Reform of Preservice Science Education: An Example from a State-Supported University

The ongoing movement to reform the teaching and learning of mathematics and science began as an effort targeting grades K-12. This movement, however, also has significant implications for institutions of higher education, especially in the area of teacher preparation. Northeast Louisiana University has utilized an extensive system of support, including vital National Science Foundation funding, to redesign its science curriculum for elementary education majors. Four courses featuring the content areas of biology, chemistry, geosciences, and physics and integrated with respect to content and methodology were collaboratively developed by education and science faculty. and were approved as requirements for all preservice majors. Preliminary evaluation results with respect to students’ content knowledge and attitude are favorable. Ongoing efforts include the development of activities designed to further integrate the courses with respect to content and the execution of focused evaluative studies to reflect the degree of implementation of the reform practices that have been modeled by the university faculty

Seeking Common Ground in Dryland Systems: Steps Towards Adaptive Water Governance

Drylands are exposed to climate stressors, such as water scarcity, as well as societal stressors, including conflicts, which can make water governance unsuitable for the system’s context. The emergence of adaptive water governance often takes places in these challenging contexts, but the process of achieving this style of governance requires a better consideration of system complexities. Using the Rio del Carmen watershed in Mexico as a case study, with primary data obtained through a questionnaire survey carried out with 217 farmers, this paper aims to identify the main complexities and needs to enable the emergence of adaptive water governance. We found that different groups of farmers converge in identifying system stressors and the main needs regarding water governance; yet, the ways these stressors are perceived differ between groups. The results indicate that contrasting perceptions are shaped by the different cultural roots and environmental conditions in the upper and lower parts of the watershed. This variation increases the difficulty in achieving collaboration and compromise when conflicts ensue. Reducing inequalities in the awareness of system stressors has the potential to enable adaptive water governance. This could be achieved through a peacebuilding technique with an appropriate cultural approach for the watershed’s context in the early stages of a stakeholder engagement process

Measuring the prevalence of sleep disturbances in people with dementia living in care homes: a systematic review and meta-analysis

STUDY OBJECTIVES: Sleep disturbances are a feature in people living with dementia, including getting up during the night, difficulty falling asleep, and excessive daytime sleepiness, and may precipitate a person with dementia moving into residential care. There are varying estimates of the frequency of sleep disturbances and it is unknown whether they are a problem for the individual. We conducted the first systematic review and meta-analysis on the prevalence and associated factors of sleep disturbances in the care home population with dementia. // METHODS: We searched Embase, MEDLINE, and PsycINFO (29/04/2019) for studies of the prevalence or associated factors of sleep disturbances in people with dementia living in care homes. We computed meta-analytical estimates of the prevalence of sleep disturbances and used meta-regression to investigate effects of method of measurement, demographics and study characteristics. // RESULTS: We included 55 studies of 22,780 participants. The pooled prevalence on validated questionnaires of clinically significant sleep disturbances was 20% (95% Confidence Interval, CI 16-24%) and of any symptom of sleep disturbance was 38% (95% CI 33%-44%). On actigraphy using a cut-off of sleep efficiency <85% prevalence was 70% (95% CI 55-85%). Staff distress, resident agitation and prescription of psychotropic medications were associated with sleep disturbances. Studies with a higher percentage of males had a higher prevalence of sleep disturbance. // CONCLUSION: Clinically significant sleep disturbances are less common than those measured on actigraphy, and are associated with residents and staff distress, and increased prescription of psychotropics. Actigraphy appears to offer no benefit over proxy reports in this population

Peer mentorship and positive effects on student mentor and mentee retention and academic success

This study examined how the introduction of peer mentorship in an undergraduate health and social welfare programme at a large northern university affected student learning. Using an ethnographic case study approach, the study draws upon data collected from a small group of mentors and their mentees over a period of one academic year using interviews, reflective journals, assessment and course evaluation data. Analysis of the data collected identified a number of key findings: peer mentorship improves assessment performance for both mentee and mentor; reduces stress and anxiety, enhances participation and engagement in the academic community, and adds value to student outcomes

Translocal imagination of Hong Kong connections: the shifting of Chow Yun-Fat's star image since 1997

Anyone who is interested in Hong Kong cinema must be familiar with one name: Chow Yun-fat (b. 1955). He rose to film stardom in the 1980s when Hong Kong cinema started to attract global attention beyond East Asia. During his early screen career, Chow established a star image as an urban citizen of modern Hong Kong through films such as A Better Tomorrow/Yingxiong bense (John Woo, 1986), City on Fire/Longhu fengyun (Ringo Lam, 1987), All About Ah-Long/A Lang de gushi (Johnnie To, 1989), God of Gamblers/Du shen (Wong Jing, 1989), and Hard Boiled/Lashou shentan (John Woo, 1992)

Development and evaluation of a molecular diagnostic method to rapidly detect Histoplasma capsulatum var. farciminosum, the causative agent of epizootic lymphangitis, in equine clinical samples.

