As the coronavirus disease pandemic spread across the United States and protective measures to mitigate its impact were enacted, parents and children experienced widespread disruptions in daily life. ...Our objective with this national survey was to determine how the pandemic and mitigation efforts affected the physical and emotional well-being of parents and children in the United States through early June 2020.
In June 2020, we conducted a national survey of parents with children age <18 to measure changes in health status, insurance status, food security, use of public food assistance resources, child care, and use of health care services since the pandemic began.
Since March 2020, 27% of parents reported worsening mental health for themselves, and 14% reported worsening behavioral health for their children. The proportion of families with moderate or severe food insecurity increased from 6% before March 2020 to 8% after, employer-sponsored insurance coverage of children decreased from 63% to 60%, and 24% of parents reported a loss of regular child care. Worsening mental health for parents occurred alongside worsening behavioral health for children in nearly 1 in 10 families, among whom 48% reported loss of regular child care, 16% reported change in insurance status, and 11% reported worsening food security.
The coronavirus disease pandemic has had a substantial tandem impact on parents and children in the United States. As policy makers consider additional measures to mitigate the health and economic effects of the pandemic, they should consider the unique needs of families with children.
OBJECTIVE To elicit expert consensus on quality indicators for the hospital-based care of opioid-exposed infants. METHODS We used the ExpertLens online platform to conduct a 3-round modified Delphi ...panel. Expert panelists included health care providers, parents in recovery, quality experts, and public health experts. We identified 49 candidate quality indicators from a literature review and environmental scan. A total of 32 experts rated the importance and feasibility of the indicators using a 9-point Likert scale (Round 1), reviewed and discussed the initial ratings (round 2), and revised their original ratings (Round 3). Numeric scores corresponded with descriptive ratings of “low” (1–3), “uncertain” (4–6), or “high” (7–9). We measured consensus using the RAND/UCLA Appropriateness Method. RESULTS Candidate quality indicators assessed structures, processes, and outcomes in multiple domains of clinical care. After the final round, 36 indicators were rated “high” on importance and feasibility. Experts had strong consensus on the importance of quality indicators to assess universal screening of pregnant people for substance use disorder, hospital staff training, standardized assessment for neonatal opioid withdrawal syndrome, nonpharmacologic interventions, and transitions of care. For indicators focused on processes and outcomes, experts saw feasibility as dependent on the information routinely documented in electronic medical records or billing records. To present a more complete picture of hospital quality, experts suggested development of composite measures that summarize quality across multiple indicators. CONCLUSIONS A panel of experts reached consensus on a range of quality indicators for hospital-based care of opioid-exposed infants, with potential for use in national benchmarking, intervention studies, or hospital performance measurement.
This paper explores the storylines of four student ballet dancers who attend a specialist performing arts secondary school and who, in differing ways, envisage futures which 'look straight at ...ballet'. When decisions about schooling intermingle with long-held imaginings of futures in ballet, thought is provoked about ways the young adolescents embody and express notions of becoming. A Deleuzian lens is employed to explore assemblages of the self through the deterritorialisation that is provoked when unforeseen images emerge and imaginings are challenged. The data discussed in this paper include interview transcripts and pictures participants have drawn of themselves. The analysis uses notions of rhizomatic becoming and positions students' decision-making in oscillation between deterritorialisation and reterritorialisation as new languages make sense of how a future in ballet is configured from different perspectives. Themes of being in love with ballet and identities of dancers/non-dancers are negotiated through the data. As talented ballet students are compelled to move away from schooling in order to move closer to their future, concepts of schooling are problematised. Understandings of rhizomatic structures offer insight into the working out of desires, particularly in the context of a specialist performing arts school.
Celotno besedilo
Dostopno za:
BFBNIB, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Although the number of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) and the number of infants entering foster care have increased substantially in the US since 2009, analyses ...exploring their relationship are lacking. Using data from 580 US counties in eight US states from the period 2009-17, we examined the association of county rates of NOWS and county-level characteristics with infant foster care entries. In adjusted analyses, every one diagnosis of NOWS per ten births was associated with a 41 percent higher rate of infant foster care entry, and rural county residence was associated with a 19 percent higher rate of infant foster entry. A higher employment rate was associated with lower rates of infant foster care entry both overall and in urban counties when we stratified by rurality. These findings suggest that policy makers could use information about county characteristics to better target funding to support opioid-affected families at risk for foster care involvement.
State eligibility for certain federal child welfare funding requires a gubernatorial assurance that infants affected by substances receive plans of safe care (POSC). We conducted 18 interviews with ...state and county child welfare staff to understand how POSC has been implemented and found variability in practice driven by vague policy, challenges of cross-system collaboration, and a lack of knowledge about substance use disorder. Policy improvements should align requirements with POSC practice and create shared accountability with key partners.
Abstract
School-based research centres are growing in number and have potential to amplify school students’ voices in research through activities within the school. This paper explores how one ...research centre in an independent school in Australia, in a financially and socially privileged context, is using tertiary-type structures (namely, an ethics committee, research journal and conference) to engage students in research activities and give them voice about research in their school. Writing as centre director and practitioner researcher in the school, I explore these activities which position research as a skill with potential to further students’ academic capital, as well as their ability to challenge their understanding of privilege in the world. A core motivation for this paper is consideration of the transposition of structures designed for adults into the school context and exploring how students engage with these structures in order to have a voice as researchers and in research.
