Letteratura scientifica selezionata sul tema "Bellevue High School (Bellevue, Kentucky)"

A comprehensive high school in Bellevue, Wash., embraces problem-based learning as its strategy for improvement. Supported by a federal i3 grant, the school spent five years preparing for a widespread launch of PBL at the school. After several years of implementation, researchers learned that students perform the same or better on standardized measures when provided with sustained, rich PBL learning experiences. Those benefits were felt by all students, regardless of socioeconomic or linguistic status, or special learning needs.

Cyclocrinitids are considered to be calcareous green algae closely related to, or members of, the dasycladacean algae. Cyclocrinitids are characterized by a globular thallus 1-5 cm in diameter consisting of whorls of calcified meromes borne from a tubular or spherical central axis. The species Cyclocrinites darwini is distinguished from other cyclocrinitids by the presence of lateral branches arranged in a stellate pattern at the distal end of each merome.C. darwini is restricted to strata of the Cincinnatian Series. Specimens are commonly found in shale-filled channels cutting through nodular, irregularly-bedded limestones within the Mt. Auburn Formation and the lower Sunset Member of the Arnheim Formation. Numerous specimens are also known from the Bellevue Member of the Grant Lake Formation at Maysville, Kentucky. Each of these units has been interpreted to be the top of separate shoaling-upward, third-order cycles. These facies are abundantly fossiliferous, often consisting of broken, abraded, and reworked material.The modern dasyclad Neomeris is cited for its structural similarity to the cyclocrinitids and ecological parallels have been postulated as well. Neomeris and a similar dasyclad Batophora, thrive while attached to pieces of coral rubble at depths of less than 3 m in the high-energy conditions associated with a reef crest environment at Key Largo, Florida.It is likely that C. darwini lived under similar conditions, attached to rubble in shoaling areas. Preservation only occurred in instances when thalli were broken off from their holdfasts and swept into ripple troughs or downslope channels cutting across the shoals. It has been suggested that the presence of cyclocrinitids is indicative of relatively quiet environments below wave base. For Cyclocrinites darwini, the opposite would appear to be the case.

ABSTRACT IMPACT: Leveraging partnerships with faith-based institutions and community centers in at-risk NYC neighborhoods, the H2H Program breaks down barriers to engaging with the medical establishment and addresses the increasing burden of diabetes and CVD risk factors in the most vulnerable individuals. OBJECTIVES/GOALS: Screening for modifiable risk factors is critical for cardiovascular disease (CVD) risk reduction. Low-income, urban communities often encounter barriers to care. Community-academic outreach partnerships are vital in addressing such disparities and promoting health equity and culturally targeted interventions among high-risk populations. METHODS/STUDY POPULATION: In 2010, the Weill Cornell Clinical and Translational Science Center along with Weill Cornell Medicine (WCM) and Hunter-Bellevue School of Nursing (HBSON) launched Heart to Heart (H2H), a community outreach program partnering with faith-based centers to offer free health screenings and education to some of New York City’s (NYC) most vulnerable communities. Participants work with undergraduate, nursing, medical and dietician students to complete a demographics and health questionnaire followed by vital signs and point-of-care blood testing. Participants then receive personalized health education, nutrition and lifestyle counseling by student volunteers, precepted by WCM Primary Care and HBSON faculty. Participants are provided information on local free or low-cost clinics as necessary for follow-up. RESULTS/ANTICIPATED RESULTS: To date H2H held 125 events and 5,952 screenings. Mean age of the participants was 54.3 (SD 39.6) and 3,682 (63.1%) were female. 74.2% identified as non-white. 42.1% were uninsured. 32.3% reported annual income of less than $20k. 18.3% of participants reported not having seen a doctor in the past year. 40.7% reported preexisting hypertension, of which 74.5% were on medication and 78% with sub-optimal control. 15.7% had been previously diagnosed with diabetes, of which 75.8% were on medication and 41.4% with sub-optimal control (HbA1c <7). 37.7% had been diagnosed with dyslipidemia previously, of which 47.4% were on medication and 62.1% with sub-optimal control. Screenings revealed, 56.9% had undiagnosed hypertensive blood pressures, 4.7% had an elevated HbA1c >6.5, and 49.2% had dyslipidemia. DISCUSSION/SIGNIFICANCE OF FINDINGS: H2H screening revealed significant cardiovascular health disparities, many of which were poorly controlled or newly discovered. Cross-institutional academic partnerships can empower communities with knowledge of their health status and help facilitate access to medical care to further address health risk factors.

