+SPACES: Serious Games for Role-Playing Government Policies

The paper explores how role-play simulations can be used to support policy discussion and refinement in virtual worlds. Although the work described is set primarily within the context of policy formulation for government, the lessons learnt are applicable to online learning and collaboration within virtual environments. The paper describes how the +Spaces project is using both 2D and 3D virtual spaces to engage with citizens to explore issues relevant to new government policies. It also focuses on the most challenging part of the project, which is to provide environments that can simulate some of the complexities of real life. Some examples of different approaches to simulation in virtual spaces are provided and the issues associated with them are further examined. We conclude that the use of role-play simulations seem to offer the most benefits in terms of providing a generalizable framework for citizens to engage with real issues arising from future policy decisions. Role-plays have also been shown to be a useful tool for engaging learners in the complexities of real-world issues, often generating insights which would not be possible using more conventional techniques

Justice Education as a Schoolwide Effort: Effective Religious Education in the Catholic School

This essay describes and analyzes one successful justice education program flowing from community service, and demonstrates how such a program in Catholic school responds to several important “calls” to Catholic educators. These “calls” are issued by (a) the needs of the learners and the signs of the times, (b) official documents of the Church about the mission of the Catholic school and the faith growth of youth, and (c) a creative reading of history and contemporary expression of religious education that involves cooperation among all teachers and all subject areas in the school. The essay begins with a description of the justice education program at St. Pius XIII School, comprised of Grades 7 through 12. [The school is a fictional construct; it does not exist as one entity, but is the amalgam of the experiences of good practices in several schools.] Following the description is a treatment of each of the “calls” to which this effective justice education program responds

fMRI biomarkers of social cognitive skills training in psychosis: Extrinsic and intrinsic functional connectivity.

Social cognitive skills training interventions for psychotic disorders have shown improvement in social cognitive performance tasks, but little was known about brain-based biomarkers linked to treatment effects. In this pilot study, we examined whether social cognitive skills training could modulate extrinsic and intrinsic functional connectivity in psychosis using functional magnetic resonance imaging (fMRI). Twenty-six chronic outpatients with psychotic disorders were recruited from either a Social Cognitive Skills Training (SCST) or an activity- and time-matched control intervention. At baseline and the end of intervention (12 weeks), participants completed two social cognitive tasks: a Facial Affect Matching task and a Mental State Attribution Task, as well as resting-state fMRI (rs-fMRI). Extrinsic functional connectivity was assessed using psychophysiological interaction (PPI) with amygdala and temporo-parietal junction as a seed region for the Facial Affect Matching Task and the Mental State Attribution task, respectively. Intrinsic functional connectivity was assessed with independent component analysis on rs-fMRI, with a focus on the default mode network (DMN). During the Facial Affect Matching task, we observed stronger PPI connectivity in the SCST group after intervention (compared to baseline), but no treatment-related change in the Control group. Neither group showed treatment-related changes in PPI connectivity during the Mental State Attribution task. During rs-fMRI, we found treatment-related changes in the DMN in the SCST group, but not in Control group. This study found that social cognitive skills training modulated both extrinsic and intrinsic functional connectivity in individuals with psychotic disorders after a 12-week intervention. These findings suggest treatment-related changes in functional connectivity as a potential brain-based biomarker of social cognitive skills training

Shared Medical and Virtual Surgical Appointments in Oral Surgery

Access to care and patient satisfaction are primary objectives in most, if not all, surgical practices. With current healthcare reform and implementation of The Affordable Care Act of 2010, surgeons are more frequently being challenged by their administrative counterparts to improve clinical efficiency and quality of care while maintaining current profit margins. This chapter describes two non-traditional, innovative concepts that can be incorporated into full scope, oral and maxillofacial surgery practices in order to allow more efficient delivery of care while maintaining quality. The two programs outlined herein are shared medical appointments (SMAs) and virtual surgical appointments (VSAs). These programs, when implemented in a busy academic or group private practice, have the potential to allow for efficient delivery of care while simultaneously improving patient satisfaction

Five Years Under the Veterans Judicial Review Act: The VA is Brought Kicking and Screaming into the World of Meaningful Due Process

I have been asked to give you the “veterans\u27 perspective” on whether the Court of Veterans Appeals has served the purpose for which it was created by Congress and also to describe what additional steps the court might take to further the ends desired by veterans. This is no easy task. It is difficult not because I do not have a lot to say. It is difficult because it is a charge to speak, in a sense, for all veterans. In order to understand what I mean, I think it may be helpful to give you a little background on the view of the veterans community regarding judicial review. There are forty veterans service organizations recognized by the Department of Veterans Affairs (VA). These organizations range from the smallest, the Congressional Medal of Honor Society, to the largest, the American Legion, which boasts 3.2 million members. The Paralyzed Veterans of America, of which I am the General Counsel, fits somewhere in the middle. In addition, there are other small organizations of veterans which do not have official VA recognition. In all, these organizations speak for some twenty-seven million veterans of the United States Armed Forces. The number of veterans organizations gives you an idea of the diversity of interests of veterans. There is complete unanimity of opinion on few issues affecting the veterans community. Judicial review is an example

Research, Design, and Validation of a Normative Enterprise Architecture for Guiding End-to-End, Emergency Response Services

The purpose of this paper is to provide a synthesis and overview of a multipart research study involving the design, exploration, and validation of an enterprise architecture and framework. The methodology includes the use of two case studies and validation through a national conference. While the authors have reported on the elements of this research, only recently has its completion allowed for this synthesis and overview of the process and outcomes. A normative architecture, developed from comparative cases involving San Mateo County and Mayo Clinic Emergency Medical Services systems, provides a collection of characteristics that guides an emergency response system to operate as a high performance system. At a national symposium, academics and practitioners involved in promoting effective emergency response information systems provided validation for the architecture and next steps for enhancing emergency response information systems. Normative architecture characteristics and symposium findings are integrated into a framework that offers an enterprise approach for delivering time-critical emergency response services

Management of Inherited, Acquired, and Iatrogenically Induced Coagulopathies in Oral Surgery

Hemostasis is the process of cessation of blood loss. Alterations of the hemostatic pathways can result in a hypercoagulable or hypocoagulable state resulting in thrombosis or hemorrhage. Common defects in hemostasis and their management, specifically the hypocoagulable state, are discussed as these defects often result in increased perioperative blood loss, which can result in compromised patient outcomes