164 research outputs found
Multicultural education and the protection of whiteness
This article explores how teachers in one urban district understand and engage multicultural education in two very different school contexts. My data highlight how teachers’ understandings of multicultural education vacillate between what I call “powerblind sameness” and “colorblind difference.” In the end, I suggest that our everyday engagements with powerblind sameness and colorblind difference protect whiteness, but also that whiteness prevents us from working toward equity, justice, and democracy
Looking into the hearts of native peoples: nation building as an institutional orientation for graduate education
In this article, we suggest that graduate programs in predominantly white institutions can and should be sites of self-education and tribal nation building. In arguing this, we examine how a particular graduate program and the participants of that program engaged tribal nation building, and then we suggest that graduate education writ large must also adopt an institutional orientation of nation building. We connect Guinier's notion of democratic merit to our discussion of nation building as a way to suggest a rethinking of "success" and "merit" in graduate education. We argue that higher education should be centrally concerned with capacity building and graduates who aim to serve their communities
Etiological diagnosis, prognostic significance and role of electrophysiological study in patients with Brugada ECG and syncope.
BACKGROUND: Syncope is considered a risk factor for life-threatening arrhythmias in Brugada patients. Distinguishing a benign syncope from one due to ventricular arrhythmias is often difficult, unless an ECG is recorded during the episode. Aim of the study was to analyze the characteristics of syncopal episodes in a large population of Brugada patients and evaluate the role of electrophysiological study (EPS) and the prognosis in the different subgroups. METHODS AND RESULTS: One hundred ninety-five Brugada patients with history of syncope were considered. Syncope were classified as neurally mediated (group 1, 61%) or unexplained (group 2, 39%) on the basis of personal and family history, clinical features, triggers, situations, associated signs, concomitant therapy. Most patients underwent EPS; they received ICD or implantable loop-recorder on the basis of the result of investigations and physician's judgment. At 62±45months of mean follow-up, group 1 showed a significantly lower incidence of arrhythmic events (2%) as compared to group 2 (9%, p<0.001). Group 2 patients with positive EPS showed the highest risk of arrhythmic events (27%). No ventricular events occurred in subjects with negative EPS. CONCLUSION: Etiological definition of syncope in Brugada patients is important, as it allows identifying two groups with different outcome. Patients with unexplained syncope and ventricular fibrillation induced at EPS have the highest risk of arrhythmic events. Patients presenting with neurally mediated syncope showed a prognosis similar to that of the asymptomatic and the role of EPS in this group is unproven
Life strategy of Antarctic silverfish promote large carbon export in Terra Nova Bay, Ross Sea
Antarctic silverfish Pleuragramma antarcticum is the most abundant pelagic fish in the High Antarctic shelf waters of the Southern Ocean, where it plays a pivotal role in the trophic web as the major link between lower and higher trophic levels. Despite the ecological importance of this species, knowledge about its role in the biogeochemical cycle is poor. We determine the seasonal contribution of Antarctic silverfish to carbon flux in terms of faeces and eggs, from samples collected in the Ross Sea. We find that eggs and faeces production generate a flux accounting for 41% of annual POC flux and that the variability of this flux is modulated by spawning strategy. This study shows the important role of this organism as a vector for carbon flux. Since Antarctic silverfish are strongly dependent on sea-ice, they might be especially sensitive to climatic changes. Our results suggest that a potential decrease in the biomass of this organism is likely to impact marine biogeochemical cycles, and this should be factored in when assessing Southern Ocean carbon budget
Use and misuse of multivariable approaches in interventional cardiology studies on drug-eluting stents: a systematic review.
Aims: Randomized clinical trials (RCTs) are the most reliable evidence, even if they require important resource and logistic efforts. Large, cost-free and real-world datasets may be easily accessed yielding to observational studies, but such analyses often lead to problematic results in the absence of careful methods, especially from a statistic point of view. We aimed to appraise the performance of current multivariable approaches in the estimation of causal treatment and effects in studies focusing on drug-eluting stents (DES). Methods and Results: Pertinent studies published in the literature were searched, selected, abstracted, and appraised for quality and validity features. Six studies with a logistic regression were included, all of them reporting more than 10 events for covariates and different length of follow-up, with an overall low risk of bias. Most of the 15 studies with a Cox proportional hazard analysis had a different follow-up, with less than 10 events for covariates, yielding an overall low or moderate risk of bias. Sixteen studies with propensity score were included: the most frequent method for variable selection was logistic regression, with underlying differences in follow-up and less than 10 events for covariate in most of them. Most frequently, calibration appraisal was not reported in the studies, on the contrary of discrimination appraisal, which was more frequently performed. In seventeen studies with propensity and matching, the latter was most commonly performed with a nearest neighbor-matching algorithm yet without appraisal in most of the studies of calibration or discrimination. Balance was evaluated in 46% of the studies, being obtained for all variables in 48% of them. Conclusions: Better exploitation and methodological appraisal of multivariable analysis is needed to improve the clinical and research impact and reliability of nonrandomized studies. (J Interven Cardiol 2012;**:1-1
Zero-fluoroscopy atrial fibrillation ablation in the presence of a patent foramen ovale: a multicentre experience
Comparative effectiveness of novel oral anticoagulants for atrial fibrillation: evidence from pair-wise and warfarin-controlled network meta-analyses.
COnsensus on Pediatric Pain in the Emergency Room: The COPPER project, issued by 17 Italian scientific societies
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