Histoplasma capsulatum var. farciminosum (HCF), the causative agent of epizootic lymphangitis (EZL), is endemic in parts of Africa. Diagnosis based on clinical signs and microscopy lacks specificity, and is a barrier to further understanding this neglected disease. Here, a nested PCR method targeting the ITS region of the rRNA operon was validated for application to equine clinical samples. Twenty-nine horses with signs of EZL, from different climatic regions of Ethiopia, were clinically examined. Blood samples and aspirates of pus from cutaneous nodules were taken, along with blood from a further 20 horses with no cutaneous EZL lesions. HCF was confirmed in DNA extracts of pus and blood samples from 25 and 17 horses, respectively, of the 29 suspected EZL cases. Positive PCR results were also obtained from heat-inactivated pus (24 horses) and blood (23 horses) spotted onto Whatman FTA cards. Two positives were obtained among blood samples from 20 horses that did not exhibit clinical signs of EZL. These are the first reports of the direct detection of HCF in equine blood, and at high frequency amongst horses exhibiting cutaneous lesions. The nested PCR outperformed conventional microscopic diagnosis, as characteristic yeast cells could only be observed in 14 pus samples. HCF DNA was confirmed by sequencing the cloned PCR products, and while alignment of the ITS amplicons showed very little sequence variation, there was preliminary SNP-based evidence for the existence of two subgroups of HCF. This molecular diagnostic method now permits investigation of the epidemiology of EZL

Design of the HIV Prevention Trials Network (HPTN) Protocol 054: A cluster randomized crossover trial to evaluate combined access to Nevirapine in developing countries

HPTN054 is a cluster randomized trial designed to compare two approaches to providing single dose nevirapine to HIV-seropositive mothers and their infants to prevent mother-to-child transmission of HIV in resource limited settings. A number of challenging issues arose during the design of this trial. Most importantly, the need to achieve high participation rates among pregnant, HIV-seropositive women in selected prenatal care clinics led us to develop a method of collecting anonymous and unlinked information on a key surrogate endpoint instead of pursuing linked and identified information on a clinical endpoint. In addition, since group counseling is the standard model for prenatal care in sub-Saharan Africa, the prenatal care clinic serves as the unit of randomization. However, constraints on the number of suitable clinics and other logistical difficulties necessitated a unique type of hybrid parallel/stepped wedge cluster randomized design in which some clinics cross over between the two treatment modalities and some do not. We describe the design for the HPTN054 trial with an emphasis on the logistic and statistical features that allowed us to address these issues. We also provide some general statistical results that are useful for computing power in parallel, crossover, stepped wedge or mixed designs of cluster randomized trials

Development, feasibility, and acceptability of an intervention to improve care for agitation in people living in nursing homes with dementia nearing the end-of-life

OBJECTIVES: To develop a staff training intervention for agitation in people with severe dementia, reaching end-of-life, residing in nursing homes (NHs), test feasibility, acceptability, and whether a trial is warranted. DESIGN: Feasibility study with pre- and post-intervention data collection, qualitative interviews, and focus groups. SETTING: Three NHs in South East England with dementia units, diverse in terms of size, ownership status, and location. PARTICIPANTS: Residents with a dementia diagnosis or scoring ≥2 on the Noticeable Problems Checklist, rated as "severe" on Clinical Dementia Rating Scale, family carers, and staff (healthcare assistants and nurses). INTERVENTION: Manualized training, delivered by nonclinical psychology graduates focusing on agitation in severe dementia, underpinned by a palliative care framework. MEASUREMENTS: Main outcomes were feasibility of recruitment, data collection, follow-up, and intervention acceptability. We collected resident, family carer, and staff demographics. Staff provided data on resident's agitation, pain, quality of life, and service receipt. Staff reported their sense of competence in dementia care. Family carers reported on satisfaction with end-of-life care. In qualitative interviews, we explored staff and family carers' views on the intervention. RESULTS: The target three NHs participated: 28 (49%) residents, 53 (74%) staff, and 11 (85%) family carers who were eligible to participate consented. Eight-four percent of staff attended ≥3 sessions, and we achieved 93% follow-up. We were able to complete quantitative interviews. Staff and family carers reported the intervention and delivery were acceptable and helpful. CONCLUSIONS: The intervention was feasible and acceptable indicating a larger trial for effectiveness may be warranted

The internal cranial anatomy of the Middle Pleistocene Broken Hill 1 cranium

The cranium (Broken Hill 1 or BH1) from the site previously known as Broken Hill, Northern Rhodesia (now Kabwe, Zambia) is one of the best preserved hominin fossils from the mid-Pleistocene. Its distinctive combination of anatomical features, however, makes its taxonomic attribution ambiguous. High resolution microCT, which has not previously been employed for gross morphological studies of this important specimen, allows a precise description of the internal anatomical features of BH1, including the distribution of cranial vault thickness and its 2 internal composition, paranasal pneumatisation, pneumatisation of the temporal bone and endocranial anatomy. Relative to other chronologically and taxonomically relevant specimens, BH1 shows unusually marked paranasal pneumatisation and a fairly thick cranial vault. For many of the features analysed, this fossil does not exhibit the apomorphic conditions observed in either Neandertals or Homo sapiens. Its morphology and the general shape of the brain and of the skull may be partly explained by an allometric relationship relative to the features observed in Homo erectus s.l. However, further research is still necessary to better appreciate the cranial anatomy of BH1 and the role of Homo rhodesiensis/Homo heidelbergensis in the course of human evolution. This paper also deals with more general aspects of scientific practices in palaeoanthropology. In particular, we give precise descriptions of many internal anatomical features of Broken Hill 1, a specimen discovered in 1921. This important and unique dataset will allow independent comparative studies in the future. However, we were limited in our study by the very restricted amount of comparative information available for Homo fossils. In our view, scientific papers dealing with the anatomical description of hominin specimens, both in the case of announcements of new discoveries and of discussions of important specimens found decades ago, should always include qualitative and quantitative data that truly allow for further independent research.CBS and LTB thank the Calleva Foundation and the Human Origins Research Fund for funding