Untapped Potential: Social Emotional Learning and Intervention Programs for Students Experiencing Underperformance

This study seeks the voice of practitioners to identify social emotional factors positively influencing students otherwise experiencing academic underperformance. Research has affirmed the positive impact of social emotional learning (SEL) on both short-term and long-term outcomes, while also indicating a correlation between difficulties with social emotional factors and academic underperformance. Intervention programs provide a unique opportunity to leverage SEL assets for more positive outcomes for students experiencing underperformance. This study examines the SEL factors intervention program practitioners identify as having a positive impact on students experiencing underperformance, utilizing triangulated sources: (a) document analysis of intervention program design, (b) interviews with program coordinators regarding significant SEL factors, and (c) surveys in which practitioners identify SEL factors of significance. While intervention program design emphasized academic skills with a minor emphasis on SEL factors, practitioners indicated the significance of a much broader array of SEL factors: relational capacity/interpersonal qualities, self-identity/efficacy, conflict resolution, ethical and performance values, and qualities of perspective. Results support consideration of an array of student social emotional assets in intervention program design to support positive student outcomes, rather than a narrow focus on the development of academic skills

Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems.

The U.S. Preventive Services Task Force recommends that clinicians adopt universal alcohol screening and brief intervention as a routine preventive service for adults, and efforts are underway to support its widespread dissemination. The likelihood that healthcare systems will sustain this change, once implemented, is under-reported in the literature. This article identifies factors that were important to post implementation sustainability of an evidence-based practice change to address alcohol misuse that was piloted within three diverse primary care organizations. The Centers for Disease Control and Prevention funded three academic teams to pilot and evaluate implementation of alcohol screening and brief intervention within multi clinic healthcare systems in their respective regions. Following the completion of the pilots, teams used the Program Sustainability Assessment Tool to retrospectively describe and compare differences across eight sustainability domains, identify strengths and potential threats to sustainability, and make recommendations for improvement. Health systems varied across all domains, with greatest differences noted for Program Evaluation, Strategic Planning, and Funding Stability. Lack of funding to sustain practice change, or data monitoring to promote fit and fidelity, was an indication of diminished Organizational Capacity in systems that discontinued the service after the pilot. Early assessment of sustainability factors may identify potential threats that could be addressed prior to, or during implementation to enhance Organizational Capacity. Although this study provides a retrospective assessment conducted by external academic teams, it identifies factors that may be relevant for translating evidence-based behavioral interventions in a way that assures that they are sustained within healthcare systems.Ye

Reviews

Managing Change in Higher Education: A Learning Environment Architecture by Peter Ford and eight other authors, Buckingham: Society for Research into Higher Education and the Open University Press, 1996. ISBN 0–335–19791–4. 161 pages, paperback. No price indicated

The case for and against the regulation of food marketing directed towards children

