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Purpose: Despite a known risk of cellulitis recurrence, the management of the wider impact and risk factors has been neglected. The innovative National Cellulitis Improvement Programme (NCIP) addresses this by providing evidence-based and individualised care to improve patient reported outcomes and reduce the risk of recurrence. The aim of this paper is to examine the longer-term impact of cellulitis and to identify a suitable and clinically relevant Patient Reported Outcome Measure (PROM). Methods: A review of existing cellulitis-specific PROMs was undertaken, alongside literature detailing the patient-focused impact of cellulitis, to identify a suitable PROM for clinical use. A group of expert therapists and patient representatives (n = 14) shared their individual and collective experiences over a series of events to discuss and debate the impact of cellulitis and review available PROMs. CELLUPROM© is introduced with anonymised PROM data and case study information reported to establish the impact of CELLUPROM© within usual NCIP care. Results: No cellulitis-specific PROMs were identified. Literature focused on the signs and symptoms of an acute episode of cellulitis, with outcome measures primarily used to evidence the impact of an intervention. An enduring physical, social and emotional impact of cellulitis was identified in this study, providing the basis for the new cellulitis-specific PROM (CELLUPROM©), which has been implemented with good effect in clinical care. Conclusion: This study has highlighted the lasting impact of cellulitis. Using CELLUPROM© within the risk-reduction NCIP has helped develop Value-Based Healthcare and support programme evaluation. [ABSTRACT FROM AUTHOR]

To date, developmental research has rarely addressed the notion that imitation serves an interpersonal, socially based function. The present research thus examined the role of social engagement on 24-month-olds' imitation by manipulating the social availability of the model. In Experiment 1, the children were more likely to imitate the exact actions of a live socially responsive model compared to a videotaped model who could not provide socially contingent feedback. In Experiment 2, the children were more likely to imitate the exact actions of a model with whom they could communicate via a closed-circuit TV system than a videotaped model who could not provide interactive feedback. This research provides clear evidence that children's imitative behavior is affected by the social nature of the model. These findings are discussed in relation to theories on imitation and the video deficit.

Maurice Blanchot's novels share a quality of ironic comedy with Samuel Beckett's works. Both authors utilize narration that does not crystallize meaning, but rather seems to go on for too long and never arrive at a point. This outer inability of the narrators reflects the inner irony of the texts. This relation between the two authors has not been noticed, for Beckett's works are seen as using a low form of comedy, while Blanchot is instead seen as writing about writing., 'Le signe de son importance, c'est que l'ecrivain n'ait rien a dire. Cela aussi est risible. . . . il n'est pas si courant qu'un homme n'ait rien a dire.' [...]

ABSTRACT: This study examined an alternative approach for organizing reading and language arts instruction to accommodate individual differences in reading ability. The approach featured Cooperative Integrated Reading and Composition ( CIRC), conducted without ability groups, with cross-age and peer tutoring, supplementary phonics instruction for some students, and classroom-based instruction from compensatory and special education teachers. Students in regular, remedial, and special education were included in an experimental and a control school. We found significant effects on reading vocabulary, total reading, and language scores in favor of the experimental school; but on several other measures, including behavior ratings, we did not detect treatment effects., Differentiated assignments, focused questions, and intermittent tutoring are some of the strategies that teachers use to accommodate individual students who differ vastly in reading ability. Grouping and supplementary instruction, however, [...]

Data from three studies cause the authors to conclude that - for a significant proportion of students with learning disabilities - enhanced educational opportunities provided in the general education setting [...]

Research support for peer tutoring with handicapped students is cited, critical components of successful programs described (including mastery learning, tutor training, and staff and administrative support), and considerations in implementation for elementary and secondary settings addressed. (CL)

The Lake Washington School District (WA) has developed a successful peer tutoring program for elementary and secondary students. Identifies the characteristics of successful tutoring programs, how to start a program, recruitment and scheduling needs, selection of tutors and learners, and how to maintain tutor involvement. Includes a table and references. (MD)