Sample records for mainstream clinical practice

  1. Large Cancer Drug Trial Helps Move Precision Medicine Toward the Mainstream | FNLCR Staging

    Cancer.gov

    A landmark cancer drug trial is helping set the stage for moving precision medicine into the mainstream of clinical practice, according to a new study. The study, reported in the Journal of Molecular Diagnostics, validates a procedure used in the dru

  2. Large Cancer Drug Trial Helps Move Precision Medicine Toward the Mainstream | Frederick National Laboratory for Cancer Research

    Cancer.gov

    A landmark cancer drug trial is helping set the stage for moving precision medicine into the mainstream of clinical practice, according to a new study. The study, reported in the Journal of Molecular Diagnostics, validates a procedure used in the dru

  3. Large Cancer Drug Trial Helps Move Precision Medicine Toward the Mainstream | Poster

    Cancer.gov

    A landmark cancer drug trial is helping set the stage for moving precision medicine into the mainstream of clinical practice, according to a new study. The study, reported in the Journal of Molecular Diagnostics, validates a procedure used in the drug trial that identifies the unique genetic mutations in a patient’s tumor, which is then used as the basis for selecting targeted

  4. A toolkit for incorporating genetics into mainstream medical services: Learning from service development pilots in England

    PubMed Central

    2010-01-01

    Background As advances in genetics are becoming increasingly relevant to mainstream healthcare, a major challenge is to ensure that these are integrated appropriately into mainstream medical services. In 2003, the Department of Health for England announced the availability of start-up funding for ten 'Mainstreaming Genetics' pilot services to develop models to achieve this. Methods Multiple methods were used to explore the pilots' experiences of incorporating genetics which might inform the development of new services in the future. A workshop with project staff, an email questionnaire, interviews and a thematic analysis of pilot final reports were carried out. Results Seven themes relating to the integration of genetics into mainstream medical services were identified: planning services to incorporate genetics; the involvement of genetics departments; the establishment of roles incorporating genetic activities; identifying and involving stakeholders; the challenges of working across specialty boundaries; working with multiple healthcare organisations; and the importance of cultural awareness of genetic conditions. Pilots found that the planning phase often included the need to raise awareness of genetic conditions and services and that early consideration of organisational issues such as clinic location was essential. The formal involvement of genetics departments was crucial to success; benefits included provision of clinical and educational support for staff in new roles. Recruitment and retention for new roles outside usual career pathways sometimes proved difficult. Differences in specialties' working practices and working with multiple healthcare organisations also brought challenges such as the 'genetic approach' of working with families, incompatible record systems and different approaches to health professionals' autonomous practice. 'Practice points' have been collated into a Toolkit which includes resources from the pilots, including job descriptions and clinical tools. These can be customised for reuse by other services. Conclusions Healthcare services need to translate advances in genetics into benefits for patients. Consideration of the issues presented here when incorporating genetics into mainstream medical services will help ensure that new service developments build on the body of experience gained by the pilots, to provide high quality services for patients with or at risk of genetic conditions. PMID:20470377

  5. A toolkit for incorporating genetics into mainstream medical services: Learning from service development pilots in England.

    PubMed

    Bennett, Catherine L; Burke, Sarah E; Burton, Hilary; Farndon, Peter A

    2010-05-14

    As advances in genetics are becoming increasingly relevant to mainstream healthcare, a major challenge is to ensure that these are integrated appropriately into mainstream medical services. In 2003, the Department of Health for England announced the availability of start-up funding for ten 'Mainstreaming Genetics' pilot services to develop models to achieve this. Multiple methods were used to explore the pilots' experiences of incorporating genetics which might inform the development of new services in the future. A workshop with project staff, an email questionnaire, interviews and a thematic analysis of pilot final reports were carried out. Seven themes relating to the integration of genetics into mainstream medical services were identified: planning services to incorporate genetics; the involvement of genetics departments; the establishment of roles incorporating genetic activities; identifying and involving stakeholders; the challenges of working across specialty boundaries; working with multiple healthcare organisations; and the importance of cultural awareness of genetic conditions. Pilots found that the planning phase often included the need to raise awareness of genetic conditions and services and that early consideration of organisational issues such as clinic location was essential. The formal involvement of genetics departments was crucial to success; benefits included provision of clinical and educational support for staff in new roles. Recruitment and retention for new roles outside usual career pathways sometimes proved difficult. Differences in specialties' working practices and working with multiple healthcare organisations also brought challenges such as the 'genetic approach' of working with families, incompatible record systems and different approaches to health professionals' autonomous practice. 'Practice points' have been collated into a Toolkit which includes resources from the pilots, including job descriptions and clinical tools. These can be customised for reuse by other services. Healthcare services need to translate advances in genetics into benefits for patients. Consideration of the issues presented here when incorporating genetics into mainstream medical services will help ensure that new service developments build on the body of experience gained by the pilots, to provide high quality services for patients with or at risk of genetic conditions.

  6. Mainstreaming AYUSH: an ethical analysis.

    PubMed

    Gopichandran, Vijayaprasad; Satish Kumar, Ch

    2012-01-01

    The National Rural Health Mission has stated as one of its key mandates the mainstreaming of the Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homeopathy (AYUSH) systems in order to help solve the human resource shortage in Indian healthcare. This has been planned at the primary level by providing training to AYUSH practitioners on primary care and national health programmes; at the secondary level by establishing departments of AYUSH in the district and taluka level hospitals; and at the tertiary level  by establishing AYUSH centres of excellence as referral centres, and research, development and supervision points. The practical challenges to be considered include a gross divergence in the basic philosophy of practice; disparities in approach to specific clinical conditions; differences in their normative approach in decision making; an unclear policy for cross referral and problems of cross practice that could potentially rise in this condition. Mainstreaming of AYUSH into the existing public health system can have certain ethical implications: not doing good by failing to concentrate on the community value judgments about AYUSH; doing harm by a confusing plurality in approach and unhealthy segregation of practices without healthy dialogue between practitioners of either system; not disclosing which type of practitioners (AYUSH or allopathy) the patient is seeing; lack of proper public accountability mechanisms at the primary care and grassroots levels; and, finally, lack of social justice. These ethical issues have to be considered while mainstreaming AYUSH.

  7. Curriculum at the Scholl College. Toward mainstream medical education.

    PubMed

    Becker, J H

    1992-06-01

    The Dr. William M. Scholl College of Podiatric Medicine in Chicago recently affiliated with a teaching hospital, the Illinois Masonic Medical Center, and used this alliance as a catalyst to effect a change in the clinical curriculum. The affiliation set up a joint venture to operate two clinics, one on Scholl College's traditional campus and one at the teaching hospital. At the hospital site, Scholl College students rotate through clinical externships in areas such as internal medicine, emergency medicine, and podiatric elective; podiatric and general medical residents assist in the tutelage of the students. At the Scholl College campus, beginning clinical students learn basic skills in a teaching clinic, then refine and further their skills in a comprehensive clinic under the guidance of faculty members. The faculty and administration at Scholl College have embraced the concept of mainstream medical education, and are striving to prepare podiatric physicians to practice 21st century medicine.

  8. Walking the CER Path.

    PubMed

    Adams, Katherine T

    2009-08-01

    Evidence-based medicine has been a rallying cry for payers, but an inability to define value, conflicting clinical trial designs, physician practice variations, and payment incentives confound efforts to make EBM go mainstream. CER may give EBM some legs - just as the biologics pipeline is about to overflow.

  9. Investigating Good Practice in Supporting Deaf Pupils in Mainstream Schools.

    ERIC Educational Resources Information Center

    Powers, Steve

    2001-01-01

    A survey of parents, teachers, therapists, psychologists, and deaf adults (n=628) and 15 case study sites were used to identify the following good practices supporting deaf students in mainstream schools: direct support for teachers of the deaf, joint planning by support and mainstream teachers, student involvement in decision making, and…

  10. "Inclusion in Practice": Programme Practices in Mainstream Preschool Classrooms and Associations with Context and Teacher Characteristics

    ERIC Educational Resources Information Center

    Vlachou, Anastasia; Fyssa, Aristea

    2016-01-01

    This study observed the extent to which teachers supported the inclusion of children with disabilities into mainstream classrooms and involved monitoring 52 mainstream preschool settings in Greece. The association between programme quality, context and teacher characteristics was also tested. Findings showed that the quality of inclusion ranged…

  11. The Attunement Principles: A Comparison of Nurture Group and Mainstream Settings

    ERIC Educational Resources Information Center

    Cubeddu, Daniela; MacKay, Tommy

    2017-01-01

    Two key areas identified for research are differences in practice between nurture groups and mainstream classrooms, and nurturing approaches in rural and low-density populations. This study compared classroom practice in a nurture group serving a wide rural area with the four mainstream classes to which the five children in the group belonged. The…

  12. Mainstreaming Gender into Schools in the Taiwan Context

    ERIC Educational Resources Information Center

    Li-Ching, Wang

    2014-01-01

    Gender mainstreaming and gender equity education are specific practices for creating a gender-equitable society. Gender mainstreaming tools can be used to help educational institutions engage in more thorough consideration when implementing gender equity education. This article addresses gender mainstreaming, gender equity education, and the…

  13. Upholding Mainstream Culture: The Tradition of the American High School Play.

    ERIC Educational Resources Information Center

    Cousins, Heather

    2000-01-01

    Questions the educational value of the traditional high-school play. Argues that the traditional school play upholds mainstream American culture through a process of patriotism and exclusion of minority groups as well as mainstream theatre. Recommends the use of non-mainstream theatre practices such as devised drama as an alternative to the…

  14. Exercises in therapy--neurological gymnastics between Kurort and hospital medicine, 1880-1945.

    PubMed

    Guenther, Katja

    2014-01-01

    This article focuses on the convergence of sports and medicine in the practice of neurological gymnastics (Übungstherapie) in the German-speaking world at the turn of the twentieth century. It shows how Übungstherapie first found receptive ground within the peripheral medical space of the spa town (Kurort). Übungstherapie appealed to Kurort patients because, as a form of neurological gymnastics, it drew on the cultural capital of the broader German gymnastics movement. Only later did Übungstherapie find a place in more mainstream medicine, recasting itself as an integral part of neurological practice. Recuperating the therapeutic aspects of neurology, this article suggests that the development of Übungstherapie contributed to the formation of neurology as an independent specialty, distinct from psychiatry and internal medicine. It thus demonstrates the importance of expanding the scope of historical study beyond the traditional boundaries of the mainstream in order to understand clinical, institutional, and disciplinary change.

  15. The Clinical Value, Principle, and Basic Practical Technique of Mindfulness Intervention.

    PubMed

    Zou, Tao; Wu, Chenghan; Fan, Xiaoduo

    2016-06-25

    Mindfulness intervention is a psychotherapy based on the Buddhist practice of meditation, combining the theories and methodology of contemporary psychology. The empirical research in recent years has indicated that mindfulness intervention yields favorable results including reduction of depression relapse, alleviation of the symptoms of depression and anxiety, reduction of substance abuse, relief of pain, blood pressure management, enhancement of immunity, and improvement of sleep. Currently, mindfulness therapy has become the mainstream of psychotherapy in the realm of European and American psychotherapy. The fields of psychology and psychotherapy in China have also begun to introduce mindfulness intervention in recent years. However, there is a lack of relevant practice and research in the field of clinical mental health. This article will briefly introduce the concept of mindfulness, the basic mechanism of the intervention, and the basic skills and guidelines in clinical practice.

  16. Implementing Mindfulness in the Mainstream: Making the Path by Walking It.

    PubMed

    Crane, Rebecca S

    2017-01-01

    There is expanding interest in mindfulness-based programs (MBPs) within the mainstream. While there are research gaps, there is empirical evidence for these developments. Implementing new evidence into practice is always complex and difficult. Particular complexities and tensions arise when implementing MBPs in the mainstream. MBPs are emerging out of the confluence of different epistemologies-contemplative teaching and practice, and contemporary Western empiricism and culture. In the process of navigating implementation and integrity, and developing a professional practice context for this emerging field, the diverse influences within this confluence need careful attention and thought. Both contemplative practices, and mainstream institutions and professional practice have well-developed ethical understandings and integrity. MBPs aim to balance fidelity to both. This includes the need to further develop skillful expressions of the underpinning theoretical and philosophical framework for MBPs; to sensitively work with the boundary between mainstream and religious mindfulness; to develop organizational structures which support governance and collaboration; to investigate teacher training, supervision models, and teaching competence; to develop consensus on the ethical frameworks on which mainstream MBPs rests; and to build understanding and work skillfully with barriers to access to MBPs. It is equally important to attend to how these developments are conducted. This includes the need to align with values integral to mindfulness, and to hold longer-term intentions and directions, while taking small, deliberate steps in each moment. The MBP field needs to establish itself as a new professional field and stand on its own integrity.

  17. Moving Clinical Deliberations on Administrative Discharge in Drug Addiction Treatment Beyond Moral Rhetoric to Empirical Ethics.

    PubMed

    Williams, Izaak L

    2016-01-01

    Patients' admission to modern substance use disorder treatment comes with the attendant risk of being discharged from treatment-a widespread practice. This article describes the three mainstream theories of addiction that operate as a reference point for clinicians in reasoning about a decision to discharge a patient from treatment. The extant literature is reviewed to highlight the pathways that patients follow after administrative discharge. Little scientific research has been done to investigate claims and hypotheses about the therapeutic function of AD, which points to the need for empirical ethics to inform clinical addictions practice. Copyright 2016 The Journal of Clinical Ethics. All rights reserved.

  18. Integrative Module-Based Family Therapy: A Model for Training and Treatment in a Multidisciplinary Mental Health Setting

    ERIC Educational Resources Information Center

    Wendel, Richard; Gouze, Karen R.; Lake, MaryBeth

    2005-01-01

    Thirty years ago, leaders in psychiatry expressed hope for more interdisciplinary collaboration with family therapy. Since then marriage and family therapy (MFT) has entered the mainstream of clinical practice in psychiatry and psychology. It is mandated for training in psychiatry and psychology. We propose a model for collaboration, training, and…

  19. Postpartum cultural practices are negatively associated with depressive symptoms among Chinese and Vietnamese immigrant mothers married to Taiwanese men.

    PubMed

    Chen, Tzu-Ling; Tai, Chen-Jei; Wu, Tsai-Wei; Chiang, Ching-Ping; Chien, Li-Yin

    2012-01-01

    The objectives of researchers in this study were to examine acceptance and adherence to mainstream Taiwanese postpartum cultural practices and their association with postpartum depressive symptoms among Chinese and Vietnamese immigrant mothers married to Taiwanese men. While the postpartum cultural practices in China are similar to mainstream Taiwanese practices, those of Vietnam differ from Taiwanese practices. This cross-sectional survey was conducted in Taiwan from October 2007 through March 2008, and included190 immigrant mothers from China and Vietnam who had delivered a child within the past year. Immigrant mothers from China had higher levels of acceptance and adherence to mainstream Taiwanese postpartum cultural practices and a lower rate of postpartum depressive symptoms than immigrant mothers from Vietnam, but the association between adherence to "doing-the-month" practices and postpartum depressive symptoms did not vary significantly between Chinese and Vietnamese mothers. Adherence to these practices was negatively associated with postpartum depressive symptoms among immigrant mothers (OR = 0.93, 95% CI: 0.90-0.96) after adjustment for social support, duration between moving to Taiwan and delivery, and country of origin. Adherence to mainstream postpartum cultural practices was negatively associated with postpartum depressive symptoms for both Chinese and Vietnamese immigrant women married to Taiwanese men.

  20. Statistical Analysis of Physiological Signals

    NASA Astrophysics Data System (ADS)

    Ruiz, María G.; Pérez, Leticia

    2003-07-01

    In spite of two hundred years of clinical practice, Homeopathy still lacks of scientific basis. Its fundamental laws, similia principle and the activity of the denominated ultra-high dilutions are controversial issues that do not fit into the mainstream medicine or current physical-chemistry field as well. Aside its clinical efficacy, the identification of physical - chemistry parameters, as markers of the homeopathic effect, would allow to construct mathematic models [1], which in turn, could provide clues regarding the involved mechanism.

  1. Mainstreaming and the Minority Child.

    ERIC Educational Resources Information Center

    Jones, Reginald L., Ed.

    Provided are 16 author-contributed papers dealing with theoretical questions and practical concerns relating to the effect of mainstreaming on the minority child. The text is divided into five parts: overview and perspectives, educational assessment for mainstream placement, curriculum issues and teaching strategies, evaluation and research, and…

  2. Stopping eating and drinking.

    PubMed

    Schwarz, Judith K

    2009-09-01

    Voluntarily stopping eating and drinking, in which death occurs within one to three weeks of beginning the fast, is increasingly explored in the literature and mainstream media as an option to be discussed with "decisionally capable," suffering patients who want to hasten their dying. The author uses an example from her experience to describe stopping eating and drinking, as well as other clinical practices associated with hastening dying; explores whether this practice can or should be distinguished from suicide; and discusses the ethical and legal implications for nurses.

  3. Taking PDT into mainstream clinical practice

    NASA Astrophysics Data System (ADS)

    Bown, Stephen G.

    2009-06-01

    Many individuals in the field are frustrated by the slow progress getting PDT established in mainstream clinical practice. The five key reasons are: 1. Lack of adequate evidence of safety and efficacy and optimization of dosimetry. These are fundamental. The number of randomized controlled studies is still small. For some cancer applications, it is difficult to get patients to agree to be randomised, so different approaches must be taken. Anecdotal results are not acceptable to sceptics and regulators. 2. The regulatory processes. The rules get more complex every day, but there is no choice, they must be met. The full bureaucratic strength of the pharmaceutical industry is needed to address these issues. 3. Conservatism of the medical profession. Established physicians are reluctant to change practice, especially if it means referring patients to different specialists. 4. Lack of education. It is amazing how few physicians have even heard of PDT and many that have, are sceptical. The profile of PDT to both the medical profession and the general public needs to be raised dramatically. Patient demand works wonders! 5. Money. Major investment is required to run clinical trials. Pharmaceutical companies may see PDT as a threat (eg reduced market for chemotherapy agents). Licensed photosensitisers are expensive. Why not reduce the price initially, to get the technique established and stimulate demand? PDT has the potential for enormous cost savings for health service providers. With appropriate motivation and resources these problems can be addressed. Possible routes forward will be suggested.

  4. Collaborative Working Practices in Inclusive Mainstream Deaf Education Settings: Teaching Assistant Perspectives

    ERIC Educational Resources Information Center

    Salter, Jackie M.; Swanwick, Ruth A.; Pearson, Susan E.

    2017-01-01

    This paper presents findings from an empirical study that investigated the learning experiences of deaf students in mainstream secondary classrooms, from teaching assistants' (TA) perspectives. These findings indicate that effective collaboration between mainstream teachers and specialist teachers of the deaf (ToD) is required to ensure…

  5. Making It Work: Practical Ideas for Integrating Exceptional Children into Regular Classes.

    ERIC Educational Resources Information Center

    Aiello, Barbara, Ed.

    Intended for special education and regular teachers, the guide contains brief articles on the nature of mainstreaming handicapped children; mainstreaming models at the preschool, elementary school, and secondary school levels; specific suggestions for setting up mainstreaming programs, and interviews with five persons involved in mainstream…

  6. Special or Mainstream? The Views of Disabled Students

    ERIC Educational Resources Information Center

    Shah, Sonali

    2007-01-01

    This article explores the recent policy concerning the education of disabled children and young people, and the debate of special education versus mainstream inclusion propelled by Warnock. It argues that the formal and informal practices, designed by non-disabled adults, to facilitate the inclusion of disabled students in mainstream schools may…

  7. Scaffolding English Language Learners' Reading Performance

    ERIC Educational Resources Information Center

    McKenzie, Lolita D.

    2011-01-01

    English language learners (ELLs) spend a majority of their instructional time in mainstream classrooms with mainstream teachers. Reading is an area with which many ELLs are challenged when placed within mainstream classrooms. Scaffolding has been identified as one of the best teaching practices for helping students read. ELL students in a local…

  8. Healthcare quality and safety: a review of policy, practice and research.

    PubMed

    Waring, Justin; Allen, Davina; Braithwaite, Jeffrey; Sandall, Jane

    2016-02-01

    Over the last two decades healthcare quality and safety have risen to the fore of health policy and research. This has largely been informed by theoretical and empirical ideas found in the fields of ergonomics and human factors. These have enabled significant advances in our understanding and management of quality and safety. However, a parallel and at time neglected sociological literature on clinical quality and safety is presented as offering additional, complementary, and at times critical insights on the problems of quality and safety. This review explores the development and contributions of both the mainstream and more sociological approaches to safety. It shows that where mainstream approaches often focus on the influence of human and local environment factors in shaping quality, a sociological perspective can deepen knowledge of the wider social, cultural and political factors that contextualise the clinical micro-system. It suggests these different perspectives can easily complement one another, offering a more developed and layered understanding of quality and safety. It also suggests that the sociological literature can bring to light important questions about the limits of the more mainstream approaches and ask critical questions about the role of social inequality, power and control in the framing of quality and safety. © 2015 Foundation for the Sociology of Health & Illness.

  9. "Why Single Me Out?" Peer Mentoring, Autism and Inclusion in Mainstream Secondary Schools

    ERIC Educational Resources Information Center

    Bradley, Ryan

    2016-01-01

    The past decade has seen an increase in the number of students with autism attending mainstream educational provision. Improving outcomes for this group is a complex issue given the deficit of evidence-based practice. A new peer mentoring programme developed for students with autism in mainstream secondary schools was evaluated using a combination…

  10. Cognitive hypnotherapy: a new vision and strategy for research and practice.

    PubMed

    Alladin, Assen

    2012-04-01

    This article describes cognitive hypnotherapy (CH), a visionary model of adjunctive hypnotherapy that advances the role of clinical hypnosis to a recognized integrative model of psychotherapy. As hypnosis lacks a coherent theory of psychotherapy and behavior change, hypnotherapy has embodied a mixed bag of techniques and thus hindered from transfiguring into a mainstream school of psychotherapy. One way of promoting the therapeutic standing of hypnotherapy as an adjunctive therapy is to systematically integrate it with a well-established psychotherapy. By blending hypnotherapy with cognitive behavior therapy, CH offers a unified version of clinical practice that fits the assimilative model of integrated psychotherapy, which represents the best integrative psychotherapy approach for merging both theory and empirical findings.

  11. Attitudes and Practices That Shape Children's Drawing Behaviour in Mainstream and Performing Arts Schools

    ERIC Educational Resources Information Center

    Burkitt, Esther; Lowry, Ruth

    2015-01-01

    Previous research shows that key parties involved in children's drawing perceive the value and benefits of art and drawing very differently. However such research has been restricted to the examination of children attending mainstream schooling across the UK. The present study therefore compared the views and practices of key parties involved in…

  12. No School Is an Island: Negotiation between Alternative Education Ideals and Mainstream Education--The Case of Violin School

    ERIC Educational Resources Information Center

    Hadar, Linor L.; Hotam, Yotam; Kizel, Arie

    2018-01-01

    This paper provides insights into the pedagogy in practice of non-mainstream education through a qualitative case study of an alternative school in the context of the Israeli school system. The school's alternative agenda is based on being isolated from mainstream education. We explore the negotiations between the school's pedagogy and mainstream…

  13. Explaining Success and Failure in Mainstream Schooling through the Lens of Cultural Continuities and Discontinuities: Two Case Studies

    ERIC Educational Resources Information Center

    Markose, Susan; Hellsten, Meeri

    2009-01-01

    This article investigates the home literacy practices of two immigrant families, one each of Lebanese and Chinese descent. It explores the consequences of mismatches between home and school literacy practices in relation to mainstream academic outcomes. Two mothers of the families in this study are interviewed about their beliefs and parenting…

  14. Tattoos as a window to the psyche: How talking about skin art can inform psychiatric practice.

    PubMed

    Roggenkamp, Hannah; Nicholls, Andrew; Pierre, Joseph M

    2017-09-22

    Tattooing the skin as a means of personal expression is a ritualized practice that has been around for centuries across many different cultures. Accordingly, the symbolic meaning of tattoos has evolved over time and is highly individualized, from both the internal perspective of the wearer and the external perspective of an observer. Within modern Western societies through the 1970s, tattoos represented a cultural taboo, typically associated with those outside of the mainstream such as soldiers, incarcerated criminals, gang members, and others belonging to marginalized and counter-cultural groups. This paper aims to review the more recent epidemiology of tattoos in Western culture in order to establish that tattooing has become a mainstream phenomenon. We then review psychological and psychiatric aspects of tattoos, with a goal of revising outmoded stigmas about tattooing and helping clinicians working with tattooed patients to facilitate an exploration of the personal meaning of skin art and self-identity. We suggest that as a kind of augmentation of the physical exam, looking at and talking to patients about their tattoos can provide a valuable window into the psyche, informing clinical practice.

  15. Tattoos as a window to the psyche: How talking about skin art can inform psychiatric practice

    PubMed Central

    Roggenkamp, Hannah; Nicholls, Andrew; Pierre, Joseph M

    2017-01-01

    Tattooing the skin as a means of personal expression is a ritualized practice that has been around for centuries across many different cultures. Accordingly, the symbolic meaning of tattoos has evolved over time and is highly individualized, from both the internal perspective of the wearer and the external perspective of an observer. Within modern Western societies through the 1970s, tattoos represented a cultural taboo, typically associated with those outside of the mainstream such as soldiers, incarcerated criminals, gang members, and others belonging to marginalized and counter-cultural groups. This paper aims to review the more recent epidemiology of tattoos in Western culture in order to establish that tattooing has become a mainstream phenomenon. We then review psychological and psychiatric aspects of tattoos, with a goal of revising outmoded stigmas about tattooing and helping clinicians working with tattooed patients to facilitate an exploration of the personal meaning of skin art and self-identity. We suggest that as a kind of augmentation of the physical exam, looking at and talking to patients about their tattoos can provide a valuable window into the psyche, informing clinical practice. PMID:29043152

  16. Surveying the Extent of, and Attitudes Towards, the Use of Prayer as a Spiritual Intervention among British Mainstream Counsellors

    ERIC Educational Resources Information Center

    Gubi, Peter M.

    2004-01-01

    A questionnaire was sent to 578 BACP Accredited Counsellors and 122 CMCS Approved Counsellors to survey the use, and attitudes to the use, of prayer as a spiritual intervention in British mainstream counselling. The data reveal that prayer influences the practice of a significant number of mainstream counsellors at a philosophical, a covert and an…

  17. Maternal care through mainstreaming Ayurvedic approach

    PubMed Central

    Jayashree, K.S.

    2008-01-01

    Reviving and re establishing the practices which were prevalent in India along with some orientation towards Ayurvedic approaches shall be a suitable answer to the burning issues of women’ health. Mainstreaming the Ayurvedic practices in women health care appears to be the most effective remedial measure to lower MMR and promote maternal health. The present paper is a narrative of exemplary practices in the management of the most important phases like puberty, pregnancy and post natal care in accordance with Ayurveda PMID:22557299

  18. Access to general practice for Pacific peoples: a place for cultural competency.

    PubMed

    Ludeke, Melissa; Puni, Ronald; Cook, Lynley; Pasene, Maria; Abel, Gillian; Sopoaga, Faafetai

    2012-06-01

    Access to primary health care services has been identified as a problem for Pacific peoples. Although cost is the most frequently cited barrier to Pacific service utilisation, some research has indicated that access may also be influenced by features of mainstream primary care services. This study aimed to identify features of mainstream general practice services that act as barriers to accessing these services for Pacific peoples in order to explore strategies that providers could adopt to enable their practices to be more welcoming, accessible and appropriate for Pacific peoples. Pacific participants were recruited through Pacific networks known to Pegasus Health and via 'snowball' sampling. In total, 20 participants participated in one of three focus groups. A semi-structured interview explored the participants' views and experiences of mainstream general practice care. Thematic analysis was utilised to interpret the data. The analysis revealed five themes highlighting non-financial features of mainstream general practice services that may influence the availability and acceptability of these services to Pacific peoples: language and communication; rushed consultations; appointment availability; reception; and Pacific presence. The findings indicate that all personnel within the primary care setting have the ability to directly engage in the improvement of the health status of Pacific peoples in New Zealand by developing cultural competency and incorporating flexibility and diversity into the care and service they provide.

  19. Specialist palliative care nursing and the philosophy of palliative care: a critical discussion.

    PubMed

    Robinson, Jackie; Gott, Merryn; Gardiner, Clare; Ingleton, Christine

    2017-07-02

    Nursing is the largest regulated health professional workforce providing palliative care across a range of clinical settings. Historically, palliative care nursing has been informed by a strong philosophy of care which is soundly articulated in palliative care policy, research and practice. Indeed, palliative care is now considered to be an integral component of nursing practice regardless of the specialty or clinical setting. However, there has been a change in the way palliative care is provided. Upstreaming and mainstreaming of palliative care and the dominance of a biomedical model with increasing medicalisation and specialisation are key factors in the evolution of contemporary palliative care and are likely to impact on nursing practice. Using a critical reflection of the authors own experiences and supported by literature and theory from seminal texts and contemporary academic, policy and clinical literature, this discussion paper will explore the influence of philosophy on nursing knowledge and theory in the context of an evolving model of palliative care.

  20. Mainstreaming the Teacher.

    ERIC Educational Resources Information Center

    Barnsley, Roger; And Others

    1989-01-01

    Describes the practice teaching experience of a profoundly deaf woman in a mainstream junior high science classroom. Although problems had to be solved in communication, classroom management, and teaching methods, students and teachers described the outcome as educationally positive with additional benefits in students' non-academic learning. (DHP)

  1. Supporting ELLs before, during, and after Reading

    ERIC Educational Resources Information Center

    DelliCarpini, Margo

    2011-01-01

    Working with English language learners in mainstream ELA classrooms can provide rich rewards in terms of developing multiple perspectives, sharing diverse experiences, and developing understanding of different cultural practices. However, these students can also challenge mainstream teachers. Supporting ELLs throughout the reading process can…

  2. Pharmacogenomics in type II diabetes mellitus management: Steps toward personalized medicine

    PubMed Central

    Avery, Peter; Mousa, Shaymaa S; Mousa, Shaker A

    2009-01-01

    Advances in genotype technology in the last decade have put the pharmacogenomics revolution at the forefront of future medicine in clinical practice. Discovery of novel gene variations in drug transporters, drug targets, effector proteins and metabolizing enzymes in the form of single-nucleotide polymorphisms (SNPs) continue to provide insight into the biological phenomena that govern drug efficacy and toxicity. To date, novel gene discoveries extracted from genome-wide association scans and candidate gene studies in at least four antidiabetic drug classes have helped illuminate possible causes of interindividual variability in response. Inadequate protocol guidelines for pharmacogenomics studies often leads to poorly designed studies, making it hard to formulate a definitive conclusion regarding the clinical relevance of the information at hand. These issues, along with the ethical, social, political, legislative, technological, and economic challenges associated with pharmacogenomics have only delayed its entry to mainstream clinical practice. On the other hand, these issues are being actively pursued and rapid progress is being made in each area which assures the possibility of gaining widespread acceptance in clinical practice. PMID:23226037

  3. Mainstream Science on Intelligence: An Editorial with 52 Signatories, History, and Bibliography.

    ERIC Educational Resources Information Center

    Gottfredson, Linda S.

    1997-01-01

    This statement signed by 52 researchers outlines conclusions regarded as mainstream among researchers on intelligence, especially on the nature, origins, and practical consequences of individual and group differences in intelligence. The survey from which the statement was developed is described. (SLD)

  4. Review of the International Society for Heart and Lung Transplantation Practice guidelines for management of heart failure in children.

    PubMed

    Colan, Steven D

    2015-08-01

    In 2004, practice guidelines for the management of heart failure in children by Rosenthal and colleagues were published in conjunction with the International Society for Heart and Lung Transplantation. These guidelines have not been updated or reviewed since that time. In general, there has been considerable controversy as to the utility and purpose of clinical practice guidelines, but there is general recognition that the relentless progress of medicine leads to the progressive irrelevance of clinical practice guidelines that do not undergo periodic review and updating. Paediatrics and paediatric cardiology, in particular, have had comparatively minimal participation in the clinical practice guidelines realm. As a result, most clinical practice guidelines either specifically exclude paediatrics from consideration, as has been the case for the guidelines related to cardiac failure in adults, or else involve clinical practice guidelines committees that include one or two paediatric cardiologists and produce guidelines that cannot reasonably be considered a consensus paediatric opinion. These circumstances raise a legitimate question as to whether the International Society for Heart and Lung Transplantation paediatric heart failure guidelines should be re-reviewed. The time, effort, and expense involved in producing clinical practice guidelines should be considered before recommending an update to the International Society for Heart and Lung Transplantation Paediatric Heart Failure guidelines. There are specific areas of rapid change in the evaluation and management of heart failure in children that are undoubtedly worthy of updating. These domains include areas such as use of serum and imaging biomarkers, wearable and implantable monitoring devices, and acute heart failure management and mechanical circulatory support. At the time the International Society for Heart and Lung Transplantation guidelines were published, echocardiographic tissue Doppler, 3 dimensional imaging, and strain and strain rate were either novel or non-existent and have now moved into the main stream. Cardiac magnetic resonance imaging (MRI) had very limited availability, and since that time imaging and assessment of myocardial iron content, delayed gadolinium enhancement, and extracellular volume have moved into the mainstream. The only devices discussed in the International Society for Heart and Lung Transplantation guidelines were extracorporeal membrane oxygenators, pacemakers, and defibrillators. Since that time, ventricular assist devices have become mainstream. Despite the relative lack of randomised controlled trials in paediatric heart failure, advances continue to occur. These advances warrant implementation of an update and review process, something that is best done under the auspices of the national and international cardiology societies. A joint activity that includes the International Society for Heart and Lung Transplantation, American College of Cardiology/American Heart Association, the Association for European Paediatric and Congenital Cardiology (AEPC), European Society of Cardiology, Canadian Cardiovascular Society, and others will have more credibility than independent efforts by any of these organisations.

  5. Aiming for Equity: Preparing Mainstream Teachers for Inclusion or Inclusive Classrooms?

    ERIC Educational Resources Information Center

    Coady, Maria R.; Harper, Candace; de Jong, Ester J.

    2016-01-01

    Mainstream teachers throughout the world are increasingly expected to differentiate instruction for primary-grade students with diverse learning needs, including second or English language learners (ELLs). Does teacher preparation translate into instructional practices for English language development? What do graduates of those programs do…

  6. Integrating Gender into the Political Science Core Curriculum

    ERIC Educational Resources Information Center

    Cassese, Erin C.; Bos, Angela L.; Duncan, Lauren E.

    2012-01-01

    The New Research on Gender in Political Psychology Conference brought together new and experienced teachers with interests in gender politics. The conference session "Teaching Gender throughout the Curriculum" generated a great deal of discussion concerning the pedagogical practice of gender mainstreaming. Gender mainstreaming--the integration of…

  7. Practical Educational Prescriptions for Students in the Mainstream.

    ERIC Educational Resources Information Center

    Choate, Joyce S., Ed.; Young, Larry S., Ed.

    Activity suggestions developed by experienced teachers are presented for mainstreamed students with difficulties in specific instructional areas of reading, mathematics, spelling, writing, and behavior. Activity descriptions are grouped according to instructional area, and are classified as large group, small group, or one to one exercises.…

  8. Flawed Reasoning Allows the Persistence of Mainstream Atherothrombosis Theory.

    PubMed

    Sloop, Gregory D; Pop, Gheorghe; Weidman, Joseph J; St Cyr, John A

    2018-03-27

    Deaths due to atherothrombosis are increasing throughout the world except in the lowest socio-demographic stratum. This is despite 60 years of study and expenditure of billions of dollars on lipid theory. Nevertheless, mainstream atherothrombosis theory persists even though it has failed numerous tests. Contrary data are ignored, consistent with the practice of science as envisioned by Thomas Kuhn. This paper examines defects in mainstream atherogenesis theory and the flawed logic which allows its persistence in the face of what should be obvious shortcomings.

  9. Flawed Reasoning Allows the Persistence of Mainstream Atherothrombosis Theory

    PubMed Central

    Pop, Gheorghe; Weidman, Joseph J; St. Cyr, John A

    2018-01-01

    Deaths due to atherothrombosis are increasing throughout the world except in the lowest socio-demographic stratum. This is despite 60 years of study and expenditure of billions of dollars on lipid theory. Nevertheless, mainstream atherothrombosis theory persists even though it has failed numerous tests. Contrary data are ignored, consistent with the practice of science as envisioned by Thomas Kuhn. This paper examines defects in mainstream atherogenesis theory and the flawed logic which allows its persistence in the face of what should be obvious shortcomings. PMID:29805946

  10. When mindfulness is therapy: Ethical qualms, historical perspectives.

    PubMed

    Harrington, Anne; Dunne, John D

    2015-10-01

    In the past 20 years, mindfulness therapeutic programs have moved firmly into the mainstream of clinical practice and beyond. As they have, we have also seen the development of an increasingly vocal critique. At issue is often less whether or not these mindfulness practices "work," and more whether there is a danger in dissociating them from the ethical frameworks for which they were originally developed. Mindfulness, the argument goes, was never supposed to be about weight loss, better sex, helping children perform better in school, helping employees be more productive in the workplace, or even improving the functioning of anxious, depressed people. It was never supposed to be a merchandized commodity to be bought and sold. The larger clinical and religious community, however, has not always been troubled by the idea that (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  11. Predatory Publishing Is a Threat to Non-Mainstream Science

    PubMed Central

    Nurmashev, Bekaidar

    2017-01-01

    This article highlights the issue of wasteful publishing practices that primarily affect non-mainstream science countries and rapidly growing academic disciplines. Numerous start-up open access publishers with soft or nonexistent quality checks and huge commercial interests have created a global crisis in the publishing market. Their publishing practices have been thoroughly examined, leading to the blacklisting of many journals by Jeffrey Beall. However, it appears that some subscription journals are also falling short of adhering to the international recommendations of global editorial associations. Unethical editing agencies that promote their services in non-mainstream science countries create more problems for inexperienced authors. It is suggested to regularly monitor the quality of already indexed journals and upgrade criteria of covering new sources by the Emerging Sources Citation Index (Web of Science), Scopus, and specialist bibliographic databases. Regional awareness campaigns to inform stakeholders of science communication about the importance of ethical writing, transparency of editing services, and permanent archiving can be also helpful for eradicating unethical publishing practices. PMID:28378542

  12. Predatory Publishing Is a Threat to Non-Mainstream Science.

    PubMed

    Gasparyan, Armen Yuri; Nurmashev, Bekaidar; Udovik, Elena E; Koroleva, Anna M; Kitas, George D

    2017-05-01

    This article highlights the issue of wasteful publishing practices that primarily affect non-mainstream science countries and rapidly growing academic disciplines. Numerous start-up open access publishers with soft or nonexistent quality checks and huge commercial interests have created a global crisis in the publishing market. Their publishing practices have been thoroughly examined, leading to the blacklisting of many journals by Jeffrey Beall. However, it appears that some subscription journals are also falling short of adhering to the international recommendations of global editorial associations. Unethical editing agencies that promote their services in non-mainstream science countries create more problems for inexperienced authors. It is suggested to regularly monitor the quality of already indexed journals and upgrade criteria of covering new sources by the Emerging Sources Citation Index (Web of Science), Scopus, and specialist bibliographic databases. Regional awareness campaigns to inform stakeholders of science communication about the importance of ethical writing, transparency of editing services, and permanent archiving can be also helpful for eradicating unethical publishing practices. © 2017 The Korean Academy of Medical Sciences.

  13. Mainstreaming English Language Learners: Does It Promote or Hinder Literacy Development?

    ERIC Educational Resources Information Center

    Somé-Guiébré, Esther

    2016-01-01

    This study examines the interaction between African immigrant students and their mainstream teachers. I am particularly interested in the influence of classroom practices on the literacy development of Francophone African immigrant children in the U.S. classroom. The student participants in this study (two French speaking African students) were…

  14. Employment Procedures and Practices Challenge Teacher Assistants in Mainstream Schools

    ERIC Educational Resources Information Center

    Butt, Rosemary

    2016-01-01

    Reliance on teacher assistants (TAs) in mainstream schools to support students with disability and learning difficulties is an increasing trend in Australia. In 2011, over 80,000 TAs were employed costing approximately $3billion per annum [DEEWR. 2012. Job Outlook. Accessed June 2013. http://joboutlook.gov.au/default.aspx]. This paper reports on…

  15. A Practical Guide for Teaching Science to Students with Special Needs in Inclusive Settings.

    ERIC Educational Resources Information Center

    Mastropieri, Margo A.; Scruggs, Thomas E.

    This manual is intended as a resource for teachers who have special education students in their mainstream science classes, for curriculum adoption committees, and for publishers and consumers of science curriculum materials. Part 1 describes general characteristics of students with disabilities and provides general mainstreaming strategies and…

  16. Alternative Education on Prince Edward Island: A Hybrid of "Mainstream" and Special Education

    ERIC Educational Resources Information Center

    Thorne, Carolyn M.

    2017-01-01

    Alternative education programmes have acted as a disciplinary practice used by schools in Prince Edward Island (PEI), Canada, as a response to providing students, especially those identified with challenging behaviours, who do not fit into "mainstream" schools. This article highlights the emergence of alternative education in PEI and…

  17. Mainstreaming Human Rights Education--A New NCSS Community Looks Forward

    ERIC Educational Resources Information Center

    Blanchard, Rosemary Ann

    2014-01-01

    Efforts to bring human rights (HR) and international humanitarian law (IHL) into the mainstream of social studies education in the United States often encounter roadblocks and digressions that are difficult to understand from outside the arena of US public education. Educational standards, curricula and core practices in U.S. public schools…

  18. Shifting Perspectives and Practices: Teacher Candidates' Experiences of an Aboriginal Infusion in Mainstream Teacher Education

    ERIC Educational Resources Information Center

    Blimkie, Melissa; Vetter, Diane; Haig-Brown, Celia

    2014-01-01

    This exploratory case study shares teacher candidates' perspectives and experiences of an Aboriginal infusion at York University's Faculty of Education field site in Barrie, Ontario. For this initiative, Aboriginal content and pedagogies were infused throughout placements and courses of the mainstream teacher education program. Teacher candidates…

  19. Assimilation or Ethnicization: An Exploration of Inland Tibet Class Education Policy and Practice

    ERIC Educational Resources Information Center

    Miaoyan, Yang; Dunzhu, Nima

    2015-01-01

    Assimilation and ethnicization are mainstream voices in current studies of ethnic relations. The former suspects that current social system arrangements are meant to assimilate minority groups into the cultural system of the mainstream ethnic group, while the latter believes that current systemic arrangements will cause minority groups to tend…

  20. Mistletoe in conventional oncological practice: exemplary cases.

    PubMed

    Legnani, Walter

    2008-09-01

    Mistletoe therapy, a cancer treatment suggested by Rudolf Steiner in 1920, is a typical and specific anthroposophic therapy, but could become more important today in the field of mainstream medicine. This article analyzes some of the most typical effects of mistletoe therapy based on the experience of more than 100 cases. A few patients were chosen who appear exemplary of the opportunities offered by mistletoe therapy. Their clinical history demonstrates an improvement in clinical condition and performance status, better quality of life, improved psychological status, reduction of infective events, better tolerance of concomitant chemoradiotherapy, and even a direct reduction of tumor size. The conclusion is that the patients may be indicative for future prospective clinical studies designed to confirm a real efficacy of mistletoe in cancer therapy.

  1. Creating the climate for diversity and race equality in health care.

    PubMed

    Kingsley, S U

    2001-01-01

    In 1997 the Department of Health funded eight projects to demonstrate 'mainstreaming' responses to minority ethnic health in the NHS. 'Mainstreaming' is understood to require cultural, organisation and practice change; sustaining such change is a major challenge. Evaluation of the projects identified that leadership was a critical factor in encouraging change that was lasting. Other important issues were maintaining the desire changes in a turbulent organisational context and linking changes in practice with other priorities and initiatives. The agenda for the New NHS presents an opportunity for learning from this programme to be put into practice across the Department of Health and the NHS.

  2. Bringing the best of medical librarianship to the patient team.

    PubMed

    Shearer, Barbara S; Seymour, Anne; Capitani, Cheryl

    2002-01-01

    This article introduces a series of articles examining the state of the medical library profession as practiced in the clinical context. It is widely understood that many changes across the spectrum of medical librarianship practice have been brought about by both technological advances and economic realities. These changes have created strains felt by many in the profession. Discussions of evolving roles for medical librarians that have gone on for years have taken on a new sense of urgency, not just because support of library services is at stake, but also because new opportunities, which many are eager to explore, await librarians. In June 2000, an editorial appearing in a mainstream medical journal proposed a reinvention of clinical librarianship that, if designed as presented in the editorial, would have a dramatic effect on current hospital-based library practice. This series of articles was developed in an effort to provide thoughtful consideration of the "informationist" model and to present new ways to look at the core competencies that define the profession.

