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The Evolution of the CareerAdvance® Program in Tulsa, Oklahoma
CareerAdvance®n collaboration with a multi-disciplinary team of partners, the Ray Marshall Center (RMC) is developing and implementing a sectoral workforce development strategy for low-skilled, low-income parents of children served by early childhood programs in Tulsa, Oklahoma. There is emerging evidence that children whose parents hold stable jobs with progressively rising incomes exhibit better academic and behavioral outcomes. RMC and its partners have undertaken a dual-generation approach to poverty reduction that strengthens the investment in early childhood development by equipping Head Start parents with workforce training and gainful employment opportunities. This approach employs a more holistic model than traditional workforce development programs, as it also includes employee counseling and other support services to help parents complete training and adult basic education, retain their jobs, advance in their careers, and become economically self-sufficient. The goal is to develop a sustainable sectoral strategy that can be replicated beyond Tulsa to other communities across the nation.
In the first phase of the project (2008-2009), RMC designed a sectoral job development strategy focused on industries featuring jobs that pay well and provide much-needed employee benefits (e.g., health insurance, annual and sick leave) as well as career advancement opportunities. In April 2009, Community Action Program of Tulsa County launched the pilot, CareerAdvance, at two Head Start sites in Tulsa involving 15 parents. The components of the CareerAdvance are 1) GED and college readiness instruction, as needed; 2) skills training in the healthcare sector progressing from Certified Nursing Aide to Licensed Practical Nurse to Registered Nurse; 3) weekly peer support meetings addressing a flexible set of topics (e.g., life skills, work readiness, family finances); 4) conditional cash incentives (up to $3,000 a year) for participants meeting specified benchmarks to reinforce continued participation and help offset foregone earnings; and 5) workforce intermediation between healthcare employers and training institutions provided through Workforce Tulsa. The report on the project’s first year of operation is available at the link below.
In partnership with Harvard University and the University of Oklahoma – Tulsa School of Medicine, a second pilot site was opened in July 2009 at a Tulsa Educare Center. The second pilot, EduCareers, includes all components described above as well as enhanced mental health services for participating households, curriculum enhancements for the children, parent engagement training, and a medical home.
The CareerAdvance project has now been expanded to 2015 with support from the U.S. Department of Health and Human Services’ Administration for Children and Families. RMC and partners at Northwestern and Columbia University have been engaged to provide ongoing on data collection, implementation and outcomes analysis of project participants.George Kaiser Family Foundation, W. K. Kellogg Foundation, U.S. Department of Health and Human Services' Administration for Children and FamiliesRay Marshall Center for the Study of Human Resource
Targeted tandem affinity purification of PSD-95 recovers core postsynaptic complexes and schizophrenia susceptibility proteins
The molecular complexity of mammalian proteomes demands new methods for mapping the organization of multiprotein complexes. Here, we combine mouse genetics and proteomics to characterize synapse protein complexes and interaction networks. New tandem affinity purification (TAP) tags were fused to the carboxyl terminus of PSD-95 using gene targeting in mice. Homozygous mice showed no detectable abnormalities in PSD-95 expression, subcellular localization or synaptic electrophysiological function. Analysis of multiprotein complexes purified under native conditions by mass spectrometry defined known and new interactors: 118 proteins comprising crucial functional components of synapses, including glutamate receptors, K+ channels, scaffolding and signaling proteins, were recovered. Network clustering of protein interactions generated five connected clusters, with two clusters containing all the major ionotropic glutamate receptors and one cluster with voltage-dependent K+ channels. Annotation of clusters with human disease associations revealed that multiple disorders map to the network, with a significant correlation of schizophrenia within the glutamate receptor clusters. This targeted TAP tagging strategy is generally applicable to mammalian proteomics and systems biology approaches to disease
Visual Orbits of Spectroscopic Binaries with the CHARA Array. III. HD 8374 and HD 24546
We present the visual orbits of two long period spectroscopic binary stars,
