2,796 research outputs found
Turnabout Time: Public Higher Education in the Commonwealth
Get PDFStay the course?
Steady as she goes is the wrong prescription for charting the future of public higher education in the Commonwealth. A major course correction is in order if the coalition vital to the system\u27s well-being is to hang together and be strengthened. With sharply divergent views being held by the public at large, political and business leaders, faculties and students--all groups essential to continuing educational progress--mutual accommodations and adjustments are the order of the day. Major changes in finance, institutional missions, curricula, and academic standards for faculty and students alike are imperatives.
The classic academic model that has shaped the structure, content, and direction of American higher education for a century and a half--the research university--is no longer sufficient to meet today\u27s economic and social needs in Massachusetts. In some respects it may no longer be necessary. Discovering, defining, and putting in place a new model that commands the support of the key coalition and fits the character of the times should be our overriding aim. Aspiring to a dated model--to be a world-class university--may lift spirits but the ambition lacks content.
Specifically, the new priorities for most of the public colleges and universities are to put teaching first, to take service to community and economic development seriously, to focus research investments programmatically, and to be prepared to move increasingly to a technologically-intensive rather than a labor-intensive enterprise.
Making this course correction--this turnabout--will require change in the way the state finances education, in the organization and structure of the programs and the curricula offered, in the technology developed, in the criteria applied to evaluate and reward faculty, in the standards used to judge student progress, and in the patterns of collaboration among the public campuses and between the public campuses and those in the private sector
Eastward Ho: Issues and Options in Regional Development for the Metropolitan Boston Region
Get PDFConventional wisdom suggests that the basic job of public policy studies (and public institutions, for that matter) is to deal in a timely and practical fashion with pressing public issues of the day. The focus typically is on \u27ripe\u27 topics, \u27hot\u27 political problems. If a study can be ahead of the curve, in John Kingdon\u27s apt phrase an idea whose time has come, so much the better. But unlike more traditional academic research, where the focus is timeless — i.e., an explanation of previously inexplicable phenomena, timeliness is a prime reason for initiating a policy study.
In this context, analyzing the prospects for regional governance in Massachusetts and New England and suggesting the creation of any new arrangement for metropolitan regions for the Commonwealth seems premature or, at best, wishful thinking. But these are not conventional times. Wrenching changes in welfare, education, and health care are accelerating in a nation being demographically transformed.
Three important forces are at work which suggest that regional goverment may be a timely topic after all. First, as we will describe, the academic community is giving some priority to the subject after two generations of neglect. Second, in a time of budgetary constraints, the economic development strategies of metropolitan communities increasingly require a global perspective that emphasizes the interdependence of central city and surrounding suburbs in achieving and maintaining an international competitive advantage. Especially in Massachusetts, given the effects of Proposition 2 1/2 and pressures on the costs of land and home ownership, the need to develop and articulate a common metropolitan economic strategy grows. Third, political forces speak increasingly to the ineffectiveness of local governments in coping with the critical issues of the day. In the midst of the Big Dig and a long-term inability to site a new convention center and a stadium within the metropolitan Boston region, how to plan and provide key metropolitan infrastructure is definitely a \u27hot\u27 political issue
Cancer Rehabilitation: Impact on Breast Cancer Survivors' Work Ability and Health-Related Quality of Life.
Get PDFBACKGROUND: Breast cancer survivors (BCSs) report persistent, diminished ability to work, and decreased health-related quality of life (HRQoL). Cancer rehabilitation interventions (physical therapy or occupational therapy [PT/OT]) aim to improve these outcomes, but little is known about their impact in the community.
METHODS: This retrospective, pre-post, uncontrolled study examined cases of younger BCSs (age <65 years) who attended cancer-specialized PT/OT over a 2-year period. Outcomes and covariates (age, race, US region, payer type, number of visits, length of care [weeks]) were extracted from electronic medical records. Patient-reported outcomes were overall-Work Ability Score (WASoverall), physical-WAS (WASphysical), and mental-WAS (WASmental) and PROMIS Global Physical Health (GPH), Global Mental Health (GMH), Physical Function (PF), and Ability to Participate in Social Roles and Activities (SRA). We used linear mixed effect models to examine pre- to post-rehabilitation change overall, and separately, while controlling for covariates.
