The impact of the transition from primary school to secondary school on young adolescents

2017 ◽  
Vol 41 (S1) ◽  
pp. S179-S180
Author(s):  
C. Fontaine ◽  
C. Connor ◽  
S. Channa ◽  
C. Palmer ◽  
M. Birchwood
Keyword(s):  
Secondary School ◽  
Primary School ◽  
Secure Attachment ◽  
Young Adolescents ◽  
School Membership ◽  
Before And After ◽  
Lower Transition ◽  
Competing Interest ◽  
The Impact ◽  
First Time

IntroductionPrevious research suggests that adult anxiety disorders begin in adolescence and the transition from primary school to secondary school is the first challenge many young adolescents face, which could test their resilience for the first time.ObjectivesTo examine students’ anxiety scores before and after their transition, and what protective and risk factors are present during this challenge.AimsTo determine how the transition can impact anxiety in children, and if protective factors can help decrease the disruption that the transition can cause.MethodsOne hundred and eighty-four pupils completed questionnaires in their last term of primary school and during the first term of secondary school. At time 1: the attachment, school membership, and bullying and victimization measures were compared with pupils’ anxiety scores, along with whether their friends or siblings will be attending the same secondary school as them. These analyses will also be conducted once the pupils start secondary school, at time 2.ResultsSecure attachment was associated with lower anxiety and transition anxiety (F(2.56) = 7.255, P = .002; F(2.52) = 19.245, P = .000; F(2.181) = 10.181, P = .000; F(2.53) = 20.545, P = .000). School membership was associated with lower transition anxiety (F(2.181) = 4.151, P = .017; F(2.181) = 3.632, P = .028). Low victimisation was also associated with low anxiety and transition anxiety (F(2.181) = 14.024, P = .000; F(2.181) = 14.529, P = .000; F(2.181) = 9.381, P = .000).ConclusionsThese preliminary results suggest that attachment, school membership and victimisation all impact on pupils anxiety before they transition to secondary school. Therefore, schools could work together to increase school membership and decrease victimisation, particularly for pupils who they suspect will struggle with the transition.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The role of the pharmacist in improving medication beliefs and adherence in cancer patients

2019 ◽  
Vol 25 (8) ◽  
pp. 1916-1926
Author(s):  
Nevzat Birand ◽  
Ahmet Sami Boşnak ◽  
Ömer Diker ◽  
Abdi Abdikarim ◽  
Bilgen Başgut
Keyword(s):  
Tertiary Hospital ◽  
Medication Beliefs ◽  
Beliefs About Medicines ◽  
Care Services ◽  
Adherence To Medication ◽  
Northern Cyprus ◽  
Before And After ◽  
Negative Balance ◽  
The Impact ◽  
First Time

Background Multiple factors have been reported to affect adherence to medication, including beliefs about medicines, while specifically tailored pharmaceutical care services for patients may improve adherence. The aim was to assess the impact of counselling by an oncology pharmacist on patients' medication adherence and beliefs. Methods An interventional prospective study was performed in the oncology department at a tertiary hospital in Northern Cyprus from November 2017 to April 2018. The Beliefs about Medicines Questionnaire was used to evaluate the balance between beliefs about necessity and concerns and medication beliefs before and after an educational intervention. The Morisky Green Levine Test 2018 was used to evaluate adherence. Results In total, 81 patients (65.4% females; mean age: 59.1 ± 11.34 years; 34.6% hypertensive; 19.8% with diabetes) were analysed before and after receiving counselling from an oncology pharmacist. Pharmacist education significantly enhanced the mean patient necessity-concern balance scores by two-fold (MT0(baseline) = −3.1 ± 8.6; MT1(posteducation) =3.0 ± 7.3; p < 0.0001), with patients who received counselling for the first time experiencing the greatest benefit. Multivariate analysis showed that patients who had a negative balance between their beliefs about the necessity of the medication and their concerns were less likely to adhere to the medication (0.138 (0.025–0.772)). Conclusion Counselling by an oncology pharmacist was effective in decreasing patient concerns and increasing their understanding of the necessity of the medication, thus enhancing their adherence and consequently improving the care they received.