Background: Early de-escalation of antibiotics in sepsis may be safe and effective. In our study, we performed a retrospective chart review of patients admitted to a large municipal hospital who were treated for severe sepsis or septic shock to compare outcomes in patients who experienced early de-escalation (DEG) with outcomes of those who did not (NDG).Methods: The observational study was conducted at Bellevue Hospital Center (an 850-bed municipal hospital affiliated with New York University School of Medicine, New York, NY). Patients admitted from January 1 to December 31, 2015, who were treated for severe sepsis or septic shock during any time of their hospital stay were reviewed for the study. De-escalation was defined as narrowing or discontinuation of 1 or more antimicrobial therapies < 3 days after sepsis onset. Results: Overall, 277 patients were included (DEG, 90 patients, 32%; NDG, 187 patients, 68%). The groups were similar in terms of sex, comorbidities, length of stay, and severity of illness: septic shock (47% DEG vs 49% NDG; P = .693) and ICU stay (27% DEG vs 32% NDG; P = .406). DEG patients were slightly older than NDG patients: (DEG age, 63+16 years vs NDE age, 58+16 years; P = .028). There was no difference in hospital mortality (8% DEG vs 12% NDE; P = .257). Nearly half of the patients in both groups (46% DEG and 47% NDG) had no causative microorganisms identified using conventional microbiology culture. The common sources of primary infection were respiratory, urinary tract, and gastrointestinal infections, and these were not different between groups. Also, 69% of DEG patients and 79% of NDG patients received antibiotics for >7 days (P = .002). Empiric intravenous vancomycin was initiated in 83% in DEG patients and 74% in NDG patients at sepsis diagnosis. Although organisms covered by intravenous vancomycin were isolated from only 17% of patients in DEG and 23% in NDG, vancomycin was continued for >5 days in 34% of DEG patients and 50.3% of NDG patients (P < .001). 60% of patients in DEG and 61% in NDG were seen by infectious diseases specialists (ID). Patients with infectious diseases consultations had significantly more comorbidities, were more frequently in the ICU, had higher MDRO isolation and longer hospital stays, but they were still de-escalated without a difference in mortality. Conclusions: Microbiology data did not contribute to early de-escalation of antibiotics in this study. This finding may be related to the high percentage of negative culture and unavailability of rapid molecular diagnostic tests. Shorter duration of antibiotics (including vancomycin) was not associated with worse outcome in these severely ill patients.Funding: NoneDisclosures: None

Background: Vulnerable patients, including minorities and underserved populations whose care rely on public hospitals, have limited access to advanced pulmonary embolism (PE) treatment, particularly when catheter-based therapies (CBT) and escalation of care are needed. Our aim is to describe the multidisciplinary pulmonary embolism response team (PERT) program for the largest public health system in the country, as a strategy to mitigate healthcare disparities and improve access to care. Methods: We collected clinical, demographic and socioeconomic data from patients with intermediate-high and high-risk PE undergoing CBT at Bellevue Hospital, a PERT referral center and level 1 shock center for New York City’s Health and Hospitals’ network. Outcomes included in-hospital mortality and complications from CBT. Results: Sixty-one patients were included (42.6% women, age 57 ± 13.7 years) between October, 2022 to April 2023; 80.3% had intermediate-risk PE, 19.7%% had high-risk PE. The majority were black (57.4%), followed by Hispanic (13%). A total of 13% were uninsured, 9.8% were undocumented and 50.8% lived below the poverty level for New York City. The level of education was 8th grade or less in 4.9% of patients, high school in 29.5%, at least 2 years of college in 6.6%, >4 years of college in 8.2%, master’s degree in 4.9% and unknown in 46%. Disease severity markers (CPES, PESI, BOVA, lactate, troponin and BNP) did not vary by ethnic group. There were no differences in mortality between white and non-white patients (figure); 3(4.9%) patients required rescue extracorporeal support and there were no procedural related complications. Conclusions: Our multidisciplinary PERT program demonstrates feasibility to provide care to underserved and vulnerable populations with excellent outcomes, serving as a strategy to help decrease healthcare disparities, particularly for advanced therapies for a challenging condition such as intermediate and high-risk PE.

Background: Public hospitals face challenges in providing access to structural heart interventions due to limited resources. Our aim is to describe the implementation and outcomes of a comprehensive, multi-disciplinary Structural Heart Disease Program (SHDP) in the largest public healthcare system in the United States, as a strategy to mitigate healthcare disparities and improve access to care. Methods: The SHDP at Bellevue Hospital serves as the referral center for 11 public hospitals in New York. It launched in 2022 and added a hybrid OR in March 2023. We collected clinical, demographic, and socioeconomic data for patients undergoing structural heart interventions. Results: A total of 56 patients were included from January 2022 to June 2023. The median age was 60 years (22-93 years), 59% were women, 41% were Black, 38% Hispanic, 11% White and 9% Asian. Most patients were immigrants (71%), 28.5% were uninsured, 37.5% were undocumented and 41% required an English interpreter. Only 21% of patients completed high school and 9% completed college. The most common procedure was PFO closure (30%) followed by M-TEER and BAV (Figure 1). For TAVRs and M-TEERs combined, the 30-day re-admission rate was 7.1% (n=1) and 30-day mortality was 0%, with no differences by ethnic group. Length of stay varied by procedure and there were low rates of procedural complications (Table 1). Conclusions: Our multidisciplinary SHDP program demonstrates feasibility to provide care to underserved populations in a public healthcare system with excellent outcomes. Further study of strategies aimed at improving access to structural heart interventions is warranted.

Introduction Throughout the early and mid-twentieth century, cadet training was a feature of many secondary schools and educational establishments across Australia, with countless young men between the ages of 14 and 18 years of age undergoing military training, ostensibly in preparation for service in Australia’s armed forces upon their coming of age. Unlike earlier in the century, when cadet training was mandatory for all males within the relevant age range, during the Second World War cadet detachments could only be formed and maintained by secondary schools for pupils attending those schools. Additionally, the Australian Army provided so little financial support to school cadet detachments during the conflict that schools had to rely on the parents of their pupils to purchase their sons’ not inexpensive cadet uniforms, with a result that only a limited number of schools could afford to maintain a cadet detachment, and almost every schools that could do so made enrolment in their detachments voluntary for their pupils. Counterbalancing these material obstacles, however, was the threat of the ongoing conflict and the demands for trained soldiers both overseas and within Australia, which resulted in school cadet training becoming increasingly popular between 1939 and 1945, with many schools across