English Learners and ESL Programs in the Community College: A Review of the Literature

Demographic and postsecondary enrollment data suggest that the proportion of community college students who need support to access curricula in English is large and will continue to grow in the coming years. Yet there is limited research on the postsecondary experiences and outcomes of these English learners, and most of the studies that are available focus exclusively on the subset of English learners who enroll in ESL courses. Informed by relevant research literature, this paper examines factors within the community college context that affect the experiences and academic outcomes of the English learner population broadly and, given that they can be more easily identified and have been the subject of much more study, students who enroll in ESL courses in particular. The paper describes English learners and their academic needs and strengths and provides a brief discussion of the national and state policy landscape regarding English learner students. It then provides perspectives from the research literature on ESL assessment and placement, instructional delivery, and student identity. The paper concludes with a brief discussion of the implications of these findings for policy, practice, and future research. In June 2019 small revisions were made on pp. 13 and 16 of this paper to better clarify the influence of Assembly Bill 705 on English learners in California

Bulging amniotic membranes at 26 weeks with hindwater leakage. Amnioreduction, rescue double cervical cerclage, subsequent frank membrane rupture and severe oligohydramnios

A 39-year-old, gravida 3 para 0+2 presented at 26+4 weeks gestation with a clear vaginal discharge which upon speculum examination revealed prominent bulging amniotic membranes and a pool of clear amniotic fluid in the vagina. Abdominal ultrasound showed a single viable fetus in longitudinal lie, cephalic presentation and fetal heart rate (FHR) 150 beats per minute, regular. Estimated fetal weight 863g. The past history included 2 previous missed miscarriages. A diagnosis of pre-term premature hind water rupture of membranes was made. Intravenous antibiotics, magnesium sulphate, intramuscular progesterone and antenatal steroids were administered and emergency (double) cervical cerclage was performed after amnioreduction. The next day, the patient showed features of frank rupture of membranes and severe oligohydramnios on ultrasound. Six weeks after cerclage (32+4) considering the persistent amniotic fluid leakage with severe oligohydramnios, planned Caesarean section delivery was performed and a male fetus, weighing 1790 grams was delivered with APGAR scores of 7 and 8 at 1 and 5 minutes respectively. NICU care included invasive volume targeted ventilation, double dose surfactant administration and management of neonatal sepsis with β-haemolytic streptococci. Echocardiographic assessment was normal and feeds were initiated after 3 days of oral immune therapy using colostrum. After 14 days of NICU stay, the neonate was discharged

Becoming College-Ready: Early Findings From a CUNY Start Evaluation

CUNY Start, a pre-matriculation program developed by the City University of New York, seeks to help the lowest placed developmental education students become college ready in just one semester. The program targets incoming students who are assessed as needing remediation in math, reading, and writing by providing intensive instruction for one semester while students delay enrollment in college. It uses a conceptual student-centered curriculum and instructional delivery method and provides a robust approach to staffing and training that allows instructors to learn to implement these strategies while under the tutelage of experienced teachers. It also provides advising, tutoring, and a weekly seminar that teaches students skills they need to succeed in college. Students pay only $75 for the program and do not use financial aid. This report describes the early findings of a random assignment evaluation and implementation study of CUNY Start by CCRC, MDRC, and CUNY. After following CUNY Start and control group students for three semesters, the researchers found: CUNY Start was implemented as it was designed, and the contrast between the program and the colleges’ standard developmental courses and services was substantial. During the first semester in the study, program group students made substantially more progress through developmental education than control group students. Control group students earned more college credits than program group students, as predicted by CUNY Start’s designers. During the second semester, program group students enrolled at CUNY colleges either in CUNY Start or in non-CUNY Start courses at a higher rate than control group students. A final report will look at CUNY Start students’ persistence in college, college credit accumulation, and graduation rates. Another paper will detail CUNY Start’s math curriculum and pedagogy, and a brief will focus on CUNY Start’s staff recruitment, induction, and professional development. CUNY will also create a CUNY Start “Practice Guide.

