Prospectus, March 5, 1980

ISSUES BREWING IN MAYOR\u27S OFFICE; Courts swinging to harshness; McJilton has high outlook for Rantoul; Dressage Seminar at PC Saturday; Week in Review: World, Nation, State, Local; Defensive driving workshop; Growth and development of children to be discussed at first meeting of PACT; PC classes for older adults; Women\u27s History; CPA to discuss tax returns; Women\u27s program offers workshops; Climbing high: an obsession; New organization gets parents and kids together; Dance Marathon at U. of I.; EMTs get refresher course; Dates to live by; Student tells of her adventures in Mexico; Spring Game Tourneys for all Parkland students; Karate; Classifieds; Parkland Basketball; Cobras capture Region crown; Bench Warmer: Bench is a learning lesson : Kaminke; Parkland ends on a down note; Illini, Loyola in NIT tonight; Swags win, We lose, Tourney beginshttps://spark.parkland.edu/prospectus_1980/1035/thumbnail.jp

Parent education interventions designed to support the transition to parenthood: A realist review

AbstractBackgroundPublic health nurses use parent education programmes to support individuals’ transition to parenthood. A wide array of these programmes exists; however, the approach must be accommodated by resources available in a publicly funded system. For example, some new-parent education approaches use 1:1 home visiting (with a nurse or trained lay-home visitor) but the costs of this intensive approach can be prohibitive. Because of this limitation there is an interest in identifying effective and efficient new parent educational approaches that can realistically be provided at a universal level. Unfortunately, there is a lack of high-quality evaluation identifying programmes or educational processes that meet these criteria.ObjectivesTo identify potentially effective new-parenting education interventions that could be implemented at a population level during the transition to parenthood period.DesignRealist synthesis.Data sourcesMedline, CINAHL, ERIC, PsycINFO, Sociological Abstracts, grey literature.Review methodsA realist review method generated a total of 72 papers that were used to inform the results. A three-pronged approach was used incorporating an initial search (6), a database search using applicable keywords and MeSH headings (58), and review of literature identified by advisory group (8 grey literature). An ‘implementation chain’ was developed to outline the overall logic and process behind parent education interventions and to guide the analysis.ResultsSeventy-two papers informed this review: 13 systematic reviews/meta-analyses, 34 intervention studies, 9 opinion papers, 8 programme reviews, and 8 grey literature reports. There was no compelling evidence to suggest that a single educational programme or delivery format was effective at a universal level. Some inherent issues were identified. For example, adult learning principles were overlooked and theories of parent–child interaction were not in evidence. No direct links between universal new-parent education programmes and child development outcomes were established. Programme reach and attrition were key challenges. Programme evaluation criteria were inconsistent, with an over-reliance on parent satisfaction or self-reported intention to change behaviour. There was evidence that effective facilitators helped increase parents’ perceived satisfaction with programmes.ConclusionsIt is unlikely that a single standardized format or programme will meet all the specific learning needs of parents. Multiple approaches that will allow people to access information or education at a time and in a format that suits them may be of value. The importance of the transition to parenthood and its impact on parent and child wellbeing warrant careful consideration of current programming and careful evaluation of future initiatives

Prospectus, October 31, 1979

FROM POLIDENT TO EFFERVESCENT: DOWNTOWN TO BE VINTAGE; Week in Review: Across the globe, In the nation, Throughout the state, Around the town; Poltergeists bump at night; Elam wins state CC; Correction…; Wilson thanks Ziggy fans; Briefs: Forum discusses survey, Brazilian pianist at Monticello Nov. 4, Debate: has America failed?, Art field trip features Toulouse-Lautrec, NHB sponsors student awards, One woman is \u27nine Women\u27, EMT workshop at PC Nov. 17, Parkland presents Survival Program; Weekly Calendar; Preppy yet potent: Heads progress the hard way; Letters to the Editor: Rep. Johnson opposes veto; When weather break thieves break in; Foreigners complain again; Treaters shouldn\u27t \u27trick\u27; Amittyville: fact or fiction?; Survey handed out next week; Classifieds; Checks cashable in Nov.; College Day at PC Nov. 7; Model govt. needs plans; Earn less than $6,000? Elgible for higher grant; Parkland offers Folkore; Harmful materials to be discusses; Knee surgery ousts Short; Home no help for golfers; You\u27ve waited long enough: shape up; Soccer club wins; Freddy heading toward poverty; Fast Freddy Contesthttps://spark.parkland.edu/prospectus_1979/1006/thumbnail.jp