Program for the use of antipsychotics with metabolic monitoring in North Carolina medicaid children

2017 ◽  
Vol 41 (S1) ◽  
pp. S343-S343
Author(s):  
S. Wegner ◽  
J. McKee ◽  
T. Trygstad ◽  
L. Wegner ◽  
A. Stiles
Keyword(s):  
Insurance Coverage ◽  
Safety Data ◽  
Monitoring Program ◽  
Safety Monitoring ◽  
Point Of Sale ◽  
Clinical Endpoints ◽  
Metabolic Monitoring ◽  
Before And After ◽  
Competing Interest ◽  
The Impact

IntroductionChildren are at greater risk than adults for weight gain and metabolic disorders including hyperlipidemia and diabetes with newer antipsychotics. A web-based safety-monitoring program using a prior documentation model required submission of patient safety data (prior documentation) for insurance coverage at the pharmacy point of sale. This program launched in April of 2011, covering all NC Medicaid and Health Choice recipients under age 18. Clinical monitoring parameters and interactive educational features were developed with pediatric psychiatric experts and key mental health stakeholder groups.ObjectivesUsing a four-year run in period and a full 9 months of post implementation claims data, evaluate the rates of antipsychotic prescribing and safety monitoring before and after the implementation of the A + KIDS program.ResultsImplementation of this program was associated with a consistent monthly decrease in overall antipsychotic use and increases in patient monitoring of glucose and lipid (Figure. 1, Table 1).ConclusionsThe prior documentation registry was effective in decreasing antipsychotic use and increasing safety monitoring. The impact of changing to more traditional prior authorization on the same clinical endpoints is currently under evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Electoral competition in the elections of the representative local self-government bodies in Chelyabinsk: before and after the 2014 reform

2021 ◽  
Vol 4 ◽  
pp. 69-82
Author(s):  
Oleg Vydrin ◽  
Keyword(s):  
Electoral Competition ◽  
Electoral System ◽  
Municipal Elections ◽  
Agent Model ◽  
Observation Units ◽  
Before And After ◽  
Principal Agent Model ◽  
The Impact ◽  
First Time ◽  
The City

Introduction. The article examines the dynamics of electoral competition over four electoral cycles from 2005 to 2019 as exemplified by forming representative bodies of local self-government in the city of Chelyabinsk. Particular attention is paid to the impact that the transition of Chelyabinsk to a twotier model of forming local self-government bodies in 2014 had on the electoral competition. The purpose of the paper is to study the dynamics of electoral competition in municipal elections in Chelyabinsk before and after the 2014 reform. Methods. The empirical basis of the study is the database “Electoral competition in the elections of municipal deputies of Chelyabinsk (2005—2019)”, which includes 414 observation units. The analysis of the empirical material is carried out according to the method of G.V. Golosov’s triangle of relative sizes, proposed for classifying party systems and adapted for analyzing elections in single-mandate constituencies. Scientific novelty. The author suggests a methodology for analyzing electoral competition in singlemandate constituencies. For the first time, the phenomenon of “controlled competition” is analyzed on the basis of 4 municipal elections cycles. Results. The analysis makes it possible to speak about fluctuations in electoral competition, its decline in 2009 and 2014 compared to the 2005 elections and increasing by the 2019 elections Conclusions. The “controlled competition” was formed in Chelyabinsk in the period preceding the reform of 2014. The reform introduced a level of local self-government, the effectiveness and necessity of which is not obvious with the existing design of the electoral system. In the course of the reform, the principal-agent model of relations between local self-government bodies and state authorities was finally consolidated. The reform contributed to conserving the “controlled competition”.