The Next Phase of Placement Reform: Moving Toward Equity-Centered Practice

Test-only placement systems are associated with inaccurate placement determinations that can perpetuate college achievement gaps by race/ethnicity and socioeconomic status (SES). In response to the pitfalls of traditional, test-only placement systems, colleges across the country are increasingly experimenting with and adopting alternative placement strategies that reduce the number of students assigned to prerequisite developmental education and increase access to college-level courses. These reforms benefit underserved students but by themselves are not enough to eradicate long-standing disparities by race/ethnicity and SES in outcomes such as introductory college-level (or gateway) course completion and credential attainment. For placement reform to be both effective and equitable, it is best coupled with additional related reforms, including improvements to curriculum, instruction, and student supports. Aimed at practitioners, this brief provides guidance to institutions seeking to design and implement placement systems that redress limitations of test-only systems and that work in conjunction with other reforms to generate more equitable outcomes. It draws on research literature as well as examples from the field to highlight promising strategies for addressing barriers to equitable access to and success in college-level courses, including barriers that may persist after broad placement reform has been implemented

Improving Developmental and College-Level Mathematics: Prominent Reforms and the Need to Address Equity

In recent years, there has been a growing recognition that the traditional system of college mathematics remediation that relies on high-stakes placement tests and prerequisite, multilevel course sequences is associated with lowered chances of students completing developmental requirements and increased rates of student attrition. This recognition has led to nationwide reform efforts that strive to alter the structure and curricula of remedial math courses. However, these broad-based reforms have been insufficient in eliminating inequities in developmental placement and completion between students of color and other underserved students and their more advantaged peers. Informed by relevant research literature, this paper argues that the majority of reforms to developmental math education seek to remedy general barriers to student progress but are not typically designed to address equity gaps and, perhaps unsurprisingly, do little to reduce them. The authors examine issues of concern present in traditional developmental math education and how existing reforms—including assessment and placement reforms, acceleration reforms, contextualization reforms, and curricular and pedagogic reforms—aim to address these issues, noting if they are associated with reductions in equity gaps. The authors also explore the potential for targeted reforms in developmental math to more effectively address the factors that contribute to inequities in student outcomes, factors such as stereotype threat, math anxiety, instructor bias, and tracking. The paper concludes with recommendations for colleges: create and use developmental and college-level math curriculum and instruction that affirms students’ math ability and improves their confidence, engage in student-centered instructional practices that encourage conceptual understanding of math and give students a sense of ownership over their own learning, provide professional development to faculty to help identify and remediate instructor biases, develop policies and practices that prevent the tracking of underserved students into less rigorous math courses and/or developmental education, and, similarly, consider ways to increase access to STEM courses for Black and Latinx students

Condom-use Skills Checklist: A Proxy for Assessing Condom-use Knowledge and Skills When Direct Observation Is Not Possible

Because of the continued importance of correct condom-use in controlling the HIV epidemic and the limited availability of tools for assessing correct condom-use, methods for assessing condom-application skills, especially when direct observation is not feasible, are needed. Accordingly, in the context of a high-risk population (The Bahamas) for HIV, a 17-item scale—the Condom-use Skills Checklist (CUSC)—was developed for use among young adolescents and adults. The rationale and approach to developing the scale and some measures of internal consistency, construct validity, and criterion-related validity have been described. It is concluded that the scale offers a reasonable alternative to direct observation among older subjects and that further development may make it more useful among pre-adolescents

Injecting-related health harms and overuse of acidifiers among people who inject heroin and crack cocaine in London: a mixed-methods study.

BACKGROUND: Venous access is a priority for people who inject drugs (PWID). Damage and scarring of peripheral veins can exacerbate health harms, such as skin and soft tissue infections (SSTI), and promote transitions to femoral and subcutaneous injecting. Brown heroin available in Europe requires acidification for injection preparation. In this paper, we present mixed-methods data to explore our hypothesis of a link between overly acidic injection solutions, venous damage and SSTI risk. METHODS: We present a structured survey (n = 455) and in-depth qualitative interview (n = 31) data generated with PWID in London for the Care & Prevent study. Participants provided life history data and detail on injecting environments and drug preparation practices, including the use of acidifiers. Bivariate and multivariate analyses were conducted using a logistic regression for binary outcomes to explore associations between outcomes and excessive acidifier use. Grounded theory principles informed inductive qualitative analysis. Mixed-methods triangulation was iterative with results comparison informing the direction and questions asked of further analyses. RESULTS: Of the 455 participants, most (92%) injected heroin and/or crack cocaine, with 84% using citric as their primary acid for drug preparation. Overuse of acidifier was common: of the 418 who provided an estimate, 36% (n = 150) used more than ½ a sachet, with 30% (n = 127) using a whole sachet or more. We found associations between acidifier overuse, femoral injecting and DVT, but not SSTI. Qualitative accounts highlight the role of poor heroin quality, crack cocaine use, information and manufacturing constraints in acidifier overuse. Painful injections and damage to peripheral veins were common and often attributed to the use of citric acid. CONCLUSIONS: To reduce injecting-related injury and associated consequences, it is crucial to understand the interplay of environmental and practice-based risks underpinning venous damage among PWID. Overuse of acidifier is a modifiable risk factor. In the absence of structural supports such as safe injecting facilities or the prescribing of pharmaceutical diamorphine, there is an urgent need to revisit injecting paraphernalia design and distribution in order to alleviate health harms and distress among the most marginalised

