An Exploration and Enhanced Approach to Addressing Teacher Well-Being in Schools

Teachers are essential members of school communities and are integral to supporting positive student and school-wide outcomes. Their occupations are highly stressful, often resulting in physical and mental exhaustion, disengagement, and burnout that can lead to a number of detrimental consequences for themselves and their students. Teacher Well-Being (TWB) has been underemphasized in school-based research given the many challenges associated with defining, measuring, and accurately addressing the well-being of teachers in schools. There is little consensus on how to effectively measure and target TWB in schools. Initiatives are often designed and implemented without school representative input, resulting in interventions that lack sustainability and relevancy to teacher needs. Furthermore, TWB initiatives have been criticized for failing to address organizational and occupational factors that directly impact the well-being of teachers. The current status of TWB research and practice warrants a novel approach to fostering and improving TWB in schools. Taking an explanatory sequential mixed methods design, this two-part dissertation utilized the Discovery, Design, Build, and Test framework (DDBT; Lyon et al., 2019) to initiate a Discovery phase process of better understanding current needs of teachers and school community members with the future aim of creating and testing a novel approach to addressing TWB in schools. To accomplish this aim, this integrated dissertation explores relations between individual and organizational factors of TWB while centering the perspectives and experiences of U.S. public school teachers and school community members. Furthermore, this dissertation gathered initial ideas, preferences, and priorities to develop a dynamic, school-driven consultation guide to support enhanced development and implementation of TWB initiatives.Understanding salient individual and organizational factors that contribute to TWB is essential to improving the field’s conceptualization and measurement of TWB experiences across diverse school communities. Integrating principles of positive psychology and organizational well-being, Study 1 aimed to investigate the current status of TWB and relations across individual and organizational factors of TWB. Additionally, current practices, barriers, and ideas for improvement in TWB practices were elicited from participating teachers to enhance understanding of how TWB can be effectively maintained. Pearson correlations and thematic analysis revealed significant relations between positive individual well-being factors (i.e., positive emotion, engagement, relationships, meaning, and accomplishments) and organizational factors including school climate, teaching efficacy, and job resources. Qualitative findings pointed to salient personal and school-based practices that support TWB along with current barriers and ideas for improving TWB in schools. Findings underscore the importance of employing a multidimensional approach to conceptualizing and measuring TWB along with actionable steps researchers and practitioners can take to address TWB needs across school communities.Current approaches and strategies aimed at targeting TWB fall short in understanding unique teacher needs, experiences, and strengths. Along with being underemphasized in budget planning and school-wide well-being initiatives, TWB is often addressed without incorporating teacher ideas, decision-making, and leadership. There is a dire need to reconsider the approach to understand and target TWB in schools, warranting the design of a framework that can be adapted to meet the dynamic and diverse needs of school communities. Study 2 addresses a number of gaps in TWB research and practice, aiming to center the perspectives of teachers and school community members in better understanding current practices, barriers, and insights for enhancing TWB in schools. Employing an exploratory qualitative design, this study used principles of implementation science, organizational consultation, and user-centered design to gather initial ideas, preferences, and priorities for a consultation guide to enhance TWB initiatives within school settings. Findings indicate the critical need to reduce teacher burnout, improving leadership and community in schools, and addressing systemic issues that impair effective teacher functioning. Additionally, findings provide understanding of key sustainability, usability, and acceptability factors that will be important to consider for future development of tools and strategies to enhance TWB. Implications of findings indicate several considerations for researchers, policymakers, and educators to improve the ways in which TWB is measured and addressed in schools

Mobilité humaine, droits et protection internationale : répondre à la crise climatique: Human mobility, rights and international protection: responding to the climate crisis

Le HCR examine l'éventail des options de protection juridique internationale dans le contexte des déplacements transfrontaliers déclenchés par les impacts des changements climatiques. Il met également en exergue la nécessité d’étendre les approches visant à trouver des solutions à la mobilité humaine. UNHCR discusses the range of options for international legal protection in the context of cross-border displacement triggered by the impacts of climate change. It also underscores the need for a broader approach to addressing human mobility

La movilidad humana, los derechos y la protección internacional: respuesta a la crisis climática

ACNUR analiza el abanico de opciones para la protección jurídica internacional en el contexto de los desplazamientos transfronterizos provocados por los efectos del cambio climático. También subraya la necesidad de un enfoque más amplio para abordar la movilidad humana

Transdisciplinary studies in socio-ecosystems: Theoretical considerations and its application in Latin American contexts

