349 research outputs found

    Teaching Content Methods in a High School PDS: Navigating Curricular Tensions

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    As secondary methods instructors, we seek to integrate our courses within the context of our partner high school and to engage its staff in helping prepare our students. State and district mandates, however, often conflict with the pedagogy and content that guides our methods courses. In short, these mandates, whose ultimate goals are to increase student scores on high-stakes tests (especially at Title I schools), frequently do not align with the best practices described in contemporary educational research. In this article, we examine a highly rated unit plan developed by one teacher education candidate within a PDS-based methods course in regards to four theoretical frameworks: The National Council for the Social Studies A Vision of Powerful Teaching and Learning in the Social Studies position statement, Frey and Fisher’s Gradual Release of Learning model, the school district’s curriculum guide, and the PDS site principal’s explicit instructional messaging). The unit plan well supported assumptions posited by the NCSS position statement and the gradual release model, but offered less support for those required in the district curriculum guide or the principal’s message. Our findings illustrate a marked tension between the conflicting frameworks emphasized in our partner PDS site with that offered in our site-based methods courses

    Retrospective Denial as A Coping Method

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    Worldwide, gastric cancer is one of the most common and fatal cancers. The majority of patients present with an advanced stage of disease. Even with use of palliative chemotherapy most patients die within 1 year after diagnosis. Medical psychological attention after a diagnosis of incurable cancer is focused on end of life support. This paper presents the care of a patient treated with palliative intent with chemotherapy for an irresectable histologically confirmed gastric cancer. When, unexpectedly prolonged symptom free survival followed, the reaction of the patient came as a surprise to the attending medical team. In this case history we urge those who care for incurable cancer patients, that the rare patient who survives against all odds may require special psychological care

    Exploring biorepository donation patterns, experiences, and recommendations: a mixed-methods study among Appalachian adults enrolled in a sugary drink reduction program

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    BackgroundUnder-represented subgroups in biomarker research linked to behavioral health trials may impact the promise of precision health. This mixed methods study examines biorepository donations across an Appalachian sample enrolled in a sugary drink reduction intervention trial.MethodsParticipants enrolled in the behavioral trial were asked to join an optional biomarker study and were tracked for enrollment and biospecimen returns (stool and/or buccal sample). At 6 months, participants completed a summative interview on decision-making process, experiences collecting samples, and recommendations to encourage biospecimen donation. Return rates were analyzed across demographics (i.e., age, gender, race, education, income, health literacy status, and rurality status) using chi-squares. Qualitative data were content coded with differences compared by biomarker study enrollment and donation choices.ResultsOf the 249 invited participants, 171 (61%) enrolled, and 63% (n = 157) returned buccal samples and 49% (n = 122) returned stool samples. Metro residing participants were significantly more likely (56%) to return stool samples compared to non-metro (39%) counterparts [x2(1) = 6.61; p = 0.01]. Buccal sample return had a similar trend, 67 and 57%, respectively for metro vs. non-metro [x2(1) = 2.84; p = 0.09]. An additional trend indicated that older (≥40 years) participants were more likely (55%) to donate stool samples than younger (43%) participants [x2(1) = 3.39; p = 0.07]. No other demographics were significantly associated with biospecimen return. Qualitative data indicated that societal (66–81%) and personal (41–51%) benefits were the most reported reasons for deciding to donate one or both samples, whereas mistrust (3–11%) and negative perceptions of the collection process (44–71%) were cited the most by those who declined one or both samples. Clear instructions (60%) and simple collection kits (73%) were donation facilitators while challenges included difficult stool collection kits (16%) and inconveniently located FedEx centers (16%). Recommendations to encourage future biorepository donation were to clarify benefits to science and others (58%), provide commensurate incentives (25%), explain purpose (19%) and privacy protections (20%), and assure ease in sample collection (19%).ConclusionStudy findings suggest the need for biomarker research awareness campaigns. Researchers planning for future biomarker studies in medically underserved regions, like Appalachia, may be able to apply findings to optimize enrollment
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