Academic literature on the topic 'Project Head Start (U.S.)'

Goal. To evaluate the interim results of a pilot project on the organization of an independent unit of a city clinic that provides remote support to citizens – the Distant Consultation Center of the Government Autonomous Organization Healthcare “City Clinic No. 8” (hereinafter referred to as the DCC). M e t h o d s o f w o r k . To assess the effectiveness of the pilot project, a number of indicators of the work of the medical organization were analyzed before the start of the project and 12 months after the start of its implementation. The analysis was carried out in two way of work of the Distant Consultation Center: 1. the process of providing medical care to patients with acute respiratory viral infections / Influenza / COVID‑19; 2. the process of providing medicines to the Subsidized category of citizens. The volumes of work that can be transferred to the Distant Consultation Center from the department of primary care physicians care and from the emergency medical care are analyzed. The source of the data was the medical information system of the medical organization “URMO TO” (modules Registry, Control of realization, doctor’s ARM, Disability sheets, Additional processing). The period of work of the medical organization from 01.01.2022 to 31.12.2022 is analyzed. Statistical processing of the results was carried out using the Statistica 6.0 application software package. Distance consultation was carried out via IP telephony, as well as using specialized Telemedicine software. R e s u l t s o f t h e w o r k . Before the organization of the DCC, the median indicator of the actual workload per hour of the covid team was 2,5 [2,3–2,7] patients, p<0,07. While the doctor of DCC carried out an average of 56,9 [44–68] remote consultations, which is an average of 8,8 patients per hour, p< 0,07. The median value of patients for prescriptions for Subsidized medicines before the start of the project was 4 [3–6] patients per day (p<0,07), on average 22.2% time of the initial consultation falls on patients requiring a Subsidized medicine. The median value of applications for the purpose of providing Subsidized categories of citizens with medicines when discharged by a medical assistant at the DCC was 1 [0–3] (p<0,08). Thus, this section began to occupy 0,06% in the structure of reasons for the initial appointment to the primary care physician. C o n c l u s i o n s . The organization of the work of the DCC allowed us to develop approaches, approve and adapt them to the processes of filling out the schedule of primary care doctors in order to increase accessibility to the primary consultations of the primary care physician’s department. Scaling up the organizational model and processes of the Distance consultation center of the Municipal Polyclinic No. 8 can serve as an effective tool in achieving the goals announced within the framework of the pilot project of the Ministry of Health of the Russian Federation “Incident 38” launched in 2022. T h e s c o p e o f t h e r e s u l t s . The presented experience shows the possibility of managing patients with respiratory viral diseases in outpatient polyclinic conditions on an ongoing basis, as well as the telemedicine format of care can be extended and adapted to non-infectious nosologies.

The ability to recognize the concept of early numbers in early childhood is very important to develop so that children are ready to take part in learning mathematics at a higher level. This study aims to determine the effect of mathematics learning approaches and self-regulation to recognize the concept of early numbers ability in kindergarten. The study used an experimental method with a treatment design by level 2x2. The sample used was 32 children. Score data, ability to recognize number concepts, analyzed and interpreted. The results showed that: (1) The Realistic Mathematics Education approach is better than the Open Ended Approach in improving the ability to recognize children's number concepts; (2) There is an interaction effect between mathematics learning approaches and Self-Regulation to recognize the concept of early numbers ability; (3) The Realistic Mathematics Education approach is more suitable for children with high self-regulation, (4) The Open Ended approach is more suitable for children with low self-regulation. Subsequent experiments are expected to find mathematics learning approaches for children whose self-regulation is low on recognizing the concept of early numbers ability. Keywords: mathematics learning approach, self-regulation, early number concept ability References: Adjie, N., Putri, S. U., & Dewi, F. (2019). Penerapan Pendidikan Matematika Realistik (PMR) dalam Meningkatkan Pemahaman Konsep Bilangan Cacah pada Anak Usia Dini. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 4(1), 336. https://doi.org/10.31004/obsesi.v4i1.338 Adjie, N., Putri, S. U., & Dewi, F. (2020). Peningkatan Kemampuan Koneksi Matematika melalui Pendidikan Matematika Realistik (PMR) pada Anak Usia Dini. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 5(2), 1325–1338. https://doi.org/10.31004/obsesi.v5i2.846 Adjie, N., Putri, S. U., & Dewi, F. (2021). Improvement of Basic Math Skills Through Realistic Mathematics Education (RME) in Early Childhood. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 6(3), 1647–1657. https://doi.org/10.31004/obsesi.v6i3.1832 Amalina, A. (2020). Pembelajaran Matematika Anak Usia Dini di Masa Pandemi COVID-19 Tahun 2020. