3,561 research outputs found

    A summary of research relating to second and third grade reading

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    Thesis (Ed.M.)--Boston UniversityPURPOSE: To discover the reliability of the adjustment scale using two raters. This study was conducted to help determine whether the instrument used in this study gives a reliable measure of classroom adjustment. PROCEDURE: The teacher checklist of classroom adjustment devised at Boston University School of Education was the instrument used. The instrument was built to follow the activities of a normal classroom day [TRUNCATED

    One-ended subgroups of graphs of free groups with cyclic edge groups

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    Consider a one-ended word-hyperbolic group. If it is the fundamental group of a graph of free groups with cyclic edge groups then either it is the fundamental group of a surface or it contains a finitely generated one-ended subgroup of infinite index. As a corollary, the same holds for limit groups. We also obtain a characterisation of surfaces with boundary among free groups equipped with peripheral structures.Comment: 22 pages, 3 figures, corrected typos in the introductio

    Semirelativistic stability of N-boson systems bound by 1/r pair potentials

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    We analyze a system of self-gravitating identical bosons by means of a semirelativistic Hamiltonian comprising the relativistic kinetic energies of the involved particles and added (instantaneous) Newtonian gravitational pair potentials. With the help of an improved lower bound to the bottom of the spectrum of this Hamiltonian, we are able to enlarge the known region for relativistic stability for such boson systems against gravitational collapse and to sharpen the predictions for their maximum stable mass.Comment: 11 pages, considerably enlarged introduction and motivation, remainder of the paper unchange

    The urban garden : Port Alliance, Texas

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    Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Architecture, 1990.Includes bibliographical references (p. 171-175).This thesis focuses on of three urban parks; Central Park i n New York , the Fens to Franklin Park in Boston, and Rock Creek Park in washington, designed by Frederick Law Olmsted and the growth of the cities around them. Imbedded in the histories of the parks and their cities are strategies for the development of a new town on the plains of north Texas around an airport named Alliance. A regional park system organized along the creek bottoms and flood plains surrounding Alliance can be a strong organizing element for growth in the last undeveloped quadrant of the Dallas-Fort Worth area. Not unlike the area around Alliance, Olmsted's parks were in the path of urban growth , yet each of the parks has been bounded by a diverse range of built response s from the cities that now surround them. This thesis examines the evolution of the urban edge where Olmsted's parks and their cities meet. The built domain that bounds the parks is called the Urban Garden. The Urban Garden i s a metaphorical set of ideas about how the urban edge of the city and the park interact. The variations in the Urban Gardens of New York, Boston, and Washington provide vivid examples of how cities build at the edge of urban parks. These variations of the urban edge suggest some possible futures for the parks and the city that will develop around Alliance.by Isaac Hall Manning.M.S

    Physical rehabilitation for people with advanced dementia who fracture their hip - expert consensus process

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    This is the final version. Available on open access from Taylor & Francis via the DOI in this recordPURPOSE: Hip fracture is common in older people - with prevalence even higher for people with dementia. Research often excludes people with dementia - especially those in the more advanced stages. Therefore, the most appropriate interventions remain unknown. The main aim of this study was to gain consensus about the core considerations needed to deliver a physical intervention for people with advanced dementia who fracture their hip. Materials and Methods: An expert consensus process was undertaken, using Nominal Group Technique, to explore the key considerations when delivering rehabilitation. Data collection was undertaken in January 2023 and involved an online group discussion followed by voting and off-line rating. Qualitative content analysis and quantitative analysis of consensus scoring was undertaken. An international group of seven highly specialised physiotherapists took part. RESULTS: 59 statements were agreed following the process. Content analysis was used to categorise these statements according to the International Classification of Functioning, Disability and Health. Although consensus levels were high, there was disagreement in several areas. CONCLUSION: The statements provide an overarching understanding of the multidisciplinary expertise that is needed to effectively deliver rehabilitation interventions to this population. People with dementia require highly skilled and trained professionals, providing holistic and person-centred approaches to deliver rehabilitation interventions.IMPLICATIONS FOR REHABILITATIONThe expert consensus provides an overarching understanding of the multidisciplinary expertise that is needed to effectively deliver rehabilitation interventions to this population.Physiotherapy - or other interventions - cannot be used in isolation.People with dementia require highly skilled and trained professionals, providing holistic and person-centred approaches to deliver rehabilitation interventions.While our focus was on hip fracture, we suggest these statements can be used for people with advanced dementia with a variety of other conditions.National Institute for Health and Care Research (NIHR

    Qualitative study exploring health care professionals' perceptions of providing rehabilitation for people with advanced dementia

