You Want to Be A Part of Everything: The Arts, Community, and Learning

The report features provocative testimony to youth centered and youth directed arts programs that are creating powerful and supportive communities among young people. It highlights five youth arts programs from across the country brought together at an AEP forum in September, 2003. Youth and adult representatives engaged participants in activities that reflect the role of the arts in building positive learning communities

Powerful Arts Education Practice

This document describes 10 dimensions of powerful arts education practice — building blocks for organizations that engage young people in this practice. It also shares examples of the kinds of things you might see and feel at an organization — indicators — that could let you know these dimensions are at play.A working group of arts education leaders illuminated these dimensions and indicators through a collaborative process co-facilitated by Sarah Crowell, an expert practioner, and Lauren Stevenson, a researcher. Stevenson synthesized the group's insights and elaborated emerging dimensions and indicators through interviews with additional arts education leaders and iterative feedback from the working group. Working group members and interviewees included youth participants, youth mentors, young alumni, teaching artists, program managers, and artistic and executive directors at organizations known for powerful arts education practice. The following dimensions and indicators reflect their collective wisdom.

Third Space: When Learning Matters -- School Profiles & Demographics

Third Space tells the riveting story of the profound changes in the lives of kids, teachers, and parents in ten economically disadvantaged communities across the country that place their bets on the arts as a way to create great schools. The schools become caring communities where kids - many of whom face challenges of poverty, the need to learn English, and to surmount learning difficulties - thrive and succeed and where teachers find new joy and satisfaction in teaching.This document is the profiles and demographics of the schools being studied

Primed: Medicaid Pilots Open Door for Innovation in California

The United States health care system is undergoing a major transition from volume-based to value-based care. In California, health care pilots and initiatives offer financial incentives to clinics, hospitals, and health plans to accelerate this transition in order to better serve the state's nearly 14 million safety-net patients.Safety-net organizations must succeed in California's new Medicaid incentive programs in order to remain financially solvent. To carry out these pilots, providers and plans need high-value innovation that engages patients outside of the clinical setting, makes data accessible and usable for all health system staff, and enhances coordination between the health system and its external partners

Broadcasting the science stories of BGS: The British Geological Survey communications strategy

The British Geological Survey (BGS) is a world leading geological survey that focuses on public-good science for government, and research to understand earth and environmental processes. Prior to November 2006, the communications culture of the BGS had been largely driven by reaction to news events and managing media requests as they emerged. Since 2007, when greater emphasis was placed on more proactive communications, the public profile of the BGS was successfully raised. In 2014, the BGS released its new science strategy, Gateway to the Earth: Science for the next decade. This has the vision of BGS becoming a global geological survey with a focus on new technologies, responsible use of natural resources, management of environmental change and resilience to environment hazards. This has informed the development of a new communications strategy for the BGS, which is outlined in this report. The main audiences for BGS science and technology are the public, government and other decision makers, industry and private business, academia, BGS staff and the wider NERC community and the media. Communication with these audiences is largely through the broadcast media and the internet, with additional communication through the print media, and the public engagement activities of the BGS. The UK Governments communications plan for 2014-15 has as its vision ‘exceptional communications’, and the Government’s Digital Strategy aims to put more data into the public domain. The key messages in the Department for Business, Innovation and Skills policy paper ‘Engaging the public in science and engineering’ are that new audiences need to be targeted outside those already interested in science and that engagement needs to be ‘where people naturally congregate, rather than expecting them to come to us’. The communication trends that have influenced the development of the new BGS communications strategy have included: mobile went mainstream; transparency and trust; social media; science stories; image is everything; and, analytics and evidence. The new communication vision is to Establish the British Geological Survey as a global authority for geoscience. The over-arching aim is to create the maximum impact for BGS science and technology by communication with the world through the media, web and public engagement. BGS will make use of traditional, new and emerging communication channels to communicate its research with the following overarching themes: • broadcasting – broadcast the science of the BGS • science – demonstrate the impact of BGS science • stories – tell the geoscience stories of the BGS. The following are the key communication objectives: • make BGS the ‘go to’ organisation for geoscience news events in the UK and globally • use broadcast quality video to communicate the research of the BGS • use infographics to illustrate the impact of BGS research • engage a wider audience by telling the science stories of the BGS • create a website that is the first port of call for geoscience information • create a positive reputation and strong brand image for the BGS using social media • create a novel digital publication channel to publish the research of the BGS • actively work to promote geoscience as a career choice and to explain BGS research • create a more successful research community in BGS by effective internal communication (both one-way and two-way)

