Purchasing Strategies to Improve Care Management for Complex Populations: A National Scan of State Purchasers

Explores cost-effective alternatives to fee-for-service plans and full-risk managed care for Medicaid's aged, blind, and disabled or Supplementary Security Income beneficiaries. Includes summaries of systems being implemented in twelve states

The Canadian Distinctiveness into the XXIst Century - La distinction canadienne au tournant du XXIe siècle

In this collection of essays some of Canada's foremost writers and thinkers, including John Ralston Saul and Margaret Atwood, call for equilibrium among economics, culture, and technological change. While promoting the dynamism and change possible in Canadian society, they also call for a re-examination of Canada's past in order to chart its future

Cultivating High-Level Organizational Engagement to Promote Novel Learning Experiences in STEAM

Traditional partnerships in K-12 public education often produce low-level organizational engagement among its partners—one partner funds, the other uses the funds Typically a “partner in education” donates funds, which may benefit students through the purchase of new equipment, staff development experiences, or scholarships. In some cases, an organization may send an expert over to speak with the students about their field. This type of philanthropic outreach is indispensable for schools that need additional support and important for students to gain information from the “real world” but does not necessarily translate into deep, meaningful academic impact

Challenges of researching showering routines: From the individual to the socio-material

In the UK, water supplies are under pressure from climate, population and lifestyle change. Showering is the largest component of domestic water consumption. Young adults are high water-users at a transitional life-stage, when practices are dynamic, and habits shaped. This paper presents the methodology, early findings and reflections on challenges of working with different data types and scales, to explore real-world water-saving through a mixed-methods approach, focusing on showering patterns of first year university students in campus accommodation at the University of the West of England, Bristol, UK. Combining household meter, logged water-fixture micro-component, personal-use questionnaire, user diary and stakeholder focus group data with the Scottish Government Individual-Social-Material model, typical showering demand reduction interventions were evaluated and insights into alternative interventions were generated. Results indicate Estates’ routine equipment maintenance and database management affect data quality and consistency. Despite these issues a profile of daily student water use was derived (equivalent to 114 L per person per day) but with high variability between different households (from 83 to 151 L per person per day). Average shower durations (self-reported 10–12 min) were higher than reported UK norms, although frequency was similar to the UK daily shower norm. Average measured shower volumes (51 L in one house) were not excessive, indicating shower fixtures provided a contribution to water saving

Comorbidities and Race/Ethnicity Among Adults with Stimulant Use Disorders in Residential Treatment

Comorbid physical and mental health problems are associated with poorer substance abuse treatment outcomes; however, little is known about these conditions among stimulant abusers at treatment entry. This study compared racial and ethnic groups on baseline measures of drug use patterns, comorbid physical and mental health disorders, quality of life, and daily functioning among cocaine and stimulant abusing/dependent patients. Baseline data from a multi-site randomized clinical trial of vigorous exercise as a treatment strategy for a diverse population of stimulant abusers (N = 290) were analyzed. Significant differences between groups were found on drug use characteristics, stimulant use disorders, and comorbid mental and physical health conditions. Findings highlight the importance of integrating health and mental health services into substance abuse treatment and could help identify potential areas for intervention to improve treatment outcomes for racial and ethnic minority groups

Shaking Up Traditional Training With Lynda.com

Supporting the diverse technology training needs on campus while resources continue to dwindle is a challenge many of us continue to tackle. Institutions from small liberal arts campuses to large research universities are providing individualized training and application support 24/7 by subscribing to the lynda.com Online Training Library(r) and marketing the service to various combinations of faculty, staff and students. As a supplemental service on most of our campuses, lynda.com has allowed us to extend support to those unable to attend live lab-based training, those who want advanced level training, those who want training on specialized applications, and those who want to learn applications that are not in high demand. The service also provides cost effective professional development opportunities for everyone on campus, from our own trainers and technology staff who are developing new workshops, learning new software versions or picking up new areas of expertise from project management to programming, to administrative and support staff who are trying to improve their skills in an ever-tighter economic environment. On this panel discussion, you will hear about different licensing approaches, ways of raising awareness about lynda.com on our campuses, lessons learned through implementation, reporting capabilities, and advice we would give for other campuses looking to offer this service

Defining Family: Naming, Orientation, and Redemption in the Case of Terri Schiavo

This paper undertakes a detailed analysis of the Terri Schiavo case as it was covered in popular media. Drawing on Burkean theory, we argue a critical issue in the case was a struggle between Terri\u27s parents and husband to be seen as the more legitimate family in order to determine the duration and extent of Terri \u27s medical care. We discuss how the private debate over Terri\u27s health and the decision to remove her feeding tube entered into the public scenes of legal and political action. This shift to the public scene represented problems for the parties directly involved in the debate and turned Terri into a symbol of the larger right-to-die controversy

Exploring The Relationship Between Emotional Intelligence And Academic Stress Among Students At A Small, Private College

This research explored the relationship between total-trait emotional intelligence and academic stress among college students at a small, private college. Student total-trait emotional intelligence (TTEI) and university stress scores were significantly correlated. Measures of TTEI and USS are useful for student intervention to impact issues such as attrition. To increase retention, small private colleges benefit significantly from knowing students’ level of academic stress and emotional intelligence. Identifying specific factors and mitigating the adverse effects of these factors allows small colleges the opportunity to provide additional services for students

Cyclin-Dependent Kinase-Like Function Is Shared by the Beta- and Gamma- Subset of the Conserved Herpesvirus Protein Kinases

The UL97 protein of human cytomegalovirus (HCMV, or HHV-5 (human herpesvirus 5)), is a kinase that phosphorylates the cellular retinoblastoma (Rb) tumor suppressor and lamin A/C proteins that are also substrates of cellular cyclin-dependent kinases (Cdks). A functional complementation assay has further shown that UL97 has authentic Cdk-like activity. The other seven human herpesviruses each encode a kinase with sequence and positional homology to UL97. These UL97-homologous proteins have been termed the conserved herpesvirus protein kinases (CHPKs) to distinguish them from other human herpesvirus-encoded kinases. To determine if the Cdk-like activities of UL97 were shared by all of the CHPKs, we individually expressed epitope-tagged alleles of each protein in human Saos-2 cells to test for Rb phosphorylation, human U-2 OS cells to monitor nuclear lamina disruption and lamin A phosphorylation, or S. cerevisiae cdc28-13 mutant cells to directly assay for Cdk function. We found that the ability to phosphorylate Rb and lamin A, and to disrupt the nuclear lamina, was shared by all CHPKs from the beta- and gamma-herpesvirus families, but not by their alpha-herpesvirus homologs. Similarly, all but one of the beta and gamma CHPKs displayed bona fide Cdk activity in S. cerevisiae, while the alpha proteins did not. Thus, we have identified novel virally-encoded Cdk-like kinases, a nomenclature we abbreviate as v-Cdks. Interestingly, we found that other, non-Cdk-related activities reported for UL97 (dispersion of promyelocytic leukemia protein nuclear bodies (PML-NBs) and disruption of cytoplasmic or nuclear aggresomes) showed weak conservation among the CHPKs that, in general, did not segregate to specific viral families. Therefore, the genomic and evolutionary conservation of these kinases has not been fully maintained at the functional level. Our data indicate that these related kinases, some of which are targets of approved or developmental antiviral drugs, are likely to serve both overlapping and non-overlapping functions during viral infections