The use of social media to communicate child health information to low-income parents: A formative study

The Internet, and specifically web 2.0 social media applications, offers an innovative method for communicating child health information to low-income parents. The main objective of this study was to use qualitative data to determine the value of using social media to reach low-income parents with child health information. A qualitative formative evaluation employing focus groups was used to determine the value of using social media for dissemination of child health information. Inclusion criteria included: (1) a parent with a child that attends a school in a designated Central Texas school district; and (2) English-speaking. The students who attend these schools are generally economically disadvantaged and are predominately Hispanic. The classic analysis strategy was used for data analysis. Focus group participants (n=19) were female (95%); White (53%), Hispanic (42%) or African American (5%); and received government assistance (63%). Most had access to the Internet (74%) and were likely to have low health literacy (53%). The most preferred source of child health information was the family pediatrician or general practitioner. Many participants were familiar with social media applications and had profiles on popular social networking sites, but used them infrequently. Objections to social media sites as sources of child health information included lack of credibility and parent time. Social media has excellent potential for reaching low-income parents when used as part of a multi-channel communication campaign. Further research should focus on the most effective type and format of messages that can promote behavior change in this population, such as story-telling. ^

The Comprehensive Assessment of Leadership for Learning: A Next Generation Formative Evaluation and Feedback System

Recent developments in federal policy have prompted the creation of state evaluation frameworks for principals and teachers that hold educators accountable for effective practices and student outcomes. These changes have created a demand for formative evaluation instruments that reflect current accountability pressures and can be used by schools to focus school improvement and leadership development efforts. The Comprehensive Assessment of Leadership for Learning (CALL) is a next generation, 360-degree on-line assessment and feedback system that reflect best practices in feedback design. Some unique characteristics of CALL include a focus on: leadership distributed throughout the school rather than as carried out by an individual leader; assessment of leadership tasks rather than perceptions of leadership practice; a focus on larger complex systems of middle and high school; and transparency of assessment design. This paper describes research contributing to the design and validation of the CALL survey instrument.

Strange bedfellows: The ethics and politics of medical futility in Texas

Background: Futile medical treatments are interventions that are not associated with a benefit to the patient. The definition and concept of medical futility are controversial. The Texas Advance Directives Act (TADA) was passed in 1999 to address medically inappropriate interventions by allowing providers to withdraw inappropriate interventions against a surrogate decision maker's wishes following a review, attempt to transfer the patient, and 10-day waiting period. The original legislation was a negotiated compromise by players across the political spectrum. However, in recent years there has been increasing controversy regarding TADA and attempts to alter its applicability in Texas. ^ Purpose: The purpose of this project was to apply Paul Sabatier's advocacy coalition framework (ACF) to gain understanding into the historical, ethical, and political basis of the initial compromise, and determine the sources of conflict that have led to increased opposition to TADA. ^ Methods: Using the ACF model, key actors within the medical futility policy debate in Texas were aggregated into coalitions based on shared beliefs. A narrative summary based analysis identified the core elements of the policy subsystem, as well as the constraints and resources of the subsystem actors. Externalities that promoted adjustments to coalition beliefs and tactics used by coalition participants were analyzed. Data sources included review of the published literature regarding medical futility, as well as analysis of published newspaper accounts and editorials regarding the medical futility issue in Texas, legislative testimony, and review of weblogs and online commentaries dealing with the issue. ^ Results: Primary coalition participants in developing compromise legislation in 1999 were the Providers and Vitalists, with Autonomists gaining a prominent role starting in 2006. Internal factors associated with the breakdown of consensus included changes to the makeup of the governing coalition and changes in individual case information available to the Vitalist coalition. Externalities related to the intertwining of the Sun Hudson case and the Terri Schiavo case generated negative publicity for the TADA from progressive and conservative viewpoints. Dissemination of information in various venues regarding contentious cases was associated with more polarization of viewpoints, and realignment of coalition alliances. ^ Conclusions: The ACF provided an outline for the initial compromise over the creation of the Texas Advance Directives Act as well as the eventual loss of consensus. The debate between the Provider, Vitalist, and Autonomist coalitions has been affected by internal policy evolution, changes in the governing coalition, and important externalities. The debate over medical futility in Texas has had much broader implications in the dispute over Health Care Reform.^