Improving Outpatient Diabetes Care

More than 20% of patients in the Veterans Health Administration (VHA) have diabetes; therefore, disseminating “best practices” in outpatient diabetes care is paramount. The authors’ goal was to identify such practices and the factors associated with their development. First, a national VHA diabetes registry with 2008 data identified clinical performance based on the percentage of patients with an A1c \u3e9%. Facilities (n = 140) and community-based outpatient clinics (n = 582) were included and stratified into high, mid, and low performers. Semistructured telephone interviews (31) and site visits (5) were conducted. Low performers cited lack of teamwork between physicians and nurses and inadequate time to prepare. Better performing sites reported supportive clinical teams sharing work, time for non-face-to-face care, and innovative practices to address local needs. A knowledge management model informed our process. Notable differences between performance levels exist. “Best practices” will be disseminated across the VHA as the VHA Patient-Centered Medical Home model is implemented

Impact of Baseline Heart Failure Burden on Post-Implantable Cardioverter-Defibrillator Mortality Among Medicare Beneficiaries

ObjectivesThis study sought to assess the impact of baseline heart failure (HF) burden on survival with primary implantable cardioverter-defibrillator (ICD) among Medicare recipients.BackgroundSurvival after primary ICD implantation may differ between trial and Medicare populations.MethodsLinking data from the CMS (Centers for Medicare and Medicaid Services) ICD registry and the Medicare files (2005 to 2009), we identified primary ICD recipients age ≥66 years with ejection fraction ≤35%. Number of previous HF hospitalizations (prev-HF-hosp) and length of hospitalization prior to implantation were used to define HF burden. Crude all-cause mortality was estimated. Adjusted hazard ratios (HR) were derived from Cox models.ResultsOf 66,974 ICD recipients (73% men, 88% white, mean age 75 years), 11,876 died (average follow-up = 1.4 years), with 3-year mortality of 31%. Among patients with no prev-HF-hosp, 3-year mortality was 27% compared with 63% in those with ≥3 prev-HF-hosp (adjusted HR: 1.8). Among patients with same-day implantation, 3-year mortality was 25% compared with 53% in those with >1-week hospitalization days prior to implantation (adjusted HR: 1.9). Mortality at 3-year follow-up among the 31,685 ICD recipients with no prev-HF-hosp and same-day implantation (low HF burden) was similar to that in trials (22%).ConclusionsNearly one-third of Medicare ICD recipients died within 3 years, reflecting a population with more advanced age and disease than seen in trial populations for primary prevention ICD. Nearly one-half of Medicare recipients had a low HF burden and had a survival similar to trial ICD recipients. Future research is warranted to understand the effectiveness of primary ICD implantation among Medicare beneficiaries with heavy HF burdens

Synthesis of 2,6-disubstituted dihydropyrans via an efficient BiBr3-initiated three component, one-pot cascade

The rapid synthesis of cis-2,6-disubstituted dihydropyrans is achieved in a three-component, one-pot cascade reaction. BiBr3-mediated addition of ketene silyl acetals or silyl enol ethers to beta,gamma-unsaturated cis-4-trimethylsilyl-3-butenal provides a Mukaiyama aldol adduct containing a vinylsilane moiety tethered to a silyl ether. Addition of a second aldehyde initiates a domino sequence involving intermolecular addition followed by an intramolecular silyl-modified Sakurai (ISMS) reaction. Isolated yields of this one-pot reaction vary from 44 to 80% and all compounds were isolated as the cis-diastereomers (10 examples). (C) 2009 Elsevier Ltd. All rights reserved

Kynurenic acid as a biochemical factor underlying the association between Western-style diet and depression : a cross-sectional study

Consumption of a Western-style diet (WS-diet), high in saturated fat and added sugar, is associated with increased depression risk. However, the physiological mechanisms underlying the relationship requires elucidation. Diet can alter tryptophan metabolism along the kynurenine pathway (KP), potentially linking inflammation and depression. This study aimed to examine whether urinary inflammatory markers and KP metabolites differed according to WS-diet consumption and depression severity. Depression symptoms and habitual WS-diet consumption were assessed in 169 healthy adults aged 17–35 recruited from two experimental studies. Targeted metabolomics profiling of seven KP metabolites, ELISA-based assays of interleukin-6 (IL-6) and C-reactive protein (CRP) were performed using urine samples collected from the participants. Parametric tests were performed for group comparison and associations analysis. Multilevel mixed-effect modelling was applied to control for biases. Higher intake of WS-diet was associated with lower levels of neuroprotective kynurenic acid (KA; R = −0.17, p = 0.0236). There were no differences in IL-6 or CRP across diet groups (p > 0.05). Physical activity had negative associations with most KP metabolites. Mixed-effects regression analysis showed the glutamatergic inhibitor, KA, was the only biomarker to have a significant association with depression symptoms in a model adjusted for demographic and lifestyle variables: a unit increase in KA was associated with 0.21 unit decrease in Depression Anxiety and Stress Scale-21 depression score (p = 0.009). These findings suggest that urinary KA is associated with both habitual WS-diet intake, and levels of depression symptoms, independent of inflammation. Findings support the role of neuroprotection and glutamatergic modulation in depression. We propose that KA may act as endogenous glutamatergic inhibition in regulating depression severity in the absence of inflammation. Further comparison with blood-based markers will assist in validating the utility of non-invasive urine samples for measuring KP metabolites