  3. Bringing the best of medical librarianship to the patient team

    PubMed Central

    Shearer, Barbara S.; Seymour, Anne; Capitani, Cheryl

    2002-01-01

    This article introduces a series of articles examining the state of the medical library profession as practiced in the clinical context. It is widely understood that many changes across the spectrum of medical librarianship practice have been brought about by both technological advances and economic realities. These changes have created strains felt by many in the profession. Discussions of evolving roles for medical librarians that have gone on for years have taken on a new sense of urgency, not just because support of library services is at stake, but also because new opportunities, which many are eager to explore, await librarians. In June 2000, an editorial appearing in a mainstream medical journal proposed a reinvention of clinical librarianship that, if designed as presented in the editorial, would have a dramatic effect on current hospital-based library practice. This series of articles was developed in an effort to provide thoughtful consideration of the “informationist” model and to present new ways to look at the core competencies that define the profession. PMID:11838456

  4. The Effectiveness of Smart Schooling in Terms of Student Achievement in Science: A Study of Malaysian Practice

    ERIC Educational Resources Information Center

    Ong, Eng-Tek; Ruthven, Kenneth

    2012-01-01

    This paper reports the relative effectiveness of Smart and Mainstream schooling in terms of student achievement in science. The participants comprised 770 secondary school Form 3 (15-year-old) students from two Smart Schools and two Mainstream Schools in Malaysia. Using students' Standardised National Examination (SNE) primary-school science…

  5. Coyote and Raven Talk about Indigenizing Environmental Education: Or Reconfiguring the Shenanigans of Otis O'Dewey Esquire

    ERIC Educational Resources Information Center

    Cole, Peter

    2012-01-01

    First Nations tricksters, Coyote and Raven, work to indigenize Environmental Education but run up against mainstream languages, technologies, and educational practices. They try to do an end-run around the cognitive backfield, then portage through marginal spaces, but find that working between Indigenous languages and mainstream ones can work best…

  6. "Unconscious" Inclusion of Students with Learning Disabilities in a Malaysian Mainstream Primary School: Teachers' Perspectives

    ERIC Educational Resources Information Center

    Lee, Lay Wah; Low, Hui Min

    2013-01-01

    The inclusion of children with special needs in mainstream regular schools has been seen as the best practice in special education provision, most markedly since the 90s. International research has provided amassing evidence towards the advantages of inclusive model over a segregation model of special education provision. However, nearly two…

  7. Mainstream Teachers about Including Deaf or Hard of Hearing Students

    ERIC Educational Resources Information Center

    Vermeulen, Jorine A.; Denessen, Eddie; Knoors, Harry

    2012-01-01

    This study is aimed at teachers' classroom practices and their beliefs and emotions regarding the inclusion of deaf or hard of hearing (d/hh) students in mainstream secondary schools. Nine teachers in two schools were interviewed about the inclusion of d/hh students. These teachers were found to consider the d/hh students' needs in their teaching…

  8. Phage therapy.

    PubMed

    Housby, John N; Mann, Nicholas H

    2009-06-01

    There is a renaissance of interest in the antimicrobial potential of phages as more pathogens become multiply antibiotic resistant. Phage therapy is not a new concept, and it is important to ask why it is not part of the current repertoire of western medicine despite the fact that it has been continuously and extensively used in Eastern Europe for almost a century. Answering this question successfully will, largely, determine whether phage therapy can gain the credibility needed to overcome the scientific, financial and regulatory hurdles facing its adoption in mainstream clinical practice. Despite a paucity of such information from human studies, pharmacokinetic data and clinical outcomes from animal studies are currently providing convincing evidence for the safety and efficacy of phage therapy.

  9. The Continuing Allure of Cure: A Response to Alex Broadbent's "Prediction, Understanding, and Medicine".

    PubMed

    Harris, Chadwin

    2018-05-09

    In "Prediction, Understanding, and Medicine," Alex Broadbent rejects the curative thesis, the view that the core medical competence is to cure, in favor of his predictive thesis that the main intellectual medical competence is to explain and the main practical medical competence is to predict. Broadbent thinks his account explains the phenomenon of multiple consultation, which is the fact that people persist in consulting alternative medical traditions despite having access to mainstream medicine. I argue that Broadbent's explanation of multiple consultation makes sense only from the perspective of patients who migrate from mainstream to alternative consultation. His explanation is not as convincing when we consider alternative-to-mainstream migration. I also provide an argument against Broadbent's view that prediction is medicine's main practical competence and argue that, when it comes to explaining most cases of multiple consultation, the curative thesis provides a more convincing explanation than the predictive thesis.

  10. Predicting the onset of psychosis in patients at clinical high risk: practical guide to probabilistic prognostic reasoning.

    PubMed

    Fusar-Poli, P; Schultze-Lutter, F

    2016-02-01

    Prediction of psychosis in patients at clinical high risk (CHR) has become a mainstream focus of clinical and research interest worldwide. When using CHR instruments for clinical purposes, the predicted outcome is but only a probability; and, consequently, any therapeutic action following the assessment is based on probabilistic prognostic reasoning. Yet, probabilistic reasoning makes considerable demands on the clinicians. We provide here a scholarly practical guide summarising the key concepts to support clinicians with probabilistic prognostic reasoning in the CHR state. We review risk or cumulative incidence of psychosis in, person-time rate of psychosis, Kaplan-Meier estimates of psychosis risk, measures of prognostic accuracy, sensitivity and specificity in receiver operator characteristic curves, positive and negative predictive values, Bayes' theorem, likelihood ratios, potentials and limits of real-life applications of prognostic probabilistic reasoning in the CHR state. Understanding basic measures used for prognostic probabilistic reasoning is a prerequisite for successfully implementing the early detection and prevention of psychosis in clinical practice. Future refinement of these measures for CHR patients may actually influence risk management, especially as regards initiating or withholding treatment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Moving toward mainstream: perspectives on enhancing therapy with men.

    PubMed

    Wade, Jay C; Good, Glenn E

    2010-09-01

    Psychotherapists began sharing their clinical experiences with men's gender-related psychological issues and the challenges of addressing them in therapy during the late 1970s and early 1980s (e.g., O'Neil, 1981; Scher, 1979; Skovholt, 1978). However, it has taken several decades for these messages and the accompanying research to yield advances that are being adopted into more mainstream psychotherapeutic practices. Over the recent three decades, the theory, research, and clinical wisdom about psychotherapy with men can be viewed as falling into several main clusters. Specifically, there is literature and research providing: - General information on masculine socialization and the psychology of men. - Information about specific issues that men and male clients bring to therapy. - Information about the expectations and experiences of specific groups of men (e.g., men of differing racial/ethnic backgrounds, geographical regions, age cohorts, spiritual/religious beliefs, differing physical ability statuses). - Suggestions for addressing men's reluctance to seek psychotherapy and the challenges associated with forming therapeutic working alliances with men when they do come to therapy. - Suggestions regarding adjustments to psychotherapeutic processes for conducting effective psychotherapy with men. - Development and assessment of instruments to assess endorsement of various male norms and of aspects of men's gender role conflict and stress. Reviewing the earliest writings, some of these pioneering therapists' initial clinical observations remain highly relevant today. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  12. Teaching Literacy through Braille in Mainstream Settings whilst Promoting Inclusion: Reflections on Our Practice

    ERIC Educational Resources Information Center

    Roe, Joao; Rogers, Sue; Donaldson, Marion; Gordon, Clare; Meager, Nathan

    2014-01-01

    We would describe teaching literacy through braille as one of the most rewarding and challenging aspects of the role of a Qualified Teacher for the Visually Impaired (QTVI). This article focuses on teaching literacy through braille in mainstream settings whilst promoting inclusion and meeting the social-emotional needs of children who use braille.…

  13. The Self-Discovery Programme for Children with Special Educational Needs in Mainstream Primary and Secondary Schools: An Exploratory Study

    ERIC Educational Resources Information Center

    Cullen-Powell, Lesley; Barlow, Julie; Bagh, Jagrup

    2005-01-01

    This exploratory study concerns the Self-Discovery Programme (SDP) designed for children with emotional and behavioural difficulties in mainstream schools. The aim of the SDP is to provide children with a range of practical relaxation skills that may enhance emotional wellbeing, increase self-awareness and promote self-regulatory behaviour.…

  14. Freirean Pedagogy, Praxis, and Possibilities: Projects for the New Millennium. Volume 19, Critical Education Practice. Volume 1417, Garland Reference Library of Social Science.

    ERIC Educational Resources Information Center

    Steiner, Stanley F., Ed.; Krank, H. Mark, Ed.; McLaren, Peter, Ed.; Bahruth, Robert E., Ed.

    This book contains 15 chapters, each by different authors, commenting and expanding on the educational philosophy and work of Paulo Freire. The following are included: "Paulo Freire's Pedagogy of Possibility" (Peter McLaren); "Studying the Media: What Makes Mainstream Media Mainstream" (Noam Chomsky); "Scientism as a Form…

  15. Mainstream Teachers of English Learners in the Southeast: A Multiple Case Study Analysis of Scaffolding Practices

    ERIC Educational Resources Information Center

    Kiefer, Sonya Maldonado

    2013-01-01

    English learners are one of the fasting growing populations of students in the United States, particularly in the Southeast. Little is known about how teachers in this region support the instructional needs of English learners in a mainstream classroom, despite reports that they receive limited preparation and professional development to meet the…

  16. Delivering culturally appropriate residential rehabilitation for urban Indigenous Australians: a review of the challenges and opportunities.

    PubMed

    Taylor, Kate; Thompson, Sandra; Davis, Robyn

    2010-07-01

    To review the challenges facing Indigenous and mainstream services in delivering residential rehabilitation services to Indigenous Australians, and explore opportunities to enhance outcomes. A literature review was conducted using keyword searches of databases, on-line journals, articles, national papers, conference proceedings and reports from different organisations, with snowball follow-up of relevant citations. Each article was assessed for quality using recognised criteria. Despite debate about the effectiveness of mainstream residential alcohol rehabilitation treatment, most Indigenous Australians with harmful alcohol consumption who seek help have a strong preference for residential treatment. While there is a significant gap in the cultural appropriateness of mainstream services for Indigenous clients, Indigenous-controlled residential organisations also face issues in service delivery. Limitations and inherent difficulties in rigorous evaluation processes further plague both areas of service provision. With inadequate evidence surrounding what constitutes 'best practice' for Indigenous clients in residential settings, more research is needed to investigate, evaluate and contribute to the further development of culturally appropriate models of best practice. In urban settings, a key area for innovation involves improving the capacity and quality of service delivery through effective inter-agency partnerships between Indigenous and mainstream service providers.

  17. Climate Contrarianism: Conspiracies, Movable Goalposts, Cherry Picking, and the Galileo Complex

    NASA Astrophysics Data System (ADS)

    Somerville, R. C.

    2012-12-01

    How can two well-qualified climate scientists, with similar educational backgrounds and professional careers, come to diametrically opposed conclusions on important research issues that have been the subjects of extensive scientific investigation? This question is illuminated by examining the attitudes and practices that separate mainstream climate researchers and credentialed contrarian scientists. The existence of contrarians, scientists who reject the findings of mainstream researchers, is not confined to climate science. Indeed, in many fields of science, rhetorical arguments have been made by contrarians in order to create the impression that the expert scientific community is divided, and that genuine scientific controversy exists, where in fact there is none. The frequent objective underlying this practice is not to advance the science, but rather to cast doubt on scientific findings because of opposition to policies that might be implemented because of trust in these scientific results. Thus, opposition to cap-and-trade systems, or to carbon taxes, or to government interference with markets, or to ceding national sovereignty via treaties, can all be reasons for calling into question the mainstream scientific result that climate change due to human activities is real and has significant adverse effects. Contrarian scientists in many fields have alleged that they are victims of secretive conspiracies by mainstream scientists. They have also created unrealistic expectations of what research ought to provide, such as by pointing out that all climate models have uncertainties and weaknesses, and therefore no model results deserve serious consideration. They have emphasized weaknesses in papers supporting mainstream findings, and have exaggerated the importance of isolated results, and they have attacked the methods and credibility of mainstream scientists, all in the hope of undermining mainstream findings. They have often sought to portray themselves as independent thinkers and courageous victims of the dominant orthodoxy, reminiscent of Galileo. Understanding the characteristics of scientific contrarianism, and being familiar with its manifestations in many scientific fields, can help to recognize it and to distinguish it from legitimate scientific dissent.

  18. Integrating Gay, Lesbian, and Bisexual Issues into Mainstream Psychology.

    ERIC Educational Resources Information Center

    Goldfried, Marvin R.

    2001-01-01

    Illustrates how clinical and research writings on gay, lesbian, and bisexual (GLB) issues remain invisible to mainstream psychology in such areas as life span development and aging, teen suicide, substance abuse, victimization, and family and couple relationships, examining determinants of wellbeing among GLBs and discussing what mainstream…

  19. Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers.

    PubMed

    Singer, Judy; Adams, Jon

    2014-05-22

    Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women's health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach. From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services.

  20. Connecting Reflective Practice, Dialogic Protocols, and Professional Learning

    ERIC Educational Resources Information Center

    Nehring, James; Laboy, Wilfredo T.; Catarius, Lynn

    2010-01-01

    In recent years, elements of reflective practice have been popularized in state school professional development. As reflective practice has moved into the mainstream, dialogic protocols have been developed by numerous organizations to structure discourse for deep understanding, enhance professional practice and advance organizational learning.…

  1. Representing clinical guidelines in UMl: a comparative study.

    PubMed

    Hederman, Lucy; Smutek, Daniel; Wade, Vincent; Knape, Thomas

    2002-01-01

    Clinical guidelines can be represented using models, such as GLIF, specifically designed for healthcare guidelines. This paper demonstrates that they can also be modelled using a mainstream business modelling language such as UML. The paper presents a guideline in GLIF and as UML activity diagrams, and then presents a mapping of GLIF primitives to UML. The potential benefits of using a mainstream modelling language are outlined. These include availability of advanced modelling tools, transfer between modelling tools, and automation via business workflow technology.

  2. The Mediational Role of Classroom Practices during the Silent Period: A New-Immigrant Student Learning the English Language in a Mainstream Classroom

    ERIC Educational Resources Information Center

    Iddings, Ana Christina DaSilva; Jang, Eun-Young

    2008-01-01

    For this article we aimed to understand the emergence of English as a second language for a newly immigrated Mexican student, a native speaker of Spanish, enrolled in a mainstream kindergarten classroom, who was undergoing the "silent period" (Krashen, 1981). Applying ecological approaches that emphasize learners in relationship with their…

  3. Catering for EAL/D Students' Language Needs in Mainstream Classes: Early Childhood Teachers' Perspectives and Practices in One Australian Setting

    ERIC Educational Resources Information Center

    Dobinson, Toni J.; Buchori, Sylvia

    2016-01-01

    This article aims to highlight the complexity of English language related experiences and interactions of a small group of teachers in an Australian, Early Childhood (EC), mainstream setting with children four to eight years old. It draws on data collected from a qualitative case study which investigated four teachers' perspectives and anxieties…

  4. The Condom Works in All Situations? Paradoxical Messages in Mainstream Sex Education in Sweden

    ERIC Educational Resources Information Center

    Bolander, Eva

    2015-01-01

    The condom plays a vital part in safe sex, the ideal outcome of mainstream Swedish sex education. As researchers have pointed out, however, the condom is not a neutral object; rather, it plays a part in shaping, in different ways, both sexual practices and the idea of what sex is. This paper focuses on sex education television programmes produced…

  5. Development of a pioneering clinical support system utilizing information technology.

    PubMed

    Hayashi, Doubun; Imai, Yasushi; Morita, Hiroyuki; Fujita, Hideo; Monzen, Koshiro; Harada, Tomohiro; Nojiri, Takefumi; Yamazaki, Tadashi; Yamazaki, Tsutomu; Nagai, Ryozo

    2004-03-01

    Nowadays, evidence-based medicine has entered the mainstream of clinical judgement and the human genome has been completely decoded. Even the concept of individually designed medicine, that is, tailor-made medicine, is now being discussed. Due to their complexity, however, management methods for clinical information have yet to be established. We have conducted a study on a universal technique which enables one to select or produce by employing information processing technology clinical findings from various clinical information generated in vast quantity in day-to-day clinical practice, and to share such information and/or the results of analysis between two or more institutions. In this study, clinically useful findings have been successfully obtained by systematizing actual clinical information and genomic information obtained by an appropriate collecting and management method of information with due consideration to ethical issues. We report here these medical achievements as well as technological ones which will play a role in propagating such medical achievements.

  6. Integrative Mental Health (IMH): paradigm, research, and clinical practice.

    PubMed

    Lake, James; Helgason, Chanel; Sarris, Jerome

    2012-01-01

    This paper provides an overview of the rapidly evolving paradigm of "Integrative Mental Health (IMH)." The paradigm of contemporary biomedical psychiatry and its contrast to non-allopathic systems of medicine is initially reviewed, followed by an exploration of the emerging paradigm of IMH, which aims to reconcile the bio-psycho-socio-spiritual model with evidence-based methods from traditional healing practices. IMH is rapidly transforming conventional understandings of mental illness and has significant positive implications for the day-to-day practice of mental health care. IMH incorporates mainstream interventions such as pharmacologic treatments, psychotherapy, and psychosocial interventions, as well as alternative therapies such as acupuncture, herbal and nutritional medicine, dietary modification, meditation, etc. Two recent international conferences in Europe and the United States show that interest in integrative mental health care is growing rapidly. In response, the International Network of Integrative Mental Health (INIMH: www.INIMH.org) was established in 2010 with the objective of creating an international network of clinicians, researchers, and public health advocates to advance a global agenda for research, education, and clinical practice of evidence-based integrative mental health care. The paper concludes with a discussion of emerging opportunities for research in IMH, and an exploration of potential clinical applications of integrative mental health care. Copyright © 2012 Elsevier Inc. All rights reserved.

  7. [Advantages and disadvantages of femtosecond laser assisted LASIK and SMILE].

    PubMed

    Zhang, F J; Sun, M S

    2018-01-11

    With the development of excimer laser and femtosecond laser equipment, application of diversified and customized surgical decision in modern corneal refractive surgery has been an inevitable trend. However, how to make a personalized decision with an accurate surgical design to achieve better visual quality becomes the main focus in clinical applications. Small-incision lenticule extraction (SMILE) and femtosecond assisted laser in situ keratomileusis (FS-LASIK) have been commonly acknowledged as the mainstream of corneal refractive surgery for ametropia correction nowadays. Both methods have been verified by clinical practice for many years. This article compares and elaborates the different characteristics with advantages and disadvantages of the two methods so as to provide some reasonable treatment options for refractive surgery. (Chin J Ophthalmol, 2018, 54: 7-10) .

  8. The role, practice and training of unregulated birth workers in Australia: A mixed methods study.

    PubMed

    Rigg, Elizabeth C; Schmied, Virginia; Peters, Kath; Dahlen, Hannah G

    2018-05-23

    In Australia, the provision of homebirth services by unregulated birthworkers (doulas, ex-registered midwives, traditional midwives and lay workers) has increased. Accessing a homebirth with a registered midwife via mainstream services is limited. Concern is growing that new legislation aimed at prohibiting unregulated birthworkers practice may result in homebirth going underground. To explore the role, practice and training of unregulated birthworkers in Australian and establish what they would do if legislation prohibited their practice. This study used a mixed methods sequential exploratory design to explore the practice, training and role of unregulated birthworkers in Australia. In phase one, four unregulated birthworkers were interviewed in-depth and the findings informed the development of a survey in phase two. This was distributed nationally through two consumer websites, social media, Facebook and email. Data from both phases were integrated. Unregulated birthworkers in Australia provide homebirth services to women with high and low-risk pregnancies when this choice is unavailable or unacceptable within mainstream services. They operate covertly to protect their practice and avoid the scrutiny of authorities. Unregulated birthworkers can be experienced and trained in childbirth care and practice, much like a midwife working within a holistic paradigm of care. Unregulated birthworkers believe they provide women with the homebirth service they want but cannot access. Mainstream service providers need to listen to consumer criticisms, as women seek answers outside the system. Change is needed to improve and align services with women's expectations of homebirth. Copyright © 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  9. The Influence of Ethnic and Mainstream Cultures on African Americans’ Health Behaviors: A Qualitative Study

    PubMed Central

    Swierad, Ewelina M.; Vartanian, Lenny R.; King, Marlee

    2017-01-01

    Background: Culture plays an important role in shaping individuals’ health behaviors. This qualitative research examines the relationship between African Americans’ ethnic and mainstream cultures and their health behaviors (i.e., food intake and physical activity). Methods: This study used in-depth semi-structured interview format with a group of 25 African Americans to examine the influence of ethnic and mainstream culture on African Americans’ food intake and physical activity. Thematic analysis was used to identify common themes and patterns related to African Americans’ health behaviors as well as to report these patterns within data. Results: The present study found that African Americans position both their ethnic and mainstream culture as important influences on their health behaviors pertaining to food intake and physical activity. Most participants reported taking advantage of “the best of both worlds” by engaging in picking and choosing healthy behaviors from both cultures to which they belong, and they perceived preparing healthy makeovers as a way to optimize their health. They also identified a range of practical considerations that can facilitate or hinder engagement in healthy eating and physical activity (e.g., affordability, social support). Participants discussed a number of other positive (e.g., resilience, spirituality) and negative (e.g., experience of discrimination) influences on health behaviors. Conclusions: African Americans consider both their ethnic and mainstream cultures important in shaping their health behaviors. These cultural influences need to be understood in the context of other psycho-socio-environmental factors that affect individuals’ health behaviors. The current study has practical implications for designing health promotion programs for African Americans. PMID:28777312

  10. The Influence of Ethnic and Mainstream Cultures on African Americans' Health Behaviors: A Qualitative Study.

    PubMed

    Swierad, Ewelina M; Vartanian, Lenny R; King, Marlee

    2017-08-04

    Culture plays an important role in shaping individuals' health behaviors. This qualitative research examines the relationship between African Americans' ethnic and mainstream cultures and their health behaviors (i.e., food intake and physical activity). This study used in-depth semi-structured interview format with a group of 25 African Americans to examine the influence of ethnic and mainstream culture on African Americans' food intake and physical activity. Thematic analysis was used to identify common themes and patterns related to African Americans' health behaviors as well as to report these patterns within data. The present study found that African Americans position both their ethnic and mainstream culture as important influences on their health behaviors pertaining to food intake and physical activity. Most participants reported taking advantage of "the best of both worlds" by engaging in picking and choosing healthy behaviors from both cultures to which they belong, and they perceived preparing healthy makeovers as a way to optimize their health. They also identified a range of practical considerations that can facilitate or hinder engagement in healthy eating and physical activity (e.g., affordability, social support). Participants discussed a number of other positive (e.g., resilience, spirituality) and negative (e.g., experience of discrimination) influences on health behaviors. African Americans consider both their ethnic and mainstream cultures important in shaping their health behaviors. These cultural influences need to be understood in the context of other psycho-socio-environmental factors that affect individuals' health behaviors. The current study has practical implications for designing health promotion programs for African Americans.

  11. A Study of Clinically Related Open Source Software Projects

    PubMed Central

    Hogarth, Michael A.; Turner, Stuart

    2005-01-01

    Open source software development has recently gained significant interest due to several successful mainstream open source projects. This methodology has been proposed as being similarly viable and beneficial in the clinical application domain as well. However, the clinical software development venue differs significantly from the mainstream software venue. Existing clinical open source projects have not been well characterized nor formally studied so the ‘fit’ of open source in this domain is largely unknown. In order to better understand the open source movement in the clinical application domain, we undertook a study of existing open source clinical projects. In this study we sought to characterize and classify existing clinical open source projects and to determine metrics for their viability. This study revealed several findings which we believe could guide the healthcare community in its quest for successful open source clinical software projects. PMID:16779056

  12. BRCA1 and BRCA2 genetic testing—pitfalls and recommendations for managing variants of uncertain clinical significance

    PubMed Central

    Eccles, D. M.; Mitchell, G.; Monteiro, A. N. A.; Schmutzler, R.; Couch, F. J.; Spurdle, A. B.; Gómez-García, E. B.

    2015-01-01

    Background Increasing use of BRCA1/2 testing for tailoring cancer treatment and extension of testing to tumour tissue for somatic mutation is moving BRCA1/2 mutation screening from a primarily prevention arena delivered by specialist genetic services into mainstream oncology practice. A considerable number of gene tests will identify rare variants where clinical significance cannot be inferred from sequence information alone. The proportion of variants of uncertain clinical significance (VUS) is likely to grow with lower thresholds for testing and laboratory providers with less experience of BRCA. Most VUS will not be associated with a high risk of cancer but a misinterpreted VUS has the potential to lead to mismanagement of both the patient and their relatives. Design Members of the Clinical Working Group of ENIGMA (Evidence-based Network for the Interpretation of Germline Mutant Alleles) global consortium (www.enigmaconsortium.org) observed wide variation in practices in reporting, disclosure and clinical management of patients with a VUS. Examples from current clinical practice are presented and discussed to illustrate potential pitfalls, explore factors contributing to misinterpretation, and propose approaches to improving clarity. Results and conclusion Clinicians, patients and their relatives would all benefit from an improved level of genetic literacy. Genetic laboratories working with clinical geneticists need to agree on a clinically clear and uniform format for reporting BRCA test results to non-geneticists. An international consortium of experts, collecting and integrating all available lines of evidence and classifying variants according to an internationally recognized system, will facilitate reclassification of variants for clinical use. PMID:26153499

  13. Pedagogy First: Realising Technology Enhanced Learning by Focusing on Teaching Practice

    ERIC Educational Resources Information Center

    Glover, Ian; Hepplestone, Stuart; Parkin, Helen J.; Rodger, Helen; Irwin, Brian

    2016-01-01

    This paper explores a "pedagogy first" approach to technology enhanced learning developed by Sheffield Hallam University (SHU) as a method to encourage use of, and experimentation with, technology within teaching practice and to promote the mainstreaming of innovative practice. Through a consultative approach where all staff members were…

  14. Educational psychology and the effectiveness of inclusive education/mainstreaming.

    PubMed

    Lindsay, Geoff

    2007-03-01

    Inclusive education/mainstreaming is a key policy objective for the education of children and young people with special educational needs (SEN) and disabilities. This paper reviews the literature on the effectiveness of inclusive education/mainstreaming. The focus is on evidence for effects in terms of child outcomes with examination also of evidence on processes that support effectiveness. The review covers a range of SEN and children from pre-school to the end of compulsory education. Following an historical review of evidence on inclusive education/mainstreaming, the core of the paper is a detailed examination of all the papers published in eight journals from the field of special education published 2001-2005 (N=1373): Journal of Special Education, Exceptional Children, Learning Disabilities Research and Practice, Journal of Learning Disabilities, Remedial and Special Education, British Journal of Special Education, European Journal of Special Needs Education, and the International Journal of Inclusive Education. The derived categories were: comparative studies of outcomes: other outcome studies; non-comparative qualitative studies including non-experimental case studies; teacher practice and development; teacher attitudes; and the use of teaching assistants. Only 14 papers (1.0%) were identified as comparative outcome studies of children with some form of SEN. Measures used varied but included social as well as educational outcomes. Other papers included qualitative studies of inclusive practice, some of which used a non-comparative case study design while others were based on respondent's judgements, or explored process factors including teacher attitudes and the use of teaching assistants. Inclusive education/mainstreaming has been promoted on two bases: the rights of children to be included in mainstream education and the proposition that inclusive education is more effective. This review focuses on the latter issue. The evidence from this review does not provide a clear endorsement for the positive effects of inclusion. There is a lack of evidence from appropriate studies and, where evidence does exist, the balance was only marginally positive. It is argued that the policy has been driven by a concern for children's rights. The important task now is to research more thoroughly the mediators and moderators that support the optimal education for children with SEN and disabilities and, as a consequence, develop an evidence-based approach to these children's education.

  15. Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers

    PubMed Central

    2014-01-01

    Background Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Methods Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women’s health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Results Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach. Conclusions From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services. PMID:24885066

  16. (13)C breath tests in personalized medicine: fiction or reality?

    PubMed

    Modak, Anil S

    2009-11-01

    The concept of personalized medicine is gathering momentum as various biomarkers are being discovered and developed to lead to genotype and phenotype diagnostic tests, which will enable physicians to individualize therapy. Noninvasive, rapid (13)C breath tests have the potential to serve as clinically significant diagnostic tools, especially for evaluating the enzyme activity of polymorphic enzymes. This would enable physicians to rapidly identify responders/nonresponders to various drugs primarily metabolized by these enzymes prior to initiation of therapy. With the information on enzyme activity, the physician can prescribe the right drug, at the right dose, at the right time, to the right individual, for the right clinical outcome. However, the promise of the era of personalized medicine, including the novel (13)C breath tests, will have to overcome several regulatory, business and financial hurdles for diagnostic tests to become part of routine mainstream clinical practice over the next decade.

  17. Diet and psychological health.

    PubMed

    Miller, M

    1996-09-01

    This article reviews research that suggests a relationship between diet and psychological symptoms. Mind-body dualism (as it relates to clinical practice) and the limited role of nutrition in mainstream biomedical training and treatment are discussed as background issues. Two areas of inquiry that have generated relevant research findings in this area are reviewed: (1) orthomolecular theory and vitamin deficiencies, and (2) clinical ecology/environmental medicine theory and the impact of "food allergies." Although clinical case reports and promising research findings have been reported, the impact of diet on psychological health is neither widely accepted nor integrated into mental health treatment methods. Ongoing research findings in brain biochemistry and psychoneuroimmunology point to communication pathways that can provide a clearer understanding of the links between nutritional intake, central nervous system and immune function, and psychological health status. These findings may lead to greater acceptance of dietary treatment approaches among health practitioners addressing psychological disorders.

  18. Aboriginal community controlled health services: leading the way in primary care.

    PubMed

    Panaretto, Kathryn S; Wenitong, Mark; Button, Selwyn; Ring, Ian T

    2014-06-16

    The national Closing the Gap framework commits to reducing persisting disadvantage in the health of Aboriginal and Torres Strait Islander people in Australia, with cross-government-sector initiatives and investment. Central to efforts to build healthier communities is the Aboriginal community controlled health service (ACCHS) sector; its focus on prevention, early intervention and comprehensive care has reduced barriers to access and unintentional racism, progressively improving individual health outcomes for Aboriginal people. There is now a broad range of primary health care data that provides a sound evidence base for comparing the health outcomes for Indigenous people in ACCHSs with the outcomes achieved through mainstream services, and these data show: models of comprehensive primary health care consistent with the patient-centred medical home model; coverage of the Aboriginal population higher than 60% outside major metropolitan centres; consistently improving performance in key performance on best-practice care indicators; and superior performance to mainstream general practice. ACCHSs play a significant role in training the medical workforce and employing Aboriginal people. ACCHSs have risen to the challenge of delivering best-practice care and there is a case for expanding ACCHSs into new areas. To achieve the best returns, the current mainstream Closing the Gap investment should be shifted to the community controlled health sector.

  19. Mainstreaming environment and sustainability: an analysis of a master's in environmental science and a tree-planting project at Chancellor College, University of Malawi

    NASA Astrophysics Data System (ADS)

    Chiotha, Sosten S.

    2010-06-01

    In 2004, Mainstreaming Environment and Sustainability in African Universities (MESA) was formally launched by UNEP, UNESCO and the Association of African Universities. This paper sets the stage for a critical analysis of ESD by reviewing historical perspectives of conservation in Africa as a means of appreciating the need for African universities to mainstream both environmental concerns and those relating to sustainability. Two case studies from Chancellor College, University of Malawi are discussed to illustrate that good practice in mainstreaming environment and sustainability requires challenges to be refined and knowledge to be extended on an ongoing basis. To analyse the reorientation of the curriculum for Education for Sustainable Development (ESD), the paper examines the introduction of an Environmental Science Master's programme at the college and notes how environmental issues are covered. The article also looks at the college's tree-planting programme in terms of the training, research and outreach involved.

  20. [Fostering LGBT-friendly healthcare services].

    PubMed

    Wei, Han-Ting; Chen, Mu-Hong; Ku, Wen-Wei

    2015-02-01

    LGBT (lesbian, gay, bisexual, transgender) patients suffer from stigma and discrimination when seeking healthcare. A large LGBT healthcare survey revealed that 56% of gay patients and 70% of transgender patients suffered some type of discrimination while seeking healthcare in 2014. The fostering of LGBT-friendly healthcare services is not just an advanced step of gender mainstreaming but also a fulfillment of health equality and equity. Additionally, LGBT-friendly healthcare services are expected to provide new opportunities for healthcare workers. Therefore, proactive government policies, education, research, and clinical practice should all encourage the development of these healthcare services. We look forward to a well-developed LGBT-friendly healthcare system in Taiwan.

  1. Poco a Poco: Leadership Practices Supporting Productive Communities of Practice in Schools Serving the New Mainstream

    ERIC Educational Resources Information Center

    Scanlan, Martin; Kim, Minsong; Burns, Mary Bridget; Vuilleumier, Caroline

    2016-01-01

    Purpose: Culturally and linguistically diverse students frequently do not receive equitable educational opportunities. Schools across public and private sectors that are striving to ameliorate this problem typically work in isolation, not collaboratively. This article examines how communities of practice emerge within a network of schools striving…

  2. From Policy to Practice: Roma Education in Albania and Sweden

    ERIC Educational Resources Information Center

    Avery, Helen; Hoxhallari, Itena

    2017-01-01

    This paper aims to make a contribution to recentering practice- and practitioner-oriented issues in Roma education studies. Gaps can be observed today between conditions of educational work in practice and the ways education is understood in mainstream academic discussions, compounded by the fact that educational workers in the field have limited…

  3. Beliefs, Practices, and Expectations of Oral Teachers of the Deaf

    ERIC Educational Resources Information Center

    Brown, P. Margaret; Paatsch, Louise

    2010-01-01

    This study investigated the beliefs and practices of 28 teachers of the deaf about their practices. The teachers were all working in oral settings either as visiting teachers or teachers in a mainstream school facility supporting groups of students with hearing loss. Teachers who used an Auditory Verbal approach largely adopted a positivist…

  4. Differences in primary health care delivery to Australia’s Indigenous population: a template for use in economic evaluations

    PubMed Central

    2012-01-01

    Background Health economics is increasingly used to inform resource allocation decision-making, however, there is comparatively little evidence relevant to minority groups. In part, this is due to lack of cost and effectiveness data specific to these groups upon which economic evaluations can be based. Consequently, resource allocation decisions often rely on mainstream evidence which may not be representative, resulting in inequitable funding decisions. This paper describes a method to overcome this deficiency for Australia’s Indigenous population. A template has been developed which can adapt mainstream health intervention data to the Indigenous setting. Methods The ‘Indigenous Health Service Delivery Template’ has been constructed using mixed methods, which include literature review, stakeholder discussions and key informant interviews. The template quantifies the differences in intervention delivery between best practice primary health care for the Indigenous population via Aboriginal Community Controlled Health Services (ACCHSs), and mainstream general practitioner (GP) practices. Differences in costs and outcomes have been identified, measured and valued. This template can then be used to adapt mainstream health intervention data to allow its economic evaluation as if delivered from an ACCHS. Results The template indicates that more resources are required in the delivery of health interventions via ACCHSs, due to their comprehensive nature. As a result, the costs of such interventions are greater, however this is accompanied by greater benefits due to improved health service access. In the example case of the polypill intervention, 58% more costs were involved in delivery via ACCHSs, with 50% more benefits. Cost-effectiveness ratios were also altered accordingly. Conclusions The Indigenous Health Service Delivery Template reveals significant differences in the way health interventions are delivered from ACCHSs compared to mainstream GP practices. It is important that these differences are included in the conduct of economic evaluations to ensure results are relevant to Indigenous Australians. Similar techniques would be generalisable to other disadvantaged minority populations. This will allow resource allocation decision-makers access to economic evidence that more accurately represents the needs and context of disadvantaged groups, which is particularly important if addressing health inequities is a stated goal. PMID:22954136

  5. Horizontal Hostility among Non-Meat Eaters

    PubMed Central

    Rothgerber, Hank

    2014-01-01

    The present study examined intergroup judgments made between four groups of non-meat eaters: health vegetarians; ethical vegetarians; health vegans, and ethical vegans. Consistent with hypotheses based on horizontal hostility and the need to maintain ingroup distinctiveness, ethical vegetarians gave unfavorable evaluations to health vegetarians relative to vegans, especially when the mainstream omnivore group was made salient. Contrary to expectations, vegans gave relatively more favorable evaluations to ethical vegetarians than health vegetarians when mainstream salience was low. This was especially true for vegans who were motivated primarily by ethical concerns. When mainstream salience was high, vegans did not distinguish between the vegetarian subgroups. Results suggest that one’s motives for abstaining from meat often play a larger role in this type of intergroup perceptions than one’s dietary practices. PMID:24809342

  6. BRCA1 and BRCA2 genetic testing-pitfalls and recommendations for managing variants of uncertain clinical significance.

    PubMed

    Eccles, D M; Mitchell, G; Monteiro, A N A; Schmutzler, R; Couch, F J; Spurdle, A B; Gómez-García, E B

    2015-10-01

    Increasing use of BRCA1/2 testing for tailoring cancer treatment and extension of testing to tumour tissue for somatic mutation is moving BRCA1/2 mutation screening from a primarily prevention arena delivered by specialist genetic services into mainstream oncology practice. A considerable number of gene tests will identify rare variants where clinical significance cannot be inferred from sequence information alone. The proportion of variants of uncertain clinical significance (VUS) is likely to grow with lower thresholds for testing and laboratory providers with less experience of BRCA. Most VUS will not be associated with a high risk of cancer but a misinterpreted VUS has the potential to lead to mismanagement of both the patient and their relatives. Members of the Clinical Working Group of ENIGMA (Evidence-based Network for the Interpretation of Germline Mutant Alleles) global consortium (www.enigmaconsortium.org) observed wide variation in practices in reporting, disclosure and clinical management of patients with a VUS. Examples from current clinical practice are presented and discussed to illustrate potential pitfalls, explore factors contributing to misinterpretation, and propose approaches to improving clarity. Clinicians, patients and their relatives would all benefit from an improved level of genetic literacy. Genetic laboratories working with clinical geneticists need to agree on a clinically clear and uniform format for reporting BRCA test results to non-geneticists. An international consortium of experts, collecting and integrating all available lines of evidence and classifying variants according to an internationally recognized system, will facilitate reclassification of variants for clinical use. © The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  7. Enacting Understanding of Inclusion in Complex Contexts: Classroom Practices of South African Teachers

    ERIC Educational Resources Information Center

    Engelbrecht, Petra; Nel, Mirna; Nel, Norma; Tlale, Dan

    2015-01-01

    While the practice of inclusive education has recently been widely embraced as an ideal model for education, the acceptance of inclusive education practices has not translated into reality in most mainstream classrooms. Despite the fact that education policies in South Africa stipulate that all learners should be provided with the opportunities to…

  8. Patients' experiences with technology during inpatient rehabilitation: opportunities to support independence and therapeutic engagement.

    PubMed

    Fager, Susan Koch; Burnfield, Judith M

    2014-03-01

    To understand individuals' perceptions of technology use during inpatient rehabilitation. A qualitative phenomenological study using semi-structured interviews of 10 individuals with diverse underlying diagnoses and/or a close family member who participated in inpatient rehabilitation. Core themes focused on assistive technology usage (equipment set-up, reliability and fragility of equipment, expertise required to use assistive technology and use of mainstream technologies) and opportunities for using technology to increase therapeutic engagement (opportunities for practice outside of therapy, goals for therapeutic exercises and technology for therapeutic exercises: motivation and social interaction). Interviews revealed the need for durable, reliable and intuitive technology without requiring a high level of expertise to install and implement. A strong desire for the continued use of mainstream devices (e.g. cell phones, tablet computers) reinforces the need for a wider range of access options for those with limited physical function. Finally, opportunities to engage in therapeutically meaningful activities beyond the traditional treatment hours were identified as valuable for patients to not only improve function but to also promote social interaction. Assistive technology increases functional independence of severely disabled individuals. End-users (patients and families) identified a need for designs that are durable, reliable, intuitive, easy to consistently install and use. Technology use (adaptive or commercially available) provides a mechanism to extend therapeutic practice beyond the traditional therapy day. Adapting skeletal tracking technology used in gaming software could automate exercise tracking, documentation and feedback for patient motivation and clinical treatment planning and interventions.

  9. Successful Daily Practices of Inclusion Teachers of Children with Down Syndrome.

    ERIC Educational Resources Information Center

    Wolpert, Gloria

    This study asked 230 regular education teachers about their educational practices in teaching students with Down syndrome within their mainstream classes. Teachers completed surveys that asked about background experience; preparation for inclusion and the transition process; classroom information (curriculum, class arrangement, therapies, and…

  10. Critical Practice and the Public Pedagogy of Environmental and Conservation Media

    ERIC Educational Resources Information Center

    Blewitt, John

    2011-01-01

    This article addresses the reluctance of mainstream corporate and commercial media to critically address major environmental and conservation issues. The resulting public pedagogy largely reproduces the neoliberal ideology informing much conservation practice and discourse. Nonetheless, the media retains an unrealised critical educative potential…

  11. Ethical issues in treating gay and lesbian patients.

    PubMed

    Drescher, Jack

    2002-09-01

    Since the 1973 decision to remove homosexuality from the list of mental disorders, most mental health practitioners have shifted their clinical focus from "the cure" of homosexuality to treating the concerns of gay and lesbian patients. Some clinicians, however, reject the mental health mainstream's view and continue to conceptualize homosexuality as a mental disorder. Their clinical theories have been incorporated into wider societal debates regarding the status of gay and lesbian people. The sexual conversion or reparative therapies they practice, however, may include routine ethical violations in the realm of improper pressure, confidentiality, informed consent, and fiduciary responsibility to the patient's best interest. On the other hand, a normal/identity approach to treatment, particularly in its most reductionistic forms, may involve ethical lapses in the areas of informed consent and fiduciary responsibility to the patient's best interests as well.

  12. Calculating the return on investment of mobile healthcare.

    PubMed

    Oriol, Nancy E; Cote, Paul J; Vavasis, Anthony P; Bennet, Jennifer; Delorenzo, Darien; Blanc, Philip; Kohane, Isaac

    2009-06-02

    Mobile health clinics provide an alternative portal into the healthcare system for the medically disenfranchised, that is, people who are underinsured, uninsured or who are otherwise outside of mainstream healthcare due to issues of trust, language, immigration status or simply location. Mobile health clinics as providers of last resort are an essential component of the healthcare safety net providing prevention, screening, and appropriate triage into mainstream services. Despite the face value of providing services to underserved populations, a focused analysis of the relative value of the mobile health clinic model has not been elucidated. The question that the return on investment algorithm has been designed to answer is: can the value of the services provided by mobile health programs be quantified in terms of quality adjusted life years saved and estimated emergency department expenditures avoided? Using a sample mobile health clinic and published research that quantifies health outcomes, we developed and tested an algorithm to calculate the return on investment of a typical broad-service mobile health clinic: the relative value of mobile health clinic services = annual projected emergency department costs avoided + value of potential life years saved from the services provided. Return on investment ratio = the relative value of the mobile health clinic services/annual cost to run the mobile health clinic. Based on service data provided by The Family Van for 2008 we calculated the annual cost savings from preventing emergency room visits, $3,125,668 plus the relative value of providing 7 of the top 25 priority prevention services during the same period, US$17,780,000 for a total annual value of $20,339,968. Given that the annual cost to run the program was $567,700, the calculated return on investment of The Family Van was 36:1. By using published data that quantify the value of prevention practices and the value of preventing unnecessary use of emergency departments, an empirical method was developed to determine the value of a typical mobile health clinic. The Family Van, a mobile health clinic that has been serving the medically disenfranchised of Boston for 16 years, was evaluated accordingly and found to have return on investment of $36 for every $1 invested in the program.

  13. An assessment of the Bhutanese traditional medicine for its ethnopharmacology, ethnobotany and ethnoquality: Textual understanding and the current practices.

    PubMed

    Wangchuk, Phurpa; Pyne, Stephen G; Keller, Paul A

    2013-06-21

    : This study involves the assessment of the Bhutanese traditional medicine (BTM) which was integrated with the mainstream biomedicine in 1967 to provide primary health care services in the country. It caters to 20-30% of the daily out-patients within 49 traditional medicine units attached to 20 district modern hospitals and 29 Basic Health Units in the country. : This study presents the ethnopharmacological, ethnobotanical and the ethnoquality concepts in relation to mainstream Tibetan medicine and describes the current practices of BTM. : Experienced BTM practitioners (Drung-tshos and Smen-pas) were selected using a convenience sampling method and were interviewed using an open questionnaire followed by informal discussions. The corpus of BTM, Tibetan and scientific literature was obtained and the information on ethnopharmacological, ethnoquality and ethnobotanical concepts and current practices of BTM was extracted. : This study found that the BTM shares many similarities in terms of materia medica, pharmacopoeia and the principles and concepts of ethnopharmacology and ethnobotany with its mainstream Tibetan medicine. However, the resourceful Bhutanese Drung-tshos and Smen-pas have adapted this medical system based on the local language, culture, disease trend, health care needs and their familiarity with the locally available medicinal ingredients making it particular to the country. A number of notable distinctions observed in the current practices include a code of classification of diseases (only 79 of 404 types of disorders recognized), formulations (currently used only 103 of thousands formulation types), usage of medicinal plants (only 229 species of thousands described) and selected treatment procedures (golden needle and water therapy). This BTM was found to cater to 20-30% of daily out-patients visiting 49 modern hospitals and basic health units in the country. : The BTM has been evolved from the Tibetan medicine. While the pharmacopoeia, ethnopharmacology, ethnobotany and the ethnoquality aspects shares commonalities with the mainstream Tibetan medicine, there are some practices unique to BTM. Such uniqueness observed in the current practices of BTM include formulations, medicinal plants collection and usage, and the treatment procedures including golden needle and water therapy. This could be a promising source of information for the rediscovery of useful remedies, the development of modern phytotherapeutics and the establishment of efficient quality control measures. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  14. Are one-stop shops acceptable? Community perspectives on one-stop shop models of sexual health service provision in the UK.

    PubMed

    Griffiths, C; Gerressu, M; French, R S

    2008-10-01

    Traditionally, genitourinary medicine (GUM) and contraceptive services have been provided separately. Providing these services on one site, as a one-stop shop, has been suggested as a way of improving access to care. There is little evidence about the acceptability of such an approach. We aimed to assess acceptability of different one-stop shop models (a young people's, an all ages (mainstream) and a general practice service) of sexual health provision among different community groups. Between April and December 2005, 19 semi-structured interviews and 14 focus groups were conducted with young heterosexual men (n = 48), men who have sex with men (MSM; n = 46) and minority ethnic men and women (n = 28) across England. Knowledge of one-stop shops was limited. The concept was acceptable to participants (except MSM), although there was variation as to the preferred model. Young men and African individuals described distrust of general practice confidentiality, preferring young people's or mainstream models, respectively. South Asians associated stigma with GUM, preferring instead a general practice one-stop shop. Regardless of model, respondents expressed preference for one provider/one session to provide GUM and contraceptive care. In terms of acceptability there can be no blue print one-stop shop model. Local assessments should determine whether a one-stop shop would have public health benefit and if so how best one should be set up to maximise access. To accommodate client preference for one provider/session for their sexual health needs it may be that the development of "integrated training" for providers across clinical specialties is a more realistic way forward.

  15. Mainstream health professionals' stigmatising attitudes towards people with intellectual disabilities: a systematic review.

