Phonics Preparation in Teacher Education Programs

Phonics is the basis upon which the English-speaking world learns to read. Students learn phonics in early elementary school to learn to read; therefore, teachers need to have a working knowledge of phonics with which to instruct their students. However, a report by the United States Department of Education found that few preservice teachers were competent in phonics. Liberty University, which teaches phonics as part of its teacher education program, has conducted a study on the level of knowledge demonstrated by the preservice teachers upon completion of the phonics course. The Liberty University students’ scores compared favorably with the national average as reported by the United States Department of Education

E & I Academics - A Business Plan

Starting a school presents many difficulties, but a business plan provides a method by which to work through many of these issues. The following business plan for Encourage & Inspire Academics, hereafter referred to as E & I Academics, explains many aspects of the proposed business from operations to competition to target market. E & I Academics is a proposed business that will offer both afterschool tutoring and homeschool tutoring services to families who wish to invest in a quality education for their children. E & I Academics will offer more personalized services than a typical public school and will provide homeschooling students with the opportunity to learn from state certified, degree holding teachers. Education is an ever-present need, and E & I Academics will fill a niche in the market between traditional schools and the homeschool community

Characterisation of older patients that require, but do not undergo, emergency laparotomy:a multicentre cohort study

BackgroundOlder adults (≥65 yr) account for the majority of emergency laparotomies in the UK and are well characterised with reported outcomes. In contrast, there is limited knowledge on those patients that require emergency laparotomy but do not undergo surgery (NoLaps).MethodsA multicentre cohort study (n=64 UK surgical centres) recruited 750 consecutive NoLap patients (February 15th - November 15th 2021, inclusive of a 90-day follow up period). Each patient was admitted to hospital with a surgical condition treatable by an emergency laparotomy (defined by The National Emergency Laparotomy Audit (NELA) criteria), but a decision was made not to undergo surgery (NoLap).ResultsNoLap patients were predominately female (452 patients, 60%), of advanced age (median age 83.0 yr, interquartile range 77.0–88.8), frail (523 patients, 70%), and had severe comorbidity (750 patients, 100%); 99% underwent CT scanning. The commonest diagnoses were perforation (26%), small bowel obstruction (17%), and ischaemic bowel (13%). The 90-day mortality was 79% and influencing factors were >80 yr, underweight BMI, elevated serum lactate or creatinine concentration. The majority of patients died in hospital (77%), with those with ischaemic bowel dying early. For the 21% of NoLap patients that survived to 90 days, 77% returned home with increased care requirements.ConclusionsThis study reports that the NoLap patient population present significant medical challenges because of their extreme levels of comorbidity, frailty, and physiology. Despite these complexities a fifth remained alive at 90 days. Further work is underway to explore this high-risk decision-making process