Administrators' Perception of Implementation Fidelity in Secondary Literacy Response to Intervention: A Mixed Methods Study

The focus of the study was to examine the perceptions of administrators responsible for monitoring implementation fidelity in the Response to Intervention (RTI) program in secondary literacy. Using a mixed methods design, quantitative data were collected from a district administrator and from administrators on secondary campuses in a North Texas school district. Descriptive and inferential statistics were conducted on quantitative data to measure mean ratings and frequency distributions of scores. In addition, a Mann-Whitney U test was used to measure variances. While the sample size was too small to reveal statistical significance, the overall general impression of implementation fidelity in secondary literacy RTI suggested that practices were perceived on average as occurring as often as intended. The RTI practices closest to implementation fidelity were: universal literacy screeners, the use of data to identify at-risk students, and providing Tier 2 and Tier 3 interventions. The RTI practices occurring infrequently were actions related to data-based decision making, particularly for actions conducted by RTI teams (problem-solving teams). In addition, the overall results revealed a variance among the district’s secondary campus. Results provided strong evidence that levels of implementation fidelity were higher for middle school campuses in the district than high school campuses. To further examine the factors causing variances between secondary campus, the qualitative phase of the study was conducted with selected secondary administrators. Administrators were identified based on the results of quantitative data analysis and were interviewed to divulge perceived factors affecting implementation fidelity. Document analysis was also conducted to triangulate findings from interviews. The results revealed multiple factors that contributed to and hindered implementation fidelity among the district secondary campuses. The primary contributing factor was explicit policies, procedures and district supports from kindergarten through 8th grade. The primary barrier to implementation fidelity was the district policy allowing for “contextual flexibility” for high school campuses. Given the importance of adolescent literacy acquisition, the findings resulted in a recommendation for articulating RTI program policies, procedures, and district supports beyond middle school. Findings suggested a need for balancing explicit guidance and district supports with the contextual flexibility that is necessary to implement RTI programs on high school campuses

RECTUS FEMORIS MECHANICS IN RUGBY KICKING

This study aimed to quantify rectus femoris muscle-tendon unit length and excitation during different types of rugby kick. Seven male rugby players completed a series of kicks during which kinematic and muscle excitation data were collected. Between 0.2 and 0.1 s prior to ball contact in all kick types, the rectus femoris lengthened rapidly whilst muscle excitation also rapidly increased, identifying eccentric action as a possible mechanism for muscle strain injury. Peak rectus femoris muscle excitations occurred later in the kicks with a primary height demand, and differences in the timing of peak muscle excitation existed between different regions of the rectus femoris muscle. This study provides information which can be used to inform the specificity of physical preparation and rehabilitation protocols for rugby kickers

Comparative effectiveness trial comparing MyPlate to calorie counting for mostly low-income Latino primary care patients of a federally qualified community health center: study design, baseline characteristics.

BackgroundPrimary care-based behavior change obesity treatment has long featured the Calorie restriction (CC), portion control approach. By contrast, the MyPlate-based obesity treatment approach encourages eating more high-satiety/high-satiation foods and requires no calorie-counting. This report describes study methods of a comparative effectiveness trial of CC versus MyPlate. It also describes baseline findings involving demographic characteristics and their associations with primary outcome measures and covariates, including satiety/satiation, dietary quality and acculturation.MethodsA comparative effectiveness trial was designed to compare the CC approach (n = 130) versus a MyPlate-based approach (n = 131) to treating patient overweight. Intervenors were trained community health workers. The 11 intervention sessions included two in-home health education sessions, two group education sessions, and seven telephone coaching sessions. Questionnaire and anthropometric assessments occurred at baseline, 6- and 12 months; food frequency questionnaires were administered at baseline and 12 months. Participants were overweight adult primary care patients of a federally qualified health center in Long Beach, California. Two measures of satiety/satiation and one measure of post-meal hunger comprised the primary outcome measures. Secondary outcomes included weight, waist circumference, blood pressure, dietary quality, sugary beverage intake, water intake, fruit and vegetable fiber intake, mental health and health-related quality of life. Covariates included age, gender, nativity status (U.S.-born, not U.S.-born), race/ethnicity, education, and acculturation.AnalysisBaseline characteristics were compared using chi square tests. Associations between covariates and outcome measures were evaluated using multiple regression and logistic regression.ResultsTwo thousand eighty-six adult patients were screened, yielding 261 enrollees who were 86% Latino, 8% African American, 4% White and 2% Other. Women predominated (95%). Mean age was 42 years. Most (82%) were foreign-born; 74% chose the Spanish language option. Mean BMI was 33.3 kg/m2; mean weight was 82 kg; mean waist circumference was 102 cm. Mean blood pressure was 122/77 mm. Study arms on key baseline measures did not differ except on dietary quality and sugary beverage intake. Nativity status was significantly associated with dietary quality.ConclusionsThe two treatment arms were well-balanced demographically at baseline. Nativity status is inversely related to dietary quality.Trial registrationNCT02514889 , posted on 8/4/2015

