What Motivates People to Become Teachers.

There is no shortage of attempts to explain why people want to be teachers, and many of these attempts are used to frame this paper. Most of the research cited comes from the United States, some comes from Australia, and a few references are made to research from other countries. What attracts people to teaching has been a popular research theme for several decades, and it has been simultaneously quite popular in many countries. In Israet for example, 9.9% of all educational research done between 1974 and 1985 related to teachers\u27 education, attitudes and behaviours (Peritz, 1989:62). Prominent among the questions were why people wanted to be teachers in the first place, and what motivated them to make the choice. From almost all the studies, something loosely called altruism provided the most compelling answer to the question of why the choice was made. Joseph and Green\u27s (1986:31) study offers the conclusion: .. .indeed, there may be few reasons for considering the teaching profession except the altruistic motive

A systematic review of mortality in schizophrenia - Is the differential mortality gap worsening over time?

Context Despite improvements in mental health services in recent decades, it is unclear whether the risk of mortality in schizophrenia has changed over time. Objective To explore the distribution of standardized mortality ratios (SMRs) for people with schizophrenia. Data Sources Broad search terms were used in MEDLINE, PsychINFO, Web of Science, and Google Scholar to identify all studies that investigated mortality in schizophrenia, published between January 1, 1980, and January 31, 2006. References were also identified from review articles, reference lists, and communication with authors. Study Selection Population-based studies that reported primary data on deaths in people with schizophrenia. Data Extraction Operationalized criteria were used to extract key study features and mortality data. Data Synthesis We examined the distribution of SMRs and pooled selected estimates using random-effects meta-analysis. We identified 37 articles drawn from 25 different nations. The median SMR for all persons for all-cause mortality was 2.58 (10%-90% quantile, 1.18-5.76), with a corresponding random-effects pooled SMR of 2.50 (95% confidence interval, 2.18-2.43). No sex difference was detected. Suicide was associated with the highest SMR (12.86); however, most of the major causes-of-death categories were found to be elevated in people with schizophrenia. The SMRs for all-cause mortality have increased during recent decades (P = .03). Conclusions With respect to mortality, a substantial gap exists between the health of people with schizophrenia and the general community. This differential mortality gap has worsened in recent decades. In light of the potential for second-generation antipsychotic medications to further adversely influence mortality rates in the decades to come, optimizing the general health of people with schizophrenia warrants urgent attention

Effects of locally generated wind waves on the momentum budget and subtidal exchange in a coastal plain estuary

Author Posting. © American Geophysical Union, 2019. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research-Oceans 124(2), (2019):1005-1028, doi:10.1029/2018JC014585.A numerical model with a vortex force formalism is used to study the role of wind waves in the momentum budget and subtidal exchange of a shallow coastal plain estuary, Delaware Bay. Wave height and age in the bay have a spatial distribution that is controlled by bathymetry and fetch, with implications for the surface drag coefficient in young, underdeveloped seas. Inclusion of waves in the model leads to increases in the surface drag coefficient by up to 30% with respect to parameterizations in which surface drag is only a function of wind speed, in agreement with recent observations of air‐sea fluxes in estuaries. The model was modified to prevent whitecapping wave dissipation from generating breaking forces since that contribution is integrally equivalent to the wind stress. The proposed adjustment is consistent with previous studies of wave‐induced nearshore currents and with additional parameterizations for breaking forces in the model. The mean momentum balance during a simulated wind event was mainly between the pressure gradient force and surface stress, with negligible contributions by vortex, wave breaking (i.e., depth‐induced), and Stokes‐Coriolis forces. Modeled scenarios with realistic Delaware bathymetry suggest that the subtidal bay‐ocean exchange at storm time scales is sensitive to wave‐induced surface drag coefficient, wind direction, and mass transport due to the Stokes drift. Results herein are applicable to shallow coastal systems where the typical wave field is young (i.e., wind seas) and modulated by bathymetry.This work was supported by National Science Foundation Coastal SEES grant 1325136. We acknowledge Christopher Sommerfield's Group, Jia‐Lin Chen, and Julia Levin who provided assistance with the model configuration. We also thank Nirnimesh Kumar, Greg Gerbi, Melissa Moulton, and the Rutgers Ocean Modeling group for constructive feedback. Insightful comments by two anonymous reviewers helped improve the manuscript. Model files are available in an open access repository (https://doi.org/10.5281/zenodo.1695900).2019-07-2

