To see the other types of publications on this topic, follow the link: ACT College System.
Journal articles on the topic 'ACT College System'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'ACT College System.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Nisbet, Elizabeth, Heather A. McKay, and Sara Haviland. "The Emergence of Local Practices in a Devolved Workforce Investment System: Barriers and Possibilities for Enhancing Degree Completion." Economic Development Quarterly 31, no. 3 (July 17, 2017): 183–95. http://dx.doi.org/10.1177/0891242417719831.
Full textAbstract:
Former President Obama’s 2020 Goal for the United States to have the highest proportion of college graduates in the world required that both new and disengaged college students attain degrees. The workforce development system could assist the latter by supporting credit-bearing education as training. Its ability to address this need depends on the controlled devolved structure established by the Workforce Investment Act of 1998, which allows states and local workforce investment areas to set priorities and make a range of choices bounded by federal constraints. Analyzing interview data with frontline staff, case managers, and leadership in workforce systems in four states, the authors identify obstacles and opportunities for supporting degree completion. Three federal Workforce Investment Act mandates are particularly influential: individual training accounts, eligible training provider lists, and emphasis on demand occupations. The authors also model factors such as local partnerships and staff knowledge that can mediate how policy and practice shape local workforce investment area support for college.
2
Loss, Christopher P. "“No Operation in an Academic Ivory Tower”: World War II and the Politics of Social Knowledge." History of Education Quarterly 60, no. 2 (May 2020): 214–27. http://dx.doi.org/10.1017/heq.2020.22.
Full textAbstract:
America's sprawling system of colleges and universities has been built on the ruins of war. After the American Revolution the cash-strapped central government sold land grants to raise revenue and build colleges and schools in newly conquered lands. During the Civil War, the federal government built on this earlier precedent when it passed the 1862 Morrill Land-Grant College Act, which created the nation's system of publicly supported land-grant colleges. And during Reconstruction, the Freedmen's Bureau, operating under the auspices of the War Department, aided former slaves in creating thousands of schools to help protect their hard-fought freedoms. Not only do “wars make states,” as sociologist Charles Tilly claimed, but wars have also shaped the politics of knowledge in the modern university in powerful and lasting ways.
3
Zwick, Rebecca. "Assessment in American Higher Education: The Role of Admissions Tests." ANNALS of the American Academy of Political and Social Science 683, no. 1 (May 2019): 130–48. http://dx.doi.org/10.1177/0002716219843469.
Full textAbstract:
In this article, I review the role of college admissions tests in the United States and consider the fairness issues surrounding their use. The two main tests are the SAT, first administered in 1926, and the ACT, first given in 1959. Scores on these tests have been shown to contribute to the prediction of college performance, but their role in the admissions process varies widely across colleges. Although test scores are consistently listed as one of the most important admissions factors in national surveys of postsecondary institutions, an increasing number of schools have adopted “test-optional” policies. At these institutions, test score requirements are seen as a barrier to campus diversity because of the large performance gaps among ethnic and socioeconomic groups. Fortunately, the decentralized higher education system in the United States can accommodate a wide range of admissions policies. It is essential, however, that the impact of admissions policy changes be studied and that the resource implications of these changes be thoroughly considered.
4
Johnson, Eric, Lanel Menezes, Tim Routier, Mikaela Walter, and Keith White. "Going for the Gold." Muma Case Review 4 (2019): 001–20. http://dx.doi.org/10.28945/4558.
Full textAbstract:
Dr. Ken Atwater, President of Hillsborough Community College (HCC), saw the email flash across his monitor, “2018-19 Performance Funding: Hillsborough Community College” sent from the Chancellor of the Florida College System (FCS). The email was 12 months in the making. In 2015, the Florida Legislature created the first performance funding-based incentive program in its General Appropriations Act (Laws of Florida Ch. 2015-232. (n.d.)). Proviso language required the State Board of Education to allocate performance funds pursuant to a performance funding model. The performance model had four performance funding metrics: retention, graduation, wages and job placement (see Exhibit 1). This one message would answer a burning question that had been lingering in the college’s top administrators’ minds: Where would the college land in another year of performance funding? Atwater contemplatively read the email, “A Bronze ranking, again.” This Bronze designation meant the college was not eligible for new state distributed performance funds meaning almost $2 million would not be appropriated to HCC. Atwater asked himself “what needs to be done so HCC is eligible for this funding?” The 2015 Florida Legislature inserted language into its General Appropriations Act creating the FCS’ performance funding-based incentive program. The direction of millions of dollars distributed throughout Florida colleges had been determined including a final ranking of Gold, Silver, Bronze or Purple for each college, with Gold being the highest ranking. This ranking determined whether HCC received millions in new dollars; money that in an environment of budget cuts to the entire FCS over the last two years would be extremely important to the students, faculty, and administrators across Hillsborough County. Atwater knew the college needed to improve its score, thus allowing HCC to move into a Silver or Gold category. The improvement in the score to gain the additional dollars boiled down to concentrated efforts in providing the best education for students while equipping faculty with the right resources to improve effectiveness. Atwater thought, "Easier said than done. I am faced with the proverbial chicken before the egg or egg before the chicken. I may need funding to make the necessary changes to improve the scores. However, without the necessary changes to show improvement in scores, we will not receive the funding." Regardless of the dilemma, the question had to be asked, "What strategies should be implemented to increase scores in the four performance metrics that the college would be judged on? Should the college expand tracking of the cohort of students that is examined? Should new student success initiatives be rolled out to help students?" Atwater wanted answers. He had approximately two million reasons why.
5
Strömberg, David. "How the Electoral College Influences Campaigns and Policy: The Probability of Being Florida." American Economic Review 98, no. 3 (May 1, 2008): 769–807. http://dx.doi.org/10.1257/aer.98.3.769.
Full textAbstract:
This paper analyzes how US presidential candidates should allocate resources across states to maximize the probability of winning the election, by developing and estimating a probabilistic-voting model of political competition under the Electoral College system. Actual campaigns act in close agreement with the model. There is a 0.9 correlation between equilibrium and actual presidential campaign visits across states, both in 2000 and 2004. The paper shows how presidential candidate attention is affected by the states' number of electoral votes, forecasted state-election outcomes, and forecast uncertainty. It also analyzes the effects of a direct national popular vote for president. (JEL D72)
6
Linzey, Kate. "Constructing Education: 1961-69." Architectural History Aotearoa 2 (October 3, 2005): 10–22. http://dx.doi.org/10.26686/aha.v2i0.6707.
Full textAbstract:
The 1960s were a time of great change and growth in New Zealand's tertiary eduction sector, and the university-based discipline of architecture was in no way exempt from this progress. In response to the Parry Report of 1959-1960, the New Zealand government passed the 1961 Universities Act, which dissolved the federated University of New Zealand. This Act opened the way for the independence of the four universities of Auckland, Victoria, Canterbury and Otago, and the two allied agricultural colleges of Massey and Lincoln. Under the federated university system, Auckland University College had been the centre of architectural training, and had delivered extramural course through colleges in the other centres. As the "disproportionate number" of extramural and part-time study had been criticisms levelled by the Parry Report, it was obvious that another School of Architecture would now be required, but where? Ever an argumentative association, members of the New Zealand Institute of Architects engaged in a lively debate on the choice, positing Victoria University in Wellington, and Canterbury University in Christchurch, as the major contenders. By the end of the decade university-based architectural training would expand at both Auckland and (the new) Wellington Schools, New Zealand's first PhD in Architecture would be conferred on Dr John Dickson, and many of the careers of architects and architectural academics who went on to construct the discipline as it is today, had begun.
7
Wang, Xuan, Helmut Schneider, and Kenneth R. Walsh. "A Predictive Analytics Approach to Building a Decision Support System for Improving Graduation Rates at a Four-Year College." Journal of Organizational and End User Computing 32, no. 4 (October 2020): 43–62. http://dx.doi.org/10.4018/joeuc.2020100103.
Full textAbstract:
Although graduation rates have interested stakeholders, educational researchers, and policymakers for some time, little progress has been made on the overall graduation rate at four-year state colleges. Even though selective admission based on academic indicators such as high school GPA and ACT/SAT have widely been used in the USA for years, and recent statistics show that less than 40% of students graduate from four-year state colleges in four years in the US. The authors propose using an ensemble of analytic models that considers cost as a better form of analysis that can be used as input to decision support systems to inform decision makers and help them choose intervention methods. This article uses ten years of data for 10,000 students and applies ten analytical models to find the best predictor of at-risk students. This research also uses the receiver operating characteristic curve to help determine the most cost-effective trade-off between false positive and false negative levels.
8
McNamara, Erica J., Andrew Stewart, E. Greer Gay, James Banasiak, Bryan E. Palis, and Stephen B. Edge. "The rapid quality reporting system: Assessing and improving the quality of cancer care with a prospective clinical performance tracking and reporting system." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 286. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.286.
Full textAbstract:
286 Background: The Rapid Quality Reporting System (RQRS), developed by The Commission on Cancer of The American College of Surgeons, allows accredited cancer programs to prospectively monitor adherence to five National Quality Forum endorsed quality of care metrics for breast (BC) and colon (CC) cancer. This study assesses differences in performance rates by patient populations and demonstrates the impact a prospective clinical performance tracking system can have in impacting care. Methods: RQRS tracks and measures compliance with the following measures: Radiation therapy within one year of diagnosis (dx) for women <70 receiving breast conserving surgery for BC (BCS/RT); hormone therapy within one year of dx for AJCC T1c, N0M0, or stage II or II; hormone receptor positive BC (HT); multi-agent chemotherapy within four months of dx; age < 70; hormone receptor negative BC (MAC); adjuvant chemotherapy within four months of dx; age <80; AJCC stage III CC (ACT); pathologic examination of ≥12 regional lymph nodes for surgically resected CC (12RLN). 64,129 RQRS measure eligible cases diagnosed from 2006 to 2010 from 64 RQRS beta test centers were assessed. Performances rates, before and after implementing the RQRS beta test, were compared by patient demographics. Results: Between 2006 to 2010, compliance rates increased significantly for all five measures, ranging from a 16% increase for MAC to 36% for HT. Prior to RQRS participation, BCS/RT, HT and ACT compliance was significantly lower in patients of other races cf. to white and black; for MAC, other races were lower cf. to white. By 2010 a difference by race remained only in BCS/RT. Payer status and age also impact care. Private insurance cases were more likely to receive compliant care for BCS/RT, MAC and 12RLN; with Medicare for HT (p<.05). Age impacted HT (<40 less likely) and ACT (70-79 less likely cf. to 40-49) (p<.05). Conclusions: Increased performance rates show a system which promotes the ability to track patients in real clinical time can improve quality of care. By using RQRS to prospectively monitor expected adjuvant care, programs can proactively intervene and address potential issues that could impede delivery of timely standard of care.