Igniting a SPARK in Dead-Eyed Youth

Far too many youths, known as being “high-risk,” are not faring well at life and in school. To accompany this problem, most educators lack the ability to effectively respond to these youths. Motivated by a desire to provide educators and those working with youth at risk with a much-needed alternative to emotionally draining conventional classroom cultures, our intent is to move beyond the deforming rhetoric of behaviorism and lay claim to moral and spiritual foundations that bring both groups together in a setting that promotes a culture of dialogue, openness, trust, and caring

Multiple achromatic plumage ornaments signal to multiple receivers

We investigated whether achromatic plumage traits can act as multiple ornaments in an Arctic-breeding passerine, the snow bunting (Plectrophenax nivalis). Specifically, we examine whether multiple ornaments are providing multiple differing messages, are redundant, are unreliable signals of male quality, or are aimed at different receivers. We measured plumage reflectance and pigmentation patterns made conspicuous during male inter-and intrasexual displays that advertise different plumage regions. Our results indicate that although several aspects of male plumage may have redundant messages, different body regions appear aimed at different receivers. The wings of males-displayed primarily toward females during courtship-appear to indicate a pair\u27s future reproductive performance. Conversely, melanin-based plumage reflectance displayed during intrasexual threat displays provides information on territory features and a male\u27s capacity to defend it (i.e., territory size, territory quality, testosterone levels). Taken together, we suggest that snow buntings have multiple ornaments that provide information of differential importance in inter-versus intrasexual communication. This study demonstrates that achromatic plumage traits can serve in complex communication. © 2012 The Author

The Halo Effect: Does In-Hospital Art Intervention Result in Improved Overall Patient Satisfaction?

Introduction The positive impact of art therapy on medical patients has been well established in the literature. • Association between visual art creation and maintenance / reconstruction of a positive identify throughout cancer treatment • Decreased need for narcotic medications and patient length of stay following participation in guided imagery sessions Despite an abundance of research on art therapy, few studies have examined impact of in-hospital art intervention on overall patient satisfaction. Objectives • Examine impact of Art from the Heart (AFTH), an in-hospital art intervention program, on patient interpretation of overall care received during hospital stay—the ‘halo effect’. • Assess temporal, institution-level patient satisfaction survey scores following establishment of AFH intervention programhttps://scholarworks.uvm.edu/comphp_gallery/1272/thumbnail.jp

XBP-1 regulates signal transduction, transcription factors and bone marrow colonization in B cells

XBP-1, a transcription factor that drives the unfolded protein response (UPR), is activated in B cells when they differentiate to plasma cells. Here, we show that in the B cells, whose capacity to secrete IgM has been eliminated, XBP-1 is induced normally on induction of differentiation, suggesting that activation of XBP-1 in B cells is a differentiation-dependent event, but not the result of a UPR caused by the abundant synthesis of secreted IgM. Without XBP-1, B cells fail to signal effectively through the B-cell receptor. The signalling defects lead to aberrant expression of the plasma cell transcription factors IRF4 and Blimp-1, and altered levels of activation-induced cytidine deaminase and sphingosine-1-phosphate receptor. Using XBP-1-deficient/Blimp-1-GFP transgenic mice, we find that XBP-1-deficient B cells form antibody-secreting plasmablasts in response to initial immunization; however, these plasmablasts respond ineffectively to CXCL12. They fail to colonize the bone marrow and do not sustain antibody production. These findings define the role of XBP-1 in normal plasma cell development and have implications for management of B-cell malignancies

Fistula awareness among sisters of women with fistula

ObjectiveTo determine whether sisters of women with obstetric fistula (OF) were aware of their sisters’ condition, in order to inform the development of survey questions that adapt the sister‐based method to fistula rate estimation.MethodsTwelve women with OF and 20 of their sisters were interviewed using semi‐structured questionnaires in rural Uganda in 2007. Topics included fistula awareness and perceptions of causality.ResultsEleven women had vesicovaginal fistula and 1 had rectovaginal fistula. Three were primiparous at time of fistula occurrence; 6 had a parity of 6 or more. Nineteen sisters were aware their sister had OF; 12 became aware at the time of occurrence. The majority of participants (fistula patients and their sisters) associated OF with mistakes made by hospital personnel or problems during procedures.ConclusionSisters were generally aware of OF within their family. Larger studies are needed to assess the validity and reliability of the sister‐based method in capturing fistula through household surveys. In the present study, there was a widespread perception among fistula patients and their sisters that fistula is caused by medical procedures. More research is needed to understand this perception, and program development efforts are required to improve patient perceptions of hospital care.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135323/1/ijgo232.pd

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