Sunny Hyon, Introducing Genre and English for Specific Purposes

In 1996, Sunny Hyon published an article in the TESOL Quarterly entitled “Genre in three traditions: Implications for ESL,” the first well-publicized discussion for ESL/EFL practitioners of the genre theories that have supported research and curriculum development for many years. Although officially, this article has been cited 1,258 times, it has had a much broader readership. In the process, Hyon’s article has inspired the work of others, including me, as I drew from it extensively to edit ..

LSP and culture: a special relationship

Le cadre général d’une étude des relations entre langue et culture est fourni par l’examen des produits de la culture « noble » et de la culture « populaire » respectivement, chacune responsable de comportements caractéristique au sein de la communauté. Dans ce que appelons par commodité « langue de spécialité », il y a spécificité culturelle, langagière, textuelle et sociologique. Ces spécificités influent sur la situation rhétorique. En conséquence, dans l’enseignement d’une langue de spécialité, il y a lieu de répondre aux besoins des apprenants en prenant en compte les situations dans lesquelles ils auront à employer la langue apprise. Le lien langue-culture n’est donc pas de nature différente en langue de spécialité : il dépend étroitement des situations de communication. Il convient donc d’étudier de près les genres rhétoriques qui leur correspondent.“High” and “low” culture artifacts and related in-group behaviors provide a general framework for a study of the relationship between culture and language. In LSP, we are specific about cultures, about language, about texts and about the factors that influence a rhetorical situation. All LSP teaching should therefore be carefully planned to meet the needs of students, taking into consideration the target situations in which the students will be functioning. What is different about LSP, then, is not the special relationship between language and culture, which is the subject of much study, but the special cultures of listeners/readers and speakers/writers, and their languages and the rhetorical situations in which the texts play a role. Many of the core communities and languages which are most important to our students’ lives can be accessed through the genres of these communities, if, in fact, the genres are studied through their potential or real rhetorical contexts

A High-School/University E-mail Partnership Project

In this paper, two ESL teachers describe their attempts to encourage student mentoring, reading, and writing through a cross-institutional e-mail project. Th eir assignments and student interactions as well as the successes and problems related to the project are discussed. Th e e-mail correspondence between two pairs of students and comments on the impact of the project on these and other students in the class are presented

Spiritual Experiences of Adults with Advanced Cancer in Outpatient Clinical Settings

Context Adults who have advanced cancer experience distress, and many use religion and spirituality to cope. Research on the spiritual experiences of advanced cancer patients will help guide the provision of high-quality spiritual care. Objectives To qualitatively describe advanced cancer patients’ spiritual experiences of illness. Methods We conducted semi-structured qualitative interviews at a single cancer center with 21 patients with stage IV solid malignancies who had a prognosis of less than 12 months, as estimated by each patient’s medical oncologist. Five investigators conducted a thematic analysis of the transcribed interviews. Results We found 31 patients who were eligible for enrollment, and 21 (67.7%) participated in interviews to thematic saturation. Using a thematic-analysis approach, five major themes emerged. Relationships with family and friends was the most important theme among all 21 patients irrespective of their religious or spiritual identity. Relationship with God and faith community was frequently identified by those who considered themselves spiritually religious. Cancer often led to reflection about the meaning of life and the nature of existential suffering Patients addressed the extent to which identity was changed or maintained through the cancer experience, and some expressed acceptance as a way of coping with illness. Conclusions Spiritual care for dying cancer patients should always include the exploration of relationships with family and friends, as well as God and faith community for some patients. Relationships with family, friends, and God can be a source of strength for many. Making meaning, addressing identity concerns, supporting acceptance as a resource for coping with illness, and acknowledging existential suffering will often arise for these patients

Addressing Personal Barriers to Advance Care Planning: Qualitative Investigation of a Mindfulness-Based Intervention for Adults with Cancer and Their Family Caregivers

