Critical Media Literacy Instruction with Teacher Residents in Urban Catholic Schools: A Comparative Case Study Approach to Implementation and Critical Transformational Learning

Critical literacy is a cultivated habit that students learn in order to read media texts in their world more consciously. The Catholic context is ideal for work around critical media literacy due to a continued mission and vision around social justice. This research fills gaps in literature relating to critical media literacy in Catholic schools. The goals are threefold: (1) to study the transformational learning of teacher residents as they learn about and implement critical media literacy in urban Catholic schools, (2) to identify supports and barriers related to this process in order to better address critical media literacy implementation and its challenges in Catholic classrooms and schools, and (3) to track teacher residents\u27 perceptions of social justice and literacy in order to see what significance, if any, continues to exist between critical media literacy and the Catholic creed in theory and in practice. This study uses the lens of critical transformational learning, an amalgamation of transformational learning theory, critical pedagogy, ecological systems theory, and the idea of propriospect, to analyze findings. Analysis occurs through conventional and directed content analysis. Major findings reveal that transformational learning did take place and teacher residents did implement critical pedagogy. Teacher residents considered themes such as accountability, logistics, and student knowledge as they thought about critical media literacy lesson plans. Barriers and supports present as they did the work in the Catholic context are of particular interest in this study

Be Loud Behind Me, Show Me That You Care: Conducting Campus Climate Focus Groups with Undergraduates at a Predominantly White Institution

For students with marginalized social identities, it can be challenging to navigate undergraduate experiences at predominantly white institutions (PWIs). To better understand lived experiences, ten focus groups were completed with students that represented various marginalized social identities and roles on campus. Bronfenbrenner’s ecological systems theory was used to guide the analysis of ways that individuals navigate interactions within the microsystem that either create a greater sense of belonging for the student or do just the opposite. Findings indicated that student identities shape their entry into this system, the ways that they navigate spaces to survive the system, the complexity of social relationships with faculty and peers in classrooms and through affinity spaces, and the ignorance, neglect, and harm endured during the process. It is critical that higher education institutions, particularly PWIs, hear students’ lived experiences in order to better facilitate inclusive and equitable educational experiences where students feel supported and cared for

The Time for Design-Based Research is Right and Right Now

The science-to-service problem continues to taunt the field of education (Fixsen, Blasé, Naoom, & Wallace, 2009). As an academic discipline, the field requires knowledge generation that adds to or deepens theoretical understandings. As a profession, knowledge generation that solves local problems and supports continuous improvement is necessary. Using design-based research (DBR) provides a means of serving theoretical and practical needs in education, addressing the complexity of education by informing immediate practice while simultaneously contributing to theoretical understandings in the field of education. Using Stokes’ (1977) model of scientific research and knowledge generation, we situate DBR within Pasteur’s quadrant, describe how to increase its use, and recommend a new means for dissemination

Impact of COVID-19 national lockdown on asthma exacerbations: interrupted time-series analysis of English primary care data

Background: The impact of Covid-19 and ensuing national lockdown on asthma exacerbations is unclear. Methods: We conducted an interrupted time-series (lockdown on 23rd March as point of interruption) analysis in asthma cohort identified using a validated algorithm from a national-level primary care database, the Optimum Patient Care Database (OPCRD). We derived asthma exacerbation rates for every week and compared exacerbation rates in the period: January-August 2020 with a pre-Covid-19 period; January-August 2016-2019). Exacerbations were defined as asthma-related hospital attendance/admission (including accident and emergency visit), or an acute course of oral corticosteroids with evidence of respiratory review, as recorded in primary care. We used a generalised least squares modelling approach and stratified the analyses by age, sex, English region, and healthcare setting. Results: From a database of 9,949,487 patients, there were 100,165 asthma patients who experienced at least one exacerbation during 2016-2020. Of 278,996 exacerbation episodes, 49,938 (17.1%) required hospital visit. Comparing pre-lockdown to post-lockdown period, we observed a statistically significant reduction in the level (-0.196 episodes per person-year; p-value<0.001; almost 20 episodes for every 100 asthma patients per year) of exacerbation rates across all patients. The reductions in level in stratified analyses were: 0.005-0.244 (healthcare setting, only those without hospital attendance/admission were significant), 0.210-0.277 (sex), 0.159-0.367 (age), 0.068-0.371 (region). Conclusions: There has been a significant reduction in attendance to primary care for asthma exacerbations during the pandemic. This reduction was observed in all age groups, both sexes, and across most regions in England