Prospectus, February 20, 1980

JOURN, BROADCAST STUDENTS TOUR SOUTHLAND; University Ave. to receive facelift, lights; Week in Review: World, Nation, State, Local; New bus shelter for MTD riders; Cancelled; Faculty Focus: You were conned, Mr. Novak! ; DSC aids handicapped; Parkland horse program breeds interest; Many careers in agriculture are available; Dates to live by; English 100 testing goes through studies; Letters to the Editor: They can\u27t change; Radio programs on health information; PC Women\u27s Forum; Between the Tracks: Another oh so boring Best of the Year; Soap operas grab student attention in television lounge; Steve\u27s \u27shoes\u27 funny; Up against The Wall ; Classifieds; Pratt, Dunson add sparkle; Women cagers up two more; Equine Club makes horse sense; Bench Warmer: Coaches, faculty put stress on winning; Cobras split in B-ball; PC\u27s Cox, Clark, win; Hoop Express, Pacers take leadhttps://spark.parkland.edu/prospectus_1980/1037/thumbnail.jp

Scleroderma and related disorders: 223. Long Term Outcome in a Contemporary Systemic Sclerosis Cohort

Background: We have previously compared outcome in two groups of systemic sclerosis (SSc) patients with disease onset a decade apart and we reported data on 5 year survival and cumulative incidence of organ disease in a contemporary SSc cohort. The present study examines longer term outcome in an additional cohort of SSc followed for 10 years. Methods: We have examined patients with disease onset between years 1995 and 1999 allowing for at least 10 years of follow-up in a group that has characteristics representative for the patients we see in contemporary clinical practice. Results: Of the 398 patients included in the study, 252 (63.3%) had limited cutaneous (lc) SSc and 146 (36.7%) had diffuse cutaneous (dc) SSc. The proportion of male patients was higher among the dcSSc group (17.1% v 9.9%, p = 0.037) while the mean age of onset was significantly higher among lcSSc patients (50 ± 13 v 46 ± 13 years ± SD, p = 0.003). During a 10 year follow-up from disease onset, 45% of the dcSSc and 21% of the lcSSc subjects developed clinically significant pulmonary fibrosis, p < 0.001. Among them approximately half reached the endpoint within the first 3 years (23% of dcSSc and 10% of lcSSc) and over three quarters within the first 5 years (34% and 16% respectively). There was a similar incidence of pulmonary hypertension (PH) in the two subsets with a steady rate of increase over time. At 10 years 13% of dcSSc and 15% of lcSSc subjects had developed PH (p=0.558), with the earliest cases observed within the first 2 years of disease. Comparison between subjects who developed PH in the first and second 5 years from disease onset demonstrated no difference in demographic or clinical characteristics, but 5-year survival from PH onset was better among those who developed this complication later in their disease (49% v 24%), with a strong trend towards statistical significance (p = 0.058). Incidence of SSc renal crisis (SRC) was significantly higher among the dcSSc patients (12% v 4% in lcSSc, p = 0.002). As previously observed, the rate of development of SRC was highest in the first 3 years of disease- 10% in dcSSc and 3% in lcSSc. All incidences of clinically important cardiac disease developed in the first 5 years from disease onset (7% in dcSSc v 1% in lcSSc, p < 0.001) and remained unchanged at 10 years. As expected, 10-year survival among lcSSc subjects was significantly higher (81%) compared to that of dcSSc patients (70%, p = 0.006). Interestingly, although over the first 5 years the death rate was much higher in the dcSSc cohort (16% v 6% in lcSSc), over the following years it became very similar for both subsets (14% and 13% between years 5 and 10, and 18% and 17% between years 10 and 15 for dcSSc and lcSSc respectively). Conclusions: Even though dcSSc patients have higher incidence for most organ complications compared to lcSSc subjects, the worse survival among them is mainly due to higher early mortality rate. Mortality rate after first 5 years of disease becomes comparable in the two disease subsets. Disclosure statement: The authors have declared no conflicts of interes

An immune dysfunction score for stratification of patients with acute infection based on whole-blood gene expression

Dysregulated host responses to infection can lead to organ dysfunction and sepsis, causing millions of global deaths each year. To alleviate this burden, improved prognostication and biomarkers of response are urgently needed. We investigated the use of whole-blood transcriptomics for stratification of patients with severe infection by integrating data from 3149 samples from patients with sepsis due to community-acquired pneumonia or fecal peritonitis admitted to intensive care and healthy individuals into a gene expression reference map. We used this map to derive a quantitative sepsis response signature (SRSq) score reflective of immune dysfunction and predictive of clinical outcomes, which can be estimated using a 7- or 12-gene signature. Last, we built a machine learning framework, SepstratifieR, to deploy SRSq in adult and pediatric bacterial and viral sepsis, H1N1 influenza, and COVID-19, demonstrating clinically relevant stratification across diseases and revealing some of the physiological alterations linking immune dysregulation to mortality. Our method enables early identification of individuals with dysfunctional immune profiles, bringing us closer to precision medicine in infection.peer-reviewe