    PubMed

    Pelleboer-Gunnink, H A; Van Oorsouw, W M W J; Van Weeghel, J; Embregts, P J C M

    2017-05-01

    Equal access to mainstream healthcare services for people with intellectual disabilities (ID) still requires attention. Although recent studies suggest that health professionals hold positive attitudes towards people with ID, stigmatising attitudes may influence their efforts to serve people with ID in community healthcare practice. To stimulate inclusion in mainstream healthcare services, this systematic review focussed on barriers in attitudes of mainstream health professionals towards people with ID. Five electronic databases were systematically searched and references in full text articles were checked for studies published in the English language between January 1994 and January 2016. A social-psychological triad of cognitive, affective and behavioural dimensions of stigmatising attitudes is used to structure and discuss the results. The literature search generated 2190 records with 30 studies that passed our exclusion criteria. Studies were mostly cross-sectional and of moderate quality. With respect to stigma, a lack of familiarity with and knowledge about people with ID was found. ID was considered as a stable condition not under personal control. Moreover, mainstream health professionals had either low or high expectations of the capabilities of people with ID. Professionals reported stress, lack of confidence, fear and anxiety, a tendency to treat people with ID differently and a lack of supporting autonomy. Stigmatising attitudes towards people with ID appeared to be present among mainstream health professionals. This might affect the ongoing challenges regarding inclusion in mainstream healthcare services. To facilitate inclusion in mainstream healthcare services, it is recommended to include contact and collaboration with experts-by-experience in education programs of health professionals. Future research should progress beyond descriptive accounts of stigma towards exploring relationships between cognitive, affective and behavioural dimensions as pointers for intervention. Finally, inclusion would benefit from an understanding of 'equal' treatment that means reasonable adjustments instead of undifferentiated treatment. © 2017 The Authors. Journal of Intellectual Disability Research published by MENCAP and International Association of theScientific Study of Intellectual and Developmental Disibilities and John Wiley & Sons Ltd.

  16. Mainstreaming culture in psychology.

    PubMed

    Cheung, Fanny M

    2012-11-01

    Despite the "awakening" to the importance of culture in psychology in America, international psychology has remained on the sidelines of psychological science. The author recounts her personal and professional experience in tandem with the stages of development in international/cross-cultural psychology. Based on her research in cross-cultural personality assessment, the author discusses the inadequacies of sole reliance on either the etic or the emic approach and points out the advantages of a combined emic-etic approach in bridging global and local human experiences in psychological science and practice. With the blurring of the boundaries between North American-European psychologies and psychology in the rest of the world, there is a need to mainstream culture in psychology's epistemological paradigm. Borrowing from the concept of gender mainstreaming that embraces both similarities and differences in promoting equal opportunities, the author discusses the parallel needs of acknowledging universals and specifics when mainstreaming culture in psychology. She calls for building a culturally informed universal knowledge base that should be incorporated in the psychology curriculum and textbooks. PsycINFO Database Record (c) 2012 APA, all rights reserved.

  17. How Much Health Promotion and Disease Prevention Is Enough?

    PubMed Central

    Terre, Lisa; Globe, Gary; Pfefer, Mark T.

    2006-01-01

    Introduction: Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. Methods: A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Results: Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. Conclusion: As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession. PMID:18483632

  18. Sport Instruction for Individuals with Disabilities. The Best of Practical Pointers.

    ERIC Educational Resources Information Center

    American Alliance for Health, Physical Education, Recreation and Dance, Reston, VA.

    This book, written for teachers by teachers, includes articles by 14 contributing authors and is divided into three sections. Section 1 is entitled "Practical Pointers for Team Sports" and contains the following chapters: "Mainstreaming the Physically Handicapped for Team Sports" (S. J. Grosse); "Program Guide to Team…

  19. Moving Past "Hello World": Learning to Mod in an Online Affinity Space

    ERIC Educational Resources Information Center

    Subramanian, Shree Durga

    2012-01-01

    Game modding has increasingly become a mainstream and "cutting edge" medium to foster a broad range of critical software design and programming practices to learners coming from wide-ranging educational and professional backgrounds. Participatory practices, like game modding, are highly interest-driven and entail intense engagement with…

  20. Parent Involvement as Ritualized Practice

    ERIC Educational Resources Information Center

    Doucet, Fabienne

    2011-01-01

    This article examines parent involvement (PI) as a ritual system using Turner's concept of root paradigms. Through a twofold analysis, I argue that the highly ritualized nature of PI practices creates a group identity among mainstream parents and schools that marginalizes diverse families. First, I point out three root paradigms in the ritual…

  1. Contexts of Digital Reading: How Genres Affect Reading Practices

    ERIC Educational Resources Information Center

    Morris, Janine

    2016-01-01

    "Contexts of Digital Reading: How Genres Affect Reading Practices" is a study of the different ways university students use digital devices to read. Many mainstream representations of digital reading fail to distinguish between different contexts or genres of reading, making digital reading appear transparent rather than mediated by…

  2. Struggling for a New Identity: A Critique of the Curriculum Research Effort in Technology Education.

    ERIC Educational Resources Information Center

    Zuga, Karen F.

    Historically, technology education evolved from several strands: Bacon's realism, Pestalozzi's belief in the practical application of knowledge, Rousseau's naturalism, Herbart's sense realism, Dewey's progressive and social reconstructionist thinking, and the influence of vocationalism. The mainstream practice of industrial arts was more a study…

  3. Mainstreaming the social sciences in conservation.

    PubMed

    Bennett, Nathan J; Roth, Robin; Klain, Sarah C; Chan, Kai M A; Clark, Douglas A; Cullman, Georgina; Epstein, Graham; Nelson, Michael Paul; Stedman, Richard; Teel, Tara L; Thomas, Rebecca E W; Wyborn, Carina; Curran, Deborah; Greenberg, Alison; Sandlos, John; Veríssimo, Diogo

    2017-02-01

    Despite broad recognition of the value of social sciences and increasingly vocal calls for better engagement with the human element of conservation, the conservation social sciences remain misunderstood and underutilized in practice. The conservation social sciences can provide unique and important contributions to society's understanding of the relationships between humans and nature and to improving conservation practice and outcomes. There are 4 barriers-ideological, institutional, knowledge, and capacity-to meaningful integration of the social sciences into conservation. We provide practical guidance on overcoming these barriers to mainstream the social sciences in conservation science, practice, and policy. Broadly, we recommend fostering knowledge on the scope and contributions of the social sciences to conservation, including social scientists from the inception of interdisciplinary research projects, incorporating social science research and insights during all stages of conservation planning and implementation, building social science capacity at all scales in conservation organizations and agencies, and promoting engagement with the social sciences in and through global conservation policy-influencing organizations. Conservation social scientists, too, need to be willing to engage with natural science knowledge and to communicate insights and recommendations clearly. We urge the conservation community to move beyond superficial engagement with the conservation social sciences. A more inclusive and integrative conservation science-one that includes the natural and social sciences-will enable more ecologically effective and socially just conservation. Better collaboration among social scientists, natural scientists, practitioners, and policy makers will facilitate a renewed and more robust conservation. Mainstreaming the conservation social sciences will facilitate the uptake of the full range of insights and contributions from these fields into conservation policy and practice. © 2016 The Authors. Conservation Biology published by Wiley Periodicals, Inc. on behalf of Society for Conservation Biology.

  4. Revisioning the Clinical Relationship: Heinz Kohut and the Viewpoint of Self-Psychology.

    ERIC Educational Resources Information Center

    Masek, Robert J.

    Psychoanalysis is undergoing rapid and remarkable changes in its basic metapsychology, theoretical reflections, and concrete, clinical interventions. Through self-psychology, Heinz Kohut's alternative views on the clinical relationship have contributed to this restructuring of psychoanalysis. Traditionally, mainstream psychoanalysis has viewed the…

  5. Mainstream medicine versus complementary and alternative medicine in the witness box: resolving the clash of ideologies.

    PubMed

    Kune, Randall; Kune, Gabriel

    2007-02-01

    Mainstream medical philosophy and practice differ in many respects from those of complementary and alternative medicine (CAM), differences which are explored in this article. Because of a resurgence of CAM therapies, courts and tribunals will scrutinise CAM in more and more contexts in the future. Such court cases may require the resolution of conflicts between opinions of CAM and medical experts. This article considers how courts evaluate such opinions where experts hold conflicting ideologies or philosophical approaches, and addresses the following questions: Do the opinions of CAM practitioners qualify as "expert" opinions in court? How do the courts examine the basis of such opinions? Are they systematically given less weight than the opinions of mainstream medical practitioners? Will recent procedural reforms for hearing expert evidence make it easier for courts to resolve these issues?

  6. Imaging approaches for the study of cell based cardiac therapies

    PubMed Central

    Lau, Joe F.; Anderson, Stasia A.; Adler, Eric; Frank, Joseph A.

    2009-01-01

    Despite promising preclinical data, the treatment of cardiovascular diseases using embryonic, bone-marrow-derived, and skeletal myoblast stem cells has not yet come to fruition within mainstream clinical practice. Major obstacles in cardiac stem cell investigations include the ability to monitor cell engraftment and survival following implantation within the myocardium. Several cellular imaging modalities, including reporter gene and MRI-based tracking approaches, have emerged that provide the means to identify, localize and monitor stem cells longitudinally in vivo following implantation. This Review will examine the various cardiac cellular tracking modalities, including the combinatorial use of several probes in multimodality imaging, with a focus on data from the last five years. PMID:20027188

  7. A Case Study of the Neti Pot's Rise, Americanization, and Rupture as Integrative Medicine in U.S. Media Discourse.

    PubMed

    Ho, Evelyn Y; Cady, Kathryn A; Robles, Jessica S

    2016-10-01

    In a period of only one decade in the United States, the neti pot shifted from obscure Ayurvedic health device to mainstream complementary and integrative medicine (CIM), touted by celebrities and sold widely in drug stores. We examine the neti pot as a case study for understanding how a foreign health practice became mainstreamed, and what that process reveals about more general discourses of health in the United States. Using discourse analysis of U.S. popular press and new media news (1999-2012) about the neti pot, we trace the development of discourses from neti's first introduction in mainstream news, through the hype following Dr. Oz's presentation on Oprah, to 2011 when two adults tragically died after using Naegleria fowleri amoeba-infested tap water in their neti pots. Neti pot discourses are an important site for communicative analysis because of the pot's complexity as an intercultural artifact: Neti pots and their use are enfolded into the biomedical practice of nasal irrigation and simultaneously Orientalized as exotic/magical and suspect/dangerous. This dual positioning as normal and exotic creates inequitable access for using the neti pot as a resource for increasing cultural health capital (CHC). This article contributes to work that critically theorizes the transnationalism of CIM, as the neti pot became successfully Americanized. These results have implications for understanding global health practices' incorporation or co-optation in new contexts, and the important role that popularly mediated health communication can play in framing what health care products and practices mean for consumers.

  8. Movie Lessons: Cultural Politics and the Visible Practices of Schooling

    ERIC Educational Resources Information Center

    Saltmarsh, David

    2011-01-01

    This article examines teaching practices and pedagogies shown in three Hollywood movies. Although some government reports and the media articles may assert that the quality of teaching in public schools is poor, by contrast mainstream movies of the "urban high school" genre often champion teachers who are able to make a difference in…

  9. Inclusive Education at Work: Students with Disabilities in Mainstream Schools.

    ERIC Educational Resources Information Center

    Labon, Don

    This report details a study of how inclusive practices for students with disabilities are being developed and implemented in eight countries: Australia, Canada, Denmark, Germany, Iceland, Italy, the United Kingdom, and the United States. The study aimed to describe national, regional, and local policies on inclusion and school-based practices and…

  10. Implications of Online Learning for the Conceptual Development and Practice of Distance Education

    ERIC Educational Resources Information Center

    Garrison, Randy

    2009-01-01

    The purpose of this article is to examine the foundational principles and practices of distance education for the purpose of understanding recent developments in the areas of online and blended learning. It is argued that mainstream distance education has not embraced the full collaborative potential of online learning. Distance education…

  11. Predicting Pre-Service Teachers' Opposition to Inclusion of Students with Disabilities: A Path Analytic Study

    ERIC Educational Resources Information Center

    Crowson, H. Michael; Brandes, Joyce A.

    2014-01-01

    This study addressed predictors of pre-service teachers' opposition toward the practice of educating students with disabilities in mainstream classroom settings--a practice known as inclusion. We tested a hypothesized path model that incorporated social dominance orientation (SDO) and contact as distal predictors, and intergroup anxiety,…

  12. Social Justice and the Study and Practice of Leadership in Education: A Feminist History

    ERIC Educational Resources Information Center

    Blackmore, Jill

    2006-01-01

    This historical sociology deconstructs the interrelationship between the theory and practice of the troublesome notions of leadership, social justice and feminism. First, it tracks marginalised groups' relationship to the field of educational administration and their claims upon the state. Mainstream approaches have been informed by theories,…

  13. Critical Pedagogy and Learning to Dialogue: Towards Reflexive Practice for Financial Management and Accounting Education

    ERIC Educational Resources Information Center

    Armitage, Andrew

    2011-01-01

    Mainstream accounting historians study accounting in terms of its progressive development of instrumental techniques and practices, this being counterpoised to critical accounting that sees the world as socially constructed, and intrinsically linked to organisational, social and political contexts. This is exemplified by the notion of the…

  14. An Illusory Interiority: Interrogating the Discourse/s of Inclusion

    ERIC Educational Resources Information Center

    Graham, Linda J.; Slee, Roger

    2008-01-01

    It is generally accepted that the notion of inclusion derived or evolved from the practices of mainstreaming or integrating students with disabilities into regular schools. Halting the practice of segregating children with disabilities was a progressive social movement. The value of this achievement is not in dispute. However, our charter as…

  15. Our Fat Future: Translating Adipose Stem Cell Therapy.

    PubMed

    Nordberg, Rachel C; Loboa, Elizabeth G

    2015-09-01

    Human adipose stem cells (hASCs) have the potential to treat patients with a variety of clinical conditions. Recent advancements in translational research, regulatory policy, and industry have positioned hASCs on the threshold of clinical translation. We discuss the progress and challenges of bringing adipose stem cell therapy into mainstream clinical use. This article details the advances made in recent years that have helped move human adipose stem cell therapy toward mainstream clinical use from a translational research, regulatory policy, and industrial standpoint. Four recurrent themes in translational technology as they pertain to human adipose stem cells are discussed: automated closed-system operations, biosensors and real-time monitoring, biomimetics, and rapid manufacturing. In light of recent FDA guidance documents, regulatory concerns about adipose stem cell therapy are discussed. Finally, an update is provided on the current state of clinical trials and the emerging industry that uses human adipose stem cells. This article is expected to stimulate future studies in translational adipose stem cell research. ©AlphaMed Press.

  16. Learning with TDDs.

    ERIC Educational Resources Information Center

    Brown, Ruth S.

    1984-01-01

    Hearing impaired mainstreamed secondary students have practiced using the TDDs (telecommunications devices for the deaf) for a variety of calls (such as emergencies, utilities, and shopping), to arrange for service, and to use the latest equipment. (CL)

  17. Stereotactic radiosurgery alone for multiple brain metastases? A review of clinical and technical issues

    PubMed Central

    Ruschin, Mark; Ma, Lijun; Verbakel, Wilko; Larson, David; Brown, Paul D.

    2017-01-01

    Abstract Over the past three decades several randomized trials have enabled evidence-based practice for patients presenting with limited brain metastases. These trials have focused on the role of surgery or stereotactic radiosurgery (SRS) with or without whole brain radiation therapy (WBRT). As a result, it is clear that local control should be optimized with surgery or SRS in patients with optimal prognostic factors presenting with up to 4 brain metastases. The routine use of adjuvant WBRT remains debatable, as although greater distant brain control rates are observed, there is no impact on survival, and modern outcomes suggest adverse effects from WBRT on patient cognition and quality of life. With dramatic technologic advances in radiation oncology facilitating the adoption of SRS into mainstream practice, the optimal management of patients with multiple brain metastases is now being put forward. Practice is evolving to SRS alone in these patients despite a lack of level 1 evidence to support a clinical departure from WBRT. The purpose of this review is to summarize the current state of the evidence for patients presenting with limited and multiple metastases, and to present an in-depth analysis of the technology and dosimetric issues specific to the treatment of multiple metastases. PMID:28380635

  18. Developing Traditional Chinese Medicine in the Era of Evidence-Based Medicine: Current Evidences and Challenges

    PubMed Central

    Fung, Foon Yin; Linn, Yeh Ching

    2015-01-01

    Evidence-based medicine (EBM), by integrating individual clinical expertise with the best available clinical evidence from systematic research, has in recent years been established as the standard of modern medical practice for greater treatment efficacy and safety. Traditional Chinese Medicine (TCM), on the other hand, evolved as a system of medical practice from ancient China more than 2000 years ago based on empirical knowledge as well as theories and concepts which are yet to be mapped by scientific equivalents. Despite the expanding TCM usage and the recognition of its therapeutic benefits worldwide, the lack of robust evidence from the EBM perspective is hindering acceptance of TCM by the Western medicine community and its integration into mainstream healthcare. For TCM to become an integral component of the healthcare system so that its benefits can be rationally harnessed in the best interests of patients, it is essential for TCM to demonstrate its efficacy and safety by high-level evidence in accordance with EBM, though much debate remains on the validity and feasibility of applying the EBM model on this traditional practice. This review aims to discuss the current status of research in TCM, explore the evidences available on its efficacy and safety, and highlight the issues and challenges faced in applying EBM to TCM. PMID:25949261

  19. Combining clinical practice and academic work in nursing: A qualitative study about perceived importance, facilitators and barriers regarding clinical academic careers for nurses in university hospitals.

    PubMed

    van Oostveen, Catharina J; Goedhart, Nicole S; Francke, Anneke L; Vermeulen, Hester

    2017-12-01

    To obtain in-depth insight into the perceptions of nurse academics and other stakeholders regarding the importance, facilitators and barriers for nurses combining clinical and academic work in university hospitals. Combining clinical practice and academic work facilitates the use of research findings for high-quality patient care. However, nurse academics move away from the bedside because clinical academic careers for nurses have not yet been established in the Netherlands. This qualitative study was conducted in two Dutch university hospitals and their affiliated medical faculties and universities of applied sciences. Data were collected between May 2015 and August 2016. We used purposive sampling for 24 interviews. We asked 14 participants in two focus groups for their perceptions of importance, facilitators and barriers in nurses' combined clinical and academic work in education and research. We audiotaped, transcribed and thematically analysed the interviews and focus groups. Three themes related to perceived importance, facilitators and barriers: culture, leadership and infrastructure. These themes represent deficiencies in facilitating clinical academic careers for nurses. The current nursing culture emphasises direct patient care, which is perceived as an academic misfit. Leadership is lacking at all levels, resulting in the underuse of nurse academics and the absence of supporting structures for nurses who combine clinical and academic work. The present nursing culture appears to be the root cause of the dearth of academic positions and established clinical academic posts. A culture change would require a show of leadership that would promote and enable combined research, teaching and clinical practice and that would introduce clinical academic career pathways for nurses. Meanwhile, nurse academics should collaborate with established medical academics for whom combined roles are mainstream, and they should take advantage of their established infrastructure for success. © 2017 John Wiley & Sons Ltd.

  20. Closing the (service) gap: exploring partnerships between Aboriginal and mainstream health services.

    PubMed

    Taylor, Kate P; Thompson, Sandra C

    2011-08-01

    Although effective partnerships between Aboriginal and mainstream health services are critical to improve Aboriginal health outcomes, many factors can cause these partnerships to be tenuous and unproductive. Understanding the elements of best practice for successful partnerships is essential. A literature review was conducted in 2009 using keyword searches of electronic databases. Sourced literature was assessed for relevance regarding the benefits, challenges, lessons learnt and factors contributing to successful Aboriginal and mainstream partnerships. Key themes were collated. Although there is much literature regarding general partnerships generally, few specifically examine Aboriginal and mainstream health service partnerships. Twenty-four sources were reviewed in detail. Benefits include broadening service capacity and improving the cultural security of healthcare. Challenges include the legacy of Australia's colonial history, different approaches to servicing clients and resource limitations. Recommendations for success include workshopping tensions early, building trust and leadership. Although successful partnerships are crucial to optimise Aboriginal health outcomes, failed collaborations risk inflaming sensitive Aboriginal-non-Aboriginal relationships. Factors supporting successful partnerships remind us to develop genuine, trusting relationships that are tangibly linked to the Aboriginal community. Failure to invest in this relational process and push forward with 'business as usual' can ultimately have negative ramifications on client outcomes.

  1. Chiropractic management of low back disorders: report from a consensus process.

    PubMed

    Globe, Gary A; Morris, Craig E; Whalen, Wayne M; Farabaugh, Ronald J; Hawk, Cheryl

    2008-01-01

    Although a number of guidelines addressing manipulation, an important component of chiropractic professional care, exist, none to date have incorporated a broad-based consensus of chiropractic research and clinical experts representing mainstream chiropractic practice into a practical document designed to provide standardized parameters of care. The purpose of this project was to develop such a document. Development of the document began with seed materials, from which seed statements were distilled. These were circulated electronically to the Delphi panel until consensus was reached, which was considered to be present when there was agreement by at least 80% of the panelists. The panel consisted of 40 clinically experienced doctors of chiropractic, representing 15 chiropractic colleges and 16 states, as well as both the American Chiropractic Association and the International Chiropractic Association. The panel reached 80% consensus of the 27 seed statements after 2 rounds. Specific recommendations regarding treatment frequency and duration, as well as outcome assessment and contraindications for manipulation were agreed upon by the panel. A broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for patients with low back pain, based on both the scientific evidence and their clinical experience.

  2. Inclusive Educational Practices in Uganda: Evidencing Practice of Itinerant Teachers Who Work with Children with Visual Impairment in Local Mainstream Schools

    ERIC Educational Resources Information Center

    Lynch, Paul; McCall, Steve; Douglas, Graeme; McLinden, Mike; Bayo, Asher

    2011-01-01

    This article reports on a research project investigating the role of itinerant teachers (ITs) of children with visual impairment in Uganda. The research focused on the activities of 52 ITs who recorded their work in a journal over a period of eight weeks (a new practice which was introduced to them through a workshop). Analysis of the data…

  3. A journey towards inclusive education; a case study from a 'township' in South Africa.

    PubMed

    Luger, Rosemary; Prudhomme, Debbie; Bullen, Ann; Pitt, Catherine; Geiger, Martha

    2012-01-01

    The purpose of this case study was to relate part of the journey to appropriate education for two young children with physical disabilities in a low socio-economic peri-urban informal settlement - or 'township' - in South Africa. The part of the on-going journey described here spanned four-and-a-half years and included the two children, their families, their teachers, their community and a small team of rehabilitation professionals working for a non-profit organisation in the area. The rehabilitation professionals' goals were to provide support for the children, their families, their current special care centre and the school(s) they would attend in the future. The steps from the special care centre, to a mainstream early childhood development (ECD) centre for both of them, and then on to (a) a school for learners with special educational needs (LSEN) for one child and (b) a mainstream primary school for the other, are described. Challenges encountered on the way included parental fears, community attitudes and physical accessibility. Practical outcomes included different placements for the two children with implications and recommendations for prioritised parent involvement, individual approaches, interdisciplinary and community-based collaborations. Recommendations are given for clinical contexts, curricula and policy matters; for research and for scaling up such a programme through community workers.

  4. Online Activities and Writing Practices of Urban Malaysian Adolescents

    ERIC Educational Resources Information Center

    Tan, Kok Eng; Ng, Melissa L. Y.; Saw, Kim Guan

    2010-01-01

    Among a number of urban adolescents in Malaysia, going online is a much valued practice. They are regularly drawn to the Internet to engage in activities across school, nonschool, mainstream and alternative domains. The aim of this study is to know more about what these adolescents do online. Data on the online activities were collected from 535…

  5. Doing Culture, Doing Race: Everyday Discourses of "Culture" and "Cultural Difference" in the English as a Second Language Classroom

    ERIC Educational Resources Information Center

    Lee, Ena

    2015-01-01

    While current conceptualisations of the inextricable connection between language and culture in English language education are largely informed by complex sociocultural theories that view culture as constructed in and through social practices among people, classroom practices continue to be influenced by mainstream discourses of culture that…

  6. Language Brokering, Acculturation, and Empowerment: Evidence from South Asian Canadian Young Adults

    ERIC Educational Resources Information Center

    Cila, Jorida; Lalonde, Richard N.

    2015-01-01

    The present study examined the practice of language brokering (LB) among South Asian Canadian college-age adults and how such practice relates to acculturation to mainstream and heritage cultures, as well as personal empowerment. One hundred and twenty-four young adults reported on three different indices of LB (brokering frequency, diversity of…

  7. Reworking or Reaffirming Practice? Perceptions of Professional Learning in Alternative and Flexible Education Settings

    ERIC Educational Resources Information Center

    Plows, Vicky

    2017-01-01

    The success of alternative and flexible education settings, serving young people for whom mainstream schooling has not worked well, rests on the practices of their staff. This paper explores interview and survey data on the professional learning experiences and perceptions of staff working in flexible learning programmes across Victoria,…

  8. Sharing Good Practice: Prevention and Support Concerning Pupils Presenting Social, Emotional and Behavioural Difficulties.

    ERIC Educational Resources Information Center

    Lloyd, Gwynedd, Ed.; Munn, Pamela, Ed.

    This book is the result of a project to identify and disseminate examples of good practice in providing for children experiencing social, emotional, and behavioral difficulties in schools. The focus is on whole-school or classroom approaches to mainstreaming with experience from teachers of preschool to secondary grades. A major theme is providing…

  9. Writing Practices for Mainstream Teachers of Middle School English Learners: Building on What We Know Works Effectively

    ERIC Educational Resources Information Center

    Haas, Eric; Goldman, Julie; Faltis, Christian

    2018-01-01

    Improving the writing of middle-school English learners can improve their academic thinking, literacy, and content knowledge. The Writing Reform and Innovation for Teaching Excellence (WRITE) program uses six high-leverage writing practices and develops teacher capacity through professional learning activities anchored in the group grading of…

  10. How much health promotion and disease prevention is enough?: should chiropractic colleges focus on efficacy training in screening for family violence?

    PubMed

    Terre, Lisa; Globe, Gary; Pfefer, Mark T

    2006-01-01

    Although family violence has been identified as a major public health issue, it has received little attention in the chiropractic literature. Accordingly, this article provides a conceptual overview on family violence, discusses the role of chiropractors in its detection, and raises several issues germane to chiropractic education that deserve further attention in future chiropractic publications. A selective review of the empirical literature on family violence was conducted with a focus on issues relevant to chiropractic training and professional identity. Extrapolating from the research, several models for medical training and continuing education have been proposed that emphasize a multidisciplinary, developmental approach to infusing knowledge, skill building, and mentored practice experiences into professional education experiences. As chiropractors become more mainstream portal-of-entry providers, there is a clear need to translate the didactics of family violence into the clinical setting. Clinical education may provide students the opportunity to master basic competencies for managing challenging family violence problems. The clinical environment may be appropriate for inculcating skills commensurate with those of other primary care providers. Yet, the extent to which training priorities and approaches extrapolated from other health care disciplines should be accepted wholesale by the chiropractic profession merits further discussion, including issues around the professional identity of chiropractic, the impact of accreditation standards and practice guidelines on actual professional practice behaviors, and the possible limits and unintended consequences associated with expanding the traditional chiropractic scope of practice from a specialty to a primary care profession.

  11. Homeopathy: clarifying its relationship to hormesis.

    PubMed

    Calabrese, Edward J; Jonas, Wayne B

    2010-07-01

    This paper presents the case that certain types of homeopathic medicine may represent a form of hormesis, that is, either pre- or post-conditioning hormesis. An example of a post-conditioning model by van Wijk and colleagues demonstrated successful enhancement of adaptive responses using below-toxic threshold doses (i.e. hormetic doses) of inducing agents when administered subsequent to a highly toxic chemical exposure, thus satisfying a basic experimental biomedical standard. Of note is that this model uses exposures within a measurable predicted hormetic range, unlike most forms of homeopathy. This experimental framework (along with a pre-conditioning model developed by Bellavite) provides a possible vehicle by which certain aspect(s) of homeopathy may be integrated into mainstream biomedical assessment and clinical practice.

  12. Modelling Conditions and Health Care Processes in Electronic Health Records: An Application to Severe Mental Illness with the Clinical Practice Research Datalink.

    PubMed

    Olier, Ivan; Springate, David A; Ashcroft, Darren M; Doran, Tim; Reeves, David; Planner, Claire; Reilly, Siobhan; Kontopantelis, Evangelos

    2016-01-01

    The use of Electronic Health Records databases for medical research has become mainstream. In the UK, increasing use of Primary Care Databases is largely driven by almost complete computerisation and uniform standards within the National Health Service. Electronic Health Records research often begins with the development of a list of clinical codes with which to identify cases with a specific condition. We present a methodology and accompanying Stata and R commands (pcdsearch/Rpcdsearch) to help researchers in this task. We present severe mental illness as an example. We used the Clinical Practice Research Datalink, a UK Primary Care Database in which clinical information is largely organised using Read codes, a hierarchical clinical coding system. Pcdsearch is used to identify potentially relevant clinical codes and/or product codes from word-stubs and code-stubs suggested by clinicians. The returned code-lists are reviewed and codes relevant to the condition of interest are selected. The final code-list is then used to identify patients. We identified 270 Read codes linked to SMI and used them to identify cases in the database. We observed that our approach identified cases that would have been missed with a simpler approach using SMI registers defined within the UK Quality and Outcomes Framework. We described a framework for researchers of Electronic Health Records databases, for identifying patients with a particular condition or matching certain clinical criteria. The method is invariant to coding system or database and can be used with SNOMED CT, ICD or other medical classification code-lists.

  13. Integrated poly(dimethysiloxane) with an intrinsic nonfouling property approaching "absolute" zero background in immunoassays.

    PubMed

    Ma, Hongwei; Wu, Yuanzi; Yang, Xiaoli; Liu, Xing; He, Jianan; Fu, Long; Wang, Jie; Xu, Hongke; Shi, Yi; Zhong, Renqian

    2010-08-01

    The key to achieve a highly sensitive and specific protein microarray assay is to prevent nonspecific protein adsorption to an "absolute" zero level because any signal amplification method will simultaneously amplify signal and noise. Here, we develop a novel solid supporting material, namely, polymer coated initiator integrated poly(dimethysiloxane) (iPDMS), which was able to achieve such "absolute" zero (i.e., below the detection limit of instrument). The implementation of this iPDMS enables practical and high-quality multiplexed enzyme-linked immunosorbent assay (ELISA) of 11 tumor markers. This iPDMS does not need any blocking steps and only require mild washing conditions. It also uses on an average 8-fold less capture antibodies compared with the mainstream nitrocellulose (NC) film. Besides saving time and materials, iPDMS achieved a limit-of-detection (LOD) as low as 19 pg mL(-1), which is sufficiently low for most current clinical diagnostic applications. We expect to see an immediate impact of this iPDMS on the realization of the great potential of protein microarray in research and practical uses such as large scale and high-throughput screening, clinical diagnosis, inspection, and quarantine.

  14. High-technology augmentative communication for adults with post-stroke aphasia: a systematic review.

    PubMed

    Russo, Maria Julieta; Prodan, Valeria; Meda, Natalia Nerina; Carcavallo, Lucila; Muracioli, Anibal; Sabe, Liliana; Bonamico, Lucas; Allegri, Ricardo Francisco; Olmos, Lisandro

    2017-05-01

    Augmentative and alternative communication (AAC) systems were introduced into clinical practice by therapists to help compensate for persistent language deficits in people with aphasia. Although, there is currently a push towards an increased focus on compensatory approaches in an attempt to maximize communication function for social interaction, available studies including AAC systems, especially technologically advanced communication tools and systems, known as 'high-technology AAC', show key issues and obstacles for these tools to become utilized in mainstream clinical practice. Areas covered: The current review synthesizes communication intervention studies that involved the use of high-technology communication devices to enhance linguistic communication skills for adults with post-stroke aphasia. The review focuses on compensatory approaches that emphasized functional communication. It also summarizes recommendations for the report of studies evaluating high-technology devices that may be potentially relevant for other researchers working with adults with post-stroke aphasia. Expert commentary: Taken together with positive results in heterogeneous studies, high-technology devices represent a compensatory strategy to enhance communicative skills in individuals with post-stroke aphasia. Improvements in the design of studies and reporting of results may lead to better interpretation of the already existing scientific results from aphasia management.

  15. Preparing Mainstream Classroom Teachers of English Learner Students: Grounding Practice-Based Designs for Teacher Learning in Theories of Adaptive Expertise Development

    ERIC Educational Resources Information Center

    Von Esch, Kerry Soo; Kavanagh, Sarah Schneider

    2018-01-01

    Preparing classroom teachers to teach English Learner (EL) students continues to challenge teacher educators. This article argues for EL teaching work to be situated within theories of professional learning that focus on developing teachers who can flexibly and innovatively integrate EL instructional practice into content area teaching. We propose…

  16. Educating Pupils with Autistic Spectrum Disorders: A Practical Guide

    ERIC Educational Resources Information Center

    Hanbury, Martin

    2005-01-01

    The book is written for educators in both mainstream and special provision schools, as well as teachers who are new to the field or those who are working in isolation from other specialists, the book gives practical advice on how to employ appropriate teaching and learning strategies. The book includes: (1) an overview of autism and how it affects…

  17. Exploring Personal Connections to Texts and Peers Using Cooperative Peers Tutoring Groups in English Language Arts Instruction with Students with Autism

    ERIC Educational Resources Information Center

    Scott, Kristina Lee

    2013-01-01

    The number of children identified with autism spectrum disorder (ASD) entering mainstream public school classrooms is increasing. No Child Left Behind and the Individuals with Disabilities Education Act requires that these students be taught using research-based practices. There is, however, very little known about best practices in the public…

  18. Inclusive Educational Practices in Kenya: Evidencing Practice of Itinerant Teachers Who Work with Children with Visual Impairment in Local Mainstream Schools

    ERIC Educational Resources Information Center

    Lynch, Paul; McCall, Steve; Douglas, Graeme; McLinden, Mike; Mogesa, Bernard; Mwaura, Martha; Muga, John; Njoroge, Michael

    2011-01-01

    This article presents a findings from an investigation of the work of 38 specialist itinerant teachers (ITs) supporting the educational inclusion of children with visual impairment in Kenya. The research was designed around a participatory action research framework involving in-country researchers and participants (teachers) working in…

  19. The Role of Academic Developers in Embedding High-Impact Undergraduate Research and Inquiry in Mainstream Higher Education: Twenty Years' Reflection

    ERIC Educational Resources Information Center

    Healey, Mick; Jenkins, Alan

    2018-01-01

    The focus of this article is on the role of academic developers in supporting and influencing undergraduate research and inquiry, a high-impact activity. We examine the levels at which academic developers can influence undergraduate research and inquiry practices by distinguishing between staff and student practices; disciplinary and departmental…

  20. English as a Second Language in the Mainstream: Teaching, Learning and Identity. Applied Linguistics and Language Study.

    ERIC Educational Resources Information Center

    Mohan, Bernard, Ed.; Leung, Constant, Ed.; Davison, Chris, Ed.

    This book analyzes the system-wide provision of English-as-a-Second Language (ESL) services in Australia, Canada, and England suggests that a truly responsive educational vision is lacking. They find government policies to be inadequate; educational practices for ESL students to be either underdeveloped or poorly coordinated with practices for…

  1. Identifying Barriers to the Remix of Translated Open Educational Resources

    ERIC Educational Resources Information Center

    Amiel, Tel

    2013-01-01

    Remix is touted as one of the most important practices within the field of open educational resources (OER). But remixing is still not mainstream practice in education and the barriers and limitations to remix are not well known. In this article we discuss the design and development of a print and web-based booklet created to introduce the topic…

  2. Minority Status and Privilege in the Academy: The Importance of Race, Gender, and Socialization Practices for Undergraduates, Graduate Students and Faculty

    ERIC Educational Resources Information Center

    Rios, Desdamona

    2010-01-01

    This dissertation examines socialization practices in the academy in three separate studies. The first study considers the general absence of women in mainstream undergraduate curriculum and examines the influence of introducing women exemplars into an undergraduate political psychology course that is not identified as "Women's Studies." The…

  3. The Potential Value of the U.N. Convention on the Rights of the Child in Pediatric Bioethics Settings.

    PubMed

    Silva, Michael Da; Lew, Cheryl D; Lundy, Laura; Lang, Kellie R; Melamed, Irene; Shaul, Randi Zlotnik

    2016-01-01

    This article provides support for the use of a particular international human rights law document, the U.N. Convention on the Rights of the Child (CRC), in contemporary pediatric bioethics practice without relying on the legally binding force of the document. It first demonstrates that the CRC's core commitments and values substantially overlap with the core commitments and values of mainstream bioethics and with the laws of many domestic jurisdictions where mainstream bioethics are currently practiced. It then explores some implications of this overlap. For instance, the substantial international human rights law scholarship on how to understand these commitments and values can be helpful in suggesting ways to operationalize them in domestic bioethics practice and can offer insightful, internationally generated ethical perspectives that may not have been considered. The article also argues that the CRC can help health-care organizations develop policies consistent with the best interests of children and that the CRC can serve as a common language of values for transnational health-care collaborations. However, as a final case discussion demonstrates, whatever the merits of the CRC, one may face practical difficulties in trying to use it.

  4. Immunologic advances in monoclonal antibody therapy: implications for oncology nursing.

    PubMed

    Karius, D; Marriott, M A

    1997-04-01

    To provide an overview of monoclonal antibody (MoAb) formation, therapeutic and diagnostic uses of MoAbs, and the implications for oncology nurses. Books and Journal articles (including research studies). Clinical trials have demonstrated the diagnostic and therapeutic potential of MoAb therapy. Advances in hybridoma technology and gene-splicing techniques have led to the formation of chimeric MoAbs, which exhibit decreased immunogenicity in the recipient. Clinical limitations with MoAb therapy include cross-reactivity with normal tissues, heterogeneity of antigen expression, presence of circulating antigen, antigenic modulation, tumor size and vascularity, and the anti-antibody response. MoAbs currently are used for diagnostic purposes and in phase I, II, and III clinical trials for cancer treatment. As research progresses, MoAbs are likely to be incorporated into the mainstream of cancer therapy as have other biologic response modifiers. Current uses of MoAb therapy in clinical trials involve nurses in many roles, including clinical nurse specialist, staff nurse, and research nurse. As more oncology nurses encounter MoAb therapy in practice, they will have to have an increased understanding of basic immunologic principles and the expertise to manage the unique toxicities associated with MoAb therapy.

  5. The value of mainstreaming human rights into health impact assessment.

    PubMed

    MacNaughton, Gillian; Forman, Lisa

    2014-09-26

    Health impact assessment (HIA) is increasingly being used to predict the health and social impacts of domestic and global laws, policies and programs. In a comprehensive review of HIA practice in 2012, the authors indicated that, given the diverse range of HIA practice, there is an immediate need to reconsider the governing values and standards for HIA implementation [1]. This article responds to this call for governing values and standards for HIA. It proposes that international human rights standards be integrated into HIA to provide a universal value system backed up by international and domestic laws and mechanisms of accountability. The idea of mainstreaming human rights into HIA is illustrated with the example of impact assessments that have been carried out to predict the potential effects of intellectual property rights in international trade agreements on the availability and affordability of medicines. The article concludes by recommending international human rights standards as a legal and ethical framework for HIA that will enhance the universal values of nondiscrimination, participation, transparency and accountability and bring legitimacy and coherence to HIA practice as well.

  6. The Value of Mainstreaming Human Rights into Health Impact Assessment

    PubMed Central

    MacNaughton, Gillian; Forman, Lisa

    2014-01-01

    Health impact assessment (HIA) is increasingly being used to predict the health and social impacts of domestic and global laws, policies and programs. In a comprehensive review of HIA practice in 2012, the authors indicated that, given the diverse range of HIA practice, there is an immediate need to reconsider the governing values and standards for HIA implementation [1]. This article responds to this call for governing values and standards for HIA. It proposes that international human rights standards be integrated into HIA to provide a universal value system backed up by international and domestic laws and mechanisms of accountability. The idea of mainstreaming human rights into HIA is illustrated with the example of impact assessments that have been carried out to predict the potential effects of intellectual property rights in international trade agreements on the availability and affordability of medicines. The article concludes by recommending international human rights standards as a legal and ethical framework for HIA that will enhance the universal values of nondiscrimination, participation, transparency and accountability and bring legitimacy and coherence to HIA practice as well. PMID:25264683

  7. Social connectedness, discrimination, and social status as mediators of acculturation/enculturation and well-being.

    PubMed

    Yoon, Eunju; Hacker, Jason; Hewitt, Amber; Abrams, Matthew; Cleary, Sarah

    2012-01-01

    The present study proposed and tested a conceptual model of acculturation/enculturation and subjective well-being (SWB) by including social connectedness in mainstream society, social connectedness in the ethnic community, perceived discrimination, and expected social status as mediators. Survey data from 273 Asian American college students in the midwest were analyzed by using structural equation modeling. Results indicated that the effect of acculturation on SWB was mediated by social connectedness in mainstream and ethnic communities and expected social status, whereas the effect of enculturation on SWB was mediated by social connectedness in the ethnic community and expected social status. Contrary to the authors' hypothesis, perceived discrimination did not mediate the relation of acculturation and SWB, but indirectly influenced SWB via a lowered sense of connectedness to mainstream society. Approximately 46% of the variance in SWB was accounted for by the variables included in this model. Implications for theory, research, and practice are discussed. (c) 2012 APA, all rights reserved.

  8. Grooming ten-year-olds with gender stereotypes? A content analysis of preteen and teen girl magazines.

    PubMed

    Daniels, Elizabeth A; Layh, Marlee C; Porzelius, Linda K

    2016-12-01

    Extensive research shows a strong body focus in media aimed at teen girls and adult women; less is known about the content of media aimed at preteen girls. The present study investigated differences in the content of preteen versus teen girl magazines. Additionally, the content of independent compared to mainstream magazines was examined. Media frames, which are dominant themes present in media stories, used in content about the body were examined. Finally, the prevalence of appearance-focused versus non-appearance-focused content was assessed. Advertisements and general stories were analyzed. Results indicate that teen and mainstream magazines contained more appearance content than preteen and independent magazines. Appearance media frames were more common in teen than preteen magazines. Finally, teen and mainstream magazines contained more appearance-focused than non-appearance-focused content, whereas the opposite was true for preteen and independent magazines. Findings are discussed in terms of objectification theory and gender socialization practices. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Medical borderlands: engineering the body with plastic surgery and hormonal therapies in Brazil

    PubMed Central

    Edmonds, Alexander; Sanabria, Emilia

    2014-01-01

    This paper explores medical borderlands where health and enhancement practices are entangled. It draws on fieldwork carried out in the context of two distinct research projects in Brazil on plastic surgery and sex hormone therapies. These two therapies have significant clinical overlap. Both are made available in private and public healthcare in ways that reveal the class dynamics underlying Brazilian medicine. They also have an important experimental dimension rooted in Brazil's regulatory context and societal expectations placed on medicine as a means for managing women's reproductive and sexual health. Off-label and experimental medical use of these treatments is linked to experimental social use: how women adopt them to respond to the pressures, anxieties and aspirations of work and intimate life. The paper argues that these experimental techniques are becoming morally authorized as routine management of women's health, integrated into mainstream Ob-Gyn healthcare, and subtly blurred with practices of cuidar-se (self-care) seen in Brazil as essential for modern femininity. PMID:25175295

  10. Medical borderlands: engineering the body with plastic surgery and hormonal therapies in Brazil.

    PubMed

    Edmonds, Alexander; Sanabria, Emilia

    2014-01-01

    This paper explores medical borderlands where health and enhancement practices are entangled. It draws on fieldwork carried out in the context of two distinct research projects in Brazil on plastic surgery and sex hormone therapies. These two therapies have significant clinical overlap. Both are made available in private and public healthcare in ways that reveal the class dynamics underlying Brazilian medicine. They also have an important experimental dimension rooted in Brazil's regulatory context and societal expectations placed on medicine as a means for managing women's reproductive and sexual health. Off-label and experimental medical use of these treatments is linked to experimental social use: how women adopt them to respond to the pressures, anxieties and aspirations of work and intimate life. The paper argues that these experimental techniques are becoming morally authorized as routine management of women's health, integrated into mainstream Ob-Gyn healthcare, and subtly blurred with practices of cuidar-se (self-care) seen in Brazil as essential for modern femininity.

  11. Ethical living: relinking ethics and consumption through care in Chile and Brazil.

    PubMed

    Ariztia, Tomas; Agloni, Nurjk; Pellandini-Simányi, Léna

    2018-06-01

    Mainstream conceptualizations of 'ethical consumption' equate the notion with conscious, individual, market-mediated choices motivated by ethical or political aims that transcend ordinary concerns. Drawing on recent sociology and anthropology of consumption literature on the links between ordinary ethics and ethical consumption, this article discusses some of the limitations of this conceptualization. Using data from 32 focus groups conducted in Chile and Brazil, we propose a conceptualization of ethical consumption that does not centre on individual, market-mediated choices but understands it at the level of practical outcomes, which we refer to as different forms of 'ethical living'. To do that, we argue, we need to depart from the deontological understanding of ethics that underpins mainstream approaches to ethical consumption and adopt a more consequentialist view focusing on ethical outcomes. We develop these points through describing one particular ordinary moral regime that seemed to be predominant in participants' accounts of ethics and consumption in both Chile and Brazil: one that links consumption and ethics through care. We show that the moral regime of care leads to 'ethical outcomes', such as energy saving or limiting overconsumption, yet contrary to the mainstream view of ethical consumption emphasizing politicized choice expressed through markets, these result from following ordinary ethics, often through routines of practices. © London School of Economics and Political Science 2017.