9
James, Scon C. "A Party System Perspective on the Interstate Commerce Act of 1887: The Democracy, Electoral College Competition, and the Politics of Coalition Maintenance." Studies in American Political Development 6, no. 1 (1992): 163–200. http://dx.doi.org/10.1017/s0898588x0000078x.
Full textAbstract:
The literature on the Interstate Commerce Act of 1887 is curiously at odds with our understanding of the politics of the Gilded Age. Labels like “the party period” and phrases such as “the triumph of organizational politics” and the “full flowering of the American party state” attest to the vibrant partisan life of the late 19th century. Stephen Skowronek offers one important reason for this state of affairs: The nature of electoral competition in these years further extended the hegemony of party concerns over governmental operations. More than ever before, the calculations of those in power were wedded to the imperatives of maintaining efficiency in state and local political machines and of forging a national coalition from these machines for presidential elections.
10
Nikulicheva, N. V., O. I. Dyakova, and O. S. Glukhovskaya. "Organization of Distance Learning in School, College, University." Open Education 24, no. 5 (October 28, 2020): 4–17. http://dx.doi.org/10.21686/1818-4243-2020-5-4-17.
Full textAbstract:
The purpose of research is to study and illustrate the main stages of implementing distance learning (DL) in schools, colleges, and universities using examples of real educational organizations. Materials for the study were the results of the authors’ work on the implementation of DL in the educational process of their organizations. The methodological work was based on the DL theoretical foundations of E.S. Polat scientific school and her followers. To achieve this goal and solve problems, the following groups of research methods were used:– theoretical: analysis of psychological, pedagogical, methodological literature, regulatory documents in the aspect of the problem under study; modeling of distance learning in educational organizations, systematization of scientific and theoretical and experimental data; classification of selected components and characteristics;– empirical-diagnostic (survey); observational (observation-direct and indirect, long and short-term);– statistical: measurement of the obtained data (collection of statistical material); determination and processing of quantitative and qualitative indicators of the experiment.The theory and practice of DL in Russia has been going on for over 20 years. When implementing DL in an educational organization, it is important to study the main concepts of DL in Russian and foreign scientific schools, determine the implementation strategy, but not to act “blindly”. A huge problem comes to the fore: the lack of readiness of the teaching staff to comprehend and master modern pedagogical and information technologies for organizing the distance learning process. The absence of the development concept of a pedagogical system for the majority of heads of educational organizations allows for some confusion in the submission and control of educational material, the process is aggravated by the lack of full-fledged consultations, as a result of which many participants in the educational process are dissatisfied with the results. Instead of the stage of serious system design, lecturers limit themselves to digitizing ready-made traditional lectures, conducting them in the “talking head” mode with reading the theory from the screen, introducing an automated testing system or any number of tasks “from the textbook” with the message “send a photo of the completed task”, which, of course, cannot lead to a high-quality learning process. Most lecturers try to transfer all the elements of the full-time learning system to the distance learning system automatically when changing the form of training, which is basically impossible when changing the environment. The new learning environment has different capabilities and requires the lecturer to plan differently, present information, and organize monitoring and record results.The results of the study allowed us to identify general trends in the organization of DL at all levels of education and specific problems typical for particular levels. The main issue in organization DL at school was the creation of the learning environment (technical support, Internet, organization of DL pedagogical system) as well as methodological support of DL process (training lecturers in DL methodology). In higher education institutions and colleges, the main problem turned out to be stimulating the teaching staff to master the methodological and technical foundations of DL, since the majority of lecturers clearly lacked motivation to provide a high-quality DL. In conclusion, it should be noted that for further development of distance learning, the management of organizations needs to think about developing economic mechanisms for paying developers of distance learning courses and lecturers, working out copyright protection for created distance learning courses, training lecturers in the methodology for developing and conducting distance learning courses, purchasing professional DLS (distance learning systems) with a guarantee of technical support from developers for several years and customization for the needs of the organization. There is also a need for a system of benefits and incentives for distance lecturers on health protection and incentives for further high-quality work.
11
Serna, Gabriel R., Joshua M. Cohen, and David H. K. Nguyen. "State and institutional policies on in-state resident tuition and financial aid for undocumented students: Examining constraints and opportunities." education policy analysis archives 25 (February 27, 2017): 18. http://dx.doi.org/10.14507/epaa.25.2809.
Full textAbstract:
In this article, we examine policies related to in-state resident tuition and state financial aid policies aimed at undocumented students. To help frame the discussion and spark further debate and research in this area the article seeks to do three things. First, it provides a comprehensive review of state and institutional in-state tuition policies aimed at undocumented students as well as state college or university system responses. Second, it charts the policy landscape for state financial aid access for this population. Third, it examines the numerous implications that such policies engender and highlights the role of the federal government and the proposed Dream Act in mitigating some of these concerns. It closes by underscoring the important financial role played by the critical interaction of state, institutional, and federal policies in making college going a reality for these students while proposing avenues for future study around the issue.
12
Latremouille, Jodi Marie. "Poetic Inquiry as Visiting: Stories of Men." in education 20, no. 2 (June 20, 2014): 48–58. http://dx.doi.org/10.37119/ojs2014.v20i2.173.
Full textAbstract:
This article is a reflection on how stories can come to inhabit a place in a pedagogical way, as Keith Basso notes, “wisdom sits in places” (1996). In this story, I write about my experiences teaching a college preparation English and math class in rural British Columbia. In the short story entitled Stories of Men, I describe the act of witnessing the stories of suffering and hope of men who grew up attending local residential schools, alongside the stories of their sons’ coming of age in the contemporary school system. Keywords: poetic inquiry; narrative inquiry; storytelling; place-based pedagogy
13
Cooksey, Ray W. "The Problem of Multidimensionality in Course Scores and Course Choices in the Production of a Single Year 12 Tertiary Entrance Score." Australian Journal of Education 37, no. 1 (April 1993): 26–45. http://dx.doi.org/10.1177/000494419303700103.
Full textAbstract:
The present study considers the problem of multidimensionality in Tertiary Entrance (TE) scores where a single TE score is the desired goal. Using data from the 1988 cohort of the ACT college system, course scores as assessed by teachers were shown to distinguish performance in a four-dimensional space. TE scores, computed using both a modified multiple regression strategy and the Daley's (1989) Other Course Score scaling method, were shown to be related to, at best, two of the four dimensions. A second phase of the study revealed the presence of multidimensionality in the choices of courses that students made when assembling their college curricula. These dimensions of course choice were subsequently related back to the demographic characteristics of the students and to the two types of TE scores. Conclusions were drawn regarding the dubious validity of assuming that a single TE score carries all the information needed to summarise the performance of secondary school students.
14
Aeni, Khurotul, and Randi Adzin. "ITSM Strategy Using CSI on ITIL V.3 To Improve IT Services." INTENSIF: Jurnal Ilmiah Penelitian dan Penerapan Teknologi Sistem Informasi 4, no. 2 (August 19, 2020): 203–14. http://dx.doi.org/10.29407/intensif.v4i2.14297.
Full textAbstract:
The SIMBARU (Academic information System) has The obstacles that currently occur in the SIMBARU process is how to utilize an IT-based academic service system that is ready to run/use in the optimal time optimally, providing services with the right target, fast access that can provide satisfaction to users (user), as well as vision of mission and institutional business objectives can be realized. By using PDCA data analysis Method (Plan, Do, Check, and ACT), it is expected to design a SIP document (Service Improvement Plan) to improve the performance of SIMBARU. The design of SIP documents on SIMBARU can be done by using IT Infrastructure Library V. 3 by analyzing the condition of SIMBARU which then produce output in the form of SIP. Results of this research SIP designed in accordance with the knowledge gained from the results of the analysis, can be used as a strategy to improve IT services in college, which resulted in recommendation of improvement and output in the form of SIP. Repair and SIP recommendations are expected to be implemented to improve IT services, so that the IT service i.e. SIMBARU can help the academic staff in conducting academics in college.
15
Prihatmadji, Wiwiet. "Peningkatan dan Perbaikan dari Temuan Audit External ISO 9001 di LP3I College." Majalah Ilmiah Bijak 16, no. 1 (March 31, 2019): 53–65. http://dx.doi.org/10.31334/bijak.v16i1.324.
Full textAbstract:
The findings of external audits in order to ensure the implementation of ISO 9001 quality management system at LP3I College for three consecutive years provide benefits in the form of improvement, correction and consistency of the quality management system in accordance with applicable requirements. The methodology used refers to the PDCA methodology as a model for running the management process with continuous improvement. Improved system in the stages of the Plan in the form of Management of quality objectives, analysis and evaluation, as well as back up data. Stage of Do in the form of maintenance evaluation and realization of infrastructure and facilities targets, and Special Basic Skills Ability is set as a reference for the new admissions graduation Criteria. Stages of Check in the form of monitoring and evaluation of Quality Achievements by the leader of his subordinates, analysis and evaluation of customer satisfaction. The Act Stages are an evaluation of the effectiveness of Improvement Measures from the Non Conformance Report (NCR) findings, and makes corrective actions against any non-achievement of quality objectives. Corrections in the implementation of QMS as a solution of the findings by the auditor in the case of nonconformance of internal standards for Plan stage: document validation, re-examination of SOP content, and Evaluation on Outsourcing. For the cycle of Do: supplier evaluation responsibilities. While Check cycle: establishing observation findings as Auditor Suggestions or alternative improvements. Whereas the inconsistency actions that must be controlled so that they are always consistent in carrying out procedures include, stage of Plan : mapping each official according to his competence, stage of Do: the entire course and the recording, and stage of Check: the period of analysis and evaluation of customer satisfaction at least once a year.
