Using Reality Therapy in Schools: Its Potential Impact on the Effectiveness of the ASCA National Model

The primary purpose of this manuscript is to examine the application of Reality Therapy in schools. The basic components of the American School Counseling Association\u27s National Model and also the core tenets of Reality Therapy are reviewed in terms of pertinent literature. This is followed by a focus on the delivery system national model. Lastly, specific emphasis will be placedon the potential impact Reality Therapy can have on student academic achievement, personal/social development, and career decision-making skills when applied to each program component

Community Science Online: Building Capacity for Native Bee Monitoring

Native bees are crucial for sustainable productivity in natural, agricultural, and urban ecosystems, but they are losing natural habitat spaces. Extension can facilitate community science programs to collect ecological data on native bee populations and support pollinator conservation. Native Bee Watch, an in-person community science program, transitioned to a hybrid format where volunteers received online training and support for conducting field-based data collection. This article presents the volunteers’ perceptions of the program training, support, and bee monitoring based on surveys and data analytics collected from technology tools. Study results indicate redesign successes and challenges and provide insight on how to improve the experience for volunteers participating in community science programs, with implications for Extension education

Knowing about and Performing Professionalism: Developing Professionalism in Interprofessional Healthcare Education

Professionalism, and the ways in which it can be developed and maintained, has a high profile in today's health and social care climate. It is becoming increasingly important that higher education institutions develop ways of making teaching about the concept explicit; yet, teaching professionalism can be challenging for a number of reasons. Constructs of professionalism frequently represent character traits and attitudes rather than behaviours, which by definition makes them difficult to teach and potentially problematic to learn. Students of the School of Rehabilitation Sciences (RSC) within the University of East Anglia (UEA) have been using a Professionalism Charter since 2011. The purpose of the charter is to define the construct of professionalism for RSC students, to provide a tangible framework around which professionalism can be structured, to enable students to map changes in their professional attitudes, behaviours, knowledge and skills and to highlight areas for development. Evaluation of the charter has demonstrated that it is helpful in providing a reference point for best practice. Refinements are necessary, but the indications are that it has the potential to facilitate students' understanding of (knowing about) professionalism and provides them with opportunities to actively engage (perform) in practice

HII regions in IC 1613: The ISM in a nearby dwarf irregular galaxy

IC 1613, a nearby (725 kpc distant) dwarf irregular galaxy, has always been known to contain large, ring-shaped HII regions in its northeast corner. A new H alpha image has been obtained using the Bell Labs Charge Coupled Device (CCD) camera, an RCA 320 X 512 pixel-thinned, back-illuminated CCD, an H alpha filter of central wavelength 6562 A and width (full width half maximum) of 30 A, and the 42 inch telescope at Lowell Observatory. The low resolution images exhibit many new, faint features

A qualitative exploration of older people’s lived experiences of homelessness and memory problems – stakeholder perspectives

Background: The numbers of older people experiencing both homelessness and memory problems are growing, yet their complex health, housing and care needs remain undelineated and unmet. There is a critical gap in understanding what can improve the care, support and experiences of this group. In this qualitative study we explore how stakeholders understand memory problems among older people in the context of homelessness and consider what they judge gets in the way of achieving positive outcomes. Method: We conducted reflexive thematic analysis of qualitative interviews (n = 49) using a semi-structured topic guide, with 17 older people (aged ≥ 50 years) experiencing memory problems and homelessness, 15 hostel staff and managers, and 17 health, housing and social care practitioners. We recruited participants from six homelessness hostels, one specialist care home and National Health and Local Authority Services in England. Results: We identified four overarching themes. The population is not taken seriously; multiple causes are hard to disentangle; risk of exploitation and vulnerability; and (dis)connection and social isolation. The transience and lack of stability associated with homelessness intensified the disorienting nature of memory and cognitive impairment, and those providing direct and indirect support required flexibility and persistence, with staff moving beyond traditional roles to advocate, provide care and safeguard individuals. Memory problems were perceived by frontline staff and older people to be overlooked, misinterpreted, and misattributed as being caused by alcohol use, resulting in pervasive barriers to achieving positive and desired outcomes. Conclusions: Efforts to meet the needs of older people living with memory problems and experiencing homelessness and future interventions must reflect the complexity of their lives, often in the context of long-term alcohol use and current service provision and we make suggestions as to what could be done to improve the situation

A qualitative exploration of older people's lived experiences of homelessness and memory problems - stakeholder perspectives

BACKGROUND: The numbers of older people experiencing both homelessness and memory problems are growing, yet their complex health, housing and care needs remain undelineated and unmet. There is a critical gap in understanding what can improve the care, support and experiences of this group. In this qualitative study we explore how stakeholders understand memory problems among older people in the context of homelessness and consider what they judge gets in the way of achieving positive outcomes. METHOD: We conducted reflexive thematic analysis of qualitative interviews (n = 49) using a semi-structured topic guide, with 17 older people (aged ≥ 50 years) experiencing memory problems and homelessness, 15 hostel staff and managers, and 17 health, housing and social care practitioners. We recruited participants from six homelessness hostels, one specialist care home and National Health and Local Authority Services in England. RESULTS: We identified four overarching themes. The population is not taken seriously; multiple causes are hard to disentangle; risk of exploitation and vulnerability; and (dis)connection and social isolation. The transience and lack of stability associated with homelessness intensified the disorienting nature of memory and cognitive impairment, and those providing direct and indirect support required flexibility and persistence, with staff moving beyond traditional roles to advocate, provide care and safeguard individuals. Memory problems were perceived by frontline staff and older people to be overlooked, misinterpreted, and misattributed as being caused by alcohol use, resulting in pervasive barriers to achieving positive and desired outcomes. CONCLUSIONS: Efforts to meet the needs of older people living with memory problems and experiencing homelessness and future interventions must reflect the complexity of their lives, often in the context of long-term alcohol use and current service provision and we make suggestions as to what could be done to improve the situation

Distinct Clinical and Pathological Features Are Associated with the BRAFT1799A(V600E) Mutation in Primary Melanoma

The BRAFT1799A mutation encodes BRAFV600E that leads to activation of the mitogen-activated protein kinase pathway. This study aimed to assess the clinico-pathological features of primary invasive melanomas containing the BRAFT1799A mutation. Patients (n=251) with invasive primary melanomas from Australia were interviewed and examined with respect to their melanoma characteristics and risk factors. Independent review of pathology, allele-specific PCR for the BRAFT1799A mutation, immunohistochemical staining with Ki67, and phospho-histone-H3 (PH3) were performed. The BRAFT1799A mutation was found in 112 (45%) of the primary melanomas. Associations with the BRAFT1799A mutation (P<0.05) were as follows: low tumor thickness (odds ratio (OR)=3.3); low mitotic rate (OR=2.0); low Ki67 score (OR=5.0); low PH3 score (OR=3.3); superficial spreading melanoma (OR=10.0); pigmented melanoma (OR=3.7); a lack of history of solar keratoses (OR=2.7); a location on the trunk (OR=3.4) or extremity (OR=2.0); a high level of self-reported childhood sun exposure (OR=2.0); ≤50 years of age (OR=2.5); and fewer freckles (OR=2.5). We conclude that the BRAFT1799A mutation has associations with host phenotype, tumor location, and pigmentation. Although implicated in the control of the cell cycle, the BRAFT1799A mutation is associated with a lower rate of tumor proliferation