Trabalho final de mestrado integrado em Medicina (Hematologia), apresentado á Faculdade de Medicina da Universidade de CoimbraAs Hemofilias A e B são as deficiências de fatores da coagulação mais comuns e definem-se pela ausência ou diminuição dos níveis de FVIII e FIX, respetivamente. Resultam de mutações nos genes que codificam os referidos fatores e caracterizam-se pela sua hereditariedade ligada ao sexo. A sua apresentação clínica nas formas graves (a maioria) é muito típica, sendo a hemartrose o seu sinal clássico. Nesta situação, mesmo que não exista história familiar, o diagnóstico não apresenta dificuldades significativas. Contudo, no que diz respeito a uma deficiência de FVIII, terá sempre que se descartar a hipótese se estar perante uma DvW e não uma Hemofilia A, devido à semelhança clínica e laboratorial. Nas formas leves, a sua apresentação mais tardia, implica não só excluir a DvW, como a HAA, pelos mesmos motivos. Assim sendo, estes são distúrbios abordados ao longo desta revisão. A terapêutica da hemofilia sofreu uma tremenda evolução nas últimas três décadas. Atualmente, dispõe-se de concentrados de fator derivados de plasma e recombinantes que, especialmente em países desenvolvidos, permitem a sua administração pelo doente ou família, na sua própria casa. Este progresso permitiu um considerável aumento na sobrevivência e uma marcada redução da incapacidade devidas aos danos articulares característicos da hemofilia. As recomendações terapêuticas assentam numa abordagem profilática contínua iniciada precocemente e mantida pelo menos até ao início da vida adulta. No entanto, poucas certezas existem ainda sobre as doses ótimas a serem administradas, a frequência da sua administração e o momento ótimo em que o doente deve abandonar a terapêutica profilática e iniciar tratamento apenas on demand. Já quase ultrapassado o flagelo das infeções pelo HIV, HBV e HCV, a principal e mais grave complicação do tratamento da hemofilia é, nos dias de hoje, o desenvolvimento 5 de inibidores. Também nesta área é necessário mais estudos que determinem as doses ótimas da ITI e as possíveis vantagens do uso de fármacos adjuvantes. Prevê-se que num futuro próximo sejam desenvolvidos e aprovados concentrados de fator com semi-vidas mais longas e metodologias de terapia génica. Assim sendo, esta revisão tem como objetivo apresentar os conceitos propostos atualmente pela comunidade científica no que concerne à abordagem da Hemofilia, desde o seu diagnóstico até às complicações do seu tratamento e perspetivas futuras. Com este intuito, foi realizada a pesquisa da literatura científica publicada até 2014 na base de dados PubMed, com recurso aos meios disponibilizados pela Biblioteca do Centro Hospitalar e Universitário de Coimbra. Após o levantamento dos artigos publicados na área, procedeu-se à seleção dos artigos, inicialmente com base no título e, posteriormente, pela leitura dos resumos daqueles que mostraram ser relevantes. Por último, sempre que possível, obteve-se a versão completa dos artigos cujo resumo demonstrou conter informação pertinente no âmbito da abordagem clínica das HemofiliasHemophilia A and B are the most common deficiencies of coagulation factors and are defined by the absence or decreased levels of FVIII and FIX, respectively. They are a result of the gene mutations of FVIII and FIX and are characterized by their sex-linked inheritance. In severe forms, which are the majority, the clinical presentation is typical, with hemarthrosis being the classical sign. Therefore, in the presence of a hemarthrosis, even if there is no family history, the diagnosis does not present significant difficulties. However, if FVIII deficiency is suspected, it’s important to discard the hypothesis of a vWD, due to the similar clinical and laboratory features. In mild forms, their later presentation implies not only discard vWD, but also AHA, for the same reason. Consequently, these are two disorders discussed throughout this review. The treatment of hemophilia has undergone tremendous development in the last three decades. Currently, plasma-derived and recombinant factor concentrates are available, especially in developed countries, enabling home infusion therapy by either the patient or his family. This progress has led to a significant increase in survival and a marked reduction of joint damage and consequent disability. Nowadays, prophylactic factor replacement is considered the standard care of hemophilia, starting in early childhood and continuing at least until early adulthood. However, there are few certainties about the optimal doses, its administration frequency and when prophylactic therapy should be stopped. Since the HIV, HBV and HCV infection issue is almost overcome, the main and most serious complication of hemophilia is, these days, the inhibitors development. Also in this field, further studies are needed to determine optimal doses of ITI and the possible advantages of adjuvant drugs. We hope that, in the near future, longer half-life coagulation products and emerging methodology based on gene transfer are developed and approved to hemophilia treatment. 7 Therefore, this review aims to present the currently proposed concepts by the scientific community regarding the approach of Hemophilia, from diagnosis to treatment complications and future prospects. For this purpose, a search of the scientific literature published until 2014 in the PubMed database was performed, using the resources made available by the Library of Coimbra’s University Hospital. After the assessment of articles published in the area, it was performed the article selection, initially based on the title and then by reading the abstracts of those who proved to be relevant. Finally, wherever possible, we obtained a full version of the articles shown to contain in their abstract relevant information within the clinical approach of hemophili

The case for and against the regulation of food marketing directed towards children

Authoritative and comprehensive reviews of studies on the nature and extent of food marketing to children indicate that children are exposed to high levels of food marketing and that the \u27marketed diet\u27 typically comprises energy-dense, micronutirent-poor foods. However, the implication of causality between marketing, product exposures and childhood obesity is not universally accepted. A vigorous discussion rages about appropriate policy responses to children\u27s exposure to food marketing. The advocacy by many health and consumer groups for tighter government restrictions on food marketing is juxtaposed to the views held by many in the food and advertising industries. Pivotal in this debate is the role of evidence in policy decisions and the appropriateness of industry self-regulation versus government intervention in food marketing. This chapter will explore the dietary and health implications of children\u27s exposure to unhealthy food marketing and present arguments for and against regulations to restrict this marketing

The Feasibility of Adopting an Evidence-Informed Tailored Exercise Program within Adult Day Services: The Enhance Mobility Program.

