Equity Through Partnership: Overcoming Barriers to Family-School Partnership in K-12 School Settings

Over the last few decades, it has become widely accepted that family-school partnership is an essential strategy to support the success of all students in K-12 school settings. However, despite this fact, policies and practices within the realm of family-school partnership remain largely undeveloped and inconsistent across the U.S, particularly in schools serving students from non-dominant backgrounds. There are several reasons for this, including the fact that theoretical frameworks in the field have remained limited in scope, and that there is a demonstrated lack of training for educators in the domain of family-school partnership. Nevertheless, there now exist some promising frameworks and exemplars across the U.S that can serve as valuable guideposts for both policymakers and practitioners who strive to foster truly effective, sustained partnerships between families and educators in K-12 schools nationwide

A Comparison of Mixed-Integer Programming Models for Non-Convex Piecewise Linear Cost Minimization Problems

We study a generic minimization problem with separable non-convex piecewise linear costs, showing that the linear programming (LP) relaxation of three textbook mixed integer programming formulations each approximates the cost function by its lower convex envelope. We also show a relationship between this result and classical Lagrangian duality theory

Models and Methods for Merge-In-Transit Operations

We develop integer programming formulations and solution methods for addressing operational issues in merge-in-transit distribution systems. The models account for various complex problem features including the integration of inventory and transportation decisions, the dynamic and multimodal components of the application, and the non-convex piecewise linear structure of the cost functions. To accurately model the cost functions, we introduce disaggregation techniques that allow us to derive a hierarchy of linear programming relaxations. To solve these relaxations, we propose a cutting-plane procedure that combines constraint and variable generation with rounding and branch-and-bound heuristics. We demonstrate the effectiveness of this approach on a large set of test problems with instances with up to almost 500,000 integer variables derived from actual data from the computer industry. Key words : Merge-in-transit distribution systems, logistics, transportation, integer programming, disaggregation, cutting-plane method

Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma

Objective Patients normotensive in the trauma bay despite documented prehospital hypotension may not be recognized as significantly injured. The purpose of this study was to determine whether isolated prehospital hypotension portends poor outcomes and correlates with injury severity. Methods Prospective cohort study conducted at a level 1 university trauma center. The lowest recorded prehospital systolic blood pressure (SBP) and the first recorded SBP on hospital arrival were used to divide patients into either the normotensive (NP) or hypotensive (HP) group. Patients who failed to achieve normotension on hospital arrival were excluded. Hypotension was defined as SBP≤110 mmHg. Results Compared to NP (n=206), HP (n=81) had lower Glasgow Coma Scores both prehospital (12.81±0.44 vs 14.38±0.13) and at hospital admission (12.78±0.47 vs 14.37±0.14). Injury Severity Score positively correlated with prehospital hypotension (HP 12.27±1.12 vs NP 9.22±0.49). Prehospital hypotension positively correlated with intensive care unit (ICU) admission (HP 56.79% vs NP 22.82%), ICU length of stay (LOS) (HP 3.23±0.71 vs NP 0.71±0.17), hospital LOS (HP 8.58±1.39 vs NP 4.86±0.33), ventilator days (HP 3.38±1.20 vs NP 0.27±0.08 days), and repeat hypotensive episodes during their hospital stay (HP 81.71% vs NP 38.16%). HP also required more packed red blood cells in the first 24 hours after admission (22% vs 6%). Significance was set at p\u3c0.05. Conclusions Isolated prehospital hypotension in patients in the trauma and emergency department correlates with increased injury severity and portends worse outcomes despite a normal blood pressure reading at admission. Prehospital hypotension must be given heavy consideration in triage, as these patients may be transiently hypotensive and appear less critical than their true status. Level of Evidence Level II, Prognostic study

Peer assessment of outpatient consultation letters – feasibility and satisfaction

<p>Abstract</p> <p>Background</p> <p>Written correspondence is one of the most important forms of communication between health care providers, yet there is little feedback provided to specialists. The objective of this study was to determine the feasibility and satisfaction of a peer assessment program on consultation letters and to determine inter-rater reliability between family physicians and specialists.</p> <p>Methods</p> <p>A rating scale of nine 5-point Likert scale items including specific content, style items, education value of the letter and an overall rating was developed from a previous validated tool.</p> <p>Nine Internal Medicine specialists/subspecialists from two tertiary care centres submitted 10 letters with patient and physician identifiers removed. Two Internal Medicine specialists, and 2 family physicians from the other centre rated each letter (to protect writer anonymity). A satisfaction survey was sent to each writer and rater after collation of the results. A follow-up survey was sent 6–8 months later.</p> <p>Results</p> <p>There was a high degree of satisfaction with the process and feedback. The rating scale information was felt to be useful and appropriate for evaluating the quality of consultation letters by 6/7 writers. 5/7 seven writers felt that the feedback they received resulted in immediate changes to their letters. Six months later, 6/9 writers indicated they had maintained changes in their letters.</p> <p>Raters rank ordered letters similarly (Cronbach's alpha 0.57–0.84) but mean scores were highly variant. At site 1 there were significant differences in scoring brevity (p < 0.01) between family physician and specialist raters; whereas, at site 2 there were differences in scoring of history (p < 0.01), physical examination (p < 0.01) and educational value (p < 0.01) of the letter.</p> <p>Conclusion</p> <p>Most participants found peer assessment of letters feasible and beneficial and longstanding changes occurred in some individuals. Family physicians and specialists appear to have different expectations on some items. Further studies on reliability and validity, with a larger sample, are required before high stakes professional assessments include consultation letters.</p

