Actors as Teachers in Graduate Education

Role playing with peers has long been used in professional preparation programs to teach and practice skills. We propose the use of standardized patients (SPs) in lieu of peers to role play these encounters in a safe and effective way. SPs are individuals who have been trained to realistically portray a patient or family member in various scenarios set up to target a specific skill or communication technique for student

Professional Competence to Promote Resilience for Children Living in Poverty

Poverty has a tremendous impact on the educational results of all children, including those who are deaf or hard of hearing. With targeted, evidence-based interventions during the first three years of life, Early Hearing Detection and Intervention (EHDI) professionals can protect children from the numerous risk factors which impede development. While EHDI professionals often serve children and families living in poverty, it remains the case that the professional preparation programs offer limited instruction and experience in how to best serve children and families living in poverty. The purpose of this study was to explore professional preparedness to serve children who are deaf and their families living in poverty and to identify opportunities to improve professional knowledge and skills. A framework is presented and the comments of professionals currently serving children and their families are offered as points of consideration for ways to improve professional preparation and development programs

Abiotic factors influencing the abundance and distribution of marsh marigolds along Carp Creek.

Ecology is the study of distribution and abundance of living organisms resulting from abiotic and biotic interactions in nature. Plant growth is determined by abiotic factors that construct its fundamental niche, defined as the range of conditions and resources within which individuals of a species can persist. If a plant species exhibits patchy distribution and plot size behavior, this may illustrate global or local variations in distribution of abiotic factors within the habitat. This study focuses on the local Northern Michigan macrophyte, Caltha palustris, which illustrates patchy distribution behavior along the reach of Carp Creek. We investigated this phenomenon by testing affects of specific abiotic factors upon distribution and density of C. palustris. These abiotic factors included the following: soil and water pH, soil moisture, dissolved oxygen, redox potential, and phosphate and nitrate concentration in the soil. Our findings suggest that soil pH and soil nitrate concentrations may determine distribution of C. palustris, but the other tested abiotic factors did not significantly influence marsh marigold distribution. Our findings also imply that dissolved oxygen may determine density of C. palustris plots; however, the other abiotic factors did not show such correlation.http://deepblue.lib.umich.edu/bitstream/2027.42/54986/1/3427.pd

Familiale, soziale und ökologische Ansprüche in der betrieblichen Praxis: Probleme, Organisation und Regulierung

"Mit dem sozialen Wandel gewinnen gesellschaftliche, insbesondere durch Familienleben, soziale und ökologische Engagiertheit motivierte Ansprüche, an Bedeutung. Sie werden nicht mehr ausschließlich im Privatbereich realisiert, sondern gelangen zunehmend in die Erwerbssphäre und werden in Unternehmen in unterschiedlicher Art und Weise reguliert und umgesetzt. Dabei entstehen neuartige betriebliche Umgangsweisen mit gesellschaftlichen Anforderungen und Modelle, die stärker auf eine Entgrenzung von Lebens- und Erwerbsbereich, Wirtschaft und Gesellschaft abzielen als bisher: Selbständige schaffen sich mit ihren Small Offices und kleinen Agenturen selbst einen geeigneten Rahmen für die Verwirklichung ihrer Ansprüche. In kollektiv geführten Unternehmen wird die Umsetzung kollektiv ausgehandelt. In mittelständischen und großen sozialsensiblen Unternehmen werden den Beschäftigten Spielräume für die Umsetzung ihrer Ansprüche eröffnet. Eine betriebliche Umsetzung erfolgt selten völlig reibungslos. Betrieb und Markt auf der einen und Privatleben auf der anderen Seite erzeugen Ambivalenzen und konfligierende Anforderungen, deren Bewältigung oftmals allein den Erwerbstätigen obliegt. Die Studie untersucht die Thematik sowohl aus dem betrieblichen als auch dem individuellen Blickwinkel und fokussiert dabei die Bedingungen und Einflussfaktoren, die sich wesentlich auf die betrieblichen Formen und Muster sowie die subjektiven Handlungsstrategien auswirken. Die betrieblichen Regulierungs- und Umsetzungsprozesse werden aus der arbeits- und organisationssoziologischen Perspektive beleuchtet. Die Analyse individueller Handlungsstrategien stützt sich auf die Konzepte der Biographieforschung." (Autorenreferat

Preparing to Teach, Committing to Learn: An Introduction to Educating Children Who Are Deaf/Hard of Hearing

Preparing to Teach is an open-source eBook on deaf education for students and faculty in professional preparation programs, practitioners in deaf education, and families of children who are DHH. Although the focus is on deaf-education teachers who are providing services to students who are DHH, the text is useful to students and faculty in related fields including speech-language pathology, audiology, and special education. Because the text is introductory in nature it covers a broad range of topics and does not replace texts that go into more depth on a particular aspect of deaf education. The text includes references and additional recommended readings and resources for further study. The text addresses the range of communication options used by students in deaf education with an emphasis on listening and spoken language approaches and strategies that have often been only minimally addressed in introductory texts. References and resources for further study of approaches that are primarily visual are included.https://griffinshare.fontbonne.edu/oer-books/1000/thumbnail.jp

Intensive Induction Chemotherapy Followed by Early High-Dose Therapy and Hematopoietic Stem Cell Transplantation Results in Improved Outcome for Patients with Hepatosplenic T-Cell Lymphoma: A Single Institution Experience