Ethics and materials: Some Spanish Cases

The problem is general: modern architects and engineers are trying to understand historic structures using the wrong theoretical frame, the classic (elastic) thery of structures developed in the 19th Century for iron and stell, and in the 20th century for reinforced concrete, disguised with "modern" computer packages, mainly FEM, but also others. Masonry is an essentially different material, and the structural equations must be adapted accordingly. It is not a matter of "taste" or "opinion", and the consequences are before us. Since, say 1920s, historic monuments have suffered the aggression of generations of archietcts and engineers, trying to transform masonry in reinfored concrete or steel. The damage to the monuments and the expense has been, and is, enormous. However, as we have an adequate theory (modern limit analysis of masonry structures, Heyman 1966) which encompasses the "old theory" used successfully by the 18th and 19th Century practical engineers (from Perronet to Sejourné), it is a matter of "Ethics" not to use the wrong approach. It is also "contra natura" to modify the material masonry with indiscriminate injections, stitchings, etc. It is insane to consider, suddenly, that buildings which are Centuries or milennia old, are suddenly in danger of collapse. Maintenance is necessary but not the actual destruction of the constructive essence of the monument. A cocktail of "ignorance, fear and greed" is acting under the best of intentions.

The seminar of nuclear safety in advanced reactors and the seminar of nuclear fusion: two formative initiatives from Universidad Politécnica de Madrid and spanish young Generation in Nuclear (Jóvenes Nucleares)

panish Young Generation in Nuclear (Jóvenes Nucleares) is a commission of the Spanish Nuclear Society (SNE), whose main goals are to spread knowledge about nuclear energy among the society. Following this motivation, two Seminars have been carried out with the collaboration of the Technical University of Madrid: The Seminar of Nuclear Safety in Advanced Reactors (SRA) and the Seminar of Nuclear Fusion (SFN). The first one, which has been celebrated every year since 2010, aims to show clearly the advances that have been obtained in the section of safety with the new reactors, from a technical but simple point of view and without needing great previous nuclear engineering knowledge. The second one, which first edition was held in 2011, aims to give a general overview of the past, present and future situation of nuclear fusion technology, and was born as a result of the increasing interest of our Spanish Young Generation members in this technology.

Ethics and materials. Some Spanish Case Studies

In Navea, north of Spain, a medieval arch bridge shows a visible distortion (fig.1a). A stone falls down from the web of a gothic vault in a big parish church in Burgos (fig. 1b), and a voussoir falls down from the rib of another gothic vault in Oviedo (fig. 1c). An oval dome collapses in Zaragoza, though another four identical domes remain safe (fig. 1d). Sometimes the building has to support new, heavier loads. The ruin of the abandoned (since the 19th Century) monastery of Melón should be consolidated, some vaults are rebuilt and the visitors can walk over them. A Franciscan Convent is going to be turned into a Cultural Centre, the loads to be supported being multiplied by a factor of two. A little medieval bridge is asked to support the pass of heavy lorries. These are some of the cases I have studied in the last two decades, all of them referring to questions of structural safety. These are the kind of situations which often occurs in the field of Historic Structures. They require a study and an answer. This is no scholarly work (though in some cases new lines of future research will emerge). A judgement must be made by the expert and this judgement affects the safety and economy, in the last instance, of people. As there are rarely unique answers, the behaviour of the expert, then, can also be judged as "ethical", if he proposes an intervention that is necessary and adequate (or, recommends no intervention, judging the situation safe), or "non-ethical", if recommends an unnecessary or disproportionate intervention. In relation to the monument, also, the proposal can be judged ethically; any intervention damaging seriously the character of the monument may be labelled un-ethical.

Business ethics: a way to identify fraud from the basics

When we look to perform a work for developing a framework to create a business and take it correctly, there are always some persons looking as a challenge those bases and finding a mistake. The way to work in these situations is not a matter of law, is a matter of devoting time to identify these situations. It is always said that the evil goes a step ahead. The business ethics have been altered for quite time by some would-be entrepreneurs. These people have learned to play with business ethics to show your business as prosperous as something that is sought to highlight and adulterate their results quickly. Once the company reaches an international dimension, many companies take on global responsibility and, in these cases where you can see if the objective has been to obtain a rapid capital increase or growth is in line with its proportions. A business ethics is based on establishing a strong base so that interest is encouraged from an early time. Good staff, organizational level should be achieved and not only at the company but, out of the company too. Thus, you can create a secure base to convince potential investors and employees about the business. There are no freeways in business ethics and all fast track can be or a genius or leads to failure. We must find where these jumps are occurring, such errors or corrections to business ethics and their rules. Thus we can differentiate a company or an entrepreneur who is working correctly from the cloaking. Starting from the basics of business ethics and studying the different levels from the personal to the prospect that the company shows in the world. Lets see where these changes are occurring and how we can fight against them and anticipate the market to possible cases of fraud or strange movements seeking to attract the unwary

Naturaleza, ética, y arquitectura: Autenticidad y criterios éticos que integran el desarrollo de una arquitectura más sostenible = Nature, ethics and architecture: Authenticity and ethics criteria that integrate the development of a more sustainable architecture