scholarly journals Students attitudes to and thoughts on natural and cultural heritage

2021 ◽  
Vol 70 (2) ◽  
pp. 177-196
Author(s):  
Dubravka Kuščević
Keyword(s):  
National Identity ◽  
Secondary School ◽  
Cultural Heritage ◽  
Primary School ◽  
Secondary School Students ◽  
Primary School Students ◽  
School Students ◽  
Natural Heritage ◽  
Students Attitudes ◽  
The Impact

A nation’s cultural and natural heritage is the wealth of the people it belongs to and one of the key elements for the creation of national identity and affirmation in the process of globalization. The aim of our study was to examine the attitudes, knowledge and thoughts of primary and secondary school students related to natural and cultural heritage. A total of 322 respondents from primary and secondary schools in Split-Dalmatia County, Šibenik-Knin County, and Zagreb County participated in the research. Our results indicate that secondary school students show better knowledge of cultural and natural heritage of their homeland and a higher degree of interest in learning about these contents than students in the final grades of primary school. Moreover, secondary school students more than primary school students recognize the value of attaching importance to these topics within the work of educational institutions and in various school subjects. In addition, secondary school students expressed a greater awareness of the importance of preserving cultural heritage and its connection with the development of the economy and the preservation of national identity compared to primary school students. No differences were found among students in terms of the impact of cultural heritage on encouraging their creativity, but it was shown that more frequent visits to archaeological institutions were associated with a higher interest in heritage-related content.

Impact of Terrorist Attacks on the Profile of Consultants at the Outpatient Department of Razi Hospital

2017 ◽  
Vol 41 (S1) ◽  
pp. S727-S727
Author(s):  
R. Trabelsi ◽  
A. Bouasker ◽  
H. Zalila
Keyword(s):  
Stress Disorders ◽  
Terrorist Attacks ◽  
Post Traumatic Stress ◽  
Preventive Activity ◽  
Female Predominance ◽  
Traumatic Stress Disorders ◽  
Post Traumatic ◽  
Competing Interest ◽  
The Impact ◽  
First Time

IntroductionA trauma is an uncommon experience of violence in which the physical and psychological integrity of an individual or group has been threatened. Intentional violence in general and terrorist attacks in particular are a perfect example of this. It turns out that during the year 2015 Tunisia was shaken by a series of terrorist attacks as sudden as violent. What impact would these actions have on the profile of consultants at the Razi hospital?MethodsA retrospective and descriptive study of the consultants between January 1, 2015 and December 31, 2015, while determining the socio-demographic, clinical and therapeutic profile of the consultants for the first time at the outpatient clinic of the Razi psychiatric hospital, and indicating the different changes during the month following each attack; Bardo 18 March, Sousse 26 June and Mohamed V 24 November.ResultsOur study pointed to an increase in the number of consultants at the hospital (31%) and outpatient (128%) levels during the year 2015, without increasing the number of consultants New consultants. The new consultants are younger with a strengthening of the female predominance (56.8). In the months following the attacks from the same period of the previous year, we found that diagnoses of acute and post-traumatic stress disorders (151%) and (93%) increased in percentage.ConclusionThe impact of terrorist attacks is harmful to people directly exposed but also to vulnerable people. It imposes the necessity of a preventive activity involving multidisciplinary interventions in order to develop the concept of resilience.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Vliv psychomotoriky na pozornost dětí s ADHD

2013 ◽  
Vol 7 (3) ◽  
pp. 199-209
Author(s):  
Tereza Louková ◽  
Marie Blahutková
Keyword(s):  
Data Collection ◽  
Primary School ◽  
Intervention Program ◽  
Qualitative Case Study ◽  
Children With Adhd ◽  
School Aged Children ◽  
Before And After ◽  
The Impact

