173 research outputs found

    Stopping the UN’s Agenda 21 policy on sustainable development has become a rallying cry for the Tea Party across the U.S.

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    In recent years the United Nation’s Agenda 21 policy has become the rallying cry for many in the Tea Party who believe that the U.N. threatens American sovereignty. This concern led the introduction of anti-Agenda 21 legislation in 26 states in 2012 and 2013. Karen Trapenberg Frick, David Weinzimmer and Paul Waddell find that conservative states were more likely to see the introduction of anti-Agenda 21 legislation. They writes that the widespread outbreak of introducing legislation may indicate a longer-term situation whereby sustainability opposition becomes part of the state agenda with continued public discussion and media attention. In light of this, planning communities must consider new methods of public engagement that encourages genuine dialogue

    Plowshares or Swords? Fostering Common Ground Across Difference

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    With political polarization challenging forward progress on public policy and planning processes, it is critical to examine possibilities for finding common ground across difference between community participants. In my research on contentious planning processes in the United States, I found four areas of convergence between participants over transportation policy and process related to public process and substantive matters. These convergences warrant planners’ attention because they united stakeholders coming from different vantage points

    Lesson study in continuing professional teacher develop-ment: a South African case study

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    The implementation of successful continuing professional teacher development (CPTD) programmes has been a challenge in South Africa since the introduction of Curriculum 2005. Lesson study, a CPTD model introduced in Japan and not previously investigated in South Africa, has shown success in bridging the gap between policy at the national level and teaching at the classroom level. A qualitative research study conducted in a rural primary school in the Western Cape province sought to determine the value that a group of teachers would place on the process of lesson study as a model for their own learning and instructional improvement. The findings highlight several areas where lesson study as a dynamic model can be considered an effective CPTD programme within the South African context

    Tracking the State and Behavior of People in Response to COVID-1 19 Through the Fusion of Multiple Longitudinal Data Streams

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    The changing nature of the COVID-19 pandemic has highlighted the importance of comprehensively considering its impacts and considering changes over time. Most COVID-19 related research addresses narrowly focused research questions and is therefore limited in addressing the complexities created by the interrelated impacts of the pandemic. Such research generally makes use of only one of either 1) actively collected data such as surveys, or 2) passively collected data. While a few studies make use of both actively and passively collected data, only one other study collects it longitudinally. Here we describe a rich panel dataset of active and passive data from U.S. residents collected between August 2020 and July 2021. Active data includes a repeated survey measuring travel behavior, compliance with COVID-19 mandates, physical health, economic well-being, vaccination status, and other factors. Passively collected data consists of all locations visited by study participants, taken from smartphone GPS data. We also closely tracked COVID-19 policies across counties of residence throughout the study period. Such a dataset allows important research questions to be answered; for example, to determine the factors underlying the heterogeneous behavioral responses to COVID-19 restrictions imposed by local governments. Better information about such responses is critical to our ability to understand the societal and economic impacts of this and future pandemics. The development of this data infrastructure can also help researchers explore new frontiers in behavioral science. The article explains how this approach fills gaps in COVID-19 related data collection; describes the study design and data collection procedures; presents key demographic characteristics of study participants; and shows how fusing different data streams helps uncover behavioral insights

    Virtually impossible: limiting Australian children and adolescents daily screen based media use

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    Background: Paediatric recommendations to limit children’s and adolescents’ screen based media use (SBMU) to less than two hours per day appear to have gone unheeded. Given the associated adverse physical and mental health outcomes of SBMU it is understandable that concern is growing worldwide. However, because the majority of studies measuring SBMU have focused on TV viewing, computer use, video game playing, or a combination of these the true extent of total SBMU (including non-sedentary hand held devices) and time spent on specific screen activities remains relatively unknown. This study assesses the amount of time Australian children and adolescents spend on all types of screens and specific screen activities. Methods: We administered an online instrument specifically developed to gather data on all types of SBMU and SBMU activities to 2,620 (1373 males and 1247 females) 8 to 16 year olds from 25 Australian government and non-government primary and secondary schools. Results: We found that 45% of 8 year olds to 80% of 16 year olds exceeded the recommended < 2 hours per day for screen use. A series of hierarchical linear models demonstrated different relationships between the degree to which total SBMU and SBMU on specific activities (TV viewing, Gaming, Social Networking, and Web Use) exceeded the < 2 hours recommendation in relation to sex and age. Conclusions: Current paediatric recommendations pertaining to screen use exposure may no longer be tenable because screen based media are central in the everyday lives of children and adolescents. In any reappraisal of SBMU exposure times, researchers, educators and health professionals need to take cognizance of the extent to which screen use differs across specific screen activity, sex, and age