Retrospective evaluation of antimicrobial prophylaxis in prevention of surgical site infection in the pediatric population

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108107/1/pan12436.pd

Intrathoracic subclavian artery aneurysm repair in the thoracic endovascular aortic repair era

ObjectiveIntrathoracic subclavian artery aneurysms (SAAs) are rare aneurysms that often occur in association with congenital aortic arch anomalies and/or concomitant thoracic aortic pathology. The advent of thoracic endovascular aortic repair (TEVAR) methods may complement or replace conventional open SAA repair. Herein, we describe our experience with SAA repair in the TEVAR era.MethodsA retrospective review was performed of all intrathoracic SAAs repaired at a single institution since United States Food and Drug Administration approval of TEVAR in 2005.ResultsNineteen patients underwent 20 operations to repair 22 (13 native, nine aberrant) SAAs with an intrathoracic component. Mean SAA diameter was 3.1 cm (range, 1.6-6.0 cm). Mean patient age was 57 years (range, 24-80 years). Twenty-one percent (n = 4) of patients had a connective tissue disorder (two Loeys-Dietz, two Marfan). Thirty-six percent (n = 8) of SAAs were repaired by open techniques and 64% (n = 14) via a TEVAR-based approach. All TEVAR cases required proximal landing zone in the aortic arch (zone 0-2), and revascularization of at least one arch vessel was required in 83% (10/12) of patients. Concomitant repair of associated aortic pathology was performed in 50% (n = 10) of operations. Thirty-day/in-hospital rates of death, stroke, and permanent paraplegia/paraparesis were 5% (n = 1), 5% (n = 1), and 0%, respectively. Over mean (standard deviation) follow-up of 24 (21) months, 16% (n = 3) of patients required reintervention for subclavian artery bypass graft revision (n = 2) or type II endoleak (n = 1).ConclusionsThis is the largest single-institution series to date of TEVAR for SAA repair. Modern endovascular techniques expand SAA repair options with excellent results. The majority of SAAs and nearly all aberrant SAAs (Kommerell's diverticulum) can now be repaired using a TEVAR-based approach without the need for sternotomy or thoracotomy

Is pancreatic cancer palliatable? A national study

Background: Pancreatic cancer is frequently diagnosed at advanced stages where potentially curative resection is no longer possible. Palliative procedures can be performed; however, results on a national level are unknown. This study examines pancreatic cancer patients who underwent potentially palliative procedures including gastric bypass, biliary bypass surgery, celiac block, biliary stent, gastrostomy or jejunostomy, and examines post-intervention complications and 30-day mortality. Methods: SEER-Medicare 1991-2005 was used to identify patients with Stage 3-4 pancreatic cancer. Complication rates were calculated including post-op infection, myocardial infarction, aspiration pneumonia, DVT/PE, pulmonary compromise, gastric bleed, acute renal failure, and reoperation. Kaplan-Meier survival analysis was performed. Finally, Cox proportional hazards modeling was used to control for the effects of age, sex, race, stage, and resection. Results: Of 22,314 pancreatic cancer patients, 858 (3.9%) patients were Stage 3, and 11,149 (50.0%) stage 4. Post-procedure median survival for all patients is approximately two months, with longest survival for biliary bypass patients (3.2mo, 95% CI(2.9-3.7), and lowest survival for jejunostomy 1.3 mo (1.2-1.5) and gastrostomy 1.5 mo (1.4-1.8). Post-procedure 30-day mortality was highest for gastrostomy patients at 41.5%; followed by jejunostomy (39.1%), celiac plexus block (30.0%), gastric bypass (23.8%), biliary bypass (17.8%), and biliary stent (21.2%). The rate of complications averaged 40%, with highest rate for gastrostomy (47.4%) and gastric bypass (45.3%) and lowest for celiac plexus block (29.3%). Stage 4 disease was an independent predictor of death for patients undergoing five out of six procedures. Conclusion: We found that morbidity and mortality of palliative procedures in unresectable pancreatic cancer is high, especially in stage 4 patients. Further studies need to be conducted to identify patients who will have sufficient expected post-procedure survival to benefit from these palliative interventions

