1,622 results on '"Lea J"'
Search Results
2. Quantifying Intermittent Flow Regimes in Ungauged Basins: Optimization of Remote Sensing Techniques for Ephemeral Channels Using a Flexible Statistical Classification
- Author
-
Lea J. Davidson, Adam M. Milewski, and Steven M. Holland
- Subjects
non-perennial channels ,ephemeral ,streamflow ,remote sensing ,discriminant function analysis ,arid environments ,Science - Abstract
Intermittent and ephemeral channels are a critical component of the global hydrologic network. The dominant feature in dryland environments, ephemeral channel transmission loss facilitates aquifer recharge. Characterizing flow intermittency improves groundwater storage estimates; however, limited gauging of intermittent systems impedes this understanding. This research develops an improved classification for surface flow, optimized for ephemeral systems using linear discriminant function analysis and remotely sensed imagery. It further applies this methodology to assess temporal and spatial flow patterns across the Souss channel, an ungauged, ephemeral system in central Morocco. Linear discriminant function analysis demonstrates high predictive accuracy for Landsat imagery, with significantly improved classification success as compared to the Modified Normalized Difference Water Index. Application to the Souss channel from 1984 to 2022 points to a decreasing trend in flow frequency. Despite this change, flow events remain concentrated within the wet season, critical for regional aquifer recharge. Spatial flow characteristics further support sustained infiltration, with the majority of events focused within the upstream channel section during both dry and wet seasons. Decreased occurrence moving downstream highlights the likely impact of additional factors such as transmission loss, evapotranspiration, and agricultural abstraction contributing to channel intermittency.
- Published
- 2023
- Full Text
- View/download PDF
3. Evaluation and Analysis of Remote Sensing-Based Approach for Salt Marsh Monitoring
- Author
-
David F. Richards, Adam M. Milewski, Steffan Becker, Yonesha Donaldson, Lea J. Davidson, Fabian J. Zowam, Jay Mrazek, and Michael Durham
- Subjects
remote sensing ,salt marsh ,hydrology ,coastal ,Sentinel-2 ,NDVI ,Science - Abstract
In the United States (US), salt marshes are especially vulnerable to the effects of projected sea level rise, increased storm frequency, and climatic changes. Sentinel-2 data offer the opportunity to observe the land surface at high spatial resolutions (10 m). The Sentinel-2 data, encompassing Cumberland Island National Seashore, Fort Pulaski National Monument, and Canaveral National Seashore, were analyzed to identify temporal changes in salt marsh presence from 2016 to 2020. ENVI-derived unsupervised and supervised classification algorithms were applied to determine the most appropriate procedure to measure distant areas of salt marsh increases and decreases. The Normalized Difference Vegetation Index (NDVI) was applied to describe the varied vegetation biomass spatially. The results from this approach indicate that the ENVI-derived maximum likelihood classification provides a statistical distribution and calculation of the probability (>90%) that the given pixels represented both water and salt marsh environments. The salt marshes captured by the maximum likelihood classification indicated an overall decrease in salt marsh area presence. The NDVI results displayed how the varied vegetation biomass was analogous to the occurrence of salt marsh changes. Areas representing the lowest NDVI values (−0.1 to 0.1) corresponded to bare soil areas where a salt marsh decrease was detected.
- Published
- 2023
- Full Text
- View/download PDF
4. Development of an Electronic Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Proforma (E-ICP) to Improve Interdisciplinary Guideline Adherence in the Emergency Department: Modified Delphi Study
- Author
-
Issac H, Keijzers G, Yang IA, Lea J, Taylor M, and Moloney C
- Subjects
copd ,electronic proforma ,modified delphi study ,interdisciplinary ,guideline adherence ,copd-x plan ,Diseases of the respiratory system ,RC705-779 - Abstract
Hancy Issac,1,2 Gerben Keijzers,3– 5 Ian A Yang,6,7 Jackie Lea,1,2 Melissa Taylor,1,2 Clint Moloney1,8,9 1School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, QLD, Australia; 2Centre of Health Research, University of Southern Queensland, Toowoomba, QLD, Australia; 3Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, QLD, Australia; 4Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, Australia; 5School of Medicine, Griffith University, Gold Coast, QLD, Australia; 6Thoracic Medicine, The Prince Charles Hospital, Brisbane, QLD, Australia; 7Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia; 8College of Health and Biomedicine, Nursing and Midwifery, Victoria University, Melbourne, VIC, Australia; 9Institute for Health and Sport, Victoria University, Melbourne, VIC, AustraliaCorrespondence: Hancy Issac, School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, QLD, Australia, Email hancy.issac@usq.edu.auIntroduction: Chronic obstructive pulmonary disease guideline non-adherence is associated with a reduction in health-related quality of life in patients (HRQoL). Improving guideline adherence has the potential to mitigate fragmented care thereby sustaining pulmonary function, preventing acute exacerbations, reducing economic health burdens, and enhancing HRQoL. The development of an electronic proforma stemming from expert consensus, including digital guideline resources and direct interdisciplinary referrals is hypothesised to improve guideline adherence and patient outcomes for emergency department (ED) patients with COPD.Aim: The aim of this study was to develop consensus among ED and respiratory staff for the correct composition of a COPD electronic proforma that aids in guideline adherence and management in the ED.Methods: This study adopted a mixed-method design to develop the most important indicators of care in the ED. The study involved three phases: (1) a systematic literature review and qualitative interdisciplinary staff interviews to assess barriers and solutions for guideline adherence and qualitative interdisciplinary staff interviews, (2) a modified Delphi panel to select interventions for the proforma, and (3) a consensus process through three rounds of scoring through a quantitative survey (ED and Respiratory consensus) and qualitative thematic analysis on each indicator.Results: The electronic proforma achieved acceptable and good internal consistency through all iterations from national emergency department and respiratory department interdisciplinary experts. Cronbach’s alpha score for internal consistency (α) in iteration 1 emergency department cohort (EDC) (α = 0.80 [CI = 0.89%]), respiratory department cohort (RDC) (α = 0.95 [CI = 0.98%]). Iteration 2 reported EDC (α = 0.85 [CI = 0.97%]) and RDC (α = 0.86 [CI = 0.97%]). Iteration 3 revealed EDC (α = 0.73 [CI = 0.91%]) and RDC (α = 0.86 [CI = 0.95%]), respectively.Conclusion: Electronic proformas have the potential to facilitate direct referrals from the ED leading to reduced hospital admissions, reduced length of hospital stays, holistic care, improved health care and quality of life and improved interdisciplinary guideline adherence.Keywords: COPD, electronic proforma, modified Delphi study, interdisciplinary, guideline adherence, COPD-X plan
- Published
- 2022
5. Impact of the COVID-19 pandemic on working conditions and mental well-being of mental health professionals in the Netherlands: a cross-sectional study
- Author
-
Stephanie S Leone, Lea J Jabbarian, Tessa J van Doesum, Laura S Shields-Zeeman, Berno van Meijel, and Marja van Bon-Martens
- Subjects
Medicine - Abstract
Objectives To examine the extent of the impact of the COVID-19 pandemic on the mental health and well-being of mental health professionals (MHPs) in the Netherlands and understand their needs during the COVID-19 pandemic.Design and setting A cross-sectional, mixed-methods study was conducted with MHPs from the Netherlands from June 2020 to October 2020, consisting of an online survey and three online focus group discussions.Participants Participants were MHPs from various occupational groups (psychologists, social workers, mental health nurses, developmental education workers, etc).Primary and secondary outcome measures The online survey included questions about work-related changes due to COVID-19 perceived resilience to stress, changes in lifestyle behaviours and mental health symptoms. The focus group discussions focused mostly on work experiences during the first wave of the COVID-19 pandemic.Results MHP’s reported an increase in experience workload during the pandemic (mean score 8.04 based on a scale of 1-10) compared to before the pandemic (mean score of 7). During the first wave of the pandemic, 50% of respondents reported increased stress, 32% increased sleeping problems and 24% increased mental health problems. Adverse occupational (eg, increased workload OR 1.72, 95% CI 1.28–2.32), psychological (eg, life satisfaction OR 0.63, 95% CI 0.52–0.75), lifestyle (eg, increased sleep problems OR 2.80, 95% CI 2.07–3.80) and physical factors (decline in physical health OR 3.56, 95% CI 2.61–4.85) were associated with a decline in mental health. Participants expressed significant concern in the focus group discussions about the duration of the pandemic, the high workload, less work-life balance and lack of contact with colleagues. Suggestions to improve working conditions included ensuring clear communication about guidelines and facilitating worker contact and support via peer-to-peer coaching where experiences can be shared.Conclusions The current study indicates that MHP experienced a decline in mental health status during the first wave of the COVID-19 pandemic, which should be taken into consideration by employers, policymakers and researchers.
