Educating and Training the Workforce to Work with People with Dementia: Two Projects from the United Kingdom

Educating and training the dementia workforce is a global challenge, given the expected increasing number of people living with dementia across the world as the population ages. Two projects from the UK (one regionally and one locality based) investigated courses available to the workforce and mapped the content of identified courses against a locally developed dementia care pathway. The locality project included a survey of what percentage of staff time was spent with people living with dementia, and what percentage of staff caseloads were devoted to people living with dementia. There was a great variation in the extent of education and training available, with some stages of the dementia care pathway poorly addressed. An educational strategy for the dementia workforce in the UK might include four categories of education and training: basic dementia awareness, intermediate level, advanced level, and dementia awareness for managers. Staff requiring education and training might be divided into three groups: those employed to work specifically with people living with dementia and their families; those working with people who have other conditions but some of whom will have a coincidental dementia; those working with other conditions but in settings where a high proportion of their patients have a comorbid dementia. To improve workforce skills in dementia care will require actions across the whole of education and training for professionals and untrained workers who provide services to this group.     

What should an index of school segregation measure?

The article aims to make a methodological contribution to the education segregation literature, providing a critique of previous measures of segregation used in the literature, as well as suggesting an alternative approach to measuring segregation. Specifically, the paper examines Gorard, Fitz and Taylor’s finding that social segregation between schools, as measured by free school meals (FSM) entitlement, fell significantly in the years following the 1988 Education Reform Act. Using Annual Schools Census data from 1989 to 2004, the paper challenges the magnitude of their findings, suggesting that the method used by Gorard et al. seriously overstates the size of the fall in segregation. We make the case for a segregation curve approach to measuring segregation, where comparisons of the level of segregation are possible regardless of the percentage FSM eligibility. Using this approach, we develop a new method for describing both the level and the location of school segregation.     

Multicultural early childhood education: practices and challenges in Malaysia

Multicultural early childhood education is necessary in a culturally diverse country like Malaysia. Preschool teachers play an important role in implementing multicultural education in the classroom. This paper reports the findings of a self-report questionnaire involving 854 preschool teachers in Malaysia. The preschool teachers disclosed their current multicultural education practices as well as the challenges they encountered when implementing multicultural education. While the majority of teachers claimed that they implemented multicultural education, a closer examination revealed that most of them used the tourist or contribution approach which focuses on only the outward manifestations of a culture when dealing with multicultural education. The transformation or anti-bias approach was used by only a small number of teachers. The teachers identified some challenges in multicultural education implementation, such as lack of instructional resources and the lack of stakeholder support. Thus, it is important to ensure teachers develop more critical understandings of multicultural education through teacher education training and programs. Other efforts to help teachers overcome challenges in implementing multicultural education include producing and developing more instructional materials and learning aids, which are suitable for young children and appropriate for the local context. Preschool teachers also need stakeholders to give more support and to acknowledge the importance of implementing multicultural early childhood education.     

ATTITUDES TOWARD AGING AMONG PACIFIC ISLANDER HEALTH STUDENTS IN FIJI

The relation between attitudes to aging and cultural values is a complex one. This study contrasts attitudes to aging among Pacific Islander students with attitudes in a comparable Australian sample. Australian society is represented as ageist, whereas Pacific Islander cultures are reported to be age-inclusive. Attitudes were assessed using the Reactions to Ageing Questionnaire, and data also were collected on levels of intimate contact with older people, said to be related to attitude. A comparison of Australian with Pacific Islander data showed no difference in attitude or degree of intimate contact. Within the Pacific Islander sample indigenous Fijians had significantly more positive attitudes than did Indo-Fijians and significantly more intimate contact. Indo-Fijians, but not indigenous Fijians, also were significantly more negative in attitude than Australian students. Educators aiming to incorporate gerontological knowledge and to challenge ageism in the curriculum should not assume student attitudes are congruent with traditional cultural beliefs. They need to be knowledgeable about and sensitive to differences among various cultural groups within the student population, especially where those students will have the health care of the old in their hands in the future.     

Social Work and Criminal Justice: Are We Meeting in the Field?

Social workers are needed but infrequently involved with criminal justice systems. One way to increase the number of social workers in the criminal justice system is by exposing students to work in these settings. This study examined the number, types, and utilization of criminal justice field placements in MSW programs by surveying field education directors. On average, 7.73% of field placements were in criminal justice settings. When asked about barriers to criminal justice placements, the most frequently identified challenge was a lack of MSW supervisors. Implications for future research and education are discussed.     

