2,745 research outputs found

    Turnabout Time: Public Higher Education in the Commonwealth

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    Stay the course? Steady as she goes is the wrong prescription for charting the future of public higher education in the Commonwealth. A major course correction is in order if the coalition vital to the system\u27s well-being is to hang together and be strengthened. With sharply divergent views being held by the public at large, political and business leaders, faculties and students--all groups essential to continuing educational progress--mutual accommodations and adjustments are the order of the day. Major changes in finance, institutional missions, curricula, and academic standards for faculty and students alike are imperatives. The classic academic model that has shaped the structure, content, and direction of American higher education for a century and a half--the research university--is no longer sufficient to meet today\u27s economic and social needs in Massachusetts. In some respects it may no longer be necessary. Discovering, defining, and putting in place a new model that commands the support of the key coalition and fits the character of the times should be our overriding aim. Aspiring to a dated model--to be a world-class university--may lift spirits but the ambition lacks content. Specifically, the new priorities for most of the public colleges and universities are to put teaching first, to take service to community and economic development seriously, to focus research investments programmatically, and to be prepared to move increasingly to a technologically-intensive rather than a labor-intensive enterprise. Making this course correction--this turnabout--will require change in the way the state finances education, in the organization and structure of the programs and the curricula offered, in the technology developed, in the criteria applied to evaluate and reward faculty, in the standards used to judge student progress, and in the patterns of collaboration among the public campuses and between the public campuses and those in the private sector

    Eastward Ho: Issues and Options in Regional Development for the Metropolitan Boston Region

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    Conventional wisdom suggests that the basic job of public policy studies (and public institutions, for that matter) is to deal in a timely and practical fashion with pressing public issues of the day. The focus typically is on \u27ripe\u27 topics, \u27hot\u27 political problems. If a study can be ahead of the curve, in John Kingdon\u27s apt phrase an idea whose time has come, so much the better. But unlike more traditional academic research, where the focus is timeless — i.e., an explanation of previously inexplicable phenomena, timeliness is a prime reason for initiating a policy study. In this context, analyzing the prospects for regional governance in Massachusetts and New England and suggesting the creation of any new arrangement for metropolitan regions for the Commonwealth seems premature or, at best, wishful thinking. But these are not conventional times. Wrenching changes in welfare, education, and health care are accelerating in a nation being demographically transformed. Three important forces are at work which suggest that regional goverment may be a timely topic after all. First, as we will describe, the academic community is giving some priority to the subject after two generations of neglect. Second, in a time of budgetary constraints, the economic development strategies of metropolitan communities increasingly require a global perspective that emphasizes the interdependence of central city and surrounding suburbs in achieving and maintaining an international competitive advantage. Especially in Massachusetts, given the effects of Proposition 2 1/2 and pressures on the costs of land and home ownership, the need to develop and articulate a common metropolitan economic strategy grows. Third, political forces speak increasingly to the ineffectiveness of local governments in coping with the critical issues of the day. In the midst of the Big Dig and a long-term inability to site a new convention center and a stadium within the metropolitan Boston region, how to plan and provide key metropolitan infrastructure is definitely a \u27hot\u27 political issue

    In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study

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    Diminished health-related quality of life (HRQOL) is common among cancer survivors but often amendable to rehabilitation. However, few access real-world rehabilitation services. Hybrid delivery modes (using a combination of in-clinic and synchronous telehealth visits) became popular during the COVID-19 pandemic and offer a promising solution to improve access beyond the pandemic. However, it is unclear if hybrid delivery has the same impact on patient-reported outcomes and experiences as standard, in-clinic-only delivery. To fill this gap, we performed a retrospective, observational, comparative outcomes study of real-world electronic medical record (EMR) data collected by a national outpatient rehabilitation provider in 2020–2021. Of the cases meeting the inclusion criteria (N = 2611), 60 were seen to via hybrid delivery. The outcomes evaluated pre and post-rehabilitation included PROMIS® global physical health (GPH), global mental health (GMH), physical function (PF), and the ability to participate in social roles and activities (SRA). The patient experience outcomes included the Net Promoter Survey (NPS®) and the Select Medical Patient-Reported Experience Measure (SM-PREM). A linear and logistic regression was used to examine the between-group differences in the PROMIS and SM-PREM scores while controlling for covariates. The hybrid and in-clinic-only cases improved similarly in all PROMIS outcomes (all p 0.05). No between-group differences were observed in the NPS or SM-PREM scores (all p > 0.05). Although more research is needed, this real-world evidence suggests that hybrid rehabilitation care may be equally beneficial for and acceptable to cancer survivors and supports calls to expand access to and reimbursement for telerehabilitation

    How well do police specialists risk assess Registered Sexual Offenders?

