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One pedagogical finding that has gained recent attention is the utility of active, effortful retrieval practice in effective learning. Essentially, humans learn best when they are asked to actively generate/recall knowledge for themselves, rather than receiving knowledge passively. In this paper, we (a) provide a framework for both practice and assessment within which students can organically develop active study habits, (b) share resources we have built to help implement such a framework in the linguistics classroom, and (c) provide some examples and evaluation of their success in the context of an introductory phonetics/phonology course.
Bilingualism’s impact on cognitive assessment remains underexplored. This study analyzes the efficacy of the Mini-Mental State Examination (MMSE) as a screening tool for bilinguals, specifically examining the influence of language choice on balanced and unbalanced Lebanese bilinguals (Arabic-French) and its implications for diagnosing cognitive impairment.
Methods:
Ninety-three bilingual healthy controls (mean age = 67.99 ± 9.3) and 29 Alzheimer’s disease patients (mean age = 77.2 ± 5.9), including 26 with mild and 3 with moderate dementia, underwent MMSE assessments in both Arabic and French. The study aimed to assess language impact on cognitive screening outcomes in different bilingual subtypes.
Results:
Sensitivity in screening for cognitive impairment using the MMSE varied based on language and bilingualism subtype. For unbalanced bilinguals, using the prominent language increased sensitivity. Conversely, in balanced bilinguals, employing the societal majority language enhanced sensitivity. This suggests that the conventional use of the non-prominent language in cognitive screening for foreigners/immigrants may result in a subtle loss of MMSE sensitivity.
Conclusion:
This study emphasizes the critical role of language choice in cognitive assessment for bilinguals. The MMSE’s sensitivity is influenced by language selection, with clinical implications for screening procedures. Recommendations include using the prominent language for cognitive screening in dominant bilinguals and the societal majority language for balanced bilinguals. This nuanced approach aims to improve the accuracy and cultural sensitivity of cognitive screening in bilingual populations, addressing the gap in current assessment practices.
This chapter deals with public health and pandemic preparedness. It recognises the five stages of a new pandemic (detection, assessment, treatment, escalation and recovery). The chapter also deals with the issue of laboratory preparedness and the need to maintain a critical mass of laboratory and skilled staff expertise at all times in order to be able to respond rapidly and effectively to a new emerging pandemic.
Our book was written during the COVID pandemic. As a result, it was natural to include a chapter on this topic. In line with the overall theme of our book, we highlight aspects close to the understanding and communication of risk. Topics included in more detail are the inherent danger of exponential growth and the need for adhering to the precautionary principle when faced with a new, possibly catastrophic and hence not yet widely understood, type of risk. The precautionary principle enables decision-makers to adopt measures when scientific evidence about an environmental or human health hazard is uncertain and the stakes are high. A question we address to some extent is whether this pandemic happened totally unexpectedly; was it a so-called Black Swan? We present evidence that it most certainly was not. We give examples of early warnings from scientific publications, highly visible presentations in the public domain as well as regulatory measures in force to absorb the consequences of a possible pandemic. In discussions around risk, numbers, especially large ones, and also units of measurement play an important role; we offer some guidance here.
Item-response theory (IRT) represents a key advance in measurement theory. Yet, it is largely absent from curricula, textbooks and popular statistical software, and often introduced through a subset of models. This Element, intended for creativity and innovation researchers, researchers-in-training, and anyone interested in how individual creativity might be measured, aims to provide 1) an overview of classical test theory (CTT) and its shortcomings in creativity measurement situations (e.g., fluency scores, consensual assessment technique, etc.); 2) an introduction to IRT and its core concepts, using a broad view of IRT that notably sees CTT models as particular cases of IRT; 3) a practical strategic approach to IRT modeling; 4) example applications of this strategy from creativity research and the associated advantages; and 5) ideas for future work that could advance how IRT could better benefit creativity research, as well as connections with other popular frameworks.
In this essay, we review the Technology and Measurement around the Globe chapters with an eye toward integration and synthesis. We primarily focus on implications for testing, and then make connections to the broader world of nontest assessment. We identify themes of privacy, fairness, workplace applications, and emerging technologies, and offer a research agenda for future investigations that seek to understand culture, technology, and measurement.