- Published
- 2023
- Full Text
- View/download PDF
6. Mapping of Modifiable Factors with Interdisciplinary Chronic Obstructive Pulmonary Disease (COPD) Guidelines Adherence to the Theoretical Domains Framework: A Systematic Review
- Author
-
Issac H, Moloney C, Taylor M, and Lea J
- Subjects
copd guidelines ,chronic obstructive pulmonary disease guidelines ,concordance ,compliance ,adherence ,gold ,copd-x ,Medicine (General) ,R5-920 - Abstract
Hancy Issac,1,2 Clint Moloney,1,3,4 Melissa Taylor,1,2 Jackie Lea1,2 1School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Australia; 2Centre for Health Research, University of Southern Queensland, Toowoomba, Australia; 3College of Health and Biomedicine, Nursing and Midwifery, Victoria University, Melbourne, Australia; 4Clinical Community Health and Wellbeing, Research Institute for Health and Sport, Victoria University, Melbourne, AustraliaCorrespondence: Hancy IssacW562, School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, AustraliaTel +61 7 4631 2269Email hancy.issac@usq.edu.auBackground: COPD guidelines non-concordance is a challenge frequently highlighted by respiratory experts. Despite the provision of comprehensive evidence-based national and international guidelines, the COPD burden to frontline healthcare services has increased in the last decade. Suboptimal guidelines concordance can be disruptive to health-related quality of life (HRQoL), hastening pulmonary function decline and surging overall morbidity and mortality. A lack of concordance with guidelines has created an escalating economic burden on health-care systems. Identifying interdisciplinary interventions to facilitate improved adherence to guidelines may significantly reduce re-admissions, enhance HRQoL amongst patients and their families, and facilitate economic efficiency.Materials and Methods: This review adhered to the Joanna Briggs Institute (JBI) methodology for mixed methods systematic reviews and the PRISMA ScR reporting guidelines. Two independent reviewers screened abstracts and full text articles in consonance with inclusion criteria. The convergent integrative JBI method collated quantitative, qualitative and mixed methods studies from nine databases. JBI critical appraisal tools were utilised to assess the quality of research papers. The theoretical domains framework (TDF) along with a specifically developed COPD data extraction tool were adopted as a priori to collect and collate data. Identified barriers and corresponding clinical behavioural change solutions were categorised using TDF domains and behavior change wheel (BCW) to provide future research and implementation recommendations.Results: Searches returned 1068 studies from which 37 studies were included (see Figure 1). COPD recommendations identified to be discordant with clinical practice included initiating non-invasive ventilation, over- or under-prescription of corticosteroids and antibiotics, and a lack of discharging patients with a smoking cessation plan or pulmonary rehabilitation. TDF domains with highest frequency scores were knowledge, environmental resources, and clinical behaviour regulation. Electronic order sets/digital proforma with guideline resources at point of care and easily accessible digital community referrals to target both pharmacological and non-pharmacological management appear to be a solution to improve concordance.Conclusion: Implementation of consistent quality improvement intervention within hospitals for patients with COPD may exclude any implementation gap and prevent readmissions. Electronic proformas with digital referrals will assist with future evaluation audits to prioritise and target interventions to improve guidelines concordance.Ethics and Dissemination: Ethical approval is not required, and results dissemination will occur through peer-reviewed publication.PROSPERO Registration Number: CRD42020156267.Keywords: COPD guidelines, chronic obstructive pulmonary disease guidelines, concordance, compliance, adherence, GOLD, COPD-X
- Published
- 2022
7. The Professional Well-Being of Early Educators in California. Early Educator Well-Being Series
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment (CSCCE), Wanzi Muruvi, Anna Powell, Yoonjeon Kim, Abby Copeman Petig, and Lea J. E. Austin
- Abstract
Our look at the well-being of California's early educators points to the need to consider work environments in early care and education (ECE) policy development. The learning environments of young children are also the work environments of the ECE workforce. Supportive and safe work environments that foster a respectful workplace climate can enhance educators' practice, professional esteem, and job satisfaction. This is the second of three reports, drawn from our statewide survey of nearly 1,800 early educators. Our findings show that: (1) Though the majority of early educators find satisfaction and reward from their work with children, many feel their work is not respected; (2) Despite their dedication to their profession, many educators encounter inadequate work environments: more than two thirds of center teachers are given duties no one else wants, and nearly a tenth have been the target of racial slurs at work; and (3) Working with children with challenging behaviors, finding planning time and spending time with individual children are common classroom challenges.
- Published
- 2024
8. Hepatic interleukin‐1 receptor type 1 signalling regulates insulin sensitivity in the early phases of nonalcoholic fatty liver disease
- Author
-
Nadine Gehrke, Lea J. Hofmann, Beate K. Straub, Frank Rühle, Ari Waisman, Peter R. Galle, and Jörn M. Schattenberg
- Subjects
cirrhosis ,hepatic steatosis ,obesity ,type 2 diabetes ,Medicine (General) ,R5-920 - Abstract
Abstract Background Nonalcoholic fatty liver disease (NAFLD) is associated with hepatic as well as systemic insulin resistance even in the absence of type 2 diabetes. The extent and pathways through which hepatic inflammation modulates insulin sensitivity in NAFLD are only partially understood. We explored the contribution of hepatic interleukin (IL)‐1 signalling in a novel conditional knockout mouse model and expand the knowledge on this signalling pathway with regard to its liver‐specific functions. Methods A high‐fat, high‐carbohydrate diet (HFD) over 12 weeks was used in male hepatocyte‐specific IL‐1 receptor type 1 (IL‐1R1) knockout mice (Il1r1Hep−/–) and wild‐type (WT) littermates. Results Both genotypes developed an obese phenotype and accompanying macrovesicular hepatic steatosis. In contrast to WT mice, microvesicular steatosis and ballooning injury was less pronounced in HFD‐fed Il1r1Hep−/– mice, and alanine aminotransferase remained in the normal range. This was paralleled by the suppression of injurious and proinflammatory hepatic c‐Jun N‐terminal kinases and extracellular signal‐regulated kinases signalling, stable peroxisome proliferator activated receptor gamma coactivator‐1alpha and farnesoid X receptor‐alpha expression and preservation of mitochondrial function. Strikingly, despite HFD‐feeding Il1r1Hep−/– mice remained highly insulin sensitive as indicated by lower insulin levels, homeostatic model assessment for insulin resistance, higher glucose tolerance, more stable hepatic insulin signalling cascade, and less adipose tissue inflammation compared to the WT. Conclusions The current data highlights that hepatocyte IL‐1R1 contributes to hepatic and extrahepatic insulin resistance. Future liver‐directed therapies in NAFLD could have effects on insulin sensitivity when improving hepatic inflammation and IL‐1R1 signalling.
- Published
- 2022
- Full Text
- View/download PDF
9. Exploring Factors Contributing to Chronic Obstructive Pulmonary Disease (COPD) Guideline Non-Adherence and Potential Solutions in the Emergency Department: Interdisciplinary Staff Perspective
- Author
-
Issac H, Taylor M, Moloney C, and Lea J
- Subjects
aecopd management ,copd guidelines adherence ,theoretical domains framework ,multidisciplinary ,com-b ,behaviour change wheel ,behaviour change techniques taxonomy ,Medicine (General) ,R5-920 - Abstract
Hancy Issac, Melissa Taylor, Clint Moloney, Jackie Lea School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, AustraliaCorrespondence: Hancy Issac Email hancy.issac@usq.edu.auPurpose: Acute exacerbations of chronic obstructive pulmonary disease (COPD) have a significant and prolonged impact on health-related quality of life, patient outcomes, and escalation of pulmonary function decline. COPD-X guidelines published in 2003 subsist to facilitate a shift from the emphasis on pharmacological treatment to a more holistic multi-disciplinary interventions approach. Despite the existing comprehensive recommendations, readmission rates have increased in the last decade. Evidence to date has reported sub-optimal COPD guidelines adherence in emergency departments. This qualitative study explored contributing factors to interdisciplinary staff non-adherence and utilisation of COPD-X guidelines in a major Southern Queensland Emergency Department.Methods: Semi-structured qualitative interviews with interdisciplinary staff were conducted in an emergency department. A purposive sample of doctors, nurses, physiotherapists, pharmacist and a social worker were recruited. Interviews were digitally recorded, de-identified and transcribed verbatim. Data analysis followed a coding process against the Theoretical Domains Framework (TDF) to examine implementation barriers and potential solutions. Identified factors affecting non-adherence and underutilisation of guidelines were then mapped to the capability, opportunity, motivation, behaviour model (COM-B) and behaviour change wheel (BCW) to inform future implementation recommendations.Results: Prominent barriers influencing the clinical uptake of COPD guidelines were identified using TDF analysis and included knowledge, professional role clarity, clinical behaviour regulation, memory, attention, and decision process, beliefs about departmental capabilities, environmental context and resources. Potential interventions included education, training, staffing, funding and time-efficient digitalised referrals and systems management reminders to prevent COPD readmissions, remissions and improve patient health-related quality of life.Conclusion: Implementation strategies such as electronic interdisciplinary COPD proforma that facilitates a multimodal approach with appropriate patient/staff resources and referrals prior to discharge from an ED require further exploration. Greater clarity around which components of the COPD X guidelines must be applied in ED settings needs to stem from future research.Keywords: AECOPD management, COPD guidelines adherence, theoretical domains framework, multidisciplinary, COM-B, behaviour change wheel, behaviour change techniques taxonomy
- Published
- 2021
10. The Multilayered Effects of Racism on Early Educators in California: An Examination of Disparities in Wages, Leadership Roles, and Education
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Yoonjeon Kim, Lea J. E. Austin, and Hopeton Hess
- Abstract
Despite the crucial role early educators play in young children's development, the field has always struggled with poor compensation and inadequate support (McLean et al., 2021). The persistent undervaluation of the ECE sector and the labor provided by the nearly all-female workforce can be traced back to its racist roots, when enslaved Black women were forced to care for White children (Center for the Study of Child Care Employment, 2022a; Lloyd et al., 2021). This report shows how racism continues to affect the ECE workforce. Racial disparities take many forms, from inequities in racial and ethnic representation across provider types and job roles to disparities in compensation. Black and Latina educators, for example, routinely experience lower wages than their peers. Asian and Black educators tend to hold higher levels of educational degrees compared to other groups, but their credentials do not necessarily lead to job advancement or higher pay. Systemic racism is most often understood as a form of racism that is "pervasively and deeply embedded in systems, laws, written or unwritten policies, and entrenched practices and beliefs that produce, condone, and perpetuate widespread unfair treatment and oppression of people of color" (Braveman et al., 2022, p. 171). Yet, systemic racism also fosters an absence of systems or processes that provide recourse for discrimination or protection from inequities. A transformed system could begin to repair the current injustices. (1) For example, if early care and education were treated as a public good, programs would be funded to reflect the true cost of care; (2) A salary scale driven by a combination of years of experience and education would reduce the vast pay gaps, especially between Black educators and their peers of other races and ethnicities with similar education and experience; (3) Professional pathway programs and mentorship initiatives could be designed specifically to expand access to leadership roles for underrepresented communities. Efforts like apprenticeships, degree-completion programs, and fellowships have proven incredibly successful (Copeman Petig et al., 2019; Kipnis et al., 2012; Smith et al., 2023). However, such opportunities are not built into ECE systems, but are often pilots, demonstration projects, or very limited in reach (Malone et al., 2021); and (3) Data to pinpoint disparities could track how or if they are reduced over time. North Carolina, for example, routinely funds robust data collection, but it is unclear if and how identified disparities are acted on (Child Care Services Association, 2020). [Additional funding for this report was provided by the Blue Shield of California Foundation.]