La ecología no solamente ha puesto de manifiesto problemas ambientales, sino que ha confirmado la necesidad de una nueva armonía entre los propios seres humanos y de éstos con la naturaleza y con todos los seres que la habitan. Es necesario un nuevo contrato que determine nuestras relaciones con la Naturaleza (Serrs1), y una nueva Ética para nuestras vidas (Guattari2). La ética medioambiental nos ha dado una visión universal y supra-generacional de la gestión de la naturaleza y como consecuencia, una nueva forma de construir nuestra ‘segunda’ Naturaleza, que es la arquitectura. ¿Qué es lo esencial que esta nueva ética exige para la arquitectura? Este es un momento crucial para reconsiderar los objetivos de la arquitectura, porque lo ‘eco’ está produciendo grandes cambios. ¿Implica esta era post-ecológica una particular ética, es decir, referida a sus fines y medios? ¿Porqué, para qué, para quién, cómo debemos hacer la arquitectura de nuestro tiempo? Es momento de afrontar críticamente el discurso de la eco-arquitectura, e incluso de repensar los propios límites de la arquitectura. El desarrollo actual del conocimiento medioambiental es esencialmente técnico y utilitario, pero ¿es el reto solamente técnico?¿Es suficiente la suma de lo medioambiental-social-económico-cultural para definirla? ¿Hay claves que nos puedan dar la dimensión ética de esta aproximación técnica-empírica? ¿Sabemos lo que estamos haciendo cuando aplicamos este conocimiento? Y, sobre todo, ¿cuál es el sentido de lo que estamos haciendo? La tesis que se propone puede resumirse: De acuerdo con el actual conocimiento que tenemos de la Naturaleza, la Arquitectura de nuestro tiempo deber reconsiderar sus fines y medios, puesto que la ética medioambiental está definiendo nuevos objetivos. Para fundamentar y profundizar en esta afirmación la tesis analiza cómo son hoy día las relaciones entre Ética-Naturaleza-Arquitectura (Fig.1), lo que facilitará las claves de cuáles son los criterios éticos (en cuanto a fines y medios) que deben definir la arquitectura del tiempo de la ecología. ABSTRACT Ecology shows us not only environmental problems; it shows that we need a new balance and harmony between individuals, beings, communities and Nature. We need a new contract with Nature according to Serres576, and a new Ethics for our lives according to Guattari577. Environmental ethics have given us a universal and supra-generational vision of the management of our Nature and, as a consequence, a new way to construct our ‘second’ nature, which is architecture. What is essential for this new architecture that the new ethics demand? This is a critical moment to reconsider the object of architecture, because the ‘eco’ is making significant changes in it. Are there any specifically ethical concerns (ends and means) in the post-ecological era? Why, for what, for whom, how should we make architecture in our times? This is the time to approach the eco-architectural discourse critically and to question the current boundaries of architecture itself: Where is eco-architecture going? The current development of environmental knowledge is essentially technical and utilitarian, but it is its technical aspect the only challenge? Is the sum of environmental-social-economic aspects enough to define it? Are there any clues which can give an ethical sense to this technical-empirical approach? Do we know what we are doing when we apply this knowledge? And overall, what is the meaning of what we are doing? Exploring this subject, this thesis makes a statement: In accordance with the actual knowledge of Nature, Architecture of our time must reconsider its ends and means, since the environmental ethics is defining new objectives. To support that, the thesis analyzes what the relationships between Ethics –Nature- Architecture (Fig. 53) are like nowadays, this will provide the clues of which ethical criteria (ends and means) must architecture of an ecological era define.

