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Training for the twenty-first century in a state psychiatric facility.

This article analyzes some of the major factors affecting the content and process of training paraprofessionals in state-run psychiatric hospitals. It reflects on the challenge of providing the relevant knowledge and skills for staff members with limited or no clinical experience yet who are expected to provide the highest quality of care in a rapidly changing field. The author uses her own experience at the only state-run psychiatric hospital in Delaware to present ideas of how to create a learning environment for paraprofessionals that could be transferred to similar facilities.

Hospitals, Psychiatric↗

Hand-assisted versus total laparoscopic live donor nephrectomy.

BACKGROUND AND PURPOSE: The optimal minimally invasive procedure to procure live donor kidneys for renal transplantation has not been established. This study compared the donor outcome of hand-assisted laparoscopic live donor nephrectomy (H-LLDN) with total laparoscopic live donor nephrectomy (T-LLDN). METHODS: The outcomes of 12 donors undergoing H-LLDN were compared to that of a subsequent series of 12 donors undergoing T-LLDN. Body mass index, operation time, warm ischemia time, hospital stay, surgical complications, and short-term graft function were compared between the 2 groups. RESULTS: LLDN was successfully performed in all 24 donors. Both approaches resulted in excellent early graft function. The mean operation time in T-LLDN (215 minutes) was slightly shorter than that in H-LLDN (258 minutes), suggesting that the skills developed as surgeons learned the H-LLDN procedure had transferred to their performance of T-LLDN. The mean warm ischemia time of the T-LLDN group (4.5 minutes) was longer than that of the H-LLDN group (3.8 minutes), although this difference was not significant. One minor tear of the lumbar vein occurred in the H-LLDN group and the resultant bleeding necessitated blood transfusion. One mechanical failure occurred when the renal vein was divided by endoscopic gastrointestinal anastomosis in the T-LLDN group. The length of hospital stay, resumption of diet, and the use of narcotic analgesics were not different between the 2 groups. CONCLUSIONS: Both H-LLDN and T-LLDN are safe and effective approaches for the procurement of live donor kidneys. The benefits of the H-LLDN technique include direct manual control of the operative field and increased safety margin. The development of a hospital LLDN program by starting with a hand-assisted approach may reduce the potential bleeding complications and facilitate the safe transition to the cosmetically preferable total laparoscopic approach.

Adult↗

Assessment of issues facing immigrant and refugee families.

This article identifies the different problems immigrants and refugees face in the United States, especially socioeconomic and psychosocial concerns that often relate to the experience of migration. Traditional familial roles and responsibilities are frequently challenged, exacerbated by sociocultural differences and inadequate understandings between the new arrivals and the host country. Essential in assessments of immigrant and refugee families is evaluating resources for social, economic, and cultural integration; discriminating between realistic and unrealistic expectations; evaluating families' problem-solving abilities; exploring family functioning within the context of heritage; identifying the transferability of work skills; and gauging families' learning capabilities and motivation for adaptation.

Acculturation↗

[Connectionist models of social learning: a case of learning by observing a simple task].