RESULTS: PT/OT cases (NPT=758; NOT=140) had a mean [SD] age of 51.39 [8.49] years and attended approximately 12 visits (IQR, 8.0-19.0) over 10.71 weeks (IQR, 6.14-17.00). Overall, work ability outcomes (WASoverall: +1.79; WASphysical: +0.78; WASmental: +0.47; all P<.001) and HRQoL outcomes improved significantly (GPH: +5.38; GMH: +2.90; PF: +5.17; SRA: +5.83; all P<.001), and average change on each HRQoL outcome exceeded the minimal important change (2 points). Outcome scores were similar at each timepoint for both PT and OT cases (all P>.05) and both groups improved significantly (all P<.01).
CONCLUSIONS: In this large study of the impact of cancer-specialized, community-based PT and OT, younger BCSs reported significant improvement in ability to work and HRQoL. Although more research is needed, these findings suggest improved access to PT/OT could improve work ability and HRQoL for younger BCSs
Impact of Real-World Outpatient Cancer Rehabilitation Services on Health-Related Quality of Life of Cancer Survivors across 12 Diagnosis Types in the United States
Get PDFCompared to adults without cancer, cancer survivors report poorer health-related quality of life (HRQOL), which is associated with negative treatment outcomes and increased healthcare use. Cancer-specialized physical and occupational therapy (PT/OT) could optimize HRQOL; however, the impact among survivors with non-breast malignancies is unknown. This retrospective (2020–2022), observational, study of medical record data of 12 cancer types, examined pre/post-HRQOL among cancer survivors who completed PT/OT. PROMIS® HRQOL measures: Global Health (physical [GPH] and mental [GMH]), Physical Function (PF), and Ability to Participate in Social Roles and Activities (SRA) were evaluated using linear mixed effect models by cancer type, then compared to the minimal important change (MIC, 2 points). Survivors were 65.44 ± 12.84 years old (range: 19–91), male (54%), with a median of 12 visits. Improvements in GPH were significant (p < 0.05) for all cancer types and all achieved MIC. Improvements in GMH were significant for 11/12 cancer types and 8/12 achieved MIC. Improvements in PF were significant for all cancer types and all achieved the MIC. Improvements in SRA were significant for all cancer types and all groups achieved the MIC. We observed statistically and clinically significant improvements in HRQOL domains for each of the 12 cancer types evaluated
In-Clinic versus Hybrid Cancer Rehabilitation Service Delivery during the COVID-19 Pandemic: An Outcome Comparison Study
Get PDFDiminished health-related quality of life (HRQOL) is common among cancer survivors but often amendable to rehabilitation. However, few access real-world rehabilitation services. Hybrid delivery modes (using a combination of in-clinic and synchronous telehealth visits) became popular during the COVID-19 pandemic and offer a promising solution to improve access beyond the pandemic. However, it is unclear if hybrid delivery has the same impact on patient-reported outcomes and experiences as standard, in-clinic-only delivery. To fill this gap, we performed a retrospective, observational, comparative outcomes study of real-world electronic medical record (EMR) data collected by a national outpatient rehabilitation provider in 2020–2021. Of the cases meeting the inclusion criteria (N = 2611), 60 were seen to via hybrid delivery. The outcomes evaluated pre and post-rehabilitation included PROMIS® global physical health (GPH), global mental health (GMH), physical function (PF), and the ability to participate in social roles and activities (SRA). The patient experience outcomes included the Net Promoter Survey (NPS®) and the Select Medical Patient-Reported Experience Measure (SM-PREM). A linear and logistic regression was used to examine the between-group differences in the PROMIS and SM-PREM scores while controlling for covariates. The hybrid and in-clinic-only cases improved similarly in all PROMIS outcomes (all p 0.05). No between-group differences were observed in the NPS or SM-PREM scores (all p > 0.05). Although more research is needed, this real-world evidence suggests that hybrid rehabilitation care may be equally beneficial for and acceptable to cancer survivors and supports calls to expand access to and reimbursement for telerehabilitation
How well do police specialists risk assess Registered Sexual Offenders?
