Missouri libraries, 1915-1935

Handbook authorized by the Executive board of the Missouri Library Association--Introduction

FAMILY CHARACTERISTICS, STATE PROGRAM EFFECTIVENESS, AND REPORT OF INADEQUATE CARE AMONG FAMILIES OF YOUNG CHILDREN WITH HEARING LOSS

Approximately 1.6 per 1,000 newborns in the U.S. are born with hearing loss. Congenital hearing loss poses a risk to their speech, language, cognitive, and social-emotional development. Early detection and intervention can improve outcomes. Every state has an Early Hearing Detection and Intervention program (EHDI) to promote and track screening, audiological assessments and linkage to early intervention. However, a large percentage of children are “lost to system (LTS),” meaning that they did not receive recommended care or that it was not reported. This study used data from the 2009-2010 National Survey of Children with Special Health Care Needs and data from the 2011 EHDI Hearing Screening and Follow-Up Survey to examine how 1) family characteristics; 2) EHDI program effectiveness, as determined by LTS percentages; and 3) the family conditions of education and poverty are related to parental report of inadequate care. The sample comprised 684 children between the ages of 0 and 5 years with hearing loss. The results indicated that living in states with less effective EHDI programs was associated with an increased likelihood of not receiving early intervention services (EIS) and of reporting poor family-centered communication. Sibling classification was associated with both receipt of EIS and report of unmet need. Single mothers were less likely to report increased difficulties accessing care. Poor and less educated families, assessed separately, who lived in states with less effective EHDI programs, were more likely to report non-receipt of EIS and less likely to report unmet need as compared to similar families living in states with more effective programs. Poor families living in states with less effective programs were more likely to report less coordinated care than were poor families living in states with more effective programs. This study supports the conclusion that both family characteristics and the effectiveness of state programs affect quality of care outcomes. It appears that less effective state programs affect disadvantaged families’ service receipt report more than that of advantaged families. These findings are important because they may provide insights into the development of targeted efforts to improve the system of care for children with hearing loss

The weakening AMOC under extreme climate change

Changes in the Atlantic Meridional Overturning Circulation (AMOC) in the quadrupled CO2 experiments conducted under the sixth Coupled Model Intercomparison Project (CMIP6) are examined. Increased CO2 triggers extensive Arctic warming, causing widespread melting of sea ice. The resulting freshwater spreads southward, frst from the Labrador Sea and then the Nordic Seas, and proceeds along the eastern coast of North America. The freshwater enters the subpolar gyre north of the separated Gulf Stream, the North Atlantic Current. This decreases the density gradient across the current and the current weakens in response, reducing the infow to the deepwater production regions. The AMOC cell weakens in tandem, frst near the North Atlantic Current and then spreading to higher and lower latitudes. This contrasts with the common perception that freshwater caps the convection regions, stifing deepwater production; rather, it is the infow to the subpolar gyre that is suppressed. Changes in surface temperature have a much weaker effect, and there are no consistent changes in local or remote wind forcing among the models. Thus an increase in freshwater discharge, primarily from the Labrador Sea, is the precursor to AMOC weakening in these simulations

Deformación elástica residual en láminas de acero aisi 304 recubiertas con una película de nitruro de titanio depositada por pvd-magnetron sputtering

se realizó una caracterización mediante difracción de rayos x (DRX) en láminas de acero inoxidable AISI 304 recubierto con una capa de nitruro de titanio de 3 mm de espesor, obtenida mediante deposición física de vapor (PVD-magnetron sputtering) a una temperatura de 200 ˚C. se tomaron imágenes de microscopía electrónica de barrido (MEB), microscopía óptica (MO) y microscopía de fuerza atómica (MFA) para caracterizar el sustrato, la capa y la zona cercana a la intercara. adicionalmente se determinó la deformación elástica residual asociada con el ensanchamiento de los picos de DRX

