Effective student motivation commences with resolving 'dissatisfiers'

The evolution in students' expectations based on Maslow's theory of human motivation shows a transition from expectations having an effect upon motivation towards those providing a satisfactory experience. Maslow's argument was that once the lower level needs, such as physiological and safety needs, are met other higher needs emerge. In the context of student motivation, once environmental conditions are satisfied, the individual becomes dominated by the unsatisfied needs and other hygiene factors related to their studies dominate their experience and expectations. However, the environmental conditions must be satisfied before progress to other levels will succeed. Failure to address these basic issues at the commencement of a student's course of study can lead to absence and the subsequent lack of academic integration is a significant contributor to withdrawal

Mapping the Polarization of the Radio-Loud Lyα\alpha Nebula B3 J2330+3927

Lya nebulae, or "Lya blobs", are extended (up to ~100 kpc), bright (L[Lya] > 10^43 erg/s) clouds of Lya emitting gas that tend to lie in overdense regions at z ~ 2--5. The origin of the Lya emission remains unknown, but recent theoretical work suggests that measuring the polarization might discriminate among powering mechanisms. Here we present the first narrowband, imaging polarimetry of a radio-loud Lya nebula, B3 J2330+3927 at z=3.09, with an embedded active galactic nucleus (AGN). The AGN lies near the blob's Lya emission peak and its radio lobes align roughly with the blob's major axis. With the SPOL polarimeter on the 6.5m MMT telescope, we map the total (Lya + continuum) polarization in a grid of circular apertures of radius 0.6" (4.4kpc), detecting a significant (>2sigma) polarization fraction P in nine apertures and achieving strong upper-limits (as low as 2%) elsewhere. P increases from <2% at ~5kpc from the blob center to ~17% at ~15-25kpc. The detections are distributed asymmetrically, roughly along the nebula's major axis. The polarization angles theta are mostly perpendicular to this axis. Comparing the Lya flux to that of the continuum, and conservatively assuming that the continuum is highly polarized (20-100%) and aligned with the total polarization, we place lower limits on the polarization of the Lya emission P(Lya) ranging from no significant polarization at ~5 kpc from the blob center to ~ 3--17% at 10--25kpc. Like the total polarization, the Lya polarization detections occur more often along the blob's major axis.Comment: 9 pages, 7 figures, accepted for publication in Ap

Trends in time to invasive examination and treatment from 2001 to 2009 in patients admitted first time with non-ST elevation myocardial infarction or unstable angina in Denmark

OBJECTIVE: To investigate trends in time to invasive examination and treatment for patient with first time diagnosis of non-ST elevation myocardial infarction (NSTEMI) and unstable angina during the period from 2001 to 2009 in Denmark. DESIGN: From 1 January 2001 to 31 December 2009 all first time hospitalisations with NSTEMI and unstable angina were identified in the National Patient Registry (n=65 909). Time from admission to initiation of coronary angiography (CAG), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) was calculated. We described the development in invasive examination and treatment probability (CAG, PCI and CABG at 3, 7, 10, 30 and 60 days) for the years 2001–2009, taking the competing risk of death into account using Aalen–Johansen estimators and a Fine-Gray model. SETTING: Nationwide Danish cohort. RESULTS: The proportion of patients receiving a CAG and PCI increased substantially over time while the proportion receiving a CABG decreased for both NSTEMI and unstable angina. For both NSTEMI and unstable angina, a significant increase in invasive examination and treatment probability at 3 days for CAG and PCI were seen especially from 2007 through to 2009. For NSTEMI, the CAG examination probability at 3 days leaped from 20% in 2007 to 32% in 2008 and 39% in 2009, and for PCI the same was true with a leap in treatment probability from 19% to 28% from 2008 to 2009. CONCLUSIONS: In Denmark the use of CAG and PCI in treatment of NSTEMI and unstable angina has increased from 2001 to 2009, while the use of CABG has decreased. During the same period, there was a marked increase in invasive examination and treatment probability at 3 days, that is, more patients were treated faster which is in line with the political aim of reducing time to treatment

Socioeconomic and ethnical disparity in coronary heart disease outcomes in Denmark and the effect of cardiac rehabilitation-A nationwide registry study

AIMS: Cardiovascular patients with low socioeconomic status and non-western ethnic background have worse prognostic outcomes. The aim of this nationwide study was first to address whether short-term effects of hospital-based outpatient cardiac rehabilitation (CR) are similar across educational level and ethnic background, and secondly to study whether known disparity in long-term prognosis in patients with cardiovascular disese is diminished by CR participation. METHODS: All patients with myocardial infarction and/or coronary revascularization from August 2015 until March 2018 in the Danish national patient registry or the Danish cardiac rehabilitation database (DHRD) were included. We used descriptive statistics to address disparity in achievement of quality indicators in CR, and Cox proportional hazard regression to examine the association between the disparity measures and MACE (cardiovascular hospitalization and all-cause mortality) with adjustment for age, gender, index-diagnose and co-morbidity. RESULTS: We identified 34,511 patients of whom 19,383 had participated in CR and 9,882 provided information on CR outcomes from the DHRD. We demonstrated a socioeconomic gradient in improvements in VO(2peak), and non-western patients were less often screened for depression or receive dietary consulting. We found a strong socioeconomic gradient in MACE irrespective of CR participation, medication, and risk factor control (adjusted HR 0.65 (95% CI 0.56–0.77) for high versus low education). Non-western origin was associated with higher risk of MACE (adjusted HR 1.2 (1.1–1.4)). CONCLUSION: We found only minor socioeconomic and ethnic differences in achievement of CR quality indicators but strong differences in CHD prognosis indication that conventional risk factor control and medical treatment following CR do not diminish the socioeconomic and ethnical disparity in CHD prognosis