An overview of testing and measurement in North America is provided, covering topics related to privacy laws and regulations, online proctoring, artificial intelligence, accommodations, accessibility, and the “opt out of testing” movement that are currently defining measurement in North America. This is not to say that these challenges are unique to North America; in fact, the challenges related to these topics are being faced all over the world in varying degrees and the same opportunities exist, but these topics are of particular importance when it comes to measurement and assessment in North America. Building on these observations, a discussion of how advances in technology and computing power provide an opportunity to challenge the status quo related to assessment; these advancements will allow assessment of skills in more authentic ways that will provide better insight into someone’s knowledge, skills, and abilities. The question we should be asking and attempting to answer is “How can assessment developers leverage the power of the cloud and technology to measure skills more accurately and create higher fidelity in the assessment process?”
Hobson v. Hansen (1967) is best known as the first federal court case to rule against discriminatory use of standardized tests in the context of educational tracking. It was also significant as one of the first desegregation cases after Brown v Board of Education (1954) to use psychological evidence in its ruling. This essay briefly examines the debates over ability testing before Hobson, the contexts of post-desegregation D.C. educational politics that shaped the case, the social scientific evidence presented in the case, and its application to the court’s ruling. It argues that while scholars have correctly acknowledged the court’s mistaken assumptions about testing, the evidence presented of testing bias nevertheless cogently illustrated a broader constellation of discriminatory District practices. A review of the testimony suggests that while the psychological evidence was central to the court’s ruling, the opinion rested less on the resolution of social scientific debates over testing bias than it did on the need to determine the justification of ability testing in the context of District tracking practices. Although sweeping in scope, the decision did little to resolve long running disputes over ability testing. Instead, it only helped inaugurate a more heated and contentious legal environment for educational testing in the coming decades.
Chapter 10 opens by asking readers to choose two kinds of people they might encounter in informal learning settings and to identify questions those people might have about their general topic and about their specific activity. Returning to the fact that a successful conversation is cooperative, this chapter emphasizes asking questions and listening. Asking questions of an audience gives the expert substantive information to listen to. Sets of questions give people choice, and the sets can include questions about explanations of the phenomena being shown. A "juicy question," for example, is one that nonexperts can address by using the materials/examples at hand – in effect, encouraging scientific reasoning. Giving people time to answer questions and then listening carefully as they do so shows respect, as does asking new questions that reflect people’s earlier responses. Readers are cautioned to avoid testing their audience or to feel that they themselves are being tested. The Worked Example finds juicy questions in a map-based demonstration of variation in regional dialects.
Incorporating emerging knowledge into Emergency Medical Service (EMS) competency assessments is critical to reflect current evidence-based out-of-hospital care. However, a standardized approach is needed to incorporate new evidence into EMS competency assessments because of the rapid pace of knowledge generation.
Objective:
The objective was to develop a framework to evaluate and integrate new source material into EMS competency assessments.
Methods:
The National Registry of Emergency Medical Technicians (National Registry) and the Prehospital Guidelines Consortium (PGC) convened a panel of experts. A Delphi method, consisting of virtual meetings and electronic surveys, was used to develop a Table of Evidence matrix that defines sources of EMS evidence. In Round One, participants listed all potential sources of evidence available to inform EMS education. In Round Two, participants categorized these sources into: (a) levels of evidence quality; and (b) type of source material. In Round Three, the panel revised a proposed Table of Evidence. Finally, in Round Four, participants provided recommendations on how each source should be incorporated into competency assessments depending on type and quality. Descriptive statistics were calculated with qualitative analyses conducted by two independent reviewers and a third arbitrator.
Results:
In Round One, 24 sources of evidence were identified. In Round Two, these were classified into high- (n = 4), medium- (n = 15), and low-quality (n = 5) of evidence, followed by categorization by purpose into providing recommendations (n = 10), primary research (n = 7), and educational content (n = 7). In Round Three, the Table of Evidence was revised based on participant feedback. In Round Four, the panel developed a tiered system of evidence integration from immediate incorporation of high-quality sources to more stringent requirements for lower-quality sources.
