PERCEPTIONS OF SCHOOL COUNSELORS AND SCHOOL ADMINISTRATORS WITH RESPECT TO THE ROLES OF SCHOOL COUNSELORS AS THEY IMPLEMENT THE NEW YORK STATE COMPREHENSIVE SCHOOL COUNSELING MODEL

The proposed study examined the perceptions of school counselors and administrators towards the New York State School Counseling Model. The study focused on (a) actual and preferred counselor activities to provide direction on how school counselors are defining their practice and (b) counselors’ and administrators’ perceptions of how the New York State Comprehensive Model is implemented into school counseling practice. A sample of the New York State school counselor population (n = 900) was invited to participate in a survey in obtaining quantitative data. The School Counseling Activity Rating Scale and an adapted New York State version of the Readiness Survey were sent to participants by mail. A matching sample of high school administrators was sent the Readiness Survey to ascertain their perceptions of the New York Comprehensive Model. A multiple regression and a two-group MANOVA or Hotelling’s T2 were conducted as methods in data analysis in this research. Results indicated a significant correlation for preferred school counseling activity subscales of curriculum, coordination, and non-guidance when the independent variable of readiness was entered as a block. Furthermore, results indicated a significant correlation for preferred school counseling activity subscales of counseling and consultation when each independent variable, readiness components and actual activities were entered as a block. Results of the MANOVA indicated that community support, leadership, staff time, and district resources showed a significant multivariate impact between school administrators and school counselors

Preventative Oral Health Services Provided by Nurses\u27 Aides to Nursing Home Residents

The purposes of this investigation were to identify: 1) what preventive oral health services were provided by nurses\u27 aides to nursing home residents, 2) how frequent preventive oral health services were performed by nurses\u27 aides, 3) who nurses\u27 aides reported abnormal or suspicious findings detected in the resident\u27s mouth, 4) what factors discouraged and encouraged nurses\u27 aides performance of oral health services, and 5) how nurses\u27 aides rated their oral health knowledge of services they performed. The study population was comprised of a random sample of 40 percent of nursing home facilities in southeastern Virginia. A 14-item questionnaire was administered to nurses\u27 aides employed at 11 (79 percent of sample) nursing home facilities. Data were analyzed using the Statistical Analysis System (SAS). Frequency distributions and percentages were tabulated for discrete, nominal, and ordinal scaled data. Results suggest that nurses\u27 aides employed in southeastern Virginia nursing facilities typically perform preventive oral health services such as toothbrushing, mouthrinsing, and denture cleaning procedures for nursing home residents. The majority of nurses\u27 aides indicated that patient cooperativeness was a major factor that encouraged or discouraged the performance of oral health services. Nurses\u27 aides typically reported suspicious and abnormal findings detected in residents\u27 mouths to the nurse in charge of shift. The majority of nurses\u27 aides rated their oral health knowledge of denture cleaning and toothbrushing as excellent. However, a large percentage of nurses\u27 aides rated their oral health knowledge of saliva substitutes and flossing as poor

Optimization and Sensory Quality of a Peanut-Based Calcium-Fortified Pasta

Nutritional Science

Exploring Practitioner Perspectives of Sourcing Risks: Towards the Development of an Integrated Risk and Control Framework

Outsourcing of information and communication technologies (ICT) and related services is an established and growing industry. Recent trends, such as the move toward multi-sourcing have increased the complexity and risk of these outsourcing arrangements. There is a critical research need to identify the risks faced by both the organisations that outsource ICT and the vendors that provide it in this changing landscape. To address growing concerns regarding the best way to deal with risk and control in this environment, our research focuses on establishing a Sourcing Risk and Control Framework to assist organisations identify these risks and develop effective mitigation strategies. In this paper we report on the first stage of our research that sought to document how sourcing risk is represented and considered in practice. To date, limited empirical research has been conducted in an Australian context. Using a series of workshops involving client and vendor representatives, we identified a broad range of risks and developed a cohesive categorisation scheme that incorporates functional and multi-stakeholder perspectives

