scholarly journals «Det er et verktøy, ikke sant, for oss» - Erfaringer fra fire gjennomføringer med kartleggingsprøver i regning 2014 - 2017

2018 ◽  
Vol 12 (4) ◽  
pp. 8
Author(s):  
Guri Anne Nortvedt

I 2014 ble andre generasjon av de statlige kartleggingsprøvene i regning tatt i bruk på 1.–3. trinn i småskolen i Norge. Disse prøvene skal brukes til å identi-fisere elever som kan ha behov for ekstra oppfølging, og skal i tillegg brukes til vurdering for læring med identifiserte elever. Derfor er det mange enkle oppgaver på prøven, slik at lærerne skal få mye informasjon om hva disse elevene mestrer. Kartleggingsprøvene skal normalt ha en levetid på fem år, slik at innholdet i prøvene over tid blir godt kjent for skolene og lærerne. Hva vet vi om norske elevers tallforståelse og regneferdigheter etter fire gjennomføringer, og hvordan bruker lærerne prøvene? Innsamling av elevdata etter hver gjennomføring viser at andelen elever under bekymringsgrensen ikke har sunket i perioden 2014–2017. Elever under bekymringsgrensen viser at de mestrer enkle tellestrategier og at de er i ferd med å utvikle en mental tallinje, men også at de sannsynligvis bruker enkle og kanskje ikke hensiktsmessige regnestrategier. Dybdeintervjuer med sju lærere fra fire skoler viser at de er godt forberedt og påpasselige med å gjennomføre prøvene etter de retningslinjene Utdanningsdirektoratet har fastsatt, men at de strever med å tolke og følge opp resultatene. Enkelte lærere viser også holdninger til prøvene og kartlegging som tilsynelatende ikke er produktive med tanke på effektiv undervisning. Det antas at målrettet etterutdanning og verktøy som kan hjelpe lærere med å tolke data, vil kunne bidra til en positiv endring der prøveresultater i større grad tas i bruk og at dette på sikt vil føre til at færre elever skårer under bekymringsgrensen.Nøkkelord: kartleggingsprøver i regning, lærerholdninger, vurdering for læring, oppfølging, tallforståelse, regneferdigheter “This is a tool, isn’t it, for us to use?”Experiences from four implementations of the national mapping tests in numeracy in 2014–2017AbstractIn 2014, second generation national mapping tests of numeracy were imple-mented in primary grades 1–3 in Norway. These tests should be used to identify students who might benefit from extra teaching. In addition, test outcomes should be used for assessment for learning. To provide teachers with much information about identified students’ competence, the assessment comprises many easy items. The same mapping tests are normally used for five consecutive years to allow teachers insight into what the tests measure. What do we know about students’ concepts of numbers and calculation strategies after four implementations? How do teachers use insights from the assessments? Analysis of student data collected after each implementation reveals that the number of students identified has not decreased from 2014 to 2017. Students below the cut-off score master simple counting strategies and are in the process of developing a mental number line, but most likely use simple and perhaps unproductive calculation strategies. In-depth interviews with seven teachers from four schools reveal that the teachers are well prepared to implement the assessments, taking care to follow national guidelines developed by the Directorate for Education and Training. However, they struggle to interpret and follow up test outcomes. Some of the teachers reveal beliefs about the assessments and mapping that seemingly are unproductive for effective teaching. Targeted professional development strategies and tools for teachers to enable them to interpret test data might contribute to developing practices that use test results to a larger extent and in the long term lead to fewer students scoring below the cut-off-score.Keywords: numeracy mapping tests, teacher beliefs, assessment for learning, follow-up activities, number concept, calculation skills

2011 ◽  
Vol 10 (3) ◽  
pp. 241-264 ◽  
Author(s):  
Samuel Shaw ◽  
Daniel Monroe Sullivan

Art festivals are a feature of many urban districts undergoing gentrification; they help to catalyze change by drawing a set of consumers with particular cultural interests. This article examines whether the arts produce racial exclusions by examining long–term Black and White residents’ participation in and perceptions of the monthly Last Thursday Art Walks in Portland's gentrifying Alberta Arts District. We use surveys to measure arts participation and follow–up, in–depth interviews to understand whether long–time residents feel excluded by the arts, and if race is a factor. We find that Black residents participate less in Last Thursdays than White residents, and they often feel uncomfortable or unwelcome. We conclude that the arts–anchored symbolic economy results in racial exclusions that have little to do with differences in arts appreciation, but much to do with perceptions of people associated with the arts, and with residents’ abilities to use the arts to identify with neighborhood changes.


