Sustaining School‐Based Asthma Interventions Through Policy and Practice Change

BACKGROUND Schools are an ideal setting for implementation of asthma interventions for children; however, sustaining school‐based programs can be challenging. This study illustrates policy and practice changes brought about through the Childhood Asthma Linkages in Missouri ( CALM ) program to sustain such programs. METHODS Researchers analyzed caregiver‐reported quantitative data regarding asthma‐related outcomes in preintervention and postintervention surveys and qualitative data regarding sustainability efforts in schools reported by CALM grantees. A grounded theory approach was used to identify key concepts and themes that emerged. RESULTS In 330 children, significant improvements were seen in asthma symptoms, rescue inhaler use, health care utilization, school absenteeism, and activity limitations. Overall, 27 school‐based policy and practice changes supporting program sustainability were reported, with policy changes most often concerning the assessment and/or monitoring of children with asthma in the school setting, and practice changes most often regarding institution of regular asthma education programs for students and school personnel. CONCLUSIONS Sustaining school‐based asthma programs is challenging, but can be realized through the participation of diverse partners in enacting policy and practice changes that support the institutionalization of programs into the day‐to‐day processes of the schools.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/101775/1/josh12104.pd

Using the media for family planning

For more about the East-West Center, see http://www.eastwestcenter.org/</a

Variation in Provider Identification of Obesity by Individual- and Neighborhood-Level Characteristics among an Insured Population

Objective. The purpose of this study was to examine whether neighborhood- and individual-level characteristics affect providers' likelihood of providing an obesity diagnosis code in their obese patients' claims. Methods. Logistic regressions were performed with obesity diagnosis code serving as the outcome variable and neighborhood characteristics and member characteristics serving as the independent variables (N = 16,151 obese plan members). Results. Only 7.7 percent of obese plan members had an obesity diagnosis code listed in their claims. Members living in neighborhoods with the largest proportions of Blacks were 29 percent less likely to receive an obesity diagnosis (P < .05). The odds of having an obesity diagnosis code were greater among members who were female, aged 44 or below, hypertensive, dyslipidemic, BMI ≥ 35 kg/m2, had a larger number of provider visits, or who lived in an urban area (all P < .05). Conclusions. Most health care providers do not include an obesity diagnosis code in their obese patients' claims. Rates of obesity identification were strongly related to individual characteristics and somewhat associated with neighborhood characteristics

Turning the pages : adolescents, schools and reading

This study focuses on adolescents and reading. My premise is that adolescents develop a reading identity which is influenced by an existent reading culture to which they are exposed. This existent reading culture can be influenced in particular by schooling, family and the opinions of peers. One major influence is the classroom. Within the English curriculum, what criteria do English teachers use for selection of set texts and are there differences in criteria in all-boy/all girl and co-educational schools? I reflected on the prevailing perceptions that relate to gender, masculinity and popular culture which can affect what it means to be a boy, literate, and a reader of fictional texts. My first folio piece examines adolescents’ reading within five secondary schools, including an all-boy school, to ascertain whether boys in single-sex schools read more fictional texts and whether they enjoy reading more than their counterparts in co-educational schools. Authors are frequently invited to visit schools and work with students. My second folio piece investigates author visits in five secondary schools, from the perspectives of English teachers, teacher librarians and cohorts of middle school students. I wanted to find out why schools ask authors to visit and what are the expected outcomes of these visits, particularly in regard to adolescent reading identities. The third folio piece examines authors’ narratives concerning school visits. Authors have certain expectations when working with students and talking about their writing. I wanted to discover how authors think they can provide maximum impact on students through their visits, by asking a cohort of authors to recount their ‘dream school’ visits and ‘nightmare school’ visits. Interpretations of the research about boys and reading, and author visits from the schools’ perspectives are analysed using a form of content analysis. The third research project concerning authors’ narratives is interpreted using lexical networks. Prominent elements of my study explore adolescent reader identities through the influences of schooling and through author visits. In the conclusion of this study, these elements are drawn together and broad recommendations are outlined that pertain to the encouragement of positive adolescent reading identities

Nurses\u27 Alumnae Association Bulletin, June 1965

President\u27s Page Officers and Committee Chairmen Financial Report Hospital and School of Nursing Report Student Activities Annual Report Students Activities Annual Report Student Activities Annual Report Jefferson Expansion Program Psychiatric Unit Progress of the Alumnae Association Nightingale Pledge Resume of Alumnae Meetings Nursing Service Staff Association Scholarship Program Sick and Welfare Social Committee Report Bulletin Membership- WHY JOIN? Private Duty Report Annual Giving Report - 1964 PIT Alumnae Day Notes Building Fund Report - 1965 Vital Statistics IN MEMORIAM Class News Affiliated Institutions Notice

