A study of the relationship of the incidence of physical complaints and the dissatisfactions of students of nursing during their psychiatric nursing experience

Thesis (M.S.)--Boston Universit

The Vedic scriptures and the Bible

Thesis (M.A.)--Boston University, 1935. This item was digitized by the Internet Archive

An Investigation of the Association between Teachers’ Use of Culturally Responsive Strategies, Culturally Responsive Teaching Self-Efficacy, and Teachers’ Ability to Manage Student Behavior

Students with disabilities and African American students are more likely to experience exclusionary discipline than typically developing, White students. Some suggest that using culturally responsive teaching practices may improve student behavior. The purpose of this study was to determine whether teachers’ use of culturally responsive strategies and culturally responsive teaching self-efficacy were associated with teachers’ ability to manage student behavior. Since research suggests that the relationship among these variables may be influenced by teacher characteristics and social desirability, the influence of these variables was also examined. Responses from a battery of self-report and observation measures completed by 180 teachers from 12 schools were analyzed using structural equation modeling (SEM) to test research questions related to teachers’ use of culturally responsive strategies, culturally responsive teaching self-efficacy, and teachers’ ability to manage student behavior. Broadly, these research questions focused on the associations among teachers’ use of culturally responsive strategies, culturally responsive teaching self-efficacy, social desirability, and teacher characteristics and how these associations hold up after accounting for social desirability and teacher characteristics. Results indicated that teachers’ use of culturally responsive strategies in the classroom was not associated with culturally responsive teaching self-efficacy, even after accounting for the influence of social desirability and teacher characteristics. Additionally, results suggested that teachers’ use of culturally responsive strategies was associated with teachers’ ability to manage student behavior, but that culturally responsive teaching self-efficacy was not, even after accounting for social desirability and teacher characteristics. Implications for pre- and in-service teacher research, training, and evaluation in special and general education are discussed

Strategies for addressing vaccine hesitancy - A systematic review.

UNLABELLED: The purpose of this systematic review is to identify, describe and assess the potential effectiveness of strategies to respond to issues of vaccine hesitancy that have been implemented and evaluated across diverse global contexts. METHODS: A systematic review of peer reviewed (January 2007-October 2013) and grey literature (up to October 2013) was conducted using a broad search strategy, built to capture multiple dimensions of public trust, confidence and hesitancy concerning vaccines. This search strategy was applied and adapted across several databases and organizational websites. Descriptive analyses were undertaken for 166 (peer reviewed) and 15 (grey literature) evaluation studies. In addition, the quality of evidence relating to a series of PICO (population, intervention, comparison/control, outcomes) questions defined by the SAGE Working Group on Vaccine Hesitancy (WG) was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria; data were analyzed using Review Manager. RESULTS: Across the literature, few strategies to address vaccine hesitancy were found to have been evaluated for impact on either vaccination uptake and/or changes in knowledge, awareness or attitude (only 14% of peer reviewed and 25% of grey literature). The majority of evaluation studies were based in the Americas and primarily focused on influenza, human papillomavirus (HPV) and childhood vaccines. In low- and middle-income regions, the focus was on diphtheria, tetanus and pertussis, and polio. Across all regions, most interventions were multi-component and the majority of strategies focused on raising knowledge and awareness. Thirteen relevant studies were used for the GRADE assessment that indicated evidence of moderate quality for the use of social mobilization, mass media, communication tool-based training for health-care workers, non-financial incentives and reminder/recall-based interventions. Overall, our results showed that multicomponent and dialogue-based interventions were most effective. However, given the complexity of vaccine hesitancy and the limited evidence available on how it can be addressed, identified strategies should be carefully tailored according to the target population, their reasons for hesitancy, and the specific context

Spanning Boundaries in an Arizona Watershed Partnership: Information Networks as Tools for Entrenchment or Ties for Collaboration?

The need to develop successful collaborative strategies is an enduring problem in sustainable resource management. Our goal is to evaluate the relationship between information networks and conflict in the context of collaborative groundwater management in the rapidly growing central highland region of Arizona. In this region, water-management conflicts have emerged because of stakeholders’ differing geographic perspectives and competing scientific claims. Using social network analyses, we explored the extent to which the Verde River Basin Partnership (VRBP), which was charged with developing and sharing scientific information, has contributed to collaboration in the region. To accomplish this, we examined the role that this stakeholder partnership plays in reinforcing or overcoming the geographic, ideological, expert, and power conflicts among its members. Focusing on information sharing, we tested the extent to which several theoretically important elements of successful collaboration were evidenced by data from the VRBP. The structure of information sharing provides insight into ways in which barriers between diverse perspectives might be retained and elucidates weaknesses in the partnership. To characterize information sharing, we examined interaction ties among individuals with different geographic concerns, hierarchical scales of interest, belief systems (about science, the environment, and the role of the partnership), and self-identified expertise types. Results showed that the partnership’s information-sharing network spans most of these boundaries. Based on current theories of collaboration, we would expect the partnership network to be conducive to collaboration. We found that information exchanges are limited by differences in connection patterns across actor expertise and environmental-belief systems. Actors who view scientists as advocates are significantly more likely to occupy boundary-spanning positions, that appear to impede the success of the partnership. This analysis challenges widely held assumptions about the properties that separate successful collaborations from those that are less successful. It has implications for our understanding of the factors that constrain information processing, knowledge production, and collective-action capability in institutions

