303 research outputs found
Exploring Culturally Responsive Teaching and Student-Created Videos in an At-Risk Middle School Classroom
As the United States public school classrooms encounter notable shifts in student demographics and increased access to technology, teachers face the dual challenges of cultural and digital differences as they attempt to build relationships with students and develop responsive and relevant instruction. Framed by culturally responsive teaching, this qualitative study explored how one middle school teacher and his students in two summer school English classes interacted with and responded to novel technology-based instructional approach that sought to connect the students’ lives outside of school to the classroom. The findings suggest that involving the students within this culturally responsive teaching approach using student-created videos informs the contribution of both the teacher and the students for connecting home and school contexts with a CRT framework
Establishing an evidenced-based dietetic model of care in haemodialysis using implementation science
To establish an evidence-based dietetics service in an in-centre haemodialysis unit utilising implementation science.The service was developed through the Knowledge-to-Action Framework. The steps of the Action Cycle were addressed through a literature review, identification of evidence-based guidelines, benchmarking and local staff engagement. The theoretical domains framework (TDF) was used to identify barriers/enablers, and behaviour change wheel to determine appropriate interventions. To monitor, evaluate outcomes and assess sustained knowledge use we employed multidisciplinary team engagement and database use. Audit data were collected at baseline, 6 and 12 months on nutrition assessment (Patient-Generated Subjective Global Assessment), intervention timeliness and alignment to dietetic workforce recommendations. Descriptive statistics, McNemar tests and a linear mixed model were applied.Barriers existed in the knowledge, skills, environmental context and resources TDF domains. Suitable interventions were identified with training on nutritional management of haemodialysis patients delivered to 148 nurses, and nutrition management recommendations summarised into local procedural resources. A database to prompt and monitor outcome measures was created and indicated that over 18 months post-service commencement, eligible patients received nutrition assessment at least 6-monthly, aligning with recommendations. Prevalence of malnutrition was 28% (n = 9/32) at baseline, 23% (n = 5/22) at 6 months and 20% (n = 4/20) at 12 months (P = 0.50).We demonstrated benefits to service development and implementation with implementation science providing a structured and methodical approach to translating guidelines into practice. Development of training, resources and prompts for outcome measures has supported the establishment of an evidence-based dietetics service in a haemodialysis unit
Telehealth improves quality of life and protein intake in malnourished older adults: A meta-analysis
Future evolution and uncertainty of river flow regime change in a deglaciating river basin
The flow regimes of glacier-fed rivers are sensitive to climate change due to
strong climate–cryosphere–hydrosphere interactions. Previous modelling
studies have projected changes in annual and seasonal flow magnitude but
neglect other changes in river flow regime that also have socio-economic and
environmental impacts. This study employs a signature-based analysis of
climate change impacts on the river flow regime for the deglaciating Virkisá
river basin in southern Iceland. Twenty-five metrics (signatures) are derived from 21st century projections of river flow time series to evaluate changes in
different characteristics (magnitude, timing and variability) of river flow
regime over sub-daily to decadal timescales. The projections are produced by
a model chain that links numerical models of climate and glacio-hydrology.
Five components of the model chain are perturbed to represent their
uncertainty including the emission scenario, numerical climate model,
downscaling procedure, snow/ice melt model and runoff-routing model. The
results show that the magnitude, timing and variability of glacier-fed river
flows over a range of timescales will change in response to climate change.
For most signatures there is high confidence in the direction of change, but
the magnitude is uncertain. A decomposition of the projection uncertainties
using analysis of variance (ANOVA) shows that all five perturbed model chain
components contribute to projection uncertainty, but their relative
contributions vary across the signatures of river flow. For example, the
numerical climate model is the dominant source of uncertainty for projections
of high-magnitude, quick-release flows, while the runoff-routing model is
most important for signatures related to low-magnitude, slow-release flows.
The emission scenario dominates mean monthly flow projection uncertainty, but
during the transition from the cold to melt season (April and May) the
snow/ice melt model contributes up to 23 % of projection uncertainty.
Signature-based decompositions of projection uncertainty can be used to
better design impact studies to provide more robust projections.</p
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