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Language teacher educators (LTEs) are a core group of stakeholders who greatly influence the development of future language teachers and, by extension, their future learners. In this exploratory study, we sought to investigate the emotional experiences of five English LTEs from Austria with the help of semi-structured interviews. The data were analyzed inductively, in multiple stages, and revealed how the LTEs’ emotions were influenced by the interplay between their personal psychologies and the sociocultural contexts in which they lived and worked. These findings support an integrative theoretical perspective on LTE emotions interconnecting the social and psychological facets of emotions. The analysis also showed how the LTEs’ emotions varied in valence depending on the context with a notable difference between their emotions in the classroom compared to their emotions in respect to their workplace more generally. As such, the findings raise fascinating questions about the saliency and weighting of emotions across contexts even within one job.
This Element has three main aims. First, the authors wish to synthesize research on language teacher psychology to provide state-of-the-art insights into the topic and identify possible avenues of scholarship. They do so by adopting a trilogy of mind perspective, which helps organize aspects of teacher psychology into three domains: cognition, affect, and motivation. Second, the overview of the literature outlines key issues, identifies gaps in current understandings and scholarship, and it also introduces less common constructs (e.g., flow, collective efficacy beliefs, and attributions) to inspire future research in this area. Third, the authors intend to reflect on practical implications for practitioners, language teacher educators, preservice teachers, and policymakers of the research to date. Rather than offering a definitive account, the authors seek to open dialogue and encourage further research and practice to ensure language teachers in all contexts receive the recognition and thus support they deserve.
Physical health checks in primary care for people with severe mental illness ((SMI) defined as schizophrenia, bipolar disorders and non-organic psychosis) aim to reduce health inequalities. Patients who decline or are deemed unsuitable for screening are removed from the denominator used to calculate incentivisation, termed exception reporting.
Aims
To describe the prevalence of, and patient characteristics associated with, exception reporting in patients with SMI.
Method
We identified adult patients with SMI from the UK Clinical Practice Research Datalink (CPRD), registered with a general practice between 2004 and 2018. We calculated the annual prevalence of exception reporting and investigated patient characteristics associated with exception reporting, using logistic regression.
Results
Of 193 850 patients with SMI, 27.7% were exception reported from physical health checks at least once. Exception reporting owing to non-response or declining screening increased over the study period. Patients of Asian or Black ethnicity (Asian: odds ratio 0.72, 95% CI 0.65–0.80; Black: odds ratio 0.86, 95% CI 0.76–0.97; compared with White) and women (odds ratio 0.90, 95% CI 0.88–0.92) had a reduced odds of being exception reported, whereas patients diagnosed with ‘other psychoses’ (odds ratio 1.19, 95% CI 1.15–1.23; compared with bipolar disorder) had increased odds. Younger patients and those diagnosed with schizophrenia were more likely to be exception reported owing to informed dissent.
Conclusions
Exception reporting was common in people with SMI. Interventions are required to improve accessibility and uptake of physical health checks to improve physical health in people with SMI.
In June of 2024, Becton Dickinson experienced a blood culture bottle shortage for their BACTEC system, forcing health systems to reduce usage or risk exhausting their supply. Virginia Commonwealth University Health System (VCUHS) in Richmond, VA decided that it was necessary to implement austerity measures to preserve the blood culture bottle supply.
Setting:
VCUHS includes a main campus in Richmond, VA as well as two affiliate hospitals in South Hill, VA (Community Memorial Hospital (CMH)) and Tappahannock Hospital in Tappahannock, VA. It also includes a free-standing Emergency Department in New Kent, VA.
Patients:
Blood cultures from both pediatric and adult patients were included in this study.
Interventions:
VCUHS intervened to decrease blood culture utilization across the entire health system. Interventions included communication of blood culture guidance as well as an electronic health record order designed to guide providers and discourage wasteful ordering.
Results:
Post-implementation analyses showed that interventions reduced overall usage by 35.6% (P < .0001) and by greater than 40% in the Emergency Departments. The impact of these changes in utilization on positivity were analyzed, and it was found that the overall positivity rate increased post-intervention from 8.8% to 12.1% (P = .0115) and in the ED specifically from 10.2% to 19.5% (P < .0001).