Pennsylvania Folklife Vol. 15, No. 4

• Amish Album • Look Back, Once! • The Pennsylvania Barn in the South: Part II • Folk Festival Program • Contributors to this Issue • Festival Highlights • Twenty Questions on Powwowing • Moon-Signs in Cumberland County • Reminiscences of Des Dumm Fattel • Notes and Documents: Two Documents from the First World War • The Dutch and Irish Colonies of Pennsylvaniahttps://digitalcommons.ursinus.edu/pafolklifemag/1024/thumbnail.jp

Some pattern recognitions for a recommendation framework for higher education students’ generic competence development using machine learning

The project presented in this paper aims to formulate a recommendation framework that consolidates the higher education students’ particulars such as their academic background, current study and student activity records, their attended higher education institution’s expectations of graduate attributes and self-assessment of their own generic competencies. The gap between the higher education students’ generic competence development and their current statuses such as their academic performance and their student activity involvement was incorporated into the framework to come up with a recommendation for the student activities that lead to their generic competence development. For the formulation of the recommendation framework, the data mining tool Orange with some programming in Python and machine learning models was applied on 14,556 students’ activity and academic records in the case higher education institution to find out three major types of patterns between the students’ participation of the student activities and (1) their academic performance change, (2) their programmes of studies, and (3) their English results in the public examination. These findings are also discussed in this paperPeer Reviewe

Pain and analgesic use associated with skeletal-related events in patients with advanced cancer and bone metastases

PURPOSE: Bone metastases secondary to solid tumors increase the risk of skeletal-related events (SREs), including the occurrence of pathological fracture (PF), radiation to bone (RB), surgery to bone (SB), and spinal cord compression (SCC). The aim of this study was to evaluate the impact of SREs on patients' pain, analgesic use, and pain interference with daily functioning. METHODS: Data were combined from patients with solid tumors and bone metastases who received denosumab or zoledronic acid across three identically designed phase 3 trials (N = 5543). Pain severity (worst pain) and pain interference were assessed using the Brief Pain Inventory at baseline and each monthly visit. Analgesic use was quantified using the Analgesic Quantification Algorithm. RESULTS: The proportion of patients with moderate/severe pain and strong opioid use generally increased in the 6 months preceding an SRE and remained elevated, while they remained relatively consistent over time in patients without an SRE. Regression analysis indicated that all SRE types were significantly associated with an increased risk of progression to moderate/severe pain and strong opioid use. PF, RB, and SCC were associated with significantly greater risk of pain interference overall. Results were similar for pain interference with emotional well-being. All SRE types were associated with significantly greater risk of pain interference with physical function. CONCLUSIONS: SREs are associated with increased pain and analgesic use in patients with bone metastases. Treatments that prevent SREs may decrease pain and the need for opioid analgesics and reduce the impact of pain on daily functioning

Pain and analgesic use associated with skeletal-related events in patients with advanced cancer and bone metastases

PURPOSE: Bone metastases secondary to solid tumors increase the risk of skeletal-related events (SREs), including the occurrence of pathological fracture (PF), radiation to bone (RB), surgery to bone (SB), and spinal cord compression (SCC). The aim of this study was to evaluate the impact of SREs on patients' pain, analgesic use, and pain interference with daily functioning. METHODS: Data were combined from patients with solid tumors and bone metastases who received denosumab or zoledronic acid across three identically designed phase 3 trials (N = 5543). Pain severity (worst pain) and pain interference were assessed using the Brief Pain Inventory at baseline and each monthly visit. Analgesic use was quantified using the Analgesic Quantification Algorithm. RESULTS: The proportion of patients with moderate/severe pain and strong opioid use generally increased in the 6 months preceding an SRE and remained elevated, while they remained relatively consistent over time in patients without an SRE. Regression analysis indicated that all SRE types were significantly associated with an increased risk of progression to moderate/severe pain and strong opioid use. PF, RB, and SCC were associated with significantly greater risk of pain interference overall. Results were similar for pain interference with emotional well-being. All SRE types were associated with significantly greater risk of pain interference with physical function. CONCLUSIONS: SREs are associated with increased pain and analgesic use in patients with bone metastases. Treatments that prevent SREs may decrease pain and the need for opioid analgesics and reduce the impact of pain on daily functioning