"Busting the hidden curriculum" a realist and innovative perspective to foster professional behaviors.

Contemporary health professions education has long delineated the desired attributes of medical professionalism in the form of standard curricula and their role in forming professional behaviors (PBs) among aspiring doctors. However, existing research has shown the contradictory and powerful role of hidden curriculum (HC) in negatively influencing medical students' PBs through unspoken or implicit academic, cultural, or social standards and practices. These contrasting messages of formal curricula and HC lead to discordance and incongruence in future healthcare professionals developing professional identity formation.

Understanding medical professionalism using express team-based learning; a qualitative case-based study.

Medical Professionalism (MP) defined as values, behaviours and attitudes that promote professional relationships, public trust and patient safety is a vital competency in health profession education. MP has a distinctive uniqueness due to cultural, contextual, conceptual, and generational variations. There is no standard instructional strategy to probe the understanding of MP in a cohesive, structured, interactive manner.

Factors influencing choice of medical vs. surgical treatment of pediatric appendicitis.

Purpose: To examine what proportion of caregivers, if given a choice, would choose medical versus surgical treatment of appendicitis and what factors would be important in their decision.

Methods: A survey was devised and given to the caregivers of children presenting to the pediatrician for a routine visit in community and academic pediatric clinics. The survey presented a summary of outcomes after medical (non-operative) and surgical treatment of uncomplicated appendicitis.

Diagnosing Jaundice by Eye-Outpatient Assessment of Conjunctival Icterus in the Newborn.

In pediatric office practices, we compared transcutaneous bilirubin levels in 689 newborns, age 3-10 days, with and without conjunctival icterus. In this age range, and in the absence of other clinical or laboratory indications, the presence of conjunctival icterus does not imply the need to measure the transcutaneous bilirubin or serum bilirubin level, but the absence of conjunctival icterus helps to rule out significant hyperbilirubinemia.

The natural history of jaundice in predominantly breastfed infants.

Background And Objectives: Breastfed newborns are more likely to develop prolonged hyperbilirubinemia than those fed formula, but the prevalence of prolonged hyperbilirubinemia in a largely white, North American breastfed population is unknown. In this population, we documented the natural history of jaundice and the prevalence of prolonged hyperbilirubinemia, and we evaluated the utility of assessing the cephalocaudal progression of jaundice in office-based practices.

Methods: We measured transcutaneous bilirubin (TcB) levels during the first month in 1044 predominantly breastfed infants ≥35 weeks of gestation and assigned a cephalocaudal zone score to each infant at the time of the TcB measurement.

Intervention effects on kindergarten and first-grade teachers' classroom food practices and food-related beliefs in American Indian reservation schools.

Prevalence of obesity among American Indian children is higher than the general US population. The school environment and teachers play important roles in helping students develop healthy eating habits. The aim of this prospective study was to examine teachers' classroom and school food practices and beliefs and the effect of teacher training on these practices and beliefs.

Food responsiveness, parental food control and anthropometric outcomes among young American Indian children: cross-sectional and prospective findings.

Objective: Assess cross-sectional and prospective associations between food responsiveness and parental food control and anthropometric outcomes among American Indian children.

Design: Parents/caregivers completed psychosocial surveys and trained staff measured children's anthropometry at baseline (kindergarten) and at follow-up (1st grade) as part of a school-based obesity prevention trial (Bright Start).

Setting: On/near the Pine Ridge Indian reservation.

High food insecurity and its correlates among families living on a rural American Indian Reservation.

Objectives: We sought to better understand the prevalence and consequences of food insecurity among American Indian families with young children.

Methods: Parents or caregivers of kindergarten-age children enrolled in the Bright Start study (dyad n=432) living on the Pine Ridge Reservation in South Dakota completed a questionnaire on their child's dietary intake, the home food environment, and food security. We assessed food security with a standard 6-item scale and examined associations of food insecurity with family sociodemographic characteristics, parents' and children's weight, children's dietary patterns, and the home food environment.

Bright Start: Description and main outcomes from a group-randomized obesity prevention trial in American Indian children.