16
White, Michelle J. "Bankruptcy Reform and Credit Cards." Journal of Economic Perspectives 21, no. 4 (November 1, 2007): 175–99. http://dx.doi.org/10.1257/jep.21.4.175.
Full textAbstract:
From 1980 to 2004, the number of personal bankruptcy filings in the United States increased more than five-fold, from 288,000 to 1.5 million per year. By 2004, more Americans were filing for bankruptcy each year than were graduating from college, getting divorced, or being diagnosed with cancer. In 2005, the Bankruptcy Abuse Prevention and Consumer Protection Act (BAPCPA) became law. It made bankruptcy law much less debtor-friendly. Personal bankruptcy filings fell to 600,000 in 2006. This paper explores why personal bankruptcy rates rose, and will argue that the main reason is the growth of “revolving debt”—mainly credit card debt. It explains how the Bankruptcy Abuse Prevention and Consumer Protection Act (BAPCPA) of 2005 altered the conditions of bankruptcy. Finally, this essay considers the balances that need to be struck in a bankruptcy system and how the U.S. bankruptcy system strikes these balances in comparison with other countries. I argue that a less debtor-friendly bankruptcy policy should be accompanied by changes in bank regulation and truth-in-lending rules, so that lenders have a greater chance of facing losses when they supply too much credit or charge excessively high interest rates and fees.
17
Shabbir, Taha, Mujeeb Abro, Hatesh Kumar, Awais H. Gillani, and Afsheen Ekhteyar. "STATUS OF MEDIA LITERACY AND RIGHT OF INFORMATION ACT IN PAKISTAN." Humanities & Social Sciences Reviews 9, no. 3 (June 11, 2021): 911–18. http://dx.doi.org/10.18510/hssr.2021.9389.
Full textAbstract:
Purpose of the study: The 18th Amendment in the constitution of Pakistan, which declared in Article 19-A that the right to information was inserted into the constitution, established the right to information "Everyone has the right to information in all issues of public concern, subject to regulation and reasonable limits imposed by law." This study aims to investigate the media status and Act related to the RTI "Right to Information Act" in the country of Pakistan.
Methodology: A survey was used in this analysis to compare the degree to which students at the high school and university levels are subjected to certain critical elements of media literacy education. The data were collected utilizing both qualitative and quantitative methods.
Main Findings: According to the findings, students in high school are showing concerns that they are interested in taking more courses of production as well as media usage. Similarly, students in college are also showing more concern that they are interested in taking more media study courses.
Applications of this study: Many data points might provide a distinct view on the economy, as may vast public databases from cities, nations, and government agencies. It is highly possible that using the idea of Access to Open Data might help the Pakistani Government enhance the country's social sector.
Novelty/Originality of this study: The essence of media literacy is supposed to be more dynamic with the rise of social media. It appears to be a new challenge in the eco-system of digital media, which has: the capacity to acquire, analyze, evaluate, and generate information for particular purposes. Finally, this research has described how the Government of Pakistan might outsource some of the previously described activities, adding a new participant into the ecosystem.
18
Sephton, Benjamin Michael, Olivia Katherine Vernon, Kathryn Kimber, Michael Shenouda, and Piyush Mahapatra. "Improving the quality of trauma meetings by implementation of a modern trauma management platform." BMJ Open Quality 9, no. 3 (September 2020): e000998. http://dx.doi.org/10.1136/bmjoq-2020-000998.
Full textAbstract:
Trauma meetings constitute the majority of clinical decision-making for new referrals and also act as a crucial tool to coordinate the trauma theatre list. Incorporation of electronic technology has been shown to improve the quality of patient handover. eTrauma is a recently developed cloud-based patient management platform which we planned to implement at our hospital. The aim of our project was to evaluate the quality of our current trauma meeting and subsequently the effect of implementing a modern trauma management platform. In order to identify the key concerns of staff members with the trauma meeting handover, a questionnaire was given to 20 members of the team. A review of effective handover guidelines published from the Royal College of Surgeons and the Royal College of Physicians was undertaken. We combined information from these guidelines to identify two key sets of data points for an effective trauma referral: patient demographics and referral details. Questionnaires were distributed at three separate time periods providing assessment of implementation of changes. The questionnaire results indicated progressive improvement in the morning trauma meeting with increased clarity for the anaesthetic team, better communication of operation to be performed, better documentation and clarity of management plans. A total of 150 referrals using the existing system (TIGER) were compared with 100 eTrauma referrals at two separate time intervals. Our analysis showed significant improvements in 12 (57%) of the 21 key data points indicating improved data entry for referrals using the new platform. Three PDSA (Plan, Do, Study, Act) cycles were completed with relevant adjustments within this process. Introduction of a new cloud-based trauma management platform has had a positive impact overall within our trust. Modern electronic trauma systems have the ability to improve our trauma management, this must go hand in hand, however, with a structured and effectively communicated trauma meeting.
19
William Stoten, David. "Authentic leadership in English education: what do college teachers tell us?" International Journal of Educational Management 28, no. 5 (June 3, 2014): 510–22. http://dx.doi.org/10.1108/ijem-04-2013-0049.
Full textAbstract:
Purpose – The purpose of this paper is to report on an investigation into the perceived prevalence of authentic leadership behaviours in Sixth Form College (SFC) Principals. This research compares four different models of institutional leadership and considers which are viewed by teachers as the more common in daily practice. In doing so, the research will also touch upon the relevance of values in contemporary educational leadership. Design/methodology/approach – The research methodology adopted a mixed methods approach that elicited the views of teachers using a structured questionnaire approach together with co-constructed conversations with participants. The research involved 53 teachers from five SFCs spread across England. Findings – The findings generated from this research exercise suggest that college Principals exhibit transactional behaviours far more often than those actions associated with either transformational, distributed or authentic leadership models. This outcome may be explained in terms of the pressures acting on SFCs in an increasingly competitive and uneven education market. In short, Principals act pragmatically and instrumentally to achieve their short-term goals. Originality/value – This work follows on from previous research into servant leadership in the SFC sector. This is a sector of the English education system that attracts little coverage in the academic literature as research tends to be undertaken in the much larger schools or General Further Education sectors. Given this context, the paper represents an useful starting point for further research.
20
Gharaibeh, Nasir, Cynthia Wilson, Michael Darter, and George Jones. "Development of a Bike Path Management System for the University of Illinois at Urbana-Champaign." Transportation Research Record: Journal of the Transportation Research Board 1636, no. 1 (January 1998): 56–63. http://dx.doi.org/10.3141/1636-09.
Full textAbstract:
Bicycle transportation is an integral part of most college and university campuses. Bike network paths thus represent a sizable investment of operational funds for these institutions. The efficiency of bike travel on campuses is very high in that it is quick, accessible, and safe travel for the rider. When maintained in good condition, bike paths offer safety for both the bicycle rider and the pedestrian. The University of Illinois developed a bike path management system that allows the system to be monitored and inspected regularly to promote riding comfort and timely repairs and to avoid excess deterioration and safety hazards. This results in maximizing the bicycle path network to both the university and the rider. Bicycle paths are becoming more integrated into the nation’s infrastructure system. This was shown with the Intermodal Surface Transportation Efficiency Act, which supported bicycle transportation funding. Although the bike path management system presented was developed from campus bike routes, the system can be expanded and benefit communities also. As presented, the bike management system can provide the University of Illinois with a simple, yet effective, means to monitor, maintain, and budget to keep this facility in good condition.
21
Morse, Lindsey, Mark Trompet, Alexander Barron, and Daniel J. Graham. "Development of a Key Performance Indicator System to Benchmark Relative Paratransit Performance." Transportation Research Record: Journal of the Transportation Research Board 2650, no. 1 (January 2017): 1–8. http://dx.doi.org/10.3141/2650-01.
Full textAbstract:
The Americans with Disabilities Act of 1990 prohibits discrimination against people with disabilities. U.S. transit agencies are therefore required to offer eligible customers services that complement the mobility opportunities provided to the general public on fixed-route public transit. Although these paratransit services are necessary and just, they represent a proportionally large cost to agencies: approximately eight times the cost per boarding compared with fixed-route bus service. To be able to identify opportunities for cost efficiencies and to further improve the quality of paratransit services offered, the 20 agencies of the American Bus Benchmarking Group decided to benchmark their relative performance in paratransit management and operations. A key performance indicator system was developed, and associated data items were defined in detail to ensure comparability of agencies’ performance and hence ensure the usefulness of the benchmarking program. The scope of this system went beyond the data already provided to the National Transit Database, both in amount and in granularity of data collected as well as the detail of definitions. The challenges, respective solutions, and other lessons identified during 4 years of paratransit benchmarking development led by Imperial College London, the American Bus Benchmarking Group facilitators, are described. The paper provides transit agencies and authorities as well as benchmarking practitioners and academics an opportunity to apply these lessons for the further benefit of paratransit services and their customers around the United States.
22
Jaishankar, Karuppannan, and Puthisigamani Kosalai. "Victims of stalking in India: A study of girl college students in Tirunelveli City." Temida 10, no. 4 (2007): 13–21. http://dx.doi.org/10.2298/tem0704013j.