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 5(1), 538. https://doi.org/10.31004/obsesi.v5i1.592 Amalina, A., Yanti, F., & Warmansyah, J. (2022). Penerapan Pendekatan Matematika Realistik terhadap Kemampuan Pemahaman Konsep Pengukuran pada Anak Usia 5-6 Tahun. 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Introduction: Start performance in swimming plays a major role in determining the final standings, especially in sprint races. The purpose of the study was to determine kinematic parameters underlying the kick start from OSB12 in terms of the kick plate position and shoulder positioning at the start. Material and methods: The sample included 8 non-randomly recruited performance-level swimmers whose average age, body height, and body weight was 17.4 ± 1.8 years, 182.2 ± 3.4 cm and 81.00 ± 3.9 kg, respectively. To measure the kinematic parameters, we used the SwimPro camera system. The parameter rs measured included angular parameters and kinematic parameters for each of the start phases: block phase, flight phase, and water phase. We processed the collected biomechanical data using the Statistica 12.0 software. To determine significant differences between the kick plate positions in three types of start, we applied the Mann-Whitney U test. Results: We found significant differences (p<0.05) in the selected kinematic parameters in all phases, which depended on the OSB12 kick plate position and basic starting position (front-, neutral-, and rear-weighted). The greatest differences in the parameters measured were found between the front-weighted start and rear-weighted start. We may conclude that performance-level swimmers should adjust the rear kick plate to positions 3 and 4 and assume the following starting position: front knee angle between 131° and 133°, rear knee angle around 80°, and trunk angle between 40° and 41°. This starting position affects the flight phase, namely takeoff angle (40⁰-41⁰), head position at takeoff (1.33-1.38 m), flight time and distance (0.346-0.368 s; 2.74-2.79 m), entry angle (38⁰). The starting position also affects the glide phase, namely the glide time and distance (0.532-0.536 s; 2.22-2.26 m) and maximum depth (-0.91-0.92 m). Conclusions: The results of the study show that swimmers produced shorter times to 5 meters and higher velocity at 5 meters compared with other starting positions and OSB12 kick plate positions.

The article analyses the issue of the NATO missile defense development and the evolution of views in the Russian political, military and expert circles. In 2009, the U. S. President Baraсk Obama declared a start of the NATO missile defense system construction with a goal to be able to intercept a limited nuclear strike from Iran. Russia is in doubt about the stated purpose of the European missile defense and considers it to be a threat to its own strategic nuclear forces. The European missile defense construction has been experiencing technical obstacles and political difficulties: the cancellation of deployment of interceptor SM&#8209;3 IIB and delays in establishing operational capability of the Aegis Ashore land-based missile defense system in Poland. The current architecture of the NATO missile defense, which allows only to intercept a limited number of incoming warheads, has no significant impact on Russian retaliatory strike capability. Nevertheless, the missile defense in Europe remains an irritating factor in relations between Russia and the USA. Apparently, Biden’s arrival in the White House creates an opportunity for parties to address the issue during negotiations on the New START follow-on Treaty. The research addresses the history of Russia–USA–NATO cooperation on theatre missile defense and the reasons for the failure of the joint missile defense in Europe. The author justifies the reanimation of the Joint Data Exchange Center project and outlines the idea of its transformation to the Multilateral Data Exchange Center. Acknowledgments. The article was prepared within the project “Post-crisis world order: challenges and technologies, competition and cooperation” supported by the grant from Ministry of Science and Higher Education of the Russian Federation program for research projects in priority areas of scientific and technological development (Agreement № 075-15-2020-783).

Purpose The purpose of this paper is to explore the importance of lean leadership in an implementation in a Chinese hospital, considering a particular focus on the attitudes of nursing professionals while identifying specific cultural or institutional factors in China that might affect the implementation. Design/methodology/approach The authors use Harrison et al.’s (2016) framework to explore the outcomes of a nine-month action research project whereby the authors observed the process and outcomes of implementing lean in a pharmacy intravenous admixture service of a Chinese hospital. Findings The implementation of lean had positive results, which improved the efficiency of the operation, reduced the work start time and the amount of staff, and improved clinical satisfaction. In the process of implementation, nursing professionals showed a positive attitude toward the implementation and showed no obvious resistance under the positive influence of the head nurse. The combination of Chinese cultural characteristics, nursing culture and strong leadership enabled lean success. Originality/value The unit moved from self-management to a systemized process of using lean concepts and methods, it is an important change for hospital managers.

