737 research outputs found
Supporting English Literacy and Numeracy Learning for Indigenous Students in the Early Years
A longitudinal study conducted by ACER has been monitoring the growth in English literacy and numeracy achievement of a group of 152 Indigenous students in 13 schools through the early years of primary school. Indigenous students\u27 developing English literacy and numeracy skills were assessed at five points over the first three years of school using tasks developed for the ACER Longitudinal Literacy and Numeracy Survey (LLANS). In general, for both the English literacy and for numeracy the achievement of the Indigenous students began at a similar level to that of the main LLANS sample but by the time of the fifth assessment in the third year of school substantial gaps had emerged
Characterization of two Ashkenazi Jewish founder mutations in MSH6 gene causing Lynch syndrome
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87119/1/j.1399-0004.2010.01594.x.pd
Introducing Adaptive Flood Risk Management in England, New Zealand, and the Netherlands: The Impact of Administrative Traditions
Climate change adaptation creates significant challenges for decision makers in the flood risk-management policy domain. Given the complex characteristics of climate change, adaptive approaches(which can be adjusted as circumstances evolve) are deemed necessary to deal with a range of uncertainties around flood hazard and its impacts and associated risks. The question whether implementing adaptive approaches is successful highly depends upon how the administrative tradition of a country enable or hinder applying a more adaptive approach. In this article, we discern how the administrative tradition in the Netherlands, England, and New Zealand impact upon the introduction of adaptive flood risk management approaches. Using the concept of administrative traditions, we aim to explain the similarities and/or differences in how adaptive strategies are shaped and implemented in the three different state flood management regimes and furthermore, which aspects related to administrative traditions are enablers or barriers to innovation in these processe
Magnetorotational collapse of massive stellar cores to neutron stars: Simulations in full general relativity
We study magnetohydrodynamic (MHD) effects arising in the collapse of
magnetized, rotating, massive stellar cores to proto-neutron stars (PNSs). We
perform axisymmetric numerical simulations in full general relativity with a
hybrid equation of state. The formation and early evolution of a PNS are
followed with a grid of 2500 x 2500 zones, which provides better resolution
than in previous (Newtonian) studies. We confirm that significant differential
rotation results even when the rotation of the progenitor is initially uniform.
Consequently, the magnetic field is amplified both by magnetic winding and the
magnetorotational instability (MRI). Even if the magnetic energy E_EM is much
smaller than the rotational kinetic energy T_rot at the time of PNS formation,
the ratio E_EM/T_rot increases to 0.1-0.2 by the magnetic winding. Following
PNS formation, MHD outflows lead to losses of rest mass, energy, and angular
momentum from the system. The earliest outflow is produced primarily by the
increasing magnetic stress caused by magnetic winding. The MRI amplifies the
poloidal field and increases the magnetic stress, causing further angular
momentum transport and helping to drive the outflow. After the magnetic field
saturates, a nearly stationary, collimated magnetic field forms near the
rotation axis and a Blandford-Payne type outflow develops along the field
lines. These outflows remove angular momentum from the PNS at a rate given by
\dot{J} \sim \eta E_EM C_B, where \eta is a constant of order 0.1 and C_B is a
typical ratio of poloidal to toroidal field strength. As a result, the rotation
period quickly increases for a strongly magnetized PNS until the degree of
differential rotation decreases. Our simulations suggest that rapidly rotating,
magnetized PNSs may not give rise to rapidly rotating neutron stars.Comment: 28 pages, 20 figures, accepted for publication in Phys. Rev.
