A Survey of Characteristics of Effective Alternative Education Teachers as Perceived by Alternative Education Teachers, Administrators, and Students

This study sought to identify the behavior management, programming, and other teaching characteristics of alternative education teachers perceived by teachers, administrators, and students to be effective when the teachers are working with alternative education students. The characteristics examined were taken from empirical and related urban-centered literature, which underscore the behavior management and programming skills needed by teachers who work with students with behavior disorders. Stated and implied characteristics from related alternative education literature were also used. There is a need to identify effective characteristics of alternative education teachers, since alternative education programs are becoming an integral part of the regular programming for students. In addition, little empirical data on effective characteristics of alternative education teachers is available. The analysis of data was descriptive using four-point Likert Scale survey questionnaires. The questionnaires were single-staged, cross-sectional surveys. The surveys were administered to 18 teachers, 12 administrators, and 37 students. Data obtained during this study help to support the theory that many of the behavior management and programming skills used with behavior disordered students are ones needed by alternative education teachers in working with students. Findings using the criterion set by the researcher revealed that 53 of the 71 skills on the survey were perceived by the teachers, and administrators as very important to important. There were varying discrepancies with the alternative education students with all teaching skills. Results of this survey have made it apparent that the data collected in this study have significance for staff development and policy considerations for teachers in working with alternative education students. Areas for further research include research to investigate and use other categories of knowledge and skills competencies. The other categories are (a) theory and knowledge, (b) field experience and practice, and (c) evaluation, research, and technology. A repetition of this study in other cities and a comparison of results to further refine what characteristics are perceived as most important is needed, and a replication in other AE settings to further validate these characteristics as ones needed to be targeted in training programs for alternative education teachers

Supporting Parents With Mental Health Needs in Systems of Care

Summary: Community-based systems of care (SOCs) must address both the needs of parents with mental illness and the needs of their children. Learning more about the challenges faced by SOCs in this area, and the strategies they implement to overcome them, provides insights with implications for the broader field. This project was intended to learn more about efforts to assess parents’ mental health needs, effectively engage and support them, and improve system coordination and access to services to inform service delivery and system reform, especially for those involved in both child welfare and mental health. This report presents information gathered from a small sample of federally funded SOC communities between March and October 2010. Project directors, lead family contacts, clinical supervisors, family partners, and other staff , along with representatives of partner organizations, especially child welfare, generously shared information about their approaches to policies and practices designed to support whole families—children, youth, and parents or other caregivers

SatNet Faculty Handbook for Distance Education in West Virginia, 1988

The SatNet Faculty Handbook for Distance Education in West Virginia is a modified version of a companion piece to the State Educational Telecommunications Operations Center (SETOC) Presentation Workshop in Utah. It heavily focuses on instructional concerns regarding electronic delivery to students. It is structured similarly to the original workshop presented at SETOC. The handbook contains six sections. Section One defines the handbook and anticipates the intended outcome for its readers. Section Two provides several activities, situations, and brief notes to prepare instructors for electronic learning. Section Three provides in-depth explanations to go along with the content found in Section Two. Section Four provides evaluations for courses coordinated by Utah’s SETOC system. Section Five contains sample materials originally used by Dr. M. Winn Egan of Utah that teachers are free to use in their courses. Section Six contains referrals to operational personnel in the SatNet system, continued readings, and references. This item was added as part of the Honors 480 course, Trash or Treasure: An Introduction to Archives during the fall 2021 semester. The items associated with this record were digitized and metadata was created by Eric Dillon.https://mds.marshall.edu/satnet_wv/1000/thumbnail.jp

Unpenning Words: Releasing Literature from Within - Dreaming Inside-Voices from Junee Correctional Centre

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Models with short and long-range interactions: phase diagram and reentrant phase