FORMAÇÃO DE PROFESSORES(AS) E RELAÇÕES INTERPESSOAIS: UM ESTUDO EM SÃO BERNARDO DO CAMPO

Este trabalho investiga as relações interpessoais entre professores(as) e formadores(as), tendo como foco o(a) Professor(a) de Apoio Pedagógico (PAP), na Prefeitura de São Bernardo do Campo. Analisa a complexidade que envolve o trabalho formativo e verifica as relações estabelecidas entre estes pares: hierarquia, intervenções formativas, relações de poder, trabalho coletivo e veiculações de conhecimento. O(a) PAP ao final do ano é avaliado(a), num passado recente, pelo grupo, e atualmente, pelo(a) diretor(a) e referendado a assumir a função no ano seguinte, dando continuidade ao seu trabalho ou não. Se não referendado, volta para a sala de aula. Observa-se que alguns(mas) PAP s vem conseguindo ser referendados(as) e mantém-se há dez anos na função. A questão desta pesquisa é: O que leva o(a) formador(a) de professores(as) a conseguir tal legitimidade do grupo? Foram realizadas entrevistas, com vistas a uma abordagem metodológica de Histórias de Vida com análise das trajetórias formativas e profissionais de sete PAP´s (três que estão na função desde 1998, quando da sua criação, e quatro que estão na função desde 2007). Os referenciais teóricos estão ancorados em Antònio Nóvoa quando discute identidade e autoconhecimento do(a) professor(a); Paulo Freire na abordagem sobre dialogicidade como prática da liberdade; Madalena Freire quando analisa a resistência e constituição de grupo. A conclusão da pesquisa aponta que para conquistar a legitimidade do grupo, o(a) formador(a) deve estar atento para não cair na armadilha da burocracia, a qual por muitos anos tem feito parte das instituições escolares, promovendo enquadramento e controle; também não deve se aprisionar na arrogância que a posição gestora pode suscitar. Para conquistar a legitimidade do grupo, a capacidade de enfrentamento dos medos e conflitos através do diálogo como prática da liberdade é fundamental e, neste sentido, construir uma identidade formadora da qual faz parte o ouvir atento e o observar apurado dos movimentos do grupo, demanda uma postura ética em que as relações se constroem através do respeito, amorosidade, fé nos homens e criticidade.(AU)

FORMAÇÃO DE PROFESSORES(AS) E RELAÇÕES INTERPESSOAIS: UM ESTUDO EM SÃO BERNARDO DO CAMPO

Este trabalho investiga as relações interpessoais entre professores(as) e formadores(as), tendo como foco o(a) Professor(a) de Apoio Pedagógico (PAP), na Prefeitura de São Bernardo do Campo. Analisa a complexidade que envolve o trabalho formativo e verifica as relações estabelecidas entre estes pares: hierarquia, intervenções formativas, relações de poder, trabalho coletivo e veiculações de conhecimento. O(a) PAP ao final do ano é avaliado(a), num passado recente, pelo grupo, e atualmente, pelo(a) diretor(a) e referendado a assumir a função no ano seguinte, dando continuidade ao seu trabalho ou não. Se não referendado, volta para a sala de aula. Observa-se que alguns(mas) PAP s vem conseguindo ser referendados(as) e mantém-se há dez anos na função. A questão desta pesquisa é: O que leva o(a) formador(a) de professores(as) a conseguir tal legitimidade do grupo? Foram realizadas entrevistas, com vistas a uma abordagem metodológica de Histórias de Vida com análise das trajetórias formativas e profissionais de sete PAP´s (três que estão na função desde 1998, quando da sua criação, e quatro que estão na função desde 2007). Os referenciais teóricos estão ancorados em Antònio Nóvoa quando discute identidade e autoconhecimento do(a) professor(a); Paulo Freire na abordagem sobre dialogicidade como prática da liberdade; Madalena Freire quando analisa a resistência e constituição de grupo. A conclusão da pesquisa aponta que para conquistar a legitimidade do grupo, o(a) formador(a) deve estar atento para não cair na armadilha da burocracia, a qual por muitos anos tem feito parte das instituições escolares, promovendo enquadramento e controle; também não deve se aprisionar na arrogância que a posição gestora pode suscitar. Para conquistar a legitimidade do grupo, a capacidade de enfrentamento dos medos e conflitos através do diálogo como prática da liberdade é fundamental e, neste sentido, construir uma identidade formadora da qual faz parte o ouvir atento e o observar apurado dos movimentos do grupo, demanda uma postura ética em que as relações se constroem através do respeito, amorosidade, fé nos homens e criticidade.(AU)

Ethics and access to teaching materials in the medical library: the case of the Pernkopf atlas*

Conflicts can occur between the principle of freedom of information treasured by librarians and ethical standards of scientific research involving the propriety of using data derived from immoral or dishonorable experimentation. A prime example of this conflict was brought to the attention of the medical and library communities in 1995 when articles claiming that the subjects of the illustrations in the classic anatomy atlas, Eduard Pernkopf's Topographische Anatomie des Menschen, were victims of the Nazi holocaust. While few have disputed the accuracy, artistic, or educational value of the Pernkopf atlas, some have argued that the use of such subjects violates standards of medical ethics involving inhuman and degrading treatment of subjects or disrespect of a human corpse. Efforts were made to remove the book from medical libraries. In this article, the history of the Pernkopf atlas and the controversy surrounding it are reviewed. The results of a survey of academic medical libraries concerning their treatment of the Pernkopf atlas are reported, and the ethical implications of these issues as they affect the responsibilities of librarians is discussed.

Clinical ethics revisited

A decade ago, we reviewed the field of clinical ethics; assessed its progress in research, education, and ethics committees and consultation; and made predictions about the future of the field. In this article, we revisit clinical ethics to examine our earlier observations, highlight key developments, and discuss remaining challenges for clinical ethics, including the need to develop a global perspective on clinical ethics problems.