Ethical decision-making under high-stakes testing

In this research project, it was found that the pressure to meet accountability standards have intensified. The pressure to conform to testing curriculum created ethical dilemmas over the focus on curriculum or on test preparation. Educators are increasingly placed in an ethical dilemma of knowing what is needed to meet students\u27 needs but rendered unable to meet those needs because of demands to conform to testing expectations under the new accountability system

Welfare Research Perspectives: Past, Present, and Future, 2001 Edition

This is the third in a series of working papers designed to examine what has been learned since the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996

Misoprostol in the management of the third stage of labour in the home delivery setting in rural Gambia: a randomised controlled trial.

OBJECTIVE: To assess the effectiveness of 600 microg oral misoprostol on postpartum haemorrhage (PPH) and postpartum anaemia in a low income country home birth situation. DESIGN: Double blind randomised controlled trial. SETTING: Twenty-six villages in rural Gambia with 52 traditional birth attendants (TBAs). SAMPLE: One thousand, two hundred and twenty-nine women delivering at home under the guidance of a trained TBA. METHODS: Active management of the third stage of labour using three 200-microg misoprostol tablets and placebo or four 0.5-mg ergometrine tablets (standard treatment) and placebo. Tablets were taken orally immediately after delivery. MAIN OUTCOME MEASURES: Measured blood loss, postpartum haemoglobin (Hb), difference between Hb at the last antenatal care visit and three to five days postpartum. RESULTS: The misoprostol group experienced lower incidence of measured blood loss > or =500 mL and postpartum Hb or = 2 g/dL was 16.4% with misoprostol and 21.2% with ergometrine [relative risk 0.77; 95% confidence interval (CI) 0.60-0.98; P= 0.02]. Shivering was significantly more common with misoprostol, while vomiting was more common with ergometrine. Only transient side effects were observed. CONCLUSIONS: Six hundred micrograms of oral misoprostol is a promising drug to prevent life-threatening PPH in this setting

Welfare Research Perspectives: Past, Present, and Future, 2002 Edition

This is the fourth in a series of working papers designed to examine what has been learned since the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996

Medication Management in Home Health Care Occupational Therapy Practice

Background: Many community-dwelling adults do not adhere to their medication regimen, which results in high rates of emergency department visits and subsequent hospital admissions. Occupational therapists, as members of the home health care team, provide medication management in the occupational therapy scope of practice. There is sparse information in the literature regarding occupational therapists’ involvement in medication management in home health care practice. Methods: The researchers interviewed nine occupational therapists practicing in home health care. Using a qualitative interpretive phenomenological study, the researchers explored the participants’ experiences addressing medication management. Results: The researchers identified three themes: professional reasoning, interprofessional involvement, and professional competence and confidence. The participants reported that they were addressing medication management in accordance with occupational therapy scope of practice; however, they did not feel confident because of their lack of knowledge about pharmacology. Conclusion: Preparing entry-level occupational therapy students and practicing occupational therapists with interprofessional education about medication management will improve occupational therapists’ competence and confidence. Occupational therapists who know their role in medication management and are well-informed about medication can collaborate with the home health care team more effectively

In the digital home, how do parents support their children and who supports them?

Digital media have become deeply integrated into family life, extending old ways of connecting and introducing new ones. Contrary to what panicky headlines might have us believe, rather than displacing established ways of interacting, playing and communicating – digital media sit alongside them. Today, British families eat, shop and read together – and they watch TV, stream content, play video games, and use educational technology. They stop by to see friends and family and they text, use messaging apps and make video calls. Yet parents have woefully few sources of support and advice when they have digital questions and dilemmas. In this report, released for Safer Internet Day 2018, we present key findings from a nationally representative survey of UK parents of children aged 0-17