Examining the interplay of affect and self regulation in the context of clinical reasoning
Publication date: Available online 28 June 2019Source: Learning and InstructionAuthor(s): Susanne P. Lajoie, Juan Zheng, Shan Li, Amanda Jarrell, Maren GubeAbstractThere is an active strand of research on how affect and self-regulatory activities influence performance and learning outcomes, but the mechanisms through which they interact during learning remain poorly understood. Additionally, these constructs have been under-researched in medical education. Using multimodal data in the context of a clinical reasoning task for medical students learning case diagnosis, we explored the temporal nature of cognition, affect, motivation, and self-regulation. With a sample of n = 10 medical students, we collected data on self-regulated learning (SRL) processes through think-aloud analyses; emotion data through facial expressions; and achievement goal orientations and habitual emotion regulation strategies through self-report questionnaires. Results from our sequential data mining techniques and quantitative analyses suggested that high-performing medical students (who arrived at an accurate diagnosis) differed from low-performing students (who did not arrive at correct diagnosis): Low performers reported higher performance goal orientation, and expressed more emotions overall, than high performers. High performers exhibited marginally more monitoring SRL behaviours, while low performers tended to orient and reorient throughout the task. High and low performers also differed on th...
Conclusions: Although persons with AD are often collectively considered as expensive patient group, there is large temporal and inter-individual variation in belonging to the highest decile of hospitalization and/or medication costs. It would be important to assess whether hospitalization rate could be decreased by, e.g., comprehensive outpatient care with more efficient management of comorbidities. In addition, other interventions that could decrease hospitalization rate in persons with dementia should be studied further in this context. Key messages Persons with AD had large individual fluctuation in hospital care costs ...
Conclusion and Significance: Understanding the participants' lived experiences raised consciousness of the injustices that exist before and during rehabilitation which uncovered pointers to improve local substance addiction rehabilitation programs: use of occupation-based social participation interventions, limitation of occupational therapy services due to lack of human resources reinforcing interprofessional collaboration, a participatory approach is essential in discussing and addressing injustices, and deliberate use of political activities of daily living. PMID: 31322976 [PubMed - as supplied by publisher]
Publication date: August 2019Source: Neuropsychologia, Volume 131Author(s):
ConclusionDespite the use of AEDs in the majority of patients, only one-third were seizure-free. Other challenges included polypharmacy, the use of valproate in women, and variable adherence. This points to a need for closer follow-up in patients with JME.Graphical abstract
POLLEN COUNT for most parts of the UK have been forecasted by the Met Office. What is the pollen count for today and how can you better manage your symptoms?
A Pennsylvania school district notified parents, whose children had a meal debt of $10 or more, of the potential consequence but officials said the letter was not sanctioned by the superintendent.
This article reviews targeted therapy treatment options for patients with metastatic BC, including strategies for administration, side effects, and nursing considerations. PMID: 31322617 [PubMed - in process]
Chief medical correspondent Dr. Jon LaPook joined "CBS Weekend News" to discuss how to stay ahead of the symptoms that contributed to the deaths of at least six people
Authors: Plagens-Rotman K, Przybylska R, Gerke K, Jaracz K, Serafinowska J, Sadowska-Przytocka A, Adamski Z, Czarnecka-Operacz M PMID: 31320864 [PubMed]
Authors: Kupryś-Lipińska I, Pałczyński C, Molinska J, Kuna P PMID: 31320863 [PubMed]