  12. Understanding Differences in Cultural Communication Styles.

    ERIC Educational Resources Information Center

    Mavrelis, Jean

    1997-01-01

    Administrators must integrate the strengths of diverse cultural styles into all parts of the system, including hiring practices, curriculum development, teaching and learning styles, discipline philosophy, and communication with parents. To reduce the potential for misunderstandings, this article explains differences in "mainstream"…

  13. 2014 Code of Practice: How Research Evidence on the Role and Impact of Teaching Assistants Can Inform Professional Practice

    ERIC Educational Resources Information Center

    Webster, Rob

    2014-01-01

    In this article, the author reflects on findings from research on the role and impact of teaching assistants and experience of working as a special educational needs (SEN) officer. Research evidence suggests the reliance on teaching assistants to include pupils with Statements of SEN in mainstream settings masks a collective, though unintentional,…

  14. "In This Country Education Happen at the Home": Two Families in Search of the "Instruments of Appropriation" for School Success

    ERIC Educational Resources Information Center

    Markose, Susan; Symes, Colin; Hellsten, Meeri

    2011-01-01

    The article analyses ethnographic data from the study of the home literacy practices of two immigrant families, a Lebanese-Muslim and a Chinese family. It explores the experiences of the immigrant families as they blend the pedagogical practices and behaviours of their own cultures with those of the mainstream culture to ensure academic success in…

  15. Molecular Diagnostics in Pathology: Time for a Next-Generation Pathologist?

    PubMed

    Fassan, Matteo

    2018-03-01

    - Comprehensive molecular investigations of mainstream carcinogenic processes have led to the use of effective molecular targeted agents in most cases of solid tumors in clinical settings. - To update readers regarding the evolving role of the pathologist in the therapeutic decision-making process and the introduction of next-generation technologies into pathology practice. - Current literature on the topic, primarily sourced from the PubMed (National Center for Biotechnology Information, Bethesda, Maryland) database, were reviewed. - Adequate evaluation of cytologic-based and tissue-based predictive diagnostic biomarkers largely depends on both proper pathologic characterization and customized processing of biospecimens. Moreover, increased requests for molecular testing have paralleled the recent, sharp decrease in tumor material to be analyzed-material that currently comprises cytology specimens or, at minimum, small biopsies in most cases of metastatic/advanced disease. Traditional diagnostic pathology has been completely revolutionized by the introduction of next-generation technologies, which provide multigene, targeted mutational profiling, even in the most complex of clinical cases. Combining traditional and molecular knowledge, pathologists integrate the morphological, clinical, and molecular dimensions of a disease, leading to a proper diagnosis and, therefore, the most-appropriate tailored therapy.

  16. GOLD NANOPARTICLES: A REVIVAL IN PRECIOUS METAL ADMINISTRATION TO PATIENTS

    PubMed Central

    Thakor, AS; Jokerst, J; Zaveleta, C; Massoud, TF; Gambhir, SS

    2011-01-01

    Gold has been used as a therapeutic agent to treat a wide variety of rheumatic diseases including psoriatic arthritis, juvenile arthritis and discoid lupus erythematosus. Although the use of gold has been largely superseded by newer drugs, gold nanoparticles are being used effectively in laboratory based clinical diagnostic methods whilst concurrently showing great promise in vivo either as a diagnostic imaging agent or a therapeutic agent. For these reasons, gold nanoparticles are therefore well placed to enter mainstream clinical practice in the near future. Hence, the present review summarizes the chemistry, pharmacokinetics, bio-distribution, metabolism and toxicity of bulk gold in humans based on decades of clinical observation and experiments in which gold was used to treat patients with rheumatoid arthritis. The beneficial attributes of gold nanoparticles, such as their ease of synthesis, functionalization and shape control are also highlighted demonstrating why gold nanoparticles are an attractive target for further development and optimization. The importance of controlling the size and shape of gold nanoparticles to minimize any potential toxic side effects is also discussed. PMID:21846107

  17. Photonanomedicine: a convergence of photodynamic therapy and nanotechnology

    NASA Astrophysics Data System (ADS)

    Obaid, Girgis; Broekgaarden, Mans; Bulin, Anne-Laure; Huang, Huang-Chiao; Kuriakose, Jerrin; Liu, Joyce; Hasan, Tayyaba

    2016-06-01

    As clinical nanomedicine has emerged over the past two decades, phototherapeutic advancements using nanotechnology have also evolved and impacted disease management. Because of unique features attributable to the light activation process of molecules, photonanomedicine (PNM) holds significant promise as a personalized, image-guided therapeutic approach for cancer and non-cancer pathologies. The convergence of advanced photochemical therapies such as photodynamic therapy (PDT) and imaging modalities with sophisticated nanotechnologies is enabling the ongoing evolution of fundamental PNM formulations, such as Visudyne®, into progressive forward-looking platforms that integrate theranostics (therapeutics and diagnostics), molecular selectivity, the spatiotemporally controlled release of synergistic therapeutics, along with regulated, sustained drug dosing. Considering that the envisioned goal of these integrated platforms is proving to be realistic, this review will discuss how PNM has evolved over the years as a preclinical and clinical amalgamation of nanotechnology with PDT. The encouraging investigations that emphasize the potent synergy between photochemistry and nanotherapeutics, in addition to the growing realization of the value of these multi-faceted theranostic nanoplatforms, will assist in driving PNM formulations into mainstream oncological clinical practice as a necessary tool in the medical armamentarium.

  18. Treating Insomnia: A Review of Patient Perceptions Toward Treatment.

    PubMed

    Cheung, Janet M Y; Bartlett, Delwyn J; Armour, Carol L; Saini, Bandana

    2016-01-01

    Patient views about their treatment for insomnia often dictate outcome. This review explores the literature relating to the patients' global perceptions toward treatment for insomnia. A strategic literature search was conducted using five databases (PubMed, CINAHL, Medline, PsycINFO, and Embase). The 57 research articles included for this review were mapped out chronologically across three key stages of treatment-seeking (pretreatment appraisal, actual treatment experiences, and posttreatment evaluation). Patient perceptions played an important role across these three key stages and influenced subsequent health behaviors such as the initiation of help-seeking, treatment uptake, treatment adherence, and treatment adjustment. Patients' perceptions toward treatment were heavily grounded by their psychosocial contexts. Clinical implications and future directions for including patient-centered metrics in mainstream practice and research are discussed.

  19. An overall approach to health care for indigenous peoples.

    PubMed

    King, Malcolm

    2009-12-01

    Indigenous peoples across all the continents of the globe live with major gaps in health status and health outcomes associated with well-described social determinants of health, such as poverty and poor education. Indigenous peoples face additional health determinant issues associated with urbanization, isolation from traditional territories, and loss of cultural continuity. Indigenous children are particularly vulnerable as they grow up in isolation from their cultural and social roots and yet are also separated from the mainstream environment of their society. Programs to address these difficult health issues should be viewed as complex clinical interventions with health researchers, social scientists, and clinicians working together with Indigenous peoples to identify the most pressing needs and most appropriate and workable solutions that will result in effective policies and practices.

  20. Essential literature for the chiropractic profession: a survey of chiropractic research leaders

    PubMed Central

    2013-01-01

    Background Evidence-based clinical practice (EBCP) is an accepted practice for informed clinical decision making in mainstream health care professions. EBCP augments clinical experience and can have far reaching effects in education, policy, reimbursement and clinical management. The proliferation of published research can be overwhelming—finding a mechanism to identify literature that is essential for practitioners and students is desirable. The purpose of this study was to survey leaders in the chiropractic profession on their opinions of essential literature for doctors of chiropractic, faculty, and students to read or reference. Methods Deployment of an IRB exempted survey occurred with 68 academic and research leaders using SurveyMonkey®. Individuals were solicited via e-mail in August of 2011; the study closed in October of 2011. Collected data were checked for citation accuracy and compiled to determine multiple responses. A secondary analysis assessed the scholarly impact and Internet accessibility of the recommended literature. Results Forty-three (43) individuals consented to participate; seventeen (17) contributed at least one article of importance. A total of 41 unique articles were reported. Of the six articles contributed more than once, one article was reported 6 times, and 5 were reported twice. Conclusions A manageable list of relevant literature was created. Shortcomings of methods were identified, and improvements for continued implementation are suggested. A wide variety of articles were reported as “essential” knowledge; annual or bi-annual surveys would be helpful for the profession. PMID:24289298

  1. The Child with Muscular Dystrophy in School. Revised.

    ERIC Educational Resources Information Center

    Schock, Nancy C.

    Practical information on children with muscular dystrophy is intended to help parents and teachers facilitate their inclusion in mainstreamed classrooms. Major topics addressed include the following: transportation arrangements; providing full information to the teacher regarding the child's specific abilities and physical limitations;…

  2. Opening up towards Children's Languages: Enhancing Teachers' Tolerant Practices towards Multilingualism

    ERIC Educational Resources Information Center

    Van Der Wildt, Anouk; Van Avermaet, Piet; Van Houtte, Mieke

    2017-01-01

    Mainstream teachers struggle with linguistic diversity, often leading to restricting multilingualism. Scientific research, however, recommends including pupils' home languages in school. Various qualitative studies have evaluated implementations in schools and indicated possibilities for improving teachers' attitudes towards multilingualism. This…

  3. Educational Leadership: An Islamic Perspective

    ERIC Educational Resources Information Center

    Shah, Saeeda

    2006-01-01

    Ethnocentric concepts, theories and practices in education, predominantly embedded in western philosophy and values, tend to ignore the growing multicultural nature of educational institutions. This article draws attention to the knowledge gap in mainstream literature regarding diverse perspectives of educational leadership--an issue which is…

  4. Integrated primary care: an inclusive three-world view through process metrics and empirical discrimination.

    PubMed

    Miller, Benjamin F; Mendenhall, Tai J; Malik, Alan D

    2009-03-01

    Integrating behavioral health services within the primary care setting drives higher levels of collaborative care, and is proving to be an essential part of the solution for our struggling American healthcare system. However, justification for implementing and sustaining integrated and collaborative care has shown to be a formidable task. In an attempt to move beyond conflicting terminology found in the literature, we delineate terms and suggest a standardized nomenclature. Further, we maintain that addressing the three principal worlds of healthcare (clinical, operational, financial) is requisite in making sense of the spectrum of available implementations and ultimately transitioning collaborative care into the mainstream. Using a model that deconstructs process metrics into factors/barriers and generalizes behavioral health provider roles into major categories provides a framework to empirically discriminate between implementations across specific settings. This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.

  5. Lessons from child of water.

    PubMed

    Silver, S

    1994-01-01

    This chapter examines the perceptions and treatment of psychological combat reactions by American Indians. My goal is to provide the reader with an introduction to the clinical implications of these perceptions and treatment in order to encourage a closer examination of what American Indian healers have to offer mental health professionals trained in the mainstream (what I will refer to as Anglo) psychological tradition. To do this we shall briefly examine how American Indians regard war and the role of warriors, for this cultural perception influences how combat reactions such as posttraumatic stress disorder symptoms are perceived and treated. Regardless of the value of what we might learn from American Indian culture, it does not matter what they say if we will not hear. It is necessary to consider attitudes typically held toward the concepts and techniques of American Indian healing practices if we wish for this examination to be more than an anthropological exposition, and have clinical value for Anglo mental health professionals.

  6. Cardiac imaging: working towards fully-automated machine analysis & interpretation.

    PubMed

    Slomka, Piotr J; Dey, Damini; Sitek, Arkadiusz; Motwani, Manish; Berman, Daniel S; Germano, Guido

    2017-03-01

    Non-invasive imaging plays a critical role in managing patients with cardiovascular disease. Although subjective visual interpretation remains the clinical mainstay, quantitative analysis facilitates objective, evidence-based management, and advances in clinical research. This has driven developments in computing and software tools aimed at achieving fully automated image processing and quantitative analysis. In parallel, machine learning techniques have been used to rapidly integrate large amounts of clinical and quantitative imaging data to provide highly personalized individual patient-based conclusions. Areas covered: This review summarizes recent advances in automated quantitative imaging in cardiology and describes the latest techniques which incorporate machine learning principles. The review focuses on the cardiac imaging techniques which are in wide clinical use. It also discusses key issues and obstacles for these tools to become utilized in mainstream clinical practice. Expert commentary: Fully-automated processing and high-level computer interpretation of cardiac imaging are becoming a reality. Application of machine learning to the vast amounts of quantitative data generated per scan and integration with clinical data also facilitates a move to more patient-specific interpretation. These developments are unlikely to replace interpreting physicians but will provide them with highly accurate tools to detect disease, risk-stratify, and optimize patient-specific treatment. However, with each technological advance, we move further from human dependence and closer to fully-automated machine interpretation.

  7. A journey towards inclusive education; a case study from a ‘township’ in South Africa

    PubMed Central

    Luger, Rosemary; Prudhomme, Debbie; Bullen, Ann; Pitt, Catherine

    2012-01-01

    The purpose of this case study was to relate part of the journey to appropriate education for two young children with physical disabilities in a low socio-economic peri-urban informal settlement – or ‘township’ – in South Africa. The part of the on-going journey described here spanned four-and-a-half years and included the two children, their families, their teachers, their community and a small team of rehabilitation professionals working for a non-profit organisation in the area. The rehabilitation professionals’ goals were to provide support for the children, their families, their current special care centre and the school(s) they would attend in the future. The steps from the special care centre, to a mainstream early childhood development (ECD) centre for both of them, and then on to (a) a school for learners with special educational needs (LSEN) for one child and (b) a mainstream primary school for the other, are described. Challenges encountered on the way included parental fears, community attitudes and physical accessibility. Practical outcomes included different placements for the two children with implications and recommendations for prioritised parent involvement, individual approaches, interdisciplinary and community-based collaborations. Recommendations are given for clinical contexts, curricula and policy matters; for research and for scaling up such a programme through community workers. PMID:28729975

  8. Swimming against the mainstream: the early years from chilly tributary to transformative mainstream.

    PubMed

    Bandura, Albert

    2004-06-01

    This article traces the transformative paradigm shift in the theory and practice of personal change. Within a decade, new conceptual models, analytic methodologies and modes of treatment were created. Treatments were altered in the content, locus, and agents of change. This enterprising period also witnessed a sweeping shift in the public acceptance of behaviorally oriented treatments. The present article also analyzes the evolving theorizing and applications of social cognitive theory rooted in modeling, self-regulatory, and self-efficacy mechanisms of psychosocial change. This model of change is implemented from an agentic perspective to promote personal, institutional, and society-wide changes that address some of the most urgent global problems.

  9. Beyond core count: a look at new mainstream computing platforms for HEP workloads

    NASA Astrophysics Data System (ADS)

    Szostek, P.; Nowak, A.; Bitzes, G.; Valsan, L.; Jarp, S.; Dotti, A.

    2014-06-01

    As Moore's Law continues to deliver more and more transistors, the mainstream processor industry is preparing to expand its investments in areas other than simple core count. These new interests include deep integration of on-chip components, advanced vector units, memory, cache and interconnect technologies. We examine these moving trends with parallelized and vectorized High Energy Physics workloads in mind. In particular, we report on practical experience resulting from experiments with scalable HEP benchmarks on the Intel "Ivy Bridge-EP" and "Haswell" processor families. In addition, we examine the benefits of the new "Haswell" microarchitecture and its impact on multiple facets of HEP software. Finally, we report on the power efficiency of new systems.

  10. Functional magnetic resonance imaging in clinical practice: State of the art and science.

    PubMed

    Barras, Christen D; Asadi, Hamed; Baldeweg, Torsten; Mancini, Laura; Yousry, Tarek A; Bisdas, Sotirios

    2016-11-01

    Functional magnetic resonance imaging (fMRI) has become a mainstream neuroimaging modality in the assessment of patients being evaluated for brain tumour and epilepsy surgeries. Thus, it is important for doctors in primary care settings to be well acquainted with the present and potential future applications, as well as limitations, of this modality. The objective of this article is to introduce the theoretical principles and state-of-the-art clinical applications of fMRI in brain tumour and epilepsy surgery, with a focus on the implications for clinical primary care. fMRI enables non-invasive functional mapping of specific cortical tasks (eg motor, language, memory-based, visual), revealing information about functional localisation, anatomical variation in cortical function, and disease effects and adaptations, including the fascinating phenomenon of brain plasticity. fMRI is currently ordered by specialist neurologists and neurosurgeons for the purposes of pre-surgical assessment, and within the context of an experienced multidisciplinary team to prepare, conduct and interpret the scan. With an increasing number of patients undergoing fMRI, general practitioners can expect questions about the current and emerging role of fMRI in clinical care from these patients and their families.

  11. Modelling Conditions and Health Care Processes in Electronic Health Records: An Application to Severe Mental Illness with the Clinical Practice Research Datalink

    PubMed Central

    Olier, Ivan; Springate, David A.; Ashcroft, Darren M.; Doran, Tim; Reeves, David; Planner, Claire; Reilly, Siobhan; Kontopantelis, Evangelos

    2016-01-01

    Background The use of Electronic Health Records databases for medical research has become mainstream. In the UK, increasing use of Primary Care Databases is largely driven by almost complete computerisation and uniform standards within the National Health Service. Electronic Health Records research often begins with the development of a list of clinical codes with which to identify cases with a specific condition. We present a methodology and accompanying Stata and R commands (pcdsearch/Rpcdsearch) to help researchers in this task. We present severe mental illness as an example. Methods We used the Clinical Practice Research Datalink, a UK Primary Care Database in which clinical information is largely organised using Read codes, a hierarchical clinical coding system. Pcdsearch is used to identify potentially relevant clinical codes and/or product codes from word-stubs and code-stubs suggested by clinicians. The returned code-lists are reviewed and codes relevant to the condition of interest are selected. The final code-list is then used to identify patients. Results We identified 270 Read codes linked to SMI and used them to identify cases in the database. We observed that our approach identified cases that would have been missed with a simpler approach using SMI registers defined within the UK Quality and Outcomes Framework. Conclusion We described a framework for researchers of Electronic Health Records databases, for identifying patients with a particular condition or matching certain clinical criteria. The method is invariant to coding system or database and can be used with SNOMED CT, ICD or other medical classification code-lists. PMID:26918439

  12. Review of the Visiting Teachers Service for Children with Hearing and Visual Impairment in Supporting Inclusive Educational Practice in Ireland: Examining Stakeholder Feedback through an Ecological Systems Theory

    ERIC Educational Resources Information Center

    McLinden, Mike; McCracken, Wendy

    2016-01-01

    In line with recent developments in inclusive practice in Ireland, children with sensory needs are increasingly educated in mainstream rather than specialist provision. Educational supports are provided by a range of practitioners and include input from the visiting teachers service for children with hearing and visual impairment. This paper…

  13. Critical evaluation of international health programs: Reframing global health and evaluation.

    PubMed

    Chi, Chunhuei; Tuepker, Anaïs; Schoon, Rebecca; Núñez Mondaca, Alicia

    2018-04-01

    Striking changes in the funding and implementation of international health programs in recent decades have stimulated debate about the role of communities in deciding which health programs to implement. An important yet neglected piece of that discussion is the need to change norms in program evaluation so that analysis of community ownership, beyond various degrees of "participation," is seen as central to strong evaluation practices. This article challenges mainstream evaluation practices and proposes a framework of Critical Evaluation with 3 levels: upstream evaluation assessing the "who" and "how" of programming decisions; midstream evaluation focusing on the "who" and "how" of selecting program objectives; and downstream evaluation, the focus of current mainstream evaluation, which assesses whether the program achieved its stated objectives. A vital tenet of our framework is that a community possesses the right to determine the path of its health development. A prerequisite of success, regardless of technical outcomes, is that programs must address communities' high priority concerns. Current participatory methods still seldom practice community ownership of program selection because they are vulnerable to funding agencies' predetermined priorities. In addition to critiquing evaluation practices and proposing an alternative framework, we acknowledge likely challenges and propose directions for future research. Copyright © 2018 John Wiley & Sons, Ltd.

  14. A World Where All Worlds Cohabit

    ERIC Educational Resources Information Center

    Teamey, Kelly; Mandel, Udi

    2016-01-01

    In response to Stefan Bengtsson's search for alternatives to Education for Sustainable Development practices outside the mainstream of the state and its policy formulations, this response outlines how our journey, experiences, and approaches reflect a de-professionalizing encounter with autonomous places of learning emerging from indigenous…

  15. Adult Education and Indigenous People: Addressing Gender in Policy and Practice

    ERIC Educational Resources Information Center

    Rao, Nitya; Robinson-Pant, Anna

    2006-01-01

    Adult education programmes developed for or by indigenous communities rarely seem to have addressed gender inequalities. Yet, compared to mainstream adult educational interventions promoting instrumental approaches to "functional literacy", such programmes often appear highly politicised, starting from a standpoint of promoting…

  16. Evaluation of Project Processes in Relation to Transportation System Management and Operations (TSM&O)

    DOT National Transportation Integrated Search

    2018-01-01

    This study was conducted to explore the current state-of-the-practice of Transportation Systems Management and Operations (TSM&O) in the Florida Department of Transportation (FDOT) and determine what would be required to mainstream TSM&O throughout t...

  17. The Dynamic Difference: Montessori's Legacy for the New Century.

    ERIC Educational Resources Information Center

    Loeffler, Margaret Howard

    2000-01-01

    Maintains that Montessori education must regain its dynamism by recognizing barriers that separate Montessori from mainstream educational thinking and entering into meaningful dialog with other educators. Suggests ways to improve understanding of Montessori's basic principles and practices and their current relevance, including defining core…

  18. How Can High-Biodiversity Coffee Make It to the Mainstream Market? The Performativity of Voluntary Sustainability Standards and Outcomes for Coffee Diversification

    NASA Astrophysics Data System (ADS)

    Solér, Cecilia; Sandström, Cecilia; Skoog, Hanna

    2017-02-01

    This article investigates the outcomes of mainstream coffee voluntary sustainability standards for high-biodiversity coffee diversification. By viewing voluntary sustainability standards certifications as performative marketing tools, we address the question of how such certification schemes affect coffee value creation based on unique biodiversity conservation properties in coffee farming. To date, the voluntary sustainability standards literature has primarily approached biodiversity conservation in coffee farming in the context of financial remuneration to coffee farmers. The performative analysis of voluntary sustainability standards certification undertaken in this paper, in which such certifications are analyzed in terms of their effect on mutually reinforcing representational, normalizing and exchange practices, provides an understanding of coffee diversification potential as dependent on standard criteria and voluntary sustainability standards certification as branding tools. We draw on a case of high-biodiversity, shade-grown coffee-farming practice in Kodagu, South-West India, which represents one of the world's biodiversity "hotspots".

  19. How Can High-Biodiversity Coffee Make It to the Mainstream Market? The Performativity of Voluntary Sustainability Standards and Outcomes for Coffee Diversification.

    PubMed

    Solér, Cecilia; Sandström, Cecilia; Skoog, Hanna

    2017-02-01

    This article investigates the outcomes of mainstream coffee voluntary sustainability standards for high-biodiversity coffee diversification. By viewing voluntary sustainability standards certifications as performative marketing tools, we address the question of how such certification schemes affect coffee value creation based on unique biodiversity conservation properties in coffee farming. To date, the voluntary sustainability standards literature has primarily approached biodiversity conservation in coffee farming in the context of financial remuneration to coffee farmers. The performative analysis of voluntary sustainability standards certification undertaken in this paper, in which such certifications are analyzed in terms of their effect on mutually reinforcing representational, normalizing and exchange practices, provides an understanding of coffee diversification potential as dependent on standard criteria and voluntary sustainability standards certification as branding tools. We draw on a case of high-biodiversity, shade-grown coffee-farming practice in Kodagu, South-West India, which represents one of the world's biodiversity "hotspots".

  20. Ethnic, Gender, and Acculturation Influences on Sexual Behaviors

    PubMed Central

    Ahrold, Tierney

    2015-01-01

    Much research has been conducted on ethnic differences in sexuality, but few studies have systematically assessed the importance of acculturation in sexual behavior. The present study assessed general differences in normative sexual practices in healthy Euro-American, Asian, and Hispanic populations, using measures of acculturation to analyze the relative effects of heritage and mainstream cultures within each group. A total of 1,419 undergraduates (67% Euro-American, 17% Hispanic, 16% Asian; 33% men, 67% women) completed questionnaires which assessed sexual experience and causal sexual behaviors. In concordance with previous studies, Asians reported more conservative levels of sexual experience and frequency of sexual behaviors, fewer lifetime partners, and later ages of sexual debut than Euro-American or Hispanic counterparts. Hispanic reported sexual experiences similar to that of Euro-Americans. There was a significant interaction between mainstream and heritage acculturation in predicting number of lifetime sexual partners in Asian women such that the relationship between heritage acculturation and casual sexual behavior was stronger at lower levels of mainstream acculturation. On the other hand, in Hispanic men, higher levels of mainstream acculturation predicted more casual sexual behavior (one-time sexual encounters and number of lifetime sexual partners) when heritage acculturation was low but less casual sexual behavior when heritage acculturation was high. These results suggest that, for sexual behavior, Hispanic men follow an “ethnogenesis” model of acculturation while Asian women follow an “assimilation” model of acculturation. PMID:18931901

  1. Public education and misinformation on brain death in mainstream media.

    PubMed

    Lewis, Ariane; Lord, Aaron S; Czeisler, Barry M; Caplan, Arthur

    2016-09-01

    We sought to evaluate the caliber of education mainstream media provides the public about brain death. We reviewed articles published prior to July 31, 2015, on the most shared/heavily trafficked mainstream media websites of 2014 using the names of patients from two highly publicized brain death cases, "Jahi McMath" and "Marlise Muñoz." We reviewed 208 unique articles. The subject was referred to as being "alive" or on "life support" in 72% (149) of the articles, 97% (144) of which also described the subject as being brain dead. A definition of brain death was provided in 4% (9) of the articles. Only 7% (14) of the articles noted that organ support should be discontinued after brain death declaration unless a family has agreed to organ donation. Reference was made to well-known cases of patients in persistent vegetative states in 16% (34) of articles and 47% (16) of these implied both patients were in the same clinical state. Mainstream media provides poor education to the public on brain death. Because public understanding of brain death impacts organ and tissue donation, it is important for physicians, organ procurement organizations, and transplant coordinators to improve public education on this topic. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. Acceptance and Commitment Therapy and Behavioral Activation for the Treatment of Depression: Description and Comparison

    ERIC Educational Resources Information Center

    Kanter, Jonathan W.; Baruch, David E.; Gaynor, Scott T.

    2006-01-01

    The field of clinical behavior analysis is growing rapidly and has the potential to affect and transform mainstream cognitive behavior therapy. To have such an impact, the field must provide a formulation of and intervention strategies for clinical depression, the "common cold" of outpatient populations. Two treatments for depression have emerged:…

  3. What's It Like to Work with a Clinical Psychologist of a Specialist Learning Disabilities Service? Views from People with Learning Disabilities

    ERIC Educational Resources Information Center

    Gifford, Clive; Evers, Catherine; Walden, Sarah

    2013-01-01

    Clinical psychologists are well placed to work with people with learning disabilities given the high prevalence of psychiatric disorders in this population and the specialist training undertaken by psychologists. The evidence for psychological interventions in learning disabilities is scarce compared to the evidence for mainstream psychological…

  4. Mainstream Literature for Full, Inclusive Secondary Classrooms

    ERIC Educational Resources Information Center

    McFall, Lindsey; Fitzpatrick, Michael

    2010-01-01

    The U.S. Department of Education (2000) reported that approximately 80% of students identified with learning disabilities (LD) received half of their instruction within the general education classroom setting. Therefore, it is important that general education teachers implement teaching strategies and practices that meet the distinct educational…

  5. School Inclusion and the "Community of Practice"

    ERIC Educational Resources Information Center

    Laluvein, Jackie

    2010-01-01

    "Inclusion" is not a mechanism for relocating educationally disadvantaged youngsters in mainstream rather than in special schools. Rather, inclusion implies a whole school approach to social relations and production of meaning reached through processes of negotiation between parents, teachers and children. Such an approach places equal value upon…

  6. Renewing Our Cultural Borderlands: Equitable Population Innovations for Communication (EPIC)

    ERIC Educational Resources Information Center

    Pillay, Mershen; Kathard, Harsha

    2018-01-01

    The professions of speech-language pathology and audiology provide valuable services for persons with communication, hearing, and feeding/swallowing disabilities. However, from a global perspective, mainstream practice discourses represent values from colonial perspectives (called Northern here). As such, they remain largely inaccessible to most…

  7. Math on the Job. Accounting Clerk/Bookkeeper.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    This booklet is intended to help mainstreamed mentally retarded, emotionally disturbed, or learning disabled high school students acquire a basic understanding of the responsibilities and working conditions of accounting clerks and bookkeepers and to practice basic math skills necessary in the occupation. The first section provides a brief…

  8. Integrated Education. Feature Issue.

    ERIC Educational Resources Information Center

    York, Jennifer, Ed.; Vandercook, Terri, Ed.

    1988-01-01

    This "feature issue" provides various perspectives on a number of integrated education topics, including successful integration practices and strategies, the changing roles of teachers, the appropriate role of research, the history and future of integrated education, and the realization of dreams of life in the mainstream for children with severe…

  9. African American Educational Leadership in the School Superintendency

    ERIC Educational Resources Information Center

    Smith, Eva C.

    2013-01-01

    African American educational leadership has long been part of American education and African American activism to resist oppression. However, the field of educational leadership has rarely included the contributions of African American leaders, particularly women leaders, into mainstream leadership theory and practices. This omission is difficult…

  10. Teachers' Misunderstanding: The Concept of Inclusive Education

    ERIC Educational Resources Information Center

    Sanagi, Tomomi

    2016-01-01

    Teachers' misunderstanding the concept of inclusive education will not lead to good practices, rather make an exclusive environment for pupils with special educational needs in mainstream schools. This study clarified teachers' attitudes towards the image of inclusive education with conjoint analysis and cluster analysis. The participants for this…

  11. Philosophy and Practice: Always the Twain Shall Meet.

    ERIC Educational Resources Information Center

    Smith, Carl R., Ed.

    1981-01-01

    A discussion focuses on differing approaches to the education of behaviorally disordered students as viewed by Albert Fink (representing the psychoeducational view), William Rhodes (counter theoretical), and Richard Whelan (behavioral). The discussion addresses such issues in special education as mainstreaming and alternatives to special classes.…

  12. Area Studies and Special Collections: Shared Challenges, Shared Strength

    ERIC Educational Resources Information Center

    Carter, Lisa R.; Whittaker, Beth M.

    2015-01-01

    Special collections and area studies librarians face similar challenges in the changing academic library environment, including the need to articulate the value of these specialized collections and to mainstream processes and practices into larger discovery, teaching, learning, and research efforts. For some institutions, these similarities have…

  13. Shared Pedagogical Understandings: Schoolwide Inclusion Practices Supporting Learner Needs

    ERIC Educational Resources Information Center

    Abawi, Lindy; Oliver, Mark

    2013-01-01

    Educational perspectives that recommend inclusion of children with special needs into mainstream classrooms remain a controversial topic. The Melbourne Declaration declares that all young Australians should be supported to become successful learners; confident and creative individuals; and active and informed citizens. So the question remains how…

  14. Buddhist Foundations of Teaching

    ERIC Educational Resources Information Center

    Ma Rhea, Zane

    2012-01-01

    This paper reports on research conducted on the impact of Buddhism on teaching, exploring the educational philosophy and approach, the daily practice of teaching, and the challenge of bringing together the mainstream education curriculum with Buddhist worldview in the first school in Australia being guided by Buddhist philosophy. Although there…

  15. Toward a Translingual Composition: Ancient Rhetorics and Language Difference

    ERIC Educational Resources Information Center

    Ray, Brian

    2012-01-01

    The purpose of this dissertation is to outline a pedagogy that promotes language difference in college composition classrooms. Scholarship on language difference has strived for decades to transform teaching practices in mainstream, developmental, and second-language writing instruction. Despite compelling arguments in support of linguistic…

  16. Variables Affecting Teachers' Attitudes towards Inclusive Education in Bangladesh

    ERIC Educational Resources Information Center

    Ahmmed, Masud; Sharma, Umesh; Deppeler, Joanne

    2012-01-01

    Inclusive education is a worldwide reform strategy intended to include students with different abilities in mainstream regular schools. Evidence from previous research shows that success in implementing effective inclusive teaching practices in the school is contingent on teachers' positive attitudes towards inclusive education. This study was…

  17. Home Schooling Goes Mainstream

    ERIC Educational Resources Information Center

    Gaither, Milton

    2009-01-01

    This article reports that while home schooling may have particular appeal to celebrities, over the last decade families of all kinds have embraced the practice for widely varying reasons: no longer is home schooling exclusive to Christian fundamentalism and the countercultural Left. Along with growing acceptance of home schooling nationally has…

  18. Math on the Job. Taxi Driver.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    This booklet is intended to help mainstreamed mentally retarded, emotionally disturbed, or learning disabled high school students acquire a basic understanding of the responsibilities and working conditions of taxi drivers and to practice basic math skills necessary in the occupation. The first section provides a brief introduction to the…

  19. New mainstream double-end carbon dioxide capnograph for human respiration

    NASA Astrophysics Data System (ADS)

    Yang, Jiachen; An, Kun; Wang, Bin; Wang, Lei

    2010-11-01

    Most of the current respiratory devices for monitoring CO2 concentration use the side-stream structure. In this work, we engage to design a new double-end mainstream device for monitoring CO2 concentration of gas breathed out of the human body. The device can accurately monitor the cardiopulmonary status during anesthesia and mechanical ventilation in real time. Meanwhile, to decrease the negative influence of device noise and the low sample precision caused by temperature drift, wavelet packet denoising and temperature drift compensation are used. The new capnograph is proven by clinical trials to be helpful in improving the accuracy of capnography.

  20. Bridging worlds: participatory thinking in Jungian context.

    PubMed

    Brown, Robin S

    2017-04-01

    Introducing the 'participatory' paradigm associated with the work of transpersonalists Richard Tarnas and Jorge Ferrer, the author outlines an approach to Jung's archetypal thinking that might offer a more adequate basis in which to ground a non-reductive approach to practice. In order to demonstrate the relevance of this outlook at the present time, the author begins by examining recent debates concerning the nature of 'truth' in the clinical setting. Reflecting on the difficulties analysts face in attempting to maintain professional authority without falling into an implicit authoritarianism, it is argued that any approach to therapy seeking to orient itself towards 'the unconscious' must posit the challenges of pluralism as a central concern for practice. With reference to the relationship between analytical psychology and the psychoanalytic mainstream, attention is drawn to the theoretical problems raised by the relational commitment to constructivist epistemologies, and a consequent tendency towards biological reductionism. Turning to the Jungian literature, similar tensions are observed at play in the present state of analytical psychology. Drawing attention to the process-oriented qualities of Jung's work, it is suggested that the speculative nature of Jung's psychology offers a more adequate basis for contemporary practice than might be assumed. © 2017, The Society of Analytical Psychology.

  1. Feasibility, Acceptability and Preliminary Treatment Outcomes in a School-Based CBT Intervention Program for Adolescents with ASD and Anxiety in Singapore.

    PubMed

    Drmic, Irene E; Aljunied, Mariam; Reaven, Judy

    2017-12-01

    Adolescents with autism spectrum disorder (ASD) are at high risk for anxiety difficulties and disorders. Clinic-based cognitive behavioral therapy (CBT) is effective; however, few published school-based CBT programs for youth with ASD exist. In this study, the Facing Your Fears CBT protocol was adapted for delivery and piloted within a school setting by non-clinicians, with culturally appropriate adaptations. 44 13-15 aged youth with ASD from 22 mainstream schools in Singapore participated. Feasibility, acceptability and preliminary treatment outcomes were examined. Decreases in youth and parent reported anxiety symptoms were reported. Staff and parents found the program useful. Stakeholder support was important for implementation. Initial findings reflect the importance of carefully bridging research-to-practice for youth with ASD and anxiety.

  2. US medical researchers, the Nuremberg Doctors Trial, and the Nuremberg Code. A review of findings of the Advisory Committee on Human Radiation Experiments.

    PubMed

    Faden, R R; Lederer, S E; Moreno, J D

    1996-11-27

    The Advisory Committee on Human Radiation Experiments (ACHRE), established to review allegations of abuses of human subjects in federally sponsored radiation research, was charged with identifying appropriate standards to evaluate the ethics of cold war radiation experiments. One central question for ACHRE was to determine what role, if any, the Nuremberg Code played in the norms and practices of US medical researchers. Based on the evidence from ACHRE's Ethics Oral History Project and extensive archival research, we conclude that the Code, at the time it was promulgated, had little effect on mainstream medical researchers engaged in human subjects research. Although some clinical investigators raised questions about the conduct of research involving human beings, the medical profession did not pursue this issue until the 1960s.

  3. Progress in sensorimotor rehabilitative physical therapy programs for stroke patients

    PubMed Central

    Chen, Jia-Ching; Shaw, Fu-Zen

    2014-01-01

    Impaired motor and functional activity following stroke often has negative impacts on the patient, the family and society. The available rehabilitation programs for stroke patients are reviewed. Conventional rehabilitation strategies (Bobath, Brunnstrom, proprioception neuromuscular facilitation, motor relearning and function-based principles) are the mainstream tactics in clinical practices. Numerous advanced strategies for sensory-motor functional enhancement, including electrical stimulation, electromyographic biofeedback, constraint-induced movement therapy, robotics-aided systems, virtual reality, intermittent compression, partial body weight supported treadmill training and thermal stimulation, are being developed and incorporated into conventional rehabilitation programs. The concept of combining valuable rehabilitative procedures into “a training package”, based on the patient’s functional status during different recovery phases after stroke is proposed. Integrated sensorimotor rehabilitation programs with appropriate temporal arrangements might provide great functional benefits for stroke patients. PMID:25133141

  4. EWork in EU Candidate Countries. IES Report.

    ERIC Educational Resources Information Center

    Mako, Csaba.; Keszi, Roland.

    Using data of an 18-country employer survey and facts of company case studies of the EMERGENCE project, a project illustrated diffusion of eWork in 3 these Central European countries: Czech Republic, Hungary, Poland. Mainstream views of the transforming economies and various practices of generic business services were studied. Establishments…

  5. Planning Industrial Training.

    ERIC Educational Resources Information Center

    Evans, Eric; And Others

    Under the pressure of economic conditions and the stimulus of the Industrial Training Act, industrial and commercial firms in Great Britain are acting more and more in the belief that training is inseparable from the mainstream of their activities. This pamphlet is concerned with issues of practical importance in this context: the relative…

  6. Promoting Early Literacy for Diverse Learners Using Audio and Video Technology

    ERIC Educational Resources Information Center

    Skouge, James R.; Rao, Kavita; Boisvert, Precille C.

    2007-01-01

    Practical applications of multimedia technologies that support early literacy are described and evaluated, including several variations of recorded books and stories, utilizing mainstream audio and video recording appropriate for libraries and schools. Special emphasis is given to the needs of children with disabilities and children who are…

  7. Emerging Approaches to Counseling Intervention: Theory, Research, Practice, and Training

    ERIC Educational Resources Information Center

    Murdock, Nancy L.; Duan, Changming; Nilsson, Johanna E.

    2012-01-01

    This article provides an overview of the major contribution that presents three emerging approaches to counseling: narrative therapy, dialectical behavior therapy, and acceptance and commitment therapy. The three theoretical systems were chosen because they are current, for the most part not addressed in the mainstream counseling psychology…

  8. Practicing What We Teach: Feminist Strategies for Teaching about Sexism

    ERIC Educational Resources Information Center

    Copp, Martha; Kleinman, Sherryl

    2008-01-01

    For decades, feminist teachers have been working in a chilly political climate. Rightwing critics claim that women's studies programs suffer from "insularity and narrowness, ideological bias, and a tendency toward misinformation." In the mainstream media, feminism is both vilified and trivialized. It's no wonder that many students doubt that…

  9. Gifted & Talented Children with Special Educational Needs: Double Exceptionality.

    ERIC Educational Resources Information Center

    Montgomery, Diane

    Based on international research and practice, this text is designed to enable elementary and secondary practitioners to identify able pupils with special needs such as attention deficit hyperactivity disorder, dyspraxia, dyslexia, and Down syndrome, and then make provisions for them within the mainstream school. Following an introduction that…

  10. Early Childhood Inclusion in Croatia

    ERIC Educational Resources Information Center

    Ljubešic, Marta; Šimleša, Sanja

    2016-01-01

    This article explains early childhood inclusion in Croatia from its beginnings up to challenges in current policy and practice. The first preschool education for children with disabilities dates back to the 1980s and was provided in special institutions. In the last 10 years, mainstream kindergartens have been enrolling children with disabilities…

  11. Mapping Mainstream and Fringe Medicine on the Internet.

    ERIC Educational Resources Information Center

    Evans, William

    2001-01-01

    Describes a system that monitors Internet discussion groups and Web sites for evidence that public interest in herbal remedies is outpacing available scientific evidence regarding herbal remedies. Using content analysis and bibliometric techniques this system can identify emerging unorthodox practices and can map the diffusion of health-related…

  12. Entrepreneurship Research and Practice: A Call to Action for Psychology

    ERIC Educational Resources Information Center

    Hisrich, Robert; Langan-Fox, Janice; Grant, Sharon

    2007-01-01

    Entrepreneurship is a major source of employment, economic growth, and innovation, promoting product and service quality, competition, and economic flexibility. It is also a mechanism by which many people enter the society's economic and social mainstream, aiding culture formation, population integration, and social mobility. This article aims to…

  13. Interrupting the Professional Schism That Allows Less Successful Educational Practices with ELLs to Persist

    ERIC Educational Resources Information Center

    Hamann, Edmund T.; Reeves, Jenelle

    2013-01-01

    Different worldviews, different histories of induction into teaching, presumed differences in responsibilities, and different emphases in preservice and in-service preparation have all long contributed to enduring schisms that keep general education (or mainstream) teachers and English language support faculty from coordinating and finding common…

  14. Math on the Job. Nurse Aide/Assistant.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    This booklet is intended to help mainstreamed mentally retarded, emotionally disturbed, or learning disabled high school students acquire a basic understanding of the responsibilities and working conditions of nurse aides/assistants and to practice basic math skills necessary in the occupation. The first section provides a brief introduction to…

  15. Beyond Learning by Doing: The Brain Compatible Approach.

    ERIC Educational Resources Information Center

    Roberts, Jay W.

    2002-01-01

    Principles of brain-based learning, including pattern and meaning making, parallel processing, and the role of stress and threat, are explained, along with their connections to longstanding practices of experiential education. The Brain Compatible Approach is one avenue for clarifying to mainstream educators how and why experiential methods are…

  16. UNEP's Work to Implement Good Practice at a Regional Level: Contribution to the UNDESD

    ERIC Educational Resources Information Center

    Ogbuigwe, Akpezi

    2010-01-01

    This paper outlines the contribution made by the United Nations Environment Programme (UNEP) towards enhancing the integration of sustainable development concerns in Africa through its initiative, the Mainstreaming Environment and Sustainability in Africa (MESA) Universities Partnership, during the United Nations Decade of Education for…

  17. Mobile Learning: From Single Project Status into the Mainstream?

    ERIC Educational Resources Information Center

    Zawacki-Richter, Olaf; Brown, Tom; Delport, Rhena

    2009-01-01

    During recent years, many distance teaching as well as residential institutions have started to experiment with mobile learning through pilot projects as part of their e-learning and technology enhanced learning environments. The practical experience gained with the employment of strategies and approaches within distance education can assist with…

  18. Politics and the English Instructor: Using Political Literature To Teach Composition.

    ERIC Educational Resources Information Center

    Fergenson, Laraine

    One of the most interesting controversies in the theory of teaching composition--and one that has profound consequences for classroom practice--is the debate over "ideological" or "radical" pedagogy. In the minds of most mainstream Americans, an ideological education is associated with dictatorship and state control of…

  19. Transforming Thai Preschool Teachers' Knowledge on Inclusive Practice: A Collaborative Inquiry

    ERIC Educational Resources Information Center

    Agbenyega, Joseph Seyram; Klibthong, Sunanta

    2015-01-01

    Educating children with disabilities alongside their peers in mainstream preschools has increased intensely over the past few years, affecting all aspects of early childhood education. Many children who previously would have been educated in segregated special centres are now being included in inclusive preschools. This research paper discusses…

  20. Educating English Learners: What Every Classroom Teacher Needs to Know

    ERIC Educational Resources Information Center

    Nutta, Joyce W.; Strebel, Carine; Mokhtari, Kouider; Mihai, Florin M.; Crevecoeur-Bryant, Edwidge

    2014-01-01

    In "Educating English Learners," Joyce W. Nutta and her colleagues offer practical tools for helping schools and teachers successfully integrate English learners into mainstream classrooms. Drawing on the One Plus model presented in their award-winning book, "Preparing Every Teacher to Reach English Learners," the authors now…

  1. Voices in the "Gypsy Developmental Project"

    ERIC Educational Resources Information Center

    Lalueza, Jose Luis; Crespo, Isabel

    2009-01-01

    The starting point for this article is, What are the hegemonic models of man and woman that educational practices are orientated toward in gypsy communities (models that are often in conflict with mainstream schooling institution's models of socialization)? We do not find the collectivism/individualism approach for explaining socialization in…

  2. Math on the Job. Metal Product Assembler.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. National Center for Research in Vocational Education.

    This booklet is intended to help mainstreamed mentally retarded, emotionally disturbed, or learning disabled high school students acquire a basic understanding of the responsibilities and working conditions of metal product assemblers and to practice basic math skills necessary in the occupation. The first section provides a brief introduction to…

  3. Towards Mentoring as Feminist Praxis in Early Childhood Education and Care in England

    ERIC Educational Resources Information Center

    Hammond, Sue; Powell, Sacha; Smith, Kate

    2015-01-01

    Following our contribution to a study of mentoring in seven European countries, we explored epistemological and ontological inconsistencies within mainstream mentoring systems and their regulated practice in England. We considered how feminist mentoring praxis can unsettle conceptualisations of mentoring relationships and challenge inequity in the…

  4. Engaging At-Risk Populations in the Systemic Educational Transformation Process

    ERIC Educational Resources Information Center

    Watson, Sunnie Lee; Watson, William R.

    2014-01-01

    At-risk student bodies in public school districts have very different cultures of learning from mainstream learning communities. Policies and practices in schools tend to isolate these student bodies for convenience in administration and instruction, and little consideration is given to whether these experiences of isolation from the larger…

  5. Teachers' Use of Psycho-Educational Reports in Mainstream Classrooms

    ERIC Educational Resources Information Center

    Lindelauf, Joanne; Reupert, Andrea; Jacobs, Kate E.

    2018-01-01

    This study investigated how teachers who support children with learning difficulties utilise psychologists' reports in their teaching practice. Previous research has examined teachers' preferences for how reports should be written, rather than how they might be used. Semi-structured, qualitative interviews with 12 teachers (seven primary, four…

  6. Multiple & Overlapping Identities: The Case of Guam

    ERIC Educational Resources Information Center

    Misco, Thomas; Lee, Lena

    2012-01-01

    Schools in Guam function to Americanize immigrants by adjusting different sociocultural values to American mainstream beliefs and practices which are considered norms, such as the matters of hygiene, manners, and farming and food preparation process. However, the educators in this study manifested their different ways of understanding and an…

  7. Are Conventional Farmers Conventional? Analysis of the Environmental Orientations of Conventional New Zealand Farmers

    ERIC Educational Resources Information Center

    Fairweather, John R.; Hunt, Lesley M.; Rosin, Chris J.; Campbell, Hugh R.

