Exploring moral competence regression: a narrative approach in medical ethics education for medical students.

BACKGROUND: Studies from different countries report a stagnation or regression of moral competence in medical students between the first and the last year of their studies, and the value of various educational interventions remains uncertain. METHODS: We used Moral Competence Test (MCT) to measure C-scores of moral competence to determine the change in the MCT C-scores between the first- and the fifth-year medical students from two medical schools in the Czech Republic in the academic year 2022/2023 and to analyze factors associated with the C-scores (observational study). In addition, for the first-year students, we compared the results of the MCT before and after an intervention in medical ethics curriculum (interventional study). We used a cross-sectional and descriptive design for the observational study. Students completed the MCT, consisting of two moral dilemmas (Worker´s Dilemma and Doctor´s Dilemma), the results measured by the C-score, which represents moral competence. RESULTS: In total, 685 students participated in the observational study. Objective 1: based on the analysis of the C-score, we observed a decrease in moral competence between the first and the fifth-year medical students (p < .001). Objective 2: we did not observe a statistically significant effect of gender (p = .278), or self-rated religiosity (p = .163). Objective 3: in the interventional study, 440 students participated in the pretest and 422 students participated in the posttest. The test of statistical significance found no improvement in students' moral competence after the intervention (p = .253). CONCLUSION: Medical students show a regression in moral competence during medical education; it was lower in medical students in their fifth year, compared to the first-year medical students without the effect of gender, or self-rated religiosity. Although educational intervention consisting of multiple tools of medical ethics teaching (PBL, CBL, KMDD and StorED) did not lead to increase in moral competence, the longitudinal effect of such intervention remains to be seen.

Effects of the Specific Eye Fixation Training on Fine Visuomotor Coordination in Children with Attention Deficit Hyperactivity Disorder.

This study investigated the effects of quiet eye training (QET) on the neuropsychological functioning and fine motor performance of children with attention deficits. The participant cohort consisted of 106 children with attention deficit hyperactivity disorder (ADHD) between the ages of 8 and 12 years. The children were assigned to either the QET group (n = 54) or the control group (n = 52). The QET group went through a 5-week intervention in which the performance of blocks of targeting tasks was preceded by watching split-screen video footage featuring the gaze and body movements of a skilled model performing a throwing motion. Both groups underwent pre-test and post-test assessments, which included the reaction test of alertness, go/no-go inhibition test, and motor performance series test. The QET group demonstrated significant improvements in attentional engagement, inhibitory control, and fine motor skills, which require precise and fast visuomotor coordination. These results highlight the potential benefits of QET intervention in ameliorating attention deficits and enhancing fine aiming motor skills in children with ADHD. However, task specificity was evident, indicating that the intervention effects were most pronounced for the hand fine motor aiming tasks requiring both precision and speed.

Evaluation of Predictive Motor Control With Two Touchscreen Tablet-Based Tests: Reliability and Validity in School-Aged Children.

As predictive motor control is an important index of neuromotor development and maturation, we developed two touchscreen tablet-based tests of this function. Our aim was to investigate the reliability and validity of both a rapid manual interception test and a pursuit tracking test, using a sample of 124 children (62 boys and 62 girls) from two age groups (7-8-year-oldss and 9-10-year-olds). Participants performed both tablet tests with a stylus (sample rate 100 Hz) with both a visible and a temporarily invisible moving target. Confirmatory factor analyses and omega coefficients showed that both tests were univariate methods that provided a reliable assessment of the latent factor related to predictive visuomotor control. As would be expected, compared to younger children, older children performed better on both manual interception and pursuit tracking. The correlations between the latent factors of the two tests at 95% confidence intervals (-.276, -.608) suggested shared variance. Thus, the touchscreen-tablet based tests of rapid manual interception and manual pursuit tracking appear psychometrically suitable for assessing the neuromotor ability of predictive control in 7-10-year-old children.

Secondary Structures of Proteins Follow Menzerath-Altmann Law.

This article examines the presence of the empirical tendency known as the Menzerath-Altmann Law (MAL) on protein secondary structures. MAL is related to optimization principles observed in natural languages and in genetic information on chromosomes or protein domains. The presence of MAL is examined on a non-redundant dataset of 4728 proteins by verifying significant, negative correlations and testing classical and newly proposed formulas by fitting the observed trend. We conclude that the lengths of secondary structures are specifically dependent on their number inside the protein sequence, while possibly reflecting the formula proposed in this paper. This behavior is observed on average but is individually avoidable and possibly driven by a latent cost function. The data suggest that MAL could provide a useful guiding principle in protein design.

The Voynich manuscript: Symbol roles revisited.

In this article, we employ simple descriptive methods in order to explore the peculiar behavior of the symbols in the Voynich Manuscript. Such an analysis reveals a group of symbols which are further analyzed for the possibility of being compounds (or ligatures), using a specifically developed method. The results suggest the possibility that the alphabet of the manuscript is a lot smaller, and steganographic type of encoding is proposed to explain the newly revealed properties.

Internet addiction among Czech adolescents.

Our study estimates the prevalence of Internet addiction in Czech adolescents as well as differences by gender and school type. A total of 3,950 adolescents (n = 1,940 boys, n = 2,010 girls) from 11 to 19 years of age (M = 15.73, SD = 1.99) participated in the research. They completed the Internet Addiction Test, which consists of subscales for Salience, Excessive Use, Neglect Work, Anticipation, Lack of Control, and Neglect Social Life. The results indicate that adolescent girls have higher levels of internet addiction. In boys, unlike girls, internet addiction was associated with a reduction in social relationships and interactions. Our findings show interesting differences between adolescent girls and boys and the type of school attended in the Czech population in terms of Internet addiction.