Impaired Bone Formation in Transgenic Mice Resulting from Altered Integrin Function in Osteoblasts

AbstractTo determine the role of integrins in mature osteoblasts in vivo, we expressed in transgenic mice a dominant-negative integrin subunit (β1-DN) consisting of the β1 subunit cytoplasmic and transmembrane domains, driven by the osteoblast-specific osteocalcin promoter. Immature osteoblasts isolated from transgenic animals differentiated normally in vitro until the osteocalcin promoter became active; thereafter they detached from the substratum, suggesting that β1-DN was impairing adhesion in mature osteoblasts. Transgenic animals had reduced bone mass, with increased cortical porosity in long bones and thinner flat bones in the skull. At 35 days, the rate of bone formation was reduced in cortical bone, and the parietal bones were 45% thinner than in wild-type animals. Active osteoblasts were less polar and had larger areas of cytoplasm with intracellular stores of matrix molecules. Osteocyte lacunae appeared normal around the cell body but did not have normal canilicular structures. At 90 days, the parietal bone of transgenic males was of normal width, suggesting that the original defect in matrix deposition had been repaired or compensated for. In contrast, transgenic females still had decreased bone mass in the parietal bone at 90 days. The decreased bone mass in TG females was accompanied by increased staining for osteoclast activity, suggesting that there was a sex-specific defect in mature animals

Muddles and puzzles: Metaphor use associated with disease progression in Primary Progressive Aphasia

Background: Primary Progressive Aphasia describes a language-led dementia and its variants. There is little research exploring the experiences of living with this disease. Metaphor, words that represent something else, have been studied extensively in health-related narratives to gain a more intimate insight into health experiences. // Aims: This study explored the metaphors used spontaneously by people with PPA, their care partners (family), and speech and language therapists/pathologists (SLT/Ps) providing support along the continuum of care. // Methods & Procedures: This study examined two previously collected data sets comprising naturalistic talk where metaphors were not the specific focus, the first from focus groups conducted with people with PPA and their families and the second from focus groups conducted with SLT/Ps working with people with PPA. Transcribed data were analysed for metaphor use through an iterative narrative approach. // Outcomes & Results: In all, 237 examples of metaphorical language were identified in the data, with 14 metaphors from people with PPA, 116 from the families and 106 from SLT/Ps. Different metaphors were used by participants to describe their experiences depending on which variant of PPA they were living with, and people also described their disease differently over time. SLT/Ps also used metaphors, however, their language reflected the structured, professional perspective of delivering speech and language therapy services. // Conclusions & Implications: SLT/Ps should listen for and recognise the metaphorical language used by people with PPA and their families to ensure therapeutic alignment, see beyond the PPA to recognise the individual’s needs, and provide person-centred and empathic support

Preliminary Human-in-the-Loop Assessment of Procedures for Very-Closely-Spaced Parallel Runways

Demand in the future air transportation system concept is expected to double or triple by 2025 [1]. Increasing airport arrival rates will help meet the growing demand that could be met with additional runways but the expansion airports is met with environmental challenges for the surrounding communities when using current standards and procedures. Therefore, changes to airport operations can improve airport capacity without adding runways. Building additional runways between current ones, or moving them closer, is a potential solution to meeting the increasing demand, as addressed by the Terminal Area Capacity Enhancing Concept (TACEC). TACEC requires robust technologies and procedures that need to be tested such that operations are not compromised under instrument meteorological conditions. The reduction of runway spacing for independent simultaneous operations dramatically exacerbates the criticality of wake vortex incursion and the calculation of a safe and proper breakout maneuver. The study presented here developed guidelines for such operations by performing a real-time, human-in-the-loop simulation using precision navigation, autopilot-flown approaches, with the pilot monitoring aircraft spacing and the wake vortex safe zone during the approach

