164 research outputs found

    Retracing the steps of British abolitionists : a digital learning approach to the history of the Atlantic slave trade

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    The transatlantic slave trade was the largest forced migration in history. It involved an intercontinental transfer of wealth, goods, and most importantly, millions of people over the course of four centuries. Great Britain was one of the chief participants in the traffic. According to estimates available through Voyages: The Trans-Atlantic Slave Trade Database (2013), Britain alone transported more than 3,259,000 enslaved Africans across the Atlantic between the 16th and 19th centuries. In the late 1700s, at the height of British involvement, the nation accounted for approximately a third of the total international trade. However, in 1787, British abolitionists banded together under leaders such as Thomas Clarkson and William Wilberforce to form the Society for Effecting the Abolition of the Slave Trade, creating an alliance of politicians, religious men and women, former slaves, and reformed slave traders, to challenge one of the most widespread, economically rooted institutions of the age.Campus Writing Progra

    Home Run or Strike Out: Can Baseball Arbitration Solve America’s Medical Debt Crisis?

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    In 2012, a New York woman named Claudia Knafo found herself in need of a complicated spinal surgery. She immediately began the long and arduous process of selecting a physician in her insurance network, even going so far as to interview prospective surgeons to confirm their in-network status. Claudia finally selected a well-regarded local surgeon, whose website verified his in-network status with her health insurance plan, after calling his office to confirm. Weeks after her successful spinal surgery, Claudia received notice that the doctor’s receptionist and website were incorrect—the surgeon was not actually in-network. Claudia’s health insurance plan provided 66,0000ofthe66,0000 of the 101,000 value of the operation, but she still found herself saddled with a surprise medical bill of 35,000.Toaddinsulttoinjury,herhealthinsurancecompanylaterdeterminedithadoverpaid,andinstructedClaudiatorecoverthe35,000. To add insult to injury, her health insurance company later determined it had overpaid, and instructed Claudia to recover the 66,000 from her surgeon. Faced with what she describes as a “nuclear attack” from both her surgeon and insurer, Claudia began searching for help. Her story found its way to insurance regulators, consumer advocacy groups, the state attorney general’s office, and finally New York State lawmakers

    Strengths and limitations of a learner-centred approach to teaching research methods

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    Evaluating teaching, learning and assessment methods at module-level is essential, particularly in enhancing academic quality. However, module evaluations are usually designed and conducted by the University to serve their own purpose of maintaining Academic standards and often do not consider student involvement in the process of module evaluation. In our project named Students as researchers, students were appointed as researchers to gather student perceptions on a large first year undergraduate (Level 4) research module for social science students. This is a compulsory module for Politics, Sociology and Criminology single and joint honours students. This module was recently revalidated and incorporated an applied approach towards teaching research methods after feedback from previous years. The research has taken a mixed-methods approach. This encompassed an online survey questionnaire that has been distributed to all 467 first-year students on the module. To accompany this quantitative data, interviews were organized for richer, in-depth data to inform positive change on the development of the module. The findings of this work have fed into further development of this module for future cohorts. This evaluation has offered teaching staff an opportunity to reflect on our research findings and their own academic practice both within the department and within other disciplinary areas. It has also offered students an opportunity to feedback on their own student experience at module level and in doing so to enhance the quality of teaching and assessment of the module for future cohorts. It has additionally allowed student-researchers to gain knowledge of the practicalities of action research methodology and evaluation research through taking part in the project.</p

    Effective Organizational Practices for Middle and High School Grades

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    At the request of the Accountability Review Council, Research for Action identified effective organizational practices used by better performing schools serving substantial numbers of low income middle and high school students in the School District of Philadelphia. These practices are organized into three spheres: Conditions for Teaching, Student-Centered School Community, and Instructional Program. For each sphere, the report offers broad strategies and specific practices to enact the strategies. Nuanced school case studies show how the practices can work synergistically and coherently in schools to help students succeed

    Time out of mind

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    Low-Melt Poly(Amic Acids) and Polyimides and Their Uses

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    Provided are low-melt polyimides and poly(amic acids) (PAAs) for use as adhesives, and methods of using the materials for attaching two substrates. The methods typically form an adhesive bond that is hermetically sealed to both substrates. Additionally, the method typically forms a cross-linked bonding material that is flexible

    Changes in serogroup and genotype prevalence among carried meningococci in the United Kingdom during vaccine implementation.

