Determination of problems in patients with post‐laryngectomy

The purpose of this study is the determination of the physical and psychosocial problems of total and partial laryngectomies. A total of 25 patients, who were operated with the diagnosis of larynx carcinoma in 2010 at Gazi University Faculty of Medicine Otolaryngology Department, were included in the study. They were evaluated with the help of the Personal Information Form (PIF) and the Determination Form of Post Laryngectomy Problem (DFPLP) for the problems they encountered after the operation. Total laryngectomy (TL) was performed on 76% of patients. It was determined that patients undergoing total laryngectomy experienced some physical and psycho‐social problems such as problems in sleep (31.6%), smell (52.6%), taste (36.8%), and difficulty in swallowing solid foods (36.8%). Furthermore in patients with TL surgery whilst 47.4% of them think that their sexual lives were affected rather negatively, this rate was determined as 33.3% in patients with partial laryngectomy surgery (PL). The psychosocial score averages of the patients who had smell and taste disorders were significantly lower (p < 0.05). The patients, who underwent a laryngectomy operation, experienced many physical, social, and psychological problems. Thus, medical personnel also need to pay attention to these concomitant problems that occur during the treatment of the primary disease and the application of necessary supplementary treatments such as voice prosthesis, pre‐op and post‐op counseling, and anti‐depressants seems significant in terms of increasing the life quality of the patients.     

THE PEN-BASED COMPUTER AS AN ALTERNATIVE PLATFORM FOR TEST ADMINISTRATION

Pen-based computers are similar to paper and pencil (P&P) tests in the method of responding, and thus, may more closely match paper and pencil administration in construct equivalence than keyboard-entry computers. A study was conducted comparing P&P, pen-based note-book computer, and keyboard-entry PC versions of two test batteries. Participants completed tests administered using different administration modes on separate days; construct equivalence was evaluated by comparing Day 1-Day 2 correlations across conditions. Although construct equivalence was found for the power tests, differences emerged for the speeded tests. For the pen-based computer, solid evidence of equivalence to P&P appeared for all but one of the speeded tests, whereas the keyboard PC showed borderline equivalence for only one of the three speeded tests. These findings suggested that the pen-entry computer may be more capable than the keyboard-entry computer in maintaining construct equivalence to P&P tests.     

ADAPTING TO ADAPTIVE TESTING

Computer adaptive testing (CAT) is a relatively recent innovation in large scale testing programs, but has had very limited application in private industry. This paper describes the development of a CAT for use by a large insurance company in selecting computer programmer trainees. Incumbents provided the calibration and evaluation data. The CAT led to increased item security, but did not decrease required testing time. Further, the CAT was found to be similar to a conventional, fixed-item test in reliability and validity. In addition to actual test results, computer simulated test data were used in a more detailed evaluation of the CAT's effectiveness. The concluding discussion notes the advantages and disadvantages observed from the use of adaptive testing.