Australia either establishing new cadet detachments or expanding their existing cadet detachments in order to contribute to their nation’s war effort. Not only did the Second World War increase the number of cadet detachments among educational establishments, but cadet training became more diverse and varied both within and between schools. Owing to their preoccupation with maintaining both the Australian Imperial Force and a defence force against a potential invasion of Australia, the Australian Army’s supervision of and contribution to cadet training became more sporadic than it had been in peacetime. As a result, school headmasters became increasingly powerful in their discretion to direct the cadet training that went on at their schools, with the Australian Army providing little to no input to or supervision of the day-to-day training at the myriad of cadet detachments across the nation. This state of affairs allowed schools, and the educators who ran them, an unprecedented amount of freedom to enact their own idealised version of military training through their cadet detachments, resulting in a diverse range of training syllabi, organisational practices, and uniforms. Unlike in other nations such as New Zealand, Australian schools’ cadet uniforms were not issued by the Australian Army, but instead were designed and purchased by the individual cadet detachments, with the Australian Army only providing official recognition and partial funding for the designs. Under this system, Australian schools designed a diverse range of uniforms for their cadet detachments, tailoring them to suit their individual conceptions of what cadet training should contain and how a cadet detachment should appear. This resulted in cadet detachments clad in uniforms that reflected the ideals of the schools to which they were attached, with the training practices and identities of a school reflected in the design of its cadet uniform. This article will examine two prevalent influences behind the design of Australian school cadet uniforms during the Second World War – the competing prioritisation of smartness and practicality, and the range of identities and loyalties which schools attempted to inculcate in their pupils. In the process, it will be argued that these variations in cadet uniform designs reflect the diversity of practices and ideology within male secondary education in Australia during the 1940s. Uniforms for Purpose Despite the limitations imposed by wartime shortages, a school’s priorities for their cadet training could still be expressed through their design of uniforms. For many, the range of priorities can be summarised as a split between smartness and toughness. Some establishments designed their cadet uniforms on traditional ideals of rigid sartorial orderliness, tailoring them to be pleasing to the eye when paraded in public. Others disregarded smartness in favour of hard-wearing uniforms more suited to rigorous physical training under a variety of climactic conditions, emphasising comfort and durability above appearance. Schools did not openly state that their choice of uniform was motivated by a desire to have their cadets appear impressive on the parade ground. However, many voiced their praise for their cadet detachments’ appearances in public parades. One example of this can be found in the June 1940 edition of Terrace, the magazine of Christian Brothers’ College Gregory Terrace, in which the cadet training column finished by proudly declaring that “the appearance of the cadets and their military bearing called forth expressions of praise from all who saw them marching in the Corpus Christi procession at NC” (“G.T. Corps Jottings” 5). Similar evidence of a school’s prioritisation of smartness and presentability in their cadet training can also be found in numerous contemporary descriptions of cadet training by the cadets themselves. One anonymous pupil at Sydney Church of England Grammar School described the hardships that the school’s cadets faced in maintaining their uniforms – a khaki combination of woollen slouch hat, tunic with brass buttons, brown leather ‘Sam Browne’ belt and trousers with a blue stripe down each leg. In a lengthy poem describing many aspects of school life, the pupil’s ‘Song of Shore’ described how “of each cadet the heart is set on being clean and smart; A fleck of dust, a speck of rust, will break his sergeant's heart” (‘A Song of Shore’ 131). These demands for cleanliness and smartness weighed heavily on a cadet, with the author lamenting how “he cleans his boots, he cleans his belt, he cleans his bits of brass: his Brasso goes to chapel and his Kiwi into class; but still they say, ‘Put it away! To Friday drill you go!’ And button-sticks in period six are dangerous things to show” (‘A Song of Shore’ 131). Given that this context of uniform maintenance is the only description of cadet training in this poem, the emphasis placed on sartorial orderliness at schools such as Sydney Church of England Grammar School was clearly strong enough to eclipse all other aspects of training in the eyes of those subjected to it. Uniforms designed to visually impress, however, often wore out quite quickly under the harsh conditions of cadet training. One cadet at Geelong College noted how after an afternoon of instruction on the school oval in “a comfortable spot in the rain and wind … my well-tailored uniform is sopping with either sweat or rain according to the consistent weather of these parts. My chin-strap has lost all its flavour and generally I feel most inefficient” (“Chank” 31). The short life of stylistically-prioritised uniforms was often exacerbated by the difficulty of obtaining replacement items of clothing under wartime conditions. In 1941, the cadet uniforms of Hale School, Western Australia – presented in fig. 1 and consisting of slouch hat, woollen khaki tunic, Khaki drill breeches and tall leather gaiters – had been reduced in number and quality to such an extent that one boy described the process of selecting uniforms at the beginning of each year as “scramble day”, when, “after trying on various clothing you begin to wonder how many deformed people were in the corps before you” (“Lance-Corporal” 96). The cadet elaborated by lamented how “pick[ing] out the right hat is like winning the Charities, and all you can do is to hope for the best next year” (“Lance-Corporal” 96), and “on being issued with your hat badge you will say confidently, ‘Well, at least this must fit.’ But don't be optimistic; it is sure to have the clip missing” (“Lance-Corporal” 97). The shortage of serviceable uniforms became so acute that by 1943 the annual ‘Cadet Notes’ article in the school’s magazine The Cygnet announced that “it would be greatly appreciated if Old Boys who have any part of a uniform, would make it available” (“Cadets” Cygnet 20). This sentiment was echoed the following year by an anonymous cadet’s cartoon (fig. 2), highlighting the deplorable state of the school’s cadet uniforms after so many years of use, with frayed hems, baggy seams, and, most significantly, a severe shortage of sizes which fitted the average cadet (“Uniforms for ‘B’ Company” 74). This, when compared with the formal photographs of cadets published by the school in an earlier edition of the Cygnet, seen in fig. 1, gives a clear indication of the disparity between the image that schools intended to project and the and that which cadets perceived. Fig. 1: Hale School cadet uniforms as presented by the school in 1939 (“Officers and N.C.Os.” 55) Fig. 2: Hale School cadet uniforms as perceived by a cadet in 1944 (“Uniforms for ‘B’ Company” 74) For many schools, however, the