Identity and Racism in Young Adult Literature

Growing up is all about figuring things out: who you are, what you care about, what you want to do with your life, and how all of these intersect. Diverse, coming-of-age novels such as Felix Ever After, The Hate U Give, and King and the Dragonflies all explore this by showing how youths’ struggles with their intersecting identities (race, class, gender and/or sexuality) ultimately lead to them figuring out who they are. Through self-discovery and self-acceptance, the protagonists of these YA and middle-grade novels all come to similar realizations that they must embrace themselves to live authentically

The effects of room design on computer-supported collaborative learning in a multi-touch classroom.

While research indicates that technology can be useful for supporting learning and collaboration, there is still relatively little uptake or widespread implementation of these technologies in classrooms. In this paper, we explore one aspect of the development of a multi-touch classroom, looking at two different designs of the classroom environment to explore how classroom layout may influence group interaction and learning. Three classes of students working in groups of four were taught in the traditional forward-facing room condition, while three classes worked in a centered room condition. Our results indicate that while the outcomes on tasks were similar across conditions, groups engaged in more talk (but not more off-task talk) in a centered room layout, than in a traditional forward-facing room. These results suggest that the use of technology in the classroom may be influenced by the location of the technology, both in terms of the learning outcomes and the interaction behaviors of students. The findings highlight the importance of considering the learning environment when designing technology to support learning, and ensuring that integration of technology into formal learning environments is done with attention to how the technology may disrupt, or contribute to, the classroom interaction practices

Kupu Aʻo ʻĀina Externship

The University of Hawaiʻi at Mānoa is a proud partner of Kupu, a local non-profit that fosters environmental stewardship among youth in Hawaiʻi and the U.S. Pacific. Since 2020, Kupu has coordinated the Aʻo ʻĀina Professional Development Program, which uses a work-based learning approach to enhance educators’ knowledge of different natural resource careers and topics. This spring, the University’s Natural Resource and Environmental Management (NREM) department is providing classroom resources on soil science and Geographic Information System (GIS) mapping for the program’s cohort of seven high school educators. Our role in this project was to develop and facilitate a 3 hour workshop, scheduled for March 18th, as well as create a curated website for educators to support their efforts beyond the program. The learning objectives for the educators attending the workshop include: (1) recognize the integration of indigenous and western knowledge in soil understanding; (2) participate in a guided tour of a soil science laboratory, learning about soil health assessment equipment and techniques; (3) understand the ways GIS mapping tools can be used to interpret and analyze spatial patterns of soil properties; and (4) develop capacity to access and utilize Hawaiʻi-focused resources on soil science, GIS, and natural resource management. The project’s outcomes aim to enhance and support educators' ability to develop curriculum on soil science and GIS mapping tools, ultimately promoting environmental stewardship and a deeper connection to the land among students

#MeToo, #MenToo: how men's progressive and reactionary actions are shaped by defensiveness

Movements for progressive social change (e.g., Black Lives Matter, #MeToo) are commonly met with reactionary counter-movements that seek to protect the rights and interests of structurally advantaged groups (e.g., All Lives Matter, #MenToo). Drawing on the insights of the social identity approach and the needs-based model of reconciliation, the current research explores whether men's support for progressive and reactionary action (i.e., their intentions to promote women's rights and men's rights, respectively) are shaped by their need to defend their group's moral identity. Combined analyses of three samples (N = 733) showed that men's social identification was associated with their reduced intentions to act for women's rights and positively related to their intentions to promote men's rights—effects mediated by their need for positive moral identity and defensiveness regarding the issue of gendered violence. Overall, the findings suggest that defensive construals regarding group-based inequalities may not only present a barrier to men's engagement in collective action for gender equality, but might also underlie their participation in reactionary actions designed to advance the rights of their own (advantaged) group

Older UK sheltered housing tenants’ perceptions of wellbeing and their usage of hospital services

The aim of this study was to examine sheltered housing tenants’ views of health and wellbeing, the strategies they adopted to support their wellbeing and their use of health and social care services through a Health Needs Assessment. Sheltered housing in the UK is a form of service-integrated housing for people, predominantly over 60. The study used a parallel, three-strand mixed method approach to encompass the tenants’ perceptions of health and wellbeing (n=96 participants), analysis of the service’s health and wellbeing database and analysis of emergency and elective hospital admissions (n= 978 tenant data sets for the period January to December 2012). Tenants’ perceptions of wellbeing were seen to reinforce much of the previous work on the subject with strategies required to sustain social, community, physical, economic, environmental, leisure, emotional and spiritual dimensions. Of the tenants’ self-reported chronic conditions, arthritis, heart conditions and breathing problems were identified as their most common health concerns. Hospital admission data indicated that 43% of the tenant population was admitted to hospital (886 admissions) with 53% emergency and 47% elective admissions. The potential cost of emergency as opposed to elective admissions was substantial. The mean length of stay for emergency admissions was 8.2 days (median 3.0 days). While elective hospital admission had a mean length of stay of 1.0 day (median 0.0 days). These results suggest the need for multi-professional health, social care and housing services interventions to facilitate sheltered housing tenants’ aspirations and support their strategies to live well and independently in their own homes. Equally there is a need to increase tenants’ awareness of health conditions and their management; the importance of services which offer facilitation, resources and support and the key role played by prevention and reablement

