Testimony of Judith A. Scott Before the Commission on the Future of Worker-Management Relations

Testimony_Scott_011994.pdf: 175 downloads, before Oct. 1, 2020

From present to future : beyond becoming a nation of readers

Includes bibliographical references (p. 13-19)The work upon which this publication was based was supported in part by the Office of Educational Research and Improvement under Cooperative Agreement No. OEG 0087-C100

A meta-analytic review of play therapy with emphasis on outcomes measures

A meta-analysis of 100 studies of outcomes of play therapy interventions was conducted to determine overall effect of intervention. Different from the Bratton, Ray, Rhine, and Jones (2005), but more consistent with the Lin and Bratton (2015), findings, there was a significant moderate effect for play therapy interventions across all outcomes (d = .44). When 4 studies with aberrantly large effects were removed, this effect was d = .36. These moderate effects are consistent with other meta-analyses that find lower effect sizes for nonbehavioral interventions. Overall study quality was poor with no studies meeting the criteria of randomized control trials. Research on play therapy interventions also does not use diagnostic criteria as part of study inclusion, thus preventing play therapy interventions from being considered as empirically supported treatments. Meta-analytic findings differed by type of measure used, with measures of family functioning/relationships finding larger results than other types of measures. There was not strong consistency in measures used across the studies, with only a few measures being used across more than 1 or 2 studies. Of the more frequently used measures, the Measurement of Empathy in Adult Child Interaction (MEACI) resulted in much larger effects than other measures used, and should be further evaluated in terms of appropriate interpretation and use. Effect sizes also differed based on the reporting source, with teachers tending to rate lower impacts of treatment than other reporters

Improving the health of diabetic patients through resident-initiated group visits

BACKGROUND AND OBJECTIVES: Group visits have the potential to benefit patients with chronic illnesses. Our objective was to implement resident-run diabetic group visits that would improve patient education and help patients become more involved in their care. METHODS: We developed systems to promote, coordinate, and lead the visits. Residents\u27 responsibilities were delegated through a preparation checklist. A standardized progress note was developed to encourage patient goal setting and to track relevant laboratory test results. To evaluate our program, we conducted surveys to determine patients\u27 behavioral changes and satisfaction levels and assessed the effect on group visit participants\u27 glycated hemoglobin (HbA1c) and low-density lipoprotein (LDL) levels. RESULTS: Group visit patient survey results showed that 72% of the patients in the group visit cohort reported making a lifestyle change; 88% felt that the group visit helped them achieve better control of their diabetes, and 100% stated that they would come to a group visit again. However, no significant changes were noted in HbA1c or LDL levels. CONCLUSIONS: Residents can overcome challenges and implement, organize, and run effective group visits that increase patients\u27 self-reported self-management abilities, but we could demonstrate no statistically significant improvement on measurable biochemical parameters of glucose or lipid control

Criteria for Evaluating Journals in the Scholarship of Teaching and Learning in Agriculture, Natural Resources, and the Life Sciences

The purpose of this paper was to identify existing criteria that may be considered in evaluating journals in the scholarship of teaching and learning in agriculture, natural resources, and the life sciences. This can assist faculty authors and evaluators of promotion and tenure cases to explain indicators of the quality of the publications. The commonly accepted criteria are: peer review; acceptance rate; longevity; open access availability; inclusion in indexing/abstracting services; citation analysis; and expert opinion. These data were collected for a representative set of journals which indicated that: acceptance rates for the journals varied widely; most of the journals existed for at least 10 years; most of the journals did not have an ISI impact factor or Eigenfactor TM Score; the ERIC database was the predominant indexing resource; and there were no published lists of journals in these subjects compiled from expert opinion

