Promoting integration within the public health domain of physical activity promotion: insights from a UK case study

Purpose: The purpose of this paper is to report and critically reflect on the methodological processes involved in a formal attempt to promote health and social integration in the rarely reported public health domain of physical activity promotion. Design/methodology/approach: A quality improvement (QI) methodology was deployed, comprising three elements: a diagnostic tool that assessed strategic and practice positions; a half-day workshop that brought senior leaders together for to reflect this evidence; and a structured process that sought to generate proposals for future integrated action. A mixed-method evaluative approach was used, capturing insights of the integration processes via quantitative and qualitative data collection pre-event, in-event, immediate post-event and at six-month follow-up. Findings: Insights suggested that despite some critical concerns, this QI process can be considered as robust, offering pointers to elements required to successfully promote integration in this domain, including the significance of leadership, the preparatory contribution of a diagnostic tool and position paper, the opportunities for active exchange and planning within a workshop situation and the initiation of a process of integrated work via tangible “pledges”. Originality/value: The paper offers originality in two respects. Generally, it describes and reflects on the relationship between theoretical and empirical dimensions of a model of integration promotion. Specifically, in offering an account of integrative public health work across health service, local authority and third sector partners, it addressed an area that has received relatively limited prior attention

Using Technology to Develop Preservice Teachers\u27 Reflective Thinking

Developing high-level reflection skills proves troublesome for some preservice teachers. To examine the potential of an online environment for increasing productive reflection, students in three sequential undergraduate education classes responded to regular online prompts. We coded student comments for productive and unproductive reflection, knowledge integration, and analysis of the four aspects of teaching (learners and learning, subject matter knowledge, assessment and instruction ) as described by Davis, Bain, & Harrington (2001). We adapted a scoring approach recommended by Davis & Linn, (2000); Davis (2003) to analyze what aspects of teaching preservice teachers included, emphasized, and integrated when they reflected on their own beliefs about teaching. Discussion examines the utility of online environments for producing productive preservice teacher reflection

The Machine, The Victim, And The Third Thing: Navigating The Gender Spectrum In Margaret Atwood\u27s Oryx And Crake And The Year Of The Flood

This thesis explores Atwood\u27s depiction of gender in Oryx and Crake and The Year of the Flood. In an interview from 1972, Margaret Atwood spoke on survival: People see two alternatives. You can be part of the machine or you can be something that gets run over by it. And I think there has to be a third thing. I assert that Atwood depicts this third thing through her characters who navigate between the binaries of masculine and feminine in a third realm of gender. As the female characters—regardless of their passive or aggressive behavior—engage in a quest for agency, they must overcome bodily limitations. Oryx—the quintessential problematic, oppressed feminine figure—and Ren are both associated with sex as they are passed from man to man throughout their lives. Furthermore, as other females (namely, Amanda and Toby) adopt masculine traits associated with power in an attempt at self-preservation both before and after the waterless flood, men in the novels strive to subvert this power through rape to remind these women of their confinement within their physical bodies and to reinstitute the binary gender system. The men also span the gender continuum, with Crake representing the masculine machine and Jimmy gravitating toward the feminine victim. Crake, who seems to live life uninhibited from his body, appears to escape the bodily confinements that the women experience, while Jimmy\u27s relationship to his body is more complex. As Jimmy competes to out-masculinize Crake, and Amanda and Toby struggle to avoid both identification with and demolition by the machine, readers of the novels are invited to think beyond the machinery of gender norms to consider gender as a continuum instead of a dualistic factor

The spatial distribution of debris flows in relation to observed rainfall anomalies: Insights from the Dolan Fire, California

A range of hydrologic responses can be observed in steep, recently burned terrain, which makes predicting the spatial distribution of large debris flows challenging. Studies from rainfall-induced landslides in unburned areas show evidence of hydroclimatic tuning of landslide triggering, such that the spatial distribution of events is best predicted by the observed rainfall anomaly relative to climatic norms rather than by absolute rainfall. In this paper, we test whether the spatial distribution of debris flows in response to rainfall can be similarly predicted by rainfall anomaly. The 520 km2 Dolan Fire burn scar in Monterey County, California, USA, spans a sharp hydroclimatic gradient and experienced a widespread storm in January 2021 that triggered floods and debris flows, providing a natural experiment in which to test this hypothesis. In this study, we use remote and field methods to map debris-flow response and examine its spatial heterogeneity. Together with rainfall data, our mapping reveals that the observed anomalies in peak 15-min rainfall intensity (I15) relative to the intensity of the 1-yr return interval storm predict debris-flow occurrence better than the absolute peak I15. Our findings indicate that debris-flow processes and threshold rainfall required for debris-flow initiation may be tuned to local hydroclimate