Early childhood emotional dysregulation is critical in recognizing and preventing psychological well-being disorders, laying the groundwork for developing healthy emotional behaviors early on. This study aims to determine the direct influence of smartphone addiction, executive function, and the mother-child relationship on emotional dysregulation in early childhood in West Sumatra. This research method is a quantitative survey. The data collection technique in this research uses a questionnaire design on 309 parents who were selected using a simple random sampling method. This data processing tool uses the SmartPLS software. The results of the study indicate that smartphone addiction has a significant impact on emotional dysregulation in early childhood, executive function has a positive and significant effect on emotional dysregulation in early childhood, and the mother-child relationship has a positive and significant influence on emotional dysregulation in early childhood. 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The purpose of this investigation was to extend our knowledge of the effects of small classes in the primary grades on pupils’ academic achievement. Three questions were addressed that have not been answered in previous research: (1) How large are the effects of small classes relative to the number of years students participate in those classes? (2) How much does any participation in small classes in K–3 affect performance in later grades when all classes are full-size? (3) How much does the duration of participation in small classes in K–3 affect the magnitude of the benefits in later grades (4, 6, and 8)? Rationales for expecting the continuing impacts of small classes were derived in the context of other educational interventions (for example, Head Start, Perry Preschool Project). The questions were answered using data from Tennessee's Project STAR, a statewide controlled experiment in which pupils were assigned at random to small classes, full-size classes, or classes with a full-time teaching assistant. Hierarchical linear models (HLMs) were employed because of the multilevel nature of the data; the magnitude of the small-class effect was expressed on several scales including “months of schooling.” The results for question (1) indicate that both the year in which a student first enters a small class and the number of years (s)he participates in a small class are important mediators of the benefits gained. The results for questions (2) and (3) indicate that starting early and continuing in small classes for at least three years are necessary to assure long-term carryover effects. Few immediate effects of participation in a class with a full-time teacher aide, and no long-term benefits, were found. The results are discussed in terms of implications for class-size reduction initiatives and further research questions.

Practice variation and trends in the management of incomplete and missed spontaneous abortion: Informing a multisite quality improvement project. Megg Wylie, Amelia Srajer, Kevin Lonergan, Philippa Brain, Eddy Lang Background: Practice variation in the management of spontaneous abortion exists in the Emergency Department (ED). We developed a multisite retrospective study to assess how the management of spontaneous abortion has changed over 2014-2019 across four Calgary EDs, with emphasis on assessing variation and trends between non-operative (medical/expectant) and operative (dilatation and curettage) management. Medical management has been increasingly indicated as effective, yet a knowledge gap exists regarding its use. Knowledge of that proportion and physician-level practice variation will facilitate educational and audit and feedback style initiatives. Results provide justification and supporting data for said initiatives, which may be extrapolated to elsewhere. Implementation: Two medical students are heading the day to day work of this project, with support from a principal investigator with the Department of Emergency Medicine in Calgary. We also have the support of a data manager and the head of pregnancy loss in the region. This study was implemented as a quality improvement project. Therefore, the Conjoint Health Research Ethics Board at the University of Calgary was consulted to ensure the project qualified as a quality improvement and that our privacy protections were appropriate. With approval from the ethics board, we needed the data to analyze and assess. To do so, we utilized Sunrise Clinical Manager (SCM) to retrospectively collect data. Sunrise Clinical Manager, a system utilized in Calgary EDs to track patient and department information, was accessed to collect administrative data. Sustaining this work will involve the continued efforts of the described team, largely in writing up the results and disseminating them via audit and feedback procedures. Evaluation Methods: Using SCM, data were retrospectively collected for patients coded with International Classification of Disease (ICD-10) codes O03.4 (incomplete spontaneous abortion without complication) or O02.1 (missed abortion) who presented to an ED in Calgary (Foothills Medical Centre, Peter Lougheed Centre, South Calgary Hospital, and Rockyview General Hospital) over 2014-2019. We collected patient and environmental factors to allow for the examination of unintended associations. Hemoglobin, HCG level, CTAS code, PIA (time to MD), and U/S result (to confirm diagnosis) were collected. Variables regarding length of stay, procedures received (D&Cs, or other), and returns to care (within 72 hours, and 7 days) were collected. Return to care for future D&C was considered a proxy for failed non-operative management. Demographic and practice data were collected on ED physicians who saw a minimum of 15 patients from our cohort, to gain understanding of trends in practice. Data were analyzed using Chi-square and Mann-Whitney U tests. Results: Within our cohort, 1110 (28.9%) patients received a D&C. The remaining 2735 (71.1%) patients were managed non-operatively. Variation and trends were present between sites, with rates of D&Cs ranging from 15.8% to 33.5% (p <0.001). The rate of D&Cs decreased from 34.2% in 2014 to 22.6% in 2019 across all sites (p <0.001), and 11.6% absolute and 33.9% relative reduction; yet there was minimal variation over time in rates of ED returns and returns resulting in D&Cs. 78.6% of physicians who saw ≥ 15 patients were female, with female physicians responding to 81.8% of our cohort Advice and Lessons Learned:1) Our first suggested lesson is to have a clear plan regarding deadlines and timelines, but toalso have room for flexibility. At some times the work on this project was slowed to alloweffective collaboration with the obstetrics and gyneocology department, or to allow for therefinement of data management. By setting realistic timelines, team members wereencouraged to progress the work in a timely fashion. However, by having flexibility the teamwas able to adapt to roadblocks along the way. 2) A second lesson would be the importance of meaningful collaboration between departments.Though the setting of the project was within Calgary EDs, the topic and content have clearrelevance to obstetics and gynaecology. By consulting with members of the obstetrics andgynaecology department we were able to clarify our objectives and have a betterunderstanding of local contextual factors that influenced our results.

