266 research outputs found

    COMMUNITY CONNECTIONS: ENHANCED STUDENT MOTIVATION AND GRANDMOTHER VOLUNTEERS

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    Enhanced student motivation was observed in a small rural elementary school art room with the aid of grandmother volunteers and a lesson on local history. Improved qualities of transitions, participation and deep engagement were measured using audio recordings, visual recordings, and observational notes over a period of three 50-minute sessions. Students worked in small groups with grandmother volunteers to learn traditional quilting techniques to create small wall hangings celebrating the life of a beloved local historical hero. Highlights of this research study included beginning transition times changing from 5 minutes to 40 seconds within the 3 sessions. During the same period, ending times were extended 10 minutes with many students requesting to stay in during recess. Even more dramatically, four minutes of silence was recorded during the third session, with all students deeply engaged in the sewing process. The precise role that the grandmother volunteers played in these dramatic results is an area for further research. Compelling results provide new thoughts on classroom culture, relevant curriculum design and community-based learning

    “New Orleans never was tighter”: Jim Garrison’s Gendered Vice Campaign in New Orleans, 1962-1966

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    Most historical writing and research on Jim Garrison’s political career focus on his investigation of President John F. Kennedy’s assassination and Garrison’s prosecution of Clay Shaw. Few scholars examine the years prior to the investigation when Garrison served as District Attorney of New Orleans. In 1962, Garrison won the election for District Attorney in part for his pledge to clean up the French Quarter of its lurid reputation. Garrison’s vice crusade targeted mostly women who symbolized the city\u27s colorful reputation. Aided by his office and the vice squad, he raided the French Quarter to arrest prostitutes, strippers, and anyone associated with these women’s work. This thesis argues that Jim Garrison utilized his political power in a gendered anti-vice campaign to target and unjustly arrest some of the women in the vice industry to gain publicity and fame. While Garrison publicly fought against women in the vice world, his vice crusade masked his own misconduct as a District Attorney

    Very small deletions within the NESP55 gene in pseudohypoparathyroidism type 1b

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    Pseudohypoparathyroidism (PHP) is caused by reduced expression of genes within the GNAS cluster, resulting in parathormone resistance. The cluster contains multiple imprinted transcripts, including the stimulatory G protein α subunit (Gs-α) and NESP55 transcript preferentially expressed from the maternal allele, and the paternally expressed XLas, A/B and antisense transcripts. PHP1b can be caused by loss of imprinting affecting GNAS A/B alone (associated with STX16 deletion), or the entire GNAS cluster (associated with deletions of NESP55 in a minority of cases). We performed targeted genomic next-generation sequencing (NGS) of the GNAS cluster to seek variants and indels underlying PHP1b. Seven patients were sequenced by hybridisation-based capture and fourteen more by long-range PCR and transposon-mediated insertion and sequencing. A bioinformatic pipeline was developed for variant and indel detection. In one family with two affected siblings, and in a second family with a single affected individual, we detected maternally inherited deletions of 40 and 33 bp, respectively, within the deletion previously reported in rare families with PHP1b. All three affected individuals presented with atypically severe PHP1b; interestingly, the unaffected mother in one family had the detected deletion on her maternally inherited allele. Targeted NGS can reveal sequence changes undetectable by current diagnostic methods. Identification of genetic mutations underlying epigenetic changes can facilitate accurate diagnosis and counselling, and potentially highlight genetic elements critical for normal imprint settin

    Terminology and methods used to differentiate injury intent of hospital burn patients in South Asia: Results from a systematic scoping review

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    Introduction: A key component in the classification of all injury types is to differentiate whether the injury was deliberately inflicted and by whom, commonly known as intent in the surveillance literature. These data guide patient care and inform surveillance strategies. South Asia is believed to have the greatest number of intentional burn injuries, but national surveillance data is not disaggregated by injury intent. Scientific literature can be used for injury surveillance where national data collection does not exist. In order to synthesise research findings, it is essential to assess the potential impact of misclassification bias. We therefore conducted a systematic scoping review to understand terminology and methods used to differentiate injury intent of hospital burn patients in South Asia.Methods: We followed the methods in our registered protocol (https://doi.org/10.17605/OSF.IO/DCYNQ). Studies met defined population, concept, context, and study design criteria. The databases Embase, MEDLINE, CINAHL, PsycInfo, and PakMediNet were searched. Two reviewers independently screened results. Data were extracted in a standardised manner and verified. The rigour of the method used to differentiate injury intent was appraised.Results: 1435 articles were screened. Of these, 89 met our inclusion criteria. Most articles were from India and Pakistan, and used an observational study design. There were 14 stem terms used in the articles. The most common was cause . There were 40 classifier terms. The most common were accident , suicide , and homicide . Few articles defined these terms. The method used to differentiate injury intent was only described explicitly in 17% of articles and the rigour of the methods used were low. Where methods of differentiation were described, they appear to be based on patient or family report rather than multidisciplinary assessment.Conclusion: The heterogeneity in terms, lack of definitions, and limited investigation of injury intent means this variable is likely to be prone to misclassification bias. We strongly recommend that the global burn community unites to develop a common data element, including definitions and methods of assessment, for the concept of burn injury intent to enable more reliable data collection practices and interstudy comparisons

    Evaluation of the effectiveness and cost-effectiveness of Families for Health V2 for the treatment of childhood obesity : study protocol for a randomized controlled trial

