Funding Formulas for California Schools II: An Analysis of a Proposal by the Governor's Committee on Education Excellence

Provides an overview of the policy priorities of the proposed funding reform, and analyzes the revenue school districts would receive under simulations of the proposal's various versions, compared with the revenue they actually received in 2004-2005

Impact of Leader Rounds on Perceptions of the Culture of Safety

A culture of safety in healthcare settings supports a caring environment and practices that produce quality patient outcomes. Leadership is instrumental in creating a culture of safety. The purpose of this quantitative pretest-posttest design project was to determine if the implementation of leader rounds in an acute care hospital had an impact on staff nurses’ perceptions of safety culture as measured by the Safety Attitudes Questionnaire. The setting was a midsize acute care hospital with a target population of dayshift nurses working in the telemetry service line. Leader rounds were conducted over a six-week timeline by the department director. Data analysis was conducted using a paired-samples t test. The major finding of this study was a reduction in the post safety score after the implementation of leader rounds; however, it was not statistically significant. There are significant factors that may explain the findings in this study. The leaders conducting rounds were middle management rather than executive-level leaders. The staff exposure to leader rounds showed that only a small minority of staff had participated in leader rounds over the six-week time frame. Lastly, during the study period, the hospital units experienced a heavy influx of COVID-19 patients, resulting in higher acuity patients and a higher than normal volume of acutely ill patients on these units. Despite the drop in perception of a culture of safety, a majority of the participants wanted leader rounds to continue. Hospital leaders should continue to evaluate the role of rounding absent a population crisis and with modifications to ensure staff participation

Bridging the Gaps: A Picture of How Work Supports Work in Ten States

This report is the culmination of a multi-state study on the extent to which work supports-policies to ensure families can access basics, such as health care, child care, food and housing-fill in the gaps for families whose jobs offer low wages or inadequate benefits

OscSNS: Precision Neutrino Measurements at the Spallation Neutron Source

The Spallation Neutron Source (SNS), located at Oak Ridge Laboratory in the United States, will be coming online over the next few years. In addition to producing fluxes of high-intensity neutrons, the interaction of the proton beam with the liquid mercury target produces copious pions. The pi+ and subsequent mu+ decay at rest, providing a neutrino beam comprising numu, nue, and anti-numu components. This neutrino beam is ideal for high-precision neutrino experiments. OscSNS is a proposed multi-purpose experiment that will perform a search for light sterile neutrinos, search for beyond the Standard Model interactions using neutrino oscillations, and provide tests of Standard Model predictions through world-record precision neutrino cross section measurements. OscSNS plans to submit a full proposal for funding in 2009.Comment: 4 pages, 2 figures, conference proceedings from Neutrino 08, to be published in IO

Reviews

Sally Brown, Steve Armstrong and Gail Thompson (eds.), Motivating Students, London: Kogan Page, 1998. ISBN: 0–7494–2494‐X. Paperback, 214 pages. £18.99

Characterization of Pax3 and Sox10 Transgenic Xenopus Laevis Embryos as Tools to Study Neural Crest Development

The neural crest is a multipotent population of cells that originates a variety of cell types. Many animal models are used to study neural crest induction, migration and differentiation, with amphibians and birds being the most widely used systems. A major technological advance to study neural crest development in mouse, chick and zebrafish has been the generation of transgenic animals in which neural crest specific enhancers/promoters drive the expression of either fluorescent proteins for use as lineage tracers, or modified genes for use in functional studies. Unfortunately, no such transgenic animals currently exist for the amphibians Xenopus laevis and tropicalis, key model systems for studying neural crest development. Here we describe the generation and characterization of two transgenic Xenopus laevis lines, Pax3-GFP and Sox10-GFP, in which GFP is expressed in the pre-migratory and migratory neural crest, respectively. We show that Pax3-GFP could be a powerful tool to study neural crest induction, whereas Sox10-GFP could be used in the study of neural crest migration in living embryos

The role of trained champions in sustaining and spreading nutrition care improvements in hospital: qualitative interviews following an implementation study.

