Economic and social opportunity: the changing lives of Aboriginal Victorians

 This study examined Aboriginal advantage in Victoria, demonstrating that relatively rapid change is occurring on a number of socio-economic indicators. This research, including interviews with Aboriginal participants, highlighted the interdependence of Aboriginal agency and responsive societal structures as significant enablers of Indigenous progress and advancement

Discussing stories: On how a dialogic reading intervention improves kindergartners' oral narrative construction

Oral narrative skills are assumed to develop through parent-child interactive routines. One such routine is shared reading. A causal link between shared reading and narrative knowledge, however, has not been clearly established. The present research tested whether an 8-week shared-reading intervention enhanced the fictional narrative skills of children entering formal education. Dialogic reading, a shared reading activity that involves elaborative questioning techniques, was used to engage children in oral interaction during reading and to emphasize elements of story knowledge. Forty English-speaking five- and six-year-olds were assigned to either the dialogic-reading or an alternative-treatment group. ANCOVA results found that the dialogic-reading children’s post-test narratives were significantly better on structure and context measures than those for the alternative-treatment children, but results differed for produced or retold narratives. The dialogic-reading children also showed expressive vocabulary gains. Overall, this study concretely determined that aspects of fictional narrative construction knowledge can be learned from interactive book reading

The role of invented spelling on learning to read in low-phoneme awareness kindergartners: A randomized-control-trial study

The goal of the present intervention research was to test whether guided invented spelling would facilitate entry into reading for at-risk kindergarten children. The 56 participating children had poor phoneme awareness, and as such, were at risk of having difficulty acquiring reading skills. Children were randomly assigned to one of three training conditions: invented spelling, phoneme segmentation, or storybook reading. All children participated in 16 small group sessions over eight weeks. In addition, children in the three training conditions received letter-knowledge training and worked on the same 40 stimulus words that were created from an array of 14 letters. The findings were clear: on pretest, there were no differences between the three conditions on measures of early literacy and vocabulary, but, after training, invented spelling children learned to read more words than did the other children. As expected, the phoneme-segmentation and invented-spelling children were better on phoneme awareness than were the storybook-reading children. Most interesting, however, both the invented spelling and the phoneme-segmentation children performed similarly on phoneme awareness suggesting that the differential effect on learning to read was not due to phoneme awareness per se. As such, the findings support the view that invented spelling is an exploratory process that involves the integration of phoneme and orthographic representations. With guidance and developmentally appropriate feedback, invented spelling provides a milieu for children to explore the relation between oral language and written symbols that can facilitate their entry in reading

Safeguarding pollinators and their values to human well-being

Wild and managed pollinators provide a wide range of benefits to society in terms of contributions to food security, farmer and beekeeper livelihoods, social and cultural values, as well as the maintenance of wider biodiversity and ecosystem stability. Pollinators face numerous threats, including changes in land-use and management intensity, climate change, pesticides and genetically modified crops, pollinator management and pathogens, and invasive alien species. There are well-documented declines in some wild and managed pollinators in several regions of the world. However, many effective policy and management responses can be implemented to safeguard pollinators and sustain pollination services

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Self instruction in medical education

Imperial Users onl

Immunophenotyping of the Cutaneous Infiltrate and of the Mononuclear Cells in the Peripheral Blood in Patients With Atopic Dermatitis

Fourteen adult patients with chronic atopic dermatitis and active skin lesions had a skin biopsy and venous blood sample taken on the same day. Absolute numbers of circulating lymphocytes were normal in all patients. Fluorescence-activated cell sorter (FACS) analysis revealed normal numbers of total T lymphocytes and T-helper and T- suppressor subsets (helper:suppressor ratio, 2:1) in the atopic patients' peripheral blood, but an increase in circulating B lymphocytes and in HLA-D-related antigen-bearing cells. The skin biopsy showed a dermal infiltrate of predominantly T-helper lymphocytes (helper: suppressor ratio, 7: 1). These cells showed strong HLA-DR plasma membrane staining. There was no HLA-DR staining in the membranes of epidermal keratinocytes. Using a monoclonal antihuman IgE, positive staining was observed in the dermis, though none was identified in the epidermis. The dermal anti-IgE staining was concentrated around clusters of T lymphocytes