    2009-01-01

    Within the political economy of agriculture and agrofood literatures there are examples of approaches that reject simple dichotomies between alternatives and the mainstream. In line with such approaches, we challenge the assumption that alternative agriculture, and its attendant improved environmental practices, alternative management styles, less…

  8. Deaf Education: The Impact of Cochlear Implantation?

    ERIC Educational Resources Information Center

    Archbold, Sue; Mayer, Connie

    2012-01-01

    This paper reviews the impact that cochlear implantation has had on the practice of deaf education in terms of educational placement, communication choices, and educational attainments. Although there is variation in outcome, more children with implants are going to mainstream schools, and using spoken language as their primary means of…

  9. Multilingual Literacies in the Primary Classroom: Making the Connections.

    ERIC Educational Resources Information Center

    Diaz, Criss Jones

    This report explores how students' multilingual literacies can become part of everyday classroom practices. It discusses the contribution made by the home language in English language learning and literacy by highlighting the connections between languages in mainstream classroom settings. The strategies highlighted here focus on the representation…

  10. Examining the Impediments to Indigenous Strategy and Approaches in Mainstream Secondary Schools

    ERIC Educational Resources Information Center

    Hynds, Anne; Averill, Robin; Penetito, Wally; Meyer, Luanna; Hindle, Rawiri; Faircloth, Susan

    2016-01-01

    Noted Maori scholar Russell Bishop identified three impediments to developing Indigenous principles and practices in schools within colonized countries. These include confusion about the culture of Indigenous children, uneven programme implementation and issues with measuring student achievement. In this article, we present results from a mixed…

  11. What Is Intensive Instruction and Why Is It Important?

    ERIC Educational Resources Information Center

    Fuchs, Douglas; Fuchs, Lynn S.; Vaughn, Sharon

    2014-01-01

    In this article, the authors present two models of intensive instruction for students with and without disabilities who are having difficulties with Response to Intervention (RTI) currently in practice (Tier 1: general instruction that all students receive in mainstream classrooms, and Tier 2: programs often involving small group instruction). The…

  12. Responding to the Challenges of Inclusion in Irish Schools

    ERIC Educational Resources Information Center

    Day, Thérèse; Prunty, Anita

    2015-01-01

    While much progress has been made in relation to including students in mainstream education in Ireland, significant challenges remain. Despite positive attitudes, the implementation of effective inclusive practice at school level persists as one of the most pervasive challenges. This study investigated how six Irish schools, three primary and…

  13. Sustainability for Innovative Education--The Case of Mobile Learning

    ERIC Educational Resources Information Center

    Bachmair, Ben; Pachler, Norbert

    2015-01-01

    The successful introduction of mobile learning into education is arguably premised on sustainability in the sense of an ability to maintain innovation over time and to become embedded into mainstream practice. This paper argues that such an endeavour requires a discursive approach, decoupling sustainability from the notion of unambiguity…

  14. Considering retail health clinics.

    PubMed

    Mullin, Kathy

    2009-12-01

    By gaining increasing acceptance from consumers and traditional providers, retail-based convenient care clinics have moved from the innovative fringe into the mainstream of healthcare delivery. Nationwide, resourceful administrators are experimenting with retail-based delivery systems, using the clinic's unique attributes to promote wellness, expand accessibility, reduce delivery costs, and enhance brand recognition. This article takes an in-depth look at the convenient care business model, pertinent regulatory issues, and some of the associated benefits and concerns.

  15. Criteria for Inclusion of Newer Bariatric and Metabolic Procedures into the Mainstream: a Survey of 396 Bariatric Surgeons.

    PubMed

    Mahawar, Kamal K; Borg, Cynthia-Michelle; Agarwal, Sanjay; Riebeiro, Rui; De Luca, Maurizio; Small, Peter K

    2017-04-01

    There is currently no consensus on the criteria for inclusion of new bariatric procedures into routine clinical practice. This study canvasses bariatric surgeons in an attempt to define these criteria. Bariatric Surgeons from around the world were invited to participate in a questionnaire-based survey on SurveyMonkey ®. 396 bariatric surgeons, 337 International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) members, took the survey. Five clinical studies conducted under the strict monitoring of an Institutional Review Board would satisfy most surgeons (67.7 %, n = 266). When asked regarding the number of patients in these studies, a cumulative number of 500 patients would satisfy 64.5 % (n = 255) of the surgeons. Most respondents regarded endorsement by their national society and IFSO as 'very important' or 'extremely important'. An overwhelming 74.4 % (n = 294) felt that every new procedure should undergo a randomized comparison against one of the established alternatives like Roux-en-Y Gastric Bypass or Sleeve Gastrectomy. Evaluation of a new bariatric procedure in at least 5 adequately supervised clinical studies (four of which must be randomized comparisons with one of the existing alternatives) reporting at least 5 years results on a minimum of 500 patients would satisfy majority of bariatric surgeons for the inclusion of a new bariatric procedure into clinical practice. The findings of this survey are simply aimed at starting a discussion on this topic and cannot be used to influence the ground reality until an international consensus can be reached amongst experts.

  16. Mainstreaming Climate Change Into Geosciences Curriculum of Tertiary Educational Systems in Ghana

    NASA Astrophysics Data System (ADS)

    Nyarko, B. K.

    2015-12-01

    The impact of Climate Change has a far-reaching implication for economies and people living in the fragile Regions of Africa analysts project that by 2020, between 75 million and 250 million people will be exposed various forms of Climate Change Stresses. Education as a key strategy identified under Agenda 21 has been incorporated into the efforts of various educational institutions as a means of mitigating climate change and enhancing sustainability. Climate Change education offers many opportunities and benefits for educators, researchers, learners, and for wider society, but there are also many challenges, which can hinder the successful mainstreaming of climate change education. The study aims at understanding barriers for Climate Change Education in selected tertiary institutions in Ghana. The study was conducted among Geoscience Departments of the 7 main public universities of Ghana and also juxtapose with the WASCAL graduate school curriculum. The transcript analysis identified issues that hinders the mainstreaming of Climate Change, these includes existing levels of knowledge and understanding of the concept of climate change, appreciating the threshold concepts, ineffective teaching of Climate Change and some Departments are slow in embracing Climate Change as a discipline. Hence to develop strategies to mainstream climate change education it is important to recognize that increasing the efficiency and delivery of Climate Change education requires greater attention and coordination of activities and updating the educators knowledge and skill's. Institutions and Educator should be encouraged to undertake co-curricula activities and finding ways to make Climate Change education practical.

  17. Cardiac imaging: working towards fully-automated machine analysis & interpretation

    PubMed Central

    Slomka, Piotr J; Dey, Damini; Sitek, Arkadiusz; Motwani, Manish; Berman, Daniel S; Germano, Guido

    2017-01-01

    Introduction Non-invasive imaging plays a critical role in managing patients with cardiovascular disease. Although subjective visual interpretation remains the clinical mainstay, quantitative analysis facilitates objective, evidence-based management, and advances in clinical research. This has driven developments in computing and software tools aimed at achieving fully automated image processing and quantitative analysis. In parallel, machine learning techniques have been used to rapidly integrate large amounts of clinical and quantitative imaging data to provide highly personalized individual patient-based conclusions. Areas covered This review summarizes recent advances in automated quantitative imaging in cardiology and describes the latest techniques which incorporate machine learning principles. The review focuses on the cardiac imaging techniques which are in wide clinical use. It also discusses key issues and obstacles for these tools to become utilized in mainstream clinical practice. Expert commentary Fully-automated processing and high-level computer interpretation of cardiac imaging are becoming a reality. Application of machine learning to the vast amounts of quantitative data generated per scan and integration with clinical data also facilitates a move to more patient-specific interpretation. These developments are unlikely to replace interpreting physicians but will provide them with highly accurate tools to detect disease, risk-stratify, and optimize patient-specific treatment. However, with each technological advance, we move further from human dependence and closer to fully-automated machine interpretation. PMID:28277804

  18. Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships.

    PubMed

    Haynes, Emma; Taylor, Kate P; Durey, Angela; Bessarab, Dawn; Thompson, Sandra C

    2014-09-20

    The substantial gap in life expectancy between Indigenous and non-Indigenous Australians has been slow to improve, despite increased dedicated funding. Partnerships between Australian Indigenous and mainstream Western biomedical organisations are recognised as crucial to improved Indigenous health outcomes. However, these partnerships often experience challenges, particularly in the context of Australia's race and political relations. We examined the relevant literature in order to identify the potential role for social theory and theoretical models in developing and maintaining intercultural partnerships. Having identified relevant theoretical models, terms and possible key words, a range of databases were searched and relevant articles selected for inclusion. An integrative approach brought together theoretical models and practical considerations about working in partnership, to inform our analysis of the literature. Considering partnerships between Australian Indigenous and mainstream health organisations as 'bi-cultural' is simplistic: rather they are culturally diverse across social and professional levels. As such, partnerships between Australian Indigenous and mainstream health organisations may be better conceptualised as 'intercultural', operating across diverse and shifting cultural frames of reference. Theories identified by this review as useful to guide partnerships include power relations, reflexivity and dialogue, borders and strangeness and the intercultural or third space. This paper examines how these theoretical approaches can develop understanding and improve intercultural engagement between mainstream and Australian Indigenous partners in healthcare. Rather than viewing partnerships merely as arrangements between disembodied entities, sometimes contractual in nature, they are better seen as activities between people and organisations and essentially dependent on relationships, occurring in an intercultural space that is complex, dynamic and subject to changes in power relations. Theoretical models aiming to understand and improve partnerships indicate the complexity of building and maintaining such partnerships and stress the importance of understanding factors that can strengthen or derail their effectiveness. While the theories presented here are by no means exhaustive, they nonetheless provide a series of entry points through which to engage with the issue and expand the discourse. This approach allows the transformative nature of Australian Indigenous-mainstream 'culture' to be explored and understood in its lived expression; rather than relegated to prescriptive categories.

  19. The rapid expansion of (mainstream) health psychology in France: Historical foundations.

    PubMed

    Santiago-Delefosse, Marie; Del Rio Carral, Maria

    2018-03-01

    This article traces the historical evolution of ongoing theoretical debates in psychology in France from the 1940s until today. Its aim is to show how the conjunction of certain conditions led to a rapid expansion of American-derived mainstream health psychology during the 1980s. The authors describe the French context in the post-World War II period and outline the implementation of 'clinical psychology in health settings' in the 1950s, under the influence of Daniel Lagache. The strong critiques of the new psychology profession in the 1950s, 1960s and 1970s are examined. Our conclusion reflects upon future implications of ongoing rivalries between different approaches to psychology.

  20. The mental health consumer movement and peer providers in Israel.

    PubMed

    Moran, G S

    2018-04-16

    Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation. In turn, some administrators and key stakeholders in rehabilitation community services grew to value the impact of knowledge-by-experience in contemporary mental health care. In this context, over the past decade, peer roles were developed in the mental health system, including consumer-providers in community services and peer specialists in inpatient psychiatric hospitals. The insertion of peer roles into the mainstream MH system is far-reaching, including the placement of a peer-project coordinator within the ministry of health. I describe the unique contribution of peers, as experts-by-experience, to mainstream professional knowledge and practice. I also highlight the potential challenges involved when peer models of care are added to traditional medical models of care. The Israeli case demonstrates how the consumer movement can play an active role in MH systems and be acknowledged and recognised as a partner for changing policy, practice and reshaping formal institutions. In addition, they play a vital role in the development of peer-support services.

  1. Learning with and from Facebook: Uncovering Power Asymmetries in Educational Interactions

    ERIC Educational Resources Information Center

    Rambe, Patient; Ng'ambi, Dick

    2014-01-01

    Although social networking sites (SNS) are increasingly popular among students, their academic application is unfolding on trial basis and best practices for integration into mainstream teaching are yet to be fully realised. More importantly, is the need to understand how these sites shape academic relations and participation of heterogeneous…

  2. Teachers Teaching Teachers (T3). Volume 6, Number 3

    ERIC Educational Resources Information Center

    Armstrong, Anthony, Ed.

    2010-01-01

    "Teachers Teaching Teachers" ("T3") focuses on coaches' roles in the professional development of teachers. Each issue also explores the challenges and rewards that teacher leaders encounter. This issue includes: (1) Teaching English Language Learners: Mainstream Teachers Make a Stellar Journey as a Team to Transform Classroom Practices (Elsa M.…

  3. Making Meaning of Inclusive Education: Classroom Practices in Finnish and South African Classrooms

    ERIC Educational Resources Information Center

    Engelbrecht, Petra; Savolainen, Hannu; Nel, Mirna; Koskela, Teija; Okkolin, Mari-Anne

    2017-01-01

    This paper reports on the findings of an international comparative research project where the roles of teachers in the implementation of inclusive education in mainstream-classroom settings in South Africa and Finland were investigated. Inclusive education within this project is broadly defined as welcoming all students to general-education…

  4. Critical Change for the Greater Good: Multicultural Perceptions in Educational Leadership toward Social Justice and Equity

    ERIC Educational Resources Information Center

    Santamaría, Lorri J.

    2014-01-01

    Background: Educational leadership for social justice and equity is the primary leadership response to inclusive and equitable education. This inquiry builds on multicultural education and educational leadership to explore an alternative approach to mainstream leadership practice. Purpose: To examine ways in which educational leaders of color in…

  5. Towards Systemic Support of Pupils with Emotional and Behavioural Disorders

    ERIC Educational Resources Information Center

    Mooij, Ton; Smeets, Ed

    2009-01-01

    Children with emotional and behavioural disorders (EBD) vary in many respects. In school, specific conditions have to be fulfilled in order to deal adequately with EBD. This study addresses the question how mainstream primary schools design different instructional situations to support pupils with EBD in practice, and how this design could be…

  6. Issues of Ideology in English Language Education Worldwide: An Overview

    ERIC Educational Resources Information Center

    Mirhosseini, Seyyed-Abdolhamid

    2018-01-01

    The relatively limited consideration of ideology in mainstream theory and research of English language teaching (ELT) has arguably prevented the problematization of many taken-for-granted perceptions and practices in the field. This article brings part of this marginalised body of scholarship on issues of ideology in the area of ELT together to…

  7. Fresh Start: Evaluation Report and Executive Summary

    ERIC Educational Resources Information Center

    Gorard, Stephen; Siddiqui, Nadia; See, Beng Huat

    2015-01-01

    Fresh Start (FS) is a catch-up literacy intervention for pupils at risk of falling behind their peers in early secondary schooling. It provides systematic and rigorous practice in phonics so that pupils are at an appropriate level to join the mainstream group after completion of the intervention. Pupils are assessed and then grouped according to…

  8. Striving toward Openness: But What Do We Really Mean?

    ERIC Educational Resources Information Center

    Rolfe, Vivien

    2017-01-01

    The global open education movement is striving toward openness as a feature of academic policy and practice, but evidence shows that these ambitions are far from mainstream, and levels of awareness in institutions is often disappointingly low. Those advocating for open education are seeking to widen engagement, but how targeted and persuasive are…

  9. Navigating the Problem of Inclusion as Enclosure in Native Culture-Based Education: Theorizing Shadow Curriculum

    ERIC Educational Resources Information Center

    Richardson, Troy

    2011-01-01

    This conceptual essay explores how Gerald Vizenor's (Anishinaabe) literary discussions of "shadow survivance" provide opportunities to work against the containment of Indigenous knowledge in mainstream and culture-based curricular practices. More specifically, the essay considers how constructivism is deployed as an opening to the inclusion of…

  10. Midwifery in American Institutes of Higher Education: Women's Work, Vocations and the 21st Century

    ERIC Educational Resources Information Center

    Brucker, Mary C.

    2009-01-01

    Midwifery is one of the universal professions. At the end of the nineteenth century, midwives in the United States were disenfranchised from the mainstream. A concerted effort was waged by male physicians to characterize midwifery practices as unscientific while simultaneously preventing midwives from obtaining formal education. Although midwifery…

  11. Being Punk in Higher Education: Subcultural Strategies for Academic Practice

    ERIC Educational Resources Information Center

    Parkinson, Tom

    2017-01-01

    Since its beginnings in the late 1970s, punk culture has been associated with counter-mainstream ideology and anti-institutional antagonism. In particular, formal education has been criticised in punk for sustaining oppressive social and conceptual orders and associated behavioural norms. Drawing on literature and interviews, this paper focuses on…

  12. Assessment Moderation: Constructing the Marks and Constructing the Students

    ERIC Educational Resources Information Center

    Orr, Susan

    2007-01-01

    In this paper the author considers the positivist approaches in mainstream higher education assessment research. She contrasts this to emerging poststructuralist perspectives and goes on to report on a study into the assessment moderation practices in a higher education art department. In this research she explores the ways in which art and design…

  13. Training Digital Age Journalists: Blurring the Distinction between Students and Professionals

    ERIC Educational Resources Information Center

    Madison, Eddie

    2014-01-01

    Increasingly, top-tier journalism and media schools are entering into partnerships with mainstream media organizations to create and distribute student-produced content. While internships have long been a sanctioned way students learn professional practices, downturns in the economy have led to reductions in paid internship programs. On the rise…

  14. Integral Education: New Directions for Higher Learning. SUNY Series in Integral Theory

    ERIC Educational Resources Information Center

    Esbjorn-Hargens, Sean, Ed.; Reams, Jonathan, Ed.; Gunnlaugson, Olen, Ed.

    2010-01-01

    The educational challenges faced today are driving us toward a new step in the evolution of educational theory and practice. Educators are called to go beyond simply presenting alternatives, to integrating the best of mainstream and alternative approaches and taking them to the next level. "Integral Education" accomplishes this by…

  15. Grievability of First Language Loss: Towards a Reconceptualisation of European Minority Language Education Practices

    ERIC Educational Resources Information Center

    Priven, Dmitri

    2008-01-01

    This paper presents the root causes of the resistance of mainstream European educational institutions to implementation of minority language programmes (bilingual programmes with both an official/dominant language and an immigrant minority language as media of instruction). Differential treatment of different minority languages in the mainstream…

  16. Current Trends in Remediating Adolescent Self-Injury: An Integrative Review

    ERIC Educational Resources Information Center

    Wilkinson, Beverly

    2011-01-01

    The increasing prevalence of self-injurious behavior (SIB) among mainstream adolescents has led to a growing body of research. This maladaptive behavior is used as a means of regulating negative emotions. Best practices regarding therapy are unclear, with many types of intervention being tried. Analysis of 36 qualitative and quantitative studies,…

  17. Determinants of Successful Inclusive Education Practice in Lagos State Nigeria

    ERIC Educational Resources Information Center

    Adeniyi, Samuel Olufemi; Owolabi, Josiah O.; Olojede, Kehinde

    2015-01-01

    Inclusive education is a new educational philosophy and a worldwide reform strategy intended to include students with different abilities in mainstream regular schools with the aim of achieving education for all. However, there is serious concern for total inclusiveness of special needs children in Nigeria. This study therefore investigated some…

  18. Challenges in Applying Indigenous Evaluation Practices in Mainstream Grant Programs to Indigenous Communities

    ERIC Educational Resources Information Center

    Grover, Jane Gray

    2008-01-01

    How can indigenous evaluators implement culturally competent models in First Nations communities while ensuring that government grant evaluation requirements are met? Through describing the challenges in one tribal community in the United States, this article will discuss how American Indian/Alaska Native substance abuse prevention programs are…

  19. "Shrek 2:" An Appraisal of Mainstream Animation's Influence on Identity

    ERIC Educational Resources Information Center

    Pimentel, Octavio; Velazquez, Paul

    2009-01-01

    This article examines the discursive practices presented in "Shrek 2." We apply a critical discourse analysis lens while focusing on the way animated versions of Latinos and African Americans are portrayed. In particular, the essay focuses on Shrek, Donkey, and Puss-in-Boots and the various stereotypical language discourses they reproduce. The…

  20. In the Shadow of the Ruins: Globalization and the Rise of Corporate Universities

    ERIC Educational Resources Information Center

    Waks, Leonard J.

    2004-01-01

    The term "corporate university", which has come into wide use in the last decade, is applied to three kinds of organizations: (1) "established," "mainstream", "non-profit universities" adapting to economic and technological pressures by adopting managerial practices of modern for-profit corporations; (2) "newly established", "highly innovative…

  1. The "Invisible" Drama/Theatre in Education Curriculum in Kenya

    ERIC Educational Resources Information Center

    Joseph, Christopher Odhiambo

    2016-01-01

    This vignette presents the state of theatre in Education Kenya. The paper argues that though there are several theatre in education like practices, these have not been entrenched in the school curriculum. Theatre in Education finds expression and manifestations outside the mainstream school curriculum for instance in schools and colleges drama…

  2. Mainstreaming Health and Safety in Schools: Practical Insights from the Teachers

    ERIC Educational Resources Information Center

    Burgos-Garcia, Antonio

    2015-01-01

    This study presents the results from a study funded by the Directorate General of Occupational Health and Safety, an institutional body that pertains to the Employment Council of the Regional Government of Andalusia (Spain) and Ministry of Employment and Labour (Spain). The analysis "focuses" mainly on the teachers who work in…

  3. Beyond Inclusion: Reconsidering Policies, Curriculum, and Pedagogy for Roma Students

    ERIC Educational Resources Information Center

    Miskovic, Maja; Curcic, Svjetlana

    2016-01-01

    This paper investigates the policies and politics of including European Roma students in mainstream educational systems within the context of two European Union (EU) policies: the Decade of Roma Inclusion (2005-2015) and EU National Roma Integration Strategies (2013-2020). Drawing on the scholarship about inclusion and its practical achievements,…

  4. Emergent Practices in Translingual Pedagogy: Teachers Learning to Facilitate Collaborative Translation

    ERIC Educational Resources Information Center

    David, Samuel S.

    2017-01-01

    Due to demographic changes, teachers in mainstream U.S. classrooms now work with English language learners (ELLs) in larger numbers than ever before (Sheng, Sheng, & Anderson, 2011). US schools have been diversifying for decades, and students whose first language is not English are the fastest growing population of students in US schools…

  5. Symbolic Non-Violence in the Work of Teachers in Alternative Education Settings

    ERIC Educational Resources Information Center

    Waters, Richard

    2017-01-01

    Patterns in analysis of research data on alternative education practices as well as on student and teacher experience in mainstream settings seem to support Pierre Bourdieu and Jean Claude Passeron's theory of symbolic violence. Data from teachers and students suggest that students from low socio-economic backgrounds often disengage from education…

  6. Contract Training: Avoiding the Rodney Dangerfield Syndrome by Practicing Good Internal Marketing.

    ERIC Educational Resources Information Center

    Kothenbeutel, Nancy; Dejardin, Conrad

    1994-01-01

    Suggests that, although customized training programs are often at the cutting edge of education and technology, they are not always fully integrated into the mainstream of colleges' internal operations. Discusses the role of internal marketing in promoting respect for community and adult education programs within community colleges. (MAB)

  7. Profcasts and Class Attendance--Does Year in Program Matter?

    ERIC Educational Resources Information Center

    Holbrook, Jane; Dupont, Christine

    2009-01-01

    The use of technology to capture the audio and visual elements of lectures, to engage students in course concepts, and to provide feedback to assignments has become a mainstream practice in higher education through podcasting and lecture capturing mechanisms. Instructors can create short podcasts or videos to produce "nuggets" of information for…

  8. Attitudes of Teachers and Headteachers towards Inclusion in Lebanon

    ERIC Educational Resources Information Center

    Khochen, Maha; Radford, Julie

    2012-01-01

    In the Arabic region, the drive towards inclusive practices in mainstream schools is at a relatively early stage, although, in Lebanon, the recent initiative of the National Inclusion Project (NIP), a project managed by a consortium of four organisations aimed at addressing the exclusion experienced by people with a disability, has the potential…

  9. Families at a Disadvantage: Class, Culture, and Literacies.

    ERIC Educational Resources Information Center

    Tett, Lyn; Crowther, Jim

    1998-01-01

    Addresses the issue of diverse literacies and the problems of privileging a dominant form of literacy at the expense of those from non-mainstream cultures. Illustrates how the literacy practices of working-class families and communities can be incorporated into learning programs. Stresses the need to legitimate the vernacular literacies of the…

  10. A Reshaping of Counselling Curriculum: Responding to the Changing (Bi)Cultural Context

    ERIC Educational Resources Information Center

    Flintoff, Vivianne J.; Rivers, Shirley

    2012-01-01

    This article describes some of the local Aotearoa New Zealand context of a general "mainstream" undergraduate counselling degree. Students' learning is shaped to produce a professional practice for the local context of Aotearoa New Zealand. As counsellor educators informed by social constructionism, we detail our theoretical position and…

  11. The Gifted: Identity Construction through the Practice of Gifted Education

    ERIC Educational Resources Information Center

    Schulz, Samantha

    2005-01-01

    Over the past two decades in Australia, the field of gifted education has expanded considerably. The term "giftedness" has effectively entered mainstream discourse. The field of gifted education, which nowadays operates as a compensatory function of mass education, is comprised of groups of people who broadly share in the concept of…

  12. Rethinking gossip and scandal in healthcare organizations.

    PubMed

    Waddington, Kathryn

    2016-09-19

    Purpose The purpose of this paper is to argue that gossip is a neglected aspect of organizational communication and knowledge, and an under-used management resource. Design/methodology/approach The paper challenges mainstream managerial assumptions that gossip is trivial or tainted talk which should be discouraged in the workplace. Instead, gossip is re-framed at an organizational level of analysis, which provides the opportunity for relational knowledge about systemic failure and poor practice in healthcare to surface. Findings Rather than simply viewing gossip as an individual behaviour and interpersonal process, it is claimed that organizational gossip is also a valuable early warning indicator of risk and failure in healthcare systems. There is potentially significant value in re-framing gossip as an aspect of organizational communication and knowledge. If attended to (rather than neglected or silenced) gossip can provide fresh insights into professional practice, decision making and relational leadership. Originality/value This paper offers a provocative challenge to mainstream health organization and management thinking about gossip in the workplace. It offers new ways of thinking to promote patient safety, and prevent the scandals that have plagued healthcare organizations in recent years.

  13. Perceptions of Native Americans: Indigenous science and connections to ecology

    NASA Astrophysics Data System (ADS)

    Bellcourt, Mark Alan

    2005-11-01

    Indigenous peoples of Turtle Island (North America) have had a special connection to and understanding of Mother Earth and Father Sky, and a long tradition of respect for the earth's resources. Based on this connection, understanding and respect, they have developed and used their own scientific theories and methods, and have used sustainable environmental practices. However, the problem is that despite centuries of scientific environmental practice and knowledge, Indigenous wisdom is virtually absent from the dominant mainstream Western science curriculums, literature, and practice. The purpose of this study is to explore Indigenous wisdom and how it might be better integrated into science and ecology education programs which are currently taught almost exclusively from Western perspectives. This study addresses the following two research questions: (1) What are the worldviews of Native American and science? (2) How can these worldviews be brought into mainstream Western science? The study of Indigenous wisdom involves an exploration of the stories a population of people whose core beliefs can not be easily quantified. A qualitative research approach, in-depth interviews and observations, have been selected for this study. The interviews and observations will be transcribed and the text will be reviewed and analyzed to find Indigenous worldviews and strategies for including these worldviews in current science curriculums.

  14. Climate tools in mainstream Linux distributions

    NASA Astrophysics Data System (ADS)

    McKinstry, Alastair

    2015-04-01

    Debian/meterology is a project to integrate climate tools and analysis software into the mainstream Debian/Ubuntu Linux distributions. This work describes lessons learnt, and recommends practices for scientific software to be adopted and maintained in OS distributions. In addition to standard analysis tools (cdo,, grads, ferret, metview, ncl, etc.), software used by the Earth System Grid Federation was chosen for integraion, to enable ESGF portals to be built on this base; however exposing scientific codes via web APIs enables security weaknesses, normally ignorable, to be exposed. How tools are hardened, and what changes are required to handle security upgrades, are described. Secondly, to enable libraries and components (e.g. Python modules) to be integrated requires planning by writers: it is not sufficient to assume users can upgrade their code when you make incompatible changes. Here, practices are recommended to enable upgrades and co-installability of C, C++, Fortran and Python codes. Finally, software packages such as NetCDF and HDF5 can be built in multiple configurations. Tools may then expect incompatible versions of these libraries (e.g. serial and parallel) to be simultaneously available; how this was solved in Debian using "pkg-config" and shared library interfaces is described, and best practices for software writers to enable this are summarised.

  15. Integrative endeavor for renaissance in Ayurveda

    PubMed Central

    Raut, Ashwinikumar A.

    2011-01-01

    Currently western medicine has assumed the central position in mainstream global healthcare. Openness to learn from contemporary disciplines of basic sciences, application of modern technology and further adoption of the evidence-based approach has helped western medicine gain its currently acknowledged position as mainstream modern medicine. Modern medicine has further developed forms of integrative medicine by developing interfaces with other systems of medicine, including traditional, complementary and alternative medicine. However, these developments do not seem to address all the problems facing global health care caused by overemphasis on pharmaco-therapeutic drug developments. On the other hand, Ayurveda which is founded on genuine fundamentals, has the longest uninterrupted tradition of healthcare practice, and its holistic approach to healthcare management emphasizes disease prevention and health promotion; if it opens up to incorporate emerging new knowledge into mainstream Ayurveda, and maintains fidelity to Ayurveda fundamentals, it will certainly provide a broad-based opportunity to address the majority of the problems that have emerged from global healthcare requirements. To bring these solutions to bear, however, it will be necessary to progress from the present “utilitarian ethos” to a “unifying ethos” for realization of medical integration. PMID:21731380

  16. Differences in sexual guilt and desire in east Asian and Euro-Canadian men.

    PubMed

    Brotto, Lori A; Woo, Jane S T; Gorzalka, Boris B

    2012-01-01

    Differences in sexual desire between individuals of East Asian and European descent are well-documented, with East Asian individuals reporting lower sexual desire. The mechanisms that underlie this disparity have received little empirical attention. Recent research has found that sex guilt, "a generalized expectancy for self-mediated punishment for violating or for anticipating violating standards of proper sexual conduct" (Mosher & Cross, 1971 , p. 27), mediates the relationship between culture and sexual desire in East Asian and Euro-Canadian women. The goal of this study was to explore this role of sex guilt in men. Male Euro-Canadian (n = 38) and East Asian (n = 45) university students completed online questionnaires. The East Asian men reported significantly lower sexual desire and significantly higher sex guilt. Sex guilt was a significant mediator of the relationship between ethnicity and sexual desire, as well as a significant mediator between mainstream acculturation and sexual desire. Among the East Asian men, mainstream acculturation was significantly and negatively correlated with sex guilt such that increasing mainstream acculturation was associated with less sex guilt. The diagnostic and clinical implications of the findings are discussed.

  17. Intersectionality and gender mainstreaming in international health: using a feminist participatory action research process to analyse voices and debates from the global south and north.

    PubMed

    Tolhurst, Rachel; Leach, Beryl; Price, Janet; Robinson, Jude; Ettore, Elizabeth; Scott-Samuel, Alex; Kilonzo, Nduku; Sabuni, Louis P; Robertson, Steve; Kapilashrami, Anuj; Bristow, Katie; Lang, Raymond; Romao, Francelina; Theobald, Sally

    2012-06-01

    Critiques of gender mainstreaming (GM) as the officially agreed strategy to promote gender equity in health internationally have reached a critical mass. There has been a notable lack of dialogue between gender advocates in the global north and south, from policy and practice, governments and non-governmental organisations (NGOs). This paper contributes to the debate on the shape of future action for gender equity in health, by uniquely bringing together the voices of disparate actors, first heard in a series of four seminars held during 2008 and 2009, involving almost 200 participants from 15 different country contexts. The series used (Feminist) Participatory Action Research (FPAR) methodology to create a productive dialogue on the developing theory around GM and the at times disconnected empirical experience of policy and practice. We analyse the debates and experiences shared at the seminar series using concrete, context specific examples from research, advocacy, policy and programme development perspectives, as presented by participants from southern and northern settings, including Kenya, Mozambique, India, the Democratic Republic of Congo, Canada and Australia. Focussing on key discussions around sexualities and (dis)ability and their interactions with gender, we explore issues around intersectionality across the five key themes for research and action identified by participants: (1) Addressing the disconnect between gender mainstreaming praxis and contemporary feminist theory; (2) Developing appropriate analysis methodologies; (3) Developing a coherent theory of change; (4) Seeking resolution to the dilemmas and uncertainties around the 'place' of men and boys in GM as a feminist project; and (5) Developing a politics of intersectionality. We conclude that there needs to be a coherent and inclusive strategic direction to improve policy and practice for promoting gender equity in health which requires the full and equal participation of practitioners and policy makers working alongside their academic partners. Copyright © 2011 Elsevier Ltd. All rights reserved.

  18. Leveraging insights from mainstream gameplay to inform STEM game design: great idea, but what comes next?

    NASA Astrophysics Data System (ADS)

    Biles, Melissa

    2012-12-01

    This response to Leah A. Bricker and Phillip Bell's paper, GodMode is his video game name, examines their assertion that the social nexus of gaming practices is an important factor to consider for those looking to design STEM video games. I propose that we need to go beyond the investigation into which aspects of games play a role in learning, and move on to thinking about how these insights can actually inform game design practice.

  19. Transition towards end of life in palliative care: an exploration of its meaning for advanced cancer patients in Europe.

    PubMed

    Larkin, Philip J; Dierckx de Casterlé, Bernadette; Schotsmans, Paul

    2007-01-01

    Transition as a concept in healthcare has been explored, but there is limited empirical work which considers transition in the context of palliative care, specifically from the patient perspective. This article reports findings from a qualitative study designed to explore transition experiences of 100 advanced cancer patients in six European countries. Data were analyzed using the ATLAS.ti program. Findings suggest that transition is a confusing time of mixed messages, poor communication, and uncertainty, but the physical environment of the hospice offers a place of ontological security from which to address this. Transition concepts fail to capture the palliative care experience fully. Transience, as an alternative concept, is reported, although further research is needed to explore this. In clinical practice, the value given to hospice by patients suggests that clinicians must carefully balance the benefit of mainstream integration with sensitive assimilation of hospice philosophy.

  20. Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?

    PubMed Central

    2010-01-01

    Through its adoption of the biomedical model of disease which promotes medical individualism and its reliance on the individual-based anthropology, mainstream bioethics has predominantly focused on respect for autonomy in the clinical setting and respect for person in the research site, emphasizing self-determination and freedom of choice. However, the emphasis on the individual has often led to moral vacuum, exaggeration of human agency, and a thin (liberal?) conception of justice. Applied to resource-poor countries and communities within developed countries, autonomy-based bioethics fails to address the root causes of diseases and public health crises with which individuals or communities are confronted. A sociological explanation of disease causation is needed to broaden principles of biomedical ethics and provides a renewed understanding of disease, freedom, medical practice, patient-physician relationship, risk and benefit of research and treatment, research priorities, and health policy. PMID:20082703

  1. Principlism, medical individualism, and health promotion in resource-poor countries: can autonomy-based bioethics promote social justice and population health?

    PubMed

    Azétsop, Jacquineau; Rennie, Stuart

    2010-01-18

    Through its adoption of the biomedical model of disease which promotes medical individualism and its reliance on the individual-based anthropology, mainstream bioethics has predominantly focused on respect for autonomy in the clinical setting and respect for person in the research site, emphasizing self-determination and freedom of choice. However, the emphasis on the individual has often led to moral vacuum, exaggeration of human agency, and a thin (liberal?) conception of justice. Applied to resource-poor countries and communities within developed countries, autonomy-based bioethics fails to address the root causes of diseases and public health crises with which individuals or communities are confronted. A sociological explanation of disease causation is needed to broaden principles of biomedical ethics and provides a renewed understanding of disease, freedom, medical practice, patient-physician relationship, risk and benefit of research and treatment, research priorities, and health policy.

  2. A controlled time-series trial of clinical reminders: using computerized firm systems to make quality improvement research a routine part of mainstream practice.

    PubMed Central

    Goldberg, H. I.; Neighbor, W. E.; Cheadle, A. D.; Ramsey, S. D.; Diehr, P.; Gore, E.

    2000-01-01

    OBJECTIVE: To explore the feasibility of conducting unobtrusive interventional research in community practice settings by integrating firm-system techniques with time-series analysis of relational-repository data. STUDY SETTING: A satellite teaching clinic divided into two similar, but geographically separated, primary care group practices called firms. One firm was selected by chance to receive the study intervention. Forty-two providers and 2,655 patients participated. STUDY DESIGN: A nonrandomized controlled trial of computer-generated preventive reminders. Net effects were determined by quantitatively combining population-level data from parallel experimental and control interrupted time series extending over two-month baseline and intervention periods. DATA COLLECTION: Mean rates at which mammography, colorectal cancer screening, and cholesterol testing were performed on patients due to receive each maneuver at clinic visits were the trial's outcome measures. PRINCIPAL FINDINGS: Mammography performance increased on the experimental firm by 154 percent (0.24 versus 0.61, p = .03). No effect on fecal occult blood testing was observed. Cholesterol ordering decreased on both the experimental (0.18 versus 0.1 1, p = .02) and control firms (0.13 versus 0.07, p = .03) coincident with national guidelines retreating from recommending screening for young adults. A traditional uncontrolled interrupted time-series design would have incorrectly attributed the experimental-firm decrease to the introduction of reminders. The combined analysis properly indicated that no net prompting effect had occurred, as the difference between firms in cholesterol testing remained stochastically stable over time (0.05 versus 0.04, p = .75). A logistic-regression analysis applied to individual-level data produced equivalent findings. The trial incurred no supplementary data collection costs. CONCLUSIONS: The apparent validity and practicability of our reminder implementation study should encourage others to develop computerized firm systems capable of conducting controlled time-series trials. Images Fig. 1 PMID:10737451

  3. An integrated evaluation for the performance of clinical engineering department.

    PubMed

    Yousry, Ahmed M; Ouda, Bassem K; Eldeib, Ayman M

    2014-01-01

    Performance benchmarking have become a very important component in all successful organizations nowadays that must be used by Clinical Engineering Department (CED) in hospitals. Many researchers identified essential mainstream performance indicators needed to improve the CED's performance. These studies revealed mainstream performance indicators that use the database of a CED to evaluate its performance. In this work, we believe that those indicators are insufficient for hospitals. Additional important indicators should be included to improve the evaluation accuracy. Therefore, we added new indicators: technical/maintenance indicators, economic indicators, intrinsic criticality indicators, basic hospital indicators, equipment acquisition, and safety indicators. Data is collected from 10 hospitals that cover different types of healthcare organizations. We developed a software tool that analyses collected data to provide a score for each CED under evaluation. Our results indicate that there is an average gap of 67% between the CEDs' performance and the ideal target. The reasons for the noncompliance are discussed in order to improve performance of CEDs under evaluation.

  4. Scientific communication in clinical psychology: examining patterns of citations and references.

    PubMed

    Kiselica, Andrew M; Ruscio, John

    2014-01-01

    Previous studies of scientific communication used citation mapping, establishing psychology as a 'hub science' from which many other fields draw information. Within psychology, the clinical and counselling discipline is a major 'knowledge broker'. This study analyzed scientific communication among three major subdisciplines of clinical psychology-the cognitive-behavioural, psychodynamic and humanistic schools of thought-by examining patterns of references within and citations to 305 target articles published in leading journals of these subdisciplines. The results suggest that clinical researchers of each theoretical orientation engage in more insular scientific communication than an integrationist would find desirable and that cognitive-behavioural articles are more closely connected to mainstream psychology and related fields. Eclectic practitioners draw on several different theoretical orientations to inform their practice; as such, they should be interested in understanding the patterns of scientific communication within and across theoretical orientations. Practitioners work in a variety of different mental health settings, with a variety of other professionals in psychology-related fields, and should be interested in how much influence their particular theoretical orientation has on the work of colleagues. Many practitioners rely on new, evidence-based research to inform their work. The results of this study provide these individuals with an objective measure of the influence of empirical work in different areas of clinical psychology. Copyright © 2012 John Wiley & Sons, Ltd.

  5. From the laboratory to the therapy room: National dissemination and implementation of evidence-based psychotherapies in the U.S. Department of Veterans Affairs Health Care System.

    PubMed

    Karlin, Bradley E; Cross, Gerald

    2014-01-01

    Despite their established efficacy and recommendation--often as first-line treatments--in clinical practice guidelines, evidence-based psychotherapies (EBPs) have largely failed to make their way into mainstream clinical settings. Numerous attempts over the years to promote the translation of EBPs from science to practice, typically relying on one-dimensional dissemination approaches, have yielded limited success. As part of the transformation of its mental health care system, the Veterans Health Administration (VHA) of the U.S. Department of Veterans Affairs (VA) is working to disseminate and implement a number of EBPs for various mental and behavioral health conditions throughout the VA health care system. This article examines VHA's multidimensional model and specific strategies, involving policy, provider, local systems, patient, and accountability levels, for promoting the national dissemination and implementation of EBPs in VHA. In addition, the article identifies key lessons learned and next steps for further promoting EBP delivery and sustainability in the VA health care system. Beyond promoting the availability of effective treatments for veterans returning from Iraq and Afghanistan and for veterans of previous combat eras, VHA's EBP dissemination and implementation model and key lessons learned may help to inform other private and public health care systems interested in disseminating and implementing EBPs. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  6. Academic Performance, Social Competence, and Mainstream Accommodations: A Look at Mainstreamed and Nonmainstreamed Students with Serious Behavioral Disorders.

    ERIC Educational Resources Information Center

    Meadows, Nancy B.; And Others

    1994-01-01

    This study compared 13 students (grades 6 through 8) with behavior disorders who were mainstreamed part of each school day with 6 similar students not mainstreamed. Overall, the mainstreamed students had higher reading and written language scores, better work habits, and higher grades. Nonmainstreamed students demonstrated more extremes in social…

  7. Yarning/Aboriginal storytelling: towards an understanding of an Indigenous perspective and its implications for research practice.

    PubMed

    Geia, Lynore K; Hayes, Barbara; Usher, Kim

    2013-12-01

    There is increasing recognition of Indigenous perspectives from various parts of the world in relation to storytelling, research and its effects on practice. The recent emergence of storytelling or yarning as a research method in Australian Aboriginal and Torres Strait Island studies and other Indigenous peoples of the world is gaining momentum. Narratives, stories, storytelling and yarning are emerging methods in research and has wide ranging potential to shape conventional research discourse making research more meaningful and accessible for researchers. In this paper we argue for the importance of Indigenous research methods and Indigenous method(ology), within collaborative respectful partnerships with non-Indigenous researchers. It is imperative to take these challenging steps together towards better outcomes for Indigenous people and their communities. In the Australian context we as researchers cannot afford to allow the gap between Aboriginal and Torres Strait Islanders and mainstream Australia health outcomes to grow even wider. One such pathway is the inclusion of Aboriginal storytelling or yarning from an Aboriginal and Torres Strait perspective within Indigenous and non-Indigenous research paradigms. Utilising Aboriginal storytelling or yarning will provide deeper understanding; complementing a two-way research paradigm for collaborative research. Furthermore, it has significant social implications for research and clinical practice amongst Indigenous populations; thus complementing the biomedical medical paradigm.

  8. The Role of ICT in Bridge-Building and Social Inclusion: Theory, Policy and Practice Issues

    ERIC Educational Resources Information Center

    Austin, Roger

    2006-01-01

    This paper reports on the evaluation of a major programme which is using telecommunications to link teachers and pupils both across the political boundary between Northern Ireland and the Republic of Ireland and across the boundaries of "mainstream" schooling and those children in "special schools". The paper examines the…

  9. Teaching Science to a Profoundly Deaf Child in a Mainstream Classroom

    ERIC Educational Resources Information Center

    Spicer, Sally

    2016-01-01

    From her experience of teaching a profoundly deaf child learning science with British Sign Language (BSL) as the child's first language, Sally Spicer learned methods that could be good practice for all learners. In this article, Sally Spicer shares how providing an opportunity for first-hand experience to develop knowledge and understanding of…

  10. Tribal lands provide forest management laboratory for mainstream university students

    Treesearch

    Serra J. Hoagland; Ronald Miller; Kristen M. Waring; Orlando Carroll

    2017-01-01

    Northern Arizona University (NAU) faculty and Bureau of Indian Affairs (BIA) foresters initiated a partnership to expose NAU School of Forestry (SoF) graduate students to tribal forest management practices by incorporating field trips to the 1.68-million acre Fort Apache Indian Reservation as part of their silviculture curriculum. Tribal field trips were contrasted and...

  11. The Self-Efficacy of Primary Teachers in Supporting the Inclusion of Children with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Anglim, Johanna; Prendeville, Paula; Kinsella, William

    2018-01-01

    In the context of a trend towards inclusive practice in Irish primary schools, many teachers feel ill-equipped to cope with this new challenge. Scope exists within the Irish education system to transform mainstream schools into autistic spectrum disorder (ASD) friendly environments. Research into teacher perceptions of inclusion has found that…

  12. Developing Inclusive Practice: Teacher Perceptions of Opportunities and Constraints in the Republic of Ireland

    ERIC Educational Resources Information Center

    Shevlin, Michael; Winter, Eileen; Flynn, Paula

    2013-01-01

    There has been a significant policy shift from parallel systems of special and mainstream education in the Republic of Ireland towards provision underpinned by enabling legislation with a presumption for inclusion. The role of teachers in establishing inclusive learning environments is critical and it is generally accepted that inclusive practice…

  13. Engaging Young People with Autism Spectrum Disorder in Research Interviews

    ERIC Educational Resources Information Center

    Harrington, Caitlin; Foster, Michele; Rodger, Sylvia; Ashburner, Jill

    2014-01-01

    This study draws on the first author's doctoral research on the mainstream schooling experiences of young people with autism spectrum disorder (ASD) and their parents in Queensland, Australia. The aims are to share some of the practical strategies that were adapted and developed to engage the young people in the research and to critically reflect…

  14. Toward a New Conceptualization of Vision in the Work of Educational Leaders: Cases of the Visionary Archetype

    ERIC Educational Resources Information Center

    Ylimaki, Rose M.