The aim of the Bright Start study was to develop and test the effectiveness of a school environment intervention, supplemented with family involvement, to reduce excessive weight gain by increasing physical activity and healthy eating practices among kindergarten and first-grade American Indian children. Bright Start was a group-randomized, school-based trial involving 454 children attending 14 schools on the Pine Ridge Reservation in South Dakota. Children were followed from the beginning of their kindergarten year through the end of first grade.

Asynchrony in discrete bimanual aiming: evidence for visual strategies of coordination.

The bimanual coupling literature supposes an inherent drive for synchrony between the upper limbs when making discrete bimanual movements. The level of synchrony is argued to be task dependent, reliant on the visual demands of the two targets, and the result of a complex pattern of hand and eye movements (Bingham, Hughes, & Mon-Williams, 2008 ; Riek, Tresilian, Mon-Williams, Coppard, & Carson, 2003). However, recent work by Bruyn and Mason (2009) suggests that temporal coordination is not solely influenced by visual saccades.

Associations of home food availability, dietary intake, screen time and physical activity with BMI in young American-Indian children.

Objective: To evaluate associations between home environmental factors and BMI of young American-Indian children.

Design: Cross-sectional and prospective study.

Setting: School-based obesity prevention trial (Bright Start) on a Northern Plains Indian reservation in South Dakota.

American Indian parents' assessment of and concern about their kindergarten child's weight status, South Dakota, 2005-2006.

Introduction: Obesity is highly prevalent among American Indians, and effective prevention efforts require caregiver involvement. We examined American Indian (AI) parents' assessment of and level of concern about their kindergarten child's weight status.

Methods: We collected baseline data (fall of 2005 and fall of 2006) on children and their parents or caregivers for a school-based obesity prevention trial (Bright Start) on an AI reservation in South Dakota.

Summer effects on body mass index (BMI) gain and growth patterns of American Indian children from kindergarten to first grade: a prospective study.

Background: Overweight and obesity are highly prevalent among American Indian children, especially those living on reservations. There is little scientific evidence about the effects of summer vacation on obesity development in children. The purpose of this study was to investigate the effects of summer vacation between kindergarten and first grade on growth in height, weight, and body mass index (BMI) for a sample of American Indian children.

Associations of American Indian children's screen-time behavior with parental television behavior, parental perceptions of children's screen time, and media-related resources in the home.

Introduction: American Indian children have high rates of overweight and obesity, which may be partially attributable to screen-time behavior. Young children's screen-time behavior is strongly influenced by their environment and their parents' behavior. We explored whether parental television watching time, parental perceptions of children's screen time, and media-related resources in the home are related to screen time (ie, television, DVD/video, video game, and computer use) among Oglala Lakota youth residing on or near the Pine Ridge Reservation in South Dakota.

Hebb repetition effects in visual memory: the roles of verbal rehearsal and distinctiveness.

A version of the Hebb repetition task was used with faces to explore the generality of the effect in a nonverbal domain. In the baseline condition, a series of upright faces was presented, and participants were asked to reconstruct the original order. Performance in this condition was compared to another in which the same stimuli were accompanied by concurrent verbal rehearsal to examine whether Hebb learning is dependent on verbal processing.

Serial position effects in short-term visual memory: a SIMPLE explanation?

A version of Sternberg's (1966) short-term visual memory recognition paradigm with pictures of unfamiliar faces as stimuli was used in three experiments to assess the applicability of the distinctiveness-based SIMPLE model proposed by Brown, Neath, and Chater (2002). Initial simulations indicated that the amount of recency predicted increased as the parameter measuring the psychological distinctiveness of the stimulus material (c) increased and that the amount of primacy was dependent on the extent of proactive interference from previously presented stimuli. The data from Experiment 1, in which memory lists of four and five faces varying in visual similarity were used, confirmed the predicted extended recency effect.

Serial position memory in the visual-spatial domain: reconstructing sequences of unfamiliar faces.