On the Origin of the Outgoing Black Hole Modes
The question of how to account for the outgoing black hole modes without
drawing upon a transplanckian reservoir at the horizon is addressed. It is
argued that the outgoing modes must arise via conversion from ingoing modes. It
is further argued that the back-reaction must be included to avoid the
conclusion that particle creation cannot occur in a strictly stationary
background. The process of ``mode conversion" is known in plasma physics by
this name and in condensed matter physics as ``Andreev reflection" or ``branch
conversion". It is illustrated here in a linear Lorentz non-invariant model
introduced by Unruh. The role of interactions and a physical short distance
cutoff is then examined in the sonic black hole formed with Helium-II.Comment: 12 pages, plain latex, 2 figures included using psfig; Analogy to
``Andreev reflection" in superfluid systems noted, references and
acknowledgment added, format changed to shorten tex
Theoretical description of deformed proton emitters: nonadiabatic coupled-channel method
The newly developed nonadiabatic method based on the coupled-channel
Schroedinger equation with Gamow states is used to study the phenomenon of
proton radioactivity. The new method, adopting the weak coupling regime of the
particle-plus-rotor model, allows for the inclusion of excitations in the
daughter nucleus. This can lead to rather different predictions for lifetimes
and branching ratios as compared to the standard adiabatic approximation
corresponding to the strong coupling scheme. Calculations are performed for
several experimentally seen, non-spherical nuclei beyond the proton dripline.
By comparing theory and experiment, we are able to characterize the angular
momentum content of the observed narrow resonance.Comment: 12 pages including 10 figure
Tone and Broadband Noise Separation from Acoustic Data of a Scale-Model Counter-Rotating Open Rotor
Renewed interest in contra-rotating open rotor technology for aircraft propulsion application has prompted the development of advanced diagnostic tools for better design and improved acoustical performance. In particular, the determination of tonal and broadband components of open rotor acoustic spectra is essential for properly assessing the noise control parameters and also for validating the open rotor noise simulation codes. The technique of phase averaging has been employed to separate the tone and broadband components from a single rotor, but this method does not work for the two-shaft contra-rotating open rotor. A new signal processing technique was recently developed to process the contra-rotating open rotor acoustic data. The technique was first tested using acoustic data taken of a hobby aircraft open rotor propeller, and reported previously. The intent of the present work is to verify and validate the applicability of the new technique to a realistic one-fifth scale open rotor model which has 12 forward and 10 aft contra-rotating blades operating at realistic forward flight Mach numbers and tip speeds. The results and discussions of that study are presented in this paper
Developing a model of mental health self-care support for children and young people through an integrated evaluation of available types of provision involving systematic review, meta-analysis and case study
Background
The mental health of children and young people (CYP) is a major UK public health concern. Recent policy reviews have identified that service provision for CYP with mental health needs is not as effective, responsive, accessible or child-centred as it could be. Following on from a previous National Institute for Health Research (NIHR) study into self-care support for CYP with long-term physical health needs, this study explored self-care support’s potential in CYP’s mental health.
Objectives
To identify and evaluate the types of mental health self-care support used by, and available to, CYP and their parents, and to establish how such support interfaces with statutory and non-statutory service provision.
Design
Two inter-related systematic literature reviews (an effectiveness review with meta-analysis and a perceptions review), together with a service mapping exercise and case study.
Setting
Global (systematic reviews); England and Wales (mapping exercise and case study).
Participants (case study)
Fifty-two individuals (17 CYP, 16 family members and 19 staff) were interviewed across six sites.
Main outcome measures (meta-analysis)
A measure of CYP’s mental health symptomatology.
Data sources (literature reviews)
MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, All Evidence-Based Medicine (EBM) Reviews, Applied Social Sciences Index and Abstracts (ASSIA) and Education Resources Information Center (ERIC).
Review methods
Titles and abstracts of papers were screened for relevance then grouped into studies. Two independent reviewers extracted data from studies meeting the inclusion criteria. A descriptive analysis and meta-analysis were conducted for the effectiveness review; descriptive analyses were conducted for the perceptions review. These analyses were integrated to elicit a mixed-methods review.