- Published
- 2024
11. The Early Care and Education Workforce of Contra Costa County
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment (CSCCE), Anna Powell, Wanzi Muruvi, Lea J. E. Austin, and Abby Copeman Petig
- Abstract
Early care and education (ECE) programs are central to a thriving community: they support the well-being of children as well as their families. In Contra Costa County, approximately 260 child care centers serve children from birth through age five, along with 765 family child care providers operating in their own homes. These nurturing and vibrant learning environments reflect the ECE workforce, a highly skilled yet undervalued professional group of nearly 4,000 individuals. Building on the "California Early Care and Education Workforce Study," this report provides a snapshot of the state of the licensed ECE workforce in Contra Costa County. Chapter 1 offers a profile of its core members: family child care providers and center-based educators (directors, teachers, and assistants). Chapter 2 describes the state of educator well-being, and Chapter 3 explores stability for center- and home-based programs and for professionals in the field. [This report was funded by First 5 Contra Costa, the Contra Costa County Office of Education/Local Planning Council, the Contra Costa County Employment Human Services Department's Community Services Bureau, and CoCoKids.]
- Published
- 2024
12. The Emotional and Physical Well-Being of Early Educators in California. Early Educator Well-Being Series. Report
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Wanzi Muruvi, Anna Powell, Yoonjeon Kim, Abby Copeman Petig, and Lea J. E. Austin
- Abstract
Working with young children is intellectually, emotionally, and physically demanding. These challenges are compounded by the inadequate compensation that characterizes the early care and education (ECE) sector and lack of workplace support such as access to health benefits, retirement plans, and time off (Montoya et al., 2022). The cumulative strain can intensify the stress experienced by early educators, adversely affecting both their emotional and physical well-being (Cumming, 2017). The California Early Care and Education Workforce Study is an ongoing longitudinal study that provides comprehensive statewide and regional information on the center- and home-based ECE workforce. The Center for the Study of Child Care Employment (CSCCE) launched the current workforce study in 2020 to provide an update on the status of the workforce since the previous study in 2006 (Whitebook et al., 2006). Phase 2 of the present study was conducted during 2023, collecting information predominantly from educators who had participated in 2020. This report focuses on the emotional and physical well-being of California's ECE workforce who work with children birth to age five. It is the first in a series on early educator well-being, highlighting findings from Phase 2 of the California Early Care and Education Workforce Study. [Also acknowledged was funding by Blue Shield of California Foundation.]
- Published
- 2023
13. Wirkmechanismen antidepressiver Pharmakotherapie: Gehirn und Psyche – Körper und Umwelt
- Author
-
Spangemacher, Moritz, Reinwald, Jonathan, Adolphi, Hana, Kärtner, Laura, Mertens, Lea J., Schmitz, Christian N., and Gründer, Gerhard
- Published
- 2025
- Full Text
- View/download PDF
14. The Early Care and Education Workforce and Workplace in Los Angeles County. A Longitudinal Analysis, 2020-2023
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Anna Powell, Wanzi Muruvi, Lea J. E. Austin, and Abby Copeman Petig
- Abstract
First 5 Los Angeles County partnered with the Center for the Study of Child Care Employment (CSCCE) to explore the state of child care centers and family child care (FCC) providers. As part of the California Early Care and Education Workforce Study, CSCCE conducted surveys in 2020 and 2023 to measure both individual- and site-level factors. In this report, we present highlights from longitudinal trends in each of the two levels (Chapters 1 and 2), as well as a portrait of current educator well-being (Chapter 3). [This report was funded by First 5 Los Angeles County and the Los Angeles County Office of Education.]
- Published
- 2023
15. The Early Care and Education Workforce of Ventura County. Report
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Anna Powell, Wanzi Muruvi, Lea J. E. Austin, and Abby Copeman Petig
- Abstract
Ventura County is home to approximately 55,000 children under age six, many of whom enroll in early care and education (ECE) programs (KidsData, 2023). The ECE workforce provides vital learning and growth for these children, complex work that demands energy and expertise. Building on the California Early Care and Education Workforce Study conducted by the Center for the Study of Child Care Employment (CSCCE), this report offers a snapshot of the licensed ECE workforce in Ventura County. In Chapter 1, the authors provide a profile of its core members: family child care (FCC) providers and center-based educators (directors, teachers, and assistants). In Chapter 2, the authors describe the state of educator well-being; and in Chapter 3, the authors explore current headwinds affecting the field. [This report was funded by the Ventura County Office of Education and the Local Planning Council of Ventura County.]
- Published
- 2023
16. Advance care planning in patients with advanced cancer: A 6-country, cluster-randomised clinical trial.
- Author
-
Ida J Korfage, Giulia Carreras, Caroline M Arnfeldt Christensen, Pascalle Billekens, Louise Bramley, Linda Briggs, Francesco Bulli, Glenys Caswell, Branka Červ, Johannes J M van Delden, Luc Deliens, Lesley Dunleavy, Kim Eecloo, Giuseppe Gorini, Mogens Groenvold, Bud Hammes, Francesca Ingravallo, Lea J Jabbarian, Marijke C Kars, Hana Kodba-Čeh, Urska Lunder, Guido Miccinesi, Alenka Mimić, Polona Ozbič, Sheila A Payne, Suzanne Polinder, Kristian Pollock, Nancy J Preston, Jane Seymour, Anja Simonič, Anna Thit Johnsen, Alessandro Toccafondi, Mariëtte N Verkissen, Andrew Wilcock, Marieke Zwakman, Agnes van der Heide, and Judith A C Rietjens
- Subjects
Medicine - Abstract
BackgroundAdvance care planning (ACP) supports individuals to define, discuss, and record goals and preferences for future medical treatment and care. Despite being internationally recommended, randomised clinical trials of ACP in patients with advanced cancer are scarce.Methods and findingsTo test the implementation of ACP in patients with advanced cancer, we conducted a cluster-randomised trial in 23 hospitals across Belgium, Denmark, Italy, Netherlands, Slovenia, and United Kingdom in 2015-2018. Patients with advanced lung (stage III/IV) or colorectal (stage IV) cancer, WHO performance status 0-3, and at least 3 months life expectancy were eligible. The ACTION Respecting Choices ACP intervention as offered to patients in the intervention arm included scripted ACP conversations between patients, family members, and certified facilitators; standardised leaflets; and standardised advance directives. Control patients received care as usual. Main outcome measures were quality of life (operationalised as European Organisation for Research and Treatment of Cancer [EORTC] emotional functioning) and symptoms. Secondary outcomes were coping, patient satisfaction, shared decision-making, patient involvement in decision-making, inclusion of advance directives (ADs) in hospital files, and use of hospital care. In all, 1,117 patients were included (442 intervention; 675 control), and 809 (72%) completed the 12-week questionnaire. Patients' age ranged from 18 to 91 years, with a mean of 66; 39% were female. The mean number of ACP conversations per patient was 1.3. Fidelity was 86%. Sixteen percent of patients found ACP conversations distressing. Mean change in patients' quality of life did not differ between intervention and control groups (T-score -1.8 versus -0.8, p = 0.59), nor did changes in symptoms, coping, patient satisfaction, and shared decision-making. Specialist palliative care (37% versus 27%, p = 0.002) and AD inclusion in hospital files (10% versus 3%, p < 0.001) were more likely in the intervention group. A key limitation of the study is that recruitment rates were lower in intervention than in control hospitals.ConclusionsOur results show that quality of life effects were not different between patients who had ACP conversations and those who received usual care. The increased use of specialist palliative care and AD inclusion in hospital files of intervention patients is meaningful and requires further study. Our findings suggest that alternative approaches to support patient-centred end-of-life care in this population are needed.Trial registrationISRCTN registry ISRCTN63110516.