In two studies we presented pictures of unfamiliar faces one at a time, then presented the complete set at test and asked for serial reconstruction of the order of presentation. Serial position functions were similar to those found with verbal materials, with considerable primacy and one item recency, position errors that were mainly to the adjacent serial position, a visual similarity effect, and effects of articulatory suppression that did not interact with the serial position effect or with the similarity effect. Serial position effects were found when faces had been seen for as little as 300 ms and after a 6-s retention interval filled with articulatory suppression.

Verbal coding and the storage of form-position associations in visual-spatial short-term memory.

Short-term memory for form-position associations was assessed using an object relocation task. Participants attempted to remember the positions of either three or five Japanese Kanji characters, presented on a computer monitor. Following a short blank interval, participants were presented with 2 alternative Kanji, only 1 of which was present in the initial stimulus, and the set of locations occupied in the initial stimulus.

Development of prehension between 5 and 10 years of age: distance scaling, grip aperture, and sight of the hand.

The authors investigated whether 5- to 10-year-old children (N = 75) differ from adults (N = 12) in the developmental course of distance scaling and the adaptations to the inability to see the hand during prehension movements. The children reached under a surface and grasped and lifted an object suspended through it. All children scaled velocity appropriately for movement distance, both with and without sight of the hand.

The role of sight of the hand in the development of prehension in childhood.

In two studies, children between 5 and 10 years of age were asked to reach to grasp an object without sight of the hand during the movement. The oldest children and adults were faster when they could see the hand and increased maximum grip aperture when they could not see the hand. The 10-year-olds were less able to integrate grasp and lift than adults when they could see their hands.

Pathways process evaluation results: a school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students.

Background: Pathways was a large-scale, multisite, 3-year, study testing a school-based intervention designed to lower percent body fat in American Indian children.

Methods: At the 21 intervention schools process evaluation data were collected for training of school personnel; implementation of the classroom and physical activity curricula; implementation of the project's food service guidelines in the school cafeterias; adult participation in the family events; and, students' perceived exposure to the Pathways interventions.

Results: Students received about 93% of the classroom curriculum lessons.

Pathways curriculum and family interventions to promote healthful eating and physical activity in American Indian schoolchildren.

Background: Pathways, a multisite school-based study aimed at promoting healthful eating and increasing physical activity, was a randomized field trial including 1704 American Indian third to fifth grade students from 41 schools (21 intervention, 20 controls) in seven American Indian communities.

Methods: The intervention schools received four integrated components: a classroom curriculum, food service, physical activity, and family modules. The curriculum and family components were based on Social Learning Theory, American Indian concepts, and results from formative research.

Developmental coordination impairments in adulthood.

The aim of this study was to extend the understanding of Developmental Coordination Disorder (DCD) into adulthood. We recruited 19 adults aged between 18 and 65 who had received diagnoses of DCD or dyspraxia or who self-reported as having motor impairments consistent with a history of DCD, together with age- and gender-matched controls. Participants were given tests of manual dexterity, handwriting, construction, obstacle avoidance, dynamic balance, static balance, dual task performance, ball skills, reaction time, movement time and sequencing.

Two distinct pathways for developmental coordination disorder: persistence and resolution.

This article describes the perceptual motor, educational and social outcome of early motor delay in a group of 17-18 year old Finnish adolescents who were originally evaluated at age 5. The study group consisted of 65 adolescents: 22 with significant motor problems (or developmental coordination disorder, DCD), 23 with minor motor problems (intermediate group) and 20 controls. The goal of this study was to reassess the results obtained when they were age 15 and to determine whether the variables used earlier could still discriminate the adolescents at age 17.

Maintenance of the classroom health education curricula: results from the CATCH-ON study.

Maintenance of the interactive Child and Adolescent Trial for Cardiovascular Health (CATCH) third- to fifth-grade curricula was studied in the 56 original intervention schools and 20 of the original control schools 5 years postintervention in four regions of the United States. Target grade teachers completed a self-administered survey that included questions regarding use of the CATCH materials, training in CATCH or other health education, barriers and perceived support for health education, and amount of health education currently taught. Percentage of teachers who continued to teach CATCH in the classroom was low; however, percentages were significantly higher in former intervention compared with control schools, even though control schools received training and materials following the main field trial.