Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “PROGRAMMED INSTRUCTION”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 757 records · Page 42Linked to original sources

Learning human anatomy: does learning occur during a lecture?

Information uptake during a formal lecture was evaluated using a sample of 43 second-year medical students to whom a topic on human developmental anatomy was presented. The sample was divided into two groups: Blue (group B) (21 students) and Red (group R) (22 students). Prior to the lecture, a pre-test of 20 multiple choice questions was administered to each group. The lecture was then delivered over 50 minutes. Both in its preparation and presentation, the lecture conformed to the principles of programmed instruction. After a 10-minute students' question-and-answer session, a post-test was served. For group B, this was group R's pretest while group R, in turn, received group B's pretest. No question in the pre-test was repeated in the post-test. Intergroup comparisons of pre-test scores and of post-test scores revealed non-significant differences (P greater than 0.05), thus confirming that the pre- and the post-tests were of comparable difficulty. In each group, the mean post-test score was significantly higher than the pre-test score (P less than 0.001). The pooled scores indicated that the percentage mastery of material presented during the lecture increased from -1.8% to 58.4%. These results demonstrate that significant learning can occur during a lecture prepared and delivered in accordance with sound pedagogical principles.

Anatomy↗

Self-help smoking cessation materials.

Smoking-cessation campaigns and services use printed self-help materials as a major medium for assisting smokers to quit. Such materials are associated with abstinence rates of up to 20% at 12-month follow-ups. Adherence to the specific content of self-instructional programs can be poor, but higher levels of reported adherence may be associated with a greater likelihood of cessation. Personalized cessation materials do not enhance cessation rates, but social support and minimal levels of personal contact do. Research is needed to identify which specific components of these programs are effective, how adherence may be promoted and how materials may be used in conjunction with other interventions--particularly cost-effective forms of counselling and social support.

Humans↗

The challenge of continuing medical education.

Continuing education is an important responsibility in the practice of radiology. The response to the growing demand for additional and new educational opportunities includes specialty societies and their programs of scientific paper presentations and refresher courses, audiovisual aids and seminars. Lacking, however, is organization of efforts leading toward programmed instruction, permitting renewal and expansion of knowledge on an organized and continuing basis. The Intersociety Educational Committee is attempting to coordinate educational efforts. A unified and effective educational process would eliminate much duplication of effort and increase efficiency.

Education, Medical, Continuing↗

Multiple von Neumann computers: an evolutionary approach to functional emergence.

A novel system composed of multiple von Neumann computers and an appropriate problem environment is proposed and simulated. Each computer has a memory to store the machine instruction program, and when a program is executed, a series of machine codes in the memory is sequentially decoded, leading to register operations in the central processing unit (CPU). By means of these operations, the computer not only can handle its generally used registers but also can read and write the environmental database. Simulation is driven by genetic algorithms (GAs) performed on the population of program memories. Mutation and crossover create program diversity in the memory, and selection facilitates the reproduction of appropriate programs. Through these evolutionary operations, advantageous combinations of machine codes are created and fixed in the population one by one, and the higher function, which enables the computer to calculate an appropriate number from the environment, finally emerges in the program memory. In the latter half of the article, the performance of GAs on this system is studied. Under different sets of parameters, the evolutionary speed, which is determined by the time until the domination of the final program, is examined and the conditions for faster evolution are clarified. At an intermediate mutation rate and at an intermediate population size, crossover helps create novel advantageous sets of machine codes and evidently accelerates optimization by GAs.

Algorithms↗

An operator interface for teleprogramming employing synthetic fixtures.

In the teleprogramming system an operator is presented with a virtual reality representation of a remote environment. The operator's interaction within that virtual environment is observed and translated into a sequence of robot program instructions for transmission to, and execution by, a robot at the remote site. In this paper we focus on operator interaction with the master station of the teleprogramming system. The use of synthetic fixtures to provide force and visual clues to assist the operator in performing tasks with speed and precision is discussed. It is suggested that, at least in some situations, it is both necessary and desirable to trade off realism for improved task performance. The difficulty of coping with exceptional conditions and, in particular, uncertainty in the world model used to generate the virtual environment is described and the operator interface for diagnosing and resolving errors is presented. An overview is also given of both the hardware and software used to implement master station for the teleprogramming system.

Computers↗

Compliance with breast self-examination instruction in high school students.

