267 research outputs found
Authorship & Agency: Exploring Coaching as a Tool for Student Success
Coaching has emerged as a new, innovative practice within higher education. However, we have only begun to understand the true impact of coaching for college students. Research from individual coaching programs has shown that students who participate in coaching sessions are more likely to be retained, have higher GPAs, and engage in self-regulated learning. However, little research has been done to explore coaching from the student perspective. We do not yet understand how students utilize coaching as a tool to optimize their student experience. The goal of this project was to explore how coaching impacts the student experience and to illuminate ways in which coaching might help students develop self-authorship and agency. Using a phenomenological approach, data was generated through semi-structured interviews with 19 students at one university in the southeastern United States. Data analysis illuminated several major themes, including academic success strategies, decision-making, and independence, all of which help students optimize their college experience. Additionally, a perceived increased self-authorship and agency was demonstrated for most students, with first- and second-year students focused primarily on academic development, and junior and senior students focused on future planning and adulthood. Additional demographic features such as gender, major, and race/ethnicity were explored, but did not reveal any significant distinctions in the data
Reducing Hospital Readmissions in New York State: A Simulation Analysis of Alternative Payment Incentives
Examines strategies to reduce hospital readmissions, including improving discharge processes, post-discharge support, and payment incentives. Estimates payers' and hospitals' cost savings from pay-for-performance and episode-based payments
Quantitative nucleotide level analysis of regulation of translation in response to depolarization of cultured neural cells
Studies on regulation of gene expression have contributed substantially to understanding mechanisms for the long-term activity-dependent alterations in neural connectivity that are thought to mediate learning and memory. Most of these studies, however, have focused on the regulation of mRNA transcription. Here, we utilized high-throughput sequencing coupled with ribosome footprinting to globally characterize the regulation of translation in primary mixed neuronal-glial cultures in response to sustained depolarization. We identified substantial and complex regulation of translation, with many transcripts demonstrating changes in ribosomal occupancy independent of transcriptional changes. We also examined sequence-based mechanisms that might regulate changes in translation in response to depolarization. We found that these are partially mediated by features in the mRNA sequence—notably upstream open reading frames and secondary structure in the 5′ untranslated region—both of which predict downregulation in response to depolarization. Translationally regulated transcripts are also more likely to be targets of FMRP and include genes implicated in autism in humans. Our findings support the idea that control of mRNA translation plays an important role in response to neural activity across the genome
Charter-School Management Organizations: Diverse Strategies and Diverse Student Impacts
Examines the growth of charter school management organizations, characteristics of students served, and use of resources; CMO practices; impact on students, including middle school test scores; and structures and practices linked to positive outcomes
Power, Validity, Bias and Robustness of Family-based Association Analysis Methods in the Presence of Linkage for Late Onset Diseases
This simulation-based report compares the performance of five methods of association analysis in the presence of linkage using extended sibships: the Family-Based Association Test (FBAT), Empirical Variance FBAT (EV-FBAT), Conditional Logistic Regression (CLR), Robust CLR (R-CLR) and Sibship Disequilibrium Test (SDT). The two tests accounting for residual familial correlation (EV-FBAT and R-CLR) and the model-free SDT showed correct test size in all simulated designs, while FBAT and CLR were only valid for small effect sizes. SDT had the lowest power, while CLR had the highest power, generally similar to FBAT and the robust variance analogues. The power of all model-dependent tests dropped when the model was misspecified, although often not substantially. Estimates of genetic effect with CLR and R-CLR were unbiased when the disease locus was analysed but biased when a nearby marker was analysed. This study demonstrates that the genetic effect does not need to be extreme to invalidate tests that ignore familial correlation and confirms that analogous methods using robust variance estimation provide a valid alternative at little cost to power. Overall R-CLR is the best-performing method among these alternatives for the analysis of extended sibship data
Understanding and application of daptomycin-susceptible dose-dependent category for Enterococcus: A mixed-methods study
Background: In 2018, the Clinical Microbiology Laboratory at our institution adopted updated daptomycin
Methods: This mixed-methods study combined a clinician survey with a retrospective pre-post prescribing analysis. An 8-question survey was distributed to infectious diseases (ID) and internal medicine (IM) clinicians. A retrospective chart review of hospitalized adults with infections due to
Results: Survey response rates were 40 of 98 (41%) for IM and 22 of 34 (65%) for ID clinicians. ID clinicians scored significantly higher than IM clinicians in knowledge of SDD. Chart review of 474 patients (225 pre- vs 249 post-SDD) showed that daptomycin dosage following susceptibility testing was significantly higher post-SDD compared with pre-SDD (8.5 mg/kg vs 6.4 mg/kg;
Conclusions: The survey revealed that ID clinicians placed more importance on and had more confidence in the SDD category over IM clinicians. SDD reporting was associated with a change in definitive daptomycin dosing. ID specialist involvement is recommended in the care of infections due to enterococci for which daptomycin is reported as SDD given their expertise
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