    2006-01-01

    Purpose: Across mainstream educational leadership literature, the term vision has had two primary definitions: (a) a leader?s image of the future and (b) change goals. Translating vision into practice has become increasingly difficult, however, as educators have been bombarded with conflicting images and goals for schools. This article is…

  15. Methods and Beyond: Learning to Teach Latino Bilingual Learners in Mainstream Secondary[superscript3] Classes

    ERIC Educational Resources Information Center

    Schall-Leckrone, Laura; Pavlak, Christina

    2014-01-01

    This article reports empirical evidence about the influence of a pre-service methods course on preparing aspiring and practicing content teachers to work with adolescent bilingual learners in secondary schools. Qualitative methods were used to analyze the extent to which participants developed abilities to plan instruction and to think complexly…

  16. A Reconsideration of the Instructional Affordances of Classroom Monitoring in English Language Learning

    ERIC Educational Resources Information Center

    Towndrow, Phillip A.

    2016-01-01

    This article explores teachers' classroom monitoring in English language learning and asks if it has a role to play beyond what we know and recognize as mainstream classroom management. As part of a larger study of pedagogical practices in classrooms in Singapore, researchers collected and analyzed videographic data on the types and…

  17. Video Self-Modelling: An Intervention for Children with Behavioural Difficulties

    ERIC Educational Resources Information Center

    Regan, Helen; Howe, Julia

    2017-01-01

    There has recently been a growth in interest in the use of video technology in the practice of educational psychologists. This research explores the effects of a video self-modelling (VSM) intervention on the behaviours of a child in mainstream education using a single case study design set within a behaviourist paradigm. VSM is a behavioural…

  18. Re-Aligning Research into Teacher Education for CALL and Bringing It into the Mainstream

    ERIC Educational Resources Information Center

    Motteram, Gary

    2014-01-01

    This paper explores three research projects conducted by the writer and others with a view to demonstrating the importance of effective theory and methodology in the analysis of teaching situations where Computer Assisted Language Learning (CALL), teacher practice and teacher education meet. It argues that there is a tendency in the field of…

  19. Building Resilience in Looked after Young People: A Moral Values Approach

    ERIC Educational Resources Information Center

    Woodier, David

    2011-01-01

    Building resilience in children who are Looked After can be especially challenging. This article focuses on the practice of a teacher working with children who were struggling to be included in mainstream schools. The first study shows how a young person was helped to self-reflect, including identifying positive values as strengths in his life.…

  20. Reconceptualizing Science Classroom Discourse towards Doing Science through a Game-Based Learning Program

    ERIC Educational Resources Information Center

    Jan, Mingfong; San, Chee Yam; Tan, Ek Ming

    2011-01-01

    There is a need for schools to engage students in constructing scientific theories like practicing scientists in order to excel in the 21st century knowledge economy. An approach to engage students in constructing scientific theories is to enculturate students in doing science with language, which differs from the mainstream classroom…

  1. Using Indigenous Educational Research to Transform Mainstream Education: A Guide for P-12 School Leaders

    ERIC Educational Resources Information Center

    Harrington, Billie Graham; CHiXapkaid (Pavel, D. Michael)

    2013-01-01

    The principal assertion of this article is that Indigenous research methodologies should be used to develop educational policies and practices for Native students. The history of American educational research is marred by a near complete dismissal of Indigenous knowledge, as Western research methodologies continue to define the landscape of P-12…

  2. T[to the fourth power] = Teaching to the Fourth Power: Transformative Inquiry and the Stirring of Cultural Waters

    ERIC Educational Resources Information Center

    Sumida, Anna Y.; Meyer, Meleanna A.

    2006-01-01

    Educational practice has focused primarily upon a transmission model of education dealing with dominant, mainstream, western ideology. This model often alienates student learners due to the absence of cultural relevance. This article focuses on a theoretical framework teachers in Hawaii are using to become transformative practitioners who promote…

  3. The Role of Mentoring in the Educational Attainment and Career Development of Women Presidents in Colleges of Education in Ghana

    ERIC Educational Resources Information Center

    Tawiah, Augustine

    2009-01-01

    Mentorship has been identified in the adult and higher education literature as a transformational tool for mainstreaming disadvantaged people by providing direction, networks, and opportunities for empowerment to break barriers (Harlley, 2001). Current global interests in mentorship principles and practices are also supported by evidence of the…

  4. Agreement of Function Across Methods Used in School-Based Functional Assessment with Preadolescent and Adolescent Students

    ERIC Educational Resources Information Center

    Kwak, Meg M.; Ervin, Ruth A.; Anderson, Mary Z.; Austin, John

    2004-01-01

    As we begin to apply functional assessment procedures in mainstream educational settings, there is a need to explore options for identifying behavior function that are not only effective but efficient and practical for school personnel to employ. Attempts to simplify the functional assessment process are evidenced by the development of informant…

  5. Multilingual Writing in an Age of Accountability: From Policy to Practice in U.S. High School Classrooms

    ERIC Educational Resources Information Center

    Enright, Kerry Anne; Gilliland, Betsy

    2011-01-01

    This article considers the influence of the U.S. accountability- and standards-driven context on the writing experiences of multilingual writers in "New Mainstream" linguistically diverse high school classrooms. Qualitative data from 12 ninth grade subject-matter classes were examined to note how uses of writing in subject-matter classrooms…

  6. Teaching English Language Learners in Mainstream Science Classrooms: Teacher Practice and Educational Opportunity

    ERIC Educational Resources Information Center

    Schroeder, Carlotta Dorothy

    2011-01-01

    Equal educational opportunity for English language learners (ELLs) has been a goal of the public educational system in the United States. Language policy reforms have increased accountability in order for schools to improve student achievement and measure the progress of ELLs. The No Child Left Behind Act (NCLB) requires assessment and…

  7. Engaging Sacred Space: Experiments in the Field

    ERIC Educational Resources Information Center

    della Dora, Veronica

    2011-01-01

    This article reflects on the experience of theorizing sacred space through field practice as part of a fieldtrip to Barcelona. In particular, it focuses on the critical analysis of different approaches to sacred space as applied to various sites in the city. The article opens with a brief review of three mainstream approaches to sacred space: the…

  8. What Crisis of Representation? Challenging the Realism of Post-Structuralist Policy Research in Education

    ERIC Educational Resources Information Center

    Petersen, Eva Bendix

    2015-01-01

    Offered through a split-text, this article mounts/destabilises the argument that policy research that cites authors usually associated with post-structural thought and which is published in a mainstream education policy journal is overwhelmingly realist in its ontologising practices. It reminds the reader why that is problematic and calls for a…

  9. Sally Reis and Joe Renzulli: Models for Education Reform, Part 2

    ERIC Educational Resources Information Center

    McLester, Susan

    2012-01-01

    The term "talent development" has historically been associated only with gifted education in the K12 education world. But for the past 30 years, husband and wife team Joseph Renzulli and Sally Reis have been steadily increasing the pool of educators trained to apply talent development practices to mainstream instruction through the Renzulli…

  10. Determinants of Inclusive Education of 8-12 Year-Old Children with Cerebral Palsy in 9 European Regions

    ERIC Educational Resources Information Center

    Sentenac, Mariane; Ehlinger, Virginie; Michelsen, Susan Ishoy; Marcelli, Marco; Dickinson, Heather Olivia; Arnaud, Catherine

    2013-01-01

    The principle of inclusive education has been increasingly recognised over recent decades and most countries officially support schooling of children with disabilities in mainstream settings. The SPARCLE study offers the opportunity to report on the schooling practices for children with cerebral palsy according to the nature and severity of their…

  11. Dyslexia in Chinese Language: An Overview of Research and Practice

    ERIC Educational Resources Information Center

    Chung, Kevin K. H.; Ho, Connie S. H.

    2010-01-01

    Dyslexia appears to be the most prevalent disability of students with special educational needs in many mainstream classes, affecting around 9.7% of the school population in Hong Kong. The education of these students is therefore of great concern to the community. In the present paper research into dyslexia in the Chinese language is briefly…

  12. Young People, Drinking and Social Class. Mainstream and Counterculture in the Everyday Practice of Danish Adolescents

    ERIC Educational Resources Information Center

    Kolind, Torsten

    2011-01-01

    Analytical concepts such as "bounded consumption" or "controlled loss of control" have been applied to characterise contemporary youth intoxication. This article argues that this kind of cultural diagnosis benefits from being related to a focus on differences in social class. It is shown that in order to fully understand…

  13. Constructions of Dynamic Geometry: A Study of the Interpretative Flexibility of Educational Software in Classroom Practice

    ERIC Educational Resources Information Center

    Ruthven, Kenneth; Hennessy, Sara; Deaney, Rosemary

    2008-01-01

    The idea of "interpretative flexibility" underpins new approaches to studying technological artefacts and curricular resources in use. This paper opens by reviewing, in this light, the evolving design of dynamic geometry, its pioneering use within classroom projects, and early sketches of its mainstream use in ordinary classrooms. After…

  14. Preparing To Integrate Students with Behavioral Disorders. Working with Behavioral Disorders: CEC Mini-Library.

    ERIC Educational Resources Information Center

    Gable, Robert A.; And Others

    This booklet reviews the literature and offers guidelines to assist in the integration of students with behavioral disorders into mainstream settings and the delivery of appropriate instructional services to these students. In Part I, Robert A. Gable and Virginia K. Laycock offer practical advice on how principals, other administrators, and…

  15. The Role of Research in the Future of Special Education.

    ERIC Educational Resources Information Center

    Gallagher, James J.

    The role of research in the future of special education is discussed. The impact of research on practice is exemplified in the rise of the mainstreaming movement from research findings unable to find benefits in special class instruction for the mildly handicapped. The continuing ambivalence of the practitioner toward research is noted. The past…

  16. Creating an Inclusive Society… How Close Are We in Relation to Autism Spectrum Disorder? A General Population Survey

    ERIC Educational Resources Information Center

    Dillenburger, Karola; McKerr, Lyn; Jordan, Julie Ann; Devine, Paula; Keenan, Mickey

    2015-01-01

    Background: Children with autism spectrum disorder are increasingly educated in mainstream classrooms in the United Kingdom (Wilkinson & Twist, "Autism and Educational Assessment: UK Policy and Practice." NFER, Slough, 2010), and some employers are now specifically seeking out staff on the autism spectrum. Does that mean that we are…

  17. The Quest for Evidence-Based Practice?: We Are All Positivists!

    ERIC Educational Resources Information Center

    Thyer, Bruce A.

    2008-01-01

    Throughout the history of professional social work in the United States, the field has embraced a positivistic view of science, a view continuing to be held by the mainstream of the profession. All social workers, to some extent, embrace the fundamental tenets of positivism. However, the rhetoric espousing positivistic science has not been matched…

  18. Support Services for Mainstream Deaf College Student Writers: Three Institutional Case Studies

    ERIC Educational Resources Information Center

    Williams, Heidi Maria

    2017-01-01

    This dissertation acknowledges the fact that research regarding deaf student writers at the post-secondary level is practically void. To initiate an avenue of research that is meant to foreground future research regarding support services for deaf college student writers, I set out to find how college institutions are serving deaf student writers…

  19. Dreaming in the Classroom: Practices, Methods, and Resources in Dream Education. SUNY Series in Dream Studies

    ERIC Educational Resources Information Center

    King, Philip; Bulkeley, Kelly; Welt, Bernard

    2011-01-01

    "Dreaming in the Classroom" provides teachers from virtually all fields with a uniquely informative guidebook for introducing their students to the universal human phenomenon of dreaming. Although dreaming may not be held in high esteem in mainstream Western society, students at all education levels consistently enjoy learning about…

  20. Susan Isaacs and the Malting House School

    ERIC Educational Resources Information Center

    Graham, Philip

    2008-01-01

    It is well known that psychoanalysis has over the years had a significant impact on the education of children with mental health problems. Its contribution to the theory and practice of mainstream education is less well documented. This paper gives an account of the five-year (1924-1929) history of the Malting House School in Cambridge. The school…

  1. Fell Running and Voluptuous Panic: On Caillois and Post-Sport Physical Culture

    ERIC Educational Resources Information Center

    Atkinson, Michael

    2011-01-01

    As many cultural groups in Western societies have become disaffected with mainstream sports cultures and their logics of practice, sociologists of sport and physical culture have turned their attention to the existential benefits of play and games. There is growing interest in revisiting and exploring the classic theories of play in society,…

  2. Data-Driven Learning: Taking the Computer out of the Equation

    ERIC Educational Resources Information Center

    Boulton, Alex

    2010-01-01

    Despite considerable research interest, data-driven learning (DDL) has not become part of mainstream teaching practice. It may be that technical aspects are too daunting for teachers and students, but there seems to be no reason why DDL in its early stages should not eliminate the computer from the equation by using prepared materials on…

  3. Comment on the Status of Systematic Desensitization

    ERIC Educational Resources Information Center

    McGlynn, F. Dudley; Smitherman, Todd A.; Gothard, Kelly D.

    2004-01-01

    Articles about systematic desensitization that appeared in mainstream behavior therapy journals between the years 1970 and 2002 were counted. Graphic displays of the data point to a sudden and lasting decline of interest in systematic desensitization among academics and researchers. A questionnaire concerning clinical use of orthodox systematic…

  4. Grouping Handicapped and Non-Handicapped Children in Mainstream Settings. The Functional Mainstreaming for Success (FMS) Project. Project Review Papers. Final Report--Part 3.

    ERIC Educational Resources Information Center

    Striefel, Sebastian; And Others

    The review papers are a product of the 3-year project, "Functional Mainstreaming for Success," designed to develop a model for instructional mainstreaming of 162 handicapped children (3-6 years old) in community settings. The major feature of the project was development of a full reverse mainstreamed preschool program, which included…

  5. Minimum Conflict Mainstreaming.

    ERIC Educational Resources Information Center

    Awen, Ed; And Others

    Computer technology is discussed as a tool for facilitating the implementation of the mainstreaming process. Minimum conflict mainstreaming/merging (MCM) is defined as an approach which utilizes computer technology to circumvent such structural obstacles to mainstreaming as transportation scheduling, screening and assignment of students, testing,…

  6. From Visions to Practical Policy: The Universal Design Journey in Norway. What Did We Learn? What Did We Gain? What Now?

    PubMed

    Lund, Einar; Bringa, Olav Rand

    2016-01-01

    The national policy in Norway have since the last part of the 1990-ies been organized in programs that erected actions including national authorities, municipalities, regional authorities and private enterprises. What have we gained by our national activities to mainstream inclusive and accessibility policy for persons with reduced capability through the principles of Universal Design? Have we made society accessible to everyone and prevented discrimination. Are the results visible? We can measure results on several sectors, inter alia public buildings, outdoor areas, central communication hubs, public transport and the occurrence plans for Universal Design in municipalities and regions. Through several programs and action plans the Norwegian government has developed a sectoral approach for including persons with disabilities in the society. The majority of ministries have participated in these plans. Local initiatives, local councils for disabled people, and later on municipalities and county administrations were supported by national authorities as complements to regulations and laws. In addition, guidelines and assisting funds were used. The main objective was to redefine the national policy, using better defined national goals and introducing Universal Design to replace accessibility as the basic tool. The mainstreaming of the accessibility policy, where Universal Design was included in relevant sectors and activities, was a crucial part of the strategy. The national policy was organized in programs that erected actions focusing on how to reach, inspire and include municipalities and regional authorities in their own struggle for Universal Design. Through the mainstream approach ministries have both earmarked economic transfers to their own agencies and used steering documents guide to these agencies how to implement Universal Design in their advisory services, in practicing laws and regulations and in their own planning and building activities.

  7. Tactile Functioning in Children Who Are Blind: A Clinical Perspective

    ERIC Educational Resources Information Center

    Withagen, Ans; Vervloed, Mathijs P. J.; Janssen, Neeltje M.; Knoors, Harry; Verhoeven, Ludo

    2010-01-01

    This study of 48 children with congenital blindness who attended mainstream schools focused on the tactile and haptic skills they needed in typical academic and everyday tasks. The results showed that, in general, the children mastered such tactile tasks, but some items posed special problems. (Contains 4 tables.)

  8. Immigrating to a Mainstream College Composition Class: I Wish…

    ERIC Educational Resources Information Center

    Yu, Eunjyu

    2015-01-01

    Despite the increasing number of first generation immigrants in mainstream colleges, they are often underserved. This paper uses the voice of a mainstreamed first generation immigrant to help mainstream higher education institutions create more inclusive learning environments for every student, including struggling ESL students.

  9. Mainstream and Non-Mainstream Communication Norms.

    ERIC Educational Resources Information Center

    Kochman, Thomas

    This document discusses significant differences between the cultural personalities and communication patterns of non-mainstream and mainstream groups in an effort to understand the nature and cause of conflict between groups. The author seeks to identify the "combustible" features of different communication systems, to demonstrate the systematic…

  10. Gender-Mainstreaming in Technical and Vocational Education and Training

    NASA Astrophysics Data System (ADS)

    Nurhaeni, I. D. A.; Kurniawan, Y.

    2018-02-01

    Gender differences should be considered in vocational high schools so women and men can develop their potentials without being inhibited by gender bias. Gender mainstreaming in vocational high schools is a strategy to integrate gender differences at all stages in teaching-learning process for achieving gender equality and equity. This research evaluates the implementation of gender mainstreaming in vocational high schools consisting of seven key components of gender mainstreaming. Four vocational high schools in Sragen Regency Indonesia have been purposively selected. The data were obtained through in-depth interviews and documentation studies. The data were analyzed using Kabeer’s model of gender analysis. The findings show that not all key components of gender mainstreaming have been implemented in vocational high schools. Most vocational high schools have implemented three of seven key components of gender mainstreaming, namely political will and leadership, policy framework and gender statistics. Meanwhile four of seven key components of gender mainstreaming, namely structure and mechanism, resources, infra structures and civil society have not been well-implemented. In conclusion gender mainstreaming has not been implemented effectively in vocational high schools. Accordingly, the government’s education office should continue to encourage and publish guidelines on the implementation of gender-mainstreaming in vocational high schools.

  11. South Asian participation in clinical trials: the views of lay people and health professionals.

    PubMed

    Hussain-Gambles, Mah; Atkin, Karl; Leese, Brenda

    2006-07-01

    There is little UK-based empirical research on South Asian participation in clinical trials. The predominantly US literature rarely engages with mainstream debates about ethnicity, diversity and difference. This study was prompted by a lack of knowledge about how South Asian people perceive trial involvement and the risks and benefits involved. Face to face interviews were conducted with 25 health professionals (consultants, GPs, nursing staff, academics, non-medically trained trial co-ordinators, LREC and MREC members) and 60 South Asian lay people (20 Indians, 20 Pakistanis and 20 Bangladeshis) who had not taken part in a trial. The study took place in the Leeds and Bradford areas of England. It was found that lay South Asian attitudes towards clinical trial participation focused on similarities rather than differences with the general UK population, suggesting that the relevance of ethnicity should be kept in perspective. There was no evidence of antipathy amongst South Asians to the concept of clinical trials, and awareness was a correlate of social class, education and younger age. Lay factors that might affect South Asian participation in clinical trials included: age; language, social class; feeling of not belonging/mistrust; culture and religion. Approachable patients (of the same gender, social class and fluent in English) tended to be 'cherry picked' to clinical trials. This practice was justified because of a lack of time, resources and inadequate support. South Asian patients might be systematically excluded from trials due to the increased cost and time associated with their inclusion, particularly in relation to the language barrier. Under-representation might also be due to passive exclusion associated with cultural stereotypes. The paper concludes by applying the theoretical framework of institutional racism as a means of making sense of policy and practice. At the same time, caution is advocated against using ethnicity as the only form of discrimination facing minority ethnic populations.

  12. Successful chronic disease care for Aboriginal Australians requires cultural competence.

    PubMed

    Liaw, Siaw Teng; Lau, Phyllis; Pyett, Priscilla; Furler, John; Burchill, Marlene; Rowley, Kevin; Kelaher, Margaret

    2011-06-01

    To review the literature to determine the attributes of culturally appropriate healthcare to inform the design of chronic disease management (CDM) models for Aboriginal patients in urban general practice. A comprehensive conceptual framework, drawing on the Access to Care, Pathway to Care, Chronic Care, Level of Connectedness, and Cultural Security, Cultural Competency and Cultural Respect models, was developed to define the search strategy, inclusion criteria and appraisal methods for the literature review. Selected papers were reviewed in detail if they examined a chronic disease intervention for an Aboriginal population and reported on its evaluation, impacts or outcomes. In the 173 papers examined, only 11 programs met the inclusion criteria. All were programs conducted in rural and remote Aboriginal community-controlled health services. Successful chronic disease care and interventions require adequate Aboriginal community engagement, utilising local knowledge, strong leadership, shared responsibilities, sustainable resources and integrated data and systems. These success factors fitted within the conceptual framework developed. Research and development of culturally appropriate CDM models concurrently in both urban and rural settings will enable more rigorous evaluation, leading to stronger evidence for best practice. A partnership of mainstream and Aboriginal-controlled health services is essential to successfully 'close the gap'. Findings will inform and guide the development, implementation and evaluation of culturally appropriate CDM in mainstream general practice and primary care. © 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia.

  13. Mainstreaming conservation agriculture in Malawi: Knowledge gaps and institutional barriers.

    PubMed

    Dougill, Andrew J; Whitfield, Stephen; Stringer, Lindsay C; Vincent, Katharine; Wood, Benjamin T; Chinseu, Edna L; Steward, Peter; Mkwambisi, David D

    2017-06-15

    Conservation agriculture (CA) practices of reduced soil tillage, permanent organic soil coverage and intercropping/crop rotation, are being advocated globally, based on perceived benefits for crop yields, soil carbon storage, weed suppression, reduced soil erosion and improved soil water retention. However, some have questioned their efficacy due to uncertainty around the performance and trade-offs associated with CA practices, and their compatibility with the diverse livelihood strategies and varied agro-ecological conditions across African smallholder systems. This paper assesses the role of key institutions in Malawi in shaping pathways towards more sustainable land management based on CA by outlining their impact on national policy-making and the design and implementation of agricultural development projects. It draws on interviews at national, district and project levels and a multi-stakeholder workshop that mapped the institutional landscape of decision-making for agricultural land management practices. Findings identify knowledge gaps and institutional barriers that influence land management decision-making and constrain CA uptake. We use our findings to set out an integrated roadmap of research needs and policy options aimed at supporting CA as a route to enhanced sustainable land management in Malawi. Findings offer lessons that can inform design, planning and implementation of CA projects, and identify the multi-level institutional support structures required for mainstreaming sustainable land management in sub-Saharan Africa. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Students with Disabilities in Mainstream Schools: District Level Perspectives on Anti-Bullying Policy and Practice within Schools in Alberta

    ERIC Educational Resources Information Center

    Gil, Malgorzata; da Costa, Jose

    2010-01-01

    Many researchers around the world point out that bullying in schools is aimed towards others, in many cases against students with disabilities. Bullying is a serious issue, which involves many students and is, by far, the biggest violence problem in schools in many countries. The researchers investigated how provincial legislation and…

  15. Working across cultures to protect Native American natural and cultural resources from invasive species in California

    Treesearch

    Janice M. Alexander; Susan J. Frankel; Nina Hapner; John L. Phillips; Virgil Dupuis

    2017-01-01

    Invasive species know no boundaries; they spread regardless of ownership, and actions by neighboring landowners can influence local and regional populations and impacts. Native Americans and mainstream Western society (representing the prevalent attitudes, values, and practices of US society) both depend on forests for food, fiber, and emotional well-being, but in...

  16. A Professional Development Program for Dental Medical Educators in Kuwait: Needs Assessment, Program Design and Formative Evaluation

    ERIC Educational Resources Information Center

    Alyaseen, Haneen

    2017-01-01

    New innovative methods of teaching and learning adopted from mainstream research and development in educational theory and practice are being adapted to serve the unique needs of the medical professions. The success of these methods requires careful planning and establishment of faculty development programs. The purpose of this study is to perform…

  17. An Analysis of Technology Education in the United States Based upon an Historical Overview and Review of Contemporary Curriculum Research.

    ERIC Educational Resources Information Center

    Zuga, Karen F.

    1997-01-01

    Mainstream practice in industrial arts is a study of skills needed to perform a trade, rather than a study of the relationship of industry to society. This article provides an overview industrial arts curricula (1870-present) and a review of contemporary research, highlighting positivism, resistance to change, constructivism, curriculum…

  18. The Practices of Dealing with Children with Special Needs in School: A Norwegian Perspective

    ERIC Educational Resources Information Center

    Haug, Peder

    2014-01-01

    The article has two parts. Part one deals with some historical developments in the field of special education in Norway. There has been a change in formulated policy from a clearly segregated system, then integration and mainstreaming and now intentions about inclusion as an ideal. The second part is about children with behavioural difficulties…

  19. Training Secondary School Teachers in Instructional Language Modification Techniques to Support Adolescents with Language Impairment: A Randomized Controlled Trial

    ERIC Educational Resources Information Center

    Starling, Julia; Munro, Natalie; Togher, Leanne; Arciuli, Joanne

    2012-01-01

    Purpose: This study evaluated the efficacy of a collaborative intervention where a speech-language pathologist (SLP) trained mainstream secondary school teachers to make modifications to their oral and written instructional language. The trained teachers' uptake of techniques in their whole-class teaching practices and the impact this had on the…

  20. Supporting Students with Autistic Spectrum Disorder (ASD) at Secondary School: A Parent and Student Perspective

    ERIC Educational Resources Information Center

    Tobias, Adele

    2009-01-01

    This paper describes a small-scale research project undertaken in July 2007, which focused on a group of students with a diagnosis of autistic spectrum disorder (ASD) currently attending a mainstream secondary school. Three focus groups were held with students in Years 9 and 11 and with their parents in order to explore current practice on…

  1. The Welcome Workbook: A Self Review Framework for Expanding Inclusive Provision in Your Local Authority

    ERIC Educational Resources Information Center

    Centre for Studies on Inclusive Education, 2009

    2009-01-01

    The Welcome Workbook is a practical resource for people working in local authorities who want to see an increase in the number of children fulfilling their right to mainstream education. By providing a clear self-review framework, The Welcome Workbook enables local authorities to audit their existing processes and map a route towards more…

  2. Unrestricted Territory: Gender, Two Spirits, and Louise Erdrich's "The Last Report on the Miracles at Little No Horse"

    ERIC Educational Resources Information Center

    Keenan, Deirdre

    2006-01-01

    In this article, the author examines Louise Erdrich's representation of Father Damien in "The Last Report on the Miracles at Little No Horse" in the context of mainstream attitudes about transgender identities and Native American gender systems. In this context, Erdrich's novel provides a theory and practice of gender identity formation that…

  3. Toward Ubiquitous BCIs

    NASA Astrophysics Data System (ADS)

    Allison, Brendan Z.

    The preceding chapters in this book described modern BCI systems. This concluding chapter instead discusses future directions. While there are some specific predictions, I mainly analyze key factors and trends relating to practical mainstream BCI development. While I note some disruptive technologies that could dramatically change BCIs, this chapter focuses mainly on realistic, incremental progress and how progress could affect user groups and ethical issues.

  4. The Primacy of Cognition--or of Perception? A Phenomenological Critique of the Theoretical Bases of Science Education.

    ERIC Educational Resources Information Center

    Dahlin, Bo

    2001-01-01

    Critiques a particular trend in educational research and practice, "cognitivism", which is a result of the reception by education of epistemological theories that have an objective alien to that of education, which is the all-round development of human personality. Suggests that present mainstream theories of science education be complemented with…

  5. L'Integration des eleves en difficulte de comportement en classe ordinaire (Preparing To Integrate Students with Behavioral Disorders).

    ERIC Educational Resources Information Center

    Gable, Robert A.; And Others

    This booklet, in French, reviews the literature and offers guidelines to assist in the integration of students with behavioral disorders into mainstream settings and in the delivery of appropriate instructional services to these students. In Part 1, Robert A. Gable and Virginia K. Laycock offer practical advice on how principals, other…

  6. Gender Equality and Equity: A Summary Review of UNESCO's Accomplishments since the Fourth World Conference on Women (Beijing 1995).

    ERIC Educational Resources Information Center

    Pavlic, Breda; Ruprecht, Lydia; Sam-Vargas, Susana

    The current process of reform of the United Nations Educational, Scientific and Cultural Organization (UNESCO) and the preparation of a new 6-year strategy for 2001-2006 provide an opportunity to integrate fully into its planning, programming, implementation, and evaluation a gender mainstreaming practice advocated by the United Nations and other…

  7. Creativity and Democracy in Education: Practices and Politics of Learning through the Arts. Routledge Research in Education Policy and Politics

    ERIC Educational Resources Information Center

    Adams, Jeff; Owens, Allan

    2015-01-01

    The struggle to establish more democratic education pedagogies has a long history in the politics of mainstream education. This book argues for the significance of the creative arts in the establishment of social justice in education, using examples drawn from a selection of contemporary case studies including Japanese applied drama, Palestinian…

  8. The Making of a National Hero: Tao Xingzhi's Legacies in the People's Republic of China

    ERIC Educational Resources Information Center

    Yao, Yusheng

    2002-01-01

    Tao Xingzhi (1891-1946) was an outstanding modern educator, whose theory and practice of life education represented a radical discourse in the Chinese debate on modern education and national reconstruction. Although he is most often known as a Deweyan reformer in the mainstream of American studies, in his theoretical maturity Tao can more…

  9. Multiple Perspectives on Integrated Education for Children with Disabilities in the Context of Early Childhood Centres in Hong Kong

    ERIC Educational Resources Information Center

    Lai, Yuk Ching; Gill, Judith

    2014-01-01

    The integration of children with disabilities in mainstream early childhood settings is a common practice in many developed and developing countries world-wide. A number of key points have been raised concerning such integration, including the increased attention to civil education about the rights of persons with disabilities, training for…

  10. Global Distinction: Social Status, Organizational Change and the Internationalization of American and British Universities

    ERIC Educational Resources Information Center

    Friedman, Jonathan Z.

    2017-01-01

    The past two decades have seen the idea of internationalization move into the mainstream of higher education policy and practice, on a global scale. In countries like the US and UK however, higher education is widely perceived as a hierarchical field, where high- and low-status universities are differentiated from one another: serving different…

  11. Young Travellers and the Children's Fund: Some Practical Notes on an Experimental Image-Based Research Project

    ERIC Educational Resources Information Center

    Dean, Charlotte

    2007-01-01

    The paper reflects on how photography was used during a small piece of mixed methods qualitative research with some young Travellers and their families. The context for the study was "Every Child Matters" and the accompanying push aimed to include groups considered as marginalised, such as young Travellers, in mainstream educational provision, as…

  12. TGfU Pet-Agogy: Old Dogs, New Tricks and Puppy School

    ERIC Educational Resources Information Center

    Butler, Joy I.

    2005-01-01

    How do we encourage teachers to adopt Teaching Games for Understanding (TGfU) so that it becomes part of mainstream practice in physical education and community-based sports programmes worldwide? Why do some teachers adopt a TGfU instructional model and others stick to a technique-based approach? What happens to PETE students when they attempt to…

  13. Culturally and Linguistically Responsive Teaching in Practice: A Case Study of a Fourth-Grade Mainstream Classroom Teacher

    ERIC Educational Resources Information Center

    Zhang-Wu, Qianqian

    2017-01-01

    As a result of increases in immigration, more students from culturally and linguistically diverse backgrounds are entering K-12 classrooms in the United States. Thus, the need to study the education of diverse learners is intensified. Drawing upon semi-structured interviews, observations, and informal conversations, this case study examined how a…

  14. Empowerment: reformulation of a non-Rogerian concept.

    PubMed

    Crawford Shearer, Nelma B; Reed, Pamela G

    2004-07-01

    The authors present a reformulation of empowerment based upon historical and current perspectives of empowerment and a synthesis of existing literature and Rogerian thought. Reformulation of non-Rogerian concepts familiar to nurses is proposed as a strategy to accelerate the mainstreaming of Rogerian thought into nursing practice and research. The reformulation of empowerment as a participatory process of well-being inherent among human beings may provide nurses with new insights for practice. This paper may also serve as a model for reformulating other non-Rogerian concepts and theories for wider dissemination across the discipline.

  15. The Cultural Socialization Scale: Assessing Family and Peer Socialization toward Heritage and Mainstream Cultures

    PubMed Central

    Wang, Yijie; Benner, Aprile D.; Kim, Su Yeong

    2015-01-01

    In a culturally diverse society, youth learn about multiple cultures from a variety of sources, yet the existing assessment of cultural socialization has been limited to parents' efforts to teach youth about their heritage culture. The current study adapted and extended an existing cultural socialization measure (Umaña-Taylor & Fine, 2004) to assess four types of socialization practices encountered specifically during adolescence: cultural socialization by families and peers toward both one's heritage culture and the mainstream culture. In a pilot study, we developed the cultural socialization scale based on retrospective reports from 208 young adults, maximizing young adults' ability to reason and reflect their adolescent experiences with various socialization practices. In the primary study, we examined the psychometric properties of the scale using reports from 252 adolescents. Cultural socialization occurred from both socialization agents toward both cultures. Our cultural socialization scale demonstrated stable factor structures and high reliabilities. We observed strong factorial invariance across the four subscales (six items). MIMIC models also demonstrated invariance for each subscale across adolescents' demographic characteristics (i.e., gender, race/ethnicity, nativity, SES, language of assessment). The implications of the cultural socialization scale are discussed. PMID:25961139

  16. Scaffolding as a key role for teaching assistants: Perceptions of their pedagogical strategies.

    PubMed

    Bowles, David; Radford, Julie; Bakopoulou, Ioanna

    2017-11-19

    Inclusive education policies have led to a worldwide increase in the number of teaching assistants (TAs) working in mainstream schools. TAs have a large amount of responsibility for supporting children with special educational needs and disabilities (SEND), a role which by default has become instructional in practice, and for which training and preparation are rarely adequate. While there is some research into the nature of TAs' interactions with pupils and the strategies they use which are helpful for children's learning, TAs' perspectives on their own classroom practice have yet to be explored. To explore TAs' perceptions about their use of inclusive pedagogical strategies. The study involved eleven TAs in two mainstream primary schools. The TAs were interviewed face to face to explore their views about inclusive pedagogical strategies. The data were analysed using thematic analysis. TAs were clear about the strategies they use to offer emotional and relational support to children. There were some gaps, however, in their knowledge about how children learn, specifically in terms of transferring responsibility for learning onto children. The study advances understanding of scaffolding from a TA perspective and highlights the importance of training TAs in scaffolding theory. © 2017 The British Psychological Society.

  17. Moving Away from Social Work and Half Way Back Again: New Research on Skills in Probation

    PubMed Central

    Raynor, Peter; Vanstone, Maurice

    2016-01-01

    Research on social work in the criminal justice system was well represented in the social work literature until the 1990s. Since then, changes in the organisation, training and research base of probation practice, particularly in England and Wales, have all contributed to a separation between probation research and the mainstream social work research literature. However, recent probation research, by focusing on individual practice skills and on the quality of relationships, is producing findings which resonate with traditional social work concerns. The study presented here, based on analysis of videotaped interviews between probation staff and the people they are supervising, shows what skills are used and the effects of skilled supervision. People supervised by more skilled staff were significantly less likely to be reconvicted over a two-year follow-up, and the most effective supervisors combined good relationship skills with a range of ‘structuring’ or change-promoting skills. In effect, this can be regarded as a test of the impact of social work skills used by probation staff and suggests that a closer relationship between mainstream social work research and probation research could be productive for both. PMID:27559218

  18. History of Right Heart Catheterization: 100 Years of Experimentation and Methodology Development

    PubMed Central

    Nossaman, Bobby D.; Scruggs, Brittni A.; Nossaman, Vaughn E.; Murthy, Subramanyam N.; Kadowitz, Philip J.

    2010-01-01

    The development of right heart catheterization has provided the clinician the ability to diagnose patients with congenital and acquired right heart disease, and to monitor patients in the ICU with significant cardiovascular illnesses. The development of bedside pulmonary artery catheterization has become a standard of care for the critically ill patient since its introduction into the ICU almost 40 years ago. However, adoption of this procedure into the mainstream of clinical practice occurred without prior evaluation or demonstration of its clinical or cost-effectiveness. Moreover, current randomized, controlled trials provide little evidence in support of the clinical utility of pulmonary artery catheterization in the management of critically ill patients. Nevertheless, the right heart catheter is an important diagnostic tool to assist the clinician in the diagnosis of congenital heart disease and acquired right heart disease, and moreover, when catheter placement is proximal to the right auricle (atria), this catheter provides an important and safe route for administration of fluids, medications, and parenteral nutrition. The purpose of this manuscript is to review the development of right heart catheterization that led to the ability to conduct physiologic studies in cardiovascular dynamics in normal individuals and in patients with cardiovascular diseases, and to review current controversies of the extension of the right heart catheter, the pulmonary artery catheter. PMID:20160536

  19. Bacterial Cytological Profiling (BCP) as a Rapid and Accurate Antimicrobial Susceptibility Testing Method for Staphylococcus aureus.

    PubMed

    Quach, D T; Sakoulas, G; Nizet, V; Pogliano, J; Pogliano, K

    2016-02-01

    Successful treatment of bacterial infections requires the timely administration of appropriate antimicrobial therapy. The failure to initiate the correct therapy in a timely fashion results in poor clinical outcomes, longer hospital stays, and higher medical costs. Current approaches to antibiotic susceptibility testing of cultured pathogens have key limitations ranging from long run times to dependence on prior knowledge of genetic mechanisms of resistance. We have developed a rapid antimicrobial susceptibility assay for Staphylococcus aureus based on bacterial cytological profiling (BCP), which uses quantitative fluorescence microscopy to measure antibiotic induced changes in cellular architecture. BCP discriminated between methicillin-susceptible (MSSA) and -resistant (MRSA) clinical isolates of S. aureus (n = 71) within 1-2 h with 100% accuracy. Similarly, BCP correctly distinguished daptomycin susceptible (DS) from daptomycin non-susceptible (DNS) S. aureus strains (n = 20) within 30 min. Among MRSA isolates, BCP further identified two classes of strains that differ in their susceptibility to specific combinations of beta-lactam antibiotics. BCP provides a rapid and flexible alternative to gene-based susceptibility testing methods for S. aureus, and should be readily adaptable to different antibiotics and bacterial species as new mechanisms of resistance or multidrug-resistant pathogens evolve and appear in mainstream clinical practice.

  20. Comparing homeless persons' care experiences in tailored versus nontailored primary care programs.

    PubMed

    Kertesz, Stefan G; Holt, Cheryl L; Steward, Jocelyn L; Jones, Richard N; Roth, David L; Stringfellow, Erin; Gordon, Adam J; Kim, Theresa W; Austin, Erika L; Henry, Stephen Randal; Kay Johnson, N; Shanette Granstaff, U; O'Connell, James J; Golden, Joya F; Young, Alexander S; Davis, Lori L; Pollio, David E

    2013-12-01

    We compared homeless patients' experiences of care in health care organizations that differed in their degree of primary care design service tailoring. We surveyed homeless-experienced patients (either recently or currently homeless) at 3 Veterans Affairs (VA) mainstream primary care settings in Pennsylvania and Alabama, a homeless-tailored VA clinic in California, and a highly tailored non-VA Health Care for the Homeless Program in Massachusetts (January 2011-March 2012). We developed a survey, the "Primary Care Quality-Homeless Survey," to reflect the concerns and aspirations of homeless patients. Mean scores at the tailored non-VA site were superior to those from the 3 mainstream VA sites (P < .001). Adjusting for patient characteristics, these differences remained significant for subscales assessing the patient-clinician relationship (P < .001) and perceptions of cooperation among providers (P = .004). There were 1.5- to 3-fold increased odds of an unfavorable experience in the domains of the patient-clinician relationship, cooperation, and access or coordination for the mainstream VA sites compared with the tailored non-VA site; the tailored VA site attained intermediate results. Tailored primary care service design was associated with a superior service experience for patients who experienced homelessness.

  1. Mainstreaming: Merging Regular and Special Education.

    ERIC Educational Resources Information Center

    Hasazi, Susan E.; And Others

    The booklet on mainstreaming looks at the merging of special and regular education as a process rather than as an end. Chapters address the following topics (sample subtopics in parentheses): what is mainstreaming; pros and cons of mainstreaming; forces influencing change in special education (educators, parents and advocacy groups, the courts,…

  2. Evaluation of personality disorder workshops in Essex, England: reported impacts on clinical practice.

    PubMed

    Schafer, Tim; McGrath, Mark; Kent, Lyn; Nightingale, Maxine

    2013-01-01

    In this paper we examine the background and context for training related to working with people with personality disorders in England. People with a diagnosis of personality disorder often feel excluded from mainstream health, social and employment contexts, and sometimes experience negative and stigmatizing attitudes from people, including health and social care workers. An evaluation of a program of workshops for forensic nurses and other practitioners was carried out to ascertain how effective the workshops were in challenging attitudes and also in potentially promoting better practice in working with this client group. The evaluation was designed utilizing the principles of illuminative evaluation and involved an analysis of workshop evaluation forms and telephone interviews with course participants. The course received very positive evaluations and participants described how it challenged their beliefs, promoting therapeutic optimism, understanding, and more positive partnerships. Key factors in achieving this were adopting a team approach to the training and service user participation in the workshops. Drawing on our experiences and a wide range of literature, we illustrate the importance of service user involvement in teaching and promoting more positive attitudes, and we outline further areas for investigation.

  3. Barriers to the Entry of Biofield Healing Into “Mainstream” Healthcare

    PubMed Central

    Sprengel, Meredith; Ives, John A.; Jonas, Wayne

    2015-01-01

    In this article, we describe barriers to the entry of biofield healing into mainstream contemporary science and clinical practice. We focus on obstacles that arise from the social nature of the scientific enterprise, an aspect of science highlighted by the influential work of Thomas Kuhn (1922-1996), one of the most important— and controversial—philosophers of science in the 20th century. Kuhn analyzed science and its revolutionary changes in terms of the dynamics within scientific communities. Kuhn's approach helps us understand unconventional medical theories and practices such as biofield healing. For many years, these were called “complementary and alternative medicine” (CAM). However, because most people use nonmainstream approaches in conjunction with conventional treatments, the National Institutes of Health and many practitioners now prefer “Complementary and Integrative Medicine” (CIM) where integrative implies “bringing conventional and complementary approaches together in a coordinated way.”1 Biofield healing fits the integrative model well, provides a novel approach to therapeutic intervention, and is developing in a manner that can integrate with current medical science in simple ways. Yet, it still remains outside the conventional framework because of its conceptual bases, which contrast sharply with conventional assumptions regarding the nature of reality. PMID:26665046

  4. Impact of the operation of cascade reservoirs in upper Yangtze River on hydrological variability of the mainstream

    NASA Astrophysics Data System (ADS)

    Changjiang, Xu; Dongdong, Zhang

    2018-06-01

    As the impacts by climate changes and human activities are intensified, variability may occur in river's annual runoff as well as flood and low water characteristics. In order to understand the characteristics of variability in hydrological series, diagnosis and identification must be conducted specific to the variability of hydrological series, i.e., whether there was variability and where the variability began to occur. In this paper, the mainstream of Yangtze River was taken as the object of study. A model was established to simulate the impounding and operation of upstream cascade reservoirs so as to obtain the runoff of downstream hydrological control stations after the regulation by upstream reservoirs in different level years. The Range of Variability Approach was utilized to analyze the impact of the operation of upstream reservoirs on the variability of downstream. The results indicated that the overall hydrologic alterations of Yichang hydrological station in 2010 level year, 2015 level year and the forward level year were 68.4, 72.5 and 74.3 % respectively, belonging to high alteration in all three level years. The runoff series of mainstream hydrological stations presented variability in different degrees, where the runoff series of the four hydrological stations including Xiangjiaba, Gaochang and Wulong belonged to high alteration in the three level years; and the runoff series of Beibei hydrological station in 2010 level year belonged to medium alteration, and high alteration in 2015 level year and the forward level year. The study on the impact of the operation of cascade reservoirs in Upper Yangtze River on hydrological variability of the mainstream had important practical significance on the sustainable utilization of water resources, disaster prevention and mitigation, safe and efficient operation and management of water conservancy projects and stable development of the economic society.

  5. Early childhood nutrition, active outdoor play and sources of information for families living in highly socially disadvantaged locations.

    PubMed

    Myers, Judith; Gibbons, Kay; Arnup, Sarah; Volders, Evelyn; Naughton, Geraldine

    2015-03-01

    To compare nutrition and active play of children aged 0-4 years attending Supported Playgroups and mainstream services and to compare access, understanding and application of health information within these families. A cross-sectional study of children aged 0-4 years attending early childhood services. Following stratified random sampling, 81 parents of children attending Supported Playgroups in two highly disadvantaged municipalities of Victoria, Australia were surveyed about children's nutrition, active outdoor play/screen time and access to health information. Responses were dichotomised based on national recommendations and compared with 331 children attending maternal and child health and childcare centres (mainstream services). All outcomes except age were dichotomous and analysed using chi-square, relative risk and 95% confidence intervals. More children from Supported Playgroups consumed sweet drinks (P = 0.005), 'packaged' foods (P = 0.012) and tea/coffee (P = 0.038) than mainstream children. Supported Playgroup families reported more food insecurity (P = 0.016) and excessive 'screen time' for children under 2 years (P = 0.03). Fewer Supported Playgroups parents sought advice from family members (P < 0.001) and the Internet (P = 0.014) and more experienced difficulties accessing (P < 0.001), understanding (P = 0.002) and applying health information (P < 0.001). Despite comparable availability of child health information, Supported Playgroups children demonstrated more concerning child health practices, and families experienced greater difficulties accessing, understanding and applying advice than families from mainstream services despite living in the same highly disadvantaged locations. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  6. CFD Assessment of Orifice Aspect Ratio and Mass Flow Ratio on Jet Mixing in Rectangular Ducts

    NASA Technical Reports Server (NTRS)

    Bain, D. B.; Smith, C. E.; Holdeman, J. D.