We study the phase diagram of two different Hamiltonians with competiting local, nearest-neighbour, and mean-field couplings. The first example corresponds to the HMF Hamiltonian with an additional short-range interaction. The second example is a reduced Hamiltonian for dipolar layered spin structures, with a new feature with respect to the first example, the presence of anisotropies. The two examples are solved in both the canonical and the microcanonical ensemble using a combination of the min-max method with the transfer operator method. The phase diagrams present typical features of systems with long-range interactions: ensemble inequivalence, negative specific heat and temperature jumps. Moreover, in a given range of parameters, we report the signature of phase reentrance. This can also be interpreted as the presence of azeotropy with the creation of two first order phase transitions with ensemble inequivalence, as one parameter is varied continuously

Measuring the complexity of general practice consultations:development and validation of a complexity measure

Background: The complexity of general practice consultations may be increasing and varies in different settings. A measure of complexity is required to test these hypotheses. Aim: To develop a valid measure of general practice consultation complexity applicable to routine medical records. Design and setting: Delphi study to select potential indicators of complexity followed by a cross-sectional study in English general practices to develop and validate a complexity measure. Method: The online Delphi study over two rounds identified potential indicators of consultation complexity. The cross-sectional study used an age–sex stratified random sample of patients and general practice face-to-face consultations from 2013/2014 in the Clinical Practice Research Datalink. The authors explored independent relationships between each indicator and consultation duration using mixed-effects regression models, and revalidated findings using data from 2017/2018. The proportion of complex consultations in different age–sex groups was assessed. Results: A total of 32 GPs participated in the Delphi study. The Delphi panel endorsed 34 of 45 possible complexity indicators after two rounds. After excluding factors because of low prevalence or confounding, 17 indicators were retained in the cross-sectional study. The study used data from 173 130 patients and 725 616 face-to-face GP consultations. On defining complexity as the presence of any of these 17 factors, 308 370 consultations (42.5%) were found to be complex. Mean duration of complex consultations was 10.49 minutes, compared to 9.64 minutes for non-complex consultations. The proportion of complex consultations was similar in males and females but increased with age. Conclusion: The present consultation complexity measure has face and construct validity. It may be useful for research, management and policy, and for informing decisions about the range of resources needed in different practices

A framework for complexity in palliative care: A qualitative study with patients, family carers and professionals

Background:Palliative care patients are often described as complex but evidence on complexity is limited. We need to understand complexity, including at individual patient-level, to define specialist palliative care, characterise palliative care populations and meaningfully compare interventions/outcomes.Aim:To explore palliative care stakeholders’ views on what makes a patient more or less complex and insights on capturing complexity at patient-level.Design:In-depth qualitative interviews, analysed using Framework analysis.Participants/setting:Semi-structured interviews across six UK centres with patients, family, professionals, managers and senior leads, purposively sampled by experience, background, location and setting (hospital, hospice and community).Results:65 participants provided an understanding of complexity, which extended far beyond the commonly used physical, psychological, social and spiritual domains. Complexity included how patients interact with family/professionals, how services’ respond to needs and societal perspectives on care. ‘Pre-existing’, ‘cumulative’ and ‘invisible’ complexity are further important dimensions to delivering effective palliative and end-of-life care. The dynamic nature of illness and needs over time was also profoundly influential. Adapting Bronfenbrenner’s Ecological Systems Theory, we categorised findings into the microsystem (person, needs and characteristics), chronosystem (dynamic influences of time), mesosystem (interactions with family/health professionals), exosystem (palliative care services/systems) and macrosystem (societal influences). Stakeholders found it acceptable to capture complexity at the patient-level, with perceived benefits for improving palliative care resource allocation.Conclusion:Our conceptual framework encompasses additional elements beyond physical, psychological, social and spiritual domains and advances systematic understanding of complexity within the context of palliative care. This framework helps capture patient-level complexity and target resource provision in specialist palliative care

Xenobiotic metabolism: the effect of acute kidney injury on non-renal drug clearance and hepatic drug metabolism.