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    BACKGROUND: Herd immunity is important in the effectiveness of conjugate polysaccharide vaccines against encapsulated bacteria. A large multicenter study investigated the effect of meningococcal serogroup C conjugate vaccine introduction on the meningococcal population. METHODS: Carried meningococci in individuals aged 15-19 years attending education establishments were investigated before and for 2 years after vaccine introduction. Isolates were characterized by multilocus sequence typing, serogroup, and capsular region genotype and changes in phenotypes and genotypes assessed. RESULTS: A total of 8462 meningococci were isolated from 47 765 participants (17.7%). Serogroup prevalence was similar over the 3 years, except for decreases of 80% for serogroup C and 40% for serogroup 29E. Clonal complexes were associated with particular serogroups and their relative proportions fluctuated, with 12 statistically significant changes (6 up, 6 down). The reduction of ST-11 complex serogroup C meningococci was probably due to vaccine introduction. Reasons for a decrease in serogroup 29E ST-254 meningococci (from 1.8% to 0.7%) and an increase in serogroup B ST-213 complex meningococci (from 6.7% to 10.6%) were less clear. CONCLUSIONS: Natural fluctuations in carried meningococcal genotypes and phenotypes a can be affected by the use of conjugate vaccines, and not all of these changes are anticipatable in advance of vaccine introduction

    Prospective Telehealth Analysis of Functional Performance, Frailty, Quality of Life, and Mental Health after COVID-19 hospitalization

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    Background COVID-19 is a global pandemic with poorly understood long-term consequences. Determining the trajectory of recovery following COVID-19 hospitalization is critical for prioritizing care, allocating resources, facilitating prognosis, and informing rehabilitation. The purpose of this study was to prospectively evaluate recovery following COVID-19 hospitalization. Methods Participants age 18 years or older who were hospitalized for ≄24 h due to COVID-19 completed phone/video call virtual assessments (including the 10-time chair rise test) and survey forms at three time points (2–6, 12, and 18 weeks) after hospital discharge. Univariate logistic and linear regression models assessed the associations of the outcomes with primary predictors (categorical age, sex, race/ethnicity group, and categorical pre-hospitalization frailty) at baseline; the same were used to assess differences in change from week 2–6 (continuous outcomes) or outcome persistence/worsening (categorical) at last contact. Results One hundred nine adults (age 53.0 [standard deviation 13.1]; 53% female) participated including 43 (39%) age 60 or greater; 59% identified as an ethnic and/or racial minority. Over 18 weeks, the mean time to complete the 10-time chair rise test decreased (i.e., improved) by 6.0 s (95% CI: 4.1, 7.9 s; p \u3c 0.001); this change did not differ by pre-hospital frailty, race/ethnicity group, or sex, but those age ≄ 60 had greater improvement. At weeks 2–6, 67% of participants reported a worse Clinical Frailty Scale category compared to their pre-hospitalization level, whereas 42% reported a worse frailty score at 18 weeks. Participants who did not return to pre-hospitalization levels were more likely to be female, younger, and report a pre-hospitalization category of ‘very fit’ or ‘well’. Conclusions We found that functional performance improved from weeks 2–6 to 18 weeks of follow-up; that incident clinical frailty developed in some individuals following COVID-19; and that age, sex, race/ethnicity, and pre-hospitalization frailty status may impact recovery from COVID-19. Notably, individuals age 60 and older were more likely than those under age 45 years to return to their pre-hospitalization status and to make greater improvements in functional performance. The results of the present study provide insight into the trajectory of recovery among a representative cohort of individuals hospitalized due to COVID-19. Background Coronavirus disease (COVID)-19 is a global pandemic with poorly understood long-term consequences. Recent data suggest that even mild cases of COVID-19 can result in significant long-term morbidity [1]. Determining the trajectory of recovery in patients following COVID-19 hospitalization is critical for prioritizing care, allocating resources, facilitating prognosis, and informing rehabilitation

    Integration of genomic and other epidemiologic data to investigate and control a cross-institutional outbreak of Streptococcus pyogenes outbrea

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    Single-strain outbreaks of Streptococcus pyogenes infections are common and often go undetected. In 2013, two clusters of invasive group A Streptococcus (iGAS) infection were identified in independent but closely located care homes in Oxfordshire, United Kingdom. Investigation included visits to each home, chart review, staff survey, microbiologic sampling, and genome sequencing. S. pyogenes emm type 1.0, the most common circulating type nationally, was identified from all cases yielding GAS isolates. A tailored whole-genome reference population comprising epidemiologically relevant contemporaneous isolates and published isolates was assembled. Data were analyzed independently using whole-genome multilocus sequencing and single-nucleotide polymorphism analyses. Six isolates from staff and residents of the homes formed a single cluster that was separated from the reference population by both analytical approaches. No further cases occurred after mass chemoprophylaxis and enhanced infection control. Our findings demonstrate the ability of 2 independent analytical approaches to enable robust conclusions from nonstandardized whole-genome analysis to support public health practice
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