    1994-01-01

    Isothermal CFD analysis was performed on axially opposed rows of jets mixing with cross flow in a rectangular duct. Laterally, the jets' centerlines were aligned with each other on the top and bottom walls. The focus of this study was to characterize the effects of orifice aspect ratio and jet-to-mainstream mass flow ratio on jet penetration and mixing. Orifice aspect ratios (L/W) of 4-to-1, 2-to-1, and 1-to-1, along with circular holes, were parametrically analyzed. Likewise, jet-to-mainstream mass flow ratios (MR) of 2.0, 0.5, and 0.25 were systematically investigated. The jet-to-mainstream momentum-flux ratio (J) was maintained at 36 for all cases, and the orifice spacing-to-duct height (S/H) was varied until optimum mixing was attained for each configuration. The numerical results showed that orifice aspect ratio (and likewise orifice blockage) had little effect on jet penetration and mixing. Based on mixing characteristics alone, the 4-to-1 slot was comparable to the circular orifice. The 4-to-1 slot has a smaller jet wake which may be advantageous for reducing emissions. However, the axial length of a 4-to-1 slot may be prohibitively long for practical application, especially for MR of 2.0. The jet-to-mainstream mass flow ratio had a more significant effect on jet penetration and mixing. For a 4-to-1 aspect ratio orifice, the design correlating parameter for optimum mixing (C = (S/H)(sq. root J)) varied from 2.25 for a mass flow ratio of 2.0 to 1.5 for a mass flow ratio of 0.25.

  7. Integrative oncology: an overview.

    PubMed

    Deng, Gary; Cassileth, Barrie

    2014-01-01

    Integrative oncology, the diagnosis-specific field of integrative medicine, addresses symptom control with nonpharmacologic therapies. Known commonly as "complementary therapies" these are evidence-based adjuncts to mainstream care that effectively control physical and emotional symptoms, enhance physical and emotional strength, and provide patients with skills enabling them to help themselves throughout and following mainstream cancer treatment. Integrative or complementary therapies are rational and noninvasive. They have been subjected to study to determine their value, to document the problems they ameliorate, and to define the circumstances under which such therapies are beneficial. Conversely, "alternative" therapies typically are promoted literally as such; as actual antitumor treatments. They lack biologic plausibility and scientific evidence of safety and efficacy. Many are outright fraudulent. Conflating these two very different categories by use of the convenient acronym "CAM," for "complementary and alternative therapies," confuses the issue and does a substantial disservice to patients and medical professionals. Complementary and integrative modalities have demonstrated safety value and benefits. If the same were true for "alternatives," they would not be "alternatives." Rather, they would become part of mainstream cancer care. This manuscript explores the medical and sociocultural context of interest in integrative oncology as well as in "alternative" therapies, reviews commonly-asked patient questions, summarizes research results in both categories, and offers recommendations to help guide patients and family members through what is often a difficult maze. Combining complementary therapies with mainstream oncology care to address patients' physical, psychologic and spiritual needs constitutes the practice of integrative oncology. By recommending nonpharmacologic modalities that reduce symptom burden and improve quality of life, physicians also enable patients to play a role in their care. Critical for most patients, this also improves the physician-patient relationship, the quality of cancer care, and the well-being of patients and their families.

  8. Population health and social governance: analyzing the mainstream incorporation of ethnography.

    PubMed

    O'Byrne, Patrick

    2012-06-01

    Recently, health care workers (researchers, academics, policy writers, clinicians) have begun to view ethnography as an acceptable research methodology for informing public health work. This corresponds with a change in public health practice toward population health, wherein identifiable groups are examined to identify the group-level and contextual factors that affect their health statuses. Although population health-based methodological and outcomes-focused examinations have already occurred regarding ethnography, no extant literature scrutinizes the incorporation of ethnography into mainstream public and population health work from a sociopolitical viewpoint. Consequently, such an investigation occurs here using Foucault's concepts of discipline and Lupton's advancement of Foucault's ideas about the imperative of health. The outcome of this investigation is the assertion that ethnography is a strategic method for disciplining populations that do not respect the imperative of health. In other words, ethnography helps generate the data that can be used to normalize large groups of people.

  9. Expressive Arts for Exceptional Children in the Mainstream: Working Papers.

    ERIC Educational Resources Information Center

    Kingsley, Ronald F., Ed.; Michaels, Eunice R., Ed.

    The document contains nine presentations and five miniworkshop papers from a teacher institute on expressive arts for exceptional children in the mainstream. The following titles and authors are represented: "The Educator and Mainstreaming--A State of Mind and a Set of Skills" (G. Bailey); "The Arts in the Mainstream" (G. Barlow); "The Emergence…

  10. Use of the "Attitudes toward Mainstreaming Scale" with Rural Georgia Teachers.

    ERIC Educational Resources Information Center

    Berryman, Joan D.; Berryman, Charles R.

    Because teacher attitude could be crucial to the success or failure of mainstreaming handicapped children, the Attitudes Toward Mainstreaming Scale (ATMS) was developed to establish a baseline of current teacher attitudes towards mainstreaming and to monitor future attitudinal changes, and was validated and cross-validated through a principal axis…

  11. Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey

    PubMed Central

    2014-01-01

    Background As health care has increased in complexity and health care teams have been offered as a solution, so too is there an increased need for stronger interprofessional collaboration. However the intraprofessional factions that exist within every profession challenge interprofessional communication through contrary paradigms. As a contender in the conservative spinal health care market, factions within chiropractic that result in unorthodox practice behaviours may compromise interprofessional relations and that profession’s progress toward institutionalization. The purpose of this investigation was to quantify the professional stratification among Canadian chiropractic practitioners and evaluate the practice perceptions of those factions. Methods A stratified random sample of 740 Canadian chiropractors was surveyed to determine faction membership and how professional stratification could be related to views that could be considered unorthodox to current evidence-based care and guidelines. Stratification in practice behaviours is a stated concern of mainstream medicine when considering interprofessional referrals. Results Of 740 deliverable questionnaires, 503 were returned for a response rate of 68%. Less than 20% of chiropractors (18.8%) were aligned with a predefined unorthodox perspective of the conditions they treat. Prediction models suggest that unorthodox perceptions of health practice related to treatment choices, x-ray use and vaccinations were strongly associated with unorthodox group membership (X2 =13.4, p = 0.0002). Conclusion Chiropractors holding unorthodox views may be identified based on response to specific beliefs that appear to align with unorthodox health practices. Despite continued concerns by mainstream medicine, only a minority of the profession has retained a perspective in contrast to current scientific paradigms. Understanding the profession’s factions is important to the anticipation of care delivery when considering interprofessional referral. PMID:24512507

  12. Differentiating intraprofessional attitudes toward paradigms in health care delivery among chiropractic factions: results from a randomly sampled survey.

    PubMed

    McGregor, Marion; Puhl, Aaron A; Reinhart, Christine; Injeyan, H Stephen; Soave, David

    2014-02-10

    As health care has increased in complexity and health care teams have been offered as a solution, so too is there an increased need for stronger interprofessional collaboration. However the intraprofessional factions that exist within every profession challenge interprofessional communication through contrary paradigms. As a contender in the conservative spinal health care market, factions within chiropractic that result in unorthodox practice behaviours may compromise interprofessional relations and that profession's progress toward institutionalization. The purpose of this investigation was to quantify the professional stratification among Canadian chiropractic practitioners and evaluate the practice perceptions of those factions. A stratified random sample of 740 Canadian chiropractors was surveyed to determine faction membership and how professional stratification could be related to views that could be considered unorthodox to current evidence-based care and guidelines. Stratification in practice behaviours is a stated concern of mainstream medicine when considering interprofessional referrals. Of 740 deliverable questionnaires, 503 were returned for a response rate of 68%. Less than 20% of chiropractors (18.8%) were aligned with a predefined unorthodox perspective of the conditions they treat. Prediction models suggest that unorthodox perceptions of health practice related to treatment choices, x-ray use and vaccinations were strongly associated with unorthodox group membership (X(2) =13.4, p = 0.0002). Chiropractors holding unorthodox views may be identified based on response to specific beliefs that appear to align with unorthodox health practices. Despite continued concerns by mainstream medicine, only a minority of the profession has retained a perspective in contrast to current scientific paradigms. Understanding the profession's factions is important to the anticipation of care delivery when considering interprofessional referral.

  13. Emergency Psychiatric Services for Individuals with Intellectual Disabilities: Perspectives of Hospital Staff

    ERIC Educational Resources Information Center

    Lunsky, Yona; Gracey, Carolyn; Gelfand, Sara

    2008-01-01

    Strains on the mainstream mental health system can result in inaccessible services that force individuals with intellectual disabilities into the emergency room (ER) when in psychiatric crisis. The purpose of this study was to identify clinical and systemic issues surrounding emergency psychiatry services for people with intellectual disabilities,…

  14. Using Mindfulness in the Treatment of Adolescent Sexual Abusers: Contributing Common Factor or a Primary Modality?

    ERIC Educational Resources Information Center

    Jennings, Jerry L.; Apsche, Jack A.; Blossom, Paige; Bayles, Corliss

    2013-01-01

    Although mindfulness has become a mainstream methodology in mental health treatment, it is a relatively new approach with adolescents, and perhaps especially youth with sexual behavior problems. Nevertheless, clinical experience and several empirical studies are available to show the effectiveness of a systematic mindfulness- based methodology for…

  15. Association of Educational Attainment and Adolescent Substance Use Disorder in a Clinical Sample

    ERIC Educational Resources Information Center

    Apantaku-Olajide, Tunde; James, Philip D.; Smyth, Bobby P.

    2014-01-01

    This study explores substance use, psychosocial problems, and the relationships to educational status in 193 adolescents (school dropouts, 63; alternative education, 46; mainstream students, 84) who attended a substance abuse treatment facility in Dublin, Ireland, within a 42-month period. For each adolescent, data on demographics, family…

  16. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gazzola, Paola, E-mail: Paola.Gazzola@ncl.ac.uk

    The issue of mainstreaming has witnessed a revival over the last few years, not least because the latest financial crisis has triggered a renewed enthusiasm and a remarkable comeback amongst policy-making and environmental appraisal (EA) communities. Traditionally, environmental mainstreaming is linked to ideas of (environmental) integration and to the ‘greening’ of public policies. Yet, more recent mainstreaming efforts are building on the idea that the achievement of economic growth and of social well-being is not only dependent upon the protection of the environment, but on the fact that the environment should be valued as a source of goods and amore » provider of services, as well. In this context and despite the many shortcomings that EA has experienced as a mainstreaming tool over the last two decades, calls for EA to engage with ecosystem services and incorporate pricing valuations in its approach to mainstreaming are emerging, raising questions about the role and purpose of EA as an environmental mainstreaming tool. This paper aims to reflect on the role of EA as a mainstreaming tool, in terms of the extent to which it is mainstreaming the environment into policies for sustainable development and changing ‘the mainstream’ by breaking down the false dichotomy of environment and (economic) development. If mainstreaming through EA was to incorporate both greening and pricing logics, could EA be more effective in reframing the environment and development as correlated variables rather than competing variables? -- Highlights: ► Mainstreaming is witnessing a revival over the last few years and a comeback amongst environmental appraisal communities. ► Mainstreaming efforts through environmental appraisal have failed to challenge the deeply rooted belief in economic growth. ► Recent mainstreaming efforts are incorporated in “green deals” following ecological modernisation discourses. ► Environmental appraisal is urged to embrace ecosystem service approaches prompting a rethink of its advocacy role and purpose.« less

  17. Sexual Arousal and Sexually Explicit Media (SEM): Comparing Patterns of Sexual Arousal to SEM and Sexual Self-Evaluations and Satisfaction Across Gender and Sexual Orientation.

    PubMed

    Hald, Gert Martin; Stulhofer, Aleksandar; Lange, Theis

    2018-03-01

    Investigations of patterns of sexual arousal to certain groups of sexually explicit media (SEM) in the general population in non-laboratory settings are rare. Such knowledge could be important to understand more about the relative specificity of sexual arousal in different SEM users. (i) To investigate whether sexual arousal to non-mainstream vs mainstream SEM contents could be categorized across gender and sexual orientation, (ii) to compare levels of SEM-induced sexual arousal, sexual satisfaction, and self-evaluated sexual interests and fantasies between non-mainstream and mainstream SEM groups, and (iii) to explore the validity and predictive accuracy of the Non-Mainstream Pornography Arousal Scale (NPAS). Online cross-sectional survey of 2,035 regular SEM users in Croatia. Patterns of sexual arousal to 27 different SEM themes, sexual satisfaction, and self-evaluations of sexual interests and sexual fantasies. Groups characterized by sexual arousal to non-mainstream SEM could be identified across gender and sexual orientation. These non-mainstream SEM groups reported more SEM use and higher average levels of sexual arousal across the 27 SEM themes assessed compared with mainstream SEM groups. Only few differences were found between non-mainstream and mainstream SEM groups in self-evaluative judgements of sexual interests, sexual fantasies, and sexual satisfaction. The internal validity and predictive accuracy of the NPAS was good across most user groups investigated. The findings suggest that in classified non-mainstream SEM groups, patterns of sexual arousal might be less fixated and category specific than previously assumed. Further, these groups are not more judgmental of their SEM-related sexual arousal patterns than groups characterized by patterns of sexual arousal to more mainstream SEM content. Moreover, accurate identification of non-mainstream SEM group membership is generally possible across gender and sexual orientation using the NPAS. Hald GM, Stulhofer A, Lange T, et al. Sexual Arousal and Sexually Explicit Media (SEM): Comparing Patterns of Sexual Arousal to SEM and Sexual Self-Evaluations and Satisfaction Across Gender and Sexual Orientation. Sex Med 2018;6:30-38. Copyright © 2017. Published by Elsevier Inc.

  18. A review of the nutritional challenges experienced by people living with severe mental illness: a role for dietitians in addressing physical health gaps.

    PubMed

    Teasdale, S B; Samaras, K; Wade, T; Jarman, R; Ward, P B

    2017-10-01

    People experiencing a severe mental illness (SMI), such as schizophrenia, schizoaffective disorder, bipolar affective disorder or depression with psychotic features, have a 20-year mortality gap compared to the general population. This 'scandal of premature mortality' is primarily driven by preventable cardiometabolic disease, and recent research suggests that the mortality gap is widening. Multidisciplinary mental health teams often include psychiatrists, clinical psychologists, specialist mental health nurses, social workers and occupational therapists, offering a range of pharmacological and nonpharmacological treatments to enhance the recovery of clients who have experienced, or are experiencing a SMI. Until recently, lifestyle and life skills interventions targeting the poor physical health experienced by people living with SMI have not been offered in most routine clinical settings. Furthermore, there are calls to include dietary intervention as mainstream in psychiatry to enhance mental health recovery. With the integration of dietitians being a relatively new approach, it is important to review and assess the literature to inform practice. This review assesses the dietary challenges experienced by people with a SMI and discusses potential strategies for improving mental and physical health. © 2017 The British Dietetic Association Ltd.

  19. “Home of Younger Skin” (HOYS) program: Defining the change in apparent skin age after facial treatment with botulinum toxin and dermal fillers

    PubMed Central

    Goodman, Greg J; Roberts, Stefania

    2012-01-01

    Background Objective and subjective scales estimating improvement in both clinical studies and clinical practice are becoming more mainstream. However, the use of a system to analyze improvement in aging with a multiplicity of treatments would be useful. The purpose of this study was to use a recently developed educative and patient self-assessment program (“Home of Younger Skin”, HOYS) for assessment of the effect of facial treatment with neurotoxins and filling agents in terms of decreasing apparent age. Methods Four patients underwent facial treatments with neurotoxins and dermal fillers by an experienced blinded physician and were assessed twice utilizing an age analysis program (HOYS), once before and then 6 weeks after completion of treatment. Results The four patients showed an average reduction in apparent facial age of 7.5 years. The individual “regions” differed in their reductions. The upper face showed a decline of 13.5 years, the periorbital region 9.25 years, the mid face 4.5 years, and the lower face 12.25 years. Conclusion Use of this previously validated self-assessment program may prove to be a useful measure of patient-reported improvement with treatment. PMID:22956881

  20. Current Trends and Innovations in Bioanalytical Techniques of Metabolomics.

    PubMed

    Zhang, Tianlei; Zhang, Aihua; Qiu, Shi; Yang, Suqing; Wang, Xijun

    2016-07-03

    The advancement of omics technology has vigorously promoted the development of the life sciences; metabolomics in particular has emerged as a powerful tool that has a promising future in scientific research and clinical practice. As terminal products of complex biochemical networks, endogenous low-molecular-weight metabolites contain rich information about the physiological status of an individual or group of people. Also, this information has more practical significance in that we know "what happened" instead of "what might happen" to some degree. Rapid and accurate screening of metabolites on a large scale was beyond imagining in the past; however, benefiting from high-throughput technical means, the overall disturbance of metabolites induced by environmental stimulus or treatments can now be well analyzed. After appropriate bioinformatic analysis, clinically relevant biomarkers of a disease can be found, and an accurate and dynamic picture of metabolic disturbance that contributes to a phenotype of a certain organism can be constructed. Biomarkers can also reveal the general metabolic condition by pathways that correlate with disease progression, or even with the risk of certain diseases. Thus, as an indispensable part of the framework of systems biology, metabolomics has been widely used in, but not limited to, the fields of medical science, pharmaceuticals, botany, and microbiology. In this article, we focus on metabolomics' mainstream research content and technical innovations such as determination methods for biologically active compounds; further, we pay more attention to the future trends and various possibilities for metabolomics study.

  1. Telling It like It Is: Developing Social Stories[TM] for Children in Mainstream Primary Schools

    ERIC Educational Resources Information Center

    Whitehead, Jo

    2007-01-01

    In this article, the author reports on a practical strategy originally developed for use with pupils with Autism Spectrum Condition (ASC). Based on a small-scale research project, the article focuses on the use of Social Stories to promote pro-social behaviour with a group of non-ASC pupils. The topic was chosen for systematic enquiry by the…

  2. The Narrative of Special Education in Sweden: History and Trends in Policy and Practice

    ERIC Educational Resources Information Center

    Hjörne, Eva

    2016-01-01

    Access to public education that provides equal opportunities for all is a democratic right for every person living in Sweden. In addition, every child should as far as possible be included in the mainstream school. An official story that is taken for granted in Sweden is that an extremely low proportion of children are in need of special support,…

  3. Perspectives of SENCos and Support Staff in England on Their Roles, Relationships and Capacity to Support Inclusive Practice for Students with Behavioural Emotional and Social Difficulties

    ERIC Educational Resources Information Center

    Burton, Diana; Goodman, Ruth

    2011-01-01

    With teachers under pressure to meet curriculum targets, responsibility for including students with behavioural emotional and social difficulties (BESD) in mainstream schools falls heavily on non-teaching staff. In this article, semi-structured interviews were conducted with special educational needs coordinators (SENCos) and support staff in a…

  4. An Evaluation on Mainstreaming Practices of Primary Schools According to the Views of School Administrators, Teachers, and Parents

    ERIC Educational Resources Information Center

    Dagli, Gökmen; Öznacar, Behçet

    2015-01-01

    Individuals are born with various skills and needs. They enter into a life-long process of meeting these needs and developing the correct usage and appropriateness of these skills. The process of making intentional changes in one's life through behavior is called education. No one can be deprived of their right to education. Education is every…

  5. How Parents Home Educate Their Children with an Autism Spectrum Disorder with the Support of the Schools of Isolated and Distance Education

    ERIC Educational Resources Information Center

    McDonald, Jasmine; Lopes, Elaine

    2014-01-01

    Students with an autism spectrum disorder (ASD) often cannot access reliable mainstream inclusive practice that maximises their progress over time. In response to this, some parents have chosen to home educate their children. Limited research indicates that while parents find the experience beneficial for their child, there is a need for…

  6. Exploring US Mainstream Teachers' Perspectives on Use of the Native Language in Instruction with English Language Learner Students

    ERIC Educational Resources Information Center

    Karathanos, Katya

    2009-01-01

    In the US, public school teachers are currently experiencing an unprecedented increase in the number of English language learner (ELL) students with whom they work. Research shows the practice of incorporating ELL students' native languages (L1) into instruction to be a major factor enhancing their success in school. In this study, 327 pre-service…

  7. Blending the Community of Inquiry Framework with Learning by Design: Towards a Synthesis for Blended Learning in Teacher Training

    ERIC Educational Resources Information Center

    Makri, Katerina; Papanikolaou, Kyparisia; Tsakiri, Athanasia; Karkanis, Stavros

    2014-01-01

    As e-learning is evolving into a mainstream, widespread practice, adopted by higher education institutions worldwide, much effort is geared towards the articulation of models and strategies for implementing e-learning in formal education settings. In the field of pre-service teacher education, a rising challenge is to equip the "21st century…

  8. A Proven Way to Incorporate Catholic Social Thought in Business School Curricula: Teaching Two Approaches to Management in the Classroom

    ERIC Educational Resources Information Center

    Dyck, Bruno

    2013-01-01

    Widespread agreement suggests that it is appropriate and desirable to develop and teach business theory and practice consistent with Catholic social teaching (CST) in Catholic business schools. Such a curriculum would cover the same mainstream material taught in other business schools, but then offer a CST approach to business that can be…

  9. "I Want Them Better than Me": Pedagogical Strategies Employed by Four Immigrant Parents in the Face of Perceived Forms of Exclusion by School Authorities

    ERIC Educational Resources Information Center

    Markose, Susan Jacqueline; Simpson, Alyson

    2016-01-01

    In Australia, students from Chinese and Arabic language backgrounds form the largest minority language groups in the New South Wales (NSW) public school system. Yet the mainstream academic performance of students from these two communities show marked differences in their levels of attainment. This article explores the home literacy practices of…

  10. A Review of Research on the Educational Benefits of the Inclusive Model of Education for Special Education Students

    ERIC Educational Resources Information Center

    Hicks-Monroe, Sherry L.

    2011-01-01

    The practice of inclusion is not a new idea to the educational setting; it is a newer term. Before No Child Left Behind, during the 1970s students with disabilities were mainstreamed into the general education population under Public Law 94-142. Public law 94-142, which was renamed to Individuals with Disabilities Educational Act (IDEA), required…

  11. [Application of DNA labeling technology in forensic botany].

    PubMed

    Znang, Xian; Li, Jing-Lin; Zhang, Xiang-Yu

    2008-12-01

    Forensic botany is a study of judicial plant evidence. Recently, researches on DNA labeling technology have been a mainstream of forensic botany. The article systematically reviews various types of DNA labeling techniques in forensic botany with enumerated practical cases, as well as the potential forensic application of each individual technique. The advantages of the DNA labeling technology over traditional morphological taxonomic methods are also summarized.

  12. How Physical Education Teacher Education Majors Should Be Prepared to Teach Students with Hearing Loss: A National Needs Assessment

    ERIC Educational Resources Information Center

    Zaccagnini, K. J.

    2005-01-01

    A National needs Assessment Survey is described that gathered information on current practices in physical education in both center based schools for the deaf and mainstream programs serving deaf and hard of hearing students, grades K-12. The manner in which deaf and hard of hearing students are being served in physical education programs, the…

  13. Mainstreaming Preschoolers: Children with Health Impairments. A Guide for Teachers, Parents, and Others Who Work with Health Impaired Preschoolers.

    ERIC Educational Resources Information Center

    Healy, Alfred; And Others

    This guide to mainstreaming health impaired preschoolers is one of a series of eight manuals on mainstreaming preschoolers developed by Project Head Start. The guide is addressed to parents, teachers and other professionals and paraprofessionals. Chapter I presents information on the meaning, benefits and implementation of mainstreaming. The role…

  14. Access to augmentative and alternative communication: new technologies and clinical decision-making.

    PubMed

    Fager, Susan; Bardach, Lisa; Russell, Susanne; Higginbotham, Jeff

    2012-01-01

    Children with severe physical impairments require a variety of access options to augmentative and alternative communication (AAC) and computer technology. Access technologies have continued to develop, allowing children with severe motor control impairments greater independence and access to communication. This article will highlight new advances in access technology, including eye and head tracking, scanning, and access to mainstream technology, as well as discuss future advances. Considerations for clinical decision-making and implementation of these technologies will be presented along with case illustrations.

  15. [From literature to academic history:the position and pathway of acupuncture theory research].

    PubMed

    Zhang, Shujian

    2017-03-12

    There are two clues in academic inheritance of acupuncture, including theoretical inheritance and empirical inheritance. Up to now, the mainstream of acupuncture theory has not been in conformity with empirical clinic, and could not explain new clinical techniques. The existing acupuncture theories are in need of strict re-examination, and new academic achievements shall be carefully absorbed. The literature review, concepts research and academic history study are considered as key pathways of acupuncture theory research.

  16. Women in science in Ghana: The Ghana science clinics for girls

    NASA Astrophysics Data System (ADS)

    Andam, Aba Bentil; Amponsah, Paulina; Nsiah-Akoto, Irene; Anderson, Christina Oduma; Ababio, Baaba Andam; Asenso, Yaa Akomah; Nyarko, Savanna

    2015-12-01

    The Ghana Science Clinics for Girls, started in 1987, gave rise to a paradigm shift in the inclusion of girls in science education. One generation later, we review the impact. Our study indicates that progress has been made in the effort to mainstream women into science studies and careers, mainly as a result of the changes that took place through this intervention strategy. The retention rate for girls in science from primary to university has risen considerably and performance is higher.

  17. Commentary: On the wisdom and challenges of culturally attuned treatments for Latinos.

    PubMed

    Falicov, Celia Jaes

    2009-06-01

    In this commentary, I outline the common and distinctive components in the cultural adaptation studies in this special issue and compare cultural adaptations with universalistic and culture-specific perspectives. The term cultural attunement may be more reflective than cultural adaptation insofar as the cultural additions in these studies make the treatments more accessible by adding language translation, cultural values, and contextual stressors. These additions most likely enhance the level of engagement and retention in therapy for Latino families. The work ahead requires a deeper examination of the cultural theories of psychological distress and the cultural theories of change in therapy. A final proposal is made in this commentary for considering the bicultural aspects of the cultural adaptation or attunement enterprise, insofar as the clinical research encounters with immigrants are bicultural encounters. These encounters can reach beyond the notion of cultural "adaptation" of mainstream evidence-based treatments to ethnic minorities and present a unique opportunity for mutually enriching bicultural integration of theory, research, and practice.

  18. Are the "memory wars" over? A scientist-practitioner gap in beliefs about repressed memory.

    PubMed

    Patihis, Lawrence; Ho, Lavina Y; Tingen, Ian W; Lilienfeld, Scott O; Loftus, Elizabeth F

    2014-02-01

    The "memory wars" of the 1990s refers to the controversy between some clinicians and memory scientists about the reliability of repressed memories. To investigate whether such disagreement persists, we compared various groups' beliefs about memory and compared their current beliefs with beliefs expressed in past studies. In Study 1, we found high rates of belief in repressed memory among undergraduates. We also found that greater critical-thinking ability was associated with more skepticism about repressed memories. In Study 2, we found less belief in repressed memory among mainstream clinicians today compared with the 1990s. Groups that contained research-oriented psychologists and memory experts expressed more skepticism about the validity of repressed memories relative to other groups. Thus, a substantial gap between the memory beliefs of clinical-psychology researchers and those of practitioners persists today. These results hold implications for the potential resolution of the science-practice gap and for the dissemination of memory research in the training of mental-health professionals.

  19. German genes and Turkish traits: ethnicity, infertility, and reproductive politics in Germany.

    PubMed

    Vanderlinden, Lisa K

    2009-07-01

    This ethnographic study uses the lens of ethnic difference to examine the experience of infertility and the cultural politics of belonging in modern Germany. The data are derived from participant observation and interviews conducted with forty-one ethnic Germans and thirty-three German Turks undergoing biomedical treatment for infertility at a fertility clinic in Berlin (1998-2000). Through their illness narratives, men and women symbolically link their loss of biological parenthood to losses in other life arenas, such as gender identity, social status and cultural acceptance. Results reveal that while both German Turks and ethnic Germans experience disruption and social suffering from their inability to conform to procreative norms, German Turkish sufferers exhibit higher levels of distress, which directly relates to their dual stigma as outsiders in both German Turkish culture and mainstream German culture. The findings suggest that the tensions surrounding individual reproductive practices are reflective of larger national tensions regarding the constitution of the body politic in an increasingly multicultural Germany.

  20. Cannabis and epilepsy: An ancient treatment returns to the fore.

    PubMed

    Russo, Ethan B

    2017-05-01

    Cannabis has been associated with the treatment of epilepsy throughout history, and if ancient Assyrian sources referring to "hand of ghost" are considered credible, this relationship may span four millennia. A tradition of usage continued in Arabic medicine and Ayurvedic practice in India, which led, in turn, to early experiments in Europe and North America with "Indian hemp." Lack of standardization, bioavailability issues, and ultimately prohibition were all factors in cannabis-based medicines failing to maintain mainstream usage in seizure treatment, but investigation was resumed in the 1970s with interesting signals noted in both laboratory and clinical settings. Early case studies showed promise, but lacked sufficient rigor. Resumption of research coupled with mass experimentation by families of epilepsy patients has led to intense interest in cannabis-based medicines for its treatment once more, with greatest focus on cannabidiol, but additional investigation of tetrahydrocannabinol, tetrahydrocannabinolic acid, and other phytocannabinoids. This article is part of a Special Issue entitled "Cannabinoids and Epilepsy". Copyright © 2016 Elsevier Inc. All rights reserved.

  1. The Effects of Speech and Language Therapy Intervention on Children with Pragmatic Language Impairments in Mainstream School

    ERIC Educational Resources Information Center

    Adams, Catherine; Lloyd, Julian

    2007-01-01

    In this article, Catherine Adams, clinical senior lecturer in speech and language therapy at the University of Manchester, and Julian Lloyd, senior lecturer in psychology at Newman College, Birmingham, describe the implementation and effects of an intensive programme of speech and language therapy for children who have pragmatic language…

  2. Managing diversity and European policy: Towards a typology for sport pedagogy.

    PubMed

    Dinold, Maria; Diketmüller, Rosa; Grix, Jonathan; Phillpots, Lesley

    2013-01-01

    This article adds to the growing body of knowledge in sport pedagogy and focuses specifically upon the intersection of gender and disability. Its purpose is twofold, to create a typology for examining good practice in sport pedagogy that is reflective and inclusive and raises awareness of the diverse needs of all participants in physical activity 'regardless' of gender and ability for all children. We acknowledge that access to physical activity, education and sport are complex and multifaceted, however, the main purpose of this paper is to raise awareness of 'diversity' by focusing specifically upon the role of gender and ability. Through an examination of gender and disability policies in official European Union (EU) policy documents and commercial examples of policy-in-practice we propose a typology for diversity and diversity management. A close look at EU level is instructive because national policies of the member countries vary a lot with respect to diversity issues but should be in accordance in the main areas. Such a reading enables the building of a typology of recommendations for how such policy can be rendered in sport pedagogy practice. We suggest six significant, but related principles that include (1) mainstreaming; (2) teaching and coaching sensitive to difference; (3) empowerment; (4) inclusion; (5) adaptation; and (6) inner differentiation. This holistic typology seeks to 'mainstream' issues of gender and disability policy by providing a set of principles that can be applied to a range of teaching and coaching settings.

  3. Integrating ecosystem services analysis into scenario planning practice: accounting for street tree benefits with i-Tree valuation in Central Texas.

    PubMed

    Hilde, Thomas; Paterson, Robert

    2014-12-15

    Scenario planning continues to gain momentum in the United States as an effective process for building consensus on long-range community plans and creating regional visions for the future. However, efforts to integrate more sophisticated information into the analytical framework to help identify important ecosystem services have lagged in practice. This is problematic because understanding the tradeoffs of land consumption patterns on ecological integrity is central to mitigating the environmental degradation caused by land use change and new development. In this paper we describe how an ecosystem services valuation model, i-Tree, was integrated into a mainstream scenario planning software tool, Envision Tomorrow, to assess the benefits of public street trees for alternative future development scenarios. The tool is then applied to development scenarios from the City of Hutto, TX, a Central Texas Sustainable Places Project demonstration community. The integrated tool represents a methodological improvement for scenario planning practice, offers a way to incorporate ecosystem services analysis into mainstream planning processes, and serves as an example of how open source software tools can expand the range of issues available for community and regional planning consideration, even in cases where community resources are limited. The tool also offers room for future improvements; feasible options include canopy analysis of various future land use typologies, as well as a generalized street tree model for broader U.S. application. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. [Gender mainstreaming and nursing].

    PubMed

    Wang, Hsiu-Hung

    2011-12-01

    Gender mainstreaming is one of the most important strategies in promoting global gender equality. The Taiwan government launched policies on gender mainstreaming and gender impact assessment in 2007 in response to strong public and academic advocacy work. With rising awareness of gender issues, nursing professionals in Taiwan should keep pace with global trends and become actively involved in advancing gender-mainstreaming policies. This article shows that nursing professionals should prepare themselves by cultivating gender competence, understanding gender-related regulations, recognizing the importance of gender impact assessment implementation, integrating gender issues into nursing education, conducting gender-related research and participating in decision-making processes that promote gender mainstreaming. Nursing professionals should enhance their knowledge and understanding of gender mainstreaming-related issues and get involved in the gender-related decision-making process in order to enhance gender awareness and women's health and further the professional development of nurses.

  5. Improving computer usage for students with physical disabilities through a collaborative approach: a pilot study.

    PubMed

    Borgestig, Maria; Falkmer, Torbjörn; Hemmingsson, Helena

    2013-11-01

    The aim of this study was to evaluate the effect of an assistive technology (AT) intervention to improve the use of available computers as assistive technology in educational tasks for students with physical disabilities during an ongoing school year. Fifteen students (aged 12-18) with physical disabilities, included in mainstream classrooms in Sweden, and their teachers took part in the intervention. Pre-, post-, and follow-up data were collected with Goal Attainment Scaling (GAS), a computer usage diary, and with the Psychosocial Impact of Assistive Devices Scale (PIADS). Teachers' opinions of goal setting were collected at follow-up. The intervention improved the goal-related computer usage in educational tasks and teachers reported they would use goal setting again when appropriate. At baseline, students reported a positive impact from computer usage with no differences over time regarding the PIADS subscales independence, adaptability, or self-esteem. The AT intervention showed a positive effect on computer usage as AT in mainstream schools. Some additional support to teachers is recommended as not all students improved in all goal-related computer usage. A clinical implication is that students' computer usage can be improved and collaboratively established computer-based strategies can be carried out by teachers in mainstream schools.

  6. Comparing Homeless Persons’ Care Experiences in Tailored Versus Nontailored Primary Care Programs

    PubMed Central

    Holt, Cheryl L.; Steward, Jocelyn L.; Jones, Richard N.; Roth, David L.; Stringfellow, Erin; Gordon, Adam J.; Kim, Theresa W.; Austin, Erika L.; Henry, Stephen Randal; Kay Johnson, N.; Shanette Granstaff, U.; O’Connell, James J.; Golden, Joya F.; Young, Alexander S.; Davis, Lori L.; Pollio, David E.

    2013-01-01

    Objectives. We compared homeless patients’ experiences of care in health care organizations that differed in their degree of primary care design service tailoring. Methods. We surveyed homeless-experienced patients (either recently or currently homeless) at 3 Veterans Affairs (VA) mainstream primary care settings in Pennsylvania and Alabama, a homeless-tailored VA clinic in California, and a highly tailored non-VA Health Care for the Homeless Program in Massachusetts (January 2011-March 2012). We developed a survey, the “Primary Care Quality-Homeless Survey," to reflect the concerns and aspirations of homeless patients. Results. Mean scores at the tailored non-VA site were superior to those from the 3 mainstream VA sites (P < .001). Adjusting for patient characteristics, these differences remained significant for subscales assessing the patient–clinician relationship (P < .001) and perceptions of cooperation among providers (P = .004). There were 1.5- to 3-fold increased odds of an unfavorable experience in the domains of the patient–clinician relationship, cooperation, and access or coordination for the mainstream VA sites compared with the tailored non-VA site; the tailored VA site attained intermediate results. Conclusions. Tailored primary care service design was associated with a superior service experience for patients who experienced homelessness. PMID:24148052

  7. What Makes for a Successful Re-Integration from a Pupil Referral Unit to Mainstream Education? An Applied Research Project

    ERIC Educational Resources Information Center

    Lawrence, Nicola

    2011-01-01

    A qualitative research project was carried out in order to explore the views of Pupil Referral Unit (PRU) and mainstream school staff regarding the process of re-integration of secondary school age pupils from the PRU to mainstream school. The views of 11 PRU staff members, six mainstream staff members and a member of the Behaviour Support Service…

  8. A Critical Review of Education for Sustainable Development (ESD) in Japan: Beyond the Practice of Pouring New Wine into Old Bottles

    ERIC Educational Resources Information Center

    Nagata, Yoshiyuki

    2017-01-01

    Japan stands as a rare country in which ESD has been incorporated as mainstream policy. However, looking back on the United Nations Decade of Education for Sustainable Development (UNDESD), ESD has not brought about the transformation in Japan that one expects ESD to aim for, despite this support at the policy level. The cause may be that pouring…

  9. Content and Language Integrated Learning (CLIL) in Europe: Research Perspectives on Policy and Practice. Mehrsprachigkeit in Schule und Unterricht. Volume 14

    ERIC Educational Resources Information Center

    Breidbach, Stephan, Ed.; Viebrock, Britta, Ed.

    2013-01-01

    Content and Language Integrated Learning has received a strong tailwind in European educational and language policies. It is on the verge of becoming a mainstream phenomenon. However, an overly speedy implementation of "CLIL for all" might bear a number of risks for all groups of stakeholders. The purpose of this book is to link the…

  10. The role of social media in reducing stigma and discrimination.

    PubMed

    Betton, Victoria; Borschmann, Rohan; Docherty, Mary; Coleman, Stephen; Brown, Mark; Henderson, Claire

    2015-06-01

    This editorial explores the implications of social media practices whereby people with mental health problems share their experiences in online public spaces and challenge mental health stigma. Social media enable individuals to bring personal experience into the public domain with the potential to affect public attitudes and mainstream media. We draw tentative conclusions regarding the use of social media by campaigning organisations. © The Royal College of Psychiatrists 2015.

  11. Romani Peoples' Resistance to Mainstream Schooling: A Focus on Romani Woman and Girls' Education and the Educational Policies, Barriers, and Practices in Greece

    ERIC Educational Resources Information Center

    Macris, Vicki

    2015-01-01

    The Romani (or Roma) people are, perhaps, the oldest and most discriminated against ethnic minority group in Eastern Europe. In particular, Romani women and girls have been described by the UN Women, United Nations Development Program (UNDP), and Office of High Commission of Human Rights (OHCHR) as "one of the most disempowered groups in…

  12. Parents' Attitudes toward Heritage Language Maintenance for Their Children and Their Efforts to Help Their Children Maintain the Heritage Language: A Case Study of Korean-Canadian Immigrants

    ERIC Educational Resources Information Center

    Park, Seong Man; Sarkar, Mela

    2007-01-01

    In this study we explore Korean immigrant parents' attitudes toward heritage language maintenance for their children and their efforts to help their children maintain Korean as their heritage language in Montreal. Some implications for mainstream school policies and classroom practices are touched on briefly. Data were collected from nine Korean…

  13. A Roadmap for True Accountability: Reconceptualizing Language-Learning Services, Reclassification Practices and Monitoring Systems for English Language Learners in U.S. Public Schools

    ERIC Educational Resources Information Center

    Slama, Rachel B.

    2012-01-01

    A major problem facing educators in the United States is how to determine when the nation's five million English language learners (ELL) are ready to exit language-learning programs, i.e. to be "reclassified" as fluent English proficient (R-FEP) and placed in mainstream classrooms without additional language support. No Child Left Behind…

  14. Leveraging Insights from Mainstream Gameplay to Inform STEM Game Design: Great Idea, but What Comes Next?

    ERIC Educational Resources Information Center

    Biles, Melissa

    2012-01-01

    This response to Leah A. Bricker and Phillip Bell's paper, "GodMode is his video game name", examines their assertion that the social nexus of gaming practices is an important factor to consider for those looking to design STEM video games. I propose that we need to go beyond the investigation into which aspects of games play a role in learning,…

  15. Responding to the multidrug-resistant tuberculosis crisis: mainstreaming programmatic management to the Philippine National Tuberculosis Programme.

    PubMed

    Quelapio, M I D; Mira, N R C; Orillaza-Chi, R B; Belen, V; Muñez, N; Belchez, R; Egos, G E; Evangelista, M; Vianzon, R; Tupasi, T E

    2010-06-01

    The Philippines ranks eighth among 27 priority countries for multidrug-resistant TB (MDR-TB). To describe a model of public-private partnership in MDR-TB management. An exploratory study of integrating MDR-TB management initiated in private-public mix DOTS into the National TB Programme (NTP). Recognising that MDR-TB was a threat to DOTS, the Tropical Disease Foundation initiated MDR-TB management in 1999. An official mandate for the integration of MDR-TB services into the NTP was issued by the Department of Health in 2008. With an increased government budget augmented by support from the Global Fund to Fight AIDS, Tuberculosis and Malaria, 1294 MDR-TB patients were placed on treatment from 1999 to 2008. The treatment success rate improved from 64% in 1999 to 75% in 2005. There are now five MDR-TB treatment centres with 181 treatment sites in Metro Manila, and three culture centres. People trained include 12 master trainers, 31 trainers, 25 treatment centre and 381 treatment site staff. Mainstreaming into the NTP of this unique model of MDR-TB management through a dynamic public-private collaboration can be considered best practice in implementation science of an evidence-based intervention leading to change in health care policy and practice.

  16. Effect of external turbulence on the efficiency of film cooling with coolant injection into a transverse trench

    NASA Astrophysics Data System (ADS)

    Khalatov, A. A.; Panchenko, N. A.; Severin, S. D.

    2017-09-01

    Film cooling is among the basic methods used for thermal protection of blades in modern high-temperature gas turbines. Results of computer simulation of film cooling with coolant injection via a row of conventional inclined holes or a row of holes in a trench are presented in this paper. The ANSYS CFX 14 commercial software package was used for CFD-modeling. The effect is studied of the mainstream turbulence on the film cooling efficiency for the blowing ratio range between 0.6 and 2.3 and three different turbulence intensities of 1, 5, and 10%. The mainstream velocity was 150 and 400 m/s, while the temperatures of the mainstream and the injected coolant were 1100 and 500°C, respectively. It is demonstrated that, for the coolant injection via one row of trenched holes, an increase in the mainstream turbulence intensity reduces the film cooling efficiency in the entire investigated range of blowing ratios. It was revealed that freestream turbulence had varied effects on the film cooling efficiency depending on the blowing ratio and mainstream velocity in a blade channel. Thus, an increase in the mainstream turbulence intensity from 1 to 10% decreases the surface-averaged film cooling efficiency by 3-10% at a high mainstream velocity (400 m/s) in the blade channel and by 12-23% at a moderate velocity (of 150 m/s). Here, lower film cooling efficiencies correspond to higher blowing ratios. The effect of mainstream turbulence intensity on the film cooling efficiency decreases with increasing the mainstream velocity in the modeled channel for both investigated configurations.

  17. Health and well-being in old age: the pertinence of a gender mainstreaming approach in research.

    PubMed

    Perrig-Chiello, Pasqualina; Hutchison, Sara

    2010-01-01

    The demographic and societal changes of the past decades, such as longevity and improvements in public health, have created new and often very distinct realities for men and women. However, these diversities have only marginally and fragmentally been the topic of research endeavours. There is a growing awareness of the societal phenomenon 'feminization of old age', yet the topic and its psychosocial and health-related consequences have not attracted the scientific interest they deserve. Due to scientific neglects and limitations, state of the art research in the field of gender, health and ageing is still sketchy and often contradictory. In the present article, the complex pattern of roles and values that define what is thought of as 'masculine' and 'feminine' and its significant impact on health-related lifestyles will be examined. Based on current research, we try to give answers to questions such as: 'Do older women really have more physical and mental health problems than older men, or are these findings influenced by a gender bias, due to a different awareness and understanding of health and illness?' It will be shown that it is impossible to find satisfactory answers to such questions without considering the cultural and social contexts of the individuals studied. The inclusion of gender as a social reality in the broadest sense is therefore an absolute prerequisite for gaining valid information. Gender has played only a marginal role in the hitherto existing geriatric and gerontological research and practice. Therefore, a gender-fair approach in research and practice is indicated, i.e. an approach that takes into account differences and commonalities of women and men and considers their differing circumstances and specific problems (gender mainstream). Gender mainstreaming entails on the one hand horizontal justice (denoting equal treatment and benefits for equal needs of men and women) and on the other hand vertical justice (indicating differential treatment and benefits for differential needs of the 2 sexes). 2009 S. Karger AG, Basel.

  18. 'Posture for Learning': meeting the postural care needs of children with physical disabilities in mainstream primary schools in England--a research into practice exploratory study.

    PubMed

    Hutton, Eve; Coxon, Kirstie

    2011-01-01

     To explore teachers and teaching assistants' (TAs) views of how to manage the postural care needs of children with physical disabilities (PD) in mainstream primary schools, with the aim of developing strategies to support teachers and assistants in this role.  Qualitative data were gathered from a purposive sample of four primary schools in one county in the U.K. Individual and focus group interviews with 36 teachers and TAs were carried out and used to generate an explanatory framework around their experiences of managing the postural care needs of children with PD.  Teachers and TAs in schools were found to have limited understanding of postural management. Very few had personal experience of the benefits of postural care--instead, most appeared to think in terms of 'doing' rather than 'knowing' about postural care. When implementing therapy programmes, teaching staff followed therapists' instructions carefully, but did not understand the purpose of their actions. Participants described the emotional impact of caring for a child with PD and expressed anxieties about causing discomfort when using equipment such as specialist seating and standing frames. Equipment was viewed as bulky, uncomfortable and restrictive and not suited to the school environment. When asked which kinds of support would be valuable, participants identified practical solutions such as additional space or resources. Based on these findings, therapists, specialist teachers and parents developed an 'A-Z of postural care'. This information resource aimed to address the gaps in knowledge and understanding highlighted by teachers and TAs in the interviews and to acknowledge their anxieties when teaching and caring for children with PD. Stakeholder involvement in all aspects of the project from setting the research question to the development of the A-Z resource has assisted in the dissemination of the resource and its integration into the mainstream school system within the county.

  19. Converging advances in science, policy and public awareness: A time of great opportunity and change in addiction treatment.

    PubMed

    Woodworth, Abigail Mason; McLellan, A Thomas

    2016-05-01

    Scientific advances, increased public awareness about addiction as a disease, and significant changes in public policy have led to transformational changes in this field. Preclinical and clinical studies highlighted in this issue have supported the emerging concept of substance use disorders as a novel major concern within the healthcare community. In this Commentary, we discuss the potential impact of recent legislation (Affordable Care Act and the Mental Health Parity and Addiction Equity Act) when fully implemented to end the real and perceived segregation of addiction and substance abuse disorders from mainstream healthcare and insurance reimbursement. These legislative changes, along with the diligence of public interest and scientific advances, have the potential to move prevention and treatment of substance use disorders to mainstream healthcare, and to educate professionals appropriately on the prevention and treatment of substance abuse. Copyright © 2016. Published by Elsevier Inc.