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    This study examined 91 Active Risk Management System (ARMS) assessments from four police areas across England and Wales. ARMS is a tool that guides criminal justice practitioners to assess and develop formal risk management plans based on the risks and strengths of individual clients convicted of sexual offending. This present study is particularly concerned with the application of this new tool and the quality of subsequent risk assessment as a result of police practitioner assessment. Findings indicate the quality of ARMS assessments were not to the expected standard. The study found while there were acceptable levels of detail and evidence documented by practitioners across individual areas; overall, assessor risk ratings and risk management plans were poor. This paper provides an outline of these findings, making suggestions for areas of improvement, along with recommendations for policy, practice, and research

    Diabetes in Patients With Idiopathic Parkinson's Disease

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    OBJECTIVE—Previous observational studies reported inconsistent results on the association between diabetes and Parkinson's disease, and data on the risk of developing incident diabetes in relation to Parkinson's disease are scarce. We aimed at comparing the diabetes prevalence between patients with or without Parkinson's disease and at exploring the risk of developing incident diabetes associated with Parkinson's disease

    Modeling the System Parameters of 2M1533+3759: A New Longer-Period Low-Mass Eclipsing sdB+dM Binary

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    We present new photometric and spectroscopic observations for 2M 1533+3759 (= NSVS 07826147). It has an orbital period of 0.16177042 day, significantly longer than the 2.3--3.0 hour periods of the other known eclipsing sdB+dM systems. Spectroscopic analysis of the hot primary yields Teff = 29230 +/- 125 K, log g = 5.58 +/- 0.03 and log N(He)/N(H) = -2.37 +/- 0.05. The sdB velocity amplitude is K1 = 71.1 +/- 1.0 km/s. The only detectable light contribution from the secondary is due to the surprisingly strong reflection effect. Light curve modeling produced several solutions corresponding to different values of the system mass ratio, q(M2/M1), but only one is consistent with a core helium burning star, q=0.301. The orbital inclination is 86.6 degree. The sdB primary mass is M1 = 0.376 +/- 0.055 Msun and its radius is R1 = 0.166 +/- 0.007 Rsun. 2M1533+3759 joins PG0911+456 (and possibly also HS2333+3927) in having an unusually low mass for an sdB star. SdB stars with masses significantly lower than the canonical value of 0.48 Msun, down to as low as 0.30 Msun, were theoretically predicted by Han et al. (2002, 2003), but observational evidence has only recently begun to confirm the existence of such stars. The existence of core helium burning stars with masses lower than 0.40--0.43 Msun implies that at least some sdB progenitors have initial main sequence masses of 1.8--2.0 Msun or more, i.e. they are at least main sequence A stars. The secondary is a main sequence M5 star.Comment: 47 pages, 7 figure

    Zinc intake, status and indices of cognitive function in adults and children: a systematic review and meta-analysis

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    In developing countries, deficiencies of micronutrients are thought to have a major impact on child development; however, a consensus on the specific relationship between dietary zinc intake and cognitive function remains elusive. The aim of this systematic review was to examine the relationship between zinc intake, status and indices of cognitive function in children and adults. A systematic literature search was conducted using EMBASE, MEDLINE and Cochrane Library databases from inception to March 2014. Included studies were those that supplied zinc as supplements or measured dietary zinc intake. A meta-analysis of the extracted data was performed where sufficient data were available. Of all of the potentially relevant papers, 18 studies met the inclusion criteria, 12 of which were randomised controlled trials (RCTs; 11 in children and 1 in adults) and 6 were observational studies (2 in children and 4 in adults). Nine of the 18 studies reported a positive association between zinc intake or status with one or more measure of cognitive function. Meta-analysis of data from the adult’s studies was not possible because of limited number of studies. A meta-analysis of data from the six RCTs conducted in children revealed that there was no significant overall effect of zinc intake on any indices of cognitive function: intelligence, standard mean difference of <0.001 (95% confidence interval (CI) –0.12, 0.13) P=0.95; executive function, standard mean difference of 0.08 (95% CI, –0.06, 022) P=0.26; and motor skills standard mean difference of 0.11 (95% CI –0.17, 0.39) P=0.43. Heterogeneity in the study designs was a major limitation, hence only a small number (n=6) of studies could be included in the meta-analyses. Meta-analysis failed to show a significant effect of zinc supplementation on cognitive functioning in children though, taken as a whole, there were some small indicators of improvement on aspects of executive function and motor development following supplementation but high-quality RCTs are necessary to investigate this further

    Neutrinos below 100 TeV from the southern sky employing refined veto techniques to IceCube data

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    Many Galactic sources of gamma rays, such as supernova remnants, are expected to produce neutrinos with a typical energy cutoff well below 100 TeV. For the IceCube Neutrino Observatory located at the South Pole, the southern sky, containing the inner part of the Galactic plane and the Galactic Center, is a particularly challenging region at these energies, because of the large background of atmospheric muons. In this paper, we present recent advancements in data selection strategies for track-like muon neutrino events with energies below 100 TeV from the southern sky. The strategies utilize the outer detector regions as veto and features of the signal pattern to reduce the background of atmospheric muons to a level which, for the first time, allows IceCube searching for point-like sources of neutrinos in the southern sky at energies between 100 GeV and several TeV in the muon neutrino charged current channel. No significant clustering of neutrinos above background expectation was observed in four years of data recorded with the completed IceCube detector. Upper limits on the neutrino flux for a number of spectral hypotheses are reported for a list of astrophysical objects in the southern hemisphere.Comment: 19 pages, 17 figures, 2 table
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