- Published
- 2020
- Full Text
- View/download PDF
17. Post-Psychedelic Reductions in Experiential Avoidance Are Associated With Decreases in Depression Severity and Suicidal Ideation
- Author
-
Richard J. Zeifman, Anne C. Wagner, Ros Watts, Hannes Kettner, Lea J. Mertens, and Robin L. Carhart-Harris
- Subjects
psychedelics ,experiential avoidance ,suicidal ideation ,depression severity ,transdiagnostic mechanisms ,Psychiatry ,RC435-571 - Abstract
Psychedelic therapy shows promise as a novel intervention for a wide range of mental health concerns but its therapeutic action is incompletely understood. In line with acceptance and commitment therapy’s (ACT’s) transdiagnostic model, qualitative research has suggested that reductions in experiential avoidance are an important component of therapeutic outcomes associated with psychedelics. However, limited research has quantitatively explored the association between decreases in experiential avoidance and therapeutic outcomes associated with psychedelics. Therefore, in two prospective studies, using convenience samples of individuals with plans to use a psychedelic, we explored the impact of psychedelic use on experiential avoidance, depression severity, and suicidal ideation, as well as relationships between changes in these outcomes. Participants (Study 1, N=104; Study 2, N=254) completed self-report questionnaires of depression severity, suicidal ideation, and experiential avoidance: 1) before using a psychedelic (in ceremonial and non-ceremonial contexts), as well as 2) 2-weeks and 3) 4-weeks after psychedelic use. Across both studies, repeated measures ANOVAs indicated significant decreases in experiential avoidance, depression severity, and suicidal ideation after psychedelic use. Furthermore, decreases in experiential avoidance were significantly associated with decreases in depression severity and suicidal ideation. These results suggest that psychedelics may lead to significant decreases in experiential avoidance, depression severity, and suicidal ideation. Additionally, these findings imply that reduced experiential avoidance may be a transdiagnostic mechanism mediating treatment success within psychedelic therapy. We conclude that integrating psychedelics with psychotherapeutic interventions that target experiential avoidance (e.g. ACT) may enhance therapeutic outcomes.
- Published
- 2020
- Full Text
- View/download PDF
18. Transcription Factor-Based Fate Specification and Forward Programming for Neural Regeneration
- Author
-
Lea J. Flitsch, Karen E. Laupman, and Oliver Brüstle
- Subjects
forward programming ,transcription factor-driven differentiation ,direct cell fate conversion ,biomedical application ,translation ,transplantation ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Traditionally, in vitro generation of donor cells for brain repair has been dominated by the application of extrinsic growth factors and morphogens. Recent advances in cell engineering strategies such as reprogramming of somatic cells into induced pluripotent stem cells and direct cell fate conversion have impressively demonstrated the feasibility to manipulate cell identities by the overexpression of cell fate-determining transcription factors. These strategies are now increasingly implemented for transcription factor-guided differentiation of neural precursors and forward programming of pluripotent stem cells toward specific neural subtypes. This review covers major achievements, pros and cons, as well as future prospects of transcription factor-based cell fate specification and the applicability of these approaches for the generation of donor cells for brain repair.
- Published
- 2020
- Full Text
- View/download PDF
19. The complete mitochondrial genome of the brown pansy butterfly, Junonia stygia (Aurivillius, 1894), (Insecta: Lepidoptera: Nymphalidae)
- Author
-
Living Prairie Mitogenomics Consortium, Seun Ajibola, Vibhuti Arya, Emily N. Barker, Kirsten T. Biggar, Dominic M. Bohemier, Julina N. Braga, Jessica L. Buchel, Vicky Bui, Julian M. Burtniak, Codey E. Dueck, Steven J. Dupas, Shayna J. Giesbrecht, Alexandra Haverstick, Stefan B. Hreno, Amy L. Irvine, Carter Johnson, Ivory C. Jorgenson, Matthew R. Kroeker, Corrine M. Kuo, Joohee Lee, Vatineh N. Magaji, Gillian J. McIvor, Katrina S. Melgarejo, Michael D. Moore, Olamide U. Ogungbola, Josephine E. Payment, Daniel O. Peter-Salawu, Ashton P. Raitt, Breann T. Recksiedler, Megan Rodriguez, Rahel B. Sahlemariam, Shabadjot Sandhawalia, Mackenzie A. Sarvis, Megan L. Skakum, Jordan C. Small, Kassandra R. Taverner, Chaltu B. Tesfaye, Lea J. Tessier, Catherine J. Unrau, Natasha G. M. Wadlow, and Jeffrey M. Marcus
- Subjects
illumina sequencing ,mitogenomics ,inquiry-based learning ,lepidoptera ,nymphalidae ,Genetics ,QH426-470 - Abstract
The brown pansy, Junonia stygia (Aurivillius, 1894) (Lepidoptera: Nymphalidae), is a widespread West African forest butterfly. Genome skimming by Illumina sequencing allowed assembly of a complete 15,233 bp circular mitogenome from J. stygia consisting of 79.5% AT nucleotides. Mitochondrial gene order and composition is identical to other butterfly mitogenomes. Junonia stygia COX1 features an atypical CGA start codon, while ATP6, COX1, COX2, ND4, and ND4L exhibit incomplete stop codons. Phylogenetic reconstruction supports a monophyletic Subfamily Nymphalinae, Tribe Junoniini, and genus Junonia. The phylogenetic tree places Junonia iphita and J. stygia as basal mitogenome lineages sister to the remaining Junonia sequences.
- Published
- 2020
- Full Text
- View/download PDF
20. SARS-CoV-2 Causes Lung Inflammation through Metabolic Reprogramming and RAGE
- Author
-
Charles N. S. Allen, Maryline Santerre, Sterling P. Arjona, Lea J. Ghaleb, Muna Herzi, Megan D. Llewellyn, Natalia Shcherbik, and Bassel E. Sawaya
- Subjects
glycolysis ,inflammation ,metabolic reprogramming ,mitochondria ,RAGE ,SARS-CoV-2 ,Microbiology ,QR1-502 - Abstract
Clinical studies indicate that patients infected with SARS-CoV-2 develop hyperinflammation, which correlates with increased mortality. The SARS-CoV-2/COVID-19-dependent inflammation is thought to occur via increased cytokine production and hyperactivity of RAGE in several cell types, a phenomenon observed for other disorders and diseases. Metabolic reprogramming has been shown to contribute to inflammation and is considered a hallmark of cancer, neurodegenerative diseases, and viral infections. Malfunctioning glycolysis, which normally aims to convert glucose into pyruvate, leads to the accumulation of advanced glycation end products (AGEs). Being aberrantly generated, AGEs then bind to their receptor, RAGE, and activate several pro-inflammatory genes, such as IL-1b and IL-6, thus, increasing hypoxia and inducing senescence. Using the lung epithelial cell (BEAS-2B) line, we demonstrated that SARS-CoV-2 proteins reprogram the cellular metabolism and increase pyruvate kinase muscle isoform 2 (PKM2). This deregulation promotes the accumulation of AGEs and senescence induction. We showed the ability of the PKM2 stabilizer, Tepp-46, to reverse the observed glycolysis changes/alterations and restore this essential metabolic process.
- Published
- 2022
- Full Text
- View/download PDF
21. A stably self-renewing adult blood-derived induced neural stem cell exhibiting patternability and epigenetic rejuvenation
- Author
-
Chao Sheng, Johannes Jungverdorben, Hendrik Wiethoff, Qiong Lin, Lea J. Flitsch, Daniela Eckert, Matthias Hebisch, Julia Fischer, Jaideep Kesavan, Beatrice Weykopf, Linda Schneider, Dominik Holtkamp, Heinz Beck, Andreas Till, Ullrich Wüllner, Michael J. Ziller, Wolfgang Wagner, Michael Peitz, and Oliver Brüstle
- Subjects
Science - Abstract
Induced neurons, but not induced pluripotent stem cell (iPSC)-derived neurons, preserve age-related traits. Here, the authors demonstrate that blood-derived induced neural stem cells (iNSCs), despite lacking a pluripotency transit, lose age-related signatures.