This work deals with the influence of the intervention program, which includes psychomotor activities to the attention of the younger school-aged children with ADHD. The aim of the work is to validate the impact of the intervention program to the attention of the younger school-aged children with ADHD. We used the quantitative-qualitative case study. We used the methods of data collection Test of Attention d2, Test of Attention “Numerical Square”, interviews and observation. We worked with 4 children in the age of 9 to 10 years with ADHD from 2 different classes of primary school. We tested the change in concentration and extent of the attention before and after application of the intervention program. We found out that concentration and extent of attention were significantly improved at each child.

scholarly journals Transitional woes: On the impact of L2 input continuity from primary to secondary school

2017 ◽  
Vol 7 (3) ◽  
pp. 443-469 ◽  
Author(s):  
Simone E. Pfenninger ◽  
Johanna Lendl
Keyword(s):  
Secondary School ◽  
Foreign Language ◽  
Curriculum Design ◽  
Primary Schools ◽  
Age Of Onset ◽  
Holistic Approach ◽  
Language Experience ◽  
Before And After ◽  
Early Learners ◽  
The Impact

In this paper, we discuss the problem of articulation between levels in the educational system, as the transition from a rather more communicative, contentbased and holistic approach to English as a foreign language (EFL) teaching at primary level to more formal and explicit ways of foreign language (FL) teaching at secondary is often experienced as problematic by students and teachers alike (see, e.g., Muñoz, Tragant, & Camuñas, 2015). The results of a mixed methods analysis are presented, in which we analyzed, through a questionnaire and language experience essays, perceived continuity between input received in primary school and secondary school, as well as learners’ beliefs, attitudes and self-efficacy before and after they transitioned to secondary school. Twelve primary schools and six secondary schools in Switzerland participated in the study, with a total of 280 early learners of EFL (biological age 12-13 years, age of onset 8 years). We will argue that one of the main reasons why early FL instruction seems not to bear fruit later in secondary school is that, on the one hand, coherence in curriculum design and practice vary in a few—but crucial—aspects within and between primary schools. On the other hand, the fact that secondary education becomes a meeting point for mixed ability classes also seems to mitigate the potential advantages of an earlier start.

scholarly journals Preceptor Expectations and Experiences in a Longitudinal Integrated Clerkship

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Zachary Tabb ◽  
Kristina Monteiro ◽  
Paul George
Keyword(s):  
Teaching Experience ◽  
Future Research ◽  
Program Participation ◽  
Chi Square ◽  
Area Of Interest ◽  
Before And After ◽  
Longitudinal Integrated Clerkship ◽  
Block Based ◽  
The Impact ◽  
First Time

Introduction: The Longitudinal Integrated Clerkship (LIC) as a pedagogical model in medical education is a burgeoning area of interest as an alternative to a traditional, rotation- (block) based curriculum and presents a distinct set of considerations. A large number of studies examine the impact on students participating in LIC programs, but fewer assessments exist for the preceptors involved. This study sought to understand changes in expectations and experiences following LIC program participation. Methods: We conducted a survey-based prospective cohort study of preceptors before and after first-time LIC program participation. Five-point Likert-type questions were grouped into four subscales determined by areas of practice and preceptor role: clinical, administrative, professional, and educational. For statistical analyses of the nonmatched responses we used Pearson Chi-Square measures of association and independent t-tests. Results: Forty-seven of 84 (56%) preceptors responded to the presurvey and 42% responded to the postsurvey (35/84), totaling 82 unique responses. Thirty-nine (48%) were female, 64 (79%) had over 5 years teaching experience, and 61 (74%) had prior rotation-based clerkship experience. Only the clinical subscale (evaluating aspects of physical exam, history taking, and patient relationship with physician and student) was significantly different pre- (M1= 3.09[SD=0.40]) to post-LIC (M2= 3.47[SD=0.29]) showing a positive change at post-LIC participation (P=0.03). Conclusion: For first-time LIC preceptors in a new LIC program, participation led to improvements in clinical practice without detriment to administrative, professional, or educational roles. Future research should examine changes among individual preceptors over time as well as assessments of students, including knowledge, skills, and attitude outcomes.