This is a review of A Poetry Pedagogy for Teachers: Reorienting Classroom Literacy Practices by Maya Pindyck and Ruth Vinz, with Diana Liu and Ashlynn Wittchow. The authors, U.S-based poets, ...educators, and arts-academics, share a crafted master class in creative thinking and poetic confidence building for teachers. They employ a strongly collaborative stance, and take readers with them on a poststructural journey by weaving together a collection of poems, scholarly literature, and resources which aim to provoke their teacher-readers to write. Readers should ready themselves with pen and paper, notebook, or computer as the many ”Invitations” (writing exercises which appear at the end of each chapter and in a section of their own towards the end) will have readers sliding into poetry and seeing it in the most unexpected places.
Background People living with HIV have higher sudden cardiac death (SCD) rates compared with the general population. Whether HIV infection is an independent SCD risk factor is unclear. Methods and ...Results This study evaluated participants from the Veterans Aging Cohort Study, an observational, longitudinal cohort of veterans with and without HIV infection matched 1:2 on age, sex, race/ethnicity, and clinical site. Baseline for this study was a participant's first clinical visit on or after April 1, 2003. Participants were followed through December 31, 2014. Using Cox proportional hazards regression, we assessed whether HIV infection, CD4 cell counts, and/or HIV viral load were associated with World Health Organization (WHO)-defined SCD risk. Among 144 336 participants (30% people living with HIV), the mean (SD) baseline age was 50.0 years (10.6 years), 97% were men, and 47% were of Black race. During follow-up (median, 9.0 years), 3035 SCDs occurred. HIV infection was associated with increased SCD risk (hazard ratio HR, 1.14; 95% CI, 1.04-1.25), adjusting for possible confounders. In analyses with time-varying CD4 and HIV viral load, people living with HIV with CD4 counts <200 cells/mm
(HR, 1.57; 95% CI, 1.28-1.92) or viral load >500 copies/mL (HR, 1.70; 95% CI, 1.46-1.98) had increased SCD risk versus veterans without HIV. In contrast, people living with HIV who had CD4 cell counts >500 cells/mm
(HR, 1.03; 95% CI, 0.90-1.18) or HIV viral load <500 copies/mL (HR, 0.97; 95% CI, 0.87-1.09) were not at increased SCD risk. Conclusions HIV infection is associated with increased risk of WHO-defined SCD among those with elevated HIV viral load or low CD4 cell counts.
In this article, we reflect on ways that young adolescents learn through embodied practice, which we define as moments when the body is 'caught up' in learning activities. Our observations draw from ...two workshops conducted as part of the 'IMC Sky High!' program which annually involves over 150 Year 7 and 8 students from schools in low socioeconomic areas of south-west Sydney, Australia. The program is delivered on and off campus by a team at the University of Technology Sydney. In addition to building confidence and skill in curriculum areas, the program aims to introduce young high school students to a tertiary environment and motivate them to engage more actively at school. Paying close attention to a classical music encounter and a trip to a museum, we use ethnographic strategies to consider how looking, doing, listening and proximity facilitate feelings of connection and motivation towards learning. We discuss how an educators' sensitivity to the listening and speaking body, and the learning and caring body can enhance learning design and opportunities for engagement. Greater awareness of embodiment can enable educators to facilitate rich, sensory learning encounters that are empowering and transformative. Author abstract
The production of the academicwritingmachine Henderson, Linda; Honan, Eileen; Loch, Sarah
Reconceptualizing educational research methodology,
12/2016, Letnik:
7, Številka:
2
Journal Article
Recenzirano
Odprti dostop
The organisational territory of academia has become heavily gridded by consuming requirements to produce publications that ‘count’. To survive, the scholar must plug herself into this machine – a ...heaving, monstrous academicwritingmachine. She must invest libidinal energy into the process of counting if she desires to be counted. This troubles us, who write for both ‘work’ and ‘pleasure’, who write to seek connections with one another, with our sense of unknowns, and with ways people learn in communities.Taking as a starting point the concept of the academicwritingmachine, in this paper we attempt to collectively explore and interrogate our own investment, our own repression, and our own desire to be produced within this machine. We seek to explore how this well-oiled machine captures flows of desire and how the vulnerability and sensuality of writing risks being flattened out to achieve ‘results’ that can be measured as ‘research outputs’. In a production of synergetic collaborative writing, we explore the innards of the academicwritingmachine, following the tubes, cogs, and wheels, the pulleys and levers, to examine the series of machinic arrangements that construct and constrict those moments of presenting, rewriting, reviewing, rejecting, resubmitting. We see this as a process that propels us out and away from our individual scholarly commitments to the machine, and into a myriad of imaginative, creative and joyous collective experiences. We take back the joy of writing, and make visible our shared attempt to open/break the machine through writing which experiments with ‘the openness required for the condition of constant becomings and the value of uncertainty and questioning’.
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