The HEXACO-100 Across 16 Languages: A Large-Scale Test of Measurement Invariance.

The HEXACO Personality Inventory-Revised (HEXACO-PI-R) has become one of the most heavily applied measurement tools for the assessment of basic personality traits. Correspondingly, the inventory has been translated to many languages for use in cross-cultural research. However, formal tests examining whether the different language versions of the HEXACO-PI-R provide equivalent measures of the 6 personality dimensions are missing. We provide a large-scale test of measurement invariance of the 100-item version of the HEXACO-PI-R across 16 languages spoken in European and Asian countries (N = 30,484). Multigroup exploratory structural equation modeling and confirmatory factor analyses revealed consistent support for configural and metric invariance, thus implying that the factor structure of the HEXACO dimensions as well as the meaning of the latent HEXACO factors is comparable across languages. However, analyses did not show overall support for scalar invariance; that is, equivalence of facet intercepts. A complementary alignment analysis supported this pattern, but also revealed substantial heterogeneity in the level of (non)invariance across facets and factors. Overall, results imply that the HEXACO-PI-R provides largely comparable measurement of the HEXACO dimensions, although the lack of scalar invariance highlights the necessity for future research clarifying the interpretation of mean-level trait differences across countries.

EEG data and introspective reports from the Libet׳s experiment replication.

This article provides data from a contemporary replication of Libet׳s experiment. For the methodology, results and discussion of the replication, see the article "Libet׳s Experiment: A Complex Replication" (Dominik et al., 2018). Three types of data are presented in this article: (1) introspective reports (M, W and S), (2) EMG onset times relative to a mouse click or to the target time in tasks with a movement at pre-set time and (3) relevant averaged EEG data.

Libet's experiment: A complex replication.

Libet's experiment is an influential classical study, which does not stop provoking heated debates. However, a full-scale replication has not been carried out to this day. Libet-style studies have usually focused on isolated ideas and concepts and never on the whole experiment in all its complexity. This paper presents detailed methodological description and results of a complex replication study. The methodology follows Libet's directions closely in most cases; when it does not, the differences are described and elaborated. The results replicate Libet's key findings, but substantial differences were found in some of the results' categories, such as the introspective reports or the number of readiness-potentials found. The discussion also addresses some current problems pertaining the methodology of the Libet-style experiments and provides some recommendations based on a detailed process evaluation.

Pedestrian-driver communication and decision strategies at marked crossings.

The aim of this work is to describe pedestrian-driver encounters, communication, and decision strategies at marked but unsignalised crossings in urban areas in the Czech Republic and the ways in which the parties involved experience and handle these encounters. A mixed-methods design was used, consisting of focus groups with pedestrians and drivers regarding their subjective views of the situations, on-site observations, camera recordings, speed measurements, the measurement of car and pedestrian densities, and brief on-site interviews with pedestrians. In close correspondence with the literature, our study revealed that the most relevant predictors of pedestrians' and drivers' behaviour at crossings were the densities of car traffic and pedestrian flows and car speed. The factors which influenced pedestrians' wait/go behaviour were: car speed, the distance of the car from the crossing, traffic density, whether there were cars approaching from both directions, various signs given by the driver (eye contact, waving a hand, flashing their lights), and the presence of other pedestrians. The factors influencing drivers' yield/go behaviour were: speed, traffic density, the number of pedestrians waiting to cross, and pedestrians being distracted. A great proportion of drivers (36%) failed to yield to pedestrians at marked crossings. The probability of conflict situations increased with cars travelling at a higher speed, higher traffic density, and pedestrians being distracted by a different activity while crossing. The findings of this study can add to the existing literature by helping to provide an understanding of the perception of encounter situations by the parties involved and the motives lying behind certain aspects of behaviour associated with these encounters. This seems necessary in order to develop suggestions for improvements. For instance, the infrastructure near pedestrian crossings should be designed in such a way as to take proper account of pedestrians' needs to feel safe and comfortable, as well as ensuring their objective safety. Thus, improvements should include measures aimed at reducing the speed of approaching vehicles (e.g. humps, speed cushions, elevated crossings, early yield bars, and narrow lanes), as this would enhance yielding by motor vehicles. Other measures that specifically rely on the subjective perception of different situations by the parties involved include the education and training of drivers, the aim of which is to promote their understanding and appreciation of pedestrians' needs and motives.

Libet's experiment: Questioning the validity of measuring the urge to move.

The time of subjectively registered urge to move (W) constituted the central point of most Libet-style experiments. It is therefore crucial to verify the W validity. Our experiment was based on the assumption that the W time is inferred, rather than introspectively perceived. We used the rotating spot method to gather the W reports together with the reports of the subjective timing of actual movement (M). The subjects were assigned the tasks in two different orders. When measured as first in the respective session, no significant difference between W and M values was found, which suggests that uninformed subjects tend to confuse W for M reports. Moreover, we found that W values measured after the M task were significantly earlier than W values measured before M. This phenomenon suggests that the apparent difference between W and M values is in fact caused by the subjects' previous experience with M measurements.