Canopy structural attributes derived from AVIRIS imaging spectroscopy data in a mixed broadleaf/conifer forest

There is a well-established need within the remote sensing community for improved estimation and understanding of canopy structure and its influence on the retrieval of leaf biochemical properties. The main goal of this research was to assess the potential of optical spectral information from NASA's Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) to discriminate different canopy structural types. In the first phase, we assessed the relationships between optical metrics and canopy structural parameters obtained from LiDAR in terms of different canopy structural attributes (biomass (i.e., area under Vegetation Vertical Profile, VVPint), canopy height and vegetation complexity). Secondly, we identified and classified different âcanopy structural typesâ by integrating several structural traits using Random Forests (RF). The study area is a heterogeneous forest in Sierra National Forest in California (USA). AVIRIS optical properties were analyzed by means of several sets of variables, including single narrow band reflectance and 1st derivative, sub-pixel cover fractions, narrow-band indices, spectral absorption features, optimized normalized difference indices and Principal Component Analysis (PCA) components. Our results demonstrate that optical data contain structural information that can be retrieved. The first principal component, used as a proxy for albedo, was the most strongly correlated optical metric with vegetation complexity, and it also correlated well with biomass (VVPint) and height. In conifer forests, the shade fraction was especially correlated to vegetation complexity, while water-sensitive optical metrics had high correlations with biomass (VVPint). Single spectral band analysis results showed that correlations differ in magnitude and in direction, across the spectrum and by vegetation type and structural variable. This research illustrates the potential of AVIRIS to analyze canopy structure and to distinguish several structural types in a heterogeneous forest. Furthermore, RF using optical metrics derived from AVIRIS proved to be a powerful technique to generate maps of structural attributes. The results emphasize the importance of using the whole optical spectrum, since all spectral regions contributed to canopy structure assessment

Improving Post-Operative Outcomes in Aged and Diabetic Obese Mice

Due to their small size, high metabolic rate, and large surface to volume ratio, mice are a challenge to work with surgically and peri-operatively. Working with mice that are more susceptible to anesthetic agents, aged, or obese (e.g., diabetic mice), provides even more challenges. In two separate studies, we found simple that supportive care measures during and after surgery improved post-operative outcomes

Numbers are Just Not Enough: A Critical Analysis of Race, Gender, and Sexuality in Elementary and Middle School Health Textbooks

Textbooks are a multimillion dollar publishing business in the United States. Even as 21st-century classrooms become more multimodal, digital and hardcopy textbooks remain a key feature of American education. Consequently, classroom textbooks have been shown to control knowledge dissemination across the content areas. In particular, health texts have been uniquely shown to communicate values that validate or marginalize students and encourage healthy or harmful activity. Thus,what textbook makers choose to include as worthy of study, and how they portray various groups of people with regard to race, gender, and sexuality has societal implications. Employing quantitative and qualitative content analysis methods, we analyzed 1,468 images across elementary and middle school health textbooks to examine the portrayal of race, gender, and sexuality.We found that, although gender and racial diversity are well-represented in texts, women and people of color were frequently portrayed in stereotypical roles. For example, girls were depicted daydreaming about heterosexual marriage. Furthermore, this analysis revealed limited representations of sexuality. Findings suggest that focusing on the numerical representation of marginalized groups is not enough to address issues of equity and power in classroom curricula. Instead,we argue, educators must consider the ways in which people are positioned in curricular materials, and ask if portrayals perpetuate or challenge traditional stereotypes

Interactions between bitter taste, diet and dysbiosis: Consequences for appetite and obesity

The type 2 family of taste receptors (T2Rs) detect and respond to bitter tastants. These receptors are expressed throughout the gastrointestinal (GI) tract, with location dependant roles. In the oral cavity, T2Rs are involved in the conscious perception of bitter tastants, while in the lower GI tract they have roles in chemoreception and regulation of GI function. Through these diverse roles, these receptors may be involved in modulating appetite and diet, with consequences for weight regulation and obesity. Interestingly, the concentration of T2Rs in the GI tract is greatest in the large intestine, the organ with the densest colonisation of bacteria. The gut microbiome has been the subject of intense research, as a plethora of roles linking microbiota to human health continue to be uncovered. Of particular interest is the microbial signature associated with obesity. Obesity is a leading health concern, and advances in our understanding of this disease are needed. Diet is a known modifiable factor in the development of obesity. However, diet only partially explains disease risk. Changes in microbial energy harvesting by the microbiota plays a role in obesity, and the composition of these energy harvesting populations may be controlled by taste receptors. This review explores T2Rs as a potential link between obesity and the human GI microbiome