2,172 research outputs found

    First Steps Toward Change in Teacher Preparation for Elementary Science

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    Unless introductory undergraduate science classes for prospective elementary teachers actively incorporate the philosophy of inquiry-based learning called for in K-l2 science education refom little will change in elementary science education. Thus, at James Madison University, we have developed a new integrated science core curriculum called Understanding our World [1]. This course sequence was not only designed to fulļ¬ll general education science requirements. but also to focus on content areas our students will need to know as teachers. The objectives of these courses are based on the National Science Education Standards and Virginiaā€™s Science Standards of Learning, including earth and space science, chemistry, physics, life sciences, and environmental science [2,3]. As an integrated package, this course sequence addresses basic science content, calculation skills, the philosophy and history of science, the process of how science is done, the role of science in society, and applications of computers and technology in science. Keeping in mind that students tend to teach in the same way they were taught, Understanding our World core classes embrace the concepts associated with reform in elementary math and science

    Setting priorities to inform assessment of care homesā€™ readiness to participate in healthcare innovation: a systematic mapping review and consensus process

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    Ā© 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedOrganisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducting, and reporting the implementation of healthcare innovations in care homes. Review data were mapped against the Alberta Context Tool, which was designed to assess organizational context in care homes. The review included 56 papers. No studies involved a systematic assessment of organisational context prior to implementation, but many provided post hoc explanations of how organisational context affected the success or otherwise of the innovation. Factors identified to explain a lack of success included poor senior staff engagement, non-alignment with care home culture, limited staff capacity to engage, and low levels of participation from health professionals such as general practitioners (GPs). Thirty-five stakeholders participated in workshops to discuss findings and develop questions for assessing care home readiness to participate in innovations. Ten questions were developed to initiate conversations between innovators and care home staff to support research and implementation. This framework can help researchers initiate discussions about health-related innovation. This will begin to address the gap between implementation theory and practice.Peer reviewe

    Measuring patient-centered care for specific populations: A necessity for improvement

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    The measurement of patient-centered care (PCC) is a fundamental component of assessing and improving health care quality. There are a variety of PCC measures available which have been tailored to different health care conditions and settings. These distinct measures are valuable given the diversity of health conditions and contexts encountered in the health care system. However, the type of patient has received significantly less attention when measuring PCC despite the multitude of unique patient populations that exist. Specific patient populations raise several core challenges for PCC measurement to which researchers and practitioners need to attend: identifying what principles to measure, who is the most appropriate assessor, and how best to measure PCC. Examples of specific patient populations include geriatric patients, refugees, migrants and dyadic patients. Dyadic patients, such as the mother-infant dyad, are two individual, independent, yet inextricably linked patients who require simultaneous care. In this commentary, we use the mother-infant dyad as one example of a specific population to illustrate the challenges and argument for why additional specific patient populations warrant dedicated measures of PCC. Experience Framework This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this lens

    An edge-queued datagram service for all datacenter traffic

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    Modern datacenters support a wide range of protocols and in-network switch enhancements aimed at improving performance. Unfortunately, the resulting protocols often do not coexist gracefully because they inevitably interact via queuing in the network. In this paper we describe EQDS, a new datagram service for datacenters that moves almost all of the queuing out of the core network and into the sending host. This enables it to support multiple (conflicting) higher layer protocols, while only sending packets into the network according to any receiver-driven credit scheme. EQDS can transparently speed up legacy TCP and RDMA stacks, and enables transport protocol evolution, while benefiting from future switch enhancements without needing to modify higher layer stacks. We show through simulation and multiple implementations that EQDS can reduce FCT of legacy TCP by 2x, improve the NVMeOF-RDMA throughput by 30%, and safely run TCP alongside RDMA on the same network

    The flip Markov chain for connected regular graphs

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    Mahlmann and Schindelhauer (2005) defined a Markov chain which they called -Flipper, and showed that it is irreducible on the set of all connected regular graphs of a given degree (at least 3). We study the 1-Flipper chain, which we call the flip chain, and prove that the flip chain converges rapidly to the uniform distribution over connected -regular graphs with vertices, where and . Formally, we prove that the distribution of the flip chain will be within of uniform in total variation distance after steps. This polynomial upper bound on the mixing time is given explicitly, and improves markedly on a previous bound given by Feder et al. (2006). We achieve this improvement by using a direct two-stage canonical path construction, which we define in a general setting. This work has applications to decentralised networks based on random regular connected graphs of even degree, as a self-stabilising protocol in which nodes spontaneously perform random flips in order to repair the network

    White matter integrity as a predictor of response to treatment in first episode psychosis

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    The integrity of brain white matter connections is central to a patient's ability to respond to pharmacological interventions. This study tested this hypothesis using a specific measure of white matter integrity, and examining its relationship to treatment response using a prospective design in patients within their first episode of psychosis. Diffusion tensor imaging data were acquired in 63 patients with first episode psychosis and 52 healthy control subjects (baseline). Response was assessed after 12 weeks and patients were classified as responders or non-responders according to treatment outcome. At this second time-point, they also underwent a second diffusion tensor imaging scan. Tract-based spatial statistics were used to assess fractional anisotropy as a marker of white matter integrity. At baseline, non-responders showed lower fractional anisotropy than both responders and healthy control subjects (P < 0.05; family-wise error-corrected), mainly in the uncinate, cingulum and corpus callosum, whereas responders were indistinguishable from healthy control subjects. After 12 weeks, there was an increase in fractional anisotropy in both responders and non-responders, positively correlated with antipsychotic exposure. This represents one of the largest, controlled investigations of white matter integrity and response to antipsychotic treatment early in psychosis. These data, together with earlier findings on cortical grey matter, suggest that grey and white matter integrity at the start of treatment is an important moderator of response to antipsychotics. These findings can inform patient stratification to anticipate care needs, and raise the possibility that antipsychotics may restore white matter integrity as part of the therapeutic response
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