Examine the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of an evidence-based physical activity and nutrition curriculum disseminated to after-school programs. Program components included nutrition, physical activity, and sustainability, adapted to after-school settings and disseminated across 4years (2004)(2005)(2006)(2007)(2008). The RE-AIM framework was used to evaluate dissemination quality through direct observations, surveys, and interviews. In the final year, the Fun 5 program was implemented in 90% (>22,000 students) of Hawai'i after-school sites. Despite substantial annual increases in program reach, implementation and adoption remained consistently effective, and students' physical activity levels during program activities peaked in the final year. Further, evaluations demonstrated strong long-term program sustainability potential. The Fun 5 program demonstrated promise for long-term maintenance with potential for a public health impact among Hawai`i after-school students. Future emphasis on wide-spread program dissemination is encouraged, bridging research and community efforts to improve our children's health and impact public health.
Dental and medical practice often requires an interdisciplinary approach integrating the knowledge, skills and experience of all the disciplines of dentistry, medicine and its associated fields into comprehensive treatment to maximize results. Rapid and comprehensive scientific and technological advances have made it difficult for dental and medical practitioners to keep up to date in their fields; thus, to decrease practitioner frustration and increase patient benefits, an interdisciplinary approach has become essential. This report illustrates how therapy was coordinated for a young medically compromised patient with dental phobia and significant dental problems. The latest advances in dental techniques and materials, medical technology and pharmacology are highlighted. The communication and cooperation of team members with each other and with the patient and guardians is illustrated. The astute observation by a medical practitioner in an unrelated discipline led to the improvement in the quality of life for a patient.
Cristina has seen many changes in her years of teaching students with significant needs. Her very first classroom was a “life skills” class in a cluster setting at an elementary school 11 years ago. She worked diligently to help her students become more independent, with the goal of placement in their neighborhood school's general education classroom. Cristina is familiar with the academic demands of the school curriculum in the age of accountability, and she is very aware of the intense educational needs of her students. During the most recent district special education meeting, her director discussed the necessity for all individualized education program (IEP) objectives to be based on the general education curriculum. Thinking about the individual needs of her students, Cristina wonders if perhaps inclusion has gone one step too far. How is she going to teach IEP objectives in reading, writing, math, science, and social studies when some of her students are unable to speak, write, or use cause-and-effect software?
A distance-delivered course in plant biotechnology targeted for high school science teachers was offered for graduate credit by Clemson University. Objectives of this course were to update and strengthen knowledge of molecular genetics, genetic engineering, and associated technology; to provide ideas for high school laboratory and science fair projects; and to increase awareness of modern technology used in agronomy and agriculture. Instructional strategies designed to facilitate and reinforce learning were incorporated into a comprehensive study guide that accompanied the 36 videotaped lessons. Students viewed these lessons independently according to a schedule provided in the course syllabus. During alternate weeks, a 1.5-h live interactive session with one-way video and two-way audio was broadcast. This session served as a tutorial to focus, reinforce, and clarify the learning objectives for the lessons covered. Two Saturday sessions on campus provided experience with laboratory techniques associated with recombinant DNA technology and plant tissue culture. Student response to this format was very favorable. This course is intended to promote literacy in biotechnology and appreciation of the potential solutions of modern agricultural problems.
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