Cosmic Star Formation, Reionization, and Constraints on Global Chemical Evolution

Motivated by the WMAP results indicating an early epoch of reionization, we consider alternative cosmic star formation models which are capable of reionizing the early intergalactic medium. We develop models which include an early burst of massive stars (with several possible mass ranges) combined with standard star formation. We compute the stellar ionizing flux of photons and we track the nucleosynthetic yields for several elements: D, He4, C, N, O, Si, S, Fe, Zn. We compute the subsequent chemical evolution as a function of redshift, both in the intergalactic medium and in the interstellar medium of forming galaxies, starting with the primordial objects which are responsible for the reionization. We apply constraints from the observed abundances in the Lyman alpha forest and in Damped Lyman alpha clouds in conjunction with the ability of the models to produce the required degree of reionization. We also consider possible constraints associated with the observations of the two extremely metal-poor stars HE 0107-5240 and CS22949-037. We confirm that an early top-heavy stellar component is required, as a standard star formation model is unable to reionize the early Universe and reproduce the abundances of the very metal-poor halo stars. A bimodal (or top-heavy) IMF (40 - 100 M_\odot) is our preferred scenario compared to the extreme mass range (\ga 100 M_\odot) often assumed to be responsible for the early stages of reionization. A mode of even more extreme stellar masses in the range (\ge 270 M_\odot) has also been considered. All massive stars in this mode collapse entirely into black holes, and as a consequence, chemical evolution and reionization are de-correlated. [Abstract abbreviated.]Comment: 45 pages, 18 eps figures, as accepted in Ap

Lack of Association Between 25(OH)D Levels and Incident Type 2 Diabetes in Older Women

Objective: To examine whether lower serum levels of serum 25-hydroxyvitamin (OH) D [25(OH)D] are associated with increased risk of developing type 2 diabetes. Research Design and Methods: A post hoc analysis of three nested case-control studies of fractures, colon cancer, and breast cancer that measured serum 25(OH)D levels in women participating in the Women’s Health Initiative (WHI) Clinical Trials and Observational Study who were free of prevalent diabetes at baseline. Diabetes was defined as self-report of physician diagnosis or receiving insulin or oral hypoglycemic medication. We used inverse probability weighting to make the study population representative of the WHI population as a whole. Weighted logistic regression models compared 25(OH)D levels (divided into quartiles, clinical cut points [<50, 50–<75, $\geq$75 nmol/L], or as a continuous variable) using the distribution of control subjects and adjusted for multiple confounding factors. Results: Of 5,140 women (mean age 66 years) followed for an average of 7.3 years, 317 (6.2%) developed diabetes. Regardless of the cut points used or as a continuous variable, 25(OH)D levels were not associated with diabetes incidence in either age or fully adjusted models. Nor was any relationship found between 25(OH)D and incident diabetes when evaluated by strata of BMI, race/ethnicity, or randomization status in the Calcium Vitamin D trial. Conclusions: Lower serum 25(OH)D levels were not associated with increased risk of developing type 2 diabetes in this racially and ethnically diverse population of postmenopausal women

Measuring trust in vaccination: A systematic review.

Vaccine acceptance depends on public trust and confidence in the safety and efficacy of vaccines and immunization, the health system, healthcare professionals and the wider vaccine research community. This systematic review analyses the current breadth and depth of vaccine research literature that explicitly refers to the concept of trust within their stated aims or research questions. After duplicates were removed, 19,643 articles were screened by title and abstract. Of these 2,779 were screened by full text, 35 of which were included in the final analysis. These studies examined a range of trust relationships as they pertain to vaccination, including trust in healthcare professionals, the health system, the government, and friends and family members. Three studies examined generalized trust. Findings indicated that trust is often referred to implicitly (19/35), rather than explicitly examined in the context of a formal definition or discussion of the existing literature on trust in a health context. Within the quantitative research analysed, trust was commonly measured with a single-item measure (9/25). Only two studies used validated multi-item measures of trust. Three studies examined changes in trust, either following an intervention or over the course of a pandemic. The findings of this review indicate a disconnect between the current vaccine hesitancy research and the wider health-related trust literature, a dearth in research on trust in low and middle-income settings, a need for studies on how trust levels change over time and investigations on how resilience to trust-eroding information can be built into a trustworthy health system