In a prospective study, we measured compliance with breast self-examination, using an anonymous questionnaire, in suburban high school students three months (n = 85) and eight months (n = 54) after group instruction. Post-instruction proficiency in performing the procedure and personal health beliefs regarding breast cancer were also evaluated. At three months, 40% of the group reported practicing breast self-examination at some time since instruction; 12% had performed the procedure timed correctly with their menstrual cycle. At eight months, only two girls (4%) had practiced breast self-examination at least once since the three-month evaluation. Proficiency scores overall were high, with 77% scoring 12 points or above on a 15-item questionnaire; however, scores were significantly lower in the 15-year-olds than in the older adolescents. No significant relationships were found between compliance and most personal health beliefs, previous instruction, or level of knowledge of the procedure. Attention should be directed toward assessing the ability and willingness to practice preventive health behaviors before instruction programs are instituted in this age group.

Adolescent↗

The response to intervention of English language learners at risk for reading problems.

The response to intervention (RTI) of English language learners identified as at risk for reading difficulties in the fall of first grade was examined at the end of first grade and at the end of second grade. Students at risk for reading problems were randomly assigned to intervention or control groups. Intervention students received supplemental reading intervention daily for 50 minutes in small groups from October to April. Students in the comparison condition received the school's existing instructional program for struggling readers. Criteria were established to determine adequate RTI at the end of first grade and at the end of second grade. The results indicated that more students who participated in the first-grade intervention in either Spanish or English met the established RTI standards than students who did not, and this finding was maintained through the end of second grade.

Child↗

The application of sameness analysis to spelling.

Three curricular approaches to spelling instruction are discussed: (1) whole word, (2) phonemic, and (3) morphemic. Sameness analysis is used to indicate the theoretical potential of each approach for helping students with learning disabilities to achieve generalization in their spelling. The influence of generalization upon retention and transfer is also discussed. In light of weak empirical evidence to support these approaches, it is recommended that promising instructional programs be piloted prior to adoption. Some cautious practical recommendations are offered for analytically evaluating spelling programs under consideration for piloting.

Child↗

Self-determination instructional strategies for youth with learning disabilities.

The concept of self-determination is rapidly gaining attention and acceptance within the disability fields. The focus on self-determination is particularly strong in the transition-from-school-to-adulthood movement. The recent Individuals With Disabilities Education Act of 1990 mandated that students with disabilities be involved in the development of their transition plans and that students' preferences and interests be taken into account as transition plans are developed. This article describes four self-determination models and examines several instructional programs and strategies to promote self-determination in students with learning disabilities. Emerging issues in self-determination are examined, and the research and policy implications of these issues are discussed. These issues include (a) redefinition of roles, (b) the importance of taking risks, (c) individual versus group orientation for self-determination, and (d) the importance of early experiences.

Curriculum↗

Transition planning assessment for secondary-level students with learning disabilities.

This article presents a survey of and recommendations for transition planning assessment for secondary teachers of students with learning disabilities. The author makes a case for redirecting assessment practices in secondary instructional programs to obtain present-level-of-functioning information for IEP planning that extends beyond high school graduation as a single outcome. Critical outcomes in adult adjustment requiring transition planning are presented. Current standardized and nonstandardized assessment procedures that focus on adult outcomes, as well as preferences and interests in planning for the future, are described. The author gives recommendations for planning and conducting transition-needs assessment for secondary schools.

Adolescent↗

Family role and work adaptation in MI women.

The purpose of this longitudinal, randomized clinical study was to assess if family role functioning and work role adaptation in women following a myocardial infarction was improved by a nursing instructional intervention. The 122 participants entered the study at their discharge phase of hospitalization. The treatment group, who received the nursing instructional program, demonstrated increased adaptation related to family role over time, had less symptoms and concerns with sexual activity, and had higher adaptation scores in resuming the paid work role. For both groups, the role most impacted across time was the homemaker role. Nursing implications for assessing role disruption in women with myocardial infarction are described.

Adaptation, Psychological↗

Is compliance a professional virtue of researchers? Reflections on promoting the responsible conduct of research.

Evidence exists that behavioral and social science researchers have been frustrated with regulations and institutional review boards (IRBs) from the 1970s through today. Making matters worse, many human participants protection instruction programs--now mandated by IRBs--offer inadequate reasons why researchers should comply with regulations and IRBs. Promoting compliance either for its own sake or to avoid penalties is contrary to the developmental aims of moral education and may be ineffective in fostering the responsible conduct of research. This article explores the concept of professional virtue and argues that compliance is capable of becoming a professional virtue like scientific honesty. This requires, however, that regulatory and IRB demands contribute to human well-being and to the aims of research as a profession and that researchers, therefore, internalize the norms that underlie regulatory and IRB demands. This, in turn, requires a series of changes in the way society develops, promulgates, and enforces regulatory and IRB rules. The challenge is, simply put, to embed compliance into the world of living morality.

Behavioral Research↗

New roles for the medical librarian in an information management environment.

