Public Health Ethics Education in a Competency-Based Curriculum: A Method of Programmatic Assessment

Public health ethics began to emerge in the 1990s as a development within bioethics. Public health ethics education has been implemented in schools of public health in recent years, and specific professionalism and ethics competencies were included in the Master of Public Health (MPH) competency set developed nationally and adapted by individual schools of public health around the country. The University of Texas School of Public Health approved the present set of MPH competencies in 2005. After 4 years of experience, we now report information measuring the extent to which “Professionalism and Ethics” competencies and subcompetencies are being met in the MPH degree program. To this end we have audited the MPH “Professionalism and Ethics” competency forms for FY2009 MPH graduates (n = 61). Eight courses, including required MPH core courses plus the practicum and culminating experience, were found to have substantial professionalism and ethics content. Further, 67.2% of graduates met eight or more of the 13 competencies and subcompetencies, but only 36.1% met all thirteen, indicating a need to identify topic areas to be added to, or enhanced in, the MPH curriculum. In addition, these findings will inform ongoing efforts to enhance ethics education in our health science center. Assessment of these competencies and subcompetencies is an essential step in strengthening ethics education at our institutions and in better preparing our graduates for a challenging future. We report our efforts here to demonstrate one way of carrying out programmatic assessment of ethics education in a school of public health.     

Visually perceived eye level: changes induced by a pitched-from-vertical 2-line visual field.

The physical elevation corresponding to visually perceived eye level (VPEL) changes linearly with the pitch of a visual field. Deviations from true eye level average more than 0.5 times the angle of pitch over a 65 degrees pitch range. A visual field consisting of 2 dim, isolated vertical lines in darkness is more than 4/5 as effective as that of a complexly structured visual field; 2 horizontal lines have a small and inconsistent effect. Differences in influence on VPEL between pitched-from-vertical and horizontal lines were predicted from an analysis that extracted differences in retinal perspective resulting from changes in pitch. The Great Circle Model (GCM), based on a spherical approximation to the erect, stationary eye, predicts the present results and results of 8 other sets of experiments. The model treats the influence of a single line on VPEL as systematically related to the elevation of the intersection between the great circle containing the image of the line and the central vertical retinal meridian; generalized GCM combines visual inputs with inputs from the body-referenced mechanism and maps onto the central nervous system.     

Cocaine-induced brainstem seizures and behavior.

A variety of abnormal sensory/motor behaviors associated with electrical discharges recorded from the bilateral brainstem were induced in adult WKY rats by mechanical (electrode implants) and DC electrical current stimulations and by acute and chronic administration of cocaine. The electrode implant implicated one side or the other of the reticular system of the brainstem but subjects were not incapacitated by the stimulations. Cocaine (40 mg/kg) was injected subcutaneously for an acute experiment and subsequent 20 mg/kg doses twice daily for 3 days in a chronic study. Cocaine generated more abnormal behaviors in the brainstem perturbation group, especially the electrically perturbated subjects. The abnormal behaviors were yawning, retrocollis, hyperactivity, hypersensitivity, "beating drum" behavior, squealing, head bobbing, circling, sniffing, abnormal posturing, and facial twitching. Shifts in the power frequency spectra of the discharge patterns were noted between quiet and pacing behavioral states. Hypersensitivity to various auditory, tactile, and visual stimulation was present and shifts in the brainstem ambient power spectral frequency occurred in response to tactile stimulation. These findings suggest that the brainstem generates and propagates pathological discharges that can be elicited by mechanical and DC electrical perturbation. Cocaine was found to activate the discharge system and thus induce abnormal behaviors that are generated at the discharge site and at distant sites to which the discharge propagates. Cognitive functions may also be involved since dopaminergic and serotonergic cellular elements at the brainstem level are also implicated.     

Speech errors reflect the phonotactic constraints in recently spoken syllables, but not in recently heard syllables

Adults rapidly learn phonotactic constraints from brief production or perception experience. Three experiments asked whether this learning is modality-specific, occurring separately in production and perception, or whether perception transfers to production. Participant pairs took turns repeating syllables in which particular consonants were restricted to particular syllable positions. Speakers’ errors reflected learning of the constraints present in the sequences they produced, regardless of whether their partner produced syllables with the same constraints, or opposing constraints. Although partial transfer could be induced (Experiment 3), simply hearing and encoding syllables produced by others did not affect speech production to the extent that error patterns were altered. Learning of new phonotactic constraints was predominantly restricted to the modality in which those constraints were experienced.     

卡车驾驶员速度估计研究

用速度知觉测试仪,对251名男性卡车驾驶员在四种实验条件下的速度估计准确性进行了测量。结果发现：安全组卡车驾驶员的速度估计准确性优于事故组卡车驾驶员,两者在低速条件下差异不显著,高速条件下差异显著;事故组卡车驾驶员的高估次数高于安全组卡车驾驶员,低速条件下两者不显著.高速条件下差异显著;事故多发组与安全组卡车驾驶员的速度估计准确性在高速及低速长距离条件下差异显著;速度及距离对速度估计准确性有显著影响,且两者之间存在显著的交互作用;年龄对速度估计准确性无显著影响。     

Inhibitory control over no-longer-relevant information: Adult age differences

Hartman and Hasher (1991) used a garden-path task in which younger and older adults generated the final word for each of a series of high-cloze sentences. Under instructions to remember the final word, the experiment included critical sentences for which the generated word was replaced by a new, to-be-remembered target. Using an implicit priming task, the first experiment replicated a basic finding: Younger adults showed priming only for the target words, whereas older adults showed priming for both the generated and target words. Two experiments explored boundary conditions. One showed that an additional sentence that interpreted the new target word enabled older adults to narrow access to only the target word. The provision of additional time following the introduction of the new target word did not. Specific information, not more time, is required for inefficient inhibitory mechanisms to clear the recent past from memory.     

Parental Interpersonal Sensitivity and Youth Social Problems: A Mediational Role for Child Emotion Dysregulation

We examined the relations between parental interpersonal sensitivity and youth social problems and explored the mediational role of child emotion dysregulation. Mothers (N = 42; M age = 39.38) and fathers (N = 41; M age = 39.38) of youth aged 7–12 (N = 42; M age = 9.12) completed measures of their own interpersonal sensitivity and reported on their child’s emotion regulation skills and social functioning. Maternal interpersonal sensitivity was positively associated with child social problems, and this relationship was fully mediated by child emotion dysregulation. A bootstrapping technique provided evidence for the significance of the mediation. For fathers, only the association between child emotion dysregulation and child social problems was significant. Our findings suggest one potential mechanism through which maternal behaviors relate to youth psychosocial functioning. Identification of such mechanisms contributes to the development of conceptual models of youth functioning and suggests specific targets for prevention and intervention efforts.     

Development of a Cognitive-Behavioral Intervention Program to Treat Anxiety and Social Deficits in Teens with High-Functioning Autism

Anxiety is a common co-occurring problem among young people with autism spectrum disorders (ASD). Characterized by deficits in social interaction, communication problems, and stereotyped behavior and restricted interests, this group of disorders is more prevalent than previously realized. When present, anxiety may compound the social deficits of young people with ASD. Given the additional disability and common co-occurrence of anxiety in ASD, we developed a manual-based cognitive-behavioral treatment program to target anxiety symptoms as well as social skill deficits in adolescents with ASD [Multimodal Anxiety and Social Skills Intervention: MASSI]. In this paper, we describe the foundation, content, and development of MASSI. We also summarize data on treatment feasibility based on a pilot study that implemented the intervention.