Results
Sixty-five of 71 included studies were meta-analysable. These 65 studies elicited 71 comparisons which, when meta-analysed, suggested that self-care support interventions were effective at 6-month [standardised mean difference (SMD) = −0.20; 95% confidence interval (CI) −0.28 to −0.11] and 12-month (SMD = −0.12; 95% CI −0.17 to −0.06) follow-ups. However, judged against Cochrane criteria, the studies were mostly low quality. Key elements of self-care support identified in the perceptions review were the acquisition of knowledge and skills, peer support and the relationship with the self-care support agent; CYP also had different perceptions from adults about what is important in self-care support. The mapping exercise identified 27 providers of 33 self-care support services. According to the case study data, effective self-care support services are predicated on flexibility; straightforward access; non-judgemental, welcoming organisations and staff; the provision of time and attention; opportunities to learn and practise skills relevant to self-care; and systems of peer support.
Conclusions
Mental health self-care support interventions for CYP are modestly effective in the short to medium term. Self-care support can be conceptualised as a process which has overlap with ‘recovery’. CYP and their families want choice and flexibility in the provision of such interventions and a continued relationship with services after the nominal therapy period. Those delivering self-care support need to have specific child-centred attributes.
Future work
Future work should focus on under-represented conditions (e.g. psychosis, eating disorders, self-harm); the role of technology, leadership and readiness in self-care support; satisfaction in self-care support; the conceptualisation of self-care support in CYP’s mental health; and efficacy and cost-effectiveness
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Emergency Department Escalation in Theory and Practice: A Mixed-Methods Study Using a Model of Organizational Resilience
Study objective
Escalation policies are used by emergency departments (EDs) when responding to an increase in demand (eg, a sudden inflow of patients) or a reduction in capacity (eg, a lack of beds to admit patients). The policies aim to maintain the ability to deliver patient care, without compromising safety, by modifying “normal” processes. The study objective is to examine escalation policies in theory and practice.
Methods
This was a mixed-method study involving a conceptual analysis of National Health Service escalation policies (n=12) and associated escalation actions (n=92), as well as a detailed ethnographic study of escalation in situ during a 16-month period in a large UK ED (n=30 observations).
Results
The conceptual analysis of National Health Service escalation policies found that their use requires the ability to dynamically reconfigure resources (staff and equipment), change work flow, and relocate patients. In practice, it was discovered that when the ED is under pressure, these prerequisites cannot always be attained. Instead, escalation processes were adapted to manage pressures informally. This adaptive need (“work as done”) was found to be incompletely specified in policies (“work as imagined”).
Conclusion
Formal escalation actions and their implementation in practice differed and varied in their effectiveness. Monitoring how escalation works in practice is essential in understanding whether and how escalation policies help to manage workload
Trends and variation in the management of oesophagogastric cancer patients: a population-based survey
<p>Abstract</p> <p>Background</p> <p>Previous evidence indicates potential variation in the quality of care of cancer patients. We aimed to examine whether recent changes in the treatment of oesophagogastric cancers have been distributed equally among different patient subgroups.</p> <p>Methods</p> <p>We analysed population-based cancer registry data about the treatment patterning of oesophagogastric cancer (other than oesophageal squamous cell carcinoma) during 1995-2006.</p> <p>Results</p> <p>There were 14,077 patients aged ≥40 years (69% men). There was only limited information on stage, and no information on co-morbidity status. During successive triennia, curative surgery use decreased from 28% to 20% (p < 0.001) whilst chemotherapy use increased from 9% to 30% (p < 0.001). Use of palliative surgery and of radiotherapy increased significantly but modestly (7% to 10%, and 9% to 11%, respectively). In multivariable logistic regression adjusting for age group, gender, diagnosis period and tumour type, curative surgery and chemotherapy were used less frequently in more deprived patients [per increasing deprivation group Odds Ratio (OR) = 0.96, 95% Confidence Interval (CI) 0.93-0.99, and OR = 0.90, 95%CI 0.87-0.93, respectively, p < 0.001 for both)]. Chemotherapy was also used less frequently in women (OR = 0.76, p < 0.001).</p> <p>Conclusions</p> <p>During the study period, curative surgery decreased by a third and chemotherapy use increased by more than three-fold, reflecting improvements in the appropriateness and quality of management, but chemotherapy use, in particular, was unequal, both by socioeconomic status and gender.</p
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