ideal cadet uniform was simple, easily-maintained and durable, often drawing inspiration from contemporary, rather than traditional, military uniforms. When designing a uniform for their newly-established cadet detachment in 1939, Brisbane Boys’ College stated categorically that “the first consideration was smartness” and that “the preservation of that smartness will be the duty of every cadet” (“Cadet Corps” 41). However, while other schools chose stiff and heavy woollen cadet uniforms, the committee appointed by the College to decide on a uniform opted for a light combination of felt hat, khaki drill jacket, and shorts, “similar in design to that of the Darwin Mobile Force”, a new Australian Army formation created the previous year intended to defend Australia’s northern coastline from invasion, “which looked so smart when that force marched through the city early in the year” (“Cadet Corps” 41-42). When further explaining their choice, the College argued that “shorts, we consider, are more serviceable for the Queensland climate” (“Cadet Corps” 42). Brisbane Boys’ College was not the only establishment to be impressed by new military formations and their heralding of a new form of warfare. Newcastle Boys’ High School’s cadet uniform deviated from those of other schools’ cadet detachments by including a navy blue beret in place of the ubiquitous felt ‘slouch hat’. This choice of headwear, coupled with the School’s unusual decision to replace the normal khaki items of clothing with a field grey battledress-style jacket and slacks, was so similar to that worn by the armoured divisions both in Australia and Britain that when the Newcastle Sun published a picture of four Newcastle cadets wearing their new uniforms, they jocularly warned their readers that “these are not members of the Tank Corps” (“High School Cadet Corps” 7). Evidently, while some schools opted for a more traditionally smart design for their cadet uniforms, others chose to emulate more modern military uniform designs, even to the point where their uniforms lost all similarity to those traditionally worn by cadet detachments in Australia. It was not through the emulation of contemporary Australian Army uniforms that schools implemented practical uniform components in place of stylish ones. When several independent Roman Catholic schools in New South Wales applied to form cadet units and intended to adopt cadet uniforms in a variety of colours with brimless, forage cap headdress, Australia’s Military Board directed Captain McConnel, the Staff Officer Commanding Senior Cadets for New South Wales, “to invite schools again to reconsider the uniforms they have submitted with a view to their adoption of the Australian Hat and Khaki materials” (McConnel 1). McConnel acknowledged that “particular uniforms are not stipulated”, but claimed “khaki to be most suitable and economical for field training while the Australian Hat gives greater protection from the sun”, which was a factor of “considerable importance” as “work in the open is one of the main objects of cadet training” (McConnel 1). However, despite McConnel’s emphatic pleas to the institutions to reconsider their uniforms, only two of the eleven schools chose to alter their uniforms to suit the Military Board’s recommendations. The remainder either compromised by retaining their forage caps but adopting McConnel’s recommendation of using khaki material for their uniforms, or, as was the case with Marist Brothers’ High School, Darlinghurst, wrote in response to McConnel’s letter stating that they found “no reason for altering the design initially submitted”, and persisted with their application (Frederic 1). This case demonstrates that while dispassionate logic could motivate schools to design practical uniforms resistant to the wear and tear produced by strenuous outdoor cadet training in the Australian climate, these considerations were often outweighed by the subjective ideological motivations behind educators’ desires to adopt attractively smart cadet uniforms that were expensive and ill-suited to physical training. Evidently, educators’ personal desires to make their cadets, and as a result their schools, appear impressively smart and orderly were a powerful motivation behind not only their choice of uniform but also their support for cadet training in its entirety. These motivations could and frequently did outweigh practical considerations, to the point where the appearance of a cadet detachment, and thereby that of the cadet detachment’s school, was considered more important than the training it provided. Uniforms as Identity The division between concepts of cadet training held by the Australian Army and the highly diverse forms of training practiced by individual schools extended beyond differences of opinion over the relative merits of smartness and practicality expressed by cadet uniforms. A cadet uniform not only reflected educators’ intentions regarding the contents of their training, but also reflected the values of the group identity they wished to immerse their boys in, and the overarching group to which this identity owed its loyalty. The best example of uniforms reflecting a cadet detachment’s loyalty can be seen in the widespread adoption of uniforms that emulated Australian Army uniforms almost exactly. Although Australian cadet detachments were not issued with official Service Dress uniforms until 1945, many detachments’ uniforms emulated the Service Dress’s design and material down to the ubiquitous wide-brimmed ‘slouch hat’ or ‘Australian hat’ worn by the Australian Army in both the First and Second World Wars. Brother RJ McCartney, “the nominal C.O.” of the cadet detachment at Christian Brothers’ College Ipswich, specifically described his detachment’s uniform to the Queensland Times in 1944 as “similar to that issued to Army personnel” after declaring that “the training [cadets] receive will be most useful to them should they join one of the fighting forces later” (“95 Boys” 2). The popularity of this design cannot be attributed solely to the arguments made by the Military Board for its practicality, and the symbolic power of these uniforms raised the cadet detachments from insular, extra-curricular organisations to a unified whole, connected to the Commonwealth’s war effort through their uniforms and the martial identities they espoused. Fig. 3: A contemporary drawing of Brisbane Boys’ College cadet badge from 1939 (“Cadet Corps” 42) Not all Australian educational establishments, however, chose to emulate the Australian Army uniform in their cadet detachments’ uniforms, with many adopting uniforms that emphasised school or local identities above national identity. Most schools expressed their local identity through the implementation of school colours in their hat bands or ‘puggaree’ or designed insignia for their cadet uniforms based on school insignia. The cadet detachment at Brisbane Boys College adopted a badge that was nearly identical to the College badge, seen in fig. 3, albeit with a crown in place of the book (“Cadet Corps” 42). This alteration brought the design into alignment with common practice in military insignia, but it could also be viewed as symbolic representation of the difference between the College and the cadet detachment – whereas the College’s primary objective was to educate, the cadet detachment’s objective was to instil a sense of patriotism and duty. The most prominent examples of schools deviating in this manner can be found among Presbyterian schools, many of which chose to emphasise their Scottish ancestry instead of their Australian nationality. One such school was Scotch College