Large-scale instructional reform in the Global South: insights from the mid-point evaluation of the Gauteng Primary Language and Mathematics Strategy

This paper reports on a mid-point evaluation of the Gauteng Primary Language and Mathematics Strategy (GPLMS), aninnovative large-scale reform designed to improve learning outcomes. Using data from universal testing of all learners in2008 on a provincial systemic evaluation, and data from the 2011 and 2012 Annual National Assessment (ANA) test, thispaper addresses the key research question, namely whether the GPLMS is effective in closing the gap between performingand underperforming schools. Given the evidence we have presented of an instrument effect, namely that various versionsof the ANA may not be strictly comparable, no definitive conclusions can be drawn about the effectiveness of the GPLMS.Keywords: large-scale education reform, literacy, regression discontinuity desig

Children's daily travel to school in Johannesburg-Soweto, South Africa: geography and school choice in the Birth to Twenty cohort study

This paper has two aims: to explore approaches to the measurement of children’s daily travel to school in a context of limited geospatial data availability, and to provide data regarding school choice and distance travelled to school in Soweto-Johannesburg, South Africa. The paper makes use of data from the Birth to Twenty cohort study (n=1428) to explore three different approaches to estimating school choice and travel to school. Firstly, straight-line distance between home and school is calculated. Secondly, census geography is used to determine whether a child's home and school fall in the same area. Thirdly, distance data are used to determine whether a child attends the nearest school. Each of these approaches highlights a different aspect of mobility, and all provide valuable data. Overall, primary school aged children in Soweto-Johannesburg are shown to be travelling substantial distances to school on a daily basis. Over a third travel more than 3km, one-way, to school, 60% attend schools outside of the suburb in which they live, and only 18% attend their nearest school. These data provide evidence for high levels of school choice in Johannesburg-Soweto, and that families and children are making substantial investments in pursuit of high quality educational opportunities. Additionally, these data suggest that two patterns of school choice are evident: one pattern involving travel of substantial distances and requiring a higher level of financial investment, and a second pattern, involving choice between more local schools, requiring less travel and a more limited financial investment

Poverty moderates the association between gender and school dropout in South African adolescents

This study examined prospective associations between poverty, gender, and school dropout in a large community sample of South African adolescents (baseline: n = 3515, follow-up: n = 3401, 57% female, age range at baseline: 10–17 years, mean age at baseline = 13.45). School dropout was defined as being enrolled in school at baseline assessment but no longer enrolled in school at follow-up assessment. Poverty was measured at baseline assessment using an index of access to the eight highest socially perceived necessities for South African children and adolescents. Demographic characteristics including child gender and age, province, and urban versus rural location were recorded at baseline assessment and controlled for in the analysis. As predicted, higher poverty scores (AOR = 2.01, p < .001) were associated with increased odds of school dropout 1 year later. Gender was not a significant predictor of school dropout (AOR = 1.56, p = .07) but did interact with poverty (AOR = 0.66, p = .04) in predicting school dropout. However, our initial hypothesis that the impact of poverty on school dropout would be stronger for girls than boys was not supported. Instead, results indicated that while girls were at elevated risk of school dropout at low and mean levels of poverty, at high levels of poverty this gender difference was no longer evident. Findings suggest that vulnerable boys should not be neglected in policies to improve retention in education in contexts of extreme poverty

Against Medical Advice Discharge: A Narrative Review and Recommendations for a Systematic Approach

Approximately 1%-2% of hospitalizations in the United States result in an against medical advice discharge. Still, the practice of discharging patients against medical advice is highly subjective and variable. Discharges against medical advice are associated with physician distress, patient stigma, and adverse outcomes, including increased morbidity and mortality. This review summarizes discharge against medical advice research, proposes a definition for against medical advice discharge, and recommends a standard approach to a patient's request for discharge against medical advice

Per- and Polyfluoroalkyl Substances and Bone Mineral Density in Mid-childhood

Background: • Identifying factors that impair bone accrual during childhood is a critical step toward osteoporosis prevention. • One potential risk factor not well characterized in childhood is the role of chemicals in the environment. • Perfluoroalkyl substances (PFASs) are synthetic additives used to make clothing, furniture, and cookware stain repellant and are detectable in almost all US adults. • PFASs act as PPAR-γ agonists,2 androgen receptor antagonists, and directly intercalate into bone, raising the possibility that they may lead to low bone accrual. • While two population-based studies in adults have shown associations between PFASs and low areal bone mineral density (aBMD),5,6 the extent to which PFASs may affect aBMD in children is unknown

Bisphosphonates antagonise bone growth factors' effects on human breast cancer cells survival

Bone tissue constitutes a fertile 'soil' for metastatic tumours, notably breast cancer. High concentrations of growth factors in bone matrix favour cancer cell proliferation and survival, and a vicious cycle settles between bone matrix, osteoclasts and cancer cells. Classically, bisphosphonates interrupt this vicious cycle by inhibiting osteoclast-mediated bone resorption. We and others recently reported that bisphosphonates can also induce human breast cancer cell death in vitro, which could contribute to their beneficial clinical effects. We hypothesised that bisphosphonates could inhibit the favourable effects of 'bone-derived' growth factors, and indeed found that bisphosphonates reduced or abolished the stimulatory effects of growth factors (IGFs, FGF-2) on MCF-7 and T47D cell proliferation and inhibited their protective effects on apoptotic cell death in vitro under serum-free conditions. This could happen through an interaction with growth factors' intracellular phosphorylation transduction pathways, such as ERK1/2-MAPK. In conclusion, we report that bisphosphonates antagonised the stimulatory effects of growth factors on human breast cancer cell survival and reduced their protective effects against apoptotic cell death. Bisphosphonates and growth factors thus appear to be concurrent compounds for tumour cell growth and survival in bone tissue. This could represent a new mechanism of action of bisphosphonates in their protective effects against breast cancer-induced osteolysis.Journal ArticleResearch Support, Non-U.S. Gov'tinfo:eu-repo/semantics/publishe

Development of dense ceramic membranes for methane conversion

The most significant cost associated with partial oxidation of methane to syngas is that of the oxygen plant. In this paper, the authors offer a technology, based on dense ceramic membranes, that uses air as the oxidant for methane conversion reactions, thus eliminating the need for the oxygen plant. Certain ceramic materials exhibit both electronic and ionic conductivities (of particular interest is oxygen-ion conductivity). These materials transport not only oxygen ions (functioning as selective oxygen separators) but also electrons back from the reactor side to the oxygen/reduction interface. No external electrodes are required, and, if the driving potential of transport is adequate, the partial oxidation reactions should be spontaneous. Such a system will operate without an externally applied potential. Oxygen is transported across the ceramic material in the form of oxygen ions, not oxygen molecules. Recent reports in the literature suggest that dense ceramic membranes made of these mixed conductors can successfully separate oxygen from air at flux rates that could be considered commercially feasible. Thus, these membranes have the potential to improve the economics of methane conversion processes. In principle, the dense ceramic materials can be shaped into hollow-tube reactors, in which air passes over the outside of the membrane and methane flows through the inside. The surfaces can also be reversed. The membrane is permeable to oxygen at high temperatures, but not to nitrogen or other gases. Thus, only oxygen from air can be transported through the membrane to the inside of the reactor surface, where it reacts with methane. Other geometric forms, such as honeycombs or corrugations, of the reactor are possible and can provide substantially greater surface areas for reaction