- Published
- 2018
- Full Text
- View/download PDF
22. Low patient activation levels in frail older adults: a cross-sectional study
- Author
-
Anouk Overbeek, Judith A. C. Rietjens, Lea J. Jabbarian, Johan Severijnen, Siebe J. Swart, Agnes van der Heide, and Ida J. Korfage
- Subjects
Patient activation ,Patient activation measure ,Older adults ,Health-related quality of life ,Frailty ,Geriatrics ,RC952-954.6 - Abstract
Abstract Background Frail older adults are increasingly expected to self-manage their health and healthcare. We assessed the extent to which this group is able to take up this responsibility by measuring their level of activation as patients (i.e. their knowledge, skills and confidence to self-manage their health and healthcare). Further, we studied which characteristics of older adults were associated with patient activation. Methods In this cross-sectional study 200 frail, competent adults (median age 87 years) participated. Participants were community-dwelling adults who received home care and residents of care homes. Data were collected via personal interviews in participants’ homes. The main outcome measure was patient activation assessed by the short version of the Patient Activation Measure (PAM-13; range: 0–100). The PAM distinguishes four levels of increasing activation with level 1 indicating poor patient activation and level 4 adequate patient activation. Other studied variables were: multimorbidity, type of residency, frailty (Tilburg Frailty Index), mental competence (Mini Mental State Examination), health-related quality of life (SF-12), satisfaction with healthcare (subscale Patient Satisfaction Questionnaire) and personal characteristics (age, gender, marital status, educational level). Regression analyses were performed to investigate which variables were associated with patient activation. Results Participants had a median PAM score of 51. Thirty-nine percent had level 1 activation, 31% level 2, 26% level 3 and 5% level 4. Fifty-nine percent of community dwelling adults had level 1 or 2 activation versus 81% of care home residents (p = 0.007). Mental competence (Effect: 0.52, CI: 0.03–1.01, p = 0.04) and health-related quality of life (Effect: 0.15, CI: 0.01–0.30, p = 0.04 for physical health; Effect: 0.20, CI: 0.07–0.34, p = 0.003 for mental health) were positively associated with patient activation. Frailty (Effect: -1.06, CI: -1.75 – -0.36, p = 0.003) was negatively associated with patient activation. Conclusions The majority of this frail and very old study population, especially those with a lower health-related quality of life, may be unable to self-manage their health and healthcare to the level expected from them. The increasing population of frail older adults may need help in managing their health and healthcare.
- Published
- 2018
- Full Text
- View/download PDF
23. Control of Huntington’s Disease-Associated Phenotypes by the Striatum-Enriched Transcription Factor Foxp2
- Author
-
Lea J. Hachigian, Vitor Carmona, Robert J. Fenster, Ruth Kulicke, Adrian Heilbut, Annie Sittler, Luís Pereira de Almeida, Jill P. Mesirov, Fan Gao, Eric D. Kolaczyk, and Myriam Heiman
- Subjects
Biology (General) ,QH301-705.5 - Abstract
Summary: Alteration of corticostriatal glutamatergic function is an early pathophysiological change associated with Huntington’s disease (HD). The factors that regulate the maintenance of corticostriatal glutamatergic synapses post-developmentally are not well understood. Recently, the striatum-enriched transcription factor Foxp2 was implicated in the development of these synapses. Here, we show that, in mice, overexpression of Foxp2 in the adult striatum of two models of HD leads to rescue of HD-associated behaviors, while knockdown of Foxp2 in wild-type mice leads to development of HD-associated behaviors. We note that Foxp2 encodes the longest polyglutamine repeat protein in the human reference genome, and we show that it can be sequestered into aggregates with polyglutamine-expanded mutant Huntingtin protein (mHTT). Foxp2 overexpression in HD model mice leads to altered expression of several genes associated with synaptic function, genes that present additional targets for normalization of corticostriatal dysfunction in HD. : Hachigian et al. demonstrate that manipulating levels of the striatum-enriched transcription factor Foxp2 can either rescue or mimic HD-associated behaviors in vivo. They link Foxp2 to the post-developmental regulation of the structure and function of the corticostriatal synapse. Keywords: Huntington’s disease, Foxp2, striatum, corticostriatal synapse
- Published
- 2017
- Full Text
- View/download PDF
24. Learning to Let Go: A Cognitive-Behavioral Model of How Psychedelic Therapy Promotes Acceptance
- Author
-
Max Wolff, Ricarda Evens, Lea J. Mertens, Michael Koslowski, Felix Betzler, Gerhard Gründer, and Henrik Jungaberle
- Subjects
psychedelic therapy ,cognitive behavioral therapy ,avoidance ,acceptance ,psilocybin ,lysergic acid diethylamide ,Psychiatry ,RC435-571 - Abstract
The efficacy of psychedelic-assisted therapies for mental disorders has been attributed to the lasting change from experiential avoidance to acceptance that these treatments appear to facilitate. This article presents a conceptual model that specifies potential psychological mechanisms underlying such change, and that shows substantial parallels between psychedelic therapy and cognitive behavioral therapy: We propose that in the carefully controlled context of psychedelic therapy as applied in contemporary clinical research, psychedelic-induced belief relaxation can increase motivation for acceptance via operant conditioning, thus engendering episodes of relatively avoidance-free exposure to greatly intensified private events. Under these unique learning conditions, relaxed avoidance-related beliefs can be exposed to corrective information and become revised accordingly, which may explain long-term increases in acceptance and corresponding reductions in psychopathology. Open research questions and implications for clinical practice are discussed.
- Published
- 2020
- Full Text
- View/download PDF
25. Cost-effectiveness of bivalent respiratory syncytial virus prefusion F vaccine for prevention of respiratory syncytial virus among older adults in Germany
- Author
-
Ahuva Averin, Bennet Huebbe, Mark Atwood, Lea J Bayer, Caroline Lade, Christof von Eiff, and Reiko Sato
- Subjects
Respiratory syncytial virus ,vaccine ,bivalent respiratory syncytial virus prefusion F vaccine ,RSVpreF ,older adult ,lower respiratory tract disease ,Internal medicine ,RC31-1245 - Abstract
Introduction Among older adults, lower respiratory tract infection (LRTI) caused by respiratory syncytial virus (RSV) is common. We evaluated the cost-effectiveness of bivalent RSV prefusion F protein-based vaccine (RSVpreF) for prevention of RSV-LRTI among older adults in Germany.Research design and methods A static cohort model was developed to estimate lifetime health and economic outcomes of RSV-LRTI among adults aged 60–99 years in Germany, with (vs. without) use of RSVpreF. Vaccine uptake ranged from 27% to 54%. Vaccine effectiveness was derived from trial data and was assumed to last over 3 years, with some waning, following vaccination. Base case analyses were conducted from the societal perspective (costs/benefits discounted 3% annually); sensitivity analyses also were conducted.Results Among adults aged 60–99 years (N = 25.3 M), RSVpreF prevented 117,360 cases of hospitalized RSV-LRTI, 100,433 cases of ambulatory RSV-LRTI, and 9,298 RSV-LRTI-related deaths over a lifetime horizon. With total overall costs higher by 1.8 € billion and 49,576 quality-adjusted life-years (QALYs) gained, cost-effectiveness of RSVpreF was 36,064 €/QALY. In probabilistic sensitivity analyses, the mean cost-effectiveness ratio was 36,518 €/QALY; 925 of 1,000 replications yielded ratios
- Published
- 2025
- Full Text
- View/download PDF
26. Teachers of Preschool-Age Children in California: A Comparison of Lead Teachers in Transitional Kindergarten, Child Care Centers, and Family Child Care Homes. Brief
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Powell, Anna, Montoya, Elena, Austin, Lea J. E., Kim, Yoonjeon, Muruvi, Wanzi, and Copeman Petig, Abby
- Abstract
Early care and education (ECE) programs for children prior to kindergarten in California are provided through a mixed delivery system that includes licensed home- and center-based programs as well as school settings. The requirements, experience, and supports for educators vary widely across settings, depending more on funding sources and regulatory status and less on what educators and children may need. This situation is typical across the ECE system for children from infancy through preschool, though California has made substantial changes in providing preschool for four-year-olds. Transitional Kindergarten (TK) was introduced into this mix in the 2012-13 school year. As of the 2022-23 school year, TK became the only free, universal ECE program in California available for four-year-olds. This brief explores the experiences of ECE lead teachers across settings: TK classrooms, child care centers, and family child care (FCC) programs. It examines their demographics, classroom context, working conditions, compensation, and economic well-being. It identifies threads of continuity among lead teachers regardless of setting: for instance, virtually all these early educators are women, and many are age 40 or older. They teach similar numbers of dual-language learner students, and they face similar classroom challenges. By contrast, educators in centers and FCC providers are much more likely to be women of color and/or immigrant women. Teacher pay and benefits also diverge sharply, with TK educators earning at least twice the salary of other lead teachers with a bachelor's degree along with corresponding metrics of economic well-being. By exploring the experiences of teachers by setting, the authors aim to understand the state of equity in ECE employment. For the purposes of this analysis, they focus on educators who lead their respective classrooms in order to compare similar job roles and level of teaching responsibilities. They then explore the implications for sustaining an effective and equitable ECE system in California.