in Claremont, Western Australia, where in August 1939, after “several unsuccessful attempts to secure a uniform dress for the cadets”, “the corps fitted out with uniforms which made the boys look like trained soldiers … which consisted of a Cameron kilt, with a kangaroo-skin sporran, a khaki tunic and glengarrie [sic]” (“Cadets” Scotch 16), which gave the detachment the appearance of a highland regiment of the British Army. After being issued with their new uniforms and instructed on their wearing, an event that was satirically recalled later that year by a cadet asking the headmaster what was worn beneath the kilt, the cadets were addressed by the school’s headmaster Mr Anderson, who “mention[ed] the fine example set by our predecessors, which example, he knew, we would endeavour to live up to” (“Cadets” Scotch 16). A similar uniform was worn by The Scots College, Sydney, prior to and during the Second World War. The College’s cadet uniform, shown in fig. 4, was just as rife with Scottish motifs as the uniform of Scotch College, including a kilt which one anonymous cadet described as “eleven yards of pleats, folds, buckles, buttons and straps all mixed up” (“C.S.R., IVa” 91). The Scots College’s uniform incorporated more colonial aspects than their West Australian contemporary’s uniform, however, with the glengarry and khaki tunic replaced by a Blancoed-white pith helmet and dark green standing-collared jacket with hooks and eyes that, according to the anonymous cadet, “were typically scotch”, in that “they would not give in” (“C.S.R., IVa” 91). Despite the free issue of Service Dress by the Australian Army in 1945, the College maintained its distinctly Scottish cadet uniform, albeit with the pith helmet replaced by a glengarry cap. So strong was the College’s prioritisation of its colonial ancestral identity above any contemporary Australian national identity that the Sun newspaper described them as “Black Watch juniors” when publishing a photograph of them parading “in support of the War Loan Campaign” in October 1941, seen in fig. 4 (“Black Watch Juniors” 3). Although these schools formed the minority in espousing divergent local identities above a centralised national identity, is these exceptions to the broad consensus which reflect the diverse nature of not only cadet training but secondary education within Australia in the first half of the twentieth century. Furthermore, this diversity was only revealed due to the refusal of the Australian Army to issue free uniforms to cadet detachments, with the resulting absence of a centralised identity leading to a vacuum in which schools decided upon an identity with which to imbue their pupils through the medium of cadet uniforms. Fig. 4: The Scots College cadets parading through Sydney, as presented by the Sun (“Black Watch Juniors” 3). Conclusion The Australian Army’s refusal to issue a free, standardised cadet uniform to secondary school cadet detachments prevented many educational establishments from establishing their own cadet detachment. However, this policy allowed those schools that did establish a detachment to clothe their members in a manner that they believed would align with the school’s unique conceptions of both what cadet training should consist of and how a cadet detachment should be presented to the world. As a result of this freedom, Australian secondary school cadet uniforms were influenced by a wide range of practical and ideological factors, with a diverse range of uniform designs reflecting an equally diverse range of thinking around cadet training. Some schools preferred a cadet uniform to be tough and suited to strenuous outdoor use under harsh climatic conditions, with Brisbane Boys’ College modelling their uniform after the recently-formed Darwin Mobile Force and incorporating shorts and a wide-brimmed Australian hat of the type recommended by the Australian Army for its value in shielding its wearer from the sun. Other cadet uniforms, such as those adopted by many Roman Catholic schools in Sydney, emphasised sartorial orderliness and visual splendour, incorporating unusual colours and forage caps to showcase their cadets and their school while emphasising their institutions’ individuality, against the Australian Army’s recommendations for durability and practicality. Similarly, a school’s cadet uniform could reflect its ideological objectives, revealing the identity it aimed to immerse its pupils in. The wide range of schools’ cadet uniform headdress alone, from ‘slouch hats’ to glengarry and forage caps to pith helmets, reveals the many split loyalties and ideals held by Australian schools during the Second World War between imperial, national, local, and religious identities and ethos. However, despite Australian Schools’ diverse and meticulously curated choices in cadet uniforms, cadets’ contemporary descriptions of their uniforms reveal that the intentions behind the uniforms’ designs were often entirely lost on those who wore them. Many cadets overlooked the lofty educational and ideological intentions behind their educators’ choices and instead only took note of their ridiculous, impractical, and uncomfortable aspects. This difference in perception, with educators praising and pupils decrying their cadet uniforms, reveals the performative nature of the entire uniform design process, with schools designing their cadet detachments’ uniforms not for those wearing them but for any third party who might view them. As such, schools’ overtures regarding the practicality, smartness and identity of their uniforms were not the result of the schools’ established practices, but the values with which the schools wished to be associated, with cadet uniforms acting as the medium through which these values would be communicated to the wider world. Images “Black Watch Juniors in City Parade.” The Sun 10 Oct. 1941: 3. “Officers and N.C.Os. of the Cadet Corps, 1939.” The Cygnet: Hale School Magazine 19.3 (June 1939): 55. “Uniforms for ‘B’ Company. Only Two Sizes 2 Large OR 2 Small.” The Cygnet: Hale School Magazine 14.4 (June 1944): 74. References “A Song of Shore” The Torch-Bearer: The Magazine of the Sydney Church of England Grammar School 43.2 (1 Sep. 1939): 130-131. “Cadets.” The Cygnet: Hale School Magazine 13.3 (June 1943): 19-20. “Cadets.” The Scotch College Reporter 32 (Dec. 1939): 16-17. “Cadet Corps.” The Portal: The Magazine of the Brisbane Boys’ College Dec. 1939: 41-43. “Chank”; “A Day in the Ranks.” The Pegasus: The Journal of The Geelong College 37.1 (June 1946): 30-31. “C.S.R., IVa”; “A Bonny Wee Scotsman.” The Scotsman: A Record of The Scots College, Bellevue Hill, Sydney 32.3 (May 1946): 91. “G.T. Corps Jottings.” Terrace: Quarterly Review, Published by Christian Brothers’ College Gregory Terrace, Brisbane, Queensland 3.2 (24 June 1940): 5. “High School Cadet Corps.” The Newcastle Sun 4 June 1940: 7. “Lance-Corporal”; “Scramble Day.” The Cygnet: Hale School Magazine 13 (5 June 1941): 96-97. “95 Boys Receive Training in School Cadet Corps.” The Queensland Times 21 Aug. 1944: 2. Memoranda Brother Frederic to Captain McConnel. “Cadets – Educational establishments – Approval to form senior cadet detachments – Roman Catholic schools.” 7 April 1941. Australian War Memorial, Ref. AWM61 426/2/176. Captain McConnel to Director CBC Waverley, CBC Lewisham, CBC Darlinghurst, MBC Darlinghurst, MBC Randwick, MBC Kogarah, MBC Parramatta, MBC Church Hill, DLSC Ashfield, DLSC Marrickville, HCC Ryde, SJC Hunter's Hill. “Cadets – Educational establishments – Approval to form senior cadet detachments – Roman Catholic schools.” 13 March 1941. Australian War Memorial, Ref. AWM61 426/2/176.

