The Black Male Achievement Gap: Strategies for Intervention

Black male students in America are graduating at a much lower rate than white students. The purpose of this systematic review is to answer the question, “what interventions can school social workers implement to improve high school graduation rates for Black male students?” The first phase of this project included an examination of the existing research surrounding the achievement gap in American schools. All research studies included in this project were directly related to the ways in which schools could support better quality education for Black males. Research studies were carefully selected using criteria of inclusion and exclusion to ensure their relevance to this project. Criteria of inclusion were the words “Black”, “male” and “achievement”. Articles older than ten years were discarded. Then, themes were gathered from each of the six research articles that were deemed relevant. Finally, suggestions for social work practice and policy are made in an effort to support equitable education for all students

The Black Male Achievement Gap: Strategies for Intervention

Black male students in America are graduating at a much lower rate than white students. The purpose of this systematic review is to answer the question, “what interventions can school social workers implement to improve high school graduation rates for Black male students?” The first phase of this project included an examination of the existing research surrounding the achievement gap in American schools. All research studies included in this project were directly related to the ways in which schools could support better quality education for Black males. Research studies were carefully selected using criteria of inclusion and exclusion to ensure their relevance to this project. Criteria of inclusion were the words “Black”, “male” and “achievement”. Articles older than ten years were discarded. Then, themes were gathered from each of the six research articles that were deemed relevant. Finally, suggestions for social work practice and policy are made in an effort to support equitable education for all students

Long-term Monitoring of a Successful Recovery Program of Peregrine Falcons in Virginia

The Peregrine Falcon (Falco peregrinus anatum) was believed to be extirpated as a breeding species in Virginia by the early 1960s. An aggressive restoration program was initiated in 1978 that involved the release of captive-reared birds totaling 115 on the Coastal Plain (1978–1985) and 127 in the Mountain physiographic region (1985–1993). The first occupied territory was established and the first breeding attempt was documented in 1979 and 1982, respectively. We have monitored the size, distribution, reproductive rate, and substrate use of the resulting breeding population (1979–2016). The population proceeded through an establishment phase (1979–1993) driven by releases with an average doubling time of 3.8 yrs to a consolidation phase (1994– 2016) with an average doubling time of 23.1 yrs. The state supported 31 breeding pairs by 2016. Per capita reproductive rates have increased significantly over the study period from 0.89 (1979–1993) to 1.86 (1994–2016). Average nesting success increased from 67.1% to 82.7% over the same period. Nesting attempts (n = 469) have been documented on dedicated peregrine towers (52.1%), bridges (26.1%), buildings (4.1%), and various manmade structures (13.0%) with only 4.7% documented on natural cliffs. The population appears to be self-sustaining with reproductive rates exceeding 1.5 young/pair every year since 1999. An ongoing management concern is that only 8.9% of known territories (n = 45) identified since introductions and 4.7% of documented breeding attempts (n = 469) have occurred within the historic mountain breeding range

Advanced patient age is associated with inferior cancer-specific survival after radical nephroureterectomy

Study Type – Prognosis (case series) Level of Evidence 4To assess the impact of patient age on outcomes after radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC).Data were collected on 1453 patients treated with RNU at 13 centres. Pathological slides were reviewed by dedicated genitourinary pathologists according to standardized criteria. Age at RNU was analysed both as a continuous and categorical variable (70 years were less likely to undergo lymphadenectomy and to receive adjuvant chemotherapy ( P  ≤ 0.026). In multivariable analyses, being older was associated with decreased all-cause (AC) survival (>60 years) and cancer-specific survival (CSS; >80 years) after controlling for the effects of standard pathological features ( P  ≤ 0.006). However, addition of age did not improve the predictive accuracy of a base model that included standard pathological features for prediction of either disease recurrence, AC survival or CSS.Being older at the time of RNU was associated with decreased survival. This finding could be due to a change in the biological potential of the tumour cell, a decrease in the host’s defence mechanisms, or differences in care patterns. Further work is needed to improve our understanding of UTUC outcomes in this growing segment of the population and to develop strategies to improve cancer control in the elderly.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78588/1/j.1464-410X.2009.09072.x.pd

Tumour architecture is an independent predictor of outcomes after nephroureterectomy: a multi-institutional analysis of 1363 patients

To assess whether tumour architecture can help to refine the prognosis of patients treated with nephroureterectomy (NU) for urothelial carcinoma (UC) of the upper urinary tract (UT), as the prognostic value of tumour architecture (papillary vs sessile) in UTUC remains elusive. PATIENTS AND METHODS The study included 1363 patients with UTUC and treated with radical NU at 12 centres worldwide. All slides were re-reviewed according to strict criteria by genitourinary pathologists who were unaware of the findings of the original pathology slides and clinical outcomes. Gross tumour architecture was categorized as sessile vs papillary. RESULTS Papillary growth was identified in 983 patients (72.2%) and sessile growth in 380 (27.8%). The sessile growth pattern was associated with higher tumour grade, more advanced stage, lymphovascular invasion, and metastasis to lymph nodes (all P  < 0.001). In multivariable Cox regression analyses that adjusted for the effects of pathological stage, grade and lymph node status, tumour architecture (sessile or papillary) was an independent predictor of cancer recurrence (hazard ratio 1.5, P  = 0.002) and cancer-specific mortality (1.6, P  = 0.001). Adding tumour architecture increased the predictive accuracy of a model that comprised pathological stage, grade and lymph node status for predicting cancer recurrence and cancer-specific death by a minimal but statistically significant margin (gain in predictive accuracy 1% and 0.5%, both P  < 0.001). CONCLUSION The tumour architecture of UTUC is associated with established features of biologically aggressive disease, and more importantly, with prognosis after radical NU. Including tumour architecture in predictive models for disease progression should be considered, aiming to identify patients who might benefit from early systemic therapeutic intervention.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72257/1/j.1464-410X.2008.08003.x.pd

Racial differences in the outcome of patients with urothelial carcinoma of the upper urinary tract: an international study

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/86897/1/j.1464-410X.2011.10188.x.pd

Salvage radiotherapy for patients with PSA relapse after radical prostatectomy: a single institution experience

<p>Abstract</p> <p>Background</p> <p>To assess the efficacy of salvage radiotherapy (RT) for persistent or rising PSA after radical prostatectomy and to determine prognostic factors identifying patients who may benefit from salvage RT.</p> <p>Methods</p> <p>Between 1990 and 2003, 59 patients underwent RT for PSA recurrence after radical prostatectomy. Patients received a median of 66 Gy to the prostate bed with 3D or 2D RT. The main end point was biochemical failure after salvage RT, defined as an increase of the serum PSA value >0.2 ng/ml confirmed by a second elevation.</p> <p>Results</p> <p>Median follow-up was 38 months. The 3-year and 5-year bDFS rates were 56.1% and 41.2% respectively. According to multivariate analysis, only preRT PSA ≥1 ng/ml was associated with biochemical relapse.</p> <p>Conclusion</p> <p>When delivered early, RT is an effective treatment after radical prostatectomy. Only preRT PSA ≥1 ng/ml predicted relapse.</p