Alcoholism and the nature of outcome.
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Biomedical subjects
Publications and source records attributed to M Sheehan.
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We examined mentally retarded individuals' use of picture cues and self-monitoring to initiate a series of tasks of varying type and order. Four severely to moderately retarded high school students participating in a vocational training program were trained to use a picture-cue system. The system consisted of photographs of vocational tasks that were inserted in the assigned order in a photoalbum sheet; self-management was accomplished by marking off each photo after its corresponding task was completed. Students were assigned seven tasks from a pool of 13 each day. Results indicated that the students quickly learned to use the picture-cue system to change tasks throughout their workday without trainer prompts and that performance was maintained as trainer feedback and presence were decreased. At the end of the study, two students who were exposed to novel photographs were able to initiate independently after only minimal training, suggesting that the use of the picture-cue system had become a generalized skill.
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First-year subjects were rated according to Basil Bernstein's concepts as to the degree of classification and framing they involved. Students were then asked to rate the degree to which each subject encouraged, discouraged or neither encouraged nor discouraged cognitive, interpersonal and professional skills. It was found that subjects which were strongly classified and framed only encouraged skills required for factual recall. Weakly classified and framed subjects failed to encourage these skills but encouraged self-educative, interpersonal and professional skills. It was concluded that changing either the type or quantity of content in a curriculum will not effect the acquisition of these latter skills. Teaching styles and curriculum structure must also be amended.
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This study was undertaken to clarify the goals of the clinical general practitioner attachment scheme at the University of Queensland. Emphasis was placed on comparing the aims of the academics, the general practitioner preceptors and the students. Prior to the 2-week attachments students selected a different set of goals from those selected by academics and preceptors as most important. However, after the apprenticeship the students changed the goals in the direction of the preceptors'. Students' rating of the perceived level of achievement of the goals showed that the degree of correspondence between goals set by University teachers, preceptors and students was a good predictor of a successful learning experience. This study further suggests that teaching of Community Practice should not rest solely on apprenticeship schemes since preceptors' aims will largely determine the material learnt in the placement to the exclusion of more innovative academic goals.
A prospective study of 181 patients suspected of having liver disease was carried out to determine the relative efficiencies of serum bilirubin (total and direct), alkaline phosphatase (AP), gamma glutamyl transferase (GGT), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) with respect to diagnosis. Liver biopsies, liver scans, abdominal ultrasound, and clinical parameters were also tabulated and used independently to evaluate the patient's hepatic status and to determine the final diagnoses in each case. From the results of these tests for the 60 patients who were diagnosed as having liver disease, and the 87 patients who were felt to be free of liver disease, predictive values of the above tests were established. Data from this study suggests that while direct bilirubin is the most specific test, GGT is the most sensitive and has the fewest false negatives in the diagnosis of liver disease.
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One year's experience with MAS in a neonatal intensive-care unit is analyzed with follow-up information. Seventeen patients or 3.7% of all admissions had MAS. Four patients (23.5%) died of acute respiratory failure. Two patients with MAS and persistence of the fetal circulation required cardiac catheterization to exclude cyanotic congenital heart disease. No survivors had persistent chronic lung disease. However, two of three patients with MAS and seizures had significant psychomotor retardation at follow-up examination.
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