Uptake and impact of the English National Health Service digital diabetes prevention programme: observational study

INTRODUCTION: 'Healthier You', the National Health Service (NHS) diabetes prevention programme (DPP) offers adults in England at high risk of type 2 diabetes (T2DM) an evidence-based behavioral intervention to prevent or delay T2DM onset. This study assesses the impact of a pilot digital stream of the DPP (DDPP) on glycated hemoglobin (HbA1c) and weight. RESEARCH DESIGN AND METHODS: A service evaluation employing prospectively collected data in a prospective cohort design in nine NHS local pilot areas across England. Participants were adults with non-diabetic hyperglycemia (NDH) (HbA1c 42-47 mmol/mol or fasting plasma glucose 5.5-6.9 mmol/L) in the 12 months prior to referral. The DDPP comprised five digital health interventions (DHI). Joint primary outcomes were changes in HbA1c and weight between baseline and 12 months. HbA1c and weight readings were recorded at referral (baseline) by general practices, and then at 12-month postregistration. Demographic data and service variables were collected from the DHI providers. RESULTS: 3623 participants with NDH registered for the DDPP and of these, 2734 (75%) were eligible for inclusion in the analyses. Final (12-month) follow-up data for HbA1c were available for 1799 (50%) and for weight 1817 (50%) of registered participants. Mean change at 12 months was -3.1 (-3.4 to -2.8) kg, p<0.001 for weight and -1.6 (-1.8 to -1.4) mmol/mol, p<0.001 for HbA1c. Access to peer support and a website and telephone service was associated with significantly greater reductions in HbA1c and weight. CONCLUSIONS: Participation in the DDPP was associated with clinically significant reductions in weight and HbA1c. Digital diabetes prevention can be an effective and wide-reaching component of a population-based approach to addressing type 2 diabetes prevention

Costs of postoperative morbidity following paediatric cardiac surgery: observational study.

OBJECTIVE: Early mortality rates for paediatric cardiac surgery have fallen due to advancements in care. Alternative indicators of care quality are needed. Postoperative morbidities are of particular interest. However, while health impacts have been reported, associated costs are unknown. Our objective was to calculate the costs of postoperative morbidities following paediatric cardiac surgery. DESIGN: Two methods of data collection were integrated into the main study: (1) case-matched cohort study of children with and without predetermined morbidities; (2) incidence rates of morbidity, measured prospectively. SETTING: Five specialist paediatric cardiac surgery centres, accounting for half of UK patients. PATIENTS: Cohort study included 666 children (340 with morbidities). Incidence rates were measured in 3090 consecutive procedures. METHODS: Risk-adjusted regression modelling to determine marginal effects of morbidities on per-patient costs. Calculation of costs for hospital providers according to incidence rates. Extrapolation using mandatory audit data to report annual financial burden for the health service. OUTCOME MEASURES: Impact of postoperative morbidities on per-patient costs, hospital costs and UK health service costs. RESULTS: Seven of the 10 morbidity categories resulted in significant costs, with mean (95% CI) additional costs ranging from £7483 (£3-£17 289) to £66 784 (£40 609-£103 539) per patient. On average all morbidities combined increased hospital costs by 22.3%. Total burden to the UK health service exceeded £21 million each year. CONCLUSION: Postoperative morbidities are associated with a significant financial burden. Our findings could aid clinical teams and hospital providers to account for costs and contextualise quality improvement initiatives

Mechanisms That Promote and Support Family Preservation for Children at the Edge of Care: A Realist Synthesis

Children in care of the state are amongst the most disadvantaged in society. They have often experienced adverse childhood experiences leading to their care entry including abuse and neglect. Longitudinal data suggests problems children in care of the state experience within adolescence persist into adulthood, showing “a continuing legacy of adversity.” Emerging literature shows that edge of care interventions can bring about benefits. These interventions support families to meet their child’s needs and prevent, or reduce, the likelihood of children going into care. However, it is not clear how or why these interventions work. It is important to develop this understanding to inform the development of effective, theory-informed practice to benefit this population. We reviewed and synthesised published literature to expose mechanisms by which interventions may promote and support family preservation for children at the edge of care. Our synthesis uses a realist approach to examine mechanisms by which interventions, in various contexts, can promote and support family preservation for children at the edge of care. Previous work by the team shaped the initial search strategy and in line with RAMESES realist review guidelines, no restrictions were placed on the types of study to be included in the synthesis. From 7,530 potentially relevant references identified, 61 papers were included in final extraction. Extracted data was themed, prior to developing narrative and formulating programme theories. Effective edge of care service operation seemed to be based on four core programme theories pertaining to the need for family skills training, home-based delivery, dedicated worker, and rapid response to need