Focus of attention affects singer's tone production

textIt is now well understood that skilled motor behavior is affected by performers' focus of attention. This effect has been demonstrated in numerous and varied motor tasks, from golf-putting to piano playing. I conducted two experiments with college-aged singers to test the extent to which trained singers' vocal tone is affected by their focus of attention while singing. In Experiment 1 (N = 11) participants sang a 3-note sequence and an excerpt of a well-learned melody under six different focus conditions. In Experiment 2 (N = 20) participants sang 3-note sequences in both high and low vocal registers, a well-learned melody, and an unpracticed, familiar melody under seven different focus conditions. Focus of attention affected participants' vocal tone in all of the singing tasks. The results of the two experiments are consistent with the results of related investigations of attentional focus in motor skill performance. Singers' tone was rated most highly and described most positively by expert listeners when singers' focused their attention on external rather than internal targets. Focusing on distal targets (i.e., targets that were far removed from the vocal mechanism) in particular was associated with high ratings and positive descriptions of vocal tone.Musi

Enhancing Social Justice and Multicultural Counseling Competence through Cultural Immersion: A Guide for Faculty

Cultural immersion experiences can have a lifelong impact on counseling students’ development and identity. The authors describe the connection between cultural immersion experiences and multicultural competence. The authors also offer their professional experiences with international cultural immersion, provide a framework for counselor educators to create these experiences for counseling students, and include practical examples of how to intentionally structure each component of the trip to enhance student growth and development

The role of education and training in the development of technical elites: work experience and vulnerability

Whilst education and training systems in Europe have provided qualifications preparing candidates for highly skilled, responsible occupational roles, early research indicated that firms preferred to promote to such positions internally. Following changes to labour markets, several countries now place greater emphasis on early workplace learning, in the hope that transitions to work will be eased by experience of workplace environments. The outcomes of these shifts were explored through case studies in England of provision where work-based learning provides a high level of course content. Whilst students and educators ascribed value to these early experiences, evidence emerged of a narrowing of skills taught in work settings and em-phasis on behaviours and attributes. This emphasis is reflected among disadvantaged groups such as young women preparing for service roles: this paper argues for attention to the vulnerabilities of these groups, whose exclusion contributes to the reproduction of ‘elite’ occupations

Inter-Coder Agreement for Computational Linguistics

This article is a survey of methods for measuring agreement among corpus annotators. It exposes the mathematics and underlying assumptions of agreement coefficients, covering Krippendorff's alpha as well as Scott's pi and Cohen's kappa; discusses the use of coefficients in several annotation tasks; and argues that weighted, alpha-like coefficients, traditionally less used than kappa-like measures in computational linguistics, may be more appropriate for many corpus annotation tasks—but that their use makes the interpretation of the value of the coefficient even harder. </jats:p

Study protocol: evaluation of the 0–5 public health investment in England – a mixed-methods study integrating analyses of national linked administrative data with in-depth case studies

INTRODUCTION: Health visiting is a long-established, nationally implemented programme that works with other services at a local level to improve the health and well-being of children and families. To maximise the impact and efficiency of the health visiting programme, policy-makers and commissioners need robust evidence on the costs and benefits of different levels and types of health visiting, for different families, in different local contexts. METHODS AND ANALYSIS: This mixed-methods study will analyse individual-level health visiting data for 2018/2019 and 2019/2020 linked with longitudinal data from children's social care, hospitals and schools to estimate the association of number and type of health visiting contacts with a range of children and maternal outcomes. We will also use aggregate local authority data to estimate the association between local models of health visiting and area-level outcomes. Outcomes will include hospitalisations, breast feeding, vaccination, childhood obesity and maternal mental health. Where possible, outcomes will be valued in monetary terms, and we will compare total costs to total benefits of different health visiting service delivery models. Qualitative case studies and extensive stakeholder input will help explain the quantitative analyses and interpret the results in the context of local policy, practice and circumstance

A qualitative interview study applying the COM-B model to explore how hospital-based trainers implement antimicrobial stewardship education and training in UK hospital-based care

