Sustained Effects of Intensive Reading Intervention: Can Intensive Intervention Gains Made in Primary Grades Be Maintained Through the End of Elementary School?

The purpose of this research study was to determine the effects of an intensive reading intervention provided to students in primary grades (kindergarten-second grade). A cohort of 400 students was followed from kindergarten through fifth grade to determine reading achievement effects as students progressed through school. Scores from third and fifth grade reading assessments were used to evaluate the short-term and long-term effects of a district-developed program. Effects of the program were examined as they related to students who exited the intervention successfully, those who failed to exit the intervention and for those never needing intervention

Phonemic Awareness and Preschool: Does One-On-One Instruction Improve Reading Readiness?

Phonemic awareness and its connection to the early reading abilities of children was the focus of the following study. Of particular interest was the relationship between early reading interventions and the subsequent reading performance between early reading interventions and the subsequent reading performance of preschool children. The study examined the effectiveness of a one-on-one phonemic awareness program with preschool children. The program consisted of individual phonemic awareness instruction sessions for fifteen minutes, three times per week, for six weeks. The children were individually monitored over the course of the six-week intervention using the Dynamic Indicators of Basic Literacy Skills (DIBELS) scale. The children were assessed weekly using probes from the Initial Sound Fluency subtest obtain a correct initial sounds per minute score. Results of the phonemic awareness program suggest that one-on-one instruction is an effective way to improve pre-reading skills in preschool children. Implications of the current study are discussed

The Lived Experience of Urban Plus-Sized Black Women in a Midwestern City

ABSTRACT Obesity among adults in the United States is a significant problem of growing proportions. Black women have a higher rate of obesity than other women but there is a paucity of research about the experiences and perspectives of plus-sized Black women. The purpose of this phenomenological study was to explore the experience of plus-sized Black women living in an urban area. Ten participants were interviewed guided by open-ended interview questions. All interviews were audiotaped and transcribed verbatim. Colaizzi’s (1978) phenomenological method was used to identify themes within the data. Data analysis resulted in three themes: the meaning of plus-size, health consequences resulting from being plus-sized, and psychological consequences. Participants described current health conditions they associated with remaining plus-sized and specific circumstances or activities they had not participated in because of their weight. Women shared their desire to modify their lifestyles, but none had made changes at the present time. Findings suggest that participants with secondary education were better equipped to handle being plus-sized, with sufficient resources and jobs that placed values on one’s appearances. These factors appear to help women overcome the stigma of being a plus-sized Black woman

Prevotella intermedia and Prevotella nigrescens serotypes, ribotypes and binding characteristics

type strains and 62 clinical isolates of Prevotella intermedia and Prevotella nigrescens were typed with the use of genomic DNA fingerprints and rRNA gene probes. The strains were further serotyped with monoclonal antibodies and characterized with SDS-PAGE, enzymatic activities, hemolysis and hemagglutination and coaggregation with Streptococcus and Actinomyces spp. P. intermedia and P. nigrescens were found to have distinct ribotype patterns which correspond to previously defined serotypes I and II/III, respectively. No clear phenotypic difference related to hemolysis, hemagglutination and coaggregation with Streptococcus and Actinomyces species, or expression of aminopeptides and lipase was found between P. intermedia and P. nigrescen

Caring for Patients with Diabetes at Safety Net Hospitals and Health Systems: What the Patients Say about Their Care