Pulmonary Mycobacterium avium-intracellulare is the main driver of the rise in non-tuberculous mycobacteria incidence in England, Wales and Northern Ireland, 2007–2012

BACKGROUND: The incidence of non-tuberculous mycobacteria (NTM) isolation from humans is increasing worldwide. In England, Wales and Northern Ireland (EW&NI) the reported rate of NTM more than doubled between 1996 and 2006. Although NTM infection has traditionally been associated with immunosuppressed individuals or those with severe underlying lung damage, pulmonary NTM infection and disease may occur in people with no overt immune deficiency. Here we report the incidence of NTM isolation in EW&NI between 2007 and 2012 from both pulmonary and extra-pulmonary samples obtained at a population level. METHODS: All individuals with culture positive NTM isolates between 2007 and 2012 reported to Public Health England by the five mycobacterial reference laboratories serving EW&NI were included. RESULTS: Between 2007 and 2012, 21,118 individuals had NTM culture positive isolates. Over the study period the incidence rose from 5.6/100,000 in 2007 to 7.6/100,000 in 2012 (p < 0.001). Of those with a known specimen type, 90 % were pulmonary, in whom incidence increased from 4.0/100,000 to 6.1/100,000 (p < 0.001). In extra-pulmonary specimens this fell from 0.6/100,000 to 0.4/100,000 (p < 0.001). The most frequently cultured organisms from individuals with pulmonary isolates were within the M. avium-intracellulare complex family (MAC). The incidence of pulmonary MAC increased from 1.3/100,000 to 2.2/100,000 (p < 0.001). The majority of these individuals were over 60 years old. CONCLUSION: Using a population-based approach, we find that the incidence of NTM has continued to rise since the last national analysis. Overall, this represents an almost ten-fold increase since 1995. Pulmonary MAC in older individuals is responsible for the majority of this change. We are limited to reporting NTM isolates and not clinical disease caused by these organisms. To determine whether the burden of NTM disease is genuinely increasing, a standardised approach to the collection of linked national microbiological and clinical data is required

Depression of the ULF geomagnetic pulsation related to ionospheric irregularities

We consider a depression in intensity of ULF magnetic pulsations, which is observed on the ground surface due to appearance of the irregularities in the ionosphere. It is supposed that oblique Alfven waves in the ULF frequency range are downgoing from the magnetosphere and the horizontal irregularities of ionospheric conductivity are created by upgoing atmospheric gravity waves from seismic source. Unlike the companion paper by Molchanov et al. (2003), we used a simple model of the ionospheric layer but took into consideration the lateral inhomogeneity of the perturbation region in the ionosphere. It is shown that ULF intensity could be essentially decreased for frequencies f = 0.001-0.1 Hz at nighttime but the change is negligible at daytime in coincidence with observational results

An application of a rule-based system towards resolving exception events of business processes within a small Virtual Organization

The motivation behind this research work is explained first within the context of a European Union funded project called “SYNERGY”. A business scenario of a small virtual organization is presented to discuss what happens if exception events occur within the life cycle of a business scenario, and how they could be resolved to enable the business to operate successfully. To investigate these aspects, the paper briefly explores the role of events within the context of “Collaboration Moderator Services” which aim to increase awareness between collaborative partners during the workflow of a business scenario and then suggests a possible remedy through the use of a rule-based system. A description of a methodology adopted for creation and capture of knowledge needed to resolve the exception events, transform the captured knowledge into rule-sets and implement them in a commercial rule-based system – “XpertRule” is given. Screen shots of this implementation are provided in the paper. Based on this implementation, the paper then concludes with a discussion