Community Forestry Education in the Swan Valley, MT: Contributions of Northwest Connections\u27 Field Program

As the community forestry movement matures, a question remains regarding what kind of educational experience nurtures and inspires people in community forestry? This thesis seeks to contribute to a better understanding of community forestry education by examining a field educational program known as “Landscape and Livelihood” (LL) offered by Northwest Connections, a small community-based conservation organization in the upper Swan Valley of western Montana. Based on extensive interviews, observation and the author’s own personal experience as a former LL student, the thesis documents the program’s use of field ecological studies involving both scientific and local knowledge integrated with journaling, homestays, and involvement in Swan community activities such as fuelwood gathering and citizen science projects. Analysis of interview data was informed by key concepts and concerns from popular, place-based and process educational theories. The results suggest that the LL program contributed to students gaining a more nuanced understanding of and appreciation for rural people and their forest-based connections, knowledge and livelihoods, and a greater sense of joy, hope, and inspiration for participating in conservation related activities in the future. Swan residents who participated as homestay families gained validation of their local knowledge and role as community forestry educators and also experienced joy, hope and inspiration for the future as a result of their interaction with students and the LL field semester. The thesis concludes on the possibilities generated by LL for community forestry and lessons for community forestry education more generally

Cranial Ultrasound Lesions in the NICU Predict Cerebral Palsy at Age 2 Years in Children Born at Extremely Low Gestational Age

Our prospective cohort study of extremely low gestational age newborns evaluated the association of neonatal head ultrasound abnormalities with cerebral palsy at age 2 years. Cranial ultrasounds in 1053 infants were read with respect to intraventricular hemorrhage, ventriculomegaly, and echolucency, by multiple sonologists. Standardized neurological examinations classified cerebral palsy, and functional impairment was assessed. Forty-four percent with ventriculomegaly and 52% with echolucency developed cerebral palsy. Compared with no ultrasound abnormalities, children with echolucency were 24 times more likely to have quadriparesis and 29 times more likely to have hemiparesis. Children with ventriculomegaly were 17 times more likely to have quadriparesis or hemiparesis. Forty-three percent of children with cerebral palsy had normal head ultrasound. Focal white matter damage (echolucency) and diffuse damage (late ventriculomegaly) are associated with a high probability of cerebral palsy, especially quadriparesis. Nearly half the cerebral palsy identified at 2 years is not preceded by a neonatal brain ultrasound abnormality. Originally published Journal of Child Neurology, Vol. 24, No. 1, Jan 200

Reader variability in the use of diagnostic terms to describe white matter lesions seen on cranial scans of severely premature infants: The ELGAN study

To evaluate reader variability of white matter lesions seen on cranial sonographic scans of extreme low gestational age neonates (ELGANs)

Observer variability assessing US scans of the preterm brain: the ELGAN study

Neurosonography can assist clinicians and can provide researchers with documentation of brain lesions. Unfortunately, we know little about the reliability of sonographically derived diagnoses

Cranial Ultrasound Lesions in the NICU Predict Cerebral Palsy at Age 2 Years in Children Born at Extremely Low Gestational Age

Our prospective cohort study of extremely low gestational age newborns evaluated the association of neonatal head ultrasound abnormalities with cerebral palsy at age 2 years. Cranial ultrasounds in 1053 infants were read with respect to intraventricular hemorrhage ventriculomegaly and echolucency by multiple sonologists. Standardized neurological examinations classified cerebral palsy and functional impairment was assessed. Forty-four percent with ventriculomegaly and 52% with echolucency developed cerebral palsy. Compared with no ultrasound abnormalities children with echolucency were 24 times more likely to have quadriparesis and 29 times more likely to have hemiparesis. Children with ventriculomegaly were 17 times more likely to have quadriparesis or hemiparesis. Forty-three percent of children with cerebral palsy had normal head ultrasound. Focal white matter damage (echolucency) and diffuse damage (late ventriculomegaly) are associated with a high probability of cerebral palsy especially quadriparesis. Nearly half the cerebral palsy identified at 2 years is not preceded by a neonatal brain ultrasound abnormality. Originally published Journal of Child Neurology Vol. 24 No. 1 Jan 200