  20. The Beck Depression Inventory II and the Beck Anxiety Inventory in People with Intellectual Disabilities: Factor Analyses and Group Data

    ERIC Educational Resources Information Center

    Lindsay, William R.; Skene, Danielle D.

    2007-01-01

    Background: There have been several developments in research on emotional disorders in people with intellectual disability (ID). Although a large amount of work has been completed in mainstream clinical fields on the "Beck Anxiety Inventory" (BAI) and the "Beck Depression Inventory"-2nd Edition (BDI-II), to date there has been…

  1. American Indian Veterans' Views about Their Choices in Health Care: VA, IHS, and Medicare

    ERIC Educational Resources Information Center

    Reifel, Nancy; Bayhylle, Ruth; Harada, Nancy; Villa, Valentine

    2009-01-01

    Legislation during the past three decades has gradually drawn Indian Health Service (IHS)-funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal…

  2. “I Got to Know Them in a New Way”: Rela(y/t)ing Rhizomes and Community-Based Knowledge (Brokers’) Transformation of Western and Indigenous Knowledge

    PubMed Central

    Fornssler, Barbara; McKenzie, Holly A.; Dell, Colleen Anne; Laliberte, Larry; Hopkins, Carol

    2016-01-01

    Drawing on three culturally specific research projects, this paper examines how community-based knowledge brokers’ engagement in brokering knowledge shaped the projects’ processes. Informed by Deleuze and Guattari’s (1987) conceptualization of the “rhizome,” we discuss how community knowledge brokers’ engagement in open research-creation practices embrace the relational foundation of Indigenous research paradigms in contrast to mainstream Western research practices that are engaged as linear, objective, and outcome-oriented activities. In turn, we offer propositions for building team environments where open research-creation practices can unfold, informing a periphery of shared space for Indigenous and Western paradigms. PMID:27867319

  3. New Best-Practices Guide for Photovoltaic System Operations and Maintenance

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fact sheet summarizing technical report TP-7A40-67553. As solar photovoltaic (PV) systems have continued their transition from niche applications into large, mature markets in the United States, their potential as financial investments has risen accordingly. Mainstream investors, however, need to feel confident about the risk and return of solar photovoltaic (PV) systems before committing funds. A major influence on risk and return for PV is operations and maintenance (O&M) - but O&M practices and costs vary widely across the United States, making these variables difficult for investors to predict. To address this barrier to continued PV investment, the PV O&M Workingmore » Group has developed a new best-practices guide for PV O&M.« less

  4. Environmental hazards and public health: lessons for the practice of medicine and for public policy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wedeen, R.P.; Sheehan, H.E.

    1992-01-01

    The separation of occupational and environmental disease from the mainstream of medical practice has deep roots in the culture of the profession. Medical practice centered on individual patient care as nineteenth-century science yielded the therapeutic triumphs of the twentieth century. Social issues seemed remote to medical practitioners as the rewards of scientifically based therapies upstaged the unglamorous aspects of preventive medicine. Public health was left to politicians and bureaucrats. Victorian ambivalence toward the less successful members of society reinforced the isolation of medicine from public policy. As a consequence, physicians are largely ignored in contemporary debates about environmental hazards, tomore » the detriment of both society and the profession.« less

  5. Beyond awareness of 'difference' and towards social action: 'Solidarity practice' alongside young people.

    PubMed

    Afuape, Taiwo

    2016-07-01

    Who I am as a working-class black African woman cannot be disconnected from how I work. It shapes my lens with regard to power, difference and liberation. It is not surprising that I have been drawn to social justice approaches to psychological intervention, such as Narrative Therapy, Coordinated Management of Meaning (CMM), social constructionist systemic therapy and liberation psychology. These practices involve taking up the cause of the oppressed in ways that respect them as agents of their own liberation. In this article, I describe what I term 'solidarity practice' with young people and their families as a counter force resisting the increasingly blaming and individualising discourse of mainstream psychology, psychiatry and social policy. © The Author(s) 2016.

  6. Cultural factors and social support related to breastfeeding among immigrant mothers in Taipei City, Taiwan.

    PubMed

    Chen, Tzu-Ling; Tai, Chen-Jei; Chu, Yu-Roo; Han, Kuo-Chiang; Lin, Kuan-Chia; Chien, Li-Yin

    2011-02-01

    The objectives of this study were to identify cultural factors (including acculturation and breastfeeding cultures in subjects' native countries and those in mainstream Taiwanese society) and social support related to breastfeeding among immigrant mothers in Taiwan. This study was a cross-sectional survey performed from October 2007 through January 2008. The study participants were 210 immigrant mothers living in Taipei City. The prevalence of exclusive and partial breastfeeding at 3 months postpartum was 59.0% and 14.3%, respectively. Logistic regression analysis revealed that breastfeeding experience among mothers-in-law and the perceived level of acceptance of breastfeeding in Taiwan were positively associated with breastfeeding at 3 months postpartum. Immigrant women with a higher level of household activity support were less likely to breastfeed. Immigrant mothers in Taiwan usually come from cultures with a higher acceptance level for breastfeeding; however, their breastfeeding practices are more likely to be influenced by the mainstream culture in Taiwan.

  7. Why medical research needs a new specialty of 'pure medical science'.

    PubMed

    Charlton, Bruce G

    2006-01-01

    Sciences tend to go through boom and bust phases. Following decades of rapid expansion, medical science is now due for a collapse in overall funding. Furthermore, there has been a decline in the rate of therapeutic innovation, with fewer significant breakthroughs and little progress in several major areas of medicine such as oncology, psychiatry and autoimmune disorders. Mainstream medical research has gradually evolved into a form similar to industrial research and development (R&D), aiming at steady, reliable, predictable progress by ringing minor variations on existing approaches. Where this risk-averse approach is failing, a more speculative strategy is indicated. A new research specialty of 'pure medical science' would aim to seek radical new theories, technologies and therapies, and subject these to professional evaluation to the point where they can be applied in practice by more mainstream 'applied' medical scientists. A specialty of 'pure medical science' might be launched by financial support from patrons who wish to be associated with an elite new medical research discipline.

  8. Residential therapeutic communities in the mainstream: diversity and issues.

    PubMed

    De Leon, G

    1995-01-01

    Not all residential drug abuse treatment programs are therapeutic communities (TCs), not all TCs are in residential settings, and not all programs that call themselves TCs employ the same social and psychological models of treatment. The term "therapeutic community" is widely used to represent a distinct approach in almost any setting, including community residences, hospital wards, prisons, and homeless shelters. One effect of this labeling has been to cloud understanding of the TC as a drug abuse treatment approach, how well it works, where it works best, and for which clients it is most appropriate. This article attempts to further a general understanding of residential TCs. Distinctions are drawn between residential drug abuse treatment and residential TCs. The diversity of programs within the TC modality is described in terms of modifications of the model and applications to special populations; and the essential elements of the TC program model are briefly outlined. Finally, movement into the mainstream has surfaced issues for the TC in terms of policy and practice, several of which are highlighted.

  9. Determinants of inclusive education of 8-12 year-old children with cerebral palsy in 9 European regions.

    PubMed

    Sentenac, Mariane; Ehlinger, Virginie; Michelsen, Susan Ishoy; Marcelli, Marco; Dickinson, Heather Olivia; Arnaud, Catherine

    2013-01-01

    The principle of inclusive education has been increasingly recognised over recent decades and most countries officially support schooling of children with disabilities in mainstream settings. The SPARCLE study offers the opportunity to report on the schooling practices for children with cerebral palsy according to the nature and severity of their impairments and the schooling policy in European regions. The aim of this paper is to describe the type of schooling of children with cerebral palsy in various European regions after controlling for relevant individual factors. Children aged 8-12 years with cerebral palsy from 9 European regions and their families were interviewed. Our findings support the hypothesis that between-region variations in the type of schooling are still significant after adjustment for individual factors; and that motor function and intellectual ability have different effects on inclusion in mainstream school, depending on the region. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Development and Climate Change: A Mainstreaming Approach for Assessing Economic, Social, and Environmental Impacts of Adaptation Measures

    NASA Astrophysics Data System (ADS)

    Halsnæs, Kirsten; Trærup, Sara

    2009-05-01

    The paper introduces the so-called climate change mainstreaming approach, where vulnerability and adaptation measures are assessed in the context of general development policy objectives. The approach is based on the application of a limited set of indicators. These indicators are selected as representatives of focal development policy objectives, and a stepwise approach for addressing climate change impacts, development linkages, and the economic, social and environmental dimensions related to vulnerability and adaptation are introduced. Within this context it is illustrated using three case studies how development policy indicators in practice can be used to assess climate change impacts and adaptation measures based on three case studies, namely a road project in flood prone areas of Mozambique, rainwater harvesting in the agricultural sector in Tanzania and malaria protection in Tanzania. The conclusions of the paper confirm that climate risks can be reduced at relatively low costs, but the uncertainty is still remaining about some of the wider development impacts of implementing climate change adaptation measures.

  11. Development and climate change: a mainstreaming approach for assessing economic, social, and environmental impacts of adaptation measures.

    PubMed

    Halsnaes, Kirsten; Traerup, Sara

    2009-05-01

    The paper introduces the so-called climate change mainstreaming approach, where vulnerability and adaptation measures are assessed in the context of general development policy objectives. The approach is based on the application of a limited set of indicators. These indicators are selected as representatives of focal development policy objectives, and a stepwise approach for addressing climate change impacts, development linkages, and the economic, social and environmental dimensions related to vulnerability and adaptation are introduced. Within this context it is illustrated using three case studies how development policy indicators in practice can be used to assess climate change impacts and adaptation measures based on three case studies, namely a road project in flood prone areas of Mozambique, rainwater harvesting in the agricultural sector in Tanzania and malaria protection in Tanzania. The conclusions of the paper confirm that climate risks can be reduced at relatively low costs, but the uncertainty is still remaining about some of the wider development impacts of implementing climate change adaptation measures.

  12. Forecasting Austrian national elections: The Grand Coalition model

    PubMed Central

    Aichholzer, Julian; Willmann, Johanna

    2014-01-01

    Forecasting the outcomes of national elections has become established practice in several democracies. In the present paper, we develop an economic voting model for forecasting the future success of the Austrian ‘grand coalition’, i.e., the joint electoral success of the two mainstream parties SPOE and OEVP, at the 2013 Austrian Parliamentary Elections. Our main argument is that the success of both parties is strongly tied to the accomplishments of the Austrian system of corporatism, that is, the Social Partnership (Sozialpartnerschaft), in providing economic prosperity. Using data from Austrian national elections between 1953 and 2008 (n=18), we rely on the following predictors in our forecasting model: (1) unemployment rates, (2) previous incumbency of the two parties, and (3) dealignment over time. We conclude that, in general, the two mainstream parties benefit considerably from low unemployment rates, and are weakened whenever they have previously formed a coalition government. Further, we show that they have gradually been losing a good share of their voter basis over recent decades. PMID:26339109

  13. Comprehensive genetic assessment of the human embryo: can empiric application of microarray comparative genomic hybridization reduce multiple gestation rate by single fresh blastocyst transfer?

    PubMed

    Sills, Eric Scott; Yang, Zhihong; Walsh, David J; Salem, Shala A

    2012-09-01

    The unacceptable multiple gestation rate currently associated with in vitro fertilization (IVF) would be substantially alleviated if the routine practice of transferring more than one embryo were reconsidered. While transferring a single embryo is an effective method to reduce the clinical problem of multiple gestation, rigid adherence to this approach has been criticized for negatively impacting clinical pregnancy success in IVF. In general, single embryo transfer is viewed cautiously by IVF patients although greater acceptance would result from a more effective embryo selection method. Selection of one embryo for fresh transfer on the basis of chromosomal normalcy should achieve the dual objective of maintaining satisfactory clinical pregnancy rates and minimizing the multiple gestation problem, because embryo aneuploidy is a major contributing factor in implantation failure and miscarriage in IVF. The initial techniques for preimplantation genetic screening unfortunately lacked sufficient sensitivity and did not yield the expected results in IVF. However, newer molecular genetic methods could be incorporated with standard IVF to bring the goal of single embryo transfer within reach. Aiming to make multiple embryo transfers obsolete and unnecessary, and recognizing that array comparative genomic hybridization (aCGH) will typically require an additional 12 h of laboratory time to complete, we propose adopting aCGH for mainstream use in clinical IVF practice. As aCGH technology continues to develop and becomes increasingly available at lower cost, it may soon be considered unusual for IVF laboratories to select a single embryo for fresh transfer without regard to its chromosomal competency. In this report, we provide a rationale supporting aCGH as the preferred methodology to provide a comprehensive genetic assessment of the single embryo before fresh transfer in IVF. The logistics and cost of integrating aCGH with IVF to enable fresh embryo transfer are also discussed.

  14. Adoptive Immunotherapy for Cancer or Viruses

    PubMed Central

    Maus, Marcela V.; Fraietta, Joseph A.; Levine, Bruce L.; Kalos, Michael; Zhao, Yangbing; June, Carl H.

    2015-01-01

    Adoptive immunotherapy, or the infusion of lymphocytes, is a promising approach for the treatment of cancer and certain chronic viral infections. The application of the principles of synthetic biology to enhance T cell function has resulted in substantial increases in clinical efficacy. The primary challenge to the field is to identify tumor-specific targets to avoid off-tissue, on-target toxicity. Given recent advances in efficacy in numerous pilot trials, the next steps in clinical development will require multicenter trials in order to establish adoptive immunotherapy as a mainstream technology. PMID:24423116

  15. Container-Based Clinical Solutions for Portable and Reproducible Image Analysis.

    PubMed

    Matelsky, Jordan; Kiar, Gregory; Johnson, Erik; Rivera, Corban; Toma, Michael; Gray-Roncal, William

    2018-05-08

    Medical imaging analysis depends on the reproducibility of complex computation. Linux containers enable the abstraction, installation, and configuration of environments so that software can be both distributed in self-contained images and used repeatably by tool consumers. While several initiatives in neuroimaging have adopted approaches for creating and sharing more reliable scientific methods and findings, Linux containers are not yet mainstream in clinical settings. We explore related technologies and their efficacy in this setting, highlight important shortcomings, demonstrate a simple use-case, and endorse the use of Linux containers for medical image analysis.

  16. Mainstreaming of Climate Change into the Ghanaian Tertiary Educational System

    NASA Astrophysics Data System (ADS)

    Nyarko, B. K.

    2013-12-01

    The impact of Climate Change has a far-reaching implication for economies and people living in the fragile Regions of Africa analysts project that by 2020, between 75 million and 250 million people will be exposed various forms of Climate Change Stresses. Education as a key strategy identified under Agenda 21 has been incorporated into the efforts of various educational institutions as a means of mitigating climate change and enhancing sustainability. Climate Change education offers many opportunities and benefits for educators, researchers, learners, and for wider society, but there are also many challenges, which can hinder the successful mainstreaming of climate change education. The study aims at understanding barriers for Climate Change Education in selected tertiary institutions in Ghana. The study was conducted among Geoscience Departments of the 7 main public universities of Ghana. The transcript analysis identified issues that hinders the mainstreaming of Climate Change, these includes existing levels of knowledge and understanding of the concept of climate change, appreciating the threshold concepts, ineffective teaching of Climate Change and some Departments are slow in embracing Climate Change as a discipline. Hence to develop strategies to mainstream climate change education it is important to recognise that increasing the efficiency and delivery of Climate Change education requires greater attention and coordination of activities and updating the educators knowledge and skill's. Various Ministries should be challenged to develop and integrate climate change into education policies. In the design of curriculum, there is a need to integrate Climate Change Education into curricula without compromising already overstretched programmes of study. There is a need to encourage and enhance innovative teaching approaches such as Problem-based learning (PBL) is an approach that challenges students to learn through engagement in a real problem. Institutions and Educator should be encouraged to undertake co-curricula activities and finding ways to practicalize Climate Change education.

  17. Commentary: Positive Youth Development Goes Mainstream.

    PubMed

    Moore, Kristin A

    2017-07-01

    Evidence has accumulated that confirms the success of a positive youth development (PYD) approach. Importantly, a positive development approach is just that-an approach. It is not a particular program or curriculum but a set of practices designed to achieve one or more positive outcomes. As such, PYD practices can be added onto other programs to make positive outcomes more likely. For example, a tutoring program can work hard to hire and train staff to work with students in a trusting, respectful relationship. Camp counselors can be encouraged to build rapport and positive bonds among the campers. © 2017 The Author. Child Development © 2017 Society for Research in Child Development, Inc.

  18. Towards a sociology of healthcare safety and quality.

    PubMed

    Allen, Davina; Braithwaite, Jeffrey; Sandall, Jane; Waring, Justin

    2016-02-01

    The contributions to this collection address technologies, practices, experiences and the organisation of quality and safety across a wide range of healthcare contexts. Spanning three continents, from hospital to community, maternity to mental health, they shine a light into the boardrooms, back offices and front-lines of healthcare, offering sociological insights from the perspectives of managers, clinicians and patients. We review these articles and consider how they contribute to some of the dilemmas that confront mainstream approaches to quality and safety and then look ahead to outline future lines of sociological inquiry to progress the theory and practice of quality and safety. © 2015 Foundation for the Sociology of Health & Illness.

  19. Identification of Teaching Behaviors Which Predict Success for Mainstreamed Students.

    ERIC Educational Resources Information Center

    Larrivee, Barbara; Algina, James

    The final phase of a study investigating effective teaching behaviors for mainstreamed students involved 118 elementary teachers. Teachers provided information on mainstreamed students and a sample of students was randomly selected to represent classification categories (learning disabilities, behavior disorders, speech impairments, and hearing…

  20. Rehabilitation technologies and interventions for individuals with spinal cord injury: translational potential of current trends.

    PubMed

    Musselman, Kristin E; Shah, Meeral; Zariffa, José

    2018-05-16

    In the past, neurorehabilitation for individuals with neurological damage, such as spinal cord injury (SCI), was focused on learning compensatory movements to regain function. Presently, the focus of neurorehabilitation has shifted to functional neurorecovery, or the restoration of function through repetitive movement training of the affected limbs. Technologies, such as robotic devices and electrical stimulation, are being developed to facilitate repetitive motor training; however, their implementation into mainstream clinical practice has not been realized. In this commentary, we examined how current SCI rehabilitation research aligns with the potential for clinical implementation. We completed an environmental scan of studies in progress that investigate a physical intervention promoting functional neurorecovery. We identified emerging interventions among the SCI population, and evaluated the strengths and gaps of the current direction of SCI rehabilitation research. Seventy-three study postings were retrieved through website and database searching. Study objectives, outcome measures, participant characteristics and the mode(s) of intervention being studied were extracted from the postings. The FAME (Feasibility, Appropriateness, Meaningfulness, Effectiveness, Economic Evidence) Framework was used to evaluate the strengths and gaps of the research with respect to likelihood of clinical implementation. Strengths included aspects of Feasibility, as the research was practical, aspects of Appropriateness as the research aligned with current scientific literature on motor learning, and Effectiveness, as all trials aimed to evaluate the effect of an intervention on a clinical outcome. Aspects of Feasibility were also identified as a gap; with two thirds of the studies examining emerging technologies, the likelihood of successful clinical implementation was questionable. As the interventions being studied may not align with the preferences of clinicians and priorities of patients, the Appropriateness of these interventions for the current health care environment was questioned. Meaningfulness and Economic Evidence were also identified as gaps since few studies included measures reflecting the perceptions of the participants or economic factors, respectively. The identified gaps will likely impede the clinical uptake of many of the interventions currently being studied. Future research may lessen these gaps through a staged approach to the consideration of the FAME elements as novel interventions and technologies are developed, evaluated and implemented.

  1. Mainstreaming in America as Seen from Abroad.

    ERIC Educational Resources Information Center

    Shinohara, Mutsuharu

    1989-01-01

    Problems of mainstreaming and racial integration in American schools are analyzed by a Japanese observer. The individualized educational program ideology is seen often to prevail over the principle of mainstreaming. A "separate but equal" approach contradicts the spirit of the Federal Handicapped Education Act. Synthesis of togetherness,…

  2. The Cross Validation of the Attitudes toward Mainstreaming Scale (ATMS).

    ERIC Educational Resources Information Center

    Berryman, Joan D.; Neal, W. R. Jr.

    1980-01-01

    Reliability and factorial validity of the Attitudes Toward Mainstreaming Scale was supported in a cross-validation study with teachers. Three factors emerged: learning capability, general mainstreaming, and traditional limiting disabilities. Factor intercorrelations varied from .42 to .55; correlations between total scores and individual factors…

  3. What can Natural Language Processing do for Clinical Decision Support?

    PubMed Central

    Demner-Fushman, Dina; Chapman, Wendy W.; McDonald, Clement J.

    2009-01-01

    Computerized Clinical Decision Support (CDS) aims to aid decision making of health care providers and the public by providing easily accessible health-related information at the point and time it is needed. Natural Language Processing (NLP) is instrumental in using free-text information to drive CDS, representing clinical knowledge and CDS interventions in standardized formats, and leveraging clinical narrative. The early innovative NLP research of clinical narrative was followed by a period of stable research conducted at the major clinical centers and a shift of mainstream interest to biomedical NLP. This review primarily focuses on the recently renewed interest in development of fundamental NLP methods and advances in the NLP systems for CDS. The current solutions to challenges posed by distinct sublanguages, intended user groups, and support goals are discussed. PMID:19683066

  4. The Pacific primary health care workforce in New Zealand: what are the needs?

    PubMed

    Ape-Esera, Luisa; Nosa, Vili; Goodyear-Smith, Felicity

    2009-06-01

    To scope future needs of the NZ Pacific primary care workforce. Semi-structured interviews with key informants including Pacific primary care workers in both Pacific and mainstream primary health care organisations and managers at funding, policy and strategy levels. Qualitative thematic analysis using general inductive approach. Thirteen stakeholders interviewed (four males, nine females) in 2006. Included both NZ- and Island-born people of Samoan, Tongan, Niuean, Fijian and NZ European ethnicities; age 20-65 years. Occupations included general practitioner, practice nurse, community worker, Ministry of Health official and manager representing mainstream and Pacific-specific organisations. Key themes were significant differences in attributes, needs and values between 'traditional' and contemporary Pacific people; issues regarding recruitment and retention of Pacific people into the primary health care workforce; importance of cultural appropriateness for Pacific populations utilising mainstream and Pacific-specific primary care services and both advantages and disadvantages of 'Pacific for Pacific' services. Interviews demonstrated heterogeneity of Pacific population regarding ethnicity, age, duration of NZ residence and degree of immersion in their culture and language. Higher rates of mental disorder amongst NZ-born Pacific signpost urgent need to address the impact of Western values on NZ-born Pacific youth. Pacific population growth means increasing demands on health services with Pacific worker shortages across all primary health care occupations. However it is not possible for all Pacific people to be treated by Pacific organisations and/or by Pacific health workers and services should be culturally competent regardless of ethnicity of providers.

  5. Something old, something new, something borrowed, something blue: a framework for the marriage of health econometrics and cost-effectiveness analysis.

    PubMed

    Hoch, Jeffrey S; Briggs, Andrew H; Willan, Andrew R

    2002-07-01

    Economic evaluation is often seen as a branch of health economics divorced from mainstream econometric techniques. Instead, it is perceived as relying on statistical methods for clinical trials. Furthermore, the statistic of interest in cost-effectiveness analysis, the incremental cost-effectiveness ratio is not amenable to regression-based methods, hence the traditional reliance on comparing aggregate measures across the arms of a clinical trial. In this paper, we explore the potential for health economists undertaking cost-effectiveness analysis to exploit the plethora of established econometric techniques through the use of the net-benefit framework - a recently suggested reformulation of the cost-effectiveness problem that avoids the reliance on cost-effectiveness ratios and their associated statistical problems. This allows the formulation of the cost-effectiveness problem within a standard regression type framework. We provide an example with empirical data to illustrate how a regression type framework can enhance the net-benefit method. We go on to suggest that practical advantages of the net-benefit regression approach include being able to use established econometric techniques, adjust for imperfect randomisation, and identify important subgroups in order to estimate the marginal cost-effectiveness of an intervention. Copyright 2002 John Wiley & Sons, Ltd.

  6. Disseminating hypnosis to health care settings: Applying the RE-AIM framework

    PubMed Central

    Yeh, Vivian M.; Schnur, Julie B.; Montgomery, Guy H.

    2014-01-01

    Hypnosis is a brief intervention ready for wider dissemination in medical contexts. Overall, hypnosis remains underused despite evidence supporting its beneficial clinical impact. This review will evaluate the evidence supporting hypnosis for dissemination using guidelines formulated by Glasgow and colleagues (1999). Five dissemination dimensions will be considered: Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM). Reach In medical settings, hypnosis is capable of helping a diverse range of individuals with a wide variety of problems. Efficacy There is evidence supporting the use of hypnosis for chronic pain, acute pain and emotional distress arising from medical procedures and conditions, cancer treatment-related side-effects and irritable bowel syndrome. Adoption Although hypnosis is currently not a part of mainstream clinical practices, evidence suggests that patients and healthcare providers are open to trying hypnosis, and may become more so when educated about what hypnosis can do. Implementation Hypnosis is a brief intervention capable of being administered effectively by healthcare providers. Maintenance Given the low resource needs of hypnosis, opportunities for reimbursement, and the ability of the intervention to potentially help medical settings reduce costs, the intervention has the qualities necessary to be integrated into routine care in a self-sustaining way in medical settings. In sum, hypnosis is a promising candidate for further dissemination. PMID:25267941

  7. Enhanced recovery after surgery: Current research insights and future direction

    PubMed Central

    Abeles, Aliza; Kwasnicki, Richard Mark; Darzi, Ara

    2017-01-01

    Since the concept of enhanced recovery after surgery (ERAS) was introduced in the late 1990s the idea of implementing specific interventions throughout the peri-operative period to improve patient recovery has been proven to be beneficial. Minimally invasive surgery is an integral component to ERAS and has dramatically improved post-operative outcomes. ERAS can be applicable to all surgical specialties with the core generic principles used together with added specialty specific interventions to allow for a comprehensive protocol, leading to improved clinical outcomes. Diffusion of ERAS into mainstream practice has been hindered due to minimal evidence to support individual facets and lack of method for monitoring and encouraging compliance. No single outcome measure fully captures recovery after surgery, rather multiple measures are necessary at each stage. More recently the pre-operative period has been the target of a number of strategies to improve clinical outcomes, described as prehabilitation. Innovation of technology in the surgical setting is also providing opportunities to overcome the challenges within ERAS, e.g., the use of wearable activity monitors to record information and provide feedback and motivation to patients peri-operatively. Both modernising ERAS and providing evidence for key strategies across specialties will ultimately lead to better, more reliable patient outcomes. PMID:28289508

  8. Reiki and related therapies in the dialysis ward: an evidence-based and ethical discussion to debate if these complementary and alternative medicines are welcomed or banned.

    PubMed

    Ferraresi, Martina; Clari, Roberta; Moro, Irene; Banino, Elena; Boero, Enrico; Crosio, Alessandro; Dayne, Romina; Rosset, Lorenzo; Scarpa, Andrea; Serra, Enrica; Surace, Alessandra; Testore, Alessio; Colombi, Nicoletta; Piccoli, Barbara Giorgina

    2013-06-21

    Complementary and Alternative Medicines (CAMs) are increasingly practiced in the general population; it is estimated that over 30% of patients with chronic diseases use CAMs on a regular basis. CAMs are also used in hospital settings, suggesting a growing interest in individualized therapies. One potential field of interest is pain, frequently reported by dialysis patients, and seldom sufficiently relieved by mainstream therapies. Gentle-touch therapies and Reiki (an energy based touch therapy) are widely used in the western population as pain relievers.By integrating evidence based approaches and providing ethical discussion, this debate discusses the pros and cons of CAMs in the dialysis ward, and whether such approaches should be welcomed or banned. In spite of the wide use of CAMs in the general population, few studies deal with the pros and cons of an integration of mainstream medicine and CAMs in dialysis patients; one paper only regarded the use of Reiki and related practices. Widening the search to chronic pain, Reiki and related practices, 419 articles were found on Medline and 6 were selected (1 Cochrane review and 5 RCTs updating the Cochrane review). According to the EBM approach, Reiki allows a statistically significant but very low-grade pain reduction without specific side effects. Gentle-touch therapy and Reiki are thus good examples of approaches in which controversial efficacy has to be balanced against no known side effect, frequent free availability (volunteer non-profit associations) and easy integration with any other pharmacological or non pharmacological therapy. While a classical evidence-based approach, showing low-grade efficacy, is likely to lead to a negative attitude towards the use of Reiki in the dialysis ward, the ethical discussion, analyzing beneficium (efficacy) together with non maleficium (side effects), justice (cost, availability and integration with mainstream therapies) and autonomy (patients' choice) is likely to lead to a permissive-positive attitude. This paper debates the current evidence on Reiki and related techniques as pain-relievers in an ethical framework, and suggests that physicians may wish to consider efficacy but also side effects, contextualization (availability and costs) and patient's requests, according also to the suggestions of the Society for Integrative Oncology (tolerate, control efficacy and side effects).

  9. Reiki and related therapies in the dialysis ward: an evidence-based and ethical discussion to debate if these complementary and alternative medicines are welcomed or banned

    PubMed Central

    2013-01-01

    Background Complementary and Alternative Medicines (CAMs) are increasingly practiced in the general population; it is estimated that over 30% of patients with chronic diseases use CAMs on a regular basis. CAMs are also used in hospital settings, suggesting a growing interest in individualized therapies. One potential field of interest is pain, frequently reported by dialysis patients, and seldom sufficiently relieved by mainstream therapies. Gentle-touch therapies and Reiki (an energy based touch therapy) are widely used in the western population as pain relievers. By integrating evidence based approaches and providing ethical discussion, this debate discusses the pros and cons of CAMs in the dialysis ward, and whether such approaches should be welcomed or banned. Discussion In spite of the wide use of CAMs in the general population, few studies deal with the pros and cons of an integration of mainstream medicine and CAMs in dialysis patients; one paper only regarded the use of Reiki and related practices. Widening the search to chronic pain, Reiki and related practices, 419 articles were found on Medline and 6 were selected (1 Cochrane review and 5 RCTs updating the Cochrane review). According to the EBM approach, Reiki allows a statistically significant but very low-grade pain reduction without specific side effects. Gentle-touch therapy and Reiki are thus good examples of approaches in which controversial efficacy has to be balanced against no known side effect, frequent free availability (volunteer non-profit associations) and easy integration with any other pharmacological or non pharmacological therapy. While a classical evidence-based approach, showing low-grade efficacy, is likely to lead to a negative attitude towards the use of Reiki in the dialysis ward, the ethical discussion, analyzing beneficium (efficacy) together with non maleficium (side effects), justice (cost, availability and integration with mainstream therapies) and autonomy (patients’ choice) is likely to lead to a permissive-positive attitude. Summary This paper debates the current evidence on Reiki and related techniques as pain-relievers in an ethical framework, and suggests that physicians may wish to consider efficacy but also side effects, contextualization (availability and costs) and patient’s requests, according also to the suggestions of the Society for Integrative Oncology (tolerate, control efficacy and side effects). PMID:23799960

  10. Enhancing Co-operation between Mainstream and Special Education. Thematic Group 9. Helios II Programme.

    ERIC Educational Resources Information Center

    European Agency for Development in Special Needs Education, Middelfart (Denmark).

    This booklet discusses mainstream and special education interaction through the experiences and conclusions of a working group of persons with disabilities, parents, administrators, mainstream teachers, teachers in special education, therapists, and professionals in special needs from 10 European countries. It focuses upon the special needs…

  11. Trekking Back to Mainstream for Inclusive Education, Is It There?

    ERIC Educational Resources Information Center

    Kalenga, Rosemary Chimbala; Fourie, Elsa

    2012-01-01

    This paper explores the ecosystemic management strategies for inclusive schools due to challenges faced by the schools in the mainstream school where learners from the specialised institutions are referred back to mainstream for inclusive education. Ecosystemic perspective on inclusive education, ecological theories and systems theories underpin…

  12. Mainstreaming and Postsecondary Educational and Employment Status of a Rubella Cohort.

    ERIC Educational Resources Information Center

    Kasen, Stephanie; And Others

    1990-01-01

    The postsecondary education and work status of 46 rubella deaf young adults was described and evaluated as an outcome of ethnicity, socioeconomic status, preschool attendance, early parent involvement, and degree of prior mainstreaming. Prior mainstreaming was a determinant of postsecondary education attendance over and above the effects of…

  13. How Do We Create ASD-Friendly Schools? A Dilemma of Placement

    ERIC Educational Resources Information Center

    Goodall, Craig

    2015-01-01

    Scope exists within the Northern Ireland (NI) education system to transform mainstream schools into autistic spectrum disorder (ASD)-friendly environments. The efficacy of mainstream inclusion is discussed prior to discussing the creation of ASD-friendly schools. The transformation of mainstream school environments is underpinned by concepts such…

  14. Hearing Impaired Pupils in the Mainstream.

    ERIC Educational Resources Information Center

    Birch, Jack W.

    Provided primarily for regular class teachers and administrators is information on mainstreaming hearing impaired students. Reasons behind the movement toward regular class placement of hearing impaired pupils are noted and two basic views as to how it should be done are identified. Defined are relevant terms such as mainstreaming, hearing aid,…

  15. Mainstreaming: Our Current Knowledge Base.

    ERIC Educational Resources Information Center

    Bates, Percy, Ed.

    The nine author contributed chapters are intended to provide a basic introduction to the rationale and processes of mainstreaming handicapped children. The first paper, "The Whys and Hows of Mainstreaming" by T. Tice, provides a philosophical examination of the basic principles of P.L. 94-142, the Education for All Handicapped Children Act, and…

  16. Gender Mainstreaming of Adult Mathematics Education: Opportunities and Challenges

    ERIC Educational Resources Information Center

    Henningsen, Inge

    2008-01-01

    Mainstreaming as a strategy for equality has been widely adopted by the international community. Mainstreaming of adult mathematics education entails that gender, ethnicity, social class and other difference defining categories are included consciously and explicitly in all activities. A growing body of research explore how pluralism and…

  17. Inclusion: The Role of Special and Mainstream Schools

    ERIC Educational Resources Information Center

    Shaw, Anne

    2017-01-01

    For children with special educational needs, seeds were sown for the move away from segregated settings to inclusion in mainstream settings following the 1978 Warnock Report. However, the "special versus mainstream school" debate was re-ignited in 2005 when Warnock recommended a more significant role for special schools than previously…

  18. Mainstream Early Childhood Education Teacher Preparation for Inclusion in Zimbabwe

    ERIC Educational Resources Information Center

    Majoko, Tawanda

    2017-01-01

    This study examined mainstream teachers' preparation for inclusion in Early Childhood Education (ECE). Embedded within the "core expertise" of inclusive pedagogy, this descriptive study drew on a sample of 23 mainstream teachers purposively drawn from the Midlands educational province of Zimbabwe. A constant comparative approach of…

  19. Use of the "Attitudes Toward Mainstreaming Scale" with Undergraduate Education Students.

    ERIC Educational Resources Information Center

    Wilczenski, Felicia L.

    Education students' attitudes towards mainstreaming are crucial to the future success of the movement toward inclusive education. This study describes the attitudes toward mainstreaming held by undergraduate education students and assesses attitude changes related to knowledge about handicapping conditions and the field of education as well as…

  20. PISA Mathematics and Reading Performance Differences of Mainstream European and Turkish Immigrant Students

    ERIC Educational Resources Information Center

    Arikan, Serkan; van de Vijver, Fons J. R.; Yagmur, Kutlay

    2017-01-01

    Lower reading and mathematics performance of Turkish immigrant students as compared to mainstream European students could reflect differential learning outcomes, differential socioeconomic backgrounds of the groups, differential mainstream language proficiency, and/or test bias. Using PISA reading and mathematics scores of these groups, we…

  1. Beijing fifteen years on: the persistence of barriers to gender mainstreaming in health policy.

    PubMed

    Payne, Sarah

    2011-01-01

    In 2010, fifteen years after the Beijing declaration on women's rights, the UN Commission on the Status of Women met to review progress in gender mainstreaming. Reports on gender equality by member states revealed differences in the degree of change achieved in this period, while highlighting common barriers to gender mainstreaming. The same barriers have long been identified by academics and activists, but prove remarkably resistant to strategies to address gender inequalities. This paper reviews approaches to gender mainstreaming in the context of health policy, and suggests that a model of the obstacles to gender mainstreaming, which identifies barriers as essentially pragmatic, conceptual, or political in origin, might enable a more explicit discussion of the factors underlying this resistance and the ways in which they might be challenged.

  2. Black plague.

    PubMed

    Whitfield, L

    1997-01-01

    Many African-Americans are reluctant to participate in clinical trials of any type, citing the Federal government's unethical syphilis experiments in the Tuskegee Study. African-Americans are also more predisposed to choose alternative treatments over mainstream therapies. These attitudes contribute to the rise in infection rates in this population that now accounts for 41 percent of all reported cases. It is essential that African-Americans participate in HIV research at every level.

  3. Evidence-based librarianship: what might we expect in the years ahead?

    PubMed

    Eldredge, Jonathan D

    2002-06-01

    To predict the possible accomplishments of the Evidence-Based Librarianship (EBL) movement by the years 2005, 2010, 2015 and 2020. Predictive. The author draws upon recent events, relevant historical events and anecdotal accounts to detect evidence of predictable trends. The author develops a set of probable predictions for the development of EBL. Although incomplete evidence exists, some trends still seem discernible. By 2020, EBL will have become indistinguishable from mainstream health sciences librarianship/informatics practices.

  4. Annual Review: Educational Psychology and the Effectiveness of Inclusive Education/Mainstreaming

    ERIC Educational Resources Information Center

    Lindsay, Geoff

    2007-01-01

    Background: Inclusive education/mainstreaming is a key policy objective for the education of children and young people with special educational needs (SEN) and disabilities. Aims: This paper reviews the literature on the effectiveness of inclusive education/mainstreaming. The focus is on evidence for effects in terms of child outcomes with…

  5. Project Harmony - Success for the Learning Disabled in the Mainstream.

    ERIC Educational Resources Information Center

    Kirsch, Greg

    An instructional and mainstreaming model for programming severely learning disabled (LD) elementary students is described, in which students receive instruction for one half of the school day in an LD classroom and are successfully mainstreamed in general education for the remaining part of the day is described. It is explained that components of…

  6. Paving the Way through Mainstream Education: The Interplay of Families, Schools and Disabled Students

    ERIC Educational Resources Information Center

    Buchner, Tobias; Smyth, Fiona; Biewer, Gottfried; Shevlin, Michael; Ferreira, Miguel A. V.; Martín, Mario Toboso; Díaz, Susana Rodríguez; Šiška, Jan; Latimier, Camille; Kánová, Šárka

    2015-01-01

    There has been much debate around the role of parents in supporting their disabled children in mainstream schools. Several authors have pointed to parents' advocacy and their engagement with professionals. Parents often perceived mainstream settings as fostering better social and academic learning for their offspring. However, while parents'…

  7. Mainstreaming: Educable Mentally Retarded Children in Regular Classes.

    ERIC Educational Resources Information Center

    Birch, Jack W.

    Described in the monograph are mainstreaming programs for educable mentally retarded (EMR) children in six variously sized school districts within five states. It is noted that mainstreaming is based on the principle of educating most children in the regular classroom and providing special education on the basis of learning needs rather than…

  8. Elementary and Secondary Teachers' Attitudes and Efficacy for Teaching English Language Learners in the Mainstream Classroom

    ERIC Educational Resources Information Center

    Mathis, Dawn L.

    2017-01-01

    The purpose of this study was to evaluate Elementary and Secondary teachers' attitudes, efficacy, and cultural proficiency with mainstream ELL students. This study further explored teachers' beliefs toward professional development, differentiating curriculum and instruction, and understanding language acquisition with mainstream ELL students. The…

  9. Tips on Mainstreaming: Do's and Don'ts in Activity Programs.

    ERIC Educational Resources Information Center

    Practical Pointers, 1978

    1978-01-01

    The document provides 10 brief articles on activities for mainstreamed handicapped students. Included are the following titles: "Tips on Mainstreaminq--Do's and Don'ts for Activity Programs;""Mainstreaming--A Goal and A Process;""What To Do When You Meet a Handicapped Person;""Tips for Dealing with Handicapped Persons;""Relatinq to Orthopedically…

  10. A Curriculum for Mainstreamed Preschool Children Who Are Hearing Impaired developed by Project CHIME.

    ERIC Educational Resources Information Center

    Pucciarelli, Catherine S., Ed.

    Project CHIME (Children with Hearing Impairments in Mainstreamed Environments) was developed to create a curriculum for use by professionals who are providing mainstreaming opportunities for hearing-impaired preschoolers. The CHIME curriculum is divided into five activity areas that are part of the growth and development process for all…

  11. Science Education for the Deaf: Comparison of Ideal Resource and Mainstream Settings.

    ERIC Educational Resources Information Center

    Linn, Marcia C.

    1979-01-01

    Investigates the cognitive and social aspects of a mainstreamed setting for deaf children. Twelve mainstreamed deaf subjects, placed with nonhandicapped children in an elementary school, were compared with nine resource deaf subjects. The reactions of nonhandicapped to handicapped children was also assessed. Results of cognitive tests showed no…

  12. Reintegration into Mainstream? 'Gi'e Us Peace!'.

    ERIC Educational Resources Information Center

    Lloyd, Gwynedd; Padfield, Pauline

    1996-01-01

    A Scottish study of 615 pupils in 49 alternative day and residential schools found that over a two-year period, only 21 were successfully returned to the mainstream. Reasons for this finding include resistance of mainstream schools to reintegration; lack of financial support; family attitudes; sex differences in student placement; and the presence…

  13. Cultural Genocide through Mainstream Media: A Brief Critical Analysis

    ERIC Educational Resources Information Center

    Olague, Rubén; Ekiaka Nzai, Valentin

    2014-01-01

    While the U.S. mainstream media continues to exercise its right of way in the American landscape, the predominant culture faces a population and popularity decrease. Diversity is slowly finding a perennial nest for growth, although minorities are still being shelled by mainstream media that consciously and unconsciously make the attack a priority…

  14. The Preparation of Regular Physical Educators for Mainstreaming. Final Report.

    ERIC Educational Resources Information Center

    Winnick, Joseph P., Ed.; Hurwitz, Jan, Ed.

    The monograph reports on a 3-year project to develop competencies in physical education teachers for dealing with mainstream exceptional students. Results of a survey of physical educators on the types of competencies needed to teach in mainstreamed settings are presented. Adjustments made to the undergraduate physical education program at State…

  15. Mutually Beneficial Teamwork between Bilingual and Mainstream Classes.

    ERIC Educational Resources Information Center

    Boduch, Judy; Pravdica, Suzette

    A three-year program to bring together third-grade students in a self-contained bilingual classroom and a mainstream classroom is described. The project was designed to reduce the isolation of the bilingual students and prejudice toward them shown by mainstream students. During the first year, gym and music classes were combined, students were…

  16. Developing Language Awareness for Teachers of Emergent Bilingual Learners Using Dialogic Inquiry

    ERIC Educational Resources Information Center

    Wallen, Matthew; Kelly-Holmes, Helen

    2017-01-01

    This study endeavoured to awaken mainstream teachers' awareness of language, specifically related to teaching emergent bilingual children who are learning English as an additional language (EAL) in the Republic of Ireland. Because EAL learners spend the majority of the day in the mainstream classroom, mainstream teachers' language awareness may…

  17. Why Teachers Find It Difficult to Include Students with EBD in Mainstream Classes

    ERIC Educational Resources Information Center

    Gidlund, Ulrika

    2018-01-01

    In Sweden, teachers in mainstream schools show frustration and insecurity about how to organise education for inclusion and diversity. This article contributes to the understanding of how they articulate their view of the advantages and disadvantages of including students with EBD in mainstream classes. To study teachers' understanding, an…

  18. Complementing the Mainstream: An Exploration of Partnership Work between Complementary Alternative Provisions and Mainstream Schools

    ERIC Educational Resources Information Center

    Pennacchia, Jodie; Thomson, Pat

    2016-01-01

    In the English context, complementary alternative provisions (APs) can make specific positive contributions for young people at risk of exclusion from mainstream school. Whilst recognising the potential value of all complementary AP that is carefully selected and of high quality, we problematise the "repair and return" rationale that…

  19. Effect of jet-mainstream velocity ratio on flow characteristics and heat transfer enhancement of jet on flat plate flow

    NASA Astrophysics Data System (ADS)

    Puzu, N.; Prasertsan, S.; Nuntadusit, C.

    2017-09-01

    The aim of this research was to study the effect of jet-mainstream velocity ratio on flow and heat transfer characteristics of jet on flat plate flow. The jet from pipe nozzle with inner diameter of D=14 mm was injected perpendicularly to mainstream on flat plate. The flat plate was blown by mainstream with uniform velocity profile at 10 m/s. The velocity ratio (jet to mainstream velociy) was varied at VR=0.25 and 3.5 by adjusting velocity of jet flow. For heat transfer measurement, a thin foil technique was used to evaluate the heat transfer coefficient by measuring temperature distributions on heat transfer surface with constant heat flux by using infrared camera. Flow characteristics were simulated by using a computational fluid dynamics (CFD) with commercial software ANSYS Fluent (Ver.15.0). The results showed that the enhancement of heat transfer along downstream direction for the case of VR=0.25 was from the effect of jet stream whereas for the case of VR=3.5 was from the effect of mainstream.

  20. Black South African psychiatric recipients: have they been overlooked under the recent democratization?

    PubMed

    Jones, Lani V

    2009-01-01

    This article examines the literature on service accessibility, utilization, and treatment needs for Black South African adults with psychiatric disabilities and highlights the paucity of empirical studies in these areas. Current research draws attention to the finding that Black South Africans essentially have been neglected or ignored in the mental health system, suggesting that the government should formulate and implement programs and policies to ensure the effective delivery of psychiatric services. A framework for practice is warranted in which traditional health practices are parallel to mainstream westernized psychiatric care that emphasizes culturally relevant care and naturally occurring community supports rather than large psychiatric institutions. It is suggested here that "psychosocial competence" may provide a resonant and particularly useful framework for practice in this population.

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