Where are the early years of school in contemporary early childhood education reforms? An historical perspective

Made available in accordance with the publisher's self-archiving policy. The final publication is available at Springer via http://dx.doi.org/10.1007/s13384-014-0161-0Although international definitions of early childhood repeatedly refer to a birth-8 age span, there are complex, institutional divides within this age range. This paper explores the divide between pre-compulsory and compulsory early childhood institutions. In countries such as Finland this divide is not such an issue because children do not begin formal schooling until age seven or eight. However, in Australia these 8 years include both pre-compulsory programs (often birth-5) and compulsory schooling. We argue that in situations where the early years of compulsory school are included in a country’s definitions of early childhood, they often occupy a tenuous place in research, policy and practice. Drawing from the history of early childhood education in South Australia, we explore the place that the early years of school have occupied in early childhood discourse, policy and practice and then consider some contemporary state-based and national reforms. Our hope is that by considering the South Australian past, the paper may provide a space from which to advocate for policies and structures that uphold specialist expertise and leadership in the early years of schooling

Studies in the turnover of the bound phosphate of skeletal muscle during contraction and relaxation

The possibility that there is a turnover in active muscle of a phosphate fraction which remains attached to the muscle after extraction with aqueous media, was investigated further.A reversible decrease in the specific activity was found when loaded or unloaded frog recti (briefly labelled with-orthophosphate) were contracted by treatment with KCl. Even in the absence of shortening (under isometric conditions or in the absence of calcium ions) a decrease in the specific activity occurred after depolarisation of the membranes.A similar change in specific activity was found when P-labelled glycerol-extracted psoas fibrils were treated with ATP or ITP in the presence of magnesium ions. Ho change occurred when the fibrils were treated with ATP and calcium ions. 2,4-Dinitrophenol did not inhibit the effect of ATP and magnesium ions on the bound phosphate of the myofibrils.In the intact muscle the ATP-p and the P of PC do not become30equally labelled when incubated with P-orthophosphate for 60 min.That material which is extracted as Pi by trichloracetic acid from acetone-dried washed muscle residues has a similar degree of labelling as the ATP-p is isolated from whole muscles.<p

S3E4: How does diversity strengthen education and community?

The death of George Floyd is just one of several incidents that pushed issues of race, diversity and justice to the front burner in 2020. At the University of Maine, President Joan Ferrini-Mundy created a new council to examine where UMaine stands in relation to these issues and what can be done to foster a more inclusive and equitable campus atmosphere. The Council on Diversity, Equity and Inclusion began its work this fall. We speak with council co-chairs Kimberly Whitehead, vice president and chief of staff to the president, and Susan McKay, a professor of physics and director of the Center for Research in STEM Education, or RiSE Center, about efforts to make UMaine and the education it provides more just and reflective of the diverse world students will enter

Improving Patient Safety With X-Ray and Anesthesia Machine Ventilator Synchronization: A Medical Device Interoperability Case Study

When a x-ray image is needed during surgery, clinicians may stop the anesthesia machine ventilator while the exposure is made. If the ventilator is not restarted promptly, the patient may experience severe complications. This paper explores the interconnection of a ventilator and simulated x-ray into a prototype plug-and-play medical device system. This work assists ongoing interoperability framework development standards efforts to develop functional and non-functional requirements and illustrates the potential patient safety benefits of interoperable medical device systems by implementing a solution to a clinical use case requiring interoperability

Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework

In 1996, the Royal College of Physicians &amp; Surgeons of Canada (RCPSC) adopted the CanMEDS framework with seven key roles: medical expert, communicator, collaborator, health advocate, manager, professional, and scholar. For many years, CanMEDS has been recognized around the world for defining what patients need from their physicians. From the start, the RCPSC acknowledged that these roles should &nbsp;evolve over time to continue to meet patient and societal needs (updates in 2005 &amp; 2015).&nbsp; We propose that &nbsp;an 8th role is now needed in the framework: “Doctor as Person”. Interestingly, this role was present in the foundational work through the Educating Future Physicians for Ontario (EFPO) project that the RCPSC drew upon in creating CanMEDS more than 20 years ago. Given today’s challenges of providing care in an increasingly stressed Canadian healthcare system, physicians are struggling more than ever with health and wellness, burnout, and the deterioration of the clinical environment. From the patient perspective, there is growing concern that physician-patient interactions are becoming increasingly impersonal and decreasingly patient-centered. The crack emerging in the foundation of physician identity needs to be remedied. We need to pay close attention to how we define ourselves as physicians, by better identifying the competencies required to navigate the personal and professional challenges we face. Only in so doing can we ward off the threat that exists in losing authentic human to human care interactions. Formalizing Doctor as Person as an 8th role in the CanMEDS framework will help patients and physicians create the space to have essential conversations about the humanity of medical care.&nbsp

Cost-effectiveness of individualized nutrition and exercise therapy for rehabilitation following hip fracture