This article uses the RE-AIM framework to evaluate the feasibility of implementing Enhance Mobility (EM), a tailored, evidence-informed group exercise and walking program for older adults with dementia, into an adult day services center. Participant physical performance outcomes were measured at baseline and 8 months. Program staff were interviewed to understand implementation challenges. Participant outcomes did not change significantly, though gait speed improved from limited to community ambulation levels. Implementation challenges included space reallocation and adequate staffing. Adopting EM in adult day services is feasible, and has potential to reach older adults who could benefit from tailored exercise.Ye

Out of the Box: Homegrown in Greater Lafayette [extracts]

Students from the Honors 299 course, “Homegrown,” researched local Hispanic culture, sound, green spaces, and coffee shops, among other areas of study, as well as the role of each in establishing a sense of place

Biostratigraphic utility of coiling direction in Miocene planktonic foraminiferal genus Paragloborotalia

Trochospiral planktonic foraminifera will coil either sinistral (left) or dextral (right). The prevalence of sinistral or dextral coiling can change through the stratigraphic range of morphospecies with a preference in coiling direction. A number of coiling shifts have been applied as secondary marker events through the Recent to late Miocene (~0–7 Ma) biochronology. However, no such events have been applied beyond this age despite a number of species being known to adopt preferential coiling directions. Here we investigate selected Miocene species within the genus Paragloborotalia. Previous work in the tropical to subtropical realm has shown that the mayeri–siakensis group undergoes a shift from random to sinistrally dominated coiling in the mid Miocene (~15 Ma). We extend the investigation to other Miocene paragloborotaliids in the low (IODP Sites U1337, U1338, ODP Sites 871 and 925), mid (JOIDES-3 hole) and high latitudes (ODP Site 747) in order to assess whether there is global synchronicity and if the change is unique to the mayeri-siakensis group. In addition, a number of outcrop samples from the Cipero and Lengua formations in southern Trinidad are quantitatively compared to previously published trends. Our results show that in the low-mid latitudes the coiling shift is at ~15.37 Ma within planktonic foraminiferal Zone M5 within both Paragloborotalia siakensis and Paragloborotalia continuosa. In the high latitudes the absence of paragloborotaliids through a portion of the mid Miocene interval prevents accurate dating of a shift from early forms showing random coiling to later paragloborotaliids adopting a sinistral preference. We also find two coiling changes in the genus Globorotalia at high latitude Site 747, from random to sinistral in the mid Miocene (15.14 Ma) and sinistral to dextral (10.02 Ma) in the late Miocene. We propose the recognition of a coiling change in Paragloborotalia as a secondary bioevent in the mid Miocene at 15.37 Ma, and a useful means for the recognition of the base of the Langhian. The coiling shift as a biostratigraphic marker is likely to be particularly useful in regions where the currently applied bioevents, namely the Praeorbulina–Orbulina lineage, is rare or poorly represented

An environmental scan of the role of nurses in preventing fetal alcohol spectrum disorders.

Nurses are in an ideal position to talk to their patients of reproductive age about alcohol use and encourage the prevention of alcohol-exposed pregnancies. Effective conversations can be efficiently included in the clinical encounter to identify alcohol misuse and offer appropriate follow-up. This report presents results of an environmental scan of resources relevant to nursing professionals and nurses' role in addressing alcohol misuse. Gaps in nursing education and practice guidelines with regard to defining the nursing role in preventing alcohol-exposed pregnancies were revealed. Findings identified a need to promote adoption among nurses of evidence-based preventive practices to prevent alcohol misuse.Ye