Debido a limitaciones para abordar la complejidad de la relación sociedad-naturaleza, los esfuerzos para solucionar los problemas ambientales han sido en general infructuosos. Aquí proponemos que el enfoque holístico de “socio-ecosistema” por parte de la academia, podría contribuir a disminuir estas limitaciones desde la adopción de cuatro cambios: i) ontológico, que presenta el concepto de “socio-ecosistemas”; ii) epistemológico, que propone a la transdisciplina como la forma de entenderlos, iii) metodológico, que sugiere intervenir en ellos de forma participativa y adaptativa y, iv) cambios institucionales que facilitarían la adopción de esta propuesta. Este planteamiento se complementa con la descripción de una experiencia transdiciplinaria en la cuenca del río San Juan Zitácuaro, México, en el contexto de un curso internacional de manejo de socio-ecosistemas.Given the difficulties to approach the complex relationship bettween society and nature, efforts to solve environmental problems have generally been unsuccessful. Here we suggest that a hollistic “socio-ecosystem” approach by the sciencies could help diminish these difficulties by embracing four kinds of changes: i) ontological, which introduces the concept of “socio-ecosystem”; ii) epistemological, which proposes transdiscipline as the way to understand them, iii) metholodogical, which suggests that in intervention in them must be participatory and adaptive, iv) institutional changes that would facilitate the adoption of this approach. This is then followed by a description of a transdisciplinary work experience in the Zitácuaro river basin, in Mexico, in the context of an international course on socio-ecosystem management.Fil: Ortega Uribe, Tamara. Universidad de Chile; ChileFil: Mastrangelo, Matias Enrique. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Agrarias; ArgentinaFil: Villarroel Torrez, Daniel. Universidad de Buenos Aires. Facultad de Agronomía; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Piaz, Agustín Gabriel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de San Martín. Escuela de Humanidades. Centro de Estudios de Historia de la Ciencia y de la Técnica ; ArgentinaFil: Vallejos, María. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Fisiológicas y Ecológicas Vinculadas a la Agricultura. Universidad de Buenos Aires. Facultad de Agronomía. Instituto de Investigaciones Fisiológicas y Ecológicas Vinculadas a la Agricultura; ArgentinaFil: Saenz Ceja, Jesús Eduardo. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; MéxicoFil: Gallego, Federico. Universidad de la República. Facultad de Ciencias; UruguayFil: Franquesa Soler, Monserrat. Instituto de Ecología; MéxicoFil: Calzada Peña, Leonardo. Universidad Nacional Autónoma de México; MéxicoFil: Espinosa Mellado, Noelia. Universidad de la Armada; MéxicoFil: Fiestas Flores, Jerico. Instituto de Estudios Peruanos; PerúFil: Gill Mairhofer, Luis R.. Ministerio de la Defensa Pública; ParaguayFil: González Espino, Zarahí. Instituto Superior de Tecnologías y Ciencias Aplicadas. Facultad de Medio Ambiente. Departamento de Meteorología; CubaFil: Luna Salguero, Betsabé Montserrat. Sociedad de Historia Natural Niparajá; MéxicoFil: Martinez Peralta, Claudia María. Comisión de Ecología y Desarrollo Sustentable del Estado de Sonora. Dirección General de Conservación; MéxicoFil: Ochoa, Olivia. Universidad Nacional Autónoma de México; MéxicoFil: Pérez Volkow,Lucía. No especifica;Fil: Sala, Juan Emilio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico; ArgentinaFil: Sánchez Rose, Isabelle. Universidad Central de Venezuela; VenezuelaFil: Weeks, Madeline. University of Cambridge; Reino UnidoFil: Ávila García, Daniela. Universidad Nacional Autónoma de México; MéxicoFil: García Reyes, Isabel Bueno. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; MéxicoFil: Carmona, Alejandra. Universidad Austral de Chile. Instituto de Economía Agraria; ChileFil: Castro Videla, Fernando Horacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza; Argentina. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Mendoza-San Juan; ArgentinaFil: Ferrer Gonzalez, César Sergio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto de Ciencias Humanas, Sociales y Ambientales; ArgentinaFil: Frank Buss, María Elisa. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de La Pampa. Facultad de Agronomía; ArgentinaFil: López Carapia, Gabriela. Universidad Nacional Autónoma de México; MéxicoFil: Núñez Cruz, Martha. Universidad Nacional Autónoma de México; MéxicoFil: Taboada Hermoza, Rossi. Universidad Nacional Mayor de San Marcos; PerúFil: Benet, Daniel. Alternare A. C.; MéxicoFil: Venegas, Ysmael. Alternare A. C.; MéxicoFil: Balvanera, Patricia. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; MéxicoFil: Mwampamba, Tuyeni H.. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; MéxicoFil: Lazos Chavero, Elena. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; MéxicoFil: Noellemeyer, Elke Johanna. Universidad Nacional de La Pampa. Facultad de Agronomía; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Maass, Manuel. Universidad Nacional Autónoma de México. Centro de Investigaciones en Ecosistemas; Méxic