Outcomes before and after dose reduction in patients with newly diagnosed chronic myeloid leukemia receiving bosutinib or imatinib.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 7039-7039
Author(s):  
Michael W Deininger ◽  
Tim H. Brümmendorf ◽  
Dragana Milojkovic ◽  
Francisco Cervantes ◽  
Françoise Huguet ◽  
...  
Keyword(s):  
Chronic Myeloid Leukemia ◽  
Dose Reduction ◽  
Median Time ◽  
Myeloid Leukemia ◽  
Philadelphia Chromosome ◽  
Molecular Response ◽  
Newly Diagnosed ◽  
Before And After ◽  
The Impact ◽  
First Time

7039 Background: Bosutinib (BOS) is approved for patients (pts) with Philadelphia chromosome-positive chronic myeloid leukemia (CML), at a starting dose of 400 mg QD in newly diagnosed pts in chronic phase (CP). This analysis evaluated the impact dose reduction has on the outcomes of BOS and imatinib (IMA) in pts with CP CML. Methods: In the open-label BFORE trial, 536 pts with newly diagnosed CP CML were randomized to receive 400 mg QD BOS (N = 268) or IMA (N = 268; 3 untreated). Dose could be reduced to 300 mg QD for toxicity. Following sponsor approval, dose reduction to BOS 200 mg QD was permitted for 4 wks maximum; after this time, dose escalation or treatment discontinuation was required. Maintenance of response after dose reduction was defined as having a response > 6 mo after the first reduction. Database lock: June 12, 2020, 5 y after the last pt enrolled. Results: In the BOS arm, dose reduction to 300 (without further reduction) or 200 mg QD was seen in 82 (31%) and 33 (12%) pts, and median time to dose reduction was 85 and 205 d. In the IMA arm, 50 (19%) pts had a dose reduction to 300 mg QD, and median time to dose reduction was 92 d. Most common (≥2% of pts) treatment-emergent adverse events (TEAEs) leading to dose reduction were increased alanine aminotransferase (8%), thrombocytopenia (7%), diarrhea (7%), increased lipase (6%), increased aspartate aminotransferase (4%), nausea (4%), neutropenia (3%), rash (3%) and abdominal pain (2%) with BOS, and neutropenia (4%) with IMA. Of the pts who remained on 400 mg QD BOS (n = 153) or IMA (n = 214), respectively, 120 (78%) and 139 (65%) achieved major molecular response (MMR). Among pts who had a BOS dose reduction to 300 mg QD, 51/82 (62%) had MMR > 6 mo after dose reduction: 14 (17%) maintained MMR before and after dose reduction and 37 (45%) achieved MMR for the first time after dose reduction. Seven (9%) pts had MMR before dose reduction but discontinued treatment before the next > 6 mo assessment. In the IMA arm, 32/50 (64%) pts had MMR > 6 mo after dose reduction: 9 (18%) maintained MMR before and after dose reduction and 23 (46%) achieved MMR for the first time after dose reduction. One (2%) pt had MMR before dose reduction but discontinued treatment before the next > 6 mo assessment and 1 (2%) pt lost a previously attained MMR after dose reduction. Among pts who had a BOS dose reduction to 200 mg QD, 12/33 (36%) had MMR > 6 mo after dose reduction: 7 (21%) maintained MMR before and after dose reduction and 5 (15%) achieved MMR for the first time after dose reduction. Six (18%) pts had MMR before dose reduction but discontinued treatment before the next > 6 mo assessment. Similar trends were seen for complete cytogenetic response. Conclusions: Management of TEAEs through BOS or IMA dose reduction enabled pts to continue treatment, with a substantial number of pts achieving MMR for the first time after dose reduction. Clinical trial information: NCT02130557.

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