35 research outputs found
Have Gender Gaps in Math Closed? Achievement, Teacher Perceptions, and Learning Behaviors Across Two ECLS-K Cohorts
Studies using data from the Early Childhood Longitudinal StudyâKindergarten Class of 1998â1999 (ECLS-K:1999) revealed gender gaps in mathematics achievement and teacher perceptions. However, recent evidence suggests that gender gaps have closed on state tests, raising the question of whether such gaps are absent in the ECLS-K:2011 cohort. Extending earlier analyses, this study compares the two ECLS-K cohorts, exploring gaps throughout the achievement distribution and examining whether learning behaviors might differentially explain gaps more at the bottom than the top of the distribution. Overall, this study reveals remarkable consistency across both ECLS-K cohorts, with the gender gap developing early among high achievers and spreading quickly throughout the distribution. Teachers consistently rate girlsâ mathematical proficiency lower than that of boys with similar achievement and learning behaviors. Gender differences in learning approaches appear to be fairly consistent across the achievement distribution, but girlsâ more studious approaches appear to have more payoff at the bottom of the distribution than at the top. Questions remain regarding why boys outperform girls at the top of the distribution, and several hypotheses are discussed. Overall, the persistent ECLS-K patterns make clear that girlsâ early mathematics learning experiences merit further attention
A yield comparison between small-plot and on-farm foliar fungicide trials in soybean and maize
Agronomic research provides management recommendations based on small-plot trials (SPTs) and on-farm trials (OFTs) with very different characteristics. SPTs are traditionally conducted at agricultural experiment stations by research institutes or universities, while OFTs are conducted under commercial-scale conditions and managed by farmers using their own equipment. Several researchers claimed that discrepancies could occur between these two types of trials, which can make the extrapolation of results from SPTs to the farm level difficult. In our study, we conducted an extensive comparison of small-plot and on-farm trials to analyze the effect of foliar fungicide application on maize and soybean yields. We collected data on maize and soybean from five US states. Analysis of the soybean data showed similar mean yield responses and within-trial standard deviation to fungicide application between 479 OFTs and 83 SPTs. For maize, our comparison of 300 OFTs and 114 SPTs showed similar mean yield response in both. Nevertheless, the within-trial standard deviation was three times smaller in on-farm compared to small-plot trials. On the other hand, the between-trial standard deviation (measuring the variability of the effects of fungicide application across different environments) was almost twice as large in SPTs than in OFTs for both crops. Hence, the differences in the effects of fungicide on yield were similar whether they were estimated using OFTs or SPTs for both crops. This implies that OFTs can potentially detect significant yield differences with fewer replicates and thus reduce the cost of data generation. We argue that SPTs can be seen as a preliminary step before scaling up to OFTs to facilitate technology transfer and extrapolate the results in real farming conditions
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Publisher Correction: An engineered human Fc domain that behaves like a pH-toggle switch for ultra-long circulation persistence.
An amendment to this paper has been published and can be accessed via a link at the top of the paper
An engineered human Fc domain that behaves like a pH-toggle switch for ultra-long circulation persistence.
The pharmacokinetic properties of antibodies are largely dictated by the pH-dependent binding of the IgG fragment crystallizable (Fc) domain to the human neonatal Fc receptor (hFcRn). Engineered Fc domains that confer a longer circulation half-life by virtue of more favorable pH-dependent binding to hFcRn are of great therapeutic interest. Here we developed a pH Toggle switch Fc variant containing the L309D/Q311H/N434S (DHS) substitutions, which exhibits markedly improved pharmacokinetics relative to both native IgG1 and widely used half-life extension variants, both in conventional hFcRn transgenic mice and in new knock-in mouse strains. engineered specifically to recapitulate all the key processes relevant to human antibody persistence in circulation, namely: (i) physiological expression of hFcRn, (ii) the impact of hFcÎłRs on antibody clearance and (iii) the role of competing endogenous IgG. DHS-IgG retains intact effector functions, which are important for the clearance of target pathogenic cells and also has favorable developability
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Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.
Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (nâ=â143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (nâ=â152), or no hydrocortisone (nâ=â108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (nâ=â137), shock-dependent (nâ=â146), and no (nâ=â101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707
Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19
IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19.
Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19.
DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 nonâcritically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022).
INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (nâ=â257), ARB (nâ=â248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; nâ=â10), or no RAS inhibitor (control; nâ=â264) for up to 10 days.
MAIN OUTCOMES AND MEASURES The primary outcome was organ supportâfree days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes.
RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ supportâfree days among critically ill patients was 10 (â1 to 16) in the ACE inhibitor group (nâ=â231), 8 (â1 to 17) in the ARB group (nâ=â217), and 12 (0 to 17) in the control group (nâ=â231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ supportâfree days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively).
CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes.
TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570
From Challenging Behaviors to Caring Classroom Communities: Reimagining the Teacher's Role in Classroom Management
Thesis (Ed.D.)--University of Washington, 2014This dissertation project addresses the lack of a clear set of classroom-management strategies in research literature, specifically regarding early childhood teachers' immediate or "in-the-moment" responses to children's challenging behaviors. A case study of three teachers was used to draw out five themes, each of which contributes to implications for professional development supports: 1) A teacher's belief about children's moral growth can influence his/her responses to challenging behavior; 2) A teacher's knowledge of his/her students and of his/her relationships with them can influence behavioral situations; 3) A teacher modeling caring and kind responses to behavior can help build classroom community; 4) A teacher modeling discussion, deliberation, and listening during and in response to challenging behavior can help build classroom community; 5) Flexible student mobility and placement options can support children with challenging behaviors. These themes exemplify the teachers' pedagogical approaches to children exhibiting challenging behaviors. By studying the teacher's role in the classroom, alternative strategies to classroom management and discipline can create caring classroom communities wherein all children, regardless of their behavior, have a sense of belongingness
Saving the World's bananas from a devastating fungus
Thesis: S.M. in Science Writing, Massachusetts Institute of Technology, Department of Comparative Media Studies/Writing, 2019Cataloged from PDF version of thesis.Includes bibliographical references (pages 21-22).In the 1950s, the Gros Michel banana, which was the main variety exported to American supermarkets, was replaced with the Cavendish banana due to Fusarium wilt (also called Panama disease). The disease was caused by the fungus Fusarium oxysporum, and there was no cure. The only solution was to replace Gros Michel with the disease-resistant Cavendish. Now, the fungus is back. A strain called Tropical Race 4 (TR4) has decimated Cavendish plants in parts of Asia, Australia, Africa, and the Middle East over the past few decades. If the disease reaches the Americas, it will have catastrophic effects on the banana industry and on the economies of Latin American banana-producing countries. It is difficult to develop new varieties of commercially grown bananas, which are seedless and therefore sterile. Researchers have developed genetically modified bananas as a possible solution, but acceptance to GMOs varies worldwide, and the process is expensive. Many varieties besides the Cavendish are also susceptible to the disease. This thesis describes the history of fusarium wilt and current efforts to replace the Cavendish while tying in a personal narrative about the diversity of bananas grown in Hawaii, where TR4 has not yet spread. Farmers in Hawaii are worried about the spread of the disease, but many are willing to grow GMOs if they become available to the public; papayas in Hawaii have already been genetically modified since the late 1990s. While a global effort is underway to replace or modify the Cavendish banana, there is no clear solution yet.by Emily R. Makowski.S.M. in Science WritingS.M.inScienceWriting Massachusetts Institute of Technology, Department of Comparative Media Studies/Writin