Introduction This paper offers a survey of familiar popular music performers and songwriters who reference coffee in their work. It examines three areas of discourse: the psychoactive effects of caffeine, coffee and courtship rituals, and the politics of coffee consumption. I claim that coffee carries a cultural and musicological significance comparable to that of the chemical stimulants and consumer goods more readily associated with popular music. Songs about coffee may not be as potent as those featuring drugs and alcohol (Primack; Schapiro), or as common as those referencing commodities like clothes and cars (Englis; McCracken), but they do feature across a wide range of genres, some of which enjoy archetypal associations with this beverage. m.o.m.m.y. Needs c.o.f.f.e.e.: The Psychoactive Effect of Coffee The act of performing and listening to popular music involves psychological elements comparable to the overwhelming sensory experience of drug taking: altered perceptions, repetitive grooves, improvisation, self-expression, and psychological empathy—such as that between musician and audience (Curry). Most popular music genres are, as a result, culturally and sociologically identified with the consumption of at least one mind-altering substance (Lyttle; Primack; Schapiro). While the analysis of lyrics referring to this theme has hitherto focused on illegal drugs and alcoholic beverages (Cooper), coffee and its psychoactive ingredient caffeine have been almost entirely overlooked (Summer). The most recent study of drugs in popular music, for example, defined substance use as “tobacco, alcohol, marijuana, cocaine and other stimulants, heroin and other opiates, hallucinogens, inhalants, prescription drugs, over-the-counter drugs, and nonspecific substances” (Primack 172), thereby ignoring a chemical stimulant consumed by 90 per cent of adult Americans every day (Lovett). The wide availability of coffee and the comparatively mild effect of caffeine means that its consumption rarely causes harm. One researcher has described it as a ubiquitous and unobtrusive “generalised public activity […] ‘invisible’ to analysts seeking distinctive social events” (Cooper 92). Coffee may provide only a relatively mild “buzz”—but it is now accepted that caffeine is an addictive substance (Juliano) and, due to its universal legality, coffee is also the world’s most extensively traded and enthusiastically consumed psychoactive consumer product (Juliano 1). The musical genre of jazz has a longstanding relationship with marijuana and narcotics (Curry; Singer; Tolson; Winick). Unsurprisingly, given its Round Midnight connotations, jazz standards also celebrate the restorative impact of coffee. Exemplary compositions include Burke/Webster’s insomniac torch song Black Coffee, which provided hits for Sarah Vaughan (1949), Ella Fitzgerald (1953), and Peggy Lee (1960); and Frank Sinatra’s recordings of Hilliard/Dick’s The Coffee Song (1946, 1960), which satirised the coffee surplus in Brazil at a time when this nation enjoyed a near monopoly on production. Sinatra joked that this ubiquitous drink was that country’s only means of liquid refreshment, in a refrain that has since become a headline writer’s phrasal template: “There’s an Awful Lot of Coffee in Vietnam,” “An Awful Lot of Coffee in the Bin,” and “There’s an Awful Lot of Taxes in Brazil.” Ethnographer Aaron Fox has shown how country music gives expression to the lived social experience of blue-collar and agrarian workers (Real 29). Coffee’s role in energising working class America (Cooper) is featured in such recordings as Dolly Parton’s Nine To Five (1980), which describes her morning routine using a memorable “kitchen/cup of ambition” rhyme, and Don't Forget the Coffee Billy Joe (1973) by Tom T. Hall which laments the hardship of unemployment, hunger, cold, and lack of healthcare. Country music’s “tired truck driver” is the most enduring blue-collar trope celebrating coffee’s analeptic powers. Versions include Truck Drivin' Man by Buck Owens (1964), host of the country TV show Hee Haw and pioneer of the Bakersfield sound, and Driving My Life Away from pop-country crossover star Eddie Rabbitt (1980). Both feature characteristically gendered stereotypes of male truck drivers pushing on through the night with the help of a truck stop waitress who has fuelled them with caffeine. Johnny Cash’s A Cup of Coffee (1966), recorded at the nadir of his addiction to pills and alcohol, has an incoherent improvised lyric on this subject; while Jerry Reed even prescribed amphetamines to keep drivers awake in Caffein [sic], Nicotine, Benzedrine (And Wish Me Luck) (1980). Doye O’Dell’s Diesel Smoke, Dangerous Curves (1952) is the archetypal “truck drivin’ country” song and the most exciting track of its type. It subsequently became a hit for the doyen of the subgenre, Red Simpson (1966). An exhausted driver, having spent the night with a woman whose name he cannot now recall, is fighting fatigue and wrestling his hot-rod low-loader around hairpin mountain curves in an attempt to rendezvous with a pretty truck stop waitress. The song’s palpable energy comes from its frenetic guitar picking and the danger implicit in trailing a heavy load downhill while falling asleep at the wheel. Tommy Faile’s Phantom 309, a hit for Red Sovine (1967) that was later covered by Tom Waits (Big Joe and the Phantom 309, 1975), elevates the “tired truck driver” narrative to gothic literary form. Reflecting country music’s moral code of citizenship and its culture of performative storytelling (Fox, Real 23), it tells of a drenched and exhausted young hitchhiker picked up by Big Joe—the driver of a handsome eighteen-wheeler. On arriving at a truck stop, Joe drops the traveller off, giving him money for a restorative coffee. The diner falls silent as the hitchhiker orders up his “cup of mud”. Big Joe, it transpires, is a phantom trucker. After running off the road to avoid a school bus, his distinctive ghost rig now only reappears to rescue stranded travellers. Punk rock, a genre closely associated with recreational amphetamines (McNeil 76, 87), also features a number of caffeine-as-stimulant songs. Californian punk band, Descendents, identified caffeine as their drug of choice in two 1996 releases, Coffee Mug and Kids on Coffee. These songs describe chugging the drink with much the same relish and energy that others might pull at the neck of a beer bottle, and vividly compare the effects of the drug to the intense rush of speed. The host of “New Music News” (a segment of MTV’s 120 Minutes) references this correlation in 1986 while introducing the band’s video—in which they literally bounce off the walls: “You know, while everybody is cracking down on crack, what about that most respectable of toxic substances or stimulants, the good old cup of coffee? That is the preferred high, actually, of California’s own Descendents—it is also the subject of their brand new video” (“New Music News”). Descendents’s Sessions EP (1997) featured an overflowing cup of coffee on the sleeve, while punk’s caffeine-as-amphetamine trope is also promulgated