How safe is your curry? Food allergy awareness of restaurant staff

Background: Incidents of severe and fatal anaphylaxis to accidentally ingested food allergens are increasing. Individuals are more likely to encounter difficulties when eating away from home. In restaurants, front-of-house and kitchen staff may be called upon to provide information about ingredients or ensure certain food allergens are excluded from dishes. Following a series of reactions related to the accidental ingestion of peanuts in curries we assessed food allergy awareness and allergen avoidance practices amongst the staff of Asian-Indian restaurants. Methods: A questionnaire survey was administered by telephone to one member of staff in each restaurant. Results: Fifty percent (40/80) of restaurants participated. Responders included managers, owners, waiters and chefs. Most (90%) had received food hygiene training, but only 15% food allergy training. 25% could name three common food allergens. 3 in 4 listed nuts, but less than 1in 5 mentioned peanuts. Common misunderstandings included 60% of staff believing an individual experiencing an allergic reaction should drink water to dilute the allergen. A less prevalent, but perhaps more concerning, was the misunderstanding that cooking food would prevent it causing an allergic reaction (25%). Despite poor knowledge, all respondents were comfortable and 65% were “very comfortable” with providing a “safe” meal for a customer with a food allergy. 60% expressed interest in future food allergy training. Conclusions: Despite high confidence in their own understanding of allergy, many staff lacked the knowledge to provide “safe” meals for food allergic customers. Traditionally tree nuts are a common ingredient in Asian-Indian dishes cuisine and there was widespread, but not universal, awareness of tree nuts as a common allergen. Peanuts were less commonly recognised as a common allergen, an observation of extreme concern as peanuts are being substituted for tree nuts as they are cheaper and avoid having to inflate meal prices. Our data highlights the need for greater training of restaurant staff. In parallel, food allergic customers need to exercise vigilance when making meal choices and develop skills to order a safe meal. The management of allergy is multifaceted, and this study indicates the importance of health professionals working beyond the clinical setting to collaborate with colleagues in the hospitality industry, public health and environmental health in coordinated endeavours to improve patient safety

Population genetic analysis of Bartonella bacilliformis isolates from areas of Peru where Carrion\u27s disease is endemic and epidemic

Carrion's disease is caused by infection with the α-proteobacterium Bartonella bacilliformis. Distribution of the disease is considered coincident with the distribution of its known vector, the sand fly Lutzomyia verrucarum. Recent epidemics of B. bacilliformis infections associated with atypical symptomatology in nonendemic regions have raised questions regarding the historic and present distribution of this bacterium and the scope of disease that infection causes. Phylogenetic relationships and genomic diversity of 18 B. bacilliformis isolates (10 isolates from a region where Carrion's disease is epidemic, Cuzco, Peru, and 8 isolates from a region where Carrion's disease is endemic, Caraz, Peru) were assessed using genomic data generated by infrequent restriction site PCR and gene sequence analysis of the flagellin gltA and ialB genes. A population genetic analysis of the genomic diversity suggests that what was once considered an epidemic region of Peru did not result from the recent introduction of B. bacilliformis

IgE in the diagnosis and treatment of allergic disease

Traditionally, the concept of allergy implied an abnormal response to an otherwise benign agent (eg, pollen or food), with an easily identifiable relationship between exposure and disease. However, there are syndromes in which the relationship between exposure to the relevant allergen and the “allergic” disease is not clear. In these cases the presence of specific IgE antibodies can play an important role in identifying the relevant allergen and provide a guide to therapy. Good examples include chronic asthma and exposure to perennial indoor allergens and asthma related to fungal infection. Finally, we are increasingly aware of forms of food allergy in which the relationship between exposure and the disease is delayed by 3 to 6 hours or longer. Three forms of food allergy with distinct clinical features are now well recognized. These are (1) anaphylactic sensitivity to peanut, (2) eosinophilic esophagitis related to cow’s milk, and (3) delayed anaphylaxis to red meat. In these syndromes the immunology of the response is dramatically different. Peanut and galactose α-1,3-galactose (alpha-gal) are characterized by high- or very high-titer IgE antibodies for Ara h 2 and alpha-gal, respectively. By contrast, eosinophilic esophagitis is characterized by low levels of IgE specific for milk proteins with high- or very high-titer IgG4 to the same proteins. The recent finding is that patients with alpha-gal syndrome do not have detectable IgG4 to the oligosaccharide. Thus the serum results not only identify relevant antigens but also provide a guide to the nature of the immune response