Objective Advance care planning (ACP) increases quality of life and satisfaction with care for those with cancer and their families, yet these important conversations often do not occur. Barriers include patients’ and families’ emotional responses to cancer, such as anxiety and sadness, which can lead to avoidance of discussing illness-related topics such as ACP. Interventions that address psychological barriers to ACP are needed. The purpose of this study was to explore the effects of a mindfulness intervention designed to cultivate patient and caregiver emotional and relational capacity to respond to the challenges of cancer with greater ease, potentially decreasing psychological barriers to ACP and enhancing ACP engagement. Method The Mindfully Optimizing Delivery of End-of-Life (MODEL) Care intervention provided 12 hours of experiential training to two cohorts of six to seven adults with advanced-stage cancer and their family caregivers (n = 13 dyads). Training included mindfulness practices, mindful communication skills development, and information about ACP. Patient and caregiver experiences of the MODEL Care program were assessed using semistructured interviews administered immediately postintervention and open-ended survey questions delivered immediately and at 4 weeks postintervention. Responses were analyzed using qualitative methods. Result Four salient themes were identified. Patients and caregivers reported the intervention (1) enhanced adaptive coping practices, (2) lowered emotional reactivity, (3) strengthened relationships, and (4) improved communication, including communication about their disease. Significance of results The MODEL Care intervention enhanced patient and caregiver capacity to respond to the emotional challenges that often accompany advanced cancer and decreased patient and caregiver psychological barriers to ACP

Mindfulness Training Supports Quality of Life and Advance Care Planning in Adults With Metastatic Cancer and Their Caregivers: Results of a Pilot Study

Background: Emotional distress often causes patients with cancer and their family caregivers (FCGs) to avoid end-of-life discussions and advance care planning (ACP), which may undermine quality of life (QoL). Most ACP interventions fail to address emotional barriers that impede timely ACP. Aim: We assessed feasibility, acceptability, and preliminary effects of a mindfulness-based intervention to facilitate ACP for adults with advanced-stage cancer and their FCGs. Design: A single-arm pilot was conducted to assess the impact of a 6-week group mindfulness intervention on ACP behaviors (patients only), QoL, family communication, avoidant coping, distress, and other outcomes from baseline (T1) to post-intervention (T2) and 1 month later (T3). Participants: Eligible patients had advanced-stage solid malignancies, limited ACP engagement, and an FCG willing to participate. Thirteen dyads (N = 26 participants) enrolled at an academic cancer center in the United States. Results: Of eligible patients, 59.1% enrolled. Attendance (70.8% across 6 sessions) and retention (84.6% for patients; 92.3% for FCGs) through T3 were acceptable. Over 90% of completers reported high intervention satisfaction. From T1 to T3, patient engagement more than doubled in each of 3 ACP behaviors assessed. Patients reported large significant decreases in distress at T2 and T3. Family caregivers reported large significant improvements in QoL and family communication at T2 and T3. Both patients and FCGs reported notable reductions in sleep disturbance and avoidant coping at T3. Conclusions: The mindfulness intervention was feasible and acceptable and supported improvements in ACP and associated outcomes for patients and FCGs. A randomized trial of mindfulness training for ACP is warranted

Coupled versus uncoupled hindcast simulations of the Madden-Julian oscillation in the Year of Tropical Convection

This study investigates the impact of a full interactive ocean on daily initialised 15 day hindcasts of the Madden-Julian oscillation (MJO), measured against a Met Office Unified Model (MetUM) atmosphere control simulation (AGCM) during a 3 month period of the Year of Tropical Convection (YOTC). Results indicated that the coupled configuration (CGCM) extends MJO predictability over that of the AGCM, by up to 3-5 days. Propagation is improved in the CGCM, which we partly attribute to a more realistic phase relationship between sea surface temperature (SST) and convection. In addition, the CGCM demonstrates skill in representing downwelling oceanic Kelvin and Rossby waves which warm SSTs along their trajectory, with the potential to feed back on the atmosphere. These results imply that an ocean model capable of simulating internal ocean waves may be required to capture the full effect of air-sea coupling for the MJO

HIV prevention costs and program scale: data from the PANCEA project in five low and middle-income countries

