Limitations in assessment of mucosal healing in inflammatory bowel disease

An emerging parameter to define the effectiveness of new therapeutic agents in clinical trials,and by extension,for use in day-to-day clinical practice has been labeled mucosal healing.It has been hypothesized that complete healing of the intestinal mucosa in inflammatory bowel diseases should result in reduced disease complications,reduced hospitalization and reduced surgical treatment.By implication,the natural history of inflammatory bowel disease might then be altered. Measurement of mucosal healing,how...     

Advising Ministers – The Special Problem of Defence

Successive Australian Defence Ministers have been frustrated and occasionally embarrassed by the quality of advice and information provided to them by the Defence organisation. Decades of reviews and reorganisations have failed to find solutions to the special difficulties that Defence faces in providing accurate, timely information and advice to ministers across the broad spectrum of their responsibilities. This article argues that there are multiple explanations for the concerns that are frequently expressed about its policy advisory capacity – most of which are inherent to Defence organisations around the world. While the Defence culture of secrecy is partly responsible, other factors such as the scale of Defence's operations, the multiple cultures that exist within it (military, civilian, and intelligence) that make coherence harder than in more homogenous departments, the long‐time horizons of defence planning as well as the high costs of procurement, must also be considered. The erosion of trust between the organisation and minister has been exacerbated by the intense scrutiny of the media that overburdens ministers and adds another layer of complexity to their role. As history shows, there are push and pull factors that continue to embroil ministers in the minutiae of defence difficulties, while the complexity and scale of operations will undoubtedly continue to impact on the timeliness of advice.     

Investigating the Roles of Neighborhood Environments and Housing-Based Social Support in the Relocation of Persons Made Homeless by Hurricane Katrina

This study examined whether social support tied to relocation efforts and neighborhood social climate may mediate the effects of stressful life events on mental health outcomes following Hurricane Katrina. Participants were 108 adult persons made homeless by Hurricane Katrina and evacuated to Columbia, South Carolina. Civic leaders developed an intervention model that emphasized (a) a one-stop point of entry, (b) living in hotels and apartments rather than shelters, and (c) matching hotels with volunteer “hosts” to assist in relocation efforts. Results revealed that perceived neighborhood factors and satisfaction with host relationship were related to several mental health outcomes. Neighborhood social climate partially mediated several mental health outcomes. Implications of this intervention model and the utility of social ecological perspectives on homelessness interventions are discussed.     

Union participation in economic policy making in France,Italy, Germany and Britain, 1970–1993

This study uses a specially‐developed measure of union participation in economic policy making to classify and compare the historical experiences of France, Italy, the Federal Republic of Germany and Britain between 1970 and 1993 in order to present a clearer view of the variability of union participation in economic policy making in these countries over this period than has been available up to now. It is found that union participation was concentrated in certain areas of economic policy, in particular labour market policy, and that even high levels of participation were not necessarily linked to union agreement on wage restraint. Over the period as a whole, participation was highest in Italy and lowest in Britain and France, but varied considerably over time as well as between countries. These variations were clearly linked to whether the Left was included in the government of the day as well as to the nature of the national union movements.     

Maritime security in the United States: Latent threats and latent vulnerabilities

Americans and their government are seemingly unconcerned about the possibility that maritime facilities and personnel might be at risk to armed violence. Not only are current maritime security efforts minimal, they feature a curious dichotomy: one thrust is directed toward occasional acts of terrorism, the other toward coastal defense in wartime. Despite a manifestly more interactive world marked by the ready availability of powerful, mobile weapons, no serious efforts have been directed toward protecting maritime facilities and personnel in the United States against special operations or unconventional warfare. This indifference reflects the prevalence of the Clausewitzian paradigm in America's attitude toward war and the country's historical experience with coastal defense in the wars of this century. The fragmented structure of civil and military protection available to protect ports and other facilities suggests that protection could not be quickly upgraded in the face of a rapidly‐developing threat.     

Assessing oral skills—time for reflection,time for risk

Abstract

THIS PAPER aims to establish a framework from which we can explain our dissatisfaction with defining what we teach and what and how we assess within legal education. To what extent can we, the professions or the public, have confidence that our assessment processes predict effective professional competence?

We will try to establish this framework by placing the discussion in the context of a workshop of assessment of oral skills run at the 2001 Bar Vocational Course conference. The workshop raised issues which we believe encapsulate the difficulties of measuring performance in such a way that it reliably predicts professional effectiveness. From this we will attempt to highlight the shortcomings of the current teaching, learning and assessment strategies more generally.

We go on to consider the role of student reflection in support of summative assessment: is it a reliable way of helping to plug the competence‐performance gap we have identified? What is its role in summative assessment? What demands does it make on tutor and learner? Since we cannot guarantee to find the best solutions first time, we make a plea for taking the risk of failure as well as success, and trying out ideas.