Full textAbstract:
The word 'stalking' was not commonly known in India, until Priyadharshini Mattoo's case (1996) hit the headlines. Eve teasing, a colloquial word for gender harassment is popularly known and Tamil Nadu Prohibition of Eve-Teasing Act, 1998 on that was developed after the brutal killing of a girl named Sarika Shah in Chennai. Though, stalking is there in the past, it was not acknowledged with this terminology and it was always merged with Eve teasing. On the other hand, stalking is much graver than Eve teasing and it is an obsessive behaviour. After the Matoo's case, the Indian Criminal Justice System awoke and the National Commission for Women is ready with a draft Bill (Sexual Assault Prevention Bill) to make the Indian Penal Code more effective against the menace of stalkers. Research studies related to stalking in India are sparse and there is a need to study this phenomenon in depth. This paper presents some results from a study of stalking victims among Girl College students at Tirunelveli City, Tamil Nadu, India. In-depth questionnaire data are drawn on to investigate the course and nature of prolonged stalking in 150 self-defined victims. Findings indicate a pattern of repeated intrusions, the stalking harassment methods, lack of reporting behaviour, and effects of stalking on the victims.
23
Singh, Ajit. "IMPLEMENTATION OF THE IOT AND CLOUD TECHNOLOGIES IN EDUCATION SYSTEM." International Journal of New Economics and Social Sciences 9, no. 1 (June 28, 2019): 355–64. http://dx.doi.org/10.5604/01.3001.0013.3055.
Full textAbstract:
The Internet has evolved from connecting people and later videos, photos, and text to more recently physical objects. Using sensors, physical objects can “talk” (transmit data) to each other and even command each other to perform a physical act. As things and people become more connected, such objects will also become part of social net-works, much in the same way that people tag photos on Facebook. In this way, the value of such objects will increase for both research and learning[12]. The IOT and Cloud computing technologies can provide solutions for the above-mentioned problems in the education system. Cloud computing enables users to control and access data via the Internet. The main users of a typical higher education cloud include students, faculty, administrative staff, Examination Branch and Admission Branch. All the main users of the institution are connected to the cloud. Separate login is provided for all the users for their respective work[12]. Teachers can upload their class Tutorials, assignments, and tests on the cloud server which students will be able to access all the teaching material provided by the teachers via the Internet using computers and other electronic devices both at home and college and 24X7. This paper focuses on the integration of Cloud and IOT for the education system. Connected de-vices can help make life easier for students with special needs. Many of the daydreams for IOT in education involve students taking advantage of new technologies to com-plete cool new projects.
24
Chan, T. M., S. Li, A. Acai, and J. Sherbino. "P093: Performing the balancing act: emergency medicine physicians’ multifaceted roles and their influence on trainee assessment." CJEM 20, S1 (May 2018): S89—S90. http://dx.doi.org/10.1017/cem.2018.291.
Full textAbstract:
Introduction: Competency-based workplace assessments are important in clinical training. However, feedback and assessment are still often perceived as unsatisfactory, particularly in busy settings such as emergency departments. Currently, little is known about how attending staff physicians sense of self may interface with the processes they use to assess and give feedback to trainees. We aimed to understand how attendings perceive their roles when tasked with conducting assessments and providing feedback to trainees. Methods: We conducted semi-structured, individual interviews with attendings (n=16) who used McMAP (McMaster Modular Assessment Program), a workplace-based assessment system at McMaster Universitys Royal College Emergency Medicine program. Attendings were recruited using snowball sampling. Data were interpreted using thematic analysis, sensitized to the dramaturgical lens and rater cognition frameworks. Results: Attendings identified themselves using three distinct but intimately connected roles when assessing trainee performance: the doctor that ensures the safety and well-being of patients; the coach (educator) that empowers, guides, and supports the next generation of medical doctors; and the assessor that formally assesses a trainees progression through the residency program. These roles are influenced by clinical training and experience, teaching experience and context. Conclusion: The ways in which attendings assess and provide feedback to trainees involve a complex and dynamic process that is influenced by their perceived roles as a doctor, coach, and assessor. Understanding the way attendings view and juggle their roles may provide insight into potentially new approaches to assessment and feedback. Results and implications will be discussed.
25
Whitman, Kenyon, and Stephen Exarhos. "The New Jim Crow in Higher Education: A Critical Race Analysis of Postsecondary Policy Related to Drug Felonies." JCSCORE 6, no. 2 (November 14, 2020): 32–59. http://dx.doi.org/10.15763/issn.2642-2387.2020.6.2.32-59.
Full textAbstract:
In this paper, critical race theory and critical race praxis for educational research are used to frame an analysis of the 1998 Amendments to the Higher Education Act of 1965 (HEA98) that limits access to financial aid for students who have been convicted of a drug felony. The authors explain how the HEA98 disenfranchises Black and Latinx college student populations. This policy is a form of institutional racism against the disproportionately large number of Black and Latinx individuals that have been convicted of drug-related crimes, which creates a caste system of college access and support. This policy analysis highlights data on incarcerated populations that link the policing of drug offenses to racial profiling and discrimination (e.g., “the War on Drugs” and the 1994 Crime Bill), questions the motivations for reducing access to education in drug offenders, reviews causes and inhibitors of recidivism in drug offenders to make the case for the promotion of education in recently-released offenders, and highlights empirical data that supports expanding access to these people. The authors conclude the paper with recommendations to progress toward racial educational equity. This paper is directed toward higher education scholars, practitioners, and policy makers who possess a strategic critical orientation towards racial equity in education.
26
Darda, Joseph. "The Thin White Line: Veterans and the White Racial Politics of Creative Writing." American Literature 91, no. 4 (December 1, 2019): 783–810. http://dx.doi.org/10.1215/00029831-7917308.
Full textAbstract:
Abstract This essay considers how the creative writing workshop transformed the white Vietnam vet into a minority writer. The MFA system, which organized the group-based politics of post–civil rights American literature, originated as a space geared toward white combat veterans. Some of the first graduate programs in creative writing were founded in the years after World War II, and their classes were dominated by white vets attending college on the GI Bill. The vets received the now-clichéd advice to write what they know, to turn their war experiences into war stories. The next wave of program building followed the passage of the Higher Education Act of 1965 and the Vietnam Veterans’ Readjustment Benefits Act of 1966, which brought Vietnam vets into a changing workshop, where students still learned to write what they know but also, as pre–civil rights racial liberalism turned to post–civil rights liberal multiculturalism, write who they are. The trauma of combat allowed white men to situate themselves within late twentieth-century literary culture by writing not as white men but as “veteran-Americans.” Veteran-American literature set white men within the pluralist institution but without forfeiting the cultural center, or the front seat in the classroom.
27
Beaulieu, Lionel J. (Bo). "The Agricultural Research, Extension, and Education Reform Act of 1998: Examining Its Key Provisions." HortScience 35, no. 4 (July 2000): 552E—553. http://dx.doi.org/10.21273/hortsci.35.4.552e.
Full textAbstract:
The Agricultural Research, Extension, and Education Reform Act of 1998 (AREERA) represents a concerted effort on the part of federal legislative leaders to rethink the manner in which agricultural research and extension programming are undertaken within the land-grant university system of our nation. For the first time ever, land-grant schools are being mandated to increase their energies in support of “multi” activities; namely, multiinstitutional, multidisciplinary, multifunctional, and multistate activities. The intent is to bring about greater efficiencies in carrying out the research and extension missions of our land-grant entities. In this presentation, the key provisions of AREERA are outlined. These elements include: 1) the commitment of 25% of Hatch formula funds in support of multidisciplinary research involving another agricultural experiment station, Agricultural Research Service, or college/university that collectively are seeking to solve problems that concern more than one state; 2) the expenditure of Smith-Lever formula funds for support of multistate extension activities equivalent to 25% of these formula funds, or twice the level of resources devoted to such activities using FY97 funds; and 3) a directing of 25% of Smith-Lever and Hatch funds received by an institution in FY2000 for integrated research and extension activities (or twice the level of effort committed to such efforts in FY97). It is further noted that while 1890 and 1994 institutions are required to engage in multidisciplinary, multistate, and integrated research and extension activities, they are not compelled to meet the 25% goal outlined in the AREERA legislation. Aside from the resources that must be devoted to certain activities within the Agricultural Experiment Station and the Extension Service, AREERA makes quite clear the need to actively engage stakeholders in giving shape to the priority activities of these land-grant entities. Moreover, it notes the importance of documenting the impact of the institution's research and extension investments on the priority concerns of its stakeholders. Among the key questions that will be employed to evaluate the quality of an institution's efforts are the following: Did the program address a critical issue? Did it address the needs of underserved and underrepresented populations in the state(s)? Did the investments result in improved program effectiveness and/or efficiency? Indeed, AREERA changes the landscape for many of the South's land-grant institutions. However, if efforts undertaken to date are any indication, the leadership and faculty of the region's land-grant system will successfully respond to the challenges that AREERA poses for them.
28
., Putu Aga Widi Ananta, I. Made Agus Wirawan, S. Kom ,. M. Cs ., and UNDIKSHA . "Pengembangan Sistem Pendukung Keputusan Pemilihan Jurusan Kuliah di Perguruan Tinggi Dengan Metode Dempster-Shafer (Studi Kasus di Bimbingan Konseling SMA N 1 Seririt)." Kumpulan Artikel Mahasiswa Pendidikan Teknik Informatika (KARMAPATI) 7, no. 2 (July 27, 2018): 66. http://dx.doi.org/10.23887/karmapati.v7i2.15274.