The influence of family, school and peers on students' emotional social development is very important as a starting point for the design of school activities that will also improve student development in an integral way. The Star of the Week program was developed with the aim of helping students apply the knowledge, attitudes, and skills needed to socialize and understand and manage emotions. This study uses the Thiagarajan model stages, namely define, design, develop, and disseminate (4D). The results of the validity test from the experts show that this program has workable value with 91.1% material aspects, 90% emotional development aspects and 92% presentation aspects. For the practicality test results through teacher questionnaires obtained scores of 90%, and 88.67% through teacher observations of children who are in the high practical category. The results of the program effectiveness test showed a value of 89.08% on children's social-emotional development, because it showed an increase in values ​​before and after the intervention. The implication of further research is that it is hoped that various kinds of learning methods will develop aspects of child development based on cooperation and peer relationships. Keywords: Early Childhood, Peer Relationships, Star of the Week Program, Social Emotional References Acar, I. H., Hong, S. Y., & Wu, C. R. (2017). Examining the role of teacher presence and scaffolding in preschoolers’ peer interactions. European Early Childhood Education Research Journal, 25(6), 866–884. https://doi.org/10.1080/1350293X.2017.1380884 Acar, I. H., Rudasill, K. M., Molfese, V., Torquati, J., & Prokasky, A. (2015). Temperament and preschool children’s peer interactions. Early Education and Development, 26(4), 479–495. https://doi.org/10.1080/10409289.2015.1000718 Akhir, K., & Wisz, M. S. (2018). 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School readiness during early childhood establishes the fundamental basis for prospective academic achievement, emphasizing the necessity for a comprehensive preparation that encompasses both mental and physical readiness. The current study examines the impact of child well-being and family support on school readiness among young learners. This Study used a correlational quantitative approach, the research involved 139 children between the ages of 4 and 7, along with their parents and 30 teachers selected through purposive sampling based on their socioeconomic status. The participants included 54.7% boys (n=76) and 45.3% girls (n=63) from families with varying income levels – low-income (25%), middle-income (29%), and upper-middle-income (46%). The results of the regression analysis indicated that both family support and child well-being have a significant influence on children's school readiness. Particularly, there is a notable positive association among all factors, a correlation between school readiness and child well-being at 42% (r = 0.420, p < 0.001), highlighting that higher levels of child well-being are linked to increased school readiness. Furthermore, family support exhibits a positive contribution to school readiness at 37% (r = 0.370, p < 0.001). The findings suggest that preparing children for school should extend beyond academic and motor skills development to include substantial psychological support, thus enhancing their ability to thrive in an academic environment. Keywords: early childhood, Emotion, Emotion regulation, parenting, happiness References: Atkins, R., Deatrick, J. A., Bocage, C., Huc, R., Aromolaran, D., Besseir, E., Hinckson, A., Joseph, M., Kim, D., Lagman, D., Gladsden, V. L., & Lipman, T. H. (2022). School Readiness and Social Determinants of Health: A Collaboration with Community Teachers and Parents. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4090268 Ayriza, Y., Setiawati, F. A., Nurhayati, S. R., Gumelar, S. R., & Sholeha, E. P. D. R. (2019). Does sleep quality serve as a mediator between well-being and academic achievement? Cakrawala Pendidikan, 38(1), 63–74. https://doi.org/10.21831/cp.v38i1.22181 Azra, A., Risnawati, E., Hermaini, B., Hendra, M., Kartikawati, E., Buana, U. M., & Terbuka, U. (2023). How family communication pattern affect a family ’ s capacity for resilience during covid-19 pandemic. 11(1), 117–137. Barnett, M. A., Paschall, K. W., Mastergeorge, A. M., Cutshaw, C. A., & Warren, S. M. (2020). Influences of Parent Engagement in Early Childhood Education Centers and the Home on Kindergarten School Readiness. Early Childhood Research Quarterly, 53, 260–273. https://doi.org/10.1016/j.ecresq.2020.05.005 Borualogo;, Ihsana Sabriani, F. C. (2020). Subjective Well-Being of Indonesian Children:A Perspective of Material Well-Being. 