Informed Self-Placement Today: An Exploratory Study of Student Outcomes and Placement Practices

In response to research raising concerns about developmental placement, new placement systems and curricular models designed to increase the number of students placed into entry-level college courses have emerged in recent years. These systems aim to more accurately identify students who may benefit from some type of developmental instruction and those who are ready for entry-level college courses. This CAPR brief presents findings of an exploratory study of informed self-placement (ISP), a placement system in which colleges provide information about placement policies, available courses, and other relevant topics to engage students as active participants in their own placement. ISP, which is also called guided self-placement or directed self-placement, is of interest because it does not rely solely, if at all, on standardized test scores, which research shows are not reliable predictors of performance in college. Moreover, many colleges adopted ISP during the COVID-19 pandemic, when this study began, because they experienced difficulty administering standardized tests and were seeking reliable placement methods that could be easily used in a virtual setting. The study examined course enrollment and completion trends among students placed using ISP practices and sought to document varied approaches to ISP. The researchers collected demographic and outcome data on students’ math and English course enrollments and completions over the last five academic years at three Nevada colleges offering associate and bachelor’s degrees. They also interviewed assessment and placement scholars and representatives of higher education systems and institutions currently implementing some form of ISP. The brief provides a taxonomy of various ISP systems, shares descriptive data on course enrollment and completion, and identifies important equity and access considerations for states and institutions interested in implementing ISP. Although more research is needed to understand the causal impacts of ISP on student outcomes, the data suggest that ISP has the potential to improve students' access to college-level coursework. This exploratory study accompanies the CAPR brief Reviewing the Research on Informed Self-Placement: Practices, Justifications, Outcomes, and Limitations by Tiffany Morton

High prevalence of albuminuria amongst people who inject drugs: A cross-sectional study.

Albuminuria is a key biomarker for cardiovascular disease and chronic kidney disease. Our study aimed to describe the prevalence of albuminuria amongst people who inject drugs in London and to test any potential associations with demographic characteristics, past diagnoses, and drug preparation and administration practices. We carried out a cross-sectional survey amongst people who use drugs in London. The main outcome measure was any albuminuria including both microalbuminuria and macroalbuminuria. Three-hundred and sixteen samples were tested by local laboratory services. Our study initially employed point-of-care testing methods but this resulted in a high number of false positives. Our findings suggest the prevalence of albuminuria amongst PWID is twice that of the general population at 19% (95%CI 15.3-24.0%). Risk factors associated with albuminuria were HIV (aOR 4.11 [95% CI 1.37-12.38]); followed by overuse of acidifier for dissolving brown heroin prior to injection (aOR 2.10 [95% CI 1.04-4.22]). Albuminuria is high amongst people who inject drugs compared to the general population suggesting the presence of increased cardiovascular and renal pathologies. This is the first study to demonstrate an association with acidifier overuse. Dehydration may be common amongst this population and may affect the diagnostic accuracy of point-of-care testing for albuminuria

Complete genome sequence of universal bacteriophage host strain Campylobacter jejuni subsp. jejuni PT14

Campylobacter jejuni strain PT14 is a clinical isolate previously used to propagate bacteriophages in the United Kingdom phage typing scheme. The strain has proven useful in the isolation of Campylobacter bacteriophages from several sources, and it functions as a model host in phage therapy experiments with poultry and poultry meat