This article proposes a connectionist model of the social learning theory developed by Bandura (1977). The theory posits that an individual in an interactive situation is capable of learning new behaviours merely by observing them in others. Such learning is acquired through an initial phase in which the individual memorizes what he has observed (observation phase), followed by a second phase where he puts the recorded observations to use as a guide for adjusting his own behaviour (reproduction phase). We shall refer to the two above-mentioned phases to demonstrate that it is conceivable to simulate learning by observation otherwise than through the recording of perceived information using symbolic representation. To this end we shall rely on the formalism of ecological neuron networks (Parisi, Cecconi, & Nolfi, 1990) to implement an agent provided with the major processes identified as essential to learning through observation. The connectionist model so designed shall implement an agent capable of recording perceptive information and producing motor behaviours. The learning situation we selected associates an agent demonstrating goal-achievement behaviour and an observer agent learning the same behaviour by observation. Throughout the acquisition phase, the demonstrator supervises the observer's learning process based on association between spatial information (input) and behavioural information (output). Representation thus constructed then serves as an adjustment guide during the production phase, involving production by the observer of a sequence of actions which he compares to the representation stored in distributed form as constructed through observation. An initial simulation validates model architecture by confirming the requirement for both phases identified in the literature (Bandura, 1977) to simulate learning through observation. The representation constructed over the observation phase evidences acquisition of observed behaviours, although this phase alone is not sufficient to ensure accurate reproduction and must be made functional through the production phase (Deakin & Proteau, 2000). Results obtained through a second simulation replicate those produced by Bandura & Jeffery (1973), who observed that the individual tested following the retention phase recalled recorded information better than he realized in the production phase. The outcome of a third simulation shows that, when performing the transfer task, agents performed the task all the more effectively when they were required to learn a simple path which facilitated knowledge transfer to an adjacent situation. New explanatory assumptions of the mechanics of learning through observation may be produced through OLEANNet. Thus, observed deterioration between memorization and production is caused by successive approximations which occur in the acquisition phase then in the production phase. Further, depending on the type of learning undergone by agents, use of representation as a production guide induces a more or less stringent constraint in the approximation of actual behaviour. This results, during the transfer task, in the ability to effectively generalize acquired knowledge where such knowledge is not specifically related to the task at hand. In conclusion, connectionist model architecture appears valid for modeling learning through observation as defined by Bandura (1977). However, certain limitations appear during implementation, especially in terms of the observed behaviour's availability and the planning of produced behaviours that future developments are liable to counter.

Humans↗

Pattern structure and relational discrimination learning.

McGonigle and Jones take exception to Dodwell's explanation of anomalous transfer (AT) as the outcome of relational discriminations among a set of stimulus patterns which vary along a single dimension of orientational salience, from 'horizontal' to 'vertical'. In particular they do not think that the continuum is generated by units with Hubel-and-Wiesel type retinal receptive fields. Instead, they invoke Garner's notions about stimulus structure to explain Dodwell's results, as well as their own finding of two situations where AT fails to occur. It seems that McGonigle and Jones missed the point of the relational discrimination explanation of AT. In fact, it is shown that AT is not predicted by this model for the conditions in which they failed to obtain it. The relational model makes definite predictions about conditions under which AT will occur; as this is not true of their invocation of Garner's ideas, the former is to be preferred. Whether or not outputs are coded by Hubel-and Wiesel type units is not particularly relevant to the main point, that AT is a result of relational learning. In fact, the model is an instance of how structure, in Garner's sense, can be generated.

Animals↗

Teaching of subject matter.

Psychology of subject matter refers to the scientific study of learning and instruction within school subjects. The growing research literature on teaching and learning of school subjects represents one of educational psychology's most productive accomplishments of the past two decades. The purpose of this chapter is to examine representative advances in the psychology of subject matter, including how people learn to read words, comprehend printed passages, write compositions, solve arithmetic word problems, and understand how scientific systems work. The introduction provides a historical overview of how to promote transfer and is followed by reviews of representative research in learning and teaching of reading fluency, reading comprehension, writing, mathematics, and science.

Cognition↗

The consequences of negative scaffolding for students who learn slowly--a commentary on C. Addison Stone's "The metaphor of scaffolding: its utility for the field of learning disabilities".

In this commentary, we discuss the outcomes of effective scaffolding, the processes by which successful scaffolding works, and consider implications for children with learning disabilities or below-average academic progress. Scaffolding aims at transferring responsibility for task accomplishment from a competent person to a learner. In the context of children with educational problems, we explicate our view that current practices in many schools may result in a kind of reverse-scaffolding, preventing rather than encouraging transfer of responsibility for tasks.

Child↗

A failure to train the "same-different" differentiation of photic stimuli in dogs.

Dogs were unable to learn "same-different" differentiation of pairs of photic stimuli when continuous light (CL) and pulsing light (PL) were presented in four combinations: CL-PL and PL-CL served as S(D) (positive instrumental conditioned stimulus), whereas CL-CL PL-PL were S delta (inhibitory stimulus). Also the dogs which have learned this task with tones were unable to transfer to photic stimuli. Differentiation of the single stimuli (CL and PL) as S(D) and S(delta) was quite easy and showed that the stimuli were readily discriminable.

Animals↗

Problem based learning in medical education: theory, rationale, process and implications for pakistan.

