Promising Practices: Advanced Referral System - Illinois Division of Rehabilitation Services, BPA&O Project Human Services Center

Changes in disability policy at the state and federal level have presented many new opportunities for meaningful systems change and services delivery for people with disabilities. Since 2000, the Social Security Administration, the U.S. Department of Labor, the Centers for Medicare & Medicaid Services and the Rehabilitation Services Administration have issued many grants to state agencies, community-based service providers and advocates to address barriers to employment for people with disabilities. Many of these grants have competitive employment as the goal, yet very few of these grants have built in support for benefits planning and assistance – a function that many believe is critical to achieving competitive employment. In this Promising Practices, the Illinois Division of Rehabilitation Services BPA&O Project (DRS BPA&O Project) and the Human Services Center (HSC), a community-based mental health center and the recipient of a DOL Customized Employment Grant, created a model partnership to ensure that the 600 consumers with severe mental illness served by HSC under their grant would gain access to benefits planning services. They call their model partnership an “Advanced Referral System.

An investigation into the impacts of peer discourse on students\u27 comprehension proficiency with a specific focus on English Language Learners and Students with Disabilities: A meta-analysis

This paper investigated the findings of a previously conducted meta-analysis involving the impacts of peer discussion on student’s comprehension. This paper also examined, synthesized, and analyzed the previous quantitative studies that have been conducted regarding the effectiveness of engaging students in classroom discussion after reading, in order to enhance their comprehension of what they read. The present research serves the purpose of adding to and extending the current knowledge of the roles that teachers and students play in peer discourse, the ways in which classroom interactions can impact the comprehension of culturally and linguistically diverse students, make connections between the types of discourse used and teacher methods for facilitating effective communication among students, and the types of students that seem most receptive to the benefits of interactive discussion. The findings suggest that the quality of teacher prompts and questions throughout classroom discussion seem to play a significant role in student performance in regards to comprehension. The results also suggest that open-ended questions and higher order thinking skills should be integrated into conversations surrounding complex text so that students can think more deeply about the meaning of the text and share ideas with one another that will help build their understanding

The Commerce Clause and its Effect on Federalism

The issue of federalism has been one that has plagued our nation since its inception. There are many things that affect the state, federal government relationship and this paper focuses on the Commerce Clause. Looking at a series of cases and discussing the judicial opinions and rulings that came out of them it is concluded that there is a negative correlation between the Commerce Clause and federalism. In other words when the Commerce Clause is utilized powers are taken away from the states. From the time of Gibbons v. Ogden all the way to 2012 with National Federation of Independent Business v. Sebelius the Commerce Clause has evolved with our nation and proved an instrumental tool in the belt of the federal government. The intention of the founders could never have known that the country would grow and industrialize the way it has

A Significant Sudden Ionospheric Disturbance associated with Gamma-Ray Burst GRB 221009A

We report the detection of a significant ionospheric disturbance in the D-region of Earth's ionosphere which was associated with the massive gamma-ray burst GRB 221009A that occurred on October 9 2022. We identified the disturbance over northern Europe - a result of the increased ionisation by X- and gamma-ray emission from the GRB - using very low frequency (VLF) radio waves as a probe of the D-region. These observations demonstrate that an extra-galactic GRB can have a significant impact on the terrestrial ionosphere and illustrates that the Earth's ionosphere can be used as a giant X- and gamma-ray detector. Indeed, these observations may provide insights into the impacts of GRBs on the ionospheres of planets in our solar system and beyond.Comment: 3 pages, 1 figur

Grey and white matter differences in Chronic Fatigue Syndrome : A voxel-based morphometry study

Conflicts of interest and source of funding The authors declare no conflicts of interest. This research was funded by the Medical Research Council (MR/J002712/1). AF is supported by Research Capability Funding from the Newcastle upon Tyne Hospitals NHS Foundation Trust and the Northumberland, Tyne and Wear NHS Foundation Trust.Peer reviewedPublisher PD

Quasi-Periodic Pulsations during the Impulsive and Decay phases of an X-class Flare