- Published
- 2023
27. Teaching Transitional Kindergarten: A Snapshot of the Teacher Experience before UTK Expansion
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Montoya, Elena, Powell, Anna, Austin, Lea J. E., Kim, Yoonjeon, Muruvi, Wanzi, and Petig, Abby Copeman
- Abstract
California is expanding transitional kindergarten (TK) to become a universal preschool program for all four-year-old children. Upwards of 300,000 children are expected to enroll in universal transitional kindergarten (UTK) by 2025, requiring thousands of additional lead teachers and classroom aides to meet lower student-to-teacher ratio requirements and new student demand. This report presents the first comprehensive data collected from California's transitional kindergarten teachers about their teaching experiences. In the fall of 2020, the Center for the Study of Child Care Employment (CSCCE) surveyed almost 300 TK teachers in classrooms throughout California as part of the California Early Care and Education Workforce Study. This report provides an exploratory picture of the composition of the TK workforce, the characteristics of the TK job, and the experience of teaching TK. Recommendations for policymakers conclude the study.
- Published
- 2022
28. Early Care and Education Programs during COVID-19: Persistent Inequities and Emerging Challenges. Findings from the 2020 California Early Care and Education Workforce Study
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Kim, Yoonjeon, Montoya, Elena, Austin, Lea J. E., Powell, Anna, and Muruvi, Wanzi
- Abstract
The early care and education (ECE) system has been under-resourced and undervalued since well before the pandemic. Low pay and poor working environment have long plagued the ECE industry as key drivers of chronic high turnover rates and teacher staffing shortages in the field. Additional disparities within the system place providers on vastly different financial footing as a function of the type of program in which they operate, their access to public funding, and characteristics of the families they serve. The pandemic has exacerbated these pre-existing issues. Using data collected by the Center for the Study of Child Care Employment (CSCCE) through the 2020 California Early Care and Education Workforce Study, this report takes a closer look at the impact of COVID-19 on ECE programs in California, with a focus on program-level challenges, staffing shortages, and disparities based on program type and center funding type. While federal and state pandemic relief have played an important role in helping programs stay afloat, current job numbers suggest not enough has been done to stabilize child care as the COVID-19 pandemic continues.
- Published
- 2022
29. Pressure- and time-dependent alveolar recruitment/derecruitment in a spatially resolved patient-specific computational model for injured human lungs
- Author
-
Geitner, Carolin M., Köglmeier, Lea J., Frerichs, Inéz, Langguth, Patrick, Lindner, Matthias, Schädler, Dirk, Weiler, Norbert, Becher, Tobias, and Wall, Wolfgang A.
- Subjects
Physics - Medical Physics ,Computer Science - Computational Engineering, Finance, and Science ,Physics - Biological Physics ,Quantitative Biology - Tissues and Organs - Abstract
We present a novel computational model for the dynamics of alveolar recruitment/derecruitment (RD), which reproduces the underlying characteristics typically observed in injured lungs. The basic idea is a pressure- and time-dependent variation of the stress-free reference volume in reduced dimensional viscoelastic elements representing the acinar tissue. We choose a variable reference volume triggered by critical opening and closing pressures in a time-dependent manner from a straightforward mechanical point of view. In the case of (partially and progressively) collapsing alveolar structures, the volume available for expansion during breathing reduces and vice versa, eventually enabling consideration of alveolar collapse and reopening in our model. We further introduce a method for patient-specific determination of the underlying critical parameters of the new alveolar RD dynamics when integrated into the tissue elements, referred to as terminal units, of a spatially resolved physics-based lung model that simulates the human respiratory system in an anatomically correct manner. Relevant patient-specific parameters of the terminal units are herein determined based on medical image data and the macromechanical behavior of the lung during artificial ventilation. We test the whole modeling approach for a real-life scenario by applying it to the clinical data of a mechanically ventilated patient. The generated lung model is capable of reproducing clinical measurements such as tidal volume and pleural pressure during various ventilation maneuvers. We conclude that this new model is an important step toward personalized treatment of ARDS patients by considering potentially harmful mechanisms - such as cyclic RD and overdistension - and might help in the development of relevant protective ventilation strategies to reduce ventilator-induced lung injury (VILI).
- Published
- 2023
30. Early Educator Engagement and Empowerment (E4) Toolkit
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Hess, Hopeton, and Austin, Lea J. E.
- Abstract
Early educators are the best spokespeople about the conditions under which they work and what they need in order to thrive. Policy leaders have much to gain by actively engaging educators in identifying workable solutions to the child care crisis. The Center for the Study of Child Care Employment (CSCCE) believes that educators have the right to exercise power in their profession and should be able to organize and participate in the public discourse, free from interference. Through CSCCE's work and engagement with early educators over the past 23 years, they have learned that early educators need: (1) the conditions to engage in good preparation; (2) access to ongoing learning; (3) safe and supportive working environments; and (4) appropriate compensation, including a livable wage and benefits. CSCCE developed the solutions detailed in the "Early Educator Engagement and Empowerment (E4) Toolkit" based on the experiences early educators have shared and the research CSCCE has conducted. They created this toolkit to support early educators in their advocacy, power building, and engagement with stakeholders.
- Published
- 2022
31. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Maryland. Highlights
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Edwards, Bethany, Coperman Petig, Abby, and Austin, Lea J. E.
- Abstract
Maryland is home to more than 430,000 children under the age of six; 73 percent of these young children have all available parents in the labor force and thus potentially need child care. Stakeholders and advocates in Maryland are committed to advancing strategies that improve early care and education (ECE) services, including workforce preparation and development in order to ensure that early educators have what they need to meet the complex needs of young children. Critical to these efforts is the establishment of a well-coordinated, comprehensive professional preparation and development system that can prepare and support an incoming generation of educators, while also strengthening the skills of the existing early education workforce. Institutions of higher education are crucial to meeting the evolving and increasing demands identified as improving developmental and learning outcomes for the state's young child population. This document highlights findings from the "Maryland Early Childhood Higher Education Inventory" and the extent to which ECE higher education programs offer course content and learning experiences that are associated with effective teacher preparation. The full narrative report, "Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Maryland," and the accompanying technical report present the full findings. [For the full report, see ED614007. For the technical report, see ED614014.]
- Published
- 2021
32. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Maryland. Technical Report
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Edwards, Bethany, Coperman Petig, Abby, and Austin, Lea J. E.
- Abstract
Maryland is home to more than 430,000 children under the age of six; 73 percent of these young children have all available parents in the labor force and thus potentially need child care. Stakeholders and advocates in Maryland are committed to advancing strategies that improve early care and education (ECE) services, including workforce preparation and development in order to ensure that early educators have what they need to meet the complex needs of young children. Critical to these efforts is the establishment of a well-coordinated, comprehensive professional preparation and development system that can prepare and support an incoming generation of educators, while also strengthening the skills of the existing early education workforce. Institutions of higher education are crucial to meeting the evolving and increasing demands identified as improving developmental and learning outcomes for the state's young child population. This technical report presents findings from the "Maryland Early Childhood Higher Education Inventory" and the extent to which ECE higher education programs offer course content and learning experiences that are associated with effective teacher preparation. [For the full report, see ED614007. For the Highlights, see ED614010.]
- Published
- 2021
33. Early Childhood Workforce Index - 2020
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, McLean, Caitlin, Austin, Lea J. E., Whitebook, Marcy, and Olson, Krista L.
- Abstract
The "Early Childhood Workforce Index" provides a state-by-state look at policies and conditions affecting the early care and education workforce. This biennial report has tracked state progress since 2016. This third, 2020 edition of the Index continues to track state policies in essential areas like workforce qualifications, work environments, and compensation. The report provides updated policy recommendations and spotlights state responses to the COVID-19 pandemic. The 2020 index is divided into three sections: (1) Introduction & Policy Recommendations; (2) The Early Childhood Educator Workforce; and (3) State Policies to Improve Early Childhood Educator Jobs. [For "Early Childhood Workforce Index 2018," see ED585491.]
- Published
- 2021
34. Interleukin 17 signaling supports clinical benefit of dual CTLA-4 and PD-1 checkpoint inhibition in melanoma
- Author
-
Váraljai, Renáta, Zimmer, Lisa, Al-Matary, Yahya, Kaptein, Paulien, Albrecht, Lea J., Shannan, Batool, Brase, Jan C., Gusenleitner, Daniel, Amaral, Teresa, Wyss, Nina, Utikal, Jochen, Flatz, Lukas, Rambow, Florian, Reinhardt, Hans Christian, Dick, Jenny, Engel, Daniel R., Horn, Susanne, Ugurel, Selma, Sondermann, Wiebke, Livingstone, Elisabeth, Sucker, Antje, Paschen, Annette, Zhao, Fang, Placke, Jan M., Klose, Jasmin M., Fendler, Wolfgang P., Thommen, Daniela S., Helfrich, Iris, Schadendorf, Dirk, and Roesch, Alexander
- Published
- 2023
- Full Text
- View/download PDF
35. Computational tool for analysis of vehicle-to-home as home backup solution during power outages
- Author
-
Daniel, Lea J., King, Carey W., Tuttle, David P., and Paxton, William A.