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Abstract Controlling oil and gas stations effectively to reduce GHG emissions is a crucial step in mitigating the effects of climate change. This study focuses on identifying and applying the strategies available for reducing GHG emissions from the South Oman Sour Cluster. Minimizing flaring attributed to facilities instabilities, leads to flaring, as well as flaring on planned shutdowns and start-ups using six sigma approach and cut down the average flaring by 35% through operational excellence. Controlled flaring during Shutdowns, start-ups and partial trips of production units, a novel thought of a simple Six-Sigma CI approach. Back pressure control in the chokes of each well, which directly balances/controls the flow line pressure, controls bubbling effect in the TH and NAG and results in better GOR. This phenomenon occurs in many natural and engineered systems. HP separators in Station-H operate at 85 BarG. Well chokes control NAG release. Back pressure control technique is applied to wells in a unique way, which maintains constant pressure in the flow line and optimizes flow of oil and gas from the reservoir. Project Benefits (During the pilot period from 01/05/2022 to 05/05/2022) lead to Flare reductions in Station-H which reduced flaring during start-ups of the station by 35% taken on an average of 5 days and reduced flaring during any unit trip by 55% with Yearly reduction. Deferment savings of 0.8M $ in each start-up and S/D. back pressure controls applied using chokes, enabled flow optimizations to each well to reduce annual GHG emission by 13 k tone/year of CO2. Compressed sour gas from LP/IP compressors diverted to Gas sweetening units converted in to sweetened gas. If any compressor trips, or S/D well chokes in back pressure control reduce gas feed/ cutoff feed to HP Separators. Back pressure controls abnormal fluid behavior is controlled in tubing head. Under controlled pressure more oil flow occurs, reducing NAG gas flow. This prevents undesired situations like producing more injected gas than crude oil from the oil reservoir. Back pressure control applications directly reduced flaring of NAG and yielded better GOR without major changes in the process. Flaring control and reducing GHG emissions to ZERO is the long-term objective of our team by effective application of CI, six sigma and operation excellence. Flare Gas Recovery projects deploy new technologies to recover gas such as energy transformation and waste heat regeneration in the aim of achieving GOAL ZERO.

Military diving operations are routinely conducted in what can be one of the most inhospitable environments on the planet, frequently characterized by zero visibility. The inability to clearly see the immediate operational environment has historically been a serious limitation to manned diving operations — whether the mission is ship husbandry, under water construction, salvage, or scientific research. U.S. Navy diving is an integral part of the nation’s defense strategy with a continuing requirement to conduct manned intervention in the water column. To ensure technical superiority across the entire spectrum of diving operations we must identify, exploit, and de velop technology to advance the state-of-the-art in diving equipment. This can only be achieved by investing in, and supporting, focused research and development with specific goals to further diving capabilities. Under a project sponsored by the Office of Naval Research (ONR) and Naval Sea Systems Command (NAVSEA), the Naval Surface Warfare Center-Panama City Division (NSWC PCD) has de veloped a prototype see-through head-up display system for a U. S. Navy diving helmet — the Divers Augmented Vision Display (DAVD). The DAVD system uses waveguide optical display modules that couple images from a micro display into a waveguide optic, translate the images through a series of internal reflections, finally exiting toward the diver’s eye providing a magnified, see-through virtual image at a specific distance in front of the diver. The virtual images can be critical information and sensor data including sonar images, ship husbandry and underwater construction schematics, enhanced navigation displays, augmented reality, and text messages. NSWC PCD is the U.S. Navy’s leading laboratory for research, development, testing, evaluation, and technology transition of diver visual display systems; with unique facilities for rapid prototyping and manufacturing, human systems integration and extreme environment testing. Along with NSWC PCD, the Navy Experimental Diving Unit (NEDU), and Naval Diving and Salvage Training Center (NDSTC) are co-located tenant commands at the Naval Support Activity Panama City (NSA PC). This paper provides a brief background on the development of diver head-up display systems, waveguide optical display technology, development of the DAVD prototype, results of diver evaluations, and recommendations for accelerated development of this game changing capability.