Full textAbstract:
Sistem Pendukung Keputusan Pemilihan Jurusan di Perguruan Tinggi dengan Metode Dempster-Shafer adaalah sistem yang bertujuan untuk membantu memberikan gamabaran awal tentang jurusan yang sesuai dengan minat dan bakat siswa berdasarkan hasil tes psikologi yang telah dimiliki, guna mempermudah proses konseling antar siswa dengan guru Bimbinngan Konseling. Teori yang digunakan dalam proses perhitungan sistem pendukung keputusan ini adalah teori Dempster – Shafer, dimana Minat dan Bakat brtindak sebagai evidence dan hasil tes psikologi menjadi degree of belief nya. Metode penelitian yang digunakan dalam penelitian dan pengembangan sistem pendukung keputusan pemilihan jurusan di perguruan tinggi ini dirancang dan dikembangkan sesuai tahap pada metode SDLC dengan model waterfall. Hasil penelitian ini adalah aplikasi website yang diimplementasikan dengan menggunakan notepad++ dengan Bahasa pemrograman PHP, HTML dan Javascrpit. Berdasarkan hasil pengujian dari sistem pendukung keputusan pemilihan jurusan di perguruan tinggi dengan metode Dempster-Shafer menunjukkan, aplikasi tersebut sudah berjalan dengan sangat baik. Respon siswa terhadap sistem pendukung keputusan pemilihan jurusan ini masuk dalam rentangan sangat baik dengan nilai persentasi 88%. Fitur yang disediakan dalam aplikasi antara lain informasi universitas di Bali, Pengumuman dan Cetak Laporan.Kata Kunci : Sistem Pendukung Keputusan, Dempster-Shafer, Minat dan Bakat, Jurusan Kuliah, Waterfall. This Decision Support System aims to help provide an initial description about the majors that match with the interests and talents of students based on the results of psychological tests that have been owned, in order to facilitate the process of counseling between students with teachers of Counseling Guidance. The theory that used in the process of calculating this decision support system is the Dempster-Shafer theory, where the Interests and Talents act as evidence and the results of psychological tests become into it’s degree of belief. The research method that used in research and development of decision support system of majors election in college is designed and developed according to the step on SDLC method with waterfall model. The result of this research is website application which implemented using notepad ++ with PHP programming language, HTML and Javascript. Based on test results from decision support system of majors in college with Dempster-Shafer method, shows that the application has been processed very well. The response of the Students according to decision support system of majors in college is included to a very good range with an 88% percentage value. The Features that have been provided in the application among to the university information in Bali, Announcement and Print Report.keyword : Decision Support System, Dempster-Shafer, Interest and Talent, Department of Lecture, Waterfall.
29
Nayar, S. R. Prabhakaran, and Rebecca T. Thomas. "Interactive Computer Programs for Teaching Astronomy." International Astronomical Union Colloquium 105 (1990): 178–81. http://dx.doi.org/10.1017/s025292110008667x.
Full textAbstract:
Astronomy is the most popular and oldest of all sciences and it has had profound influence on human thought. Unfortunately, astronomy does not find an appropriate place in our school-college syllabi. This may be due to the fact that teaching of astronomy encounters a large number of problems with regard to visualization and practical experiments. Popularization of astronomy depends heavily on a large variety of astronomical events, such as the arrival of comets, eclipses, supernovae, etc. Visualization of dynamics in several directions, wide variance of time scales, concepts of space, etc., create problems in teaching/learning processes in astronomy. Our world of human experience is limited to within a narrow frame, whereas in astronomy we speak of size, time, and temperature in gigantic scales. To bring all these parameters onto the human level, one has to think of effective teaching aids and the right type of techniques. We have been using a large number of tools in teaching astronomy, including star charts, globes, models, photographs, slides, etc. Microcomputers act as an effective medium in teaching astronomy. They can even replace most of the above mentioned teaching aids (Hunt, 1986; Marx and Szucs, 1985; Sparkes, 1986). A microcomputer can also act as a textbook, a blackboard, or even a planetarium. The computer acts also as a mediator between the student and the model of some real-life situation. The process of building and using models, called simulation, helps us to investigate systems that would otherwise be inaccessible. We have developed a set of software to teach basic concepts in astronomy, such as the solar system, constellations, and the physics of stars. We have explored the possibilities of making the software interactive, using the observed data so that a real life situation can be experienced by the users, just as for practical experiments.
30
Pande, Nivedita. "Growth and development of homeopathy in India: a perception study in and around Kolkata." International Journal of High Dilution Research - ISSN 1982-6206 17, no. 1 (July 22, 2021): 15–16. http://dx.doi.org/10.51910/ijhdr.v17i1.902.
Full textAbstract:
India is a country of wide diversity in terms of physiography, climate, language, religion andavailable methods or systems of treatment. India also has a rich culture and heritage with ancient beliefs and knowledge; a large number of people use traditional methods of healing.
Homeopathy was first introduced in Kolkata, in 1810, by a German geologist who had come to perform geological investigations. By this time, Mr. Mullence, of the London Missionary Society, was known for treating the local people of southern Kolkata. The Calcutta Medical College was the first homeopathic medical college, established in 1881. This institution played a major role in the spread of homeopathy in India. However, at an earlier time, a homeopathic hospital was set up by the surgeon Samuel Brooking in south India. Many clinics and dispensaries opened at this time.
In 1973, the Government of India passed the Central Act, by which homeopathy is recognized as one of the national systems of medicine in India. This represents a true milestone in the growth and development of homeopathy in the country. The Central Council of Homeopathy (CCH) was established to regulate homeopathy education.
In the present time, there are about 200 homeopathic medical colleges and 38 post-graduate colleges that deliver degree courses; institutions such as like CCH (Central Council of Homoeopathy), NIH (National Institute of Homoeopathy), CCRH (Central Council For Research In Homoeopathy), AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy)promote high-level research. Several hundred thousands of practitioners deliver homeopathic medications all over the country. There are over 200, 000 registered homeopathic doctors, and further 12,000 graduate every year. Government of India introduced the Homeopathic Enquiry Committee in 1948, which recognized homeopathy as a scientific system of medicine. Scientific homeopathic research is performed by investigators from different fields, such as: zoology, physiology, physics, etc. The mechanism of action of homoeopathic potency is actively investigated by them. The experiments are performed on human, animal and plant’s body. The faith in homeopathy increases day by day, as it represents a safe, effective and natural mode of healing.
The aims of the present study were: 1) to analyze the growth and development of homeopathy in India; 2) To establish the degree of acceptance of homeopathy by different socioeconomic groups; and 3) To establish the degree of satisfaction with homeopathic treatment of different socioeconomic groups.
The study was based on primary and secondary data. The primary data were collected in a survey using a questionnaire applied to 100 individuals, randomly selected and with different socioeconomic background in and around Kolkata; the participants were categorized in 3 groups. The secondary data were gathered from the electronic media. The data were subjected to statistical analysis. Variables assessed were: 1) frequency of visits to homeopathic services; 2) type of diseases for which homeopathy is preferred; 3) age range for which homeopathy is preferred; 4) Weather the respondent is the first generation using homeopathic medicine or his/her ancestors used to take it; and 5) level of satisfaction. These variables were compared among the 3 groups.
The result showed that low-income group - family income 8,400 Euro per month (businessmen, college professors etc) prefer homeopathy for their children, visit reputed urban doctors and obtain medicines from reputed manufacturers, but the level of satisfaction is almost equal in 2nd and 3rd groups.
31
Kolenko, V. V., M. S. Safonov, and O. Ye Iakovenko Iakovenko. "MODELLING OF AUTOMATED WORKING TIME CONTROL SYSTEMS IN EDUCATIONAL INSTITUTIONS." Scientific Notes of Junior Academy of Sciences of Ukraine, no. 1(17) (2020): 13–21. http://dx.doi.org/10.51707/2618-0529-2020-17-02.
Full textAbstract:
The article includes modeling of the automated system of personnel time recording with further development and implementation of it in the educational institution. Practice shows that when using automated time recording, more effective personnel management occurs, employee discipline is increased, and the wage fund is saved on 5–15%. Personalized personnel identification methods have been identified; the selection of technical equipment and software for data collection is justified; A work time model has been developed; Software for employee identification, recording and recording of working hours has been developed and introduced. To do this, special access control equipment was installed on the passageway. Employees have special cards that allow them to easily overcome these devices. If there are several checkpoints in the territory, it is advisable to use a computer network to transfer data to the server, where all data about employees are stored. Based on such data, accurate reports of misconduct can be generated, as well as a time sheet. User identification is an integral and important element for any information system. The identification system is one of the key elements of the infrastructure for protection against unauthorized access. The task of identification and authorization systems is to determine and verify the set of authority of the subject when accessing the information system. A barcode can also act as a unique person identifier. Each employee is ssued a card with a unique bar code, this code is fixed to the person in the database. A barcode scanner is installed on each pass point. This model with a developed algorithm for identifying a person and fixing the passage of control was ntroduced at the Kherson Polytechnic Vocational College of Odessa Polytechnic State University.
32
Kelly, Brendan D. "Learning disability and forensic mental healthcare in 19th century Ireland." Irish Journal of Psychological Medicine 25, no. 3 (September 2008): 116–18. http://dx.doi.org/10.1017/s0790966700011149.
Full textAbstract:
The Irish College of Psychiatrists recently reported that “the needs of people with learning disability and offending behaviour pose a huge challenge to service providers. The vulnerability of people with a learning disability who come into contact with the criminal justice system is well described and noted.” The College noted that “the population with learning disability who offend does not easily fit into existing services” and reported that “the majority of service providers strongly supported the urgent development of a forensic learning disability service.”The challenges presented by individuals with learning disability and offending behaviour are not specific to Ireland or to this period in history. The purpose of the present paper is to explore issues related to learning disability and offending behaviour in 19th- and early 20th-century Ireland.More specifically, this paper presents original, previously unpublished case material from the archival medical records of the Central Mental Hospital, Dublin in order to illustrate specific aspects of the institutional experience of individuals with learning disability who were charged with offending behaviour in nineteenth-century Ireland.The Central Mental Hospital, Dublin was established as the Central Criminal Lunatic Asylum in 1845 under the provisions of the Lunatics Asylums (Ireland) Act (1845). Individuals were to be committed to the Central Criminal Lunatic Asylum if they were declared ‘guilty but insane’ at time of trial or offence, or if they developed mental illness and became difficult to manage while in detention elsewhere. The Central Criminal Lunatic Asylum opened its doors to admissions in 1850 and by 1853 there were 69 male and 40 female inpatients.
