Preschool Education in Australia

Early childhood education (ECE) in Australia will soon experience a ‘radical makeover.’ In 2008, all Australian governments made a commitment through the Council of Australian Governments (COAG) that by 2013, all children in the year before formal schooling will have access to high quality early childhood education programs delivered by degreequalified early childhood teachers, for 15 hours per week, 40 weeks of the year, in public, private and community-based preschools and child care. The purpose of this policy brief is to summarise the current structure of preschool in Australia in contemplation of this major policy shift. This paper describes the context in which the COAG commitment will be implemented, including: • The current organisation of, and participation in, preschool education in Australia; • The different regulations governing different types of preschool in Australia; • The apparent under-supply of degree-qualified ECE teachers in Australia; • The contentious debate over curriculum and assessment that is currently occurring amongst preschool practitioners; and • The urgent need for better data about preschools in Australia

Practicing food anxiety: Making Australian mothers responsible for their families’ dietary decisions

Concerns about the relationship between diet, weight, and health find widespread expression in the media and are accompanied by significant individual anxiety and responsibilization. However, these pertain especially to mothers, who undertake the bulk of domestic labor involved in managing their families’ health and wellbeing. This article employs the concept of anxiety as social practice to explore the process whereby mothers are made accountable for their families’ dietary decisions. Drawing on data from an Australian study that explored the impact of discourses of childhood obesity prevention on mothers, the article argues that mothers’ engagements with this value-laden discourse are complex and ambiguous, involving varying degrees of self-ascribed responsibility and blame for children's weight and diets. We conclude by drawing attention to the value of viewing food anxiety as social practice, in highlighting issues that are largely invisible in both official discourses and scholarly accounts of childhood obesity prevention

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) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). 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 (n = 137), shock-dependent (n = 146), and no (n = 101) 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

Australian teachers and the learning environment : an analysis of teacher response to TALIS 2008 : final report

The Department of Education, Science and Training commissioned the Australian Council for Educational Research (ACER) to undertake the Australian component of the OECD Teaching and Learning International Survey (TALIS). TALIS is one of the first international surveys to focus on the learning environment and the working conditions of teachers in schools. TALIS was conducted in 24 OECD and OECD-partner countries in 2007 and 2008, though internationally comparable results were reported for only 23 countries due to requisite sampling standards for publication. This first survey is part of a planned programme of surveys which will examine various levels of schooling over time and provide participating countries with an opportunity to measure various policy issues associated with teaching and learning management. This report provides detailed analyses of teachers’ self-reported practices, activities, beliefs and attitudes; teacher appraisal systems; impacts of school policies on the teaching and learning environment; and pathways to effective school leadership

Apportioning Culpability in Multiple Perpetrator Acts of Terrorism

The Depravity Standard instrument was developed to operationalize depraved elements of crimes. It consists of 25items that were derived using multiple sources of data, including case reviews, input from professionals, and over 40,000 survey respondents. This paper presents preliminary data on the use of the Depravity Standard in cases with multiple perpetrators, examining its efficacy in differentiating the culpability of co-conspirators in a terrorist act. The US has been the site of three high-profile terrorist events with dual perpetrators: the 1995 Oklahoma City bombing by ex-U.S. Military acquaintances Timothy McVeigh and Terry Nichols; the 2013 Boston Marathon bombing by brothers Tamerlan and Dzhokhar Tsarnaev; and the 2015 San Bernardino mass shooting by husband and wife Syed Rizwan Farook and Tashfeen Malik. In this pilot project, two independent raters applied the 25 items of the Depravity Standard to each of the six perpetrators to determine which of each pair was the more culpable. Interclass correlation coefficients revealed a high degree of agreement between the raters, attesting to the reliability of the Depravity Standard items. Examination of the total number of Depravity Standard items present reveals McVeigh was more culpable than Nichols. The other four perpetrators were similarly culpable to their partners. These current findings indicate that the Depravity Standard is a promising instrument to determine comparative culpability in terrorist actions with multiple perpetrators. Ongoing analyses of public participation data indicate some items to be more indicative of depravity than others, and future analyses will compare weighted scores.     Keywords: forensic science, crime severity, the Depravity Standard, terrorism, criminal culpabilit

Evaluation of the assessment and rating process under the National Quality Standard for Early Childhood Education and Care and School Age Care

This evaluation of the assessment and rating process for early childhood education and care and school age care services had as its focus the validity and reliability of the process. In particular, do the items reviewed with the Assessment and Rating Instrument provide consistent and replicable measures? Would the judgements made by one authorised officer be made by other authorised officers reviewing the same service? Does the process—including use of the Instrument—allow distinctions between rating levels? The evaluation was undertaken by the Australian Council for Educational Research (ACER), which analysed assessment and rating data from both draft and final reports; managed the online surveys of services and authorised officers; conducted focus groups with services and authorised officers; and had discussions with regulatory authority staff. Focus group sessions were conducted in each capital city, with participants from outside the metropolitan area participating in person or by telephone

Use of the Physician Orders for Life-Sustaining Treatment among California Nursing Home Residents

BackgroundPhysician Orders for Life-Sustaining Treatment (POLST) is a tool that facilitates the elicitation and continuity of life-sustaining care preferences. POLST was implemented in California in 2009, but how well it disseminated across a large, racially diverse population is not known and has implications for end-of-life care.ObjectiveTo evaluate the use of POLST among California nursing home residents, including variation by resident characteristics and by nursing home facility.DesignObservational study using California Minimum Data Set Section S.ParticipantsA total of 296,276 people with a stay in 1,220 California nursing homes in 2011.Main measuresThe proportion of residents with a completed POLST (containing a resuscitation status order and resident/proxy and physician signatures) and relationship to resident characteristics; change in POLST use during 2011; and POLST completion and unsigned forms within nursing homes.Key resultsDuring 2011, POLST completion increased from 33 to 49 % of California nursing home residents. Adjusting for age and gender using a mixed-effects logistic model, long-stay residents were more likely than short-stay residents to have a completed POLST [OR = 2.36 (95 % CI 2.30, 2.42)]; severely cognitively impaired residents were less likely than unimpaired to have a completed POLST [OR = 0.89 (95 % CI 0.87, 0.92)]; and there was little difference by functional status. There was no difference in POLST completion among White non-Hispanic, Black, and Hispanic residents. Variation in POLST completion among nursing homes far exceeded that attributable to resident characteristics with 40 % of facilities having ≥80 % of long-stay residents with a completed POLST, while 20 % of facilities had ≤10 % of long-stay residents with a completed POLST. Thirteen percent of nursing home residents had a POLST containing a resuscitation preference but lacked a signature, rendering the POLST invalid.ConclusionsStatewide nursing home data show broad uptake of POLST in California without racial disparity. However, variation in POLST completion among nursing homes identifies potential areas for quality improvement