Effective book introductions during guided reading set the stage for young readers to navigate new texts independently and successfully and often shape the outcome of small-group lessons. Many ...teachers struggle with decisions about what these introductions should address, what they should include, and how to conduct them.
Powerful Book Introductions: Leading with Meaning for Deeper Thinking literacy leaders Kathleen Fay, Chrisie Moritz, and Suzanne Whaley speak to these concerns by taking a close look at the purposeful planning that goes into preparing for this small but vital part of today's guided reading lessons. Through relatable classroom examples and the wisdom of their shared teaching experiences, the authors show you how to:
Select texts for your small-group lessons specifically based on your students' needs
Amplify meaning-making from the first moments of your guided reading book introductions and maintain this emphasis
Introduce visual and structural information to support your readers in meaning-making
No matter where you are in your understanding of guided reading, Powerful Book Introductions will help you as you learn to craft student-centered, meaning-driven book introductions that prepare your readers for success.
Green spaces play a crucial role in supporting urban ecological and social systems, a fact recognised in public policy commitments in both the UK and Europe. The amount of provision, the distribution ...of green space and the ease of access to such spaces are key contributors to social and ecological function in urban environments. We measured distance along the transport network to public green space available to households in Sheffield, and compared this with the distribution of private garden space. In addition, we used a geodemographic database, Mosaic UK, to examine how access to green space varies across different sectors of society. Public green spaces are chronically underprovided relative to recommended targets. For example, 64% of Sheffield households fail to meet the recommendation of the regulatory agency English Nature (EN), that people should live no further than 300
m from their nearest green space. Moreover, this figure rises to 72% if we restrict attention to municipal parks recognised by the local council. There is an overall reduction in coverage by green space when moving from neighbourhoods where green space is primarily publicly provided to those where it is privately provided. While access to public green space varies significantly across different social groups, those enjoying the greatest access include more deprived groups and older people. This study highlights the need for additional green space to be created and existing green space to be protected in light of increasing development pressure.
Prolonged preoperative fasting can be associated with adverse outcomes, particularly in children. Our aims were to assess the time pediatric patients fasted prior to surgical or radiologic procedures ...and evaluate whether fasting (NPO) orders complied with national guidelines. We measured NPO start time, time of last intake, and time test or surgery was scheduled, took place, or was cancelled in 219 pediatric patients. Findings demonstrate that pediatric patients experienced prolonged fasting before procedures and that the majority of NPO orders were non-compliant with national guidelines. We have developed strategies to reduce fasting times and ensure compliance with recommended national fasting standards.
The aim of this article is to share the experience of how a multi-disciplinary team worked together to develop the nursing role to incorporate the practitioners supporting mobilisation of a patient. ...The role developed nurses' competence, ensuring that the information and instruction patients received were consistent between therapists and nursing staff, but also supported the Enhanced Recovery Programme (2010). There were issues with the level of therapy support, especially out of hours. The team agreed a vision together, with a solution to the problem on how the mobilisation of patients post-surgery could be achieved. This would ensure postoperative complications were reduced and that there was continuity in education for the patients. This experience is an example of how staff can be empowered to provide patients with a positive experience through challenging practices and behaviours and resulting in innovative practice and role development.
To assess the risk of intraoperative allergic reactions to cephalosporins in patients who claim to be allergic to penicillin.
Retrospective chart review.
University-affiliated hospital.
2,933 ...intraoperative anesthesia records of all adult orthopedic patients treated at our institution during a 14-month period (7/96-8/97) were reviewed for antibiotic use and allergic reactions.
Most of the 2,933 orthopedic patients, including 413 patients who were allergic to penicillin, received a cephalosporin (usually cefazolin) during their procedure. Only one of the penicillin-allergic patients may have had an allergic reaction to the cephalosporin, because diphenhydramine and hydrocortisone were given at the beginning of the case. However, no mention was made on the chart about itching or a rash or hives. One of the non-penicillin-allergic patients did develop a rash while the cephalosporin was infusing, requiring discontinuation of the antibiotic.
Given the low incidence of allergic reactions, it appears to be safe to administer cephalosporins to patients who claim to be allergic to penicillin. However, no conclusion can be made concerning patients who report severe or anaphylactic reactions to penicillin, because these patients probably were excluded from the study.
Background：The Functional Movement Screen（FMS~（TM）） has become increasingly popular for identifying functional limitations in basic functional movements.This exploratory and descriptive study was ...undertaken to confirm feasibility of performing the FMS~（TM） in older active adults,assess prevalence of asymmetries and to evaluate the relationship between functional movement ability,age,physical activity levels and body mass index（BMI）.Methods：This is an observational study;97 men（n = 53） and women（n = 44） between the ages of 52 and 83 participated.BMI was computed and self-reported physical activity levels were obtained.Subjects were grouped by age（5-year intervals）,BMI（normal,over-weight,and obese）and sex.Each participant＇s performance on the FMS~（TM） was digitally recorded for later analysis.Results：The youngest age group（50–54 years） scored highest in all seven tests and the oldest age group（75＋） scored lowest in most of the tests compared to all other age groups.The subjects in the ＂normal weight＂ group performed no different than those who were in the ＂overweight＂ group;both groups performed better than the ＂obese＂ group.Of the 97 participants 54 had at least one asymmetry.The pairwise correlations between the total FMS~（TM） score and age（r =-0.531）,BMI（r =-0.270）,and the measure of activity level（r = 0.287） were significant（p 〈 0.01 for all）.Conclusion：FMS~（TM） scores decline with increased BMI,increased age,and decreased activity level.The screen identifies range of motion-and strength-related asymmetries.The FMS~（TM） can be used to assess functional limitations and asymmetries.Future research should evaluate if a higher total FMS~（TM） score is related to fewer falls or injuries in the older population.
Dr. William Silverman died on December 16, 2004, at the age of 87. Dr. Silverman believed strongly that everyone involved in neonatal care, whether nurse or doctor, must base their care on the ...evidence gleaned from careful study. In many ways, Dr. Silverman warned us all not to fall victim to the latest fads without thorough study. If you are not familiar with the writings of Dr. Silverman, you owe it to yourself to read the cautionary tales he wrote.
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