In 2002, with support from The Commonwealth Fund, the National Public Health and Hospital Institute (NPHHI) created a consortium of safety net hospital systems to work together to address common concerns regarding the care of patients with diabetes. As part of that project, NPHHI conducted a survey of patients with diabetes who received at least some of their care from four Consortium hospital systems: Cambridge Health Alliance; Community Health Network of San Francisco/San Francisco General Hospital; Cook County Bureau of Health Services; and LSU/Medical Center of Louisiana at New Orleans. Patients were surveyed on multiple domains of care, including overall satisfaction, access to important diabetes-related services, self-management, health status, and communication with their health care providers. This effort, known as the Consortium for Quality Improvement in Safety Net Hospitals and Health Systems, was the first initiative of its kind to bring a group of safety net hospital systems together to examine quality of care provided for diabetes patients. The work of the Consortium underscores the critical role that safety net hospital systems play in delivering high quality diabetes care to a patient population that is primarily low income, ethnically and racially diverse, and that has high rates of literacy problems. The study signals the need for comprehensive programs to support the care of vulnerable patients with chronic conditions and highlights areas for improved communication between providers and patients. Project outcomes can be summarized around several major findings: Although Consortium members care for large numbers of patients with diabetes who are?racially and ethnically diverse, low income or uninsured, and often with limited English?or literacy proficiency, the study found few significant differences among racial groups?regarding assessment of health status and access to care. Despite programs at safety net hospitals to increase access to care for patients, uninsured patients continue to report poorer control of their diabetes and disparities in access to care. Compared with patients with any insurance coverage, fewer uninsured patients reported having a primary care provider and more reported skipping medications due to cost Up to one-third of the patients at Consortium hospital systems reported having languages other than English as their primary language, and one-quarter reported having health literacy problems. Patients commonly reported problems understanding basic instructions involved in diabetes management. Safety net hospital systems are continually challenged to provide culturally and linguistically appropriate services for their diverse populations. Appropriate provider-patient communication becomes a particularly salient issue for patients with chronic illnesses like diabetes that require self-management and understanding of providers\u27 instructions. More research is necessary to understand the cultural and linguistic needs of various patient populations and to design targeted programs that address these needs in the context of comprehensive care management. The NPHHI study revealed the importance of providing comprehensive care that draws on relevant health professionals in the management of chronic illness. Diabetes teams should be expanded to include health care professionals and social workers able to address the variety of factors that affect diabetes care for low-income and minority patients. Much more work is necessary to develop comprehensive, tailored diabetes management programs that take into account literacy, language, and co-morbidities. The study identified several key areas for improvement in care for patients with diabetes in safety net hospitals, specifically around patient-provider communication. In general, survey respondents reported few problems with the care they received and their communication with providers, but not consistently across race and ethnicity. A sizable group of patients (one-quarter or more) reported having difficulty understanding their providers\u27 use of medical terminology, identified a need for improved communication, or noted the providers\u27 failure to take into account the patient\u27s religion or culture. Although patients generally identified few problems with the care they received, a remarkably high proportion of survey respondents indicated they were in fair or poor health and/or had pain that interfered with their ability to exercise. In part, this is a reflection of the experiences of patient populations in safety net hospital systems, who tend to suffer from co-morbidities such as heart disease and depression

New Insights into HTLV-1 Particle Structure, Assembly, and Gag-Gag Interactions in Living Cells

Human T-cell leukemia virus type 1 (HTLV-1) has a reputation for being extremely difficult to study in cell culture. The challenges in propagating HTLV-1 has prevented a rigorous analysis of how these viruses replicate in cells, including the detailed steps involved in virus assembly. The details for how retrovirus particle assembly occurs are poorly understood, even for other more tractable retroviral systems. Recent studies on HTLV-1 using state-of-the-art cryo-electron microscopy and fluorescence-based biophysical approaches explored questions related to HTLV-1 particle size, Gag stoichiometry in virions, and Gag-Gag interactions in living cells. These results provided new and exciting insights into fundamental aspects of HTLV-1 particle assembly—which are distinct from those of other retroviruses, including HIV-1. The application of these and other novel biophysical approaches promise to provide exciting new insights into HTLV-1 replication

Patient Care in High-Level Containment Care Units: In a Resourced Setting

Vasa, A., Boulter, K., Horihan, Cates, D., Piquette, C., Sullivan, J., Johnson, D, & Hewlett, A. (2019). Patient Care in High-Level Containment Care Units. In T. Cieslak, M. Kortepeter, C. Kratochvil, & J. Lawler (Eds.), Nebraska Isolation and Quarantine Manual (pp. 87-101). Lincoln, NE: University of Nebraska Press.https://digitalcommons.unmc.edu/nm_books/1000/thumbnail.jp