Seroprevalence of SARS-CoV-2 in Croatian solid-organ transplant recipients

IntroductionThe data on the coronavirus disease (COVID-19) in solid-organ transplant recipients (SOTRs) in Croatia is unknown. The aim of this study was to analyze the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Croatian SOTRs.Materials and methodsFrom 7 September to 27 November 2020 (beginning of the second COVID-19 pandemic wave), a cross-sectional screening for COVID-19 was performed in the adult outpatient liver (LTRs; N = 280) and kidney transplant recipients (KTRs; N = 232). Serum samples were initially tested for SARS-CoV-2 IgG antibodies using a commercial enzyme-linked immunosorbent assay (ELISA; Vircell Microbiologists, Granada, Spain). All positive samples were confirmed using a virus neutralization test (VNT). Data on risk exposure and COVID-19 related symptoms were collected using a questionnaire.ResultsThe transplanted cohort’s seroprevalence detected by ELISA and VNT was 20.1% and 3.1%, respectively. Neutralizing (NT) antibodies developed in 15.6% of anti-SARS-CoV-2 ELISA IgG positive SOTRs. The difference in seropositivity rates between LTRs and KTRs was not statistically significant (ELISA 21.1% vs. 19.0%, P = 0.554; VNT 3.6% vs. 2.6%, P = 0.082). Overall VNT positivity rates were higher in patients who reported participation in large community events (5.9% vs. 1.0%; P = 0.027) as well as in patients who reported COVID-19 related symptoms in the past six months. In addition, symptomatic VNT positive patients showed significantly higher (P = 0.031) NT antibody titers (median 128, interquartile range (IQR) = 32-128) compared to asymptomatic patients (median 16, IQR = 16-48).ConclusionsThis study showed that 15.6% of anti-SARS-CoV-2 ELISA positive Croatian SOTRs developed NT antibodies indicating protective immunity. Further studies are needed to determine the dynamic of NT antibodies and COVID-19 immunity duration in immunocompromised populations such as LTRs and KTRs.     

Analyzing the functional dynamics of technological innovation systems: A scheme of analysis

Various researchers and policy analysts have made empirical studies of innovation systems in order to understand their current structure and trace their dynamics. However, policy makers often experience difficulties in extracting practical guidelines from studies of this kind. In this paper, we operationalize our previous work on a functional approach to analyzing innovation system dynamics into a practical scheme of analysis for policy makers. The scheme is based on previous literature and our own experience in developing and applying functional thinking. It can be used by policy makers not only to identify the key policy issues but also to set policy goals.     

Learning as Participation in Social Practices: Interpreting student perspectives on learning

This article explores a small group of students' observations on their learning as they come to the end of an A-level Politics course. It draws on the insights of Vygotsky and other theorists influenced by him, such as Lave, Wenger, Rogoff and Engestro¨m, who have made important contributions to study of the social and participatory nature of learning, particularly, but not exclusively, in contexts outside the school environment. These ideas illuminate the 'communities of practice' found within educational institutions. The students' perspectives reveal perceptions about the learning process and provide a sense of what they have valued during this phase of their studies. Whilst education in formal environments may be criticised for the constraints on learning, classrooms may promote activity that encourages learners to identify their problems with existing knowledge, to question and speculate in ways that transform understanding. Collaborative practices have enabled students to enhance understanding of subject knowledge and to develop skills.     

When a Culture Takes a Trip: Evidence of Heritage and Enculturation in Early Conceptions of Art

This study in social cognition has been focused on exploration of ways in which cultural contexts shape formation of knowledge about art in early childhood years. Focusing of the connotative rather than denotative meanings of the term art, this study was designed to examine how this concept functions in a variety of cultural contexts. The method of structured interviews was used to elicit answers of four- and five-year-old children in Canada, France, and Taiwan to questions regarding the nature of art and its salient characteristics. In particular, this study addressed questions about portability of culture and the effects of heritage and enculturation in the formation of social knowledge among individuals whose cultural identity is negotiated in the context of a ‘transplanted’ culture. Responses of francophone children in the Canadian province of Quebec were contrasted with those of their French counterparts, as well as their Canadian peers from European ancestry other than French living in the province of British Columbia. Similarly, responses of interviewees in Taiwan, ROC were compared to the reported beliefs about art of young Chinese-Canadians. The results of this study bring support to the theory of modified cultural pluralism that emphasizes the interplay between the original cultural beliefs and values and those prevalent in the societies that become new home for a transplanted culture. Implications of the study findings to art education are discussed. Research reported in this paper has been supported by a grant from the Social Studies and Humanities Research Council of Canada and the France-Canada Accord.     

The angiogenetic effect of intramuscular administration of b-FGF and a-FGF on cardiac muscle: the influence of exercise on muscle angiogenesis

Although angiogenetic therapy using recombinant growth factors holds much hope for the treatment of ischaemic diseases, there are still many unanswered questions, including the method of administration, the correct dose of these factors, and the duration of the therapeutic approach. Exercise has also been suggested to induce neovascularizaiton in muscles. We evaluated the angiogenetic effects of the intramuscular administration of basic-fibroblast growth factor (b-FGF) and acidic-fibroblast growth factor (a-FGF) in rat heart, compared with rats who exercised daily. In conclusion, both the intramuscular administration of b-FGF and exercise increased significantly angiogenesis in the heart in contrast to the intramuscular administration of a-FGF, which was ineffective.