- Published
- 2024
- Full Text
- View/download PDF
36. Validation of the Psychological Insight Scale: A new scale to assess psychological insight following a psychedelic experience
- Author
-
Peill, Joseph M, Trinci, Katie E, Kettner, Hannes, Mertens, Lea J, Roseman, Leor, Timmermann, Christopher, Rosas, Fernando E, Lyons, Taylor, and Carhart-Harris, Robin L
- Subjects
Health Services and Systems ,Health Sciences ,Mental health ,Good Health and Well Being ,Adult ,Aged ,Awareness ,Female ,Hallucinogens ,Humans ,Male ,Middle Aged ,Principal Component Analysis ,Prospective Studies ,Psychometrics ,Surveys and Questionnaires ,Young Adult ,Psychedelic ,insight ,emotion ,mediation ,well-being ,therapy ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biomedical and clinical sciences ,Health sciences - Abstract
IntroductionAs their name suggests, 'psychedelic' (mind-revealing) compounds are thought to catalyse processes of psychological insight; however, few satisfactory scales exist to sample this. This study sought to develop a new scale to measure psychological insight after a psychedelic experience: the Psychological Insight Scale (PIS).MethodsThe PIS is a six- to seven-item questionnaire that enquires about psychological insight after a psychedelic experience (PIS-6) and accompanied behavioural changes (PIS item 7). In total, 886 participants took part in a study in which the PIS and other questionnaires were completed in a prospective fashion in relation to a planned psychedelic experience. For validation purposes, data from 279 participants were analysed from a non-specific 'global psychedelic survey' study.ResultsPrincipal components analysis of PIS scores revealed a principal component explaining 73.57% of the variance, which displayed high internal consistency at multiple timepoints throughout the study (average Cronbach's α = 0.94). Criterion validity was confirmed using the global psychedelic survey study, and convergent validity was confirmed via the Therapeutic-Realizations Scale. Furthermore, PIS scores significantly mediated the relationship between emotional breakthrough and long-term well-being.ConclusionThe PIS is complementary to current subjective measures used in psychedelic studies, most of which are completed in relation to the acute experience. Insight - as measured by the PIS - was found to be a key mediator of long-term psychological outcomes following a psychedelic experience. Future research may investigate how insight varies throughout a psychedelic process, its underlying neurobiology and how it impacts behaviour and mental health.
- Published
- 2022
37. Marin County Center-Based Early Care & Education Workforce Study 2019
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Schlieber, Marisa, Austin, Lea J. E., and López, Enrique Valencia
- Abstract
This report examines the demographic, educational, and employment characteristics (including compensation and benefits) of staff employed in center-based ECE [early care and education] programs throughout Marin County. The findings bring attention to the low wages and economic insecurity of the ECE workforce, particularly against a backdrop of one of the highest costs of living in the country. Key findings include high churn of teaching staff and a diverse workforce stratified by job role. The data were also examined by program type, participation in QRIS, and funding source. This report is an extension of the SEQUAL [Supportive Environmental Quality Underlying Adult Learning] Marin County study, "Teachers' Voices: Work Environment Conditions That Impact Teacher Practice and Program Quality--Marin County" (ED603012). [This report was supported by the Marin County Office of Education.]
- Published
- 2020
38. Breaking the Silence on Early Child Care and Education Costs: A Values-Based Budget for Children, Parents, and Teachers in California
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Economic Policy Institute, Gould, Elise, Whitebook, Marcy, Mokhiber, Zane, and Austin, Lea J. E.
- Abstract
California's child early care and education (ECE) system is underfunded, and California policymakers have not been willing to acknowledge the true cost of creating a comprehensive ECE system. Proposals for ECE reform have focused primarily on improving access and affordability for families but have ignored the elephant in the room: Early care and education is substantially "funded" through low teacher pay and inadequate supports for ECE teachers. In addition to being a serious injustice, lack of adequate financial and professional supports for ECE teachers compromises the consistency and quality of care children receive. In this report, the authors develop an estimate of what it would cost to provide high-quality and comprehensive early care and education for California's families that doesn't overburden them financially or come at the expense of ECE teachers. This paper makes the case for aligning the costs of the ECE system with what is required to create a strong and sustainable system. Herein, the authors model a system to meet the needs of all families in California and solve the myriad problems the current system fails to address.
- Published
- 2019
39. Treatment with psychedelics is psychotherapy: beyond reductionism
- Author
-
Gründer, Gerhard, Brand, Manuela, Mertens, Lea J, Jungaberle, Henrik, Kärtner, Laura, Scharf, Dennis J, Spangemacher, Moritz, and Wolff, Max
- Published
- 2024
- Full Text
- View/download PDF
40. Teachers' Voices: Work Environment Conditions That Impact Teacher Practice and Program Quality--Marin County
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Schlieber, Marisa, Whitebook, Marcy, Austin, Lea J. E., Hankey, Aline, and Duke, Michael
- Abstract
There is broad consensus that high-quality environments for young children depend on teachers who are skilled at nurturing their development and learning, yet low pay and inadequate working conditions routinely hamper teachers in their efforts to apply their skills and knowledge. This condition exists among teachers in early education as well as K-12 classrooms, fueling the ubiquitous challenge of recruiting and retaining a skilled teaching workforce across the age spectrum. This report presents the findings from the 2019 Marin County SEQUAL study and shares the perspectives of teaching staff in licensed child care centers throughout the county, including centers that participate in one or both of Marin County's quality improvement initiatives (Marin Quality Counts and the ECE Quality Improvement Project) as well as centers that do not participate in either initiative. Following a description of the study design, this report will explore major findings drawn from teaching staff responses. The report is divided into three sections: (1) Study Design shares a study overview, the goals guiding the study, a profile of the survey respondents, and a guide to the findings; (2) Findings outlines teaching staff responses to items in each of the five SEQUAL domains, including an analysis of how responses varied by site characteristics; and (3) Appendices presents additional information on the study design, which includes survey instruments and analysis, characteristics of program leaders, and additional tables and figures. Marin County has made significant investments in and taken critical steps toward improving the quality of early care and education services. Notwithstanding the investment of resources and supports, the working conditions of teaching staff as captured in this study suggest further efforts are needed to support teacher practice and well-being necessary for quality services. Recommendations are made to support funders and policymakers in advancing county efforts to enhance its quality improvement systems and address work environment conditions. [Funding for this report was provided by First 5 Marin, Marin Child Care Council, Marin Child Care Commission, Marin County Office of Education, and the Marin County Board of Supervisors.]
- Published
- 2019
41. Strengthening the Knowledge, Skills, and Professional Identity of Early Educators: The Impact of the California SEIU Early Educator Apprenticeship Program. Executive Summary
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Copeman Petig, Abby, Chávez, Raúl, and Austin, Lea J. E.
- Abstract
A number of apprenticeship programs, collectively referred to as the Service Employees International Union (SEIU) Early Educator Apprenticeships, have recently been undertaken in California. The programs were supported by two California Apprenticeship Initiative grants, four Workforce Accelerator Fund grants, and in-kind donations from individual program sponsors. The program sponsors contracted with local institutions of higher education to offer special courses targeted toward current early educators and individuals new to the ECE field, and provided apprentices with stipends or wage increases associated with meeting certain criteria. All apprentices across programs received a set of academic and professional supports throughout their participation in the programs, including ongoing coaching and mentoring, tutoring, individual advising, and courses located in community settings. Apprentices also received financial assistance for Child Development Permit application fees, participated in no-cost college courses, and received textbooks and laptops used in their coursework. The Center for the Study of Child Care Employment (CSCCE) employed a mixed-methods approach to evaluate the apprenticeship program. The data collection took place between January and April, 2019. The evaluation consisted of online surveys of previous and active apprentices; focus group discussions with active apprentices; and interviews and focus group discussions with key program informants. The evaluation sought to answer these research questions: (1) Who has participated/is participating in these programs; (2) What impact(s) do participants perceive as a result of their participation in the program; (3) What impact do sponsors/employers perceive as a result of their implementation of these programs; (4) What elements/aspects of the program were most beneficial to participants, employers, and families; (5) What challenges did participants face in participating in the apprenticeship program; and (6) What challenges did employers/sponsors face in implementing the apprenticeship program? The evaluation findings add to the growing evidence that apprenticeship programs present a promising approach to improving the knowledge, skills, and professional identity of early educators. The evaluation revealed the numerous ways in which the strategies employed by the apprenticeship programs--namely access supports like paying for the cost of education and holding classes in community-based locations, academic supports, and peer supports--removed barriers and supported success. Apprentices participating in this evaluation benefited from flexible course scheduling to coordinate with their work and family commitments, support from dedicated staff to ease the transition into college coursework and expectations, and a network of other early educators similarly committed to advancing their credentials and working together to improve their practice with children and families. Further, the apprentices reported gains in their knowledge and enhancements to their practices. [For the main report, see ED602988. The California SEIU Early Educator Apprenticeship Program evaluation is a project of the Service Employees International Union Education and Support Fund (ESF) with grant funding from the California Apprenticeship Initiative and Workforce Accelerator Fund.]
- Published
- 2019
42. Financing Early Educator Teacher Quality: A Closer Look at Assumptions That Drive Variations in Estimating the Cost of Services
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Austin, Lea J. E., Whitebook, Marcy, and Dichter, Harriet
- Abstract
Most early educators are paid less than $15 per hour, and many of them report high levels of economic insecurity evidenced by their worry about meeting monthly family expenses or paying for bare necessities such as food and housing. Coupled with low wages, few early educators can expect to work in settings that provide basic professional supports including paid planning time, which is essential to effective teaching practices (Whitebook, McLean, Austin, & Edwards, 2018). Inadequate levels of public financing and a heavy reliance on families to pay the costs of early care and education (ECE) services has allowed these conditions to persist for decades with only limited improvement, despite the growing understanding of the impact that early educators have on the children in their charge (NASEM, 2018). In this report, the authors demonstrate how assumptions about what teachers need produce per child costs that vary by thousands of dollars. Recognizing that estimates are important points of information -- as they are often used to inform short- and long-term term decisions about early care and education services -- they examined a set of cost models with regard to assumptions about resources for teachers and their working environments. These assumptions drive the per child and total systems estimates produced for budgetary purposes and ultimately frame the daily realities of early educators.