<p>Abstract</p> <p>Background</p> <p>Economic theory and limited empirical data suggest that costs per unit of HIV prevention program output (unit costs) will initially decrease as small programs expand. Unit costs may then reach a nadir and start to increase if expansion continues beyond the economically optimal size. Information on the relationship between scale and unit costs is critical to project the cost of global HIV prevention efforts and to allocate prevention resources efficiently.</p> <p>Methods</p> <p>The "Prevent AIDS: Network for Cost-Effectiveness Analysis" (PANCEA) project collected 2003 and 2004 cost and output data from 206 HIV prevention programs of six types in five countries. The association between scale and efficiency for each intervention type was examined for each country. Our team characterized the direction, shape, and strength of this association by fitting bivariate regression lines to scatter plots of output levels and unit costs. We chose the regression forms with the highest explanatory power (R²).</p> <p>Results</p> <p>Efficiency increased with scale, across all countries and interventions. This association varied within intervention and within country, in terms of the range in scale and efficiency, the best fitting regression form, and the slope of the regression. The fraction of variation in efficiency explained by scale ranged from 26% – 96%. Doubling in scale resulted in reductions in unit costs averaging 34.2% (ranging from 2.4% to 58.0%). Two regression trends, in India, suggested an inflection point beyond which unit costs increased.</p> <p>Conclusion</p> <p>Unit costs decrease with scale across a wide range of service types and volumes. These country and intervention-specific findings can inform projections of the global cost of scaling up HIV prevention efforts.</p

Seeing Through the Ring: Near-infrared Photometry of V582 Mon (KH 15D)

We examine the light and color evolution of the T Tauri binary KH 15D through photometry obtained at wavelengths between 0.55 and 8.0 μm. The data were collected with A Novel Dual Imaging CAMera (ANDICAM) on the 1.3 m SMARTS telescope at Cerro-Tololo Inter-American Observatory and with InfraRed Array Camera on the Spitzer Space Telescope. We show that the system's circumbinary ring, which acts as a screen that covers and uncovers different portions of the binary orbit as the ring precesses, has reached an orientation where the brighter component (star B) fully or nearly fully emerges during each orbital cycle. The fainter component (star A) remains fully occulted by the screen at all phases. The leading and trailing edges of the screen move across the sky at the same rate of ~15 m s^(−1), consistent with expectation for a ring with a radius and width of ~4 au and a precession period of ~6500 years. Light and color variations continue to indicate that the screen is sharp edged and opaque at VRIJH wavelengths. However, we find an increasing transparency of the ring edge at 2.2, 3.6, and 4.5 μm. Reddening seen at the beginning of the eclipse that occurred during the CSI 2264 campaign particularly suggests selective extinction by a population of large dust grains. Meanwhile, the gradual bluing observed while star B is setting is indicative of forward scattering effects at the edge of the ring. The spectral energy distribution of the system at its bright phase shows no evidence of infrared excess emission that can be attributed to radiation from the ring or other dust component out to 8 μm

The Heavy Vehicle Study: a case-control study investigating risk factors for crash in long distance heavy vehicle drivers in Australia

Background Heavy vehicle transportation continues to grow internationally; yet crash rates are high, and the risk of injury and death extends to all road users. The work environment for the heavy vehicle driver poses many challenges; conditions such as scheduling and payment are proposed risk factors for crash, yet the precise measure of these needs quantifying. Other risk factors such as sleep disorders including obstructive sleep apnoea have been shown to increase crash risk in motor vehicle drivers however the risk of heavy vehicle crash from this and related health conditions needs detailed investigation. Methods and Design The proposed case control study will recruit 1034 long distance heavy vehicle drivers: 517 who have crashed and 517 who have not. All participants will be interviewed at length, regarding their driving and crash history, typical workloads, scheduling and payment, trip history over several days, sleep patterns, health, and substance use. All participants will have administered a nasal flow monitor for the detection of obstructive sleep apnoea. Discussion Significant attention has been paid to the enforcement of legislation aiming to deter problems such as excess loading, speeding and substance use; however, there is inconclusive evidence as to the direction and strength of associations of many other postulated risk factors for heavy vehicle crashes. The influence of factors such as remuneration and scheduling on crash risk is unclear; so too the association between sleep apnoea and the risk of heavy vehicle driver crash. Contributory factors such as sleep quality and quantity, body mass and health status will be investigated. Quantifying the measure of effect of these factors on the heavy vehicle driver will inform policy development that aims toward safer driving practices and reduction in heavy vehicle crash; protecting the lives of many on the road network