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    This is the final version. Available from BMJ Publishing Group via the DOI in this record. Data are available upon reasonable request. The datasets generated during and/or analysed during the current study are available from the corresponding author upon reasonable request.OBJECTIVES: The aim of this study was to explore healthcare professionals' principles for providing and delivering rehabilitation interventions for people with advanced dementia. DESIGN: This was a qualitative study with three focus groups undertaken virtually. The data were analysed using a process of reflexive thematic analysis in order to gain an in-depth understanding of rehabilitation principles for this population. SETTING AND PARTICIPANTS: 20 healthcare professionals who were specialists in treating and rehabilitating people with advanced dementia were recruited. These healthcare professionals had a wide range of experience in a variety of different settings including primary care, secondary care as well as specialist mental health teams. Purposive sampling focused on the requirement for participants to have significant experience of treating people with dementia. Participants were from the UK and Denmark. Data collection was undertaken during August and September 2022. RESULTS: Three overarching themes were developed following analysis-organisational culture, knowledge and personal values of the healthcare professional. The first explored how the culture of an organisation affects a person with advanced dementia as well as the healthcare professional. The organisation needed to promote positive approaches to person-centred care and provide effective situational leadership to embed such approaches. Knowledge was a key consideration and was closely linked to the personal values of the healthcare professional, which formed the final theme. This study suggests that the interrelationship of these three factors influences the outcomes for the person with dementia and effective outcomes required consideration of all domains. CONCLUSIONS: Effective interventions for people with advanced dementia require the healthcare professional to have the knowledge about dementia and positive personal values, but the culture of the organisation is also key to ensure that the healthcare professional is able to deliver successful interventions.National Institute for Health and Care Research (NIHR) School for Primary Care ResearchNIHR Applied Research Collaboration South West Peninsul

    Key Considerations When Providing Physical Rehabilitation for People with Advanced Dementia

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    This is the final version. Available on open access from MDPI via the DOI in this recordData Availability Statement: The datasets generated during and/or analysed during the current study are available from the corresponding author upon reasonable request.Dementia is a growing global challenge with numbers set to increase rapidly in the coming years. Evidence suggests that exercise can be effective in improving cognitive functioning, but the evidence does not yet support improvements in other key domains such as quality of life or physical ability. The aim of this study was to explore the key components that needed to be considered when providing physical rehabilitation to people with advanced dementia. The study used a qualitative approach involving semi-structured focus groups with health care professionals who are experts in delivering interventions to people with advanced dementia. As a pragmatic study seeking to inform the development of interventions, a thematic coding approach was used to make sense of the data. We collected data from 20 healthcare professionals who reported that key considerations needed to be considered from both an assessment and an intervention perspective. The assessment needed to be person centred and, with the right people engaged and using outcome measures that were meaningful to the patient. The actual intervention also needed to follow the principles of person-centred care, with emphasis placed on the importance of taking time to build a rapport with the person, but also reducing any of the barriers that would prevent effective engagement, such as unsuitable environments. Our study suggests that while there are barriers and challenges to providing interventions and rehabilitation to people with advanced dementia, appropriate person-centred, tailored interventions can be effective and therefore should be offered.National Institute for Health and Care Research (NIHR

    Watch out for the Aunties! Young British Asians' accounts of identity and substance use

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    This paper considers how young people able to trace their origins from Pakistan or India (henceforth 'Asians'), discuss their use of, or abstention from, alcohol and tobacco in terms of religious and cultural tradition. The role of religion, ethnicity, gender and generation in the uptake or avoidance of alcohol and tobacco was explored in 19 qualitative group and individual interviews with 47 Asians aged 16–26 years and analysed in terms of pioneering and conservative forms of tradition. Religious proscriptions on alcohol and tobacco were reported to be formally gender blind, but concerns about reputation and future marriage chances, sanctioned by gossip, meant that women's behaviour was consistently more constrained than men's. Muslims' abstinence from alcohol was tightly linked with an Islamic identity in that drinking jeopardised one's claim to being a Muslim, whereas cigarette smoking was tolerated among young men. Sikhs' and Hindus' avoidance of tobacco was strongly sanctioned, but smoking did not strongly jeopardise a religious identity. Sikh men's abstention indicated manly strength central to a devout identity. Some experimentation was possible out of view of the older generation, especially the aunties, but the risk of gossip damaging young women's reputations was keenly felt. While damage to women's reputations was hard to undo, men's reputations tarnished by substance use, could be compensated for by their parents' honourable status. Discussion of tradition as innovation was rare and met with resistance. Tradition was largely experienced as a constraint to be circumvented
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