Historically, lectures were the medium to transfer cognitive information to the learners in medical education. Apprenticeship training, labs, bedside teaching, tutorials etc. were used to impart psychomotor and affective skills. It was assumed that the learner will assimilate all this knowledge and will be competent to apply this learning in practical life. Problem-based learning (PBL) emerged due to problems in building the appropriate competencies in the medical graduates and is a relatively newer mode of transfer of knowledge. This paper will deal with problem-based learning which took the world with storm in the 80's and most institutions in the world started using different variants of PBL. This paper attempts to define and explore the theoretical basis and historical background of PBL. The paper will systematically review literature and argue about the advantages and disadvantages of PBL and the implications of its implementation in Pakistan.

Education, Medical↗

Hippocampal lesions impair navigational learning in experienced homing pigeons.

Adult experienced homing pigeons from Maryland were subjected to hippocampal lesion and then transferred to a new loft in Ohio to examine what effect such treatment may have on learning to navigate to a new home loft. When subsequently released from an unfamiliar site, the hippocampal lesioned birds were impaired in taking up a vanishing bearing toward their new Ohio loft. This deficit is interpreted as an impairment in hippocampal-lesioned birds learning a new navigational map. Together with a previous study, the results suggest that an intact hippocampus is necessary if young naive or adult experienced homing pigeons are to learn a navigational map.

Animals↗

The role of parameter variability on retention, parameter transfer, and effector transfer.

The purpose of this study was to examine the effects of parameter variability on the learning of generalized motor programs (GMP) and movement parameterization. Participants attempted to exert a force pattern that resembled in force and time a waveform displayed on a computer monitor. The analysis suggested that relative timing (a measure of the GMP) performance remained remarkably stable across retention and transfer tests, whereby the structure of the movement remained intact, although the parameter or muscle group (effector) changed during transfer The results also indicated that variable parameter (time) practice did not enhance GMP learning but did degrade the learning parameter that was not varied (force). In addition, parameter specification was substantially less stable than the GMP, with time and force parameter performance deteriorating from the retention to transfer tests. These findings suggest that parameter specification, and not the GMP, is the primary cause of poorer performance in parameter and effector transfer.

Adolescent↗

Mental contents in transfer.

The purpose of this paper is to develop theoretical concepts for mental content-based investigations and explanations in the psychology of human thinking in general and transfer more specifically. The schema-based analysis of transfer postulates that the solving of an earlier problem can influence a person's future behavior only to the degree of schematic similarity between the primary and the secondary problem solution. The reported content-based investigation, using Duncker's (1935) classic tumor task, shows however, that the contents of schemata cause an essential variation in a person's mental representation and judgement of radiation confluence effects. The study identified and assessed in separate experiments the influence of three different thought models (additive, balancing, and distribution-based) and two distinct types of spatial images of rays (compact vs. diverging). Whereas differences in the central tendencies of the judgements could expose some of the priming effects between experimental conditions, the core of the content-based analysis was based on the identification of distinct groups of participants displaying a certain type of judgement. These differences reflected the contrasts between the thought models and the ray image content. They substantiated the claim that a schema-based analysis of transfer and reasoning in general, is alone not sufficient to explain interindividual and intercontextual differences that are based on distinctive mental content in the reasoners' apperception.

Adult↗

Construct and face validity and task workload for laparoscopic camera navigation: virtual reality versus videotrainer systems at the SAGES Learning Center.

BACKGROUND: Laparoscopic camera navigation (LCN) training on simulators has demonstrated transferability to actual operations, but no comparative data exist. The objective of this study was to compare the construct and face validity, as well as workload, of two previously validated virtual reality (VR) and videotrainer (VT) systems. METHODS: Attendees (n = 90) of the SAGES 2005 Learning Center performed two repetitions on both VR (EndoTower) and VT (Tulane Trainer) LCN systems using 30 degrees laparoscopes and completed a questionnaire regarding demographics, simulator characteristics, and task workload. Construct validity was determined by comparing the performance scores of subjects with various levels of experience according to five parameters and face validity according to eight. The validated NASA-TLX questionnaire that rates the mental, physical, and temporal demand of a task as well as the performance, effort, and frustration of the subject was used for workload measurement. RESULTS: Construct validity was demonstrated for both simulators according to the number of basic laparoscopic cases (p = 0.005), number of advanced cases (p < 0.001), and frequency of angled scope use (p < 0.001), and only for VT according to training level (p < 0.001) and fellowship training (p = 0.008). Face validity ratings on a 1-20 scale averaged 15.4 +/- 3 for VR vs. 16 +/- 2.6 for VT (p = 0.04). Ninety-six percent of participants rated both simulators as valid educational tools. The NASA-TLX overall workload score was 69.5 +/- 24 for VR vs. 68.8 +/- 20.5 for VT (p = 0.31). CONCLUSIONS: This is the largest study to date that compares two validated LCN simulators. While subtle differences exist, both VR and VT simulators demonstrated excellent construct validity, good face validity, and acceptable workload parameters. These systems thus represent useful training devices and should be widely used to improve surgical performance.