Author(s):  
Catherine Y Zhu ◽  
Ines Donangelo ◽  
Deepashree Gupta ◽  
Dalena T Nguyen ◽  
Joana E Ochoa ◽  
...  

Abstract Context Molecular testing to refine the diagnosis of cytologically indeterminate thyroid nodules has become increasingly popular, but data on long-term durability of test results and the rate of delayed operation are limited. Objective Determine the delayed rate of surgical resection in indeterminate nodules with benign/negative molecular testing and the risk of false-negative molecular test results. Design Prospective follow-up of the Gene Expression Classifier vs Targeted Next-Generation Sequencing in the Management of Indeterminate Thyroid Nodules randomized controlled trial comparing the diagnostic test performance of Afirma Gene Expression Classifier and ThyroSeq v2. Setting University of California, Los Angeles. Participants Patients who underwent thyroid biopsy with indeterminate (Bethesda III/IV) cytology (April 2016 to July 2017). Intervention Ultrasound surveillance. Main Outcome Measure False-negative rate of molecular testing. Results Of 95 indeterminate nodules with negative/benign molecular test results, 12 nodules underwent immediate resection (11 benign nodules, 1 noninvasive follicular thyroid neoplasm nodule with papillary-like nuclear features). Nonoperative management was pursued for 83 (87.4%) nodules. The median surveillance was 26.7 months. Ten nodules were resected during surveillance and malignancy was identified in 4 nodules (overall false-negative rate of 5.8%). In the 4 malignant nodules that underwent delayed operation, surgery was prompted by sonographic changes during surveillance. Conclusions The majority of indeterminate nodules with negative molecular testing have a stable clinical course over 3 years of follow-up, but our finding of a 6% false-negative rate highlights the importance of continuing sonographic surveillance. Long-term studies are needed to determine the optimal length of follow-up.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 9528-9528
Author(s):  
Brendan D. Curti ◽  
Gregory A. Daniels ◽  
David F. McDermott ◽  
Joseph Clark ◽  
Howard Kaufman ◽  
...  

9528 Background: IREs are associated with immunotherapy (IT) for cancer and while reports suggest improvement in TC and OS with induced IREs, the long-term impact is unclear. IL2 has been the major IT for patients (pts) with renal cell carcinoma (RCC) and melanoma (MM) since 1992. We evaluated IREs reports in the PROCLAIMSM data base (2008-2016) of IL2-treated pts. Methods: Reports on 614 (MM) and 843 (RCC) pts were queried for IREs. IREs were categorized as occurring before, during, or after IL-2 and related to any checkpoint inhibitor (CPI). TC (CR+PR+SD) was compared between no IRE and IRE, using Fisher’s exact test. OS curves were estimated by Kaplan-Meier method, and comparison of no IRE/before IL2 with during/after IL2, was analyzed by log-rank test. Results: With a median (med) follow-up of 3.5+ years (range 1-8+ year), 140 IREs were reported in 118 pts (9.6% of all PROCLAIMSM pts): 93 (15%) in MM; 47 (5.6%) in RCC. 25 IREs were prior to IL2; 13 IREs were during IL2; 102 were after IL2. Of the latter 102, 31 were after IL2 and after subsequent CPI; 71 were attributed to IL2 only; and in 13, IREs were due to either IL2 or CPI. TC was 73% for IRE group vs 56% for no IRE group (p = 0.0054). OS was significantly greater for IRE group during/after IL2 compared to no IRE/before IL2 in MM, med 46 months (mo) vs 18 mo (p = 0.0001) and in RCC, med 61 mo vs 43 mo (p = 0.0196), independent of CPI IREs. Med # of IL2 doses was 19 in no IRE group, 39 in IRE during IL2 group, and 25 in IRE after IL2 group. IL2-related IREs were primarily vitiligo and thyroid dysfunction (70% of IL2 IREs), with limited further impact, while CPI-related IREs were often serious, requiring intervention (hypophysitis, colitis, hepatitis, uveitis) (52% of CPI IREs) and possibly chronic management. Conclusions: IREs following IL2 are associated with improved TC and OS. IREs resulting from IL2 and from CPIs are qualitatively different and likely reflect different mechanisms of action of immune activation and response.