Conclusion:
The Table of Evidence provides a framework for the rapid and standardized incorporation of new source material into EMS competency assessments. Future goals are to evaluate the application of the Table of Evidence framework in initial and continued competency assessments.
Vitamin D deficiency is common in Irish adults, though there is limited research on its determinants, knowledge of vitamin D or indications for testing. We aimed to explore the determinants of vitamin D status in adults and examine knowledge and reasons for testing. The study population comprised adults who had serum 25-hydroxyvitamin D tested by general practitioners request at a Dublin Hospital in 2020. Questionnaires detailing dietary intake, sun exposure, ethnicity, biophysical factors and vitamin D knowledge were sent to a sample stratified by age, sex and vitamin D status. In total, there were 383 participants, mean age 56·0 (sd 16·6) years. Wintertime deficiency disproportionally affected non-white v. white (60 % v. 24 %, P < 0·001). The greatest predictors of deficiency were low vitamin D intake (< 10 μg/d) (P < 0·001) and non-white ethnicity (P = 0·006), followed by sun avoidance (P = 0·022). It was also more prevalent in those with lower body exposure when outdoors. The majority (86 %) identified vitamin D as important for bone health. However, 40 % were tested for non-clinical indications and half were not aware of the recommended daily allowance (RDA). Low vitamin D intake was the most important determinant of deficiency, but ethnicity and sun exposure habits were also significant predictors. The majority had no clear indication for testing and were not aware of the RDA. Public health policies to improve knowledge and vitamin D intake, especially for those of non-white ethnicity and with reduced sun exposure, should be considered.
We begin by demonstrating the importance of the ideas of Karl Popper to corpus linguistics. On that basis we begin an exploration of his ideas in order to understand both his account of the scientific method and how this method may illuminate aspects of the corpus-based approach to the study of language.
The bulk of medical care system management in the United States does not ground decisions in use of available, high quality evidence. The previous chapters in this book demonstrate both that there sometimes is a rich scientific foundation in health care organization, delivery, and financing that could, if applied, lead to better outcomes, and that sometimes there is little or no evidence on effectiveness of interventions. However, we also observed that the bulk of health care management in the United States does not ground decisions in evidence, using it if available and taking uncertainty into account if not – instead “magical thinking” is often used to make choices.1 Ironically, management holds evidence in high esteem for decision-making by clinicians. In this chapter, we explore why management holds itself to a lower standard regarding its organizational, staffing, and planning choices, seeing experience, intuition, and opinions as good-enough evidence for decisions. We explore what needs to happen for this to change.
Testing vocabulary is similar to testing in other areas of language knowledge and use. The same criteria of reliability, validity, practicality, and washback need to be considered when designing and evaluating vocabulary tests. In some ways testing vocabulary is easier than testing grammatical knowledge or control of discourse because the units to test are more obviously separate. It is not too difficult to identify what a word type is. However, there are problems and issues and we look at these in this chapter. This chapter has two major divisions. The first major division looks at the purposes of vocabulary tests, covering diagnostic, placement, achievement, and proficiency tests. The second major division looks at different test formats, answering questions like: Should choices be given? Should words be tested in context? How can I measure words that learners don’t know well? This section covers a wide range of vocabulary test formats, along with comments on their design and use.
The coronavirus disease 2019 (COVID-19) pandemic requires urgent implementation of effective community-engaged strategies to enhance education, awareness, and inclusion of underserved communities in prevention, mitigation, and treatment efforts. The Texas Community-Engagement Alliance Consortium was established with support from the United States’ National Institutes of Health (NIH) to conduct community-engaged projects in selected geographic locations with a high proportion of medically underserved minority groups with a disproportionate burden of COVID-19 disease and hospitalizations. The purpose of this paper is to describe the development of the Consortium. The Consortium organized seven projects with focused activities to address COVID-19 clinical and vaccine trials in highly affected counties, as well as critical statewide efforts. Five Texas counties (Bexar, Dallas, Harris, Hidalgo, and Tarrant) were chosen by NIH because of high concentrations of underserved minority communities, existing community infrastructure, ongoing efforts against COVID-19, and disproportionate burden of COVID-19. Policies and practices can contribute to disparities in COVID-19 risk, morbidity, and mortality. Community engagement is an essential element for effective public health strategies in medically underserved minority areas. Working with partners, the Consortium will use community engagement strategies to address COVID-19 disparities.