- Published
- 2019
43. Beet pulp as an alternative roughage source for feedlot steers fed feedlot diets based on dry-rolled corn containing 30% modified distillers grains with solubles*
- Author
-
Neville, Bryan W., Pickinpaugh, Wayde J., Mittleider, Lea J., and Caton, Joel S.
- Published
- 2023
- Full Text
- View/download PDF
44. Teachers' Voices: Work Environment Conditions That Impact Teacher Practice and Program Quality--Minnesota
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Whitebook, Marcy, Schlieber, Marisa, Hankey, Aline, Austin, Lea J. E., and Philipp, George
- Abstract
Early educators often do not have even basic expectations of working conditions -- such as program policies providing for payment for planning time, staff meetings, and professional development; a salary schedule accounting for experience and varied levels of education; and provision of health, retirement, sick-, and vacation-leave benefits that most K-12 educators can rely upon -- nor are teachers typically the focus of strategies and policies to improve the quality of early care and education services. This study captures early educators' perspectives about their work environments in the state of Minnesota and examines how these environments impact teaching staff practice and well-being. In order to teach to the best of their ability, educators require work environments that support their ongoing learning, emphasize time without child responsibilities for professional activities, and offer dependable benefits that ensure their well-being. With prioritization of workforce supports, quality improvement initiatives can make substantive progress towards a system that is equitable, efficient, and effective for children, their families, and educators alike.
- Published
- 2018
45. Teachers' Voices: Work Environment Conditions That Impact Teacher Practice and Program Quality--New York
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Whitebook, Marcy, Schlieber, Marisa, Hankey, Aline, Austin, Lea J. E., and Philipp, George
- Abstract
There is broad consensus that high-quality environments for young children depend on teachers who are skilled at nurturing their development and learning, yet low pay and inadequate working conditions routinely hamper teachers in their efforts to apply their skills and knowledge. This condition exists among teachers in early education as well as K-12 classrooms, fueling the ubiquitous challenge of recruiting and retaining a skilled teaching workforce across the age spectrum. This study captures the perspectives of early educators about their working environments in one state, New York, and how these environments impact teaching staff practice and wellbeing. The following report presents the findings from the 2017 New York SEQUAL study and includes the perspectives of teaching staff employed in programs participating in QUALITYstarsNY in the spring and fall of 2017. Following a description of the study design, this report will explore major findings drawn from teaching staff responses. Thus, the report is divided into three sections: (1) "Study Design" shares a study overview, goals guiding the study, a profile of the survey respondents, and a guide to the findings; (2) "Findings" outlines teaching staff responses to items in each of the five SEQUAL domains, including an analysis of how responses varied by site characteristics and quality ratings; and (3) "Appendices" presents additional information on the study design, which includes survey instruments and analysis, characteristics of program leaders, and additional tables and figures. [Additional funding for this report was provided by QUALITYstarsNY and the New York Early Childhood Professional Development Institute at the City University of New York (CUNY).]
- Published
- 2018
46. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Mississippi
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Copeman Petig, Abby, Qing, Lisa, Edwards, Bethany, Austin, Lea J. E., and Montoya, Elena
- Abstract
This report describes the early childhood degree programs offered in Mississippi, focusing on variations in program content, age-group focus, student field-based learning, and faculty characteristics, as well as the extent to which Mississippi ECE higher education programs are incorporating early math, family engagement, and working with dual language learners. This report is part of our Early Childhood Higher Education Inventory. The "Early Childhood Higher Education Inventory," administered by the Center for the Study of Child Care Employment at the University of California at Berkeley, assists policymakers and other stakeholders to develop a more coordinated and comprehensive professional preparation and development system for the early care and education workforce. The Inventory is a mechanism to describe the landscape of a state's early childhood degree program offerings, at the associate, bachelor's, master's, and doctoral levels. The Inventory captures variations in program goals, content, child age-group focus, student field-based learning, and faculty characteristics and professional development needs. This information allows policy makers, institutions of higher education and other stakeholders to identify the gaps and opportunities in the available offerings, make informed policy decisions, and assess the capacity of the higher education system over time. [For the Highlights, see ED614354.]
- Published
- 2018
47. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Washington. Highlights
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Copeman Petig, Abby, Montoya, Elena, Austin, Lea J. E., and Edwards, Bethany
- Abstract
The state of Washington is home to more than 566,000 children under the age of six. About 306,000 of these children have all available parents in the workforce and, thus, potentially need child care. Like many states in recent years, Washington has committed public and private resources toward multiple efforts to improve early care and education services, including early education degree and certification programs, in order to improve the preparation of their graduates to meet the complex needs of young children. Critical to these efforts is the establishment of a well-coordinated, comprehensive professional preparation and development system that can prepare and support an incoming generation of educators, while also strengthening the skills of the existing early education workforce. Institutions of higher education are crucial to meeting the evolving and increasing demands identified as improving developmental and learning outcomes for the state's young child population. This report highlights findings from the "Washington Early Childhood Higher Education Inventory" and the extent to which early childhood higher education (ECE) programs offer course content and learning experiences that are associated with effective teacher preparation. [For the narrative report, see ED614291. For the technical report, see ED614300.]
- Published
- 2018
48. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Tennessee. Highlights
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Edwards, Bethany, Copeman Petig, Abby, Austin, Lea J. E., and Montoya, Elena
- Abstract
Tennessee is home to more than 463,000 children under the age of six. Sixty-three percent of these young children have all available parents in the workforce and, thus, potentially need child care. Stakeholders and advocates in Tennessee remain committed to advancing strategies that improve early care and education (ECE) services, including workforce preparation and development in order to ensure that early educators have what they need to meet the complex needs of young children. Critical to these efforts is the establishment of a well-coordinated, comprehensive professional preparation and development system that can prepare and support an incoming generation of educators, while also strengthening the skills of the existing early education workforce. Institutions of higher education are crucial to meeting the evolving and increasing demands identified as improving developmental and learning outcomes for the state's young child population. This document highlights findings from the "Tennessee Early Childhood Higher Education Inventory" and the extent to which ECE higher education programs offer course content and learning experiences that are associated with effective teacher preparation. The full narrative report, "Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Tennessee," and the accompanying technical report present the full findings. [For the narrative report, see ED614309. For the technical report, see ED614310.]
- Published
- 2018
49. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Tennessee. Narrative Report
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Edwards, Bethany, Copeman Petig, Abby, Austin, Lea J. E., and Montoya, Elena
- Abstract
This report describes the early childhood degree programs offered in Tennessee, focusing on variations in program content, age-group focus, student field-based learning, and faculty characteristics, as well as the extent to which Tennessee early care and education (ECE) higher education programs are incorporating early math, family engagement, and working with dual language learners. This report is part of our Early Childhood Higher Education Inventory. The "Early Childhood Higher Education Inventory," administered by the Center for the Study of Child Care Employment at the University of California at Berkeley, assists policymakers and other stakeholders to develop a more coordinated and comprehensive professional preparation and development system for the early care and education workforce. The Inventory is a mechanism to describe the landscape of a state's early childhood degree program offerings, at the associate, bachelor's, master's, and doctoral levels. The Inventory captures variations in program goals, content, child age-group focus, student field-based learning, and faculty characteristics and professional development needs. This information allows policy makers, institutions of higher education and other stakeholders to identify the gaps and opportunities in the available offerings, make informed policy decisions, and assess the capacity of the higher education system over time. [For the Highlights, see ED614311. For the technical report, see ED614310.]
- Published
- 2018
50. Teaching the Teachers of Our Youngest Children: The State of Early Childhood Higher Education in Tennessee. Technical Report
- Author
-
University of California, Berkeley. Center for the Study of Child Care Employment, Edwards, Bethany, Copeman Petig, Abby, Austin, Lea J. E., and Montoya, Elena
- Abstract
Tennessee is home to more than 463,000 children under the age of six. Sixty-three percent of these young children have all available parents in the workforce and, thus, potentially need child care. Stakeholders and advocates in Tennessee remain committed to advancing strategies that improve early care and education (ECE) services, including workforce preparation and development in order to ensure that early educators have what they require to meet the complex needs of young children. Critical to these efforts is the establishment of a well-coordinated, comprehensive professional preparation and development system that can prepare and support an incoming generation of educators, while also strengthening the skills of the existing early education workforce. Institutions of higher education are crucial to meeting the evolving and increasing demands identified as improving developmental and learning outcomes for the state's young child population. This technical report presents findings from the "Tennessee Early Childhood Higher Education Inventory" and the extent to which ECE higher education programs offer course content and learning experiences that are associated with effective teacher preparation. [For the narrative report, see ED614309. For the Highlights, see ED614311.]
- Published
- 2018
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.