33
Zaccagnini, Ashley Jo. "Time’s Up: A Call to Eradicate NCAA Monopsony Through Federal Legislation." SMU Law Review Forum 74, no. 1 (April 2021): 55–91. http://dx.doi.org/10.25172/slrf.74.1.3.
Full textAbstract:
Few traditions are as near and dear to the hearts of Americans as college athletics. The institution holds a special place in society because it reflects the ultimate convergence of those values that uniquely define the United States: loyalty, competitiveness, and pride. However, the notion of basic fairness seems to have been excluded along the way, as the commercialization of college athletics gave way to total dominance over the industry by the National Collegiate Athletic Association (NCAA). The NCAA promulgates sports rules and organizes collegiate-level championships, but its most influential role involves promoting “amateurism,” or the notion that student-athletes are not entitled to compensation because college athletics should be about the love of the game, not monetization. While amateurism may be touted as an honorable principle aimed at preserving the character of college athletics and its differences from professional sports, the principle is more difficult to justify at a time when the NCAA earns $1.1 billion per year in revenue, none of which is shared among student-athletes who work full-time and typically live below the poverty line. Last year, state legislators paused to consider whether any justification exists for continuing to adhere to the NCAA’s archaic system of denying compensation to student-athletes in light of the fact that “amateurism” holds no significance in a legal sense. Given the lack of any such justification, the California legislature became the first to explicitly defy the NCAA in passing the Fair Pay to Play Act in September of 2019. Since then, a number of states have followed suit by drafting nearly identical laws that would likewise have the effect of permitting student-athletes to earn compensation for use of their name, image, and likeness (NIL). Unsurprisingly, NCAA leadership vehemently condemned the movement at first, threatening to strip member institutions affected by the new legislation from the organization altogether. The NCAA has since reneged on its hostile position, making a public commitment to reform its policies so as to authorize paid endorsement opportunities for student-athletes on some level. However, the organization will undoubtedly attempt to minimize the impact of the Fair Pay to Play Act and its progeny whether through litigation or by crafting new restrictive policies ultimately aimed at nullifying the effects of new laws. Admittedly, the state-by-state approach to adopting a new stance on athlete compensation comes with a number of practical challenges, thereby providing fertile ground for the NCAA to launch powerful objections. This Comment aims to present a workable solution in the form of a comprehensive federal law, which would secure the rights of student-athletes to earn compensation for use of their NILs before the NCAA is given the opportunity to preempt the significance of that right. While several congressmen have drafted federal laws related to the topic of NIL rights in this context, this Comment identifies particular issues that have been overlooked at the state level thus far, recommending specific provisions that would not only embrace student-athletes’ rights in principle as a matter of basic fairness, but make those rights a practicable and economically feasible reality.
34
Choong, Karen, Cynthia Cupido, Erin Nelson, Donald M. Arnold, Karen Burns, Deborah Cook, and Maureen Meade. "A framework for resolving disagreement during end of life care in the critical care unit." Clinical & Investigative Medicine 33, no. 4 (August 1, 2010): 240. http://dx.doi.org/10.25011/cim.v33i4.14227.
Full textAbstract:
Background: End-of-life decisions regarding the administration, withdrawal or withholding of life-sustaining therapy in the critical care setting can be challenging. Disagreements between health care providers and family members occur, especially when families believe strongly in preserving life, and physicians are resistant to providing medically “futile” care. Such disagreements can cause tension and moral distress among families and clinicians. Purpose: To outline the roles and responsibilities of physicians, substitute decision makers, and the judicial system when decisions must be made on behalf of incapable persons, and to provide a framework for conflict resolution during end-of-life decision-making for physicians practicing in Canada. Source: We used a case-based example to illustrate our objectives. We employed a comprehensive approach to understanding end-of-life decision making that included: 1) a search for relevant literature; 2) a review of provincial college policies; 3) a review of provincial legislation on consent; 4) a consultation with two bioethicists and 5) a consultation with two legal experts in health law. Principal Findings: In Canada, laws about substitute decision-making for health care are primarily provincial or territorial. Thus, laws and policies from professional regulatory bodies on end-of-life care vary across the country. We tabulated the provincial college policies on end-of-life care and the provincial legislation on consent and advance directives, and constructed a 10-step approach to conflict resolution. Conclusion: Knowledge of underlying ethical principles, understanding of professional duties, and adoption of a process for mediation and conflict resolution are essential to ensuring that physicians and institutions act responsibly in maintaining a patients’ best interests in the context of family-centred care.
35
Nepal, Pankaj, A. Shrestha, and N. Ghimire. "Evaluation of CT Scan Findings In Patients Presenting With Headache." Journal of Chitwan Medical College 3, no. 4 (January 11, 2014): 9–12. http://dx.doi.org/10.3126/jcmc.v3i4.9546.
Full textAbstract:
Headache is one of the most common medical complaint however, the secondary causes of headache are unusual. Neuroimaging in headache is both expensive and has a low yield. Most patients with intracranial pathology have alarming clinical features raising “ red flag” signs. Thus appropriate selection of patients with headache for neuroimaging to look for secondary cause is important. Red flags act as screening tool to help in identifying those who get benefit from neuroimaging. These steps not only increase yield, but also limit cost as well as burden in health care system. The aim of our study was to evaluate all the CT scan findings in patients presenting with headache in Chitwan Medical College who underwent CT scan of head from February 2013 to September 2013 for period of seven months. Prospective observational study was performed in 256 patients, who underwent CT scan of head in this duration. Out of 256 patients, only 26 patients (10.1%) showed some form of brain parenchymal pathology. Other associated findings were sinusitis in 28 (11%), bone related in 10 (3.9%), and mastoiditis in 6 (2.3%) patients. The most prevalent pathology found was sinusitis, which was located in the maxillary sinus. The findings were significant in headache associated with other neurological findings, 16 out of 24 patients (67%) as compared to chronic headache in which only 10 cases out of 232 (4.3%) patients were positive (p<0.05). Cases referred from neurosurgery department and emergency yielded more positive results as compared to case referred from other outpatient departments. Journal of Chitwan Medical College 2013; 3(4); 9-12 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9546
36
Kidin, Lisa M., Ronald Stewart Walters, Doug Browning, Sarah H. Taylor, and Victoria S. Jordan. "Streamlining federally mandated quality metric reporting in cancer care." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 68. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.68.
Full textAbstract:
68 Background: Public reporting has been an established process for non-PPS exempt hospitals since the inception of the Core Measures in 2001; however, Cancer Centers were not subject to public reporting and had no standardized established formal mechanism to collect, analyze and report clinical quality data until the Affordable Care Act (ACA) of 2010. The first three Clinical Process/Oncology Care Measures must be submitted through the American College of Surgeons Rapid Quality Reporting (RQRS) system. Since registries are designed to provide a retrospective snapshot of the patient population during the first four months of the disease process, the change to longitudinal data collection, while critical for intervention in time to improve concordance, is extremely difficult for cancer centers with large volumes and complex cases. Our institution created a collaborative interdisciplinary model utilizing quality management nurses to support and enhance the submission process by utilizing an early identification and intervention process. Methods: Prior to implementation, the average submission time for the initial three oncology specific metrics was eight months due to the significant effort to determine the analytic population based on our volume of patients. In addition, many patients receive treatments outside the facility with little or no documentation that often resulted in the inability to determine metric concordance. Results: The new process identified patients at two months and created a robust follow up and validation process utilizing a model to ensure evidence based care is provided across the continuum. This enabled monthly submission to RQRS at the end of three months and leveraged the system to ensure that patients had the appropriate therapy documented in the system. This process shortened the submission time to less than half and initial projections indicate increased overall compliance. Conclusions: We enhanced the process of submission for federally mandated measures to RQRS by initiating early identification and follow up. This significantly impacted our ability to accurately represent the high quality care provided at our institution and provide documented concordance with national quality measures.
37
Urick, Angela, Alison S. P. Wilson, Timothy G. Ford, William C. Frick, and Meredith L. Wronowski. "Testing a Framework of Math Progress Indicators for ESSA: How Opportunity to Learn and Instructional Leadership Matter." Educational Administration Quarterly 54, no. 3 (March 13, 2018): 396–438. http://dx.doi.org/10.1177/0013161x18761343.
Full textAbstract:
Purpose: To advance a framework of indicators that promotes implementation of math standards under the Every Student Succeeds Act (ESSA), we tested a conceptual model of the resources and processes within schools that influence the opportunity to learn mathematics (OTL) in the classroom using a recent administration of the 2011 Trends in International Math and Science Study (TIMSS 2011). There is potential benefit to state departments and system-level practitioners from more information about how schools might influence student access to college and career-ready curriculum. Such information has the potential to shape the kinds of indicators stakeholders put in place to target problems and formulate solutions for math learning. Research Design: To test the fit of our hypothesized model of math content and instruction OTL, we applied structural equation modeling techniques to school and classroom data from 425 fourth-grade U.S. math teachers in TIMSS 2011. Findings: We found a direct influence of instructional leadership on OTL math instruction in the classroom and teacher participation in math professional development. Content-specific resources indirectly influenced both OTL math instruction and content through teacher preparedness. Conclusions: The results of this study demonstrate a potential framework through which school leaders can support the preparedness of teachers in providing students with equitable access to coherent, focused, and rigorous math content.
38
Hantel, Andrew, Fay J. Hlubocky, Michael Quinn, Sang Mee Lee, Mark Siegler, and Christopher Daugherty. "The practical ethics of medication shortages: Understanding patient preferences for allocation, decision making, and disclosure through narrative inquiry." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18323-e18323. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18323.