Quasi-periodic pulsations (QPP) are often observed in X-ray emission from solar flares. To date, it is unclear what their physical origins are. Here, we present a multi-instrument investigation of the nature of QPP during the impulsive and decay phases of the X1.0 flare of 28 October 2013. We focus on the character of the fine structure pulsations evident in the soft X-ray time derivatives and compare this variability with structure across multiple wavelengths including hard X-ray and microwave emission. We find that during the impulsive phase of the flare, high correlations between pulsations in the thermal and non-thermal emissions are seen. A characteristic timescale of ~20s is observed in all channels and a second timescale of ~55s is observed in the non-thermal emissions. Soft X-ray pulsations are seen to persist into the decay phase of this flare, up to 20 minutes after the non-thermal emission has ceased. We find that these decay phase thermal pulsations have very small amplitude and show an increase in characteristic timescale from ~40s up to ~70s. We interpret the bursty nature of the co-existing multi-wavelength QPP during the impulsive phase in terms of episodic particle acceleration and plasma heating. The persistent thermal decay phase QPP are most likely connected with compressive MHD processes in the post-flare loops such as the fast sausage mode or the vertical kink mode.Comment: 7 pages, 4 figures, 1 tabl

Examining hope as a transdiagnostic mechanism of change across anxiety disorders and CBT treatment protocols.

Hope is a trait that represents the capacity to identify strategies or pathways to achieve goals and the motivation or agency to effectively pursue those pathways. Hope has been demonstrated to be a robust source of resilience to anxiety and stress and there is limited evidence that, as has been suggested for decades, hope may function as a core process or transdiagnostic mechanism of change in psychotherapy. The current study examined the role of hope in predicting recovery in a clinical trial in which 223 individuals with 1 of 4 anxiety disorders were randomized to transdiagnostic cognitive behavior therapy (CBT), disorder-specific CBT, or a waitlist controlled condition. Effect size results indicated moderate to large intraindividual increases in hope, that changes in hope were consistent across the five CBT treatment protocols, that changes in hope were significantly greater in CBT relative to waitlist, and that changes in hope began early in treatment. Results of growth curve analyses indicated that CBT was a robust predictor of trajectories of change in hope compared to waitlist, and that changes in hope predicted changes in both self-reported and clinician-rated anxiety. Finally, a statistically significant indirect effect was found indicating that the effects of treatment on changes in anxiety were mediated by treatment effects on hope. Together, these results suggest that hope may be a promising transdiagnostic mechanism of change that is relevant across anxiety disorders and treatment protocols.R01 MH090053 - NIMH NIH HHSAccepted manuscrip

The association of obesity and severe dengue:possible pathophysiological mechanisms

Dengue virus (DENV) is a medically important flavivirus and the aetiological agent of Dengue, a normally self-resolving febrile illness that, in some individuals, can progress into Severe Dengue (SD), a life-threatening disorder that manifests as organ impairment, bleeding and shock. Many different risk factors have been associated with the development of SD, one of which is obesity. In many countries where DENV is endemic, obesity is becoming more prevalent, therefore SD is becoming an increased public health concern. However, there is a paucity of research on the mechanistic links between obesity and SD. This is a narrative review based on original research and reviews sourced from PubMed and Google Scholar. Four key areas could possibly explain how obesity can promote viral pathogenesis. Firstly, obesity downregulates AMP-Protein Kinase (AMPK), which leads to an accumulation of lipids in the endoplasmic reticulum (ER) that facilitates viral replication. Secondly, the long-term production of pro-inflammatory adipokines found in obese individuals can cause endothelial and platelet dysfunction and can facilitate SD. Thirdly, obesity could also cause endothelial dysfunction in addition to chronic inflammation, through the production of reactive oxygen species (ROS) and possible damage to the glycocalyx found in the endothelium. Finally, obesity has several effects on immunomodulation that reduces NK cell function, B and T cell response and increased pre-disposition to stronger pro-inflammatory cytokine responses after viral infection. Together, these effects can lead to greater viral proliferation and greater tissue damage both of which could contribute to SD. The four mechanisms outlined in this review can be taken as reference starting points for investigating the link between obesity and SD, and to discover potential therapeutic strategies that can potentially reduce disease severity

Rescue US energy innovation

President Trump has proposed severe cuts to US government spending on energy research, development and demonstration, but Congress has the ‘power of the purse’ and can rescue US energy innovation. If serious cuts are enacted, the pace of innovation will slow, harming the economy, energy security and global environmental quality. The Trump Administration has proposed a 57% reduction in US government investments in energy research, development and demonstration (RD&D) at the Department of Energy (DOE), from US$3.8 billion allocated for fiscal year 2017 (FY2017) under the continuing resolution to US$1.6 billion in the FY2018 request (unless otherwise stated, all dollar figures are given in constant 2015 US dollars). These severe reductions, if enacted by Congress, would reduce the pace of US energy-technology innovation, ultimately harming the US economy, energy security, environmental quality and the capacity of the world’s second largest emitter of greenhouse gases to do its share in reducing the emissions that are driving global climate change. This abdication of leadership would adversely affect not just US interests but global interests as well