The Impact of Secondary School Educators’ Implementation Of Response To Intervention (RTI) On African American Female Students

Understanding the implementation of the educational policy of the Response to Intervention (RTI) and the extent to which it provides support to students with learning gaps is imperative for student’s success. However, teachers with the broad adoption of the RTI system nationwide may need the additional insight of the intervention delivery challenges, and analysis of direction and intensity. Guided by Dewey’s theory of experiential learning, which holds that educators could utilize a student’s personal experience to engage the learner, this study examined the connection of the student’s experiences facilitated by the teachers’ adoption and construction of edifying experiences to facilitate the closing of the achievement gap that exists for minority students. The researcher examined teachers’ beliefs about the effectiveness of RTI on the academic achievement of students at tier 1 and 2 of RTI. Specifically, the researcher explored teachers’ beliefs about the effectiveness of three RTI components, namely the academic abilities and performance of Students with Disabilities (SWD), Data-Based Decision Making (DBDM), and Functions of Core and Supplemental Instruction (FCSI), on the academic achievement of struggling African American Females (AAF) students. The results revealed statistically significant relationships between teachers’ belief in RTI Data-Based Decision Making scores and AAF-RTI students’ math achievement scores and between teachers’ belief in RTI Function of Core and Supplemental Instruction scores and AAF-RTI students’ math achievement scores. There was also a relationship between SWD and DBDM. This research also observed a correlation with no significance between the teachers (n = 46) belief of academic achievements of SWD and their FCSI. These results are indicative of need to create a climate supportive of experiential based learning for RTI implementation training for secondary teachers

The Impact of Secondary School Educators’ Implementation Of Response To Intervention (RTI) On African American Female Students

Understanding the implementation of the educational policy of the Response to Intervention (RTI) and the extent to which it provides support to students with learning gaps is imperative for student’s success. However, teachers with the broad adoption of the RTI system nationwide may need the additional insight of the intervention delivery challenges, and analysis of direction and intensity. Guided by Dewey’s theory of experiential learning, which holds that educators could utilize a student’s personal experience to engage the learner, this study examined the connection of the student’s experiences facilitated by the teachers’ adoption and construction of edifying experiences to facilitate the closing of the achievement gap that exists for minority students. The researcher examined teachers’ beliefs about the effectiveness of RTI on the academic achievement of students at tier 1 and 2 of RTI. Specifically, the researcher explored teachers’ beliefs about the effectiveness of three RTI components, namely the academic abilities and performance of Students with Disabilities (SWD), Data-Based Decision Making (DBDM), and Functions of Core and Supplemental Instruction (FCSI), on the academic achievement of struggling African American Females (AAF) students. The results revealed statistically significant relationships between teachers’ belief in RTI Data-Based Decision Making scores and AAF-RTI students’ math achievement scores and between teachers’ belief in RTI Function of Core and Supplemental Instruction scores and AAF-RTI students’ math achievement scores. There was also a relationship between SWD and DBDM. This research also observed a correlation with no significance between the teachers (n = 46) belief of academic achievements of SWD and their FCSI. These results are indicative of need to create a climate supportive of experiential based learning for RTI implementation training for secondary teachers

Gallium-67 uptake in histological variants of non-Hodgkin's lymphoma : a correlative study

Introduction: The malignant lymphomas are the fifth most common neoplasm in both men and women. Staging, re-staging and treatment response evaluation pose a difficult task in many patients of lymphomas. Histological variants in both Hodgkin's and Non-Hodgkin's types of lymphoma greatly affect the response to treatment and overall prognosis. Objective: This study was conducted to correlate the degree of abnormal Gallium-67 uptake with the histological variants of non-Hodgkin's lymphoma. This project was a part of the study to see the ability of Gallium-67 scintigraphy to predict the response to chemotherapy early in the course of therapy. Material & Methods: 65 patients were included in the study with a mean age of 25 years. All patients had undergone medical imagi ng, bone marrow biopsy and histopathology. Results: Sixty-five patients were classified according to the REAL classification. 11 patients were of T-cell type, 50 were of B-cell type and 4 were anaplastic. 46 showed gallium-67 uptake in the lesions, whereas 19 (29.2%) had no discernable Gallium-67 uptake. Conclusion: There was no correlation between histological sub-types and Gallium-67 uptake in all sub-types of NHL.4 page(s

Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds

Introduction: Tetanus vaccination status is an important consideration for emergency physicians managing patients with tetanus-prone wounds. Physicians must identify at-risk patients, but vaccination histories are often unknown and commonly lack documentation. The study objective was to determine the potential impact of an online immunization registry (Florida SHOTS – State Health Online Tracking System) on the appropriate administration of tetanus prophylaxis for pediatric patients managed in the emergency department (ED).Methods: We conducted a retrospective review of all patients less than 18 years old who received ED tetanus prophylaxis at two separate sites between January 2011–May 2015. The Florida SHOTS database was accessed to determine vaccination status for each patient in the study group at the time of the encounter. We compared vaccination status for each patient, as documented in the electronic health record (EHR), with Florida SHOTS data to determine whether tetanus prophylaxis was indicated. The proportion of patients receiving tetanus prophylaxis in the ED, who were subsequently identified as up to date with tetanus vaccination per Florida SHOTS, was determined.Results: We identified 743 patients who received ED tetanus prophylaxis. Forty-three (6%) were listed as “up to date” on the EHR and 656 (93%) were listed as “not up to date.” In comparison, 209 (30%) of the study group were identified as “up to date” via Florida SHOTS, and 477 (70%) were not. We accessed the Florida SHOTS record retrospectively to determine whether the vaccine was required. It was determined that 174 (25%) of the patients received tetanus prophylaxis unnecessarily as they were already up to date per Florida SHOTS documentation.Conclusions: Twenty-five percent of patients vaccinated for tetanus in the ED could have been spared if Florida SHOTS data had been used by providers at the time of the encounter. Access to Florida SHOTS provides valuable information regarding vaccination status that impacts patient care and resource utilization in the ED

Learning from data in dentistry: Summary of the third annual OpenWide conference.

The overarching goal of the third scientific oral health symposium was to introduce the concept of a learning health system to the dental community and to identify and discuss cutting-edge research and strategies using data for improving the quality of dental care and patient safety. Conference participants included clinically active dentists, dental researchers, quality improvement experts, informaticians, insurers, EHR vendors/developers, and members of dental professional organizations and dental service organizations. This report summarizes the main outputs of the third annual OpenWide conference held in Houston, Texas, on October 12, 2022, as an affiliated meeting of the American Dental Association (ADA) 2022 annual conference

MODELLING THE IMPACT OF TELECOMMUTING ON FUTURE URBANISATION IN THE NETHERLANDS

Information and communication technologies (ICTs) have evolved to such a level that they can facilitate people's access to opportunities in virtual space (through telecommuting, teleshopping, e-learning, and so forth) along with accessing them in physical space. A hybrid space is therefore emerging, which will have consequences for people's spatial behaviour. In particular telecommuting is expected to change residential preferences and affect future urbanisation patterns. To explore this assertion, residential land-use allocation in the 2000 to 2030 period is projected for the Netherlands using a specially designed set of linked models for two scenarios (physical space and hybrid space). Results indicate that urban decentralisation and deconcentration are likely to accelerate because of increasing telecommuting. Attractive regions to live in at medium distances from large cities will in particular be confronted with new urban pressure of a sprawling nature. Urban policies have to be reconsidered to cope with these new spatial development trends. Copyright (c) 2008 by the Royal Dutch Geographical Society KNAG.

Patient and dentist perspectives on collecting patient reported outcomes after painful dental procedures in the National Dental PBRN.

BACKGROUND: Dental Patient Reported Outcomes (PROs) relate to a dental patients subjective experience of their oral health. How practitioners and patients value PROs influences their successful use in practice. METHODS: Semi-structured interviews were conducted with 22 practitioners and 32 patients who provided feedback on using a mobile health (mHealth) platform to collect the pain experience after dental procedures. A themes analysis was conducted to identify implementation barriers and facilitators. RESULTS: Five themes were uncovered: (1) Sense of Better Care. (2) Tailored Follow-up based on the dental procedure and patients pain experience. (3) Effective Messaging and Alerts. (4) Usable Digital Platform. (5) Routine mHealth Integration. CONCLUSION: Frequent automated and preferably tailored follow-up messages using an mHealth platform provided a positive care experience for patients, while providers felt it saved them time and effort. Patients thought that the mHealth questionnaires were well-developed and of appropriate length. The mHealth platform itself was perceived as user-friendly by users, and most would like to continue using it. PRACTICAL IMPLICATIONS: Patients are prepared to use mobile phones to report their pain experience after dental procedures. Practitioners will be able to close the post-operative communication gap with their patients, with little interruption of their workflow

