Internationalisation of Singapore television : Singaporean regional and global perspectives and contexts

In this study l investigate the Singaporean characteristics of broadcast media internationalisation. I ask the question "e; Does Internationalisation lead to homogenisation and commercialisation of the television culture in Singapore or does it give way to more diversity, thus stimulating cultural differentiation?"e; . I articulate the constraints and/or tensions of supranational regulation, foreign policy, regional and intraregional alliances upon communication and the cultural and social effects as they impact on and respond to production, programming, scheduling and output in Singapore. I explain how Singaporean Television media culture takes part in the processes of globalisation, and how it challenges existing cultures and creates new and alternative symbolic and cultural communities, within the context of regional communication. In this thesis 1 conclude that whilst Singapore definitely does not have equity in information, wealth or resource flows it is attempting to liberalise. To do so, the government recognises that serious inadequacies and imbalances must be addressed and that the path to greater political and economic growth is through an actively informed public. Despite regulatory restrictions on data flow and technical and service ownership, Singapore is encouraging regional alliances, depoliticising cultural differences and concentrating on economic imperatives to build mutual knowledge and understanding, multilateral agreements, collective ownership, mutual exchange and cooperative dissemination

Michigan: Baseline Report - State Level Field Network Study of the Implementation of the Affordable Care Act

This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.Michigan has taken a mixed approach to implementing the Patient Protection and Affordable Care Act (ACA). It very nearly became the first state led entirely by Republicans to create a health insurance exchange as part of the ACA. Instead, Michigan was one of the more than thirty states to default to a federally run exchange. The state decided to adopt the Medicaid expansion, but with a delayed start date of April 2014

Empowering Elementary and Middle Level Science Educators: Keeping Pace with Instructional Trends in Science Education for the 21st Century

This article emphasizes current pedagogical themes that are important for elementary and middle school science instruction. Discussion topics include the following: (1) Integration (2) Differentiating for Young Learners (3 ) Creating a Balanced Classroom: Person-Centered Instruction (Freiberg, 2002) (4) Inquiry-Based Instruction (5) Maximizing the “Aha” Moment of Learning (6) Cognitive Benefits from Classroom Discourse (7) Including Purposeful Content (8) Integrating Technology (9) Standards-Based Instruction (10) Working Cooperatively in the Science Classroom (11) Authentic Science and (12) Understanding the Methods of Science

Paediatric palliative and supportive care: caring for life: the needs of children and families in Western Australia

Palliative care is the relief of symptoms, regardless of their impact on the underlying disease process. The philosophical underpinning of current international paediatric palliative and supportive care models is that palliative and supportive care should be offered to all children with life threatening or chronic illnesses/disabilities with complex care needs. This approach allows the integration of cure-directed treatment and palliative care. allowing children to benefit from both philosophies of care. In Australia, there is increasing recognition of the need for the development of appropriate paediatric palliative care services, especially in Western Australia where supportive care services for children with life-limiting conditions are significantly underdeveloped. The needs of children with life threatening conditions and their families are unique and require special consideration to enable the appropriate delivery of multidisciplinary care that aims to relieve suffering and improve quality of life. Although traditionally skills and knowledge base were developed for end-of-life care for adults, palliative care for children with life-threatening illnesses may be combined with curative or disease-modifying therapy. In addition, a child\u27s progressive, life-threatening illness has a profound effect on all dimensions of family life. Families are affected emotionally, psychologically, and financially as family structure and organisation become permanently altered. Only recently have the specific palliative care needs of children and their families been recognised..

Elk3 is essential for the progression from progenitor to definitive neural crest cell

Elk3/Net/Sap2 (here referred to as Elk3) is an Ets ternary complex transcriptional repressor known for its involvement in angiogenesis during embryonic development. Although Elk3 is expressed in various tissues, additional roles for the protein outside of vasculature development have yet to be reported. Here, we characterize the early spatiotemporal expression pattern of Elk3 in the avian embryo using whole mount in situ hybridization and quantitative RT-PCR and examine the effects of its loss of function on neural crest development. At early stages, Elk3 is expressed in the head folds, head mesenchyme, intersomitic vessels, and migratory cranial neural crest (NC) cells. Loss of the Elk3 protein results in the retention of Pax7+ precursors in the dorsal neural tube that fail to upregulate neural crest specifier genes, FoxD3, Sox10 and Snail2, resulting in embryos with severe migration defects. The results putatively place Elk3 downstream of neural plate border genes, but upstream of neural crest specifier genes in the neural crest gene regulatory network (NC-GRN), suggesting that it is critical for the progression from progenitor to definitive neural crest cell