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    Background: Effective programs to help children manage their weight are required. Families for Health focuses on a parenting approach, designed to help parents develop their parenting skills to support lifestyle change within the family. Families for Health V1 showed sustained reductions in overweight after 2 years in a pilot evaluation, but lacks a randomized controlled trial (RCT) evidence base. Methods/design: This is a multi-center, investigator-blind RCT, with parallel economic evaluation, with a 12-month follow-up. The trial will recruit 120 families with at least one child aged 6 to 11 years who is overweight (≄91st centile BMI) or obese (≄98th centile BMI) from three localities and assigned randomly to Families for Health V2 (60 families) or the usual care control (60 families) groups. Randomization will be stratified by locality (Coventry, Warwickshire, Wolverhampton). Families for Health V2 is a family-based intervention run in a community venue. Parents/carers and children attend parallel groups for 2.5 hours weekly for 10 weeks. The usual care arm will be the usual support provided within each NHS locality. A mixed-methods evaluation will be carried out. Child and parent participants will be assessed at home visits at baseline, 3-month (post-treatment) and 12-month follow-up. The primary outcome measure is the change in the children’s BMI z-scores at 12 months from the baseline. Secondary outcome measures include changes in the children’s waist circumference, percentage body fat, physical activity, fruit/vegetable consumption and quality of life. The parents’ BMI and mental well-being, family eating/activity, parent–child relationships and parenting style will also be assessed. Economic components will encompass the measurement and valuation of service utilization, including the costs of running Families for Health and usual care, and the EuroQol EQ-5D health outcomes. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained. A de novo decision-analytic model will estimate the lifetime cost-effectiveness of the Families for Health program. Process evaluation will document recruitment, attendance and drop-out rates, and the fidelity of Families for Health delivery. Interviews with up to 24 parents and children from each arm will investigate perceptions and changes made. Discussion: This paper describes our protocol to assess the effectiveness and cost-effectiveness of a parenting approach for managing childhood obesity and presents challenges to implementation. Trial registration: Current Controlled Trials ISRCTN4503220

    Client perceptions of the BreastScreen Australia remote radiology assessment model

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    Background Telehealth and teleradiology are increasingly used around the world to facilitate health care provision when the health care provider and clients are separated by distance. The BreastScreen Australia Remote Radiology Assessment Model (RRAM) is an initiative developed to address the challenges of inadequate access to a local radiological workforce in regional Australia. With the growth in telehealth innovations more broadly, the RRAM represents a departure from the traditional onsite model where a radiologist would be co-located with practice staff during assessment clinics. Understanding client satisfaction is an important consideration with new models. This article explores client perceptions of the RRAM including awareness, satisfaction with experiences, confidence in the quality of care being received, and preferences regarding models of service delivery. Methods Clients in four BreastScreen services across three Australian states and territories were invited to provide feedback on their experiences of the RRAM. Brief face-to-face interviews based on a survey were conducted at the conclusion of assessment clinic visits. Clients also provided feedback through surveys completed and returned by post, and online. Results 144 clients completed the survey regarding their experiences of the RRAM. The majority were aged between 50 and 59 years (55/144, 38.2%). Most had attended a BreastScreen service for either screening or assessment on a total of two to five occasions (85/142, 59.9%) in the past. Nearly all women who attended a RRAM clinic expressed satisfaction with their experience (142/143, 99.3%). Clients were aware that the radiologist was working from another location (131/143, 91.6%) and the majority believed there wouldn’t be any difference in the care they received between the RRAM and the onsite model (120/142, 84.5%). Clients generally had no particular preference for either the onsite or RRAM model of service delivery. Conclusions Clients’ high satisfaction with their clinic experiences, high confidence in care being received, and the majority having no preference for either the onsite or remote model indicates their acceptance of the RRAM. Client acceptance of the model supports continuation of the RRAM at these sites and expansion. Findings may inform future telehealth innovations where key health care team members are working remotely

    Ultraviolet refractive index values of organic aerosol extracted from deciduous forestry, urban and marine environments

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    The refractive index values of atmospheric aerosols are required to address the large uncertainties in the magnitude of atmospheric radiative forcing and measurements of the refractive index dispersion with wavelength of particulate matter sampled from the atmosphere are rare over ultraviolet wavelengths. An ultraviolet-optimized spectroscopic system illuminates optically-trapped single particles from a range of tropospheric environments to determine the particle's optical properties. Aerosol from remote marine, polluted urban, and forestry environments is collected on quartz filters, and the organic fraction isextracted and nebulized to form micron-sized spherical particles. The radius and the real component of refractive index dispersion with wavelength of the optically trapped particles are determined to a precision of 0.001 mm and 0.002 respectively over a near-ultraviolet-visible wavelength range of 0.320–0.480 mm. Remote marine aerosol is observed to have the lowest refractive index (n = 1.442 (l = 0.350 mm)), with above-canopy rural forestry aerosol (n = 1.462–1.481 (l = 0.350 mm)) and polluted urban aerosol (n = 1.444–1.485 (l = 0.350 mm)) showing similar refractive index dispersions with wavelength. In-canopy rural forestry aerosol is observed to have the highest refractive index value (n = 1.508 (l = 0.350 mm)). The study presents the first single particle measurements of the dispersion of refractive index with wavelength of atmospheric aerosol samples below wavelengths of 0.350 mm. The Cauchy dispersion equation, commonly used to describe the visible refractive index variation of aerosol particles, is demonstrated to extend to ultraviolet wavelengths below 0.350 mm for the urban, forestry, and atmospheric aerosol water-insoluble extracts from these environments. A 1D radiative-transfer calculation of the difference in top-of-the-atmosphere albedo between atmospheric core–shell mineral aerosol with and without films of this material demonstrates the importance of organic films forming on mineral aerosol

    Unfitness to Plead. Volume 1: Report.

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    This has been produced along with Volume 2: Draft Legislation as a combined document Presented to Parliament pursuant to section 3(2) of the Law Commissions Act 1965 Ordered by the House of Commons to be printed on 12 January 201
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