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This longitudinal study of N = 1,566 adolescents investigated the protective role of optimism in adjustment to parental separation, focusing on two salient challenges faced by adolescents, namely academic achievement and self-esteem. Based on latent change models, the results indicated associations between parental separation and short-term declines in academic achievement as well as short-term and longer term declines in self-esteem. Although optimism in general showed positive associations with academic achievement and self-esteem, its role as a protective factor proved to be particularly important for academic achievement in adjustment following parental separation.
Since the 1970s in France, becoming a mother without being in a relationship has become a symbol of women's autonomy. Hence, being a single mother no longer necessarily means being the victim of male desertion or being a woman with permissive sexual behaviour. Instead, the mother can be an active social agent who has deliberately chosen to experience single parenthood. In order to understand if public solidarity and private sources of help can protect these women against emotional solitude and social isolation, this article presents three case studies taken from sociological research on single mothers in the French region of Pays de la Loire. En France, depuis les annees 1970, l'enfantement en dehors d'une relation de couple est devenu un symbole de l'autonomie feminine. La mere celibataire n'est plus necessairement ni une fille victime de l'abandon masculin ni une femme aux mOEurs legeres. Elle peut etre une actrice sociale ayant choisi de vivre la parentalite en dehors de la norme du couple. Afin de comprendre comment solidarites publiques et aides privees peuvent proteger ces femmes contre la solitude emotionnelle et l'isolement social, cet article presente trois etudes de cas tirees d'une recherche sociologique sur les meres seules dans la region Pays de la Loire.
Clinical reasoning is an essential competency in medical education. This study aimed at developing and validating a test to assess diagnostic accuracy, collected information, and diagnostic decision time in clinical reasoning. A norm-referenced computer-based test for the assessment of clinical reasoning (ASCLIRE) was developed, integrating the entire clinical decision process. In a cross-sectional study participants were asked to choose as many diagnostic measures as they deemed necessary to diagnose the underlying disease of six different cases with acute or sub-acute dyspnea and provide a diagnosis. 283 students and 20 content experts participated. In addition to diagnostic accuracy, respective decision time and number of used relevant diagnostic measures were documented as distinct performance indicators. The empirical structure of the test was investigated using a structural equation modeling approach. Experts showed higher accuracy rates and lower decision times than students. In a cross-sectional comparison, the diagnostic accuracy of students improved with the year of study. Wrong diagnoses provided by our sample were comparable to wrong diagnoses in practice. We found an excellent fit for a model with three latent factors-diagnostic accuracy, decision time, and choice of relevant diagnostic information-with diagnostic accuracy showing no significant correlation with decision time. ASCLIRE considers decision time as an important performance indicator beneath diagnostic accuracy and provides evidence that clinical reasoning is a complex ability comprising diagnostic accuracy, decision time, and choice of relevant diagnostic information as three partly correlated but still distinct aspects.
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(2015)