BACKGROUND: Many patients are already malnourished when admitted to hospital. Barriers and facilitators to nutrition care in hospital have been identified and successful interventions developed; however, few studies have explored how to sustain and spread improvements. The More-2-Eat phase 1 study involved five hospitals across Canada implementing nutrition care improvements, while phase 2 implemented a scalable model using trained champions, audit and feedback, a community of practice with external mentorship and an implementation toolkit in 10 hospitals (four continuing from phase 1). Process measures showed that screening and assessment from phase 1 were sustained for at least 4 years. The objective of this study was to help explain how these nutrition care improvements were sustained and spread by understanding the role of the trained champions, and to confirm and expand on themes identified in phase 1. METHODS: Semistructured telephone interviews were conducted with champions from each phase 2 hospital and recordings transcribed verbatim. To explore the champion role, transcripts were deductively coded to the 3C model of Concept, Competence and Capacity. Phase 2 transcripts were also deductively coded to themes identified in phase 1 interviews and focus groups. RESULTS: Ten interviews (n=14 champions) were conducted. To sustain and spread nutrition care improvements, champions needed to understand the Concepts of change management, implementation, adaptation, sustainability and spread in order to embed changes into routine practice. Champions also needed the Competence, including the skills to identify, support and empower new champions, thus sharing the responsibility. Capacity, including time, resources and leadership support, was the most important facilitator for staying engaged, and the most challenging. All themes identified in qualitative interviews in phase 1 were applicable 4 years later and were mentioned by new phase 2 hospitals. There was increased emphasis on audit and feedback, and the need for standardisation to support embedding into current practice. CONCLUSION: Trained local champions were required for implementation. By understanding key concepts, with appropriate and evolving competence and capacity, champions supported sustainability and spread of nutrition care improvements. Understanding the role of champions in supporting implementation, spread and sustainability of nutrition care improvements can help other hospitals when planning for and implementing these improvements. TRIAL REGISTRATION NUMBER: NCT02800304, NCT03391752

Factors associated with spontaneous clearance of chronic hepatitis C virus infection

Background & Aims: Spontaneous clearance of chronic hepatitis C virus (HCV) infection (CHC) is rare. We conducted a retrospective case-control study to identify rates and factors associated with spontaneous clearance of CHC. Methods: We defined cases as individuals who spontaneously resolved CHC, and controls as individuals who remained chronically infected. We used data obtained on HCV testing between 1994 and 2013 in the West of Scotland to infer case/control status. Specifically, untreated patients with ⩾2 sequential samples positive for HCV RNA ⩾6 months apart followed by ⩾1 negative test, and those with ⩾2 positive samples ⩾6 months apart with no subsequent negative samples were identified. Control patients were randomly selected from the second group (4/patient of interest). Case notes were reviewed and patient characteristics obtained. Results: 25,113 samples were positive for HCV RNA, relating to 10,318 patients. 50 cases of late spontaneous clearance were identified, contributing 241 person-years follow-up. 2,518 untreated, chronically infected controls were identified, contributing 13,766 person-years follow-up, from whom 200 controls were randomly selected. The incidence rate of spontaneous clearance was 0.36/100 person-years follow-up, occurring after a median 50 months’ infection. Spontaneous clearance was positively associated with female gender, younger age at infection, lower HCV RNA load and co-infection with hepatitis B virus. It was negatively associated with current intravenous drug use. Conclusions: Spontaneous clearance of CHC occurs infrequently but is associated with identifiable host and viral factors. More frequent HCV RNA monitoring may be appropriate in selected patient groups. Lay summary: Clearance of hepatitis C virus infection without treatment occurs rarely once chronic infection has been established. We interrogated a large Scottish patient cohort and found that it was more common in females, patients infected at a younger age or with lower levels of HCV in the blood, and patients co-infected with hepatitis B virus. Patients who injected drugs were less likely to spontaneously clear chronic infection