Acute kidney injury (AKI) is a common complication of critical illness, and evidence is emerging that suggests AKI disrupts the function of other organs. It is a recognized phenomenon that patients with chronic kidney disease (CKD) have reduced hepatic metabolism of drugs, via the cytochrome P450 (CYP) enzyme group, and drug dosing guidelines in AKI are often extrapolated from data obtained from patients with CKD. This approach, however, is flawed because several confounding factors exist in AKI. The data from animal studies investigating the effects of AKI on CYP activity are conflicting, although the results of the majority do suggest that AKI impairs hepatic CYP activity. More recently, human study data have also demonstrated decreased CYP activity associated with AKI, in particular the CYP3A subtypes. Furthermore, preliminary data suggest that patients expressing the functional allele variant CYP3A5*1 may be protected from the deleterious effects of AKI when compared with patients homozygous for the variant CYP3A5*3, which codes for a non-functional protein. In conclusion, there is a need to individualize drug prescribing, particularly for the more sick and vulnerable patients, but this needs to be explored in greater depth

Real-World Evidence in Healthcare Decision Making : Global trends and case studies from Latin America

Objectives: Real-world evidence (RWE) is increasingly used to inform health technology assessments (HTAs) for resource allocation, which are valuable tools for emerging economies such as in America. However, the characteristics and uses in South America are unknown. This study aims to identify sources, characteristics and uses of RWE in Argentina, Brazil, Colombia and Chile, and evaluate the context-specific challenges. The implications for future regulation and responsible management of RWE in the region are also considered. Methods: A systematic literature review, database mapping, and targeted grey literature search were conducted to identify the sources and characteristics of RWE. Findings were validated by key opinion leaders attending workshops in four South American countries. Results: A database mapping exercise revealed 407 unique databases. Geographic scope, database type, population and outcomes captured were reported. Characteristics of National Health Information Systems show efforts to collect interoperable data from service providers, insurers and government agencies, but that initiatives are hampered by fragmentation, lack of stewardship and resources. RWE is mainly used in South America for pharmacovigilance and as pure academic research, but less so for HTA decision-making or pricing negotiations and not at all to inform early access schemes. Conclusions: The quality of data collected in real-world in the case-study countries varies and RWE is not consistently used in healthcare decision-making. Authors recommend that future studies monitor the impact of digitalisation, and the potential effects of access to RWE on the quality of patient care

Chalcophile element degassing at an active continental arc volcano

Arc volcanoes are significant natural sources of trace chalcophile elements to the atmosphere via gas and aerosol plumes. Villarrica volcano, part of the Andean arc, erupts basaltic magmas and is characterised by a persistent volcanic gas plume and therefore presents an opportunity to quantify volcanic chalcophile processing in a subduction zone from slab to surface. Here we present geochemical data for olivine-hosted melt inclusions, as well as for the gas and aerosol plume. We show that melts erupted at Villarrica are enriched (over mid-ocean ridge basalts) in a suite of fluid-mobile elements comprising the large ion lithophiles, including Cs, and chalcophile elements W, Tl, Pb and Sb. Volcanic gas and aerosol samples show that the chalcophile elements, and Cs, are strongly enriched in the gas phase over the silicate melt, 103 to 106 times more so than the non-volatile Rare Earth Elements. Volatilities (the percentage of an element that degasses from a melt on eruption) reach ∼ 45 % for Tl, with Pb, Sn and Mo exhibiting volatilities of up to 0.3 % and Cu up to 0.08 %. Many of the chalcophile elements (e.g. Cu, Ag, Zn) have an affinity for chloride in the gas phase and we observe that the volatility of chloride-speciating trace metals is linked strongly to the availability of chlorine in volcanic plumes globally. Overall, we show that the trace element composition of the volcanic gas—and hence probably also the deeper, denser and more saline fluids in the subsurface—is sensitive to both the availability of chloride in the gas phase and the composition of the melt, which is controlled by the slab flux and may be variable between subduction zones