Promoting Comprehension Strategies of Primary Grade Students Through Datacasting Materials for Distance Learning

Many online learners especially in resource-challenged schools struggled with learning gaps during the pandemic crisis. This study focuses on using cost effective datacasting learning materials for distance education that promote intermediate grade students’ self-regulation, reading and writing skills. Datacasting is the process of delivering computer (IP) data over a traditional television broadcast signal. Locally, where only some households have Internet access but many have television sets, datacasting affords greater learning opportunities. Guided by structure, interactivity, and the functional language teaching theory, this study used sequential explanatory design to explore the role of datacasting in a public elementary school in Cavite in the academic year 2021 to 2022. Analyses of students’ artifacts reveal that their levels ofautonomy are non-autonomous, semi-autonomous, and autonomous. Moreover, the data also show that when they navigated the materials, they used these types of comprehension strategies: preparational, organizational, elaboration, andmonitoring. Correlations between culminating writing activities and final writing scores were found, but are not statistically significant, which may be attributed to the pandemic-induced sample attrition. The results suggest a need to refine the learning materials following the multimedia principles of personalization and embodiment through judicious text choice and adaptation and task design. Pedagogical recommendations for the use of datacasting materials are also offered

El principismo argentino ante la Primera Guerra Mundial

Hasta la primera guerra mundial de 1914-1918, la humanidad no había presenciado un cataclismo bélico de tal magnitud. Resultó lógico que esa situación trastocara todas las normas del derecho internacional, las relaciones entre los pueblos y la convivencia política económica del mundo entero. La Argentina no estuvo al margen de tales acontecimientos y transformaciones y, aunque adoptara una posición neutralista que la apartó del contexto beligerante, no quedó fuera de la comunidad internacional y, esa misma posición, le otorgó singular prestancia para definir cuestiones principistas que han quedado como una lección pacifista, ansiosa de la justicia, la tolerancia y la hermandad entre los pueblos y los hombres. Para estudiar la situación argentina frente a la Gran Guerra necesitamos bucear en los antecedentes inmediatos al conflicto y en los intereses europeos que allí se pusieron de manifiesto

Effect of Medicaid Expansion on Cancer Treatment and Survival Among Medicaid Beneficiaries and the Uninsured

BACKGROUND: The Affordable Care Act expanded Medicaid coverage for people with low income in the United States. Expanded insurance coverage could promote more timely access to cancer treatment, which could improve overall survival (OS), yet the long-term effects of Medicaid expansion (ME) remain unknown. We evaluated whether ME was associated with improved timely treatment initiation (TTI) and 3-year OS among patients with breast, cervical, colon, and lung cancers who were affected by the policy. METHODS: Medicaid-insured or uninsured patients aged 40-64 with stage I-III breast, cervical, colon, or non-small cell lung cancer within the National Cancer Database (NCDB). A difference-in-differences (DID) approach was used to compare changes in TTI (within 60 days) and 3-year OS between patients in ME states versus nonexpansion (NE) states before (2010-2013) and after (2015-2018) ME. Adjusted DID estimates for TTI and 3-year OS were calculated using multivariable linear regression and Cox proportional hazards regression models, respectively. RESULTS: ME was associated with a relative increase in TTI within 60 days for breast (DID = 4.6; p \u3c 0.001), cervical (DID = 5.0 p = 0.013), and colon (DID = 4.0, p = 0.008), but not lung cancer (p = 0.505). In Cox regression analysis, ME was associated with improved 3-year OS for breast (DID hazard ratio [HR] = 0.82, p = 0.009), cervical (DID-HR = 0.81, p = 0.048), and lung (DID-HR = 0.87, p = 0.003). Changes in 3-year OS for colon cancer were not statistically different between ME and NE states (DID-HR, 0.77; p = 0.075). CONCLUSIONS: Findings suggest that expanded insurance coverage can improve treatment and survival outcomes among low income and uninsured patients with cancer. As the debate surrounding ME continues nationwide, our findings serve as valuable insights to inform the development of policies aimed at fostering accessible and affordable healthcare for all

Effect of Medicaid expansion on cancer treatment and survival among Medicaid beneficiaries and the uninsured

BackgroundThe Affordable Care Act expanded Medicaid coverage for people with low income in the United States. Expanded insurance coverage could promote more timely access to cancer treatment, which could improve overall survival (OS), yet the long-term effects of Medicaid expansion (ME) remain unknown. We evaluated whether ME was associated with improved timely treatment initiation (TTI) and 3-year OS among patients with breast, cervical, colon, and lung cancers who were affected by the policy.MethodsMedicaid-insured or uninsured patients aged 40-64 with stage I-III breast, cervical, colon, or non-small cell lung cancer within the National Cancer Database (NCDB). A difference-in-differences (DID) approach was used to compare changes in TTI (within 60 days) and 3-year OS between patients in ME states versus nonexpansion (NE) states before (2010-2013) and after (2015-2018) ME. Adjusted DID estimates for TTI and 3-year OS were calculated using multivariable linear regression and Cox proportional hazards regression models, respectively.ResultsME was associated with a relative increase in TTI within 60 days for breast (DID = 4.6; p < 0.001), cervical (DID = 5.0 p = 0.013), and colon (DID = 4.0, p = 0.008), but not lung cancer (p = 0.505). In Cox regression analysis, ME was associated with improved 3-year OS for breast (DID hazard ratio [HR] = 0.82, p = 0.009), cervical (DID-HR = 0.81, p = 0.048), and lung (DID-HR = 0.87, p = 0.003). Changes in 3-year OS for colon cancer were not statistically different between ME and NE states (DID-HR, 0.77; p = 0.075).ConclusionsFindings suggest that expanded insurance coverage can improve treatment and survival outcomes among low income and uninsured patients with cancer. As the debate surrounding ME continues nationwide, our findings serve as valuable insights to inform the development of policies aimed at fostering accessible and affordable healthcare for all