Study protocol: understanding pain after dental procedures, an observational study within the National Dental PBRN

Background: Patient-reported outcome measures provide an essential perspective on the quality of health care provided. However, how data are collected, how providers value and make sense of the data, and, ultimately, use the data to create meaningful impact all influence the success of using patient-reported outcomes. Objectives: The primary objective is to assess post-operative pain experiences by dental procedure type through 21 days post-procedure as reported by patients following dental procedures and assess patients’ satisfaction with pain management following dental surgical procedures. Secondary objectives are to: 1) assess post-operative pain management strategies 1 week following dental surgical procedures, as recommended by practitioners and reported by patients, and 2) evaluate practitioner and patient acceptance of the FollowApp.Care post visit patient monitoring technology (FollowApp.Care). We will evaluate FollowApp.Care usage, perceived usefulness, ease of use, and impact on clinical workload. Design and methods: We describe the protocol for an observational study involving the use of the FollowApp.Care platform, an innovative mobile application that collects dental patients’ assessments of their post-operative symptoms (e.g., pain). The study will be conducted in collaboration with the National Dental Practice-based Research Network, a collective Network of dental practices that include private and group practices, public health clinics, community health centers and Federal Qualified Health Centers, academic institutional settings, and special patient populations. We will recruit a minimum of 150 and up to 215 dental providers and up to 3147 patients who will receive push notifications through text messages FollowApp.Care on their mobile phones at designated time intervals following dental procedures. This innovative approach of implementing an existing and tested mobile health system technology into the real-world dental office setting will actively track pain and other complications following dental procedures. Through patients’ use of their mobile phones, we expect to promptly and precisely identify specific pain levels and other issues after surgical dental procedures. The study’s primary outcome will be the patients’ reported pain experiences. Secondary outcomes include pain management strategies and medications implemented by the patient and provider and perceptions of usefulness and ease of use by patients and providers

Identifying Contributing Factors Associated With Dental Adverse Events Through a Pragmatic Electronic Health Record-Based Root Cause Analysis

Objective This study assessed contributing factors associated with dental adverse events (AEs). Methods Seven electronic health record-based triggers were deployed identifying potential AEs at 2 dental institutions. From 4106 flagged charts, 2 reviewers examined 439 charts selected randomly to identify and classify AEs using our dental AE type and severity classification systems. Based on information captured in the electronic health record, we analyzed harmful AEs to assess potential contributing factors; harmful AEs were defined as those that resulted in temporary moderate to severe harm, required hospitalization, or resulted in permanent moderate to severe harm. We classified potential contributing factors according to (1) who was involved (person), (2) what were they doing (tasks), (3) what tools/technologies were they using (tools/technologies), (4) where did the event take place (environment), (5) what organizational conditions contributed to the event? (organization), (6) patient (including parents), and (7) professional-professional collaboration. A blinded panel of dental experts conducted a second review to confirm the presence of an AE. Results Fifty-nine cases had 1 or more harmful AEs. Pain occurred most frequently (27.1%), followed by nerve injury (16.9%), hard tissue injury (15.2%), and soft tissue injury (15.2%). Forty percent of the cases were classified as "temporary not moderate to severe harm."Person (training, supervision, and fatigue) was the most common contributing factor (31.5%), followed by patient (noncompliance, unsafe practices at home, low health literacy, 17.1%), and professional-professional collaboration (15.3%). Conclusions Pain was the most common harmful AE identified. Person, patient, and professional-professional collaboration were the most frequently assessed factors associated with harmful AEs.</p

Additional file 1 of Patient and dentist perspectives on collecting patient reported outcomes after painful dental procedures in the National Dental PBRN

Supplementary Material 1: Provider and patient semi-structured interview question