HD 8374 and HD 24546, using interferometric observations acquired with the
CHARA Array and the Palomar Testbed Interferometer. We also obtained new radial
velocities from echelle spectra using the APO 3.5 m and Fairborn 2.0 m
telescopes. By combining the visual and spectroscopic observations, we solve
for the full, three-dimensional orbits and determine the stellar masses and
distances to within 3% uncertainty. We then estimate the effective temperature
and radius of each component star through Doppler tomography and spectral
energy distribution analyses, in order to compare the observed stellar
parameters to the predictions of stellar evolution models. For HD 8374, we find
masses of M1 = 1.636 +/- 0.050 Msun and M2 = 1.587 +/- 0.049 Msun, radii of R1
= 1.84 +/- 0.05 Rsun and R2 = 1.66 +/- 0.12 Rsun, temperatures of Teff1 = 7280
+/- 110 K and Teff2 = 7280 +/- 120 K, and an estimated age of 1.0 Gyr. For HD
24546, we find masses of M1 = 1.434 +/- 0.014 Msun and M2 = 1.409 +/- 0.014
Msun, radii of R1 = 1.67 +/- 0.06 Rsun and R2 = 1.60 +/- 0.10 Rsun,
temperatures of Teff1 = 6790 +/- 120 K and Teff2 = 6770 +/- 90 K, and an
estimated age of 1.4 Gyr. HD 24546 is therefore too old to be a member of the
Hyades cluster, despite its physical proximity to the group.Comment: 18 pages, 10 figures. Accepted for publication in A
Understanding Urban Demand for Wild Meat in Vietnam: Implications for Conservation Actions
Vietnam is a significant consumer of wildlife, particularly wild meat, in urban restaurant settings. To meet this demand, poaching of wildlife is widespread, threatening regional and international biodiversity. Previous interventions to tackle illegal and potentially unsustainable consumption of wild meat in Vietnam have generally focused on limiting supply. While critical, they have been impeded by a lack of resources, the presence of increasingly organised criminal networks and corruption. Attention is, therefore, turning to the consumer, but a paucity of research investigating consumer demand for wild meat will impede the creation of effective consumer-centred interventions. Here we used a mixed-methods research approach comprising a hypothetical choice modelling survey and qualitative interviews to explore the drivers of wild meat consumption and consumer preferences among residents of Ho Chi Minh City, Vietnam. Our findings indicate that demand for wild meat is heterogeneous and highly context specific. Wild-sourced, rare, and expensive wild meat-types are eaten by those situated towards the top of the societal hierarchy to convey wealth and status and are commonly consumed in lucrative business contexts. Cheaper, legal and farmed substitutes for wild-sourced meats are also consumed, but typically in more casual consumption or social drinking settings. We explore the implications of our results for current conservation interventions in Vietnam that attempt to tackle illegal and potentially unsustainable trade in and consumption of wild meat and detail how our research informs future consumer-centric conservation actions
Common Genes Contribute to Depressive Symptoms and Heart Rate Variability:The Twins Heart Study
Depression and reduced heart rate variability (HRV) are predictors of coronary artery disease (CAD), and highly correlated with each other. However, little is known to what extend this correlation can be explained by common genetic components. We examined 198 middle-aged male twins (121 monozygotic and 77 dizygotic) from the Vietnam Era Twin Registry. Current depressive symptoms were assessed using the Beck Depression Inventory-II and HRV was assessed on 24-hour electrocardiographic Holter recordings. Five frequency domain variables were used, including ultra low frequency (ULF), very low frequency (VLF), low frequency (LF), high frequency (HF) and total power (TPow). Structural equation modeling was used to estimate shared genetic effects for depressive symptoms and the HRV frequency domains. Both depressive symptoms (h(2)=.5) and all measurements of HRV showed high heritability (h(2)=.43-.63). A significant inverse correlation was found between depressive symptoms and all HRV indices except LF and HF, with the highest coefficient (r) for TPow (r = -.24, P = .01) and ULF (r = -.24, P = .01). Bivariate genetic modeling revealed significant genetic correlations between depressive symptoms and TPow (r(A) = -.21, P = .04), as well as ULF (r(A) = -.23, P = .02). Of the total covariance between depressive symptoms and these two HRV indices, over 80% was due to the same genetic factors. In conclusion, depressive symptoms are associated with decreased HRV and this association is due, in large part, to a shared genetic effect. These results suggest that a common neurobiological dysfunction links depression and autonomic dysregulation