A Randomised Controlled Trial of Extended Anticoagulation Treatment Versus Standard Treatment for the Prevention of Recurrent VTE and Post-thrombotic Syndrome in Patients Being Treated for a First Episode of Unprovoked VTE (The ExACT Study)

Venous thromboembolism (VTE) is prevalent and impactful, with a risk of death, morbidity and recurrence. Post‐thrombotic syndrome (PTS) is a common consequence and associated with impaired quality of life (QoL). The ExACT study was a non‐blinded, prospective, multicentred randomised controlled trial comparing extended versus limited duration anticoagulation following a first unprovoked VTE (proximal deep vein thrombosis or pulmonary embolism). Adults were eligible if they had completed ≥3 months anticoagulation (remaining anticoagulated). The primary outcome was time to first recurrent VTE from randomisation. The secondary outcomes included PTS severity, bleeding, QoL and D‐dimers. Two‐hundred and eighty‐one patients were recruited, randomised and followed up for 24 months (mean age 63, male:female 2:1). There was a significant reduction in recurrent VTE for patients receiving extended anticoagulation [2·75 vs. 13·54 events/100 patient years, adjusted hazard ratio (aHR) 0·20 (95% confidence interval (CI): 0·09 to 0·46, P < 0·001)] with a non‐significant increase in major bleeding [3·54 vs. 1·18 events/100 patient years, aHR 2·99 (95% CI: 0·81–11·05, P = 0·10)]. Outcomes of PTS and QoL were no different between groups. D‐dimer results (on anticoagulation) did not predict VTE recurrence. In conclusion, extended anticoagulation reduced VTE recurrence but did not reduce PTS or improve QoL and was associated with a non‐significant increase in bleeding. Results also suggest very limited clinical utility of D‐dimer testing on anticoagulated patients

The Vaginal Microbiota Among Adolescent Girls in Tanzania Around the Time of Sexual Debut.

The aetiology of bacterial vaginosis (BV) is not well-understood, and prevalence appears to be higher among women living in sub-Saharan Africa. A recent conceptual model implicates three main bacteria (Gardnerella vaginalis; Atopobium vaginae; and Prevotella bivia), sexual activity, sialidase activity, and biofilm formation in the pathogenesis of BV. We describe the vaginal microbiota, presence of the putative sialidase A gene of G. vaginalis, and biofilm among 386 adolescent girls aged 17 and 18 years in a cross-sectional study in Mwanza, Tanzania around the time of expected sexual debut. Vaginal swabs were collected and tested by quantitative polymerase chain reaction (qPCR) for five Lactobacillus species, G. vaginalis, A. vaginae, P. bivia, the sialidase A gene of G. vaginalis, and by fluorescence in situ hybridisation (FISH) for evidence of G. vaginalis and A. vaginae biofilm. We conducted a risk factor analysis of G. vaginalis, A. vaginae and P. bivia, and explored the associations between biofilm, the presence of the sialidase A gene, and non-optimal vaginal microbiota (Nugent 4-7). L. crispatus and L. iners were detected in 69 and 82% of girls, respectively. The prevalence of L. crispatus was higher than previously reported in earlier studies among East and Southern African women. G. vaginalis, A. vaginae, P. bivia were independently associated with reported penile-vaginal sex. Samples with all three BV-associated bacteria made up the highest proportion of samples with Nugent-BV compared to samples with each bacterium alone or together in pairs. Of the 238 girls with G. vaginalis, 63% had the sialidase A gene detected, though there was no difference by reported sexual activity (p = 0.197). Of the 191 girls with results for sialidase A gene and FISH, there was strong evidence for an increased presence of sialidase A gene among those with evidence of a biofilm (p < 0.001). There was a strong association between biofilm and non-optimal microbiota (aOR67.00; 95% CI 26.72-190.53). These results support several of the steps outlined in the conceptual model, although the role of sexual activity is less clear. We recommend longitudinal studies to better understand changes in vaginal microbiota and biofilm formation around the time of sexual debut