Association of the Resident Assessment Instrument (RAI) with Changes in Function, Cognition, and Psychosocial Status

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111069/1/j.1532-5415.1997.tb02971.x.pd

Breast Cancer Before Age 40 Years

Approximately 7% of women with breast cancer are diagnosed before the age of 40 years, and this disease accounts for more than 40% of all cancer in women in this age group. Survival rates are worse when compared to those in older women, and multivariate analysis has shown younger age to be an independent predictor of adverse outcome. Inherited syndromes, specifically BRCA1 and BRCA2, must be considered when developing treatment algorithms for younger women. Chemotherapy, endocrine, and local therapies have the potential to significantly impact both the physiologic health—including future fertility, premature menopause, and bone health—and the psychological health of young women as they face a diagnosis of breast cancer

Integrating care: Learning from first generation integrated primary health care centres

Recent Australian health care policies have focused on strategies to increase efficiency, reduce inequalities and improve health outcomes by building a stronger primary health care system.1 At the time this research was commissioned, the establishment of GP Super Clinics was a significant strategic element of primary health care system reform, although this has now transitioned under subsequent governments to a focus on Health Care Homes.2 The research described in this report was funded by the Australian Primary Health Care Research Institute (APHCRI) in 2013 as part of a research program investigating the features of GP Super Clinics that contribute to achieving the objectives of integration. Specifically, this program of research explored co-location as a strategy for promoting service integration within multidisciplinary primary healthcare clinics, to identify developmental and operational characteristics that promote successful integration.3 Key elements of all 'extended general practice models' 4 are a focus on improving integration to drive quality of care, chronic disease management and prevention; coordination between and across services; increased access, and possibly the promotion of workforce development. While such services have been differentiated from broader primary health care centre models' such as Aboriginal Community Controlled Health Services (ACCHSs), both GP Super Clinics and ACCHSs share an integrated, co-located model of service. While we acknowledge there are significant differences (including the Non-Government Organisation (NGO) focus, not-for-profit status and specific Aboriginal employment contexts) for ACCHSs compared to Super Clinics, many of the challenges of establishing and sustaining integrated primary health care are common across both service types.4 Any initiative seeking to understand characteristics of integrated primary healthcare centres (IPHCs) is likely to derive useful lessons from ACCHSs, which predate the GP Super Clinic model by nearly 40 years. The ACCHS sector has established strategies to ensure collaboration across disciplines, to be properly responsive to changing community needs, and to build effective links within and across services. In many cases, these models have benefited from the fine tuning and maturity that accompanies several decades of implementation. Many of the quality innovations in primary health care which are now moving into broader general practice settings, from quality indicators to the Health Care Home, were pioneered in the ACCHS sector.5 Newer models of co-located integrated primary health care are also offered by some community-based refugee health services which provide co-located, integrated psychology, medical, nursing and social care services. These broad-based primary care services for specific populations offer more social service support than the IPHCs which focus on primary medical care for general populations, but both models share the primary care mandate to provide patient-centred, whole person care. This research report describes two case studies exploring characteristics of two different colocated, integrated services: a mature integrated ACCHS, Winnunga Nimmityjah Aboriginal Health Service (Winnunga Nimmityjah AHS); and a rapidly expanding IPHC, Companion House, supporting refugees and asylum seekers. These services are both award-winning organisations that provide primary general practice (GP) medical care as well as more generalised health services to members of their local community. They function as exemplar case models, each highlighting different challenges that IPHCs may have. Both organisations are important community hubs and have had to frequently adapt to shifting needs and priorities of both their communities and of government policies that impact them directly.The research reported in this paper is a project of the Australian Primary Health Care Research Institute which is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research Evaluation and Development Strategy