by Hellbender (Caffeinated 1996), Lagwagon (Mr. Coffee 1997), and Regatta 69 (Addicted to Coffee 2005). Coffee in the Morning and Kisses in the Night: Coffee and Courtship Coffee as romantic metaphor in song corroborates the findings of early researchers who examined courtship rituals in popular music. Donald Horton’s 1957 study found that hit songs codified the socially constructed self-image and limited life expectations of young people during the 1950s by depicting conservative, idealised, and traditional relationship scenarios. He summarised these as initial courtship, honeymoon period, uncertainty, and parting (570-4). Eleven years after this landmark analysis, James Carey replicated Horton’s method. His results revealed that pop lyrics had become more realistic and less bound by convention during the 1960s. They incorporated a wider variety of discourse including the temporariness of romantic commitment, the importance of individual autonomy in relationships, more liberal attitudes, and increasingly unconventional courtship behaviours (725). Socially conservative coffee songs include Coffee in the Morning and Kisses in the Night by The Boswell Sisters (1933) in which the protagonist swears fidelity to her partner on condition that this desire is expressed strictly in the appropriate social context of marriage. It encapsulates the restrictions Horton identified on courtship discourse in popular song prior to the arrival of rock and roll. The Henderson/DeSylva/Brown composition You're the Cream in My Coffee, recorded by Annette Hanshaw (1928) and by Nat King Cole (1946), also celebrates the social ideal of monogamous devotion. The persistence of such idealised traditional themes continued into the 1960s. American pop singer Don Cherry had a hit with Then You Can Tell Me Goodbye (1962) that used coffee as a metaphor for undying and everlasting love. Otis Redding’s version of Butler/Thomas/Walker’s Cigarettes and Coffee (1966)—arguably soul music’s exemplary romantic coffee song—carries a similar message as a couple proclaim their devotion in a late night conversation over coffee. Like much of the Stax catalogue, Cigarettes and Coffee, has a distinctly “down home” feel and timbre. The lovers are simply content with each other; they don’t need “cream” or “sugar.” Horton found 1950s blues and R&B lyrics much more sexually explicit than pop songs (567). Dawson (1994) subsequently characterised black popular music as a distinct public sphere, and Squires (2002) argued that it displayed elements of what she defined as “enclave” and “counterpublic” traits. Lawson (2010) has argued that marginalised and/or subversive blues artists offered a form of countercultural resistance against prevailing social norms. Indeed, several blues and R&B coffee songs disregard established courtship ideals and associate the product with non-normative and even transgressive relationship circumstances—including infidelity, divorce, and domestic violence. Lightnin’ Hopkins’s Coffee Blues (1950) references child neglect and spousal abuse, while the narrative of Muddy Waters’s scorching Iodine in my Coffee (1952) tells of an attempted poisoning by his Waters’s partner. In 40 Cups of Coffee (1953) Ella Mae Morse is waiting for her husband to return home, fuelling her anger and anxiety with caffeine. This song does eventually comply with traditional courtship ideals: when her lover eventually returns home at five in the morning, he is greeted with a relieved kiss. In Keep That Coffee Hot (1955), Scatman Crothers supplies a counterpoint to Morse’s late-night-abandonment narrative, asking his partner to keep his favourite drink warm during his adulterous absence. Brook Benton’s Another Cup of Coffee (1964) expresses acute feelings of regret and loneliness after a failed relationship. More obliquely, in Coffee Blues (1966) Mississippi John Hurt sings affectionately about his favourite brand, a “lovin’ spoonful” of Maxwell House. In this, he bequeathed the moniker of folk-rock band The Lovin’ Spoonful, whose hits included Do You Believe in Magic (1965) and Summer in the City (1966). However, an alternative reading of Hurt’s lyric suggests that this particular phrase is a metaphorical device proclaiming the author’s sexual potency. Hurt’s “lovin’ spoonful” may actually be a portion of his seminal emission. In the 1950s, Horton identified country as particularly “doleful” (570), and coffee provides a common metaphor for failed romance in a genre dominated by “metanarratives of loss and desire” (Fox, Jukebox 54). Claude Gray’s I'll Have Another Cup of Coffee (Then I’ll Go) (1961) tells of a protagonist delivering child support payments according to his divorce lawyer’s instructions. The couple share late night coffee as their children sleep through the conversation. This song was subsequently recorded by seventeen-year-old Bob Marley (One Cup of Coffee, 1962) under the pseudonym Bobby Martell, a decade prior to his breakthrough as an international reggae star. Marley’s youngest son Damian has also performed the track while, interestingly in the context of this discussion, his older sibling Rohan co-founded Marley Coffee, an organic farm in the Jamaican Blue Mountains. Following Carey’s demonstration of mainstream pop’s increasingly realistic depiction of courtship behaviours during the 1960s, songwriters continued to draw on coffee as a metaphor for failed romance. In Carly Simon’s You’re So Vain (1972), she dreams of clouds in her coffee while contemplating an ostentatious ex-lover. Squeeze’s Black Coffee In Bed (1982) uses a coffee stain metaphor to describe the end of what appears to be yet another dead-end relationship for the protagonist. Sarah Harmer’s Coffee Stain (1998) expands on this device by reworking the familiar “lipstick on your collar” trope, while Sexsmith & Kerr’s duet Raindrops in my Coffee (2005) superimposes teardrops in coffee and raindrops on the pavement with compelling effect. Kate Bush’s Coffee Homeground (1978) provides the most extreme narrative of relationship breakdown: the true story of Cora Henrietta Crippin’s poisoning. Researchers who replicated Horton’s and Carey’s methodology in the late 1970s (Bridges; Denisoff) were surprised to find their results dominated by traditional courtship ideals. The new liberal values unearthed by Carey in the late 1960s simply failed to materialise in subsequent decades. In this context, it is interesting to observe how romantic coffee songs in contemporary soul and jazz continue to disavow the post-1960s trend towards realistic social narratives, adopting instead a conspicuously consumerist outlook accompanied by smooth musical timbres. This phenomenon possibly betrays the influence of contemporary coffee advertising. From the 1980s, television commercials have sought to establish coffee as a desirable high end product, enjoyed by bohemian lovers in a conspicuously up-market environment (Werder). All Saints’s Black Coffee (2000) and Lebrado’s Coffee (2006) identify strongly with the culture industry’s image of coffee as a luxurious beverage whose consumption signifies prominent social status. All