AbstractIntroductionHepatosplenic T-cell lymphoma is a rare form of extranodal non-Hodgkin lymphoma, first recognized as a distinct entity in the Revised European-American Lymphoma classification. Typical presentation includes lymphomatous infiltration of spleen and liver, and peripheral lymphadenopathy is rarely seen. The prognosis is almost uniformly poor, and there are no prospective studies of treatment of HSTCL.Patients and MethodsFor this report, we conducted a retrospective review of all pts who underwent treatment for HSTCL at our institution. Individual chart review was performed to report clinical presentation, management, and outcome.ResultsWe identified 14 pts with HSTCL managed at our center, 7 of which remain alive with median follow-up of 65.6 months. Six of 7 received alternative induction chemotherapy regimens such as ICE (ifosfamide, carboplatin, etoposide) or IVAC (ifosfamide, etoposide, high-dose cytarabine) as opposed to CHOP and all surviving pts had proceeded to undergo either autologous or allogeneic SCT.ConclusionOur results suggest that use of non-CHOP induction regimen and early use of high dose therapy and SCT consolidation may translate to improved survival for pts with HSTCL

Seasonal hydrology drives rapid shifts in the flux and composition of dissolved and particulate organic carbon and major and trace ions in the Fraser River, Canada

© The Author(s), 2015. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Biogeosciences 12 (2015): 5597-5618, doi:10.5194/bg-12-5597-2015.Rapid changes in the volume and sources of discharge during the spring freshet lead to pronounced variations in biogeochemical properties in snowmelt-dominated river basins. We used daily sampling during the onset of the freshet in the Fraser River (southwestern Canada) in 2013 to identify rapid changes in the flux and composition of dissolved material, with a focus on dissolved organic matter (DOM). Previous time series sampling (at twice monthly frequency) of dissolved inorganic species in the Fraser River has revealed smooth seasonal transitions in concentrations of major ions and tracers of water and dissolved load sources between freshet and base flow periods. In contrast, daily sampling reveals a significant increase in dissolved organic carbon (DOC) concentration (200 to 550 μmol L−1) occurring over a matter of days, accompanied by a shift in DOM optical properties, indicating a transition towards higher molecular weight, more aromatic DOM composition. Comparable changes in DOM composition, but not concentration, occur at other times of year, underscoring the role of seasonal climatology in DOM cycling. A smaller data set of total and dissolved Hg concentrations also showed variability during the spring freshet period, although dissolved Hg dynamics appear to be driven by factors beyond DOM as characterized here. The time series records of DOC and particulate organic carbon (POC) concentrations indicate that the Fraser River exports 0.25–0.35 % of its annual basin net primary productivity. The snowmelt-dominated hydrology, forested land cover, and minimal reservoir impoundment of the Fraser River may influence the DOC yield of the basin, which is high relative to the nearby Columbia River and of similar magnitude to that of the Yukon River to the north. Anticipated warming and decreased snowfall due to climate changes in the region may cause an overall decrease in DOM flux from the Fraser River to the coastal ocean in coming decadesThis work was partially supported by a WHOI Ocean Ventures Fund award to BMV and NSF grants EAR-1226818 to BPE, OCE-0851015 to TIE, BPE, and VG, and OCE-0851101 to RGMS, and support to BPE from Jane and James Orr

Tracing river chemistry in space and time : dissolved inorganic constituents of the Fraser River, Canada

Author Posting. © The Author(s), 2013. This is the author's version of the work. It is posted here by permission of Elsevier for personal use, not for redistribution. The definitive version was published in Geochimica et Cosmochimica Acta 124 (2014): 283-308, doi:10.1016/j.gca.2013.09.006.The Fraser River basin in southwestern Canada bears unique geologic and climatic features which make it an ideal setting for investigating the origins, transformations and delivery to the coast of dissolved riverine loads under relatively pristine conditions. We present results from sampling campaigns over three years which demonstrate the lithologic and hydrologic controls on fluxes and isotope compositions of major dissolved inorganic runoff constituents (dissolved nutrients, major and trace elements, 87Sr/86Sr, δD). A time series record near the Fraser mouth allows us to generate new estimates of discharge-weighted concentrations and fluxes, and an overall chemical weathering rate of 32 t km-2 y-1. The seasonal variations in dissolved inorganic species are driven by changes in hydrology, which vary in timing across the basin. The time series record of dissolved 87Sr/86Sr is of particular interest, as a consistent shift between higher (“more radiogenic”) values during spring and summer and less radiogenic values in fall and winter demonstrates the seasonal variability in source contributions throughout the basin. This seasonal shift is also quite large (0.709 – 0.714), with a discharge-weighted annual average of 0.7120 (2 s.d. = 0.0003). We present a mixing model which predicts the seasonal evolution of dissolved 87Sr/86Sr based on tributary compositions and water discharge. This model highlights the importance of chemical weathering fluxes from the old sedimentary bedrock of headwater drainage regions, despite their relatively small contribution to the total water flux.This work was supported by the WHOI Academic Programs Office and MIT PAOC Houghton Fund to BMV, a WHOI Arctic Research Initiative grant to ZAW, NSF-ETBC grant OCE-0851015 to BPE and TIE, and NSF grant EAR-1226818 to BPE