Over the course of the next twenty years libraries will be undergoing significant retooling so that they can move beyond their traditional roles and become the manager of the medical center's information network. As libraries automatic, the role of the medical librarian will change. To manage the change with ease librarians must begin now to equip themselves, their libraries and their clientele to function effectively in the new environment. Developing formalized instructional programs that link individuals to information and to systems that provide those individuals with personal memory extenders and lifelong learning supports will be among the librarian's top priorities.

Environment↗

Bibliographic instruction in the hospital library.

The nature of bibliographic instruction in this hospital library continues to evolve. As the library makes easy-to-master, menu-driven tools for online searching available to end users, the demand for this service and the accompanying training increases. The demand for formal sessions covering research techniques is also increasing. Upon request, the library offered an extended research orientation to the housestaff in Obstetrics and Gynecology in May of 1993. An introduction to the use of CD-ROM was included to highlight its usefulness for citation verification, author searches, and for periodic current awareness searches on a particular topic. The UMH Library staff strive to offer the most current and comprehensive facilities and services to their users. These include automated access to the library's book, journal, and audiovisual holdings using the Data Trek system; online bibliographic searching by library staff and end users using CD Plus MEDLINE on CD-ROM and Grateful MED software; participation in clinical rounds to provide research support for clinical care; and several types of bibliographic instruction. In addition to the informal teaching of library research techniques that the library staff offers on a daily basis, the Library at Union Memorial Hospital is pleased to be able to provide a formalized and evolving bibliographic instruction program.

Computer User Training↗

Teaching medical informatics a la carte: a curriculum for the professional palate.

Health professionals as well as students vary greatly in their appetite for medical informatics and evidence-based medicine. The information professional is challenged by the need for instructional programs that support the use of medical informatics to a diverse audience. For teaching programs to be successfully received, the information professional must be able to offer an adaptable curriculum that can be arranged to meet the differing needs of a wide range of health professionals. The Educational Services Department at New York University Medical Center has designed and implemented a multidisciplinary curriculum that serves as a model for health and information professionals to meet a variety of goals and objectives. This paper describes how the curriculum evolved. It is presented as a menu of offerings that may be coordinated and adapted to meet the varying skills and needs of clinicians, basic scientists, residency training programs, medical student clerkships, and nursing and allied health programs. Informatics programs that may include workshops in basic computer skills, identification of information resources, the structure of information, developing search strategies in support of evidence-based medicine, identifying qualitative journal literature, and critical appraisal of the literature, are easily adapted to any audience and schedule.

Academic Medical Centers↗

Introduction to resources in molecular genetics.

Perhaps no other discipline has experienced as dramatic an information explosion in recent years as has the field of molecular genetics. While the flood of scholarly publications stemming from this research has been extensively indexed in MEDLINE, a number of new databases have been developed that provide direct access to the primary sequence data as well as to curated, reference information. A select group of these databases, including NCBI's GenBank, LocusLink, RefSeq, OMIM, and Genes and Disease, is examined. Following a brief description of each database, a proposed instructional program for their integration into an undergraduate genetics course at the University of Vermont is described.

Data Display↗

Generalized identity matching of two-dimensional forms by individuals with moderate to profound mental retardation.

The classic literature suggests that individuals with MAs of less than 5 years may fail tasks that require same/different judgments. In Study 1 we used an assessment procedure that provided minimal instructional programming to determine whether 17 adults with MAs ranging from 2 years, 5 months to 4 years, 11 months would show accurate identity matching-to-sample. Stimuli were letter-like nonsense forms. Eight participants showed highly accurate matching. Eight of the 9 who failed were available for further study. Of these, 5 ultimately demonstrated highly accurate matching after training with standard fading procedures. These data suggest that a greater proportion of individuals with low MAs can exhibit generalized identity matching than previously documented in the literature.

Adolescent↗

Visual phonics: an English code buster?

Visual phonics is an instructional program to provide print awareness, alphabet knowledge, and sound-letter correspondence for children with hearing loss who experience difficulty developing a foundation of phonemic awareness skills. Its purpose is "to clarify the sound symbol relationship between spoken English and print" (Waddy-Smith & Wilson, 2003, p. 15). It is implemented in numerous school districts, particularly in California and Florida, and can be learned in a 2-day workshop. Administrators, teachers, and speech pathologists see potential benefit in using Visual Phonics to help students with hearing loss raise their achievement scores in reading and spelling. However, it is critical to note that Visual Phonics has virtually no research base. Researchers, teachers, and speech pathologists are called upon to collect their data and begin research on the effectiveness of Visual Phonics. This is a case in which the research-to-practice gap must be closed.

Awareness↗