research Institute of Neurosurgery of the Russian Academy of Medical Sciences (RAMS) during 1999-2002 are described. A total of 164 operations were made in 128 patients. Different diagnostic methods and indications for various types of reconstructive and revascularization surgeries are under discussion. A variety of the carotid endarterectomy techniques and the conditions needed for their implementation (microsurgical equipment and intraoperative multi-modality neuromonitoring) are defined. Finally, the main complications and the methods of their prevention, correction and treatment are also described.

Adolescent↗

PubMed1997

Behavioral and social sciences at the Centers for Disease Control and Prevention. Critical disciplines for public health.

The mission of the Centers for Disease Control and Prevention (CDC) is to promote health and quality of life by preventing and controlling disease, injury, and disability. Fifty years ago, CDC's efforts were focused on epidemiologic and laboratory studies of malaria, typhus, and plague. Today, CDC's activities cover a broad range of diseases and conditions, and a broader range of disciplines are required to address these diverse public health problems. The behavioral and social sciences have a critical role to play in helping the public understand risk group characteristics and the frequency, context, and determinants of risky behaviors and in developing, implementing, and assessing prevention programs. CDC is taking steps to foster an environment in which behavioral and social sciences can flourish and to integrate these sciences into all of CDC's prevention activities. Other articles in this section describe the breath and nature of the contributions of behavioral and social sciences at CDC.

Behavioral Sciences↗

PubMed2005

Translating research into improved outcomes in comprehensive cancer control.

A key question in moving comprehensive cancer control (CCC) plans into action is, to what extent should the knowledge gained from investments in cancer prevention and control research influence the actions taken by states, tribes, and territories during implementation? Underlying this 'should' is the assumption that evidence-based approaches (i.e., a public health or clinical intervention or policy that has resulted in improved outcomes when scientifically tested), when implemented in a real-world setting, will increase the likelihood of improved outcomes. This article elucidates the barriers and opportunities for integrating science with practice across the cancer control continuum. However, given the scope of CCC and the substantial investment in generating new knowledge through science, it is difficult for any one agency, on its own, to make a sufficient investment to ensure new knowledge is translated and implemented at a national, state, or local level. Thus, if greater demand for evidence-based interventions and increased resources for adopting them are going to support the dissemination initiatives described herein, new interagency partnerships must be developed to ensure that sufficient means are dedicated to integrating science with service. Furthermore, for these collaborations to increase both in size and in frequency, agency leaders must clearly articulate their support for these collaborative initiatives and explicitly recognize those collaborative efforts that are successful. In this way, the whole (in this context, comprehensive cancer control) can become greater than the sum of its parts.

Biomedical Research↗

PubMed1981

A zero-base approach to medical school planning and budgeting.

The University of Michigan Medical School has concluded that the traditional budgeting process used by it and other academic institutions fails to discriminate adequately among programs, particularly in times of level or declining resources, and that this failure could result in mediocrity. As a result, the school decided to develop a new system for managing resources and chose to explore an approach that utilizes the principles of zero-base budgeting. An important reason for selecting this technique was its requirement that managers plan, evaluate, and set priorities for all programs, existing as well as new. After a feasibility study that produced encouraging results, a test implementation of the newly developed system was carried out in all six of the school's basic science departments and in two clinical departments. While some difficulties were encountered, including those normally associated with the introduction of a new and complex system, the results of the test implementation were encouraging, and the process is undergoing further development to broaden its application in the clinical departments.

Budgets↗

PubMed2005

The multiple layers of prevention science research.

A systematic framework for prevention science clinical research is described that explicitly links the identification of prevention needs to the implementation of research results in public health programs. The framework integrates five elements: advocacy and policy, community participation, prevention research, acceptability research, and operations and program development. These five elements are often viewed as disparate agendas, but an effective prevention science research enterprise requires that they be coordinated and integrated through all research stages--from the conceptual, to the experimental, and ultimately to the applied. Examples are provided of how this integration can be achieved from our experience in reproductive health and HIV prevention.

Biomedical Research↗