    Do inattention and hyperactivity symptoms equal scholastic impairment? evidence from three European cohorts

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    Background Attention Deficit/Hyperactivity Disorder (ADHD) affects many children, adolescents, and adults and is associated with a number of impairments. Poor academic performance is related to ADHD in clinical samples. However, it is unclear to what extent core ADHD symptoms and scholastic impairment are related in non-referred school-aged children. Methods Data come from three population-based cohorts from Sweden, Denmark, and Finland, which are part of the Nordic Network on ADHD. The combined sample size was 13,087 children who were studied at ages 7–8 or 10–12 years. Teachers rated children on inattention and hyperactivity symptoms and reported children's scholastic performance on basic skills. Results There was a significant association in all cohorts between core ADHD symptoms and scholastic impairment in reading, writing, and mathematics. Particularly, inattention was related to a two to tenfold increase in scholastic impairment. Prevalence of hyperactivity symptoms was similar across the three cohorts, but inattention was lowest among children from the Finnish cohort, after stratification on living conditions. Conclusion These results extend previous reports of scholastic impairment among children with clinically diagnosed ADHD to non-referred population samples from three European countries. Surveillance policies should be implemented in school systems to catch children in need of behavioral or scholastic support early

    Activity-Based Funding of Hospitals and Its Impact on Mortality, Readmission, Discharge Destination, Severity of Illness, and Volume of Care: A Systematic Review and Meta-Analysis

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    Background: Activity-based funding (ABF) of hospitals is a policy intervention intended to re-shape incentives across health systems through the use of diagnosis-related groups. Many countries are adopting or actively promoting ABF. We assessed the effect of ABF on key measures potentially affecting patients and health care systems: mortality (acute and post-acute care); readmission rates; discharge rate to post-acute care following hospitalization; severity of illness; volume of care. &nbsp; &nbsp; Methods: We undertook a systematic review and meta-analysis of the worldwide evidence produced since 1980. We included all studies reporting original quantitative data comparing the impact of ABF versus alternative funding systems in acute care settings, regardless of language. We searched 9 electronic databases (OVID MEDLINE, EMBASE, OVID Healthstar, CINAHL, Cochrane CENTRAL, Health Technology Assessment, NHS Economic Evaluation Database, Cochrane Database of Systematic Reviews, and Business Source), hand-searched reference lists, and consulted with experts. Paired reviewers independently screened for eligibility, abstracted data, and assessed study credibility according to a pre-defined scoring system, resolving conflicts by discussion or adjudication. &nbsp; &nbsp; Results: Of 16,565 unique citations, 50 US studies and 15 studies from 9 other countries proved eligible (i.e. Australia, Austria, England, Germany, Israel, Italy, Scotland, Sweden, Switzerland). We found consistent and robust differences between ABF and no-ABF in discharge to post-acute care, showing a 24% increase with ABF (pooled relative risk = 1.24, 95% CI 1.18–1.31). Results also suggested a possible increase in readmission with ABF, and an apparent increase in severity of illness, perhaps reflecting differences in diagnostic coding. Although we found no consistent, systematic differences in mortality rates and volume of care, results varied widely across studies, some suggesting appreciable benefits from ABF, and others suggesting deleterious consequences. &nbsp; &nbsp; Conclusions: Transitioning to ABF is associated with important policy- and clinically-relevant changes. Evidence suggests substantial increases in admissions to post-acute care following hospitalization, with implications for system capacity and equitable access to care. High variability in results of other outcomes leaves the impact in particular settings uncertain, and may not allow a jurisdiction to predict if ABF would be harmless. Decision-makers considering ABF should plan for likely increases in post-acute care admissions, and be aware of the large uncertainty around impacts on other critical outcomes
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