Managerial economics provides a toolbox for solving problems that managers frequently face. It addresses issues relating to any aspect of decision making that ultimately affects the profit of a firm. Although the general methodology of managerial economics has not changed over the decades, there have been rapid and significant changes in the business environment in the last ten years or so, and three new themes have become increasingly important: digitization; behavioural aspects; and globalization. The first of these developments involves aspects of big data and advanced data analytics, the human-machine interface and the interconnectedness of electronic devices. The second relates to psychological aspects of decision making that cause both consumers and managers to engage in behaviour normally referred to as ‘irrational’. The third development is that improvements in technology relating to digitization have made the business world more interconnected. The text makes heavy use of recent case studies involving these three themes, for example on tech firms, Covid-19 and climate change, so students can see how the tools of managerial economics can be applied in real-life situations.
Lithium is viewed as the first-line long-term treatment for prevention of relapse in people with bipolar disorder.
Aims
This study examined factors associated with the likelihood of maintaining serum lithium levels within the recommended range and explored whether the monitoring interval could be extended in some cases.
Method
We included 46 555 lithium rest requests in 3371 individuals over 7 years from three UK centres. Using lithium results in four categories (<0.4 mmol/L; 0.40–0.79 mmol/L; 0.80–0.99 mmol/L; ≥1.0 mmol/L), we determined the proportion of instances where lithium results remained stable or switched category on subsequent testing, considering the effects of age, duration of lithium therapy and testing history.
Results
For tests within the recommended range (0.40–0.99 mmol/L categories), 84.5% of subsequent tests remained within this range. Overall, 3 monthly testing was associated with 90% of lithium results remaining within range, compared with 85% at 6 monthly intervals. In cases where the lithium level in the previous 12 months was on target (0.40–0.79 mmol/L; British National Formulary/National Institute for Health and Care Excellence criteria), 90% remained within the target range at 6 months. Neither age nor duration of lithium therapy had any significant effect on lithium level stability. Levels within the 0.80–0.99 mmol/L category were linked to a higher probability of moving to the ≥1.0 mmol/L category (10%) compared with those in the 0.4–0.79 mmol/L group (2%), irrespective of testing frequency.
Conclusion
We propose that for those who achieve 12 months of lithium tests within the 0.40–0.79 mmol/L range, the interval between tests could increase to 6 months, irrespective of age. Where lithium levels are 0.80–0.99 mmol/L, the test interval should remain at 3 months. This could reduce lithium test numbers by 15% and costs by ~$0.4 m p.a.
Chapter 8 looks at an Article 36 review of autonomous weapons systems. Having first addressed the progress of debates about potential future regulation of such systems at the international level, it delineates the notions of autonomy, artificial intelligence and learning systems. The chapter shows that military capabilities underpinned by machine learning and deep learning technologies require a new understanding of how provisions of targeting law can be meaningfully translated to the context of autonomous systems and examined in the framework of Article 36. It also demonstrates that determining the novel character of learning autonomous capabilities to ensure timely provision of legal advice, gaining assurance of complex adaptive systems’ performance accuracy and reliability, or identifying a set of requisite control measures, are all issues that ‘traditional’ weapons reviews do not have to grapple with at all, or at least not to the same extent. [143 words]
Chapter 9 focuses on an Article 36 review of (autonomous) cyber capabilities. As in the case of autonomous weapons systems, the most burning questions for a weapons review in the cyber context remain: How to meaningfully incorporate advice on the law of targeting as part of the weapons review? How to determine when a given capability is ‘new’ for review purposes and when to initiate a review? How and when can testing and evaluation processes meaningfully inform the review outcome? Furthermore, some challenges distinct to cyber capabilities also exist. Most importantly, cyber capabilities test the underlying assumptions of the law of armed conflict. The effects of their use may be more deleterious than the consequences produced by traditional weaponry, and yet they may fall outside the legal review requirement because the effects produced do not constitute an ‘attack’ in its conventional interpretation. [142 words]