Characterizing the efficacy of methods to subtract terrestrial transient noise near gravitational wave events and the effects on parameter estimation

We investigate the impact of transient noise artifacts, or {\it glitches}, on gravitational wave inference, and the efficacy of data cleaning procedures in recovering unbiased source properties. Due to their time-frequency morphology, broadband glitches demonstrate moderate to significant biasing of posterior distributions away from true values. In contrast, narrowband glitches have negligible biasing effects owing to distinct signal and glitch morphologies. We inject simulated binary black hole signals into data containing three common glitch types from past LIGO-Virgo observing runs, and reconstruct both signal and glitch waveforms using {\tt BayesWave}, a wavelet-based Bayesian analysis. We apply the standard LIGO-Virgo-KAGRA deglitching procedure to the detector data - we subtract the glitch waveform estimated by the joint {\tt BayesWave} inference before performing parameter estimation with detailed compact binary waveform models. We find that this deglitching effectively mitigates bias from broadband glitches, with posterior peaks aligning with true values post deglitching. This provides a baseline validation of existing techniques, while demonstrating waveform reconstruction improvements to the Bayesian algorithm for robust astrophysical characterization in glitch-prone detector data.Comment: 22 pages, 17 figure

Focus, Vol. 1 No. 1

A literary magazine of student writing published by the Department of English of Stephen F. Austin State College.https://scholarworks.sfasu.edu/focus/1000/thumbnail.jp

Human candidate gene polymorphisms and risk of severe malaria in children in Kilifi, Kenya: a case-control association study

Background: Human genetic factors are important determinants of malaria risk. We investigated associations between multiple candidate polymorphisms—many related to the structure or function of red blood cells—and risk for severe Plasmodium falciparum malaria and its specific phenotypes, including cerebral malaria, severe malaria anaemia, and respiratory distress. Methods: We did a case-control study in Kilifi County, Kenya. We recruited as cases children presenting with severe malaria to the high-dependency ward of Kilifi County Hospital. We included as controls infants born in the local community between Aug 1, 2006, and Sept 30, 2010, who were part of a genetics study. We tested for associations between a range of candidate malaria-protective genes and risk for severe malaria and its specific phenotypes. We used a permutation approach to account for multiple comparisons between polymorphisms and severe malaria. We judged p values less than 0·005 significant for the primary analysis of the association between candidate genes and severe malaria. Findings: Between June 11, 1995, and June 12, 2008, 2244 children with severe malaria were recruited to the study, and 3949 infants were included as controls. Overall, 263 (12%) of 2244 children with severe malaria died in hospital, including 196 (16%) of 1233 with cerebral malaria. We investigated 121 polymorphisms in 70 candidate severe malaria-associated genes. We found significant associations between risk for severe malaria overall and polymorphisms in 15 genes or locations, of which most were related to red blood cells: ABO, ATP2B4, ARL14, CD40LG, FREM3, INPP4B, G6PD, HBA (both HBA1 and HBA2), HBB, IL10, LPHN2 (also known as ADGRL2), LOC727982, RPS6KL1, CAND1, and GNAS. Combined, these genetic associations accounted for 5·2% of the variance in risk for developing severe malaria among individuals in the general population. We confirmed established associations between severe malaria and sickle-cell trait (odds ratio [OR] 0·15, 95% CI 0·11–0·20; p=2·61 × 10−58), blood group O (0·74, 0·66–0·82; p=6·26 × 10−8), and –α3·7-thalassaemia (0·83, 0·76–0·90; p=2·06 × 10−6). We also found strong associations between overall risk of severe malaria and polymorphisms in both ATP2B4 (OR 0·76, 95% CI 0·63–0·92; p=0·001) and FREM3 (0·64, 0·53–0·79; p=3·18 × 10−14). The association with FREM3 could be accounted for by linkage disequilibrium with a complex structural mutation within the glycophorin gene region (comprising GYPA, GYPB, and GYPE) that encodes for the rare Dantu blood group antigen. Heterozygosity for Dantu was associated with risk for severe malaria (OR 0·57, 95% CI 0·49–0·68; p=3·22 × 10−11), as was homozygosity (0·26, 0·11–0·62; p=0·002). Interpretation: Both ATP2B4 and the Dantu blood group antigen are associated with the structure and function of red blood cells. ATP2B4 codes for plasma membrane calcium-transporting ATPase 4 (the major calcium pump on red blood cells) and the glycophorins are ligands for parasites to invade red blood cells. Future work should aim at uncovering the mechanisms by which these polymorphisms can result in severe malaria protection and investigate the implications of these associations for wider health. Funding: Wellcome Trust, UK Medical Research Council, European Union, and Foundation for the National Institutes of Health as part of the Bill &amp; Melinda Gates Grand Challenges in Global Health Initiative