Planetary Candidates Observed by Kepler. VII. The First Fully Uniform Catalog Based on The Entire 48 Month Dataset (Q1-Q17 DR24)
We present the seventh Kepler planet candidate catalog, which is the first to
be based on the entire, uniformly processed, 48 month Kepler dataset. This is
the first fully automated catalog, employing robotic vetting procedures to
uniformly evaluate every periodic signal detected by the Q1-Q17 Data Release 24
(DR24) Kepler pipeline. While we prioritize uniform vetting over the absolute
correctness of individual objects, we find that our robotic vetting is overall
comparable to, and in most cases is superior to, the human vetting procedures
employed by past catalogs. This catalog is the first to utilize artificial
transit injection to evaluate the performance of our vetting procedures and
quantify potential biases, which are essential for accurate computation of
planetary occurrence rates. With respect to the cumulative Kepler Object of
Interest (KOI) catalog, we designate 1,478 new KOIs, of which 402 are
dispositioned as planet candidates (PCs). Also, 237 KOIs dispositioned as false
positives (FPs) in previous Kepler catalogs have their disposition changed to
PC and 118 PCs have their disposition changed to FP. This brings the total
number of known KOIs to 8,826 and PCs to 4,696. We compare the Q1-Q17 DR24 KOI
catalog to previous KOI catalogs, as well as ancillary Kepler catalogs, finding
good agreement between them. We highlight new PCs that are both potentially
rocky and potentially in the habitable zone of their host stars, many of which
orbit solar-type stars. This work represents significant progress in accurately
determining the fraction of Earth-size planets in the habitable zone of
Sun-like stars. The full catalog is publicly available at the NASA Exoplanet
Archive.Comment: Accepted to the Astrophysical Journal Supplement Series. 30 pages, 9
figures, 7 tables. We make the DR24 robovetter decision code publicly
available at http://github.com/JeffLCoughlin/robovetter, with input and
output examples provided using the same data as contained in the full paper's
table
A comparison of 2 distal attachment mucosal exposure devices: a noninferiority randomized controlled trial
Background and Aims
Endocuff and Endocuff Vision are effective mucosal exposure devices for improving polyp detection during colonoscopy. AmplifEYE is a knock-off device that appears similar to the Endocuff devices but has received minimal clinical testing.
Methods
We performed a randomized controlled clinical trial using a noninferiority design to compare Endocuff Vision with AmplifEYE.
Results
The primary endpoint of adenomas per colonoscopy was similar in AmplifEYE at 1.63 (2.83) versus 1.51 (2.29) with Endocuff Vision; p=0.535. The 95% lower confidence limit was 0.88 for ratio of means, establishing noninferiority of AmplifEYE (p=0.008). There was no difference between the arms in mean insertion time, and mean inspection time (withdrawal time minus polypectomy time and time for washing and suctioning) was shorter with AmplifEYE (6.8 minutes vs 6.9 minutes, p=0.042).
Conclusions
AmplifEYE is noninferior to Endocuff Vision for adenoma detection. The decision of which device to use can be based on cost. Additional comparisons of AmplifEYE to Endocuff by other investigators are warranted
Impact of a ring fitted cap on insertion time and adenoma detection: a randomized controlled trial
Background and Aims: Devices for flattening colon folds can improve polyp detection at colonoscopy. However, there are few data on the endoscopic ring fitted cap (EndoRings, EndoAid, Caesarea, Israel). We sought to compare adenoma detection with EndoRings with that of standard high-definition colonoscopy.
Methods:
A single-center randomized controlled trial of 562 patients (284 randomized to EndoRings and 278 to standard colonoscopy) at 2 outpatient endoscopy units in the Indiana University Hospital system. Adenoma detection was the primary outcome measured as adenoma detection rate (ADR) and adenomas per colonoscopy (APC). We also compared sessile serrated polyp detection rate (SSPDR), insertion times, withdrawal times, and ease of passage through the sigmoid colon.
Results:
EndoRings was superior to standard colonoscopy in terms of APC (1.46 vs 1.06, p=0.025) but there were no statistically significant differences in ADR or SSPDR. Mean withdrawal time (in patients with no polyps) was shorter and insertion time (all patients) was longer in the EndoRings arm by 1.8 minutes and 0.75 minutes, respectively. One provider had significantly higher detection with EndoRings and contributed substantially to the overall results.
Conclusions:
EndoRings can increase adenoma detection without significant increase in procedure time, but the effect varies between operators. EndoRings slows colonoscope insertion
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