Conclusions:
These findings strongly suggest that some basic stewardship interventions can significantly change blood culture practice in a manner that minimizes the impact on patient care.
This study is designed to understand embarrassment in the second/foreign language (L2) context. Following a mixed-method design, in Phase 1, a sample of 141 tertiary-level Austrian English language learners were asked to write a narrative about their experiences of embarrassment in their language learning histories. Analyzing the narratives showed that L2 embarrassment is a multidimensional construct that is frequently experienced by a range of language learners. In Phase 2, we developed and validated an L2 classroom speaking embarrassment (L2CSE) scale among a sample of 402 international English language learners drawing on the literature and analysis of the narratives. Data showed that L2 embarrassment is best represented by a bifactor exploratory structural equation model, capturing both general and specific aspects of L2 embarrassment. We found that a supportive classroom environment and fostering a growth mindset can decrease the risk of L2 embarrassment. As expected, L2 embarrassment was a negative predictor of willingness to communicate and self-perceived language proficiency. These initial findings suggest that L2 embarrassment could be an important and influential emotion in the language learning classroom context which requires further research.
Our understanding about the genetic influences on human disease has increased dramatically with the technological developments in genome and DNA analysis and the discovery of the human genome sequence. Whilst much remains unexplained, it is obvious that normal cardiac development is controlled by the genome and there is significant evidence that a proportion of cardiac malformations are caused by genetic factors. This is important for clinicians as an understanding of confirmed genetic factors is essential to estimate recurrence risks of congenital heart disease (CHD) within families and also screen for predicted associated anomalies. An accurate genetic diagnosis can provide important prognostic information for both the initial patient (proband) and other family members, for whom further genetic investigations may be indicated. There is likely to be a continued increase in demand for such investigations as improvement in surgical and medical management allows more individuals with CHD to survive to reproductive age and have families of their own. For some, the recurrence risk for a cardiac malformation may be as high as 50%; the actual figure varies with different genetic diagnoses. Accurate risk stratification is likely to become increasingly important and the rapidly developing technologies to detect genetic variation mean that genome-wide investigation is becoming more widely available in the clinical setting. An aim of this chapter is to introduce clinicians to principles that will help them embrace and understand the results from these investigations and appreciate the implications they have for their patients.
Congenital heart disease (CHD) is one of the commonest human birth defects, with a widely reported birth incidence of just less than 1%, and it accounts for one-third of infant deaths that result from congenital malformation. Epidemiological studies have long suggested that genetic factors may have a contribution to cardiac maldevelopment in humans. Mapping genes by linkage seeks to identify which DNA sequences have been inherited in common by affected individuals in families with multiple members suffering from the genetic disease. Many disease genes have also been identified by studying individuals with a chromosomal rearrangement, such as a translocation, where a piece of chromosomal material breaks of and rejoins to another chromosome. The first draft of human genome sequence was published in 2001 and in 2003 the International Human Genome Sequencing Consortium announced a finished version which detailed the entire DNA sequence of each chromosome.
The TEDI (TripleSpec - Exoplanet Discovery Instrument) is a dedicated instrument for the near-infrared radial velocity search for planetary companions to low-mass stars with the goal of achieving meters-per-second radial velocity precision. Heretofore, such planet searches have been limited almost entirely to the optical band and to stars that are bright in this band. Consequently, knowledge about planetary companions to the populous but visibly faint low-mass stars is limited. In addition to the opportunity afforded by precision radial velocity searches directly for planets around low mass stars, transits around the smallest M dwarfs offer a chance to detect the smallest possible planets in the habitable zones of the parent stars. As has been the the case with followup of planet candidates detected by the transit method requiring radial velocity confirmation, the capability to undertake efficient precision radial velocity measurements of mid-late M dwarfs will be required. TEDI has been commissioned on the Palomar 200” telescope in December 2007, and is currently in a science verification phase.