Full textAbstract:
e18323 Background: Hospital medication shortages (HMS) are pervasive throughout the U.S. healthcare system. Current management mechanisms are heterogeneous but routinely include the use of alternatives and the rationing of medications between patients. Little is known about oncology patient preferences for decision-makers, ethical allocation systems, or thresholds for disclosure during HMS. Methods: Oncology patients previously hospitalized for inpatient care within the last 24 months underwent qualitative interviews supplemented with validated instruments measuring: trust (Trust in Oncologist Scale), therapeutic alliance (Human Connection Scale), and shared decision-making (Shared Decision-Making Questionnaire). Qualitative data underwent Framework Analysis for thematic identification. Results: To date, 16 patients have been interviewed: median age 61y (31-77); 44% female; 56% married; 56% > college education; median number of treatment regimens 2 (1-6), days in hospital 18 (3-66), number of hospitalizations 2(1-8). All patients (100%) reported extremely high levels of trust, therapeutic alliance, and shared decision-making with their oncologist. Two patients (13%) reported personal experiences with HMS, 43% reported knowledge of HMS within the U.S., and no patients reported knowledge of local hospital HMS. Framework Analysis revealed that virtually all patients preferred that their oncologist act as the primary decision-maker during allocation/rationing and favored pharmacist and ethicist involvement. Most patients preferred allocation systems that prioritized efficacy, age, and degree of illness. No patients desired the use of a lottery or reciprocity-based decisions. Virtually all patients favored disclosure of shortages if alternatives were used, independent of the level of difference in efficacy/toxicity, and in the case of both chemotherapeutics and supportive medications. Conclusions: Despite ubiquitous HMS in oncology, patients are generally unaware of local HMS and prefer: multi-disciplinary decision-makers during HMS allocation, prioritized allocation schemes, and more frequent HMS disclosure than presently occurs. Study recruitment is ongoing.
39
Bjegovich-Weidman, Marija, Steven Leh, Daniel Malone, Raul Mendoza-Ayala, Anne Marie Barry-Weers, Laurie Dlouhy, Jody Wesolowski, et al. "Implementation of a low-dose computerized tomography (LDCT) lung cancer screening program (LCSP) across a large integrated health system." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 1537. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.1537.
Full textAbstract:
1537 Background: The LDCT LCSP was launched as a critical component of our Cancer Program to support tobacco cessation efforts and increase early detection. Initially it was offered as a self-referral low cost screening. The program was expanded when the Affordable Care Act and Center for Medicare/Medicaid Services covered it as a preventative services benefit in January 2015. Methods: 9 LDCT LCSP locations were implemented between 2014-September 2016. Program data are submitted to the American College of Radiology Lung Cancer Data Registry since 2016. In 2017, a Best Practice Alert was created within our electronic health record (EHR) to alert the primary care clinician if his/her patient met criteria for a LDCT. Each of the sites managed their own programs up until September 2018 when a dedicated team (Team) of two nurses and one data support specialist was justified. The Team focus is to increase awareness of the LDCT LCSP and criteria for eligibility, improve tobacco history taking and pack year documentation in the EHR, increase smoking cessation counseling and referral, and facilitate presentation of all Lung RADS category 4 cases for review at one of our two Multidisciplinary Lung Cancer Case Conferences. Standardized management of key incidental findings was developed for coronary artery calcification, non-lung masses, thoracic aortic aneurysm, and critical pulmonary conditions. To date, we have not examined the impact of the LDCT LCSP on smoking cessation rates. All 9 program sites have been named a Screening Center of Excellence by the Lung Cancer Alliance. Results: In 2016, 1849 LDCT Screenings were performed, 4701 (154% increase) in 2017 and 7154 (52.5% increase) in 2018. Cancer Detection rates were 1.3% in 2016, 1.8% in 2017 and 1.3% for January-June 2018. Cancer registry data reports a 9% increase in Stage 0, 1, 2A and a 7.2% decrease in Stage IV at time of diagnosis from 2014-2017. Conclusions: The implementation of a LDCT LCSP has increased the percentage of patients diagnosed at an earlier stage of lung cancer. With standardized management of key incidental findings, we anticipate improvement in early detection and management of cardiac and pulmonary diseases.
40
ZWICK, REBECCA. "College Admissions in Twenty-First-Century America: The Role of Grades, Tests, and Games of Chance." Harvard Educational Review 77, no. 4 (December 1, 2007): 419–29. http://dx.doi.org/10.17763/haer.77.4.u67n84589527t80v.
Full textAbstract:
In this essay, Rebecca Zwick confronts the controversy surrounding the use of standardized tests in college admissions. She examines the degree to which the SAT and its lesser known cousin, the ACT, limit access to college, particularly for racial and ethnic minorities, and considers two alternative admissions policies that do not involve tests: class rank admissions systems and admissions lotteries. She finds that these initiatives carry their own controversies and have little impact on campus diversity. Zwick notes that some small liberal arts colleges have deemphasized tests and have achieved some success in increasing campus diversity while maintaining high academic standards, but highlights the difficulty of replicating these policies at large institutions. Her analysis sheds light on the ongoing tension between maintaining college selectivity and promoting equal opportunity.
41
Rahman, KM, RN Chowdhury, ATMH Hasan, KFM Ayaz, T. Miah, B. Alam, and QD Mohammad. "How Often Excitation Precipitates Seizure? Relative Difference of Frequency and Significance in Different Types of Epilepsy." Journal of Medicine 13, no. 2 (November 26, 2012): 143–46. http://dx.doi.org/10.3329/jom.v13i2.12748.
Full textAbstract:
Background: Epilepsy is a chronic neurological disorder, which presents with recurrent, unprovoked seizures. Seizure occurs spontaneously usually, but there may be association of various triggers. These triggers may act as seizure precipitating factors (SPFs). Objective: To find out the frequency of excitation as a SPF and its relationship to different types of epileptic patients attending Neurology and Medicine outpatient department (OPD) of a tertiary care hospital in Bangladesh. Methods: This was a cross sectional study carried out in specialized epilepsy weekly outdoor clinic of Neurology and Medicine outpatient department (OPD) of Dhaka Medical College Hospital from January 2008 to July 2011. Epilepsy syndromes were broadly classified into four categories using the classification system of International League Against Epilepsy (ILAE) namely, generalized epilepsy (GE), localization related epilepsy (LRE), symptomatic and unclassified. Each patient was evaluated and classified by consultant neurologist. All participants were interviewed through a predesigned close ended questionnaire to identify frequency of excitation as a SPF. Result: Among all the patients 71.5% were male, with most common age group at the time of interview was 11-20 years (36.8%). About 62% could identify at least one precipitator. Excitation (25.2%) was the most common SPF reported by patients followed by emotional stress in 17.7%. Excitation was found to be significantly associated with generalized epilepsy (p<.000). Conclusion: Most of the patients can identify their seizure precipitant. Excitation showed a strong association with generalized epilepsy. DOI: http://dx.doi.org/10.3329/jom.v13i2.12748 J Medicine 2012; 13 : 143-146
42
Austin, Anna E., Rebecca B. Naumann, and Nicole A. Short. "Association Between Medicaid Expansion and Suicide Mortality Among Nonelderly US Adults." American Journal of Epidemiology 190, no. 9 (May 4, 2021): 1760–69. http://dx.doi.org/10.1093/aje/kwab130.
Full textAbstract:
Abstract In 2014, the Affordable Care Act gave states the option to expand Medicaid coverage to nonelderly adults (persons aged 18–64 years) with incomes up to 138% of the federal poverty level. To our knowledge, the association of Medicaid expansion with suicide, a leading cause of death in the United States, has not been examined. We used 2005–2017 data from the National Violent Death Reporting System to analyze suicide mortality in 8 Medicaid expansion states and 7 nonexpansion states. Using a difference-in-differences approach, we examined the association between Medicaid expansion and the rate of suicide death (number of deaths per 100,000 population) among nonelderly adults. After adjustment for state-level confounders, Medicaid expansion states had 1.2 fewer suicide deaths (β = −1.2, 95% confidence interval: –2.5, 0.1) per 100,000 population per year during the postexpansion period than would have been expected if they had followed the same trend in suicide rates as nonexpansion states. Medicaid expansion was associated with reductions in suicide rates among women, men, persons aged 30–44 years, non-Hispanic White individuals, and persons without a college degree. Medicaid expansion was not associated with a change in suicide rates among persons aged 18–29 or 45–64 years or among non-White or Hispanic individuals. Overall, Medicaid expansion was associated with reductions in rates of suicide death among nonelderly adults. Further research on inequities in Medicaid expansion benefits is needed.
43
Roy, Priyanka, Pranay Kumar Phukan, Debojit Changmai, and Surajeet Boruah. "Pesticides, insecticides and male infertility." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 8 (July 26, 2017): 3387. http://dx.doi.org/10.18203/2320-1770.ijrcog20173448.
Full textAbstract:
Background: Pesticides, insecticides can damage the male reproductive system in a number of ways. They may cause reproductive toxicity with direct damage to the structure of the cells or as a result of biotransformation into metabolites. They can alter DNA structure. They may also act like hormones in the endocrine system and disrupt the function of the natural endogenous hormones, when doing so they are often called endocrine disrupting chemicals. The objective of the study was to evaluate the association of infertility with pesticide and insecticide exposure among the infertile male patients attending Out Patient Department of Assam Medical College and Hospital.Methods: The pesticides and insecticides used by the population were cypermethrin, thiaclopride, acetamiprid, emmacetin benzoate A total of 55 oligospermic infertile male patients were taken for the study. Twenty-seven among them were exposed to pesticides and rest twenty-eight unexposed cases were taken as control group. Semen analysis was done along with serum FSH, LH and Testosterone. Scrotal ultrasonography of the subjects was also done. One way ANOVA test and t-test assuming two unequal variances were applied to find out the statistical significance of the association of pesticides with their infertility. p<0.05 was taken to be significant.Results: A significant decrease in sperm concentration was found in the exposed group. Also, a significant increase in serum LH was found in the exposed group. A significant decrease in sperm concentration and serum testosterone along with a significant increase in serum FSH and LH was found with increase in duration of exposure to pesticides and insecticides.Conclusions: The gonadotoxic effect of pesticides and insecticides was reflected from the study and it was concluded that pesticide and insecticide exposure has got a definite relation with the infertility of the subjects evaluated in the study.