International study on inter-reader variability for circulating tumor cells in breast cancer

Introduction: Circulating tumor cells (CTCs) have been studied in breast cancer with the CellSearch® system. Given the low CTC counts in non-metastatic breast cancer, it is important to evaluate the inter-reader agreement.Methods: CellSearch® images (N = 272) of either CTCs or white blood cells or artifacts from 109 non-metastatic (M0) and 22 metastatic (M1) breast cancer patients from reported studies were sent to 22 readers from 15 academic laboratories and 8 readers from two Veridex laboratories. Each image was scored as No CTC vs CTC HER2- vs CTC HER2+. The 8 Veridex readers were summarized to a Veridex Consensus (VC) to compare each academic reader using % agreement and kappa (κ) statistics. Agreement was compared according to disease stage and CTC counts using the Wilcoxon signed rank test.Results: For CTC definition (No CTC vs CTC), the median agreement between academic readers and VC was 92% (range 69 to 97%) with a median κ of 0.83 (range 0.37 to 0.93). Lower agreement was observed in images from M0 (median 91%, range 70 to 96%) compared to M1 (median 98%, range 64 to 100%) patients (P < 0.001) and from M0 and <3CTCs (median 87%, range 66 to 95%) compared to M0 and ≥3CTCs samples (median 95%, range 77 to 99%), (P < 0.001). For CTC HER2 expression (HER2- vs HER2+), the median agreement was 87% (range 51 to 95%) with a median κ of 0.74 (range 0.25 to 0.90).Conclusions: The inter-reader agreement for CTC definition was high. Reduced agreement was observed in M0 patients with low CTC counts. Continuous training and independent image review are required

International study on inter-reader variability for circulating tumor cells in breast cancer

Introduction Circulating tumor cells (CTCs) have been studied in breast cancer with the CellSearch® system. Given the low CTC counts in non-metastatic breast cancer, it is important to evaluate the inter-reader agreement. Methods CellSearch® images (N = 272) of either CTCs or white blood cells or artifacts from 109 non-metastatic (M0) and 22 metastatic (M1) breast cancer patients from reported studies were sent to 22 readers from 15 academic laboratories and 8 readers from two Veridex laboratories. Each image was scored as No CTC vs CTC HER2- vs CTC HER2+. The 8 Veridex readers were summarized to a Veridex Consensus (VC) to compare each academic reader using % agreement and kappa (κ) statistics. Agreement was compared according to disease stage and CTC counts using the Wilcoxon signed rank test. Results For CTC definition (No CTC vs CTC), the median agreement between academic readers and VC was 92% (range 69 to 97%) with a median κ of 0.83 (range 0.37 to 0.93). Lower agreement was observed in images from M0 (median 91%, range 70 to 96%) compared to M1 (median 98%, range 64 to 100%) patients (P < 0.001) and from M0 and <3CTCs (median 87%, range 66 to 95%) compared to M0 and ≥3CTCs samples (median 95%, range 77 to 99%), (P < 0.001). For CTC HER2 expression (HER2- vs HER2+), the median agreement was 87% (range 51 to 95%) with a median κ of 0.74 (range 0.25 to 0.90). Conclusions The inter-reader agreement for CTC definition was high. Reduced agreement was observed in M0 patients with low CTC counts. Continuous training and independent image review are require

Global Kidney Exchange: Analysis and Background Papers from the Perspective of Medical Anthropology