Adult↗

Channel capacity for kinesthetic torque information.

A previous study (Russel & Marteniuk, 1974) used informational analysis of absolute judgments to investigate the capacity of the kinesthetic system to transmit information derived from torque cues. As perfect transmission was not obtained in that study, no firm statement regarding channel capacity could be made. Four experiments were conducted in which five subjects made judgments concerning in intensity of 2, 4, 6, and 8 categories, respectively, in an attempt to determine the channel capacity for torque. Information transfer for the four experiments was 1.00, 1.45, 1.60, and 1.67 bits, respectively. It is argued that the latter figure probably reflects the true capacity of the kinesthetic system rather than the 2.09 bits previously reported.

Adult↗

Conditional rescue of olfactory learning and memory defects in mutants of the 14-3-3zeta gene leonardo.

Members of the ubiquitous 14-3-3 family of proteins are abundantly expressed in metazoan neurons. The Drosophila 14-3-3zeta gene leonardo is preferentially expressed in adult mushroom bodies, centers of insect learning and memory. Mutants exhibit defects in olfactory learning and memory and physiological neuroplasticity at the neuromuscular junction. Because strong mutations in this gene are lethal, we investigated the nature of the defects that precipitate the learning and memory deficit and the role of the two protein isoforms encoded by leonardo in these processes. We find that the behavioral deficit in the mutants is not caused by aberrant development, LEONARDO protein is acutely required for learning and memory, and both protein isoforms can function equivalently in embryonic development and behavioral neuroplasticity.

14-3-3 Proteins↗

Extra prompts versus no extra prompts in self-care training of autistic children and adolescents.

A color-coded "extra prompt" procedure was compared to a "no extra prompt" procedure in teaching autistic children and adolescents how to lace shoes. One randomly assigned group of 10 autistic subjects first learned to lace shoes whose laces and eyelets were color-coded red and white, and then encountered the no extra prompt condition in which color codes could no longer be depended upon to solve the position discriminations required to lace properly. In a counterbalanced fashion, the other group of 10 autistic subjects reached criterion on the non-color-coded, naturalistic shoe before experiencing the extra prompt condition. Analysis of variance and post-hoc analyses suggest that subjects who first learned under the color-coded, extra prompt condition encountered significant difficulty in transferring their newly acquired skill to the naturalistic, non-color-coded condition, whereas subjects who learned initially without the extra prompts had little difficulty with the subsequent color-coded condition. A follow-up procedure requiring all subjects to choose between the color prompt and the position cue revealed that 11 of 20 subjects consistently chose the color cue, even though it resulted in improper lacing. It is recommended that clinicians avoid the use of highly salient, non-criterion-related prompts in teaching certain types of adaptive skills to autistic children.

Activities of Daily Living↗

Long-term effectiveness of the Adolescent Learning Center: a challenge to the concept of least restrictive environment.

The long-term effectiveness of the Adolescent Learning Center, a model classroom for emotionally disturbed adolescents, is described. The classroom is located in a restricted environment away from the public school campuses. In this follow-up study, the social adaptation and perceived adjustment of students who have mainstreamed back into regular classes for more than one year were assessed. Results on a behavioral checklist, student attitude questionnaire, and parents' questionnaire indicated that gains in emotional adjustment continued to accrue significantly upon the students' return to the public school setting. Since the therapeutic environment of the Adolescent Learning Center prompted personal and behavioral changes that transferred effectively to the regular school setting, for these adolescents the "most appropriate environment" for correcting school adjustment problems was one that is highly restrictive.

Adolescent↗