Rates of treated schizophrenia and its clinical and cultural features in the population isolate of the Iban of Sarawak: a tri-diagnostic approach

Background. We present results of a study of treated rates of schizophrenia among the Iban of Sarawak, Malaysia. Most Iban live in longhouses, each comprising a kindred group of up to 300 individuals. Cultural practices such as minimal intermarriage with members of adjacent ethnic groups and in-depth genealogical knowledge make them a population suitable for genetic investigation. Iban culture is conducive to a focus on symptoms and illness, and to patterns of treatment-seeking behaviour that are enthusiastic and persistent. Method. We identified all known cases of psychotic disorder within a defined catchment area based on an exhaustive survey of available medical records. From corresponding Malaysian census data (91056 persons), we report rates of treated schizophrenia in the Iban population, using three diagnostic systems, as well as the demographic and clinical characteristics of these individuals. Results. The most frequent presenting complaints were insomnia and aggression. We found higher treated rates for narrowly defined schizophrenia among males, but no significant gender difference for age of onset. Estimates of treated rates to age 55 years (per 10000) for narrow schizophrenia were 41·9 (ICD-10), 56·5 (DSM-IV), and 83 (RDC), while the rates for broad schizophrenia were 105·5, 103·2, and 107·5 respectively. Conclusions. Treated rates of schizophrenia were higher than the reported prevalence for many populations at risk, including many small-scale societies, although different methodological approaches may partly explain these findings. Given the cultural patterns of Iban treatment-seeking behaviour, treated rates of schizophrenia reported here may closely approximate the population prevalence of this disorder.Robert Barrett, Peter Loa, Edward Jerah, Derek Nancarrow, David Chant and Bryan Mowr

Wave generation, dissipation, and disequilibrium in an embayment with complex bathymetry

Author Posting. © American Geophysical Union, 2018. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Wave generation, dissipation, and disequilibrium in an embayment with complex bathymetry. Journal of Geophysical Research-Oceans, 123(11), (2018): 7856-7876, doi:10.1029/2018JC014381.Heterogeneous, sharply varying bathymetry is common in estuaries and embayments, and complex interactions between the bathymetry and wave processes fundamentally alter the distribution of wave energy. The mechanisms that control the generation and dissipation of wind waves in an embayment with heterogeneous, sharply varying bathymetry are evaluated with an observational and numerical study of the Delaware Estuary. Waves in the lower bay depend on both local wind forcing and remote wave forcing from offshore, but elsewhere in the estuary waves are controlled by the local winds and the response of the wavefield to bathymetric variability. Differences in the wavefield with wind direction highlight the impacts of heterogeneous bathymetry and limited fetch. Under the typical winter northwest wind conditions waves are fetch‐limited in the middle estuary and reach equilibrium with local water depth only in the lower bay. During southerly wind conditions typical of storms, wave energy is near equilibrium in the lower bay, and midestuary waves are attenuated by the combination of whitecapping and bottom friction, particularly over the steep, longitudinal shoals. Although the energy dissipation due to bottom friction is generally small relative to whitecapping, it becomes significant where the waves shoal abruptly due to steep bottom topography. In contrast, directional spreading keeps wave heights in the main channel significantly less than local equilibrium. The wave disequilibrium in the deep navigational channel explains why the marked increase in depth by dredging of the modern channel has had little impact on wave conditions.Funding was provided by National Science Foundation Coastal SEES: Toward Sustainable Urban Estuaries in the Anthropocene (OCE 1325136) and Ministry of Science and Technology (MOST 107‐2611‐M‐006‐004). We thank James Kirby, Fengyan Shi, and the two anonymous reviewers for their careful reading of our manuscript and their insightful comments. We thank Tracy Quirk for providing wave measurements in Bombay Hook, DE and Stow Creek, NJ. We thank Katie Pijanowski for compiling historical and modern bathymetric data for the estuary. Data supporting this study are posted to Zenodo (http://doi.org/10.5281/zenodo.1433055).2019-04-0