Global Kidney Exchange (GKE) is a program aimed at facilitating trans-national kidney donation. Although its proponents aim at reducing the unmet demand of kidneys in the United States through the trans-nationalization of kidney exchange programs, the World Health Organization (WHO) and The Transplantation Society (TTS) have expressed concerns about its potential effect on black markets of organs and transnational organ trafficking, as well as on low- or middle-income countries health systems. For GKE to be implemented, it would need to be permitted to operate in at least some low- or middle-income countries. Should a low- or middle-income country allow GKE’s implementation? With the aim of answering this question, the eighteen University of Denver students in the Medical Anthropology course I [Alejandro Cerón] taught in autumn 2017, identified and researched the different aspects that would affect this issue, and delved in a holistic analysis we present in this report. Based on our analysis, health authorities in low- or middle-income countries faced with decisions about GKE need to consider the following aspects: the country’s current and projected needs related to kidney transplant, as well as the capacity for addressing those needs; the country’s current situation related to organ trafficking, transplant tourism and black markets of organs; the current and projected legislation related to both organ donation and human trafficking; the prevailing ethical considerations that inform the practice of all professionals related to organ transplant in the country; analyze end-stage renal failure as a preventable disease needing public health measures; and the sociocultural aspects that surround organ donation in the country. We consider that the concrete configuration of these aspects would influence the effects of implementing GKE. Additionally, we identified some issues of concern that are beyond the level of influence of local authorities: the unmet demand of kidneys in high-income countries is a reality that incentivizes organ trade and transplant tourism, and this is a problem in need of solutions; transnational organ trafficking as well as human trafficking with the purpose of organ donation are problems that need more visibility; for a global exchange of organs to be implemented, it would need to rely on supranational or transnational regulation and oversight; and the global epidemic of chronic kidney disease needs to be addressed through a public health perspective that emphasizes prevention

Improving contraceptive agency through peer social support: findings from a longitudinal qualitative evaluation of the I-CAN intervention in Uganda

BackgroundSexual and reproductive health organizations have been advocating for a human rights-based approach to contraceptive programming for many years, but progress has been slow. Peer social support shows promise to address structural and social barriers limiting women's agency to make and act on decisions related to contraception, but evidence-based models are lacking. Informed by Social Support Theory and the Contraceptive Agency Framework, we used human-centered design to develop “I-CAN”, a community-based peer mentorship intervention in which experienced contraception users in Uganda provide tailored support to peers to promote agency and self-efficacy to use self-injectable contraception among women interested in this method. We conducted a six-month pilot of I-CAN and report here on qualitative findings from a longitudinal study exploring I-CAN's social support mechanisms.MethodsWe conducted serial in-depth interviews with n = 25 women who received mentorship at baseline, three months, and six months in 2023. We conducted parallel interviews with a comparison group (n = 15) without the intervention. Women were purposefully sampled for diversity in contraceptive use, district, and age. We analyzed interviews using a codebook informed by I-CAN's theory of action.ResultsWe identified two primary ways in which I-CAN peer social support appeared to improve mentee agency more than existing social support in the control group: (1) improved contraceptive knowledge, particularly allaying side effect concerns, and (2) improved ability to act on contraceptive preferences via communication with unsupportive partners, covert use, or accessing contraceptive services or products. Less prominent changes compared to the control included improved self-efficacy to self-inject and perceived control over and consciousness of the right to contraceptive choice.ConclusionsUnderpinned by a human rights-based approach to contraception, the I-CAN intervention, shows promise that locally tailored peer social support models can effectively improve contraceptive agency, particularly related to knowledge and partner communication

Visibilité et présence de l’image dans l’espace ecclésial

Cet ouvrage met au cœur de son propos une interrogation simple : dans l’organisation complexe de l’espace de l’église médiévale, les emplacements choisis pour les images qui ornent les murs et les objets n’offrent pas toujours la possibilité de voir celles-ci, d’en déchiffrer le contenu. Certaines semblent réservées à des groupes de l’assemblée stationnant dans des espaces spécifiques, d’autres ne sont pas visibles depuis les principales zones affectées aux fidèles ou aux clercs, d’autres encore sont situées trop haut. Le rapport, a priori évident, entre représentation et visibilité se trouve donc souvent démenti, appelant alors une nouvelle notion, celle de présence. Analyser la tension existant entre ces trois catégories – figuration, visibilité et présence – implique une étude croisée des œuvres figurées, des monuments et des sources écrites. Les notions de mobilité et de fixité permettent également de prendre en compte les multiples jeux d’échelles à l’œuvre dans ce lieu rituel qu’est l’église, impliquant des objets, des manuscrits, des dispositifs liturgiques, des gestes, des déplacements physiques, dialoguant avec un décor appliqué au corps même du monument, épousant l’immobilité de l’architecture. Les cinq chapitres thématiques qui organisent ce volume mettent en regard différents cas issus de l’Occident médiéval et de l’Orient byzantin, selon une chronologie longue (de l’Antiquité tardive à la fin du Moyen Âge), dans une volonté de décloisonner les disciplines et les aires géographiques afin de tirer tous les enseignements d’une approche transversale de l’image médiévale

Genetic correlates of phenotypic heterogeneity in autism

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