80 research outputs found

    Stop, Collaborate, and Listen: A Faculty Learning Community Developed to Address Gaps in Pre-Service Education about Interdisciplinary Collaboration

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    There is a notable lack of opportunity for students in pre-service professional training programs and faculty in higher education to collaborate and work together, across disciplines within a common area of professional expertise. In this case, a faculty learning community (FLC) was formed to create a set of video-based simulations based on relevant topics for Committee on Special Education (CSE) meetings, used to inform the development of an Individualized Education Program. These materials were made available across departments and universities, establishing a common language and set of CSE practices. Additionally, a structured three-level text reading and discussion provided faculty with an opportunity for professional development, networking, and scholarship. The project was completed following Cox’s 16 Recommendations for a Faculty Learning Community as a guideline for the successful implementation of the project, the creation of course materials, and analysis of faculty learning outcomes. It is important to note that the FLC process applies to a wide range of disciplines as a means of engaging faculty in responsive and reflective teaching practices as well as professional development

    Action research as first year faculty: Exploring the path less taken

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    The integration of educational research and practice is essential if any genuine progress is to be achieved in addressing compelling, complex and significant issues in education (Pine, 2009, p. 3). As new faculty members, both authors came to the process of action research through collaboration. The path was a new one that we had previously not explored, one that emerged as we moved forward together. We started down this woody lane with ideas, hopes and flashlights to begin to clarify our work, our ideas, and the needs of our students. We also hoped to illuminate the way for other junior faculty members attempting to integrate action research into their praxis

    Intensive family intervention and the problem figuration of 'troubled families'

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    This article examines how intensive family interventions in England since 1997, including the Coalition government's Troubled Families programme, are situated in a contemporary problem figuration of ‘anti-social’ or ‘troubled’ families that frames and justifies the utilisation of different models of intensive family intervention. The article explores how techniques of classification and estimation, combined with the controversial use of ‘research’ evidence in policy making, are situated within a ‘rational fiction’ that constructs ‘anti-social’ families in particular ways. The article illustrates how this problem figuration has evolved during the New Labour and Coalition administrations in England, identifying their similarities and differences. It then presents findings from a study of intensive family intervention strategies and mechanisms in a large English city to illustrate how this national level discourse and policy framework relates to developing localised practice, and the tensions and ambiguities that arise

    Survey of Nutrition Management Practices in Centers for Pediatric Intestinal Rehabilitation

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    Background: Nutrition management of pediatric intestinal failure (IF) requires interdisciplinary coordination of parenteral nutrition (PN) and enteral nutrition (EN) support. Nutrition strategies used by specialists in pediatric intestinal rehabilitation to promote gut adaptation and manage complications have not been previously summarized. Methods: A practice survey was distributed to members of the dietitian subgroup of the American Society for Parenteral and Enteral Nutrition Pediatric Intestinal Failure Section. The survey included 24 open‐ended questions related to PN and enteral feeding strategies, nutrition management of PN‐associated liver disease, and laboratory monitoring. Results: Dietitians from 14 centers completed the survey. Management components for patients at risk for cholestasis were consistent and included fat minimization, trace element modification, avoiding PN overfeeding, and providing EN. Parenteral amino acid solutions designed for infants/young children are used in patients <1 or 2 years of age. Trace minerals are dosed individually in 10 of 14 centers. Eleven centers prescribe a continuous infusion of breast milk or elemental formula 1–2 weeks after resection while 3 centers determine the formula type by the extent of resection. Most (86%) centers do not have a protocol for initiating oral/motor therapy. Laboratory panel composition varied widely by center. The selection and frequency of use depended on clinical variables, including cholestatic status, exclusive vs partial PN dependence, postrepletion verification vs routine monitoring, intestinal anatomy, and acuity of care. Conclusion: EN and PN management strategies are relatively consistent among U.S. centers. Collaborative initiatives are necessary to define better practices and establish laboratory monitoring guidelines.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145220/1/ncp10040_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145220/2/ncp10040.pd

    Extended Radio AGN at z ∼ 1 in the ORELSE Survey: The Confining Effect of Dense Environments

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    Recent hydrodynamic simulations and observations of radio jets have shown that the surrounding environment has a large effect on their resulting morphology. To investigate this, we use a sample of 50 Extended Radio Active Galactic Nuclei (ERAGN) detected in the Observations of Redshift Evolution in Large-Scale Environments survey. These sources are all successfully cross-identified to galaxies within a redshift range of 0.55 ≤ z ≤ 1.35, either through spectroscopic redshifts or accurate photometric redshifts. We find that ERAGN are more compact in high-density environments than those in low-density environments at a significance level of 4.5σ. Among a series of internal properties under our scrutiny, only the radio power demonstrates a positive correlation with their spatial extent. After removing the possible radio power effect, the difference of size in low- and high-density environments persists. In the global environment analyses, the majority (86%) of high-density ERAGN reside in the cluster/group environment. In addition, ERAGN in the cluster/group central regions are preferentially compact with a small scatter in size, compared to those in the cluster/group intermediate regions and fields. In conclusion, our data appear to support the interpretation that the dense intracluster gas in the central regions of galaxy clusters plays a major role in confining the spatial extent of radio jets

    Perception Is Reality: quality metrics in pancreas surgery – a Central Pancreas Consortium (CPC) analysis of 1399 patients

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    Several groups have defined pancreatic surgery quality metrics that identify centers delivering quality care. Although these metrics are perceived to be associated with good outcomes, their relationship with actual outcomes has not been established

    Neurodevelopmental Outcome of Young Children with Biliary Atresia and Native Liver: Results from the ChiLDReN Study

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    OBJECTIVES: To assess neurodevelopmental outcomes among participants with biliary atresia with their native liver at ages 12 months (group 1) and 24 months (group 2), and to evaluate variables predictive of neurodevelopmental impairment. STUDY DESIGN: Participants enrolled in a prospective, longitudinal, multicenter study underwent neurodevelopmental testing with either the Bayley Scales of Infant Development, 2nd edition, or Bayley Scales of Infant and Toddler Development, 3rd edition. Scores (normative mean = 100 ± 15) were categorized as ≥100, 85-99, and <85 for χ2 analysis. Risk for neurodevelopmental impairment (defined as ≥1 score of <85 on the Bayley Scales of Infant Development, 2nd edition, or Bayley Scales of Infant and Toddler Development, 3rd edition, scales) was analyzed using logistic regression. RESULTS: There were 148 children who completed 217 Bayley Scales of Infant and Toddler Development, 3rd edition, examinations (group 1, n = 132; group 2, n = 85). Neurodevelopmental score distributions significantly shifted downward compared with test norms at 1 and 2 years of age. Multivariate analysis identified ascites (OR, 3.17; P = .01) and low length z-scores at time of testing (OR, 0.70; P < .04) as risk factors for physical/motor impairment; low weight z-score (OR, 0.57; P = .001) and ascites (OR, 2.89; P = .01) for mental/cognitive/language impairment at 1 year of age. An unsuccessful hepatoportoenterostomy was predictive of both physical/motor (OR, 4.88; P < .02) and mental/cognitive/language impairment (OR, 4.76; P = .02) at 2 years of age. CONCLUSION: Participants with biliary atresia surviving with native livers after hepatoportoenterostomy are at increased risk for neurodevelopmental delays at 12 and 24 months of age. Those with unsuccessful hepatoportoenterostomy are >4 times more likely to have neurodevelopmental impairment compared with those with successful hepatoportoenterostomy. Growth delays and/or complications indicating advanced liver disease should alert clinicians to the risk for neurodevelopmental delays, and expedite appropriate interventions
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