OBJECTIVE: To undertake a cost-utility analysis of the Individual Nutrition Therapy and Exercise Regime: A Controlled Trial of Injured, Vulnerable Elderly (INTERACTIVE) trial. DESIGN: Cost-utility analysis of a randomized controlled trial. SUBJECTS: A total of 175 patients following a hip fracture were allocated to receive either alternate weekly visits from a physical therapist and dietitian (intervention group), or social visits for 6 months (control group). METHODS: Costs for utilization of hospitals, health and community services were compared with quality-adjusted life years gained, calculated from responses to the Assessment of Quality of Life instrument. RESULTS: There were minimal differences in mean costs between the intervention ($AUD 45,331 standard deviation (SD):$AUD 23,012) and the control group ($AUD 44,764 SD:$AUD 20,712, p = 0.868), but a slightly higher mean gain in quality-adjusted life years in the intervention group (0.155, SD: 0.132) compared with the control group (0.139, SD: 0.149, p = 0.470). The incremental cost-effectiveness ratio was $AUD 28,350 per quality-adjusted life year gained, which is below the implied cost-effectiveness threshold utilized by regulatory authorities in Australia. CONCLUSION: A comprehensive 6-month programme of therapy from dietitians and physical therapists could be provided at a relatively low additional cost in this group of frail older adults, and the incremental cost-effectiveness ratio indicates likely cost-effectiveness, although there was a very high level of uncertainty in the findings

Design Pillars for Medical Cyber-Physical System Middleware

Our goal is to improve patient outcomes and safety through medical device interoperability. To achieve this, it is not enough to build a technically perfect system. We present here our work toward the validation of middleware for use in interoperable medical cyber-physical systems. This includes clinical requirements, together with our methodology for collecting them, and a set of eighteen `design pillars\u27 that document the non-functional requirements and design goals that we believe are necessary to build a successful interoperable medical device system. We discuss how the clinical requirements and design pillars are involved in the selection of a middleware for our OpenICE implementation

Individual nutrition therapy and exercise regime: A controlled trial of injured, vulnerable elderly (INTERACTIVE trial)

Trial registration Australian Clinical Trials Registry: ACTRN12607000017426.Background Proximal femoral fractures are amongst the most devastating consequences of osteoporosis and injurious accidental falls with 25–35% of patients dying in the first year post-fracture. Effective rehabilitation strategies are evolving however, despite established associations between nutrition, mobility, strength and strength-related functional outcomes; there has been only one small study with older adults immediately following fragility fracture where a combination of both exercise and nutrition have been provided. The aim of the INTERACTIVE trial is to establish whether a six month, individualised exercise and nutrition program commencing within fourteen days of surgery for proximal femur fracture, results in clinically and statistically significant improvements in physical function, body composition and quality of life at an acceptable level of cost and resource use and without increasing the burden of caregivers. Methods and Design This randomised controlled trial will be performed across two sites, a 500 bed acute hospital in Adelaide, South Australia and a 250 bed acute hospital in Sydney, New South Wales. Four hundred and sixty community-dwelling older adults aged > 70 will be recruited after suffering a proximal femoral fracture and followed into the community over a 12-month period. Participants allocated to the intervention group will receive a six month individualised care plan combining resistance training and nutrition therapy commencing within 14 days post-surgery. Outcomes will be assessed by an individual masked to treatment allocation at six and 12 months. To determine differences between the groups at the primary end-point (six months), ANCOVA or logistic regression will be used with models adjusted according to potential confounders. Discussion The INTERACTIVE trial is among the first to combine nutrition and exercise therapy as an early intervention to address the serious consequence of rapid deconditioning and weight loss and subsequent ability to regain pre-morbid function in older patients post proximal femoral fracture. The results of this trial will guide the development of more effective rehabilitation programs, which may ultimately lead to reduced health care costs, and improvements in mobility, independence and quality of life for proximal femoral fracture sufferers

Assessment of health in human faces is context-dependent

This work was supported by the National Environment Research Council, UK (KM), Unilever Research & Development USA and the Economic and Social Research Council (RW, DP).When making decisions between options, humans are expected to choose the option that returns the highest benefit. In practice, however, adding inferior alternatives to the choice set can alter these decisions. Here we investigated whether decisions over the facial features that people find healthy looking can also be affected by the context in which they see those faces. To do this we examined the effect of choice set on the perception of health of images of faces of light-skinned Caucasian females. We manipulated apparent facial health by changing yellowness of the skin: the healthy faces were moderately yellow and the less healthy faces were either much more yellow or much less yellow. In each experiment, two healthy faces were presented along with a third, less healthy face. When the third face was much more yellow, participants chose the more yellow of the two healthy faces more often as the most healthy. However, when the third face was the least yellow, participants chose the less yellow of the two healthy faces more often. A further experiment confirmed that this result is not due to a generalised preference for an intermediate option. These results extend our understanding of context-dependent decision-making in humans, and suggest that comparative evaluation may be a common feature across many different kinds of choices that humans have to make.PostprintPeer reviewe