Implementation of a Parental Notification System for the Improvement of Well-Child Care Delivery

This quality improvement project aimed to improve routine well-child exam rates in accordance with the American Academy of Pediatrics and Texas Health Steps recommendations through the implementation of a parental notification system. Missed well-child appointments impact health care by disturbing continuity of care and complicating preventive care services. Implementation of the parental notification system during June 2017 to August 2017 consisted of 100 patients from birth to 18 years of age for scheduled well-child visits in a pediatric clinic with a large Hispanic and Medicaid population. Interventions consisted of staff training, reminder phone calls 24 to 48 hours prior to the appointment, distribution of appointment reminder cards, follow-up on missed appointments, and a parental caregiver questionnaire. Overall, 88% received an appointment reminder with 65% having spoken directly to a staff member and 23% receiving a voicemail. The well-child completed rate was at 64% with a well-child no-show rate of 21%, a cancellation rate of 9%, a reschedule rate of 6% and a recall rate of 62%. The parental notification system was found to not have an effect on scheduled well-child delivery (p = .243), however well-child visits were more likely to be completed when a parent spoke directly to a clinical staff member versus voicemail (p = .004). The increase in the well-child cancellation and reschedule rates provided the clinic with opportunities to schedule additional appointments. Parents found the reminders to be helpful, would like to continue receiving them, and recommend them

The Development and Validation of an Aspirational Capital Scale Dissertation

As part of the cultural community wealth (CCW) framework, aspirational capital (AC) is one of six forms of non-dominant capital and defined as the “ability to maintain hopes and dreams for the future even in the face of barriers” (Yosso, 2005, p. 41). AC is theorized to help underrepresented and underserved students traverse through their education journeys despite education institutions praising dominant forms of capital such as middle- and professional cultural and social capital (Bañuelos, 2021; Claussen & Osborne, 2012; Yosso, 2005). While there is an abundance of qualitative research examining students AC, recent quantitative critical research examining the underlying structure of AC has encountered difficulty in effectively measuring the construct (Hiramori et al., 2021; Sablan, 2019). The purpose of this study was twofold: 1) to understand the dimensions and further build upon the theoretical structure of AC; and 2) to create a reliable and valid scale for community-based organizations (CBOs) to utilize for ongoing programmatic improvements to better the lives of underrepresented and underserved students. In developing the Aspirational Capital Scale (ACS), this study relied on the community cultural wealth (CCW) theoretical framework as well as Carpenter’s (2018) scale development process and included an expert panel review, cognitive interviews, a pilot scale, and a final administration of the ACS. The findings suggested the ACS measured four underlying factors: internal, social, family, and equity motivation. Additionally, the ACS demonstrated strong psychometric properties including high internal consistency reliability as well as content, construct, and convergent validity

Effect of gamma and electron beam irradiation on the physico-chemical and nutritional properties of mushrooms: a review

The short shelf-life of mushrooms is an obstacle to the distribution and marketing of the fresh product. Thus, prolonging postharvest storage, while preserving their quality, would benefit the mushroom industry as well as consumers. There has been extensive research on finding the most appropriate technology for mushrooms preservation. Gamma, electron-beam and UV irradiation have been shown to be potential tools in extending the postharvest shelf-life of fresh mushrooms. Studies evaluating the effects of ionizing radiation are available mainly in cultivated species such as Agaricus bisporus, Lentinus edodes and Pleurotus ostreatus. This review comprises a comprehensive study of the effects of irradiation on physico-chemical parameters (weight, colour, texture and pH), chemical compounds including nutrients (proteins, sugars and vitamins) and non-nutrients (phenolics, flavonoids and flavour compounds), and on biochemical parameters such as enzymatic activity of mushrooms for different species and from different regions of the world.The authors are grateful to the Foundation for Science and Technology (FCT, Portugal) for financial support to the research centers CIMO (PEst-OE/AGR/UI0690/2011) and REQUIMTE (PEst-C/EQB/ LA0006/2011). A.S. Fernandes and A.L. Antonio thank FCT, POPHQREN and FSE for their Grants (SFRH/BD/76019/2011 and SFRH/ PROTEC/67398/2010, respectively)

CAJA 9 - LEGAJO III - SIGNATURA 7,16

Memorial de Felipe de Narvaiz, pidiendo una gratificación por haber inventado el bordar estampas.Narvaiz, FD. (1780). Memorial de Felipe de Narvaiz, pidiendo una gratificación por haber inventado el bordar estampas. Real Sociedad Económica de Amigos del País de Valencia. http://hdl.handle.net/10251/18595Importación Masiv