BMJ ◽  
1992 ◽  
Vol 304 (6836) ◽  
pp. 1209-1212 ◽  
Author(s):  
L. Hirschowitz ◽  
A. E. Raffle ◽  
E. F. Mackenzie ◽  
A. O. Hughes

2014 ◽  
Vol 10 (1) ◽  
pp. 70
Author(s):  
Anne Svelstad Evju ◽  
Gøril Salomonsen Klette ◽  
Anne Kasen ◽  
Terese Bondas

<p><strong><em>Nurses experiences of health promotion with patients in somatic outpatient clinics</em></strong><em></em></p><p><em>The aim is to describe and understand nurses’ experiences of health promotion with patients, who have been recommended to change their lifestyles when cared for in outpatient clinics. Semi-structured in-depth interviews were carried out with a sample of 7 nurses, who cared for patients, suffering  from diabetes, obesity and COPD. A qualitative content analysis was used. The findings highlight the importance of creating trust to gain insight into the patient’s way of living, which is referred to as ‘the patient’s private health space’. The change interventional dialogue between the patient and the nurse was created by mapping out the patient’s potential for change, and by trying to make the patient responsible for their lifestyle by continuous follow up, long-term support and guidance. The nurses viewed individual adaptation of health promotion in relation to each patient as essential. The patients are challenged to use their own resources and are guided in regard to their own goals. The nurses role as the activator of change is important.</em></p>


2016 ◽  
Vol 23 (01) ◽  
pp. 056-059
Author(s):  
Sadaf Ahmed Asim ◽  
Humaira Maryum Agha ◽  
Qamar-un -Nisa ◽  
Muhammad Masroor

Objectives: To assess the efficacy of intra-lesional triamcinolone in for thetreatment of Post Herpetic Neuralgia. Study Design: Prospective interventional study. Setting:Dermatology Department of Dow University Hospital. Period: July 2014 to June 2015. Patientsand Methods: Twenty nine patients with diagnosis of Post Herpetic Neuralgia were includedafter taking written and informed consent. An insulin syringe was used for the injections andthe medicines were injected intralesionally. The mixture contained 30/70% of triamcinolone toxylocaine ratio for local infiltration in post herpetic scars. Pain relief assessment was done withthe help of visual analogue scale (VAS) after two months. Mean pain score before therapy andafter therapy was compared with one sample student t test. Results: Out of total 29 patients 14were male and 15 were females. The mean age ±SD was found to be 45.9± 15.4 years. Themost common region involved was Chest. The mean ±SD duration of Symptoms was 5.58 ±1.80 weeks. The mean pain score before therapy was 6.86 ± 1.66 which after one month oftherapy reduced to 3.72 ± 1.86. The reduction in pain was statistically significant (p<0.001).Conclusion: Post Herpetic Neuralgia can be effectively treated by the local infiltration of amixture of triamcinolone and lignocaine. It is recommended that long-term follow-up studiesshould be done with corticosteroids only or in combination with local anesthetics to additionallyevaluate the effectiveness of such treatment in postherpetic neuralgia.


2021 ◽  
pp. 145507252110183
Author(s):  
Svanaug Fjær ◽  
Kari Dyregrov

Aims: The objective of this study is to contribute to an improvement of bereavement services and experiences for the bereaved after drug-related deaths (DRDs) by investigating their expressed opinions on what would constitute improvements. Methods: As part of a larger survey questionnaire, we asked people bereaved by DRDs what advice they would give to politicians to improve bereavement services. Out of 255 respondents, we received 196 written statements of advice, 83 focusing on the time after death. Two-thirds of these respondents were either parents or siblings, the other third were other family members or close friends. A thematic analysis was conducted to examine the written statements. Results: We found four central themes: broad-spectrum help, routinised help, respectful help and competent help. The advice represents a long list of psychosocial support to ideally be offered on a regular and long-term basis. Furthermore, the bereaved also discussed the cognitive and normative side of the services by including considerations about stigma and respect, and the need for more research- and experience-based knowledge about their experiences both before and after DRDs. Conclusions: Many of the services sought by the bereaved are already in place and described in national guidelines for follow-up strategies after sudden unexpected deaths. DRDs, however, has not been included as a task for the services and are not explicitly mentioned in these guidelines. The scope of research and policymaking on drug problems and DRDs should be broadened to include families and social networks in order to make the group more visible and strengthen their influence on policy.


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