BACKGROUND: Antimicrobial resistance (AMR) is a major global health threat caused by the inappropriate use of antimicrobials in healthcare and other settings. Antimicrobial stewardship (AMS) is a broad multi-component health services intervention that promotes and monitors the judicious use of antimicrobials to preserve their future effectiveness. A main component of AMS is education and training (E&T). However, there are often discrepancies in how such interventions are implemented and delivered in hospital-based care. The aim of this study was to explore the factors influencing the implementation of AMS E&T in UK hospitals. METHODS: Semi-structured interviews were carried out with AMS E&T trainers in UK hospitals. The interview schedule was developed using the Capability, Opportunity, Motivation = Behaviour (COM-B) model. Participants were identified via professional networks and social media. Interviews were analysed using inductive thematic analysis, followed by deductive analysis using the COM-B model as a framework. RESULTS: A total of 34 participants (26 antimicrobial pharmacists, 3 nurses, 1 advanced clinical practitioner, 2 infectious disease consultants, 1 microbiologist and 1 clinical scientist). responsible for designing, implementing and evaluating AMS E&T in UK hospitals (five from Northern Ireland, four from Wales, two from Scotland and 23 from England) took part in virtual interviews. Key themes were: (1) The organisational context, including system-level barriers to AMS included competing organisational targets (Reflective motivation and physical opportunity) and the impact of the COVID-19 pandemic on activity (Physical opportunity); (2) Healthcare professionals' roles and the wider multi-disciplinary team, such that AMS roles were defined and addressed poorly in E&T (Social opportunity); and (3) The individual perception of the need for AMS E&T in hospital-based care, manifest in a perceived lack of conviction of the wider threat of AMR and the resulting need for AMS E&T (Reflective motivation). CONCLUSION: This study has identified factors influencing implementation of AMS E&T in UK hospitals and further identified where implemented, AMS E&T did not address real-world challenges. Current AMS E&T needs to be optimised to elicit practice change, with recommendations including training and engaging the wider work-force and drawing upon theoretically-informed intervention development frameworks to inform AMS E&T to better target AMS behaviour change

The Vehicle, Spring 1989

Table of Contents Home MoviesBob Zordanipage 4 Mummy BreathMichael Salempage 5 Pop ArtMonica Grothpage 6 Grey Haze and MoonAllison Stroudpage 7 The State of Being at a Soap & SudsDenise Santorpage 9 Letter HomeJim Reedpage 10 Thursday Afternoon in the StacksRebecca Dickenspage 11 Sizing DownMichael Salempage 12 Intellectual AnatomyMonica Grothpage 13 Grandmother PoemAmy Sparkspage 14 Blues of the BrothermanAlma Watsonpage 15 MigrationPatrick Peterspage 17 RidingBob Zordanipage 18 All Hallow\u27s EveErik Hansonpage 19 Waiting RoomAmy Sparkspage 20 Father, Forgive HerMonica Grothpage 21 Silent ReplyTom Caldwellpage 22 PhotographRobb Montgomerypage 24 WashdayAnn Moutraypage 25 PhotographDiane Atkinspage 26 Uptown FogRobb Montgomerypage 27 Shinbones and SkullsJennifer Berkshirepage 29 Sudden Small PhrasesPatrick Peterspage 31https://thekeep.eiu.edu/vehicle/1053/thumbnail.jp

IL-12p70–producing patient DC vaccine elicits Tc1-polarized immunity

Background. Systemic administration of IL-12p70 has demonstrated clinical activity in cancer patients, but dose-limiting toxicities have hindered its incorporation in vaccine formulations. Here, we report on the immunological and clinical outcomes upon vaccination with CD40L/IFN-γ–matured, IL-12p70–producing DCs. Methods. 7 HLA-A*0201(+) newly diagnosed stage IV melanoma patients were immunized against the gp100 melanoma antigen using autologous peptide-pulsed, CD40L/IFN-γ–matured DCs. PBMCs were taken weekly for immune monitoring by tetramer analysis and functional assays. CT imaging was performed at baseline, week 9, and week 18 for clinical assessment using RECIST. Results. 6 of 7 treated patients developed sustained T cell immunity to all 3 melanoma gp100 antigen–derived peptides. 3 of the 6 immunological responders developed confirmed clinical responses (1 complete remission >4 years, 2 partial response). Importantly, DC vaccine–derived IL-12p70 levels positively correlated with time to progression (P = 0.019, log-rank), as did T-cytotoxic 1 (Tc1) immunity, as assessed by IFN-γ/IL-13 and IFN-γ/IL-5 ratios (P = 0.035 and P = 0.030, respectively, log-rank). In contrast, a pathway-specific defect in IL-12p35 transcription was identified upon CD40L/IFN-γ activation in clinical nonresponder patient DCs, and gp100-specific T cells from these patients displayed a Tc2 phenotype. Incorporation of TLR3 and TLR8 agonists into the CD40L/IFN-γ activation protocol corrected the IL-12p70 production defect in DCs derived from clinical nonresponder patients. Conclusion. These findings underscore the essential role of IL-12p70 in the development of therapeutic type 1 antigen–specific CD8(+) T cell immunity in humans with cancer. Trial registration. Clinicaltrials.gov NCT00683670. Funding. Barnes-Jewish Hospital Foundation, Siteman Cancer Frontier Fund, Washington University/JNJ Translational Medicine Award, and NCI (P30 CA91842)