A robust method to identify the occurrence of a runoff-generated debris flow

Debris flows generated by rainfall runoff can occur in rocky alpine landscapes and burned steeplands. Runoff-generated debris-flow events are commonly composed of a series of dense granular surge fronts separated by water-rich flows. Owing to this intra-event variability in flow composition and mechanics, post-event interpretations of preserved sedimentary deposits, or lack thereof, can result in a dizzying mix of interpretations that range from clearwater flow to debris flow. Accurate identification of the presence or absence of a debris flow during a runoff event is critical for building empirical models used to predict likelihood of debris-flow occurrence, rainfall thresholds, and flow properties. Here, we propose a simple, quantitative method to identify the occurrence of a runoff-generated debris flow, based on a dimensionless discharge Q* calculated as the ratio of the peak event discharge Qp to the theoretical maximum clearwater runoff rate Qw. Using a preliminary compilation of Q* values from floods and runoff-generated debris flows, we find 98% of floods have Q* values < 1.6, whereas 91% of debris flows have Q* values greater than 1.6. Estimating Q* is typically straightforward as part of standard post-event reconnaissance if suitable rainfall estimates are available, and appears to be a robust indicator that runoff-generated debris flows traversed a particular portion of a valley network

Postfire hydrologic response along the Central California (USA) coast: insights for the emergency assessment of postfire debris-flow hazards

The steep, tectonically active terrain along the Central California (USA) coast is well known to produce deadly and destructive debris flows. However, the extent to which fire affects debris-flow susceptibility in this region is an open question. We documented the occurrence of postfire debris floods and flows following the landfall of a storm that delivered intense rainfall across multiple burn areas. We used this inventory to evaluate the predictive performance of the US Geological Survey M1 likelihood model, a tool that presently underlies the emergency assessment of postfire debris-flow hazards in the western USA. To test model performance, we used the threat score skill statistic and found that the rainfall thresholds estimated by the M1 model for the Central California coast performed similarly to training (Southern California) and testing (Intermountain West) data associated with the original model calibration. Model performance decreased when differentiating between “minor” and “major” postfire hydrologic response types, which weigh effects on human life and infrastructure. Our results underscore that the problem of false positives is a major challenge for developing accurate rainfall thresholds for the occurrence of postfire debris flows. As wildfire activity increases throughout the western USA, so too will the demand for the assessment of postfire debris-flow hazards. We conclude that additional collection of field-verified inventories of postfire hydrologic response will be critical to prioritize which model variables may be suitable candidates for regional calibration or replacement

Epidemic Spread of Lyme Borreliosis, Northeastern United States

Host specialization is a key issue in infectious disease research because patterns of cross-species transmission affect parasite dispersal

Genomic Profiling of Childhood Tumor Patient-Derived Xenograft Models to Enable Rational Clinical Trial Design.

Accelerating cures for children with cancer remains an immediate challenge as a result of extensive oncogenic heterogeneity between and within histologies, distinct molecular mechanisms evolving between diagnosis and relapsed disease, and limited therapeutic options. To systematically prioritize and rationally test novel agents in preclinical murine models, researchers within the Pediatric Preclinical Testing Consortium are continuously developing patient-derived xenografts (PDXs)-many of which are refractory to current standard-of-care treatments-from high-risk childhood cancers. Here, we genomically characterize 261 PDX models from 37 unique pediatric cancers; demonstrate faithful recapitulation of histologies and subtypes; and refine our understanding of relapsed disease. In addition, we use expression signatures to classify tumors for TP53 and NF1 pathway inactivation. We anticipate that these data will serve as a resource for pediatric oncology drug development and will guide rational clinical trial design for children with cancer

Institutional context: What elements shape how community occupational therapists think about their clients’ care?

Abstract : Clinical reasoning (CR) is the cognitive process that therapists use to plan, direct, perform and reflect on client care. Linked to intervention efficiency and quality, CR is a core competency that occurs within an institutional context (legal, regulatory, administrative and organisational elements). Because this context can shape how community therapists think about their clients’ care, its involvement in their CR could have a major impact on the interventions delivered. However, little is known about this involvement. Our study thus aimed to describe the elements of the institutional context involved in community therapists’ CR. From March 2012 to June 2014, we conducted an institutional ethnography (IE) inquiry in three Health and Social Services Centres in Québec (Canada). We observed participants and conducted semi-structured interviews with 10 occupational therapists. We also interviewed 12 secondary key informants (colleagues and managers) and collected administrative documents (n = 50). We analysed data using the IE process. Of the 13 elements of the institutional context identified, we found that four are almost constantly involved in participants’ CR. These four elements, that is, institutional procedures, organisation's basket of services, occupational therapists’ mandate and wait times for their services, restrictively shape CR. Specifically, occupational therapists restrict their representation of the client's situation and exploration of potential solutions to what is possible within the bounds of these four elements. In light of such restrictions on the way they think about their clients’ care, therapists should pay close attention to the elements of their own institutional context and how they are involved in their CR. Because of its potentially important impact on the future of professions (e.g. further restrictions on professionals’ role, reduced contribution to population health and well-being), this involvement of the institutional context in CR concerns all professionals, be they clinicians, educators, researchers or regulatory college officers

Concert recording 2016-04-03

[Track 01]. Fanfare pour précéder \u27La Péri\u27 / Paul Dukas -- [Track 02]. French dances revisted. I ; [Track 03]. II ; [Track 04]. III ; [Track 05]. IV ; [Track 06]. V ; [Track 07]. VI / Adam Gorb -- [Track 08]. Danses sacrée et profane / Claude Debussy -- [Track 09]. Dance mix / Rob Smith