Directional and fluctuating asymmetry in finger and a-b ridge counts in psychosis: a case-control study

BACKGROUND: Several studies have reported alterations in finger and a-b ridge counts, and their derived measures of asymmetry, in schizophrenia compared to controls. Because ridges are fully formed by the end of the second trimester, they may provide clues to disturbed early development. The aim of this study was to assess these measures in a sample of patients with psychosis and normal controls. METHODS: Individuals with psychosis (n = 240), and normal controls (n = 228) were drawn from a catchment-area case-control study. Differences in finger and a-b ridge count and Fluctuating Asymmetry were assessed in three group comparisons (non-affective psychosis versus controls; affective psychosis versus controls; non-affective psychosis versus affective psychosis). The analyses were performed separately for males and females. RESULTS: There were no significant group differences for finger nor a-b ridge counts. While there were no group difference for Directional Asymmetry, for Fluctuating Asymmetry measures men with non-affective psychosis had significantly higher fluctuating asymmetry of the index finger ridge count (a) when compared to controls (FA-correlation score, p = 0.02), and (b) when compared to affective psychosis (adjusted FA-difference score, p = 0.04). CONCLUSION: Overall, measures of finger and a-b ridge counts, and their derived measures of directional and fluctuating asymmetry were not prominent features of psychosis in this sample. While directional asymmetry in cerebral morphology is reduced in schizophrenia, this is not reflected in dermatoglyphic variables

Impact of patient and public involvement on enrolment and retention in clinical trials: Systematic review and meta-analysis

© Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to. Objective To investigate the impact of patient and public involvement (PPI) on rates of enrolment and retention in clinical trials and explore how this varies with the context and nature of PPI. Design Systematic review and meta-analysis. Data sources Ten electronic databases, including Medline, INVOLVE Evidence Library, and clinical trial registries. Eligibility criteria Experimental and observational studies quantitatively evaluating the impact of a PPI intervention, compared with no intervention or non-PPI intervention(s), on participant enrolment and/or retention rates in a clinical trial or trials. PPI interventions could include additional non-PPI components inseparable from the PPI (for example, other stakeholder involvement). Data extraction and analysis Two independent reviewers extracted data on enrolment and retention rates, as well as on the context and characteristics of PPI intervention, and assessed risk of bias. Random effects meta-analyses were used to determine the average effect of PPI interventions on enrolment and retention in clinical trials: main analysis including randomised studies only, secondary analysis adding non-randomised studies, and several exploratory subgroup and sensitivity analyses. Results 26 studies were included in the review; 19 were eligible for enrolment meta-analysis and five for retention meta-analysis. Various PPI interventions were identified with different degrees of involvement, different numbers and types of people involved, and input at different stages of the trial process. On average, PPI interventions modestly but significantly increased the odds of participant enrolment in the main analysis (odds ratio 1.16, 95% confidence interval and prediction interval 1.01 to 1.34). Non-PPI components of interventions may have contributed to this effect. In exploratory subgroup analyses, the involvement of people with lived experience of the condition under study was significantly associated with improved enrolment (odds ratio 3.14 v 1.07; P=0.02). The findings for retention were inconclusive owing to the paucity of eligible studies (odds ratio 1.16, 95% confidence interval 0.33 to 4.14), for main analysis). Conclusions These findings add weight to the case for PPI in clinical trials by indicating that it is likely to improve enrolment of participants, especially if it includes people with lived experience of the health condition under study. Further research is needed to assess which types of PPI work best in particular contexts, the cost effectiveness of PPI, the impact of PPI at earlier stages of trial design, and the impact of PPI interventions specifically targeting retention. Systematic review registration PROSPERO CRD42016043808