Comparing web-based mindfulness with loving-kindness and compassion training for promoting well-being in pregnancy: Protocol for a three-arm pilot randomized controlled trial

© Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O\u27Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L Prescott, Jenny Downs. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 14.10.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. Background: Promoting psychological well-being and preventing distress among pregnant women is an important public health goal. In addition to adversely impacting the mother’s health and well-being, psychological distress in pregnancy increases the risk of poor pregnancy outcomes, compromises infant socioemotional development and bonding, and heightens maternal and child vulnerability in the postpartum period. Mindfulness and compassion-based interventions show potential for prevention and early intervention for perinatal distress. As there is an established need for accessible, scalable, flexible, and low-cost interventions, there is increased interest in the delivery of these programs on the web. This project aims to pilot a three-arm randomized controlled trial (RCT) to determine the feasibility of a full-scale RCT comparing 2 web-based interventions (mindfulness vs loving-kindness and compassion) with a web-based active control condition (progressive muscle relaxation). Objective: The primary objective of this study is to assess the feasibility of an RCT protocol comparing the 3 conditions delivered on the web as a series of instructional materials and brief daily practices over a course of 8 weeks. The second objective is to explore the experiences of women in the different intervention conditions. The third objective is to estimate SD values for the outcome measures to inform the design of an adequately powered trial to determine the comparative efficacy of the different conditions. Methods: Pregnant women (n=75) participating in a longitudinal birth cohort study (the ORIGINS project) will be recruited to this study from 18 weeks of gestational age. We will assess the acceptability and feasibility of recruitment and retention strategies and the participants’ engagement and adherence to the interventions. We will also assess the experiences of women in each of the 3 intervention conditions by measuring weekly changes in their well-being and engagement with the program and by conducting a qualitative analysis of postprogram interviews. Results: This project was funded in September 2019 and received ethics approval on July 8, 2020. Enrollment to the study will commence in September 2020. Feasibility of a full-scale RCT will be assessed using ADePT (a process for decision making after pilot and feasibility trials) criteria. Conclusions: If the study is shown to be feasible, results will be used to inform future full-scale RCTs. Evidence for flexible, scalable, and low-cost interventions could inform population health strategies to promote well-being and reduce psychological distress among pregnant women

Strong Field-to-Field Variation of Lyman alpha Nebulae Populations at z~2.3

Understanding the nature of distant Ly-alpha nebulae ("blobs") and connecting them to their present-day descendants requires constraining their number density, clustering, and large-scale environment. To measure these basic quantities, we conduct a deep narrowband imaging survey in four different fields, Chandra Deep Field South (CDFS), Chandra Deep Field North, and two COSMOS subfields, for a total survey area of 1.2deg^2. We discover 25 blobs at z=2.3 with Ly-alpha luminosities of 0.7-8x10^43 erg/s and isophotal areas of Aiso = 10-60 arcsec^2. The transition from compact Ly-alpha emitters (Aiso ~ a few arcsec^2) to extended blobs (Aiso > 10 arcsec^2) is continuous, suggesting a single family perhaps governed by similar emission mechanisms. Surprisingly, most blobs (16/25) are in one survey field, the CDFS. The six brightest, largest blobs with L > 1.5x10^43 erg/s and Aiso > 16 arcsec^2 lie only in the CDFS. These large, bright blobs have a field-to-field variance of sigma_v >~ 1.5 (150%) about their number density n ~ 1.0x10^-5 Mpc^-3. This variance is large, significantly higher than that of unresolved LAEs (sigma_v ~ 0.3 or 30%), and can adversely affect comparisons of blob number densities and luminosity functions among different surveys. We compare the statistics of our blobs with dark matter halos in a 1 Gpc/h cosmological N-body simulation. At z=2.3, the number density (n) implies that each bright, large blob could occupy a halo of M_halo > 10^13 Msun if most halos have detectable blobs. The predicted variance in n is consistent with that observed and corresponds to a bias of ~7. Blob halos lie at the high end of the halo mass distribution at z=2.3 and are likely to evolve into the ~10^14 Msun halos typical of galaxy clusters today. On larger scales of ~10 co-moving Mpc, blobs cluster where compact LAEs do, indicating that blobs lie in coherent, highly overdense structures.Comment: 18 pages, 13 figures, ApJ in pres