Evidence, lack of evidence, controversy, and debate in the provision and performance of the surgery of acute type A aortic dissection

Acute type A aortic dissection is a lethal condition requiring emergency surgery. It has diverse presentations, and the diagnosis can be missed or delayed. Once diagnosed, decisions with regard to initial management, transfer, appropriateness of surgery, timing of operation, and intervention for malperfusion complications are necessary. The goals of surgery are to save life by prevention of pericardial tamponade or intra-pericardial aortic rupture, to resect the primary entry tear, to correct or prevent any malperfusion and aortic valve regurgitation, and if possible to prevent late dissection-related complications in the proximal and downstream aorta. No randomized trials of treatment or techniques have ever been performed, and novel therapies-particularly with regard to extent of surgery-are being devised and implemented, but their role needs to be defined. Overall, except in highly specialized centers, surgical outcomes might be static, and there is abundant room for improvement. By highlighting difficulties and controversies in diagnosis, patient selection, and surgical therapy, our over-arching goal should be to enfranchise more patients for treatment and improve surgical outcomes.

Teaching the Millennial Generation in the Religious and Theological Studies Classroom

This essay provides an overview of the distinctive challenges presented to teaching and learning in religious and theological studies by the conditions and characteristics of “millennial” students. While the emerging literature on this generation is far from consistent, it is still instructive and important to engage, as students that are immersed in technology and social networking have different facilities and difficulties that educators would do well to carefully address and critically employ. Teachers in theological and religious studies are distinctly positioned to grapple with such conditions, particularly around the practices of identity formation, media literacy, and embodiment. Attention to the development of such practices engages key issues for both the millennial students and the religious and theological studies teacher: virtual reality, spiritual identity, globalization and violence, critical consumption and ethical creativity, focused and contemplative thinking, and intercultural and interpersonal respect.

Teacher emotions in the classroom: Associations with students’ engagement, classroom discipline and the interpersonal teacher-student relationship

The present study explores teacher emotions, in particular how they are predicted by students’ behaviour and the interpersonal aspect of the teacher-student relationship (TSR). One hundred thirty-two secondary teachers participated in a quantitative study relying on self-report questionnaire data. Based on the model of teacher emotions by Frenzel (2014), teachers rated their experienced joy, anger and anxiety during classroom instruction (dependent variable). Students’ motivational behaviour (= engagement), socio-emotional behaviour (= discipline in class) and relational behaviour (= closeness; interpersonal TSR) were assessed as the independent variables. Teachers’ self-efficacy beliefs served as a control variable. Hierarchical regression analysis revealed that the interpersonal relationship formed between teachers and students was the strongest predictor for teachers’ joy (positive relation) and anxiety (negative relation), whereas lack of discipline in class best predicted teachers’ anger experiences. Students’ engagement also proved a significant predictor of teacher emotions. The results suggest that interpersonal TSR plays a particularly important role in teachers’ emotional experiences in class.

The association between classroom characteristics and student physical activity in physical education classrooms

Background. With the rapid rise in childhood obesity, physical activity participation among young children has become the subject of much recent attention. Physical education classes have been specifically targeted as a method of providing opportunities for all children to be active. Unfortunately, student participation in moderate-to-vigorous physical activity during these classes still falls far below the current recommendations. While some research to date has reported the levels of activity among elementary-aged children, research is limited on the relationship between these activity levels and the environmental characteristics that exist within the PE classroom. ^ Purpose. The purpose of this study is to examine the association between specific classroom characteristics and contextual characteristics (lesson context, class size, class location, teacher gender, and teacher encouragement for PA) with elementary aged children's moderate-to-vigorous activity during PE class. ^ Methods. A secondary analysis of 211 3rd, 4th and 5th grade physical education classes amongst 39 elementary schools in Harris County, TX and 35 elementary schools in Travis County, TX was conducted using cross-sectional data from the evaluation of a school-based health program. Lesson context and student activity levels were measured using a direct observation measurement tool. Additionally, these variables were further analyzed against a number of classroom characteristics to determine any significant associations. ^ Results. Overall, elementary PE classes are still participating in low levels of moderate-to-vigorous physical activity averaging only 38% of class time. Additionally, close to 25% of class time is spent in classroom management. Male directed classes spent significantly more time in game activities and female directed classes spent more time in fitness, knowledge, and skill activities. Classes that took place outdoors were more active and spent more time in games than those that took place indoors. Significant correlations were demonstrated between class size and time spent in management context. Time spent in management context was also correlated with time spent sitting and standing. Additionally, positive correlations were demonstrated between time very active and teachers that praised students and encouraged physical activity among their classes.^

Harvard's view of the controversy over the Arnold Arboretum : a statement in a question-and-answer form prepared ... /

Mode of access: Internet.

The Confession of faith, the Larger and Shorter catechisms, with the Scripture-proofs at large. Together with the Sum of saving knowledge (contain'd in the Holy Scriptures, and held forth in the said Confession and Catechisms) and Practical use thereof, Covenants national and Solemn league, Acknowledgement of sins and Engagement to duties, Directories, Form of church-government, & c. Of publick authority in the Church of Scotland. With Acts of Assembly and Parliament, relative to, and approbative of, the same.

Each pt. has special t.-p.

Cheese : a treatise on the manufacture of American Cheddar cheese and some other varieties : intended as a text-book for the use of dairy teachers and students in classroom and workroom : prepared also as a handbook and work of reference for the daily use of practical cheese-makers in cheese factory operations /

"The successor of 'The science and practice of cheese-making' (Van Slyke and Publow), published in 1909 ... Rewritten in order to bring the subject matter up to date."--Pref.

The miscellaneous works of the Rev. Matthew Henry : containing in addition to those heretofore published, numerous sermons now first printed from the original mss. : an appendix on what Christ is made to believers,in forty real benefits,by Philip Henry... : funeral sermons for Mr. and Mrs. Henry, by the Rev. Matthew Henry : funeral sermons on Mr. Matthew Henry, by W. Tong, John Reynolds, and Dr. Williams.

Includes the author's Life of the Rev. Philip Henry: p. [xii]-163.

A catechism and confession of faith, approved of and agreed unto by the general assembly of the patriarchs, prophets, and apostles, Christ himself chief speaker in and among them: which containeth a true and faithful account of the principles and doctrines, which are most surely believed by the churches of Christ in Great Britain and Ireland, who are reproachfully called by the name of Quakers; yet are found in the one faith with the primitive church and saints, as is most clearly demonstrated by some plain Scripture testimonies (without consequences or commentaries) which are here collected, and inserted by way of answer to a few weighty, yet easy and familiar questions, fitted as well for the wisest and largest, as for the weakest and lowest capacities.

"The ancient testimony of the people called Quakers, revived" (p. [145]-163) has special t.-p.

An appeal to the public on the controversy respecting the revolution in Harvard College, and the events which have followed it : occasioned by the use which has been made of certain complaints and accusations of Miss Hannah Adams, against the author /

Relating to the charges of plagiarism in the preparation of the Compendious history of New England.

Authority in the classroom: dictionaries and corpora, COBUILD and the Bank of English

Language learners ask a variety of questions about words and their meanings and uses: “What does X mean? What is the word for X in English? Can you say X? When do you use X and when do you use Y (e.g. synonyms, grammatical structures, prepositional choices, variant phrases, etc)?”