A holistic approach to care has traditionally been the central tenet of general practice in the UK. However, recent major changes in general practice may be diminishing the importance and/or deliverability of such an approach. We sought to explore the views of Scotland’s general practitioner (GP) principals. We surveyed all 3713 GP principals in Scotland during February to July 2001 by postal questionnaire. Nearly 9 in 10 GPs (87%) felt that a holistic approach was essential to providing good health care, but only 1 in 5 (21%) felt that primary care was currently delivering high-quality holistic care, and only 1 in 15 (7%) felt that the current organization of primary care was conducive to such care. Constraints on holism were thought to contribute significantly to higher rates of prescribing (73% agreed), more referrals to secondary care (63% agreed), and increased demand for complementary therapies (57% agreed). Psychological factors were considered to play an important role in organic physical disease – its causation (67% agreed), course (94% agreed) and reversal (69% agreed) – yet when either the GP or the patient wished to explore issues relating to stress or emotional difficulties the GPs felt significantly constrained, mainly by time and their own stress (mean values (95% CI); 0: not limiting, 10: extremely limiting; time 7.6 (7.49–7.67); stress 4.9 (4.84–5.04); training 4.7 (4.66–4.84); skills 4.2 (4.13–4.30); motivation 3.4 (3.33–3.50)). In this survey Scotland’s principal GPs overwhelmingly endorse the traditional holistic approach of general practice and primary care, but feel that it is failing to be delivered due to organizational and time constraints, with consequent human and financial costs. These results give voice to deep concerns among GPs who remain committed to a holism they are struggling to deliver.
We call $\alpha \left( z \right)={{a}_{0}}+{{a}_{1}}z+\cdot \cdot \cdot +{{a}_{n-1}}{{z}^{n-1}}$ a Littlewood polynomial if ${{a}_{j}}=\pm 1$ for all $j$. We call $\alpha \left( z \right)$ self-reciprocal if $\alpha \left( z \right)={{z}^{n-1}}\alpha \left( 1/z \right)$, and call $\alpha \left( z \right)$ skewsymmetric if $n=2m+1$ and ${{a}_{m+j}}={{\left( -1 \right)}^{j}}{{a}_{m-j}}$ for all $j$. It has been observed that Littlewood polynomials with particularly high minimum modulus on the unit circle in $\mathbb{C}$ tend to be skewsymmetric. In this paper, we prove that a skewsymmetric Littlewood polynomial cannot have any zeros on the unit circle, as well as providing a new proof of the known result that a self-reciprocal Littlewood polynomial must have a zero on the unit circle.
We define ${\mathcal B}_n$ to be the set of $n$-tuples of the form $(a_0, {\ldots}\,, a_{n-1})$ where $a_j = \pm 1$. If $A \in {\mathcal B}_n$, then we call $A$ a binary sequence and define the autocorrelations of $A$ by $c_k := \sum_{j=0}^{n-k-1} a_j a_{j+k}$ for $0 \leq k \leq n-1$. The problem of finding binary sequences with autocorrelations ‘near zero’ has arisen in communications engineering and is also relevant to conjectures of Littlewood and Erdős on ‘flat’ polynomials with $\pm 1$ coefficients. Following Turyn, we define \[ b(n) := \min_{A \in {\mathcal B}_n} \max_{1 \leq k \leq n-1} |c_k|.\] The purpose of this article is to show that, using some known techniques from discrete probability, we can improve upon the best upper bound on $b(n)$ appearing in the previous literature, and we can obtain both asymptotic and exact expressions for the expected value of $c_k^m$ if the $a_j$ are independent $\pm 1$ random variables with mean 0. We also include some brief heuristic remarks in support of the unproved conjecture that $b(n) = O(\sqrt{n})$.
In the years leading up to the First World War the academic understanding of the earthen mounds we know as mottes underwent a series of dramatic changes. Exploration of the paradigms behind these viewpoints tells us much about the way in which knowledge comes into being and is used. In particular, archaeologists have created their own foundation myths, complete with hero and demon figures, which serve to emphasize a progressive account of research. The reality is often somewhat more reactionary. In this paper I argue that archaeological histories have impeded understanding of the discipline as the complexities of research remain hidden. As viewpoints become entrenched, creative thought is stifled because the subject is believed to be understood. In castle studies, one a-priori paradigm is that the English motte-and-bailey castle was introduced by the Normans, an idea commonly attributed to Ella Armitage. This paper explores the context behind the adoption of this idea through a case study focusing on changes in understanding. Acrimonious dismissal of alternative points of view has maintained the dominance of this paradigm. I conclude that critical historiographies such as this best serve the development of future understanding of the discipline.