Get PDFThis study examined 91 Active Risk Management System (ARMS) assessments from four police areas across England and Wales. ARMS is a tool that guides criminal justice practitioners to assess and develop formal risk management plans based on the risks and strengths of individual clients convicted of sexual offending. This present study is particularly concerned with the application of this new tool and the quality of subsequent risk assessment as a result of police practitioner assessment. Findings indicate the quality of ARMS assessments were not to the expected standard. The study found while there were acceptable levels of detail and evidence documented by practitioners across individual areas; overall, assessor risk ratings and risk management plans were poor. This paper provides an outline of these findings, making suggestions for areas of improvement, along with recommendations for policy, practice, and research
Diabetes in Patients With Idiopathic Parkinson's Disease
Get PDFOBJECTIVE—Previous observational studies reported inconsistent results on the association between diabetes and Parkinson's disease, and data on the risk of developing incident diabetes in relation to Parkinson's disease are scarce. We aimed at comparing the diabetes prevalence between patients with or without Parkinson's disease and at exploring the risk of developing incident diabetes associated with Parkinson's disease
Modeling the System Parameters of 2M1533+3759: A New Longer-Period Low-Mass Eclipsing sdB+dM Binary
Full text linkWe present new photometric and spectroscopic observations for 2M 1533+3759 (=
NSVS 07826147). It has an orbital period of 0.16177042 day, significantly
longer than the 2.3--3.0 hour periods of the other known eclipsing sdB+dM
systems. Spectroscopic analysis of the hot primary yields Teff = 29230 +/- 125
K, log g = 5.58 +/- 0.03 and log N(He)/N(H) = -2.37 +/- 0.05. The sdB velocity
amplitude is K1 = 71.1 +/- 1.0 km/s. The only detectable light contribution
from the secondary is due to the surprisingly strong reflection effect. Light
curve modeling produced several solutions corresponding to different values of
the system mass ratio, q(M2/M1), but only one is consistent with a core helium
burning star, q=0.301. The orbital inclination is 86.6 degree. The sdB primary
mass is M1 = 0.376 +/- 0.055 Msun and its radius is R1 = 0.166 +/- 0.007 Rsun.
2M1533+3759 joins PG0911+456 (and possibly also HS2333+3927) in having an
unusually low mass for an sdB star. SdB stars with masses significantly lower
than the canonical value of 0.48 Msun, down to as low as 0.30 Msun, were
theoretically predicted by Han et al. (2002, 2003), but observational evidence
has only recently begun to confirm the existence of such stars. The existence
of core helium burning stars with masses lower than 0.40--0.43 Msun implies
that at least some sdB progenitors have initial main sequence masses of
1.8--2.0 Msun or more, i.e. they are at least main sequence A stars. The
secondary is a main sequence M5 star.Comment: 47 pages, 7 figure
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Implementation of U.K. Earth system models for CMIP6
Get PDFWe describe the scientific and technical implementation of two models for a core set of
experiments contributing to the sixth phase of the Coupled Model Intercomparison Project (CMIP6).
The models used are the physical atmosphere-land-ocean-sea ice model HadGEM3-GC3.1 and the
Earth system model UKESM1 which adds a carbon-nitrogen cycle and atmospheric chemistry to
HadGEM3-GC3.1. The model results are constrained by the external boundary conditions (forcing data)
and initial conditions.We outline the scientific rationale and assumptions made in specifying these.
Notable details of the implementation include an ozone redistribution scheme for prescribed ozone
simulations (HadGEM3-GC3.1) to avoid inconsistencies with the model's thermal tropopause, and land use
change in dynamic vegetation simulations (UKESM1) whose influence will be subject to potential biases in
the simulation of background natural vegetation.We discuss the implications of these decisions for
interpretation of the simulation results. These simulations are expensive in terms of human and CPU
resources and will underpin many further experiments; we describe some of the technical steps taken to
ensure their scientific robustness and reproducibility
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High-power beam injectors for 100 KW free-electron lasers
Get PDFA key technology issue on the path to high-power FEL operation is the demonstration of reliable, high-brightness, high-power injector operation. We describe two ongoing programs to produce 100 mA injectors as drivers for 100 kW free-electron lasers. In one approach, in collaboration with the Thomas Jefferson National Accelerator Facility, we are fabricating a 750 MHz superconducting RF cryomodule that will be integrated with a room-temperature DC photocathode gun and tested at the Laboratory. In the other approach, in collaboration with Los Alamos National Laboratory, a high-current 700 MHz, normal-conducting, RF photoinjector is being designed and will undergo thermal management testing at the Laboratory. We describe the design, the projected performance and the status of both injectors
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