44
Perera, Clifford. "Management of Dead in Mass Disasters: A Review of Sri Lankan Perspectives since 2004." Prehospital and Disaster Medicine 34, s1 (May 2019): s147—s148. http://dx.doi.org/10.1017/s1049023x19003297.
Full textAbstract:
Introduction:Sri Lanka has experienced a multitude of natural and man-made disasters during the last five decades. Man-made destructions were common during the 30-year-long conflict period. Though the local system in the country was able to manage the dead in such circumstances, the South-Asian tsunami in 2004 highlighted the limitations and deficiencies of the system that was in place to handle the management of the dead during major disasters. Though the first Disaster Management Act was introduced in 2005, it has no mentioning regarding management of dead in mass disasters. Inappropriate handling of the dead could hinder the establishment of the identity of the dead, loss of valuable forensic evidence, and dignified burial. Hence, the families could experience difficulties in calming insurances and inheritance, resulting in economic hardships. In this backdrop, the forensic community strongly felt the necessity of stipulating best practices in managing dead.Aim:To critically assess the measures taken to improve the standards of managing dead in mass disasters in Sri Lanka over the past 15 years.Methods:The process of drafting guidelines for management of dead was initiated with a series of consultative meetings with the Disaster Preparedness and Response Unit of the Ministry of Health, the Disaster Management Centre (DMC) and the Institute of Forensic Medicine and Toxicology (IFMT) in collaboration with the College of Forensic Pathologists of Sri Lanka. A working group representing forensic and legal experts, military, police, fire brigade department, and disaster management were involved in drafting these guidelines. Further guidelines for the effective conduct of mass burials following mass disasters were also prepared and published in 2007.Discussion:Despite all these efforts the efficacy of managing dead in recent mass disasters is still far from satisfactory.
45
Foong, Esther Ai-Leng, David J. Edwards, Sherilyn Houle, and Kelly A. Grindrod. "Ready or not? Pharmacist perceptions of a changing injection scope of practice before it happens." Canadian Pharmacists Journal / Revue des Pharmaciens du Canada 150, no. 6 (October 4, 2017): 387–96. http://dx.doi.org/10.1177/1715163517732089.
Full textAbstract:
Background: Since 2012, Ontario pharmacists have been authorized to administer the influenza vaccine. In April 2016, the Ontario College of Pharmacists (OCP) proposed to expand the Pharmacy Act to allow pharmacists to vaccinate against 13 additional conditions. The OCP held an online public consultation and invited pharmacists, members of the public and organizations to weigh in on the proposed changes. Our objective was to explore the factors influencing how Ontario pharmacists may adopt or reject an expanding scope of practice, using data from the public consultation. Methods: We coded the responses to the public consultation in 2 ways: 1) sentiment analysis and 2) an integrative approach to coding using Rogers’s diffusion of innovations theory across 5 domains: relative advantage, compatibility, complexity, trialability and observability. Results: Responses from pharmacists, the public and organizations were moderately positive on average. Pharmacists most commonly mentioned relative advantages, including benefits for patients, pharmacists, physicians and the health system. Positive responses focused on accessibility for patients, improved vaccine coverage, lower health care spending and freed physician time but cited lack of prescribing privileges as a barrier to the proposed changes. Negative responses focused on increased workload, patient safety concerns and the complexity of travel medicine. Conclusions: The expanded immunization services are likely to be well received by most pharmacists. Convenience and accessibility for patients were commonly cited benefits, but the changes will be only a slight improvement over the current system unless pharmacists can prescribe these vaccines. Although employers responded positively, the question remains whether they will support pharmacists in a way that aligns with pharmacists’ values and expectations. Decision makers must pay close attention to the pharmacy infrastructure and how this will affect uptake of these services. Recognition of this, combined with pharmacists’ positive perceptions of the expanded scope, will facilitate smooth integration of this legislation into Ontario pharmacy practice.
46
Prayuda, Akbar, and Fadhil Nurdin. "Why Students Choose Social Work?" Asian Social Work Journal 3, no. 3 (July 13, 2018): 9–18. http://dx.doi.org/10.47405/aswj.v3i3.46.
Full textAbstract:
University and college that organize the education of social workers and social welfare, give a chance for Indonesia to produce professional practitioners in social worker sector to be much better. The students of social work education hoped having ability about professional helping process, so that can help an individual, family, group and society to solve the social problem. This picture define that social work has a great future for develop our nation, so important to produce a prosperity social worker. The problem is, profession of social worker had not recognized by society, many people did not know what social work is. Grounded on this fact, it interest to find out why candidate student make a choice to study in social work or social welfare, whereas they don’t know about social worker profession. This research purposed to knowing why student of social work have been made a future decision to continue study in Social Work Scholar. This qualitative research use case study approach was success collecting information from six informants in four different universities in Bandung and Makassar by pursposive- snowball. Six informant clarified that they have continue study to social work by some reason, (1) obey their parents and family, (2) They need to work for government (ASN) after graduated, (3) in a pinch because of particular situation. Recommendation of this study emphasizes on give attention to social work and social welfare education system, optimize social work existence in public and encourage government to legitimating social work act in Indonesia.
47
Spaulding, Aaron, Rachel Paul, and Dorin Colibaseanu. "Comparing the Hospital-Acquired Condition Reduction Program and the Accreditation of Cancer Program: A Cross-sectional Study." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 55 (January 1, 2018): 004695801877029. http://dx.doi.org/10.1177/0046958018770294.
Full textAbstract:
Under the Hospital-Acquired Condition Reduction Program (HACRP), introduced by the Affordable Care Act, the Centers for Medicare and Medicaid must reduce reimbursement by 1% for hospitals that rank among the lowest performing quartile in regard to hospital-acquired conditions (HACs). This study seeks to determine whether Accredited Cancer Program (ACP) hospitals (as defined by the American College of Surgeons) score differently on the HACRP metrics than nonaccredited cancer program hospitals. This study uses data from the 2014 American Hospital Association Annual Survey database, the 2014 Area Health Resource File, the 2014 Medicare Final Rule Standardizing File, and the FY2017 HACRP database (Medicare Hospital Compare Database). The association between ACPs, HACs, and market characteristics is assessed through multinomial logistic regression analysis. Odds ratios and 95% confidence intervals are reported. Accredited cancer hospitals have a greater risk of scoring in the Worse outcome category of HAC scores, vs Middle or Better outcomes, compared with nonaccredited cancer hospitals. Despite this, they do not have greater odds of incurring a payment reduction under the HACRP measurement system. While ACP hospitals can likely improve scores, questions concerning the consistency of the message between ACP hospital quality and HACRP quality need further evaluation to determine potential gaps or issues in the structure or measurement. ACP hospitals should seek to improve scores on domain 2 measures. Although ACP hospitals do likely see more complex patients, additional efforts to reduce surgical site infections and related HACs should be evaluated and incorporated into required quality improvement efforts. From a policy perspective, policy makers should carefully evaluate the measures utilized in the HACPR.
48
Payne, Brian K., Hilary Harper, Blcky Quandt, Tara Campbell, Tonya Bodenheimer, and Labett White. "Accuracy of College Honors Students' Self-Reported American Collegiate Test Scores." Perceptual and Motor Skills 81, no. 1 (August 1995): 64–66. http://dx.doi.org/10.2466/pms.1995.81.1.64.
Full textAbstract:
The accuracy of responses to survey questions by 105 college honors students who reported their American College Test scores in English, Mathematics, Social Studies, Natural Sciences, and Total scores was examined. Students were asked to report their total ACT scores and their subject-area ACT scores. The responses were accurate only for the total score. Implications are provided in the conclusion.
49
Bruzda, Gabrielle, Fred Rawlins, Cameron Sumpter, and Harold R. Garner. "Evaluating disease outbreaks with syndromic surveillance using medical student clinical rotation patient encounter logs." Journal of Osteopathic Medicine 121, no. 2 (January 1, 2021): 211–20. http://dx.doi.org/10.1515/jom-2020-0129.
Full textAbstract:
Abstract Context While the data generated by medical students at schools that require electronic patient encounter logs is primarily used to monitor their training progress, it can also be a great source of public health data. Specifically, it can be used for syndromic surveillance, a method used to analyze instantaneous health data for early detection of disease outbreaks. Objective To analyze how the International Classification of Diseases, 10th Revision (ICD-10) codes input by medical students at the Edward Via College of Osteopathic Medicine into the Clinical Rotation Evaluation and Documentation Organizer (CREDO) patient encounter logging system could act as a new syndromic surveillance tool. Methods A CREDO database query was conducted for ICD-10 codes entered between November 1, 2019 and March 13, 2020 using the World Health Organization’s 2011 revised case definitions for Influenza Like Illness (ILI). During that period, medical students had an approximated mean of 3,000 patient encounters per day from over 1,500 clinical sites. A cumulative sum technique was applied to the data to generate alert thresholds. Breast cancer, a disease with a stable incidence during the specified timeframe, was used as a control. Results Total ILI daily ICD-10 counts that exceeded alert thresholds represented unusual levels of disease occurred 11 times from November 20, 2020 through February 28, 2020. This analysis is consistent with the COVID-19 pandemic timeline. The first statistically significant ILI increase occurred nine days prior to the first laboratory confirmed case in the country. Conclusion Syndromic surveillance can be timelier than traditional surveillance methods, which require laboratory testing to confirm disease. As a result of this study, we are installing a real-time alert for ILI into CREDO, so rates can be monitored continuously as an indicator of possible future new infectious disease outbreaks.
50
Carusetta, Ellen, and Patricia Cranton. "Learning to teach: An illustrative case from the Canadian community college system." New Directions for Adult and Continuing Education 2009, no. 124 (September 2009): 73–81. http://dx.doi.org/10.1002/ace.354.
Full text