Saints’s promotional video is set in a opulent location (although its visuals emphasise the lyric’s romantic disharmony), while Natalie Cole’s Coffee Time (2008) might have been itself written as a commercial. Busting Up a Starbucks: The Politics of Coffee Politics and coffee meet most palpably at the coffee shop. This conjunction has a well-documented history beginning with the establishment of coffee houses in Europe and the birth of the public sphere (Habermas; Love; Pincus). The first popular songs to reference coffee shops include Jaybird Coleman’s Coffee Grinder Blues (1930), which boasts of skills that precede the contemporary notion of a barista by four decades; and Let's Have Another Cup of Coffee (1932) from Irving Berlin’s depression-era musical Face The Music, where the protagonists decide to stay in a restaurant drinking coffee and eating pie until the economy improves. Coffee in a Cardboard Cup (1971) from the Broadway musical 70 Girls 70 is an unambiguous condemnation of consumerism, however, it was written, recorded and produced a generation before Starbucks’ aggressive expansion and rapid dominance of the coffee house market during the 1990s. The growth of this company caused significant criticism and protest against what seemed to be a ruthless homogenising force that sought to overwhelm local competition (Holt; Thomson). In response, Starbucks has sought to be defined as a more responsive and interactive brand that encourages “glocalisation” (de Larios; Thompson). Koller, however, has characterised glocalisation as the manipulative fabrication of an “imagined community”—whose heterogeneity is in fact maintained by the aesthetics and purchasing choices of consumers who make distinctive and conscious anti-brand statements (114). Neat Capitalism is a more useful concept here, one that intercedes between corporate ideology and postmodern cultural logic, where such notions as community relations and customer satisfaction are deliberately and perhaps somewhat cynically conflated with the goal of profit maximisation (Rojek). As the world’s largest chain of coffee houses with over 19,400 stores in March 2012 (Loxcel), Starbucks is an exemplar of this phenomenon. Their apparent commitment to environmental stewardship, community relations, and ethical sourcing is outlined in the company’s annual “Global Responsibility Report” (Vimac). It is also demonstrated in their engagement with charitable and environmental non-governmental organisations such as Fairtrade and Co-operative for Assistance and Relief Everywhere (CARE). By emphasising this, Starbucks are able to interpellate (that is, “call forth”, “summon”, or “hail” in Althusserian terms) those consumers who value environmental protection, social justice and ethical business practices (Rojek 117). Bob Dylan and Sheryl Crow provide interesting case studies of the persuasive cultural influence evoked by Neat Capitalism. Dylan’s 1962 song Talkin’ New York satirised his formative experiences as an impoverished performer in Greenwich Village’s coffee houses. In 1995, however, his decision to distribute the Bob Dylan: Live At The Gaslight 1962 CD exclusively via Starbucks generated significant media controversy. Prominent commentators expressed their disapproval (Wilson Harris) and HMV Canada withdrew Dylan’s product from their shelves (Lynskey). Despite this, the success of this and other projects resulted in the launch of Starbucks’s in-house record company, Hear Music, which released entirely new recordings from major artists such as Ray Charles, Paul McCartney, Joni Mitchell, Carly Simon and Elvis Costello—although the company has recently announced a restructuring of their involvement in this venture (O’Neil). Sheryl Crow disparaged her former life as a waitress in Coffee Shop (1995), a song recorded for her second album. “Yes, I was a waitress. I was a waitress not so long ago; then I won a Grammy” she affirmed in a YouTube clip of a live performance from the same year. More recently, however, Crow has become an avowed self-proclaimed “Starbucks groupie” (Tickle), releasing an Artist’s Choice (2003) compilation album exclusively via Hear Music and performing at the company’s 2010 Annual Shareholders’s Meeting. Songs voicing more unequivocal dissatisfaction with Starbucks’s particular variant of Neat Capitalism include Busting Up a Starbucks (Mike Doughty, 2005), and Starbucks Takes All My Money (KJ-52, 2008). The most successful of these is undoubtedly Ron Sexsmith’s Jazz at the Bookstore (2006). Sexsmith bemoans the irony of intense original blues artists such as Leadbelly being drowned out by the cacophony of coffee grinding machines while customers queue up to purchase expensive coffees whose names they can’t pronounce. In this, he juxtaposes the progressive patina of corporate culture against the circumstances of African-American labour conditions in the deep South, the shocking incongruity of which eventually cause the old bluesman to turn in his grave. Fredric Jameson may have good reason to lament the depthless a-historical pastiche of postmodern popular culture, but this is no “nostalgia film”: Sexsmith articulates an artfully framed set of subtle, sensitive, and carefully contextualised observations. Songs about coffee also intersect with politics via lyrics that play on the mid-brown colour of the beverage, by employing it as a metaphor for the sociological meta-narratives of acculturation and assimilation. First popularised in Israel Zangwill’s 1905 stage play, The Melting Pot, this term is more commonly associated with Americanisation rather than miscegenation in the United States—a nuanced distinction that British band Blue Mink failed to grasp with their memorable invocation of “coffee-coloured people” in Melting Pot (1969). Re-titled in the US as People Are Together (Mickey Murray, 1970) the song was considered too extreme for mainstream radio airplay (Thompson). Ike and Tina Turner’s Black Coffee (1972) provided a more accomplished articulation of coffee as a signifier of racial identity; first by associating it with the history of slavery and the post-Civil Rights discourse of African-American autonomy, then by celebrating its role as an energising force for African-American workers seeking economic self-determination. Anyone familiar with the re-casting of black popular music in an industry dominated by Caucasian interests and aesthetics (Cashmore; Garofalo) will be unsurprised to find British super-group Humble Pie’s (1973) version of this song more recognisable. Conclusion Coffee-flavoured popular songs celebrate the stimulant effects of caffeine, provide metaphors for courtship rituals, and offer critiques of Neat Capitalism. Harold Love and Guthrie Ramsey have each argued (from different perspectives) that the cultural micro-narratives of small social groups allow us to identify important “ethnographic truths” (Ramsey 22). Aesthetically satisfying and intellectually stimulating coffee songs are found where these micro-narratives intersect with the ethnographic truths of coffee culture. 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