Practice Changing Practice Professional Development Program: Phase 2 Investigating Impact Final Report

The Practice Changing Practice (PCP) professional learning program began as a pilot professional learning program in 2018. The program was designed and delivered through the Education Knowledge Network within the School of Education at Western Sydney University. The program was developed in response to an identified need for leadership training that resulted in increased teacher capacity and sustained change in school culture, leading to improved student outcomes and experiences. The PCP pilot program involved a group of school leaders from a range of schools in Western Sydney. The program introduced action research as a method of professional learning, requiring participants to identify, research, and address a problem of leadership practice. In 2019 the program (Phase 1) was expanded and underwent a research evaluation (Attard, 2020). Findings from this evaluation confirmed the program was successful

Formação estética e experiência corporal : uma proposta de pesquisa-ação na educação infantil

Orientadora: Profª. Drª. Luciane Paiva Alves de OliveiraTrabalho de conclusão de curso (graduação) - Universidade Federal do Paraná, Setor de Educação, Curso de Graduação em PedagogiaInclui referênciasResumo : Este trabalho de conclusão de curso examinou, por meio de uma proposta de pesquisa-ação, como as experiências corporais podem potencializar a formação estética na Educação Infantil. A fim de atender ao objetivo proposto, foram planejadas e implementadas um conjunto de ações pedagógicas voltadas a três crianças, com idade entre três e quatro anos, integrantes de uma instituição particular de Educação Infantil no município de Curitiba/Paraná, no ano de 2021. Tais ações envolveram experimentações corporais e sensoriais, aliadas a manifestações artísticas, e foram desenvolvidas sob o formato de oficinas. Os dados coletados, mediante a gravação de áudios e vídeos, foram posteriormente transcritos. A análise se apoiou nas discussões de autores da Teoria Crítica da Sociedade, em especial de Benjamin (1987a, 1987b, 1989, 2009), além do estudo de Roble (2008) sobre a Educação dos Sentidos. Nessa perspectiva se evidenciaram dois eixos interpretativos: I) os sentidos corporais como atributo formativo na Educação Infantil; II) a mímesis, o jogo e a arte em experiências estéticas na infância. Por fim, concluiu que corpo, experiência e formação estética se articulam intimamente desde a mais tenra idade do indivíduo, e que a Educação Infantil pode desempenhar um papel importante ao longo desse processo ao favorecer experiências que promovam um contato sensível e estético das crianças com a culturaAbstract: This final paper examined, through an action research methodology, how bodily experiences can enhance aesthetic formation in Early Childhood Education. In order to fulfill the objective, a set of pedagogical actions were planned and implemented at a private early childhood educational institution in the city of Curitiba/Paraná, in 2021. Three children, aged between three and four years, participated. Such actions involved bodily and sensorial experiments, combined with artistic manifestations, and were developed in the form of workshops. The collected data, through the recording of audios and videos, were later transcribed. The analysis was based on the discussions of authors of the Critical Theory of Society, especially Benjamin (1987a, 1987b, 1989, 2009), in addition to the study of Roble (2008) on Education of the Senses. From this perspective, two interpretative main axes were evidenced: I) the bodily senses as a formative attribute in Early Childhood Education; II) mimesis, play and art in childhood aesthetic experiences. We concluded that body, experience and aesthetic formation are closely articulated from a young age, and that early childhood education can play an important role throughout this process by encouraging experiences that promote a sensitive and aesthetic relation between children and cultur

Antiandrogen withdrawal in castrate-refractory prostate cancer

BACKGROUND. Antiandrogen withdrawal is a potential therapeutic maneuver for patients with progressive prostate cancer. This study was designed to examine antiandrogen withdrawal effects within the context of a large multi-institutional prospective trial. METHODS. Eligibility criteria included progressive prostate adenocarcinoma despite combined androgen blockade. Eligible patients received prior initial treatment with an antiandrogen plus orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist. Patients were stratified according to type of antiandrogen, type of progression (prostate-specific antigen [PSA] or radiographic), presence or absence of metastatic disease, and prior LHRH agonist versus surgical castration. RESULTS. A total of 210 eligible and evaluable patients had a median follow-up of 5.0 years; 64% of patients previously received flutamide, 32% bicalutamide, and 3% nilutamide. Of the 210 patients, 21% of patients had confirmed PSA decreases of ≥50% (95% CI, 16% to 27%). No radiographic responses were recorded. Median progression-free survival (PFS) was 3 months (95% CI, 2 months to 4 months); however, 19% had 12-month or greater progression-free intervals. Median overall survival (OS) after antiandrogen withdrawal was 22 months (20 and 40 months for those with and without radiographic evidence of metastatic disease, respectively). Multivariate analyses indicated that longer duration of antiandrogen use, lower PSA at baseline, and PSA-only progression at study entry were associated with both longer PFS and OS. Longer antiandrogen use was the only significant predictor of PSA response. CONCLUSIONS. These data indicate a relatively modest rate of PSA response in patients who were undergoing antiandrogen withdrawal; however, PFS can be relatively prolonged (≥1 year) in approximately 19% of patients. Cancer 2008. © 2008 American Cancer Society.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/58635/1/23473_ftp.pd

Likely Correlation between Sources of Information and Acceptability of A/H1N1 Swine-Origin Influenza Virus Vaccine in Marseille, France

BACKGROUND: In France, there was a reluctance to accept vaccination against the A/H1N1 pandemic influenza virus despite government recommendation and investment in the vaccine programme. METHODS AND FINDINGS: We examined the willingness of different populations to accept A/H1N1 vaccination (i) in a French hospital among 3315 employees immunized either by in-house medical personnel or mobile teams of MDs and (ii) in a shelter housing 250 homeless persons. Google was used to assess the volume of enquiries concerning incidence of influenza. We analyzed the information on vaccination provided by Google, the website of the major French newspapers, and PubMed. Two trust Surveys were used to assess public opinion on the trustworthiness of people in different professions. Paramedics were significantly more reluctant to accept immunisation than qualified medical staff. Acceptance was significantly increased when recommended directly by MDs. Anecdotal cases of directly observed severe infections were followed by enhanced acceptance of paramedical staff. Scientific literature was significantly more in favour of vaccination than Google and French newspaper websites. In the case of the newspaper websites, information correlated with their recognised political reputations, although they would presumably claim independence from political bias. The Trust Surveys showed that politicians were highly dis-trusted in contrast with doctors and pharmacists who were considered much more trustworthy. CONCLUSIONS: The low uptake of the vaccine could reflect failure to convey high quality medical information and advice relating to the benefits of being vaccinated. We believe that the media and internet contributed to this problem by raising concerns within the general population and that failure to involve GPs in the control programme may have been a mistake. GPs are highly regarded by the public and can provide face-to-face professional advice and information. The top-down strategy of vaccine programme management and information delivered by the Ministry of Health could have aggravated the problem, because the general population does not always trust politicians

Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

Purpose: The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS. Methods: Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations. Results: Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS. Conclusion: Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services

Cohort profile : demographic and clinical characteristics of the MILESTONE longitudinal cohort of young people approaching the upper age limit of their child mental health care service in Europe

Purpose: The presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports. Participants: Seven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at. Findings to date: This cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year. Future plans: Analysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared. Trial registration number: NCT03013595

Investigation d'un contage tuberculeux au CHU de Marseille autour d'un soignant

AIX-MARSEILLE2-BU Méd/Odontol. (130552103) / SudocSudocFranceF