MULTILINGUAL COMMUNITIES ENGAGING IN DISTANCE LEARNING: What Lessons Can Be Learned?

While distance education technology combines individual locations virtually, distance education communities are shaped by how participants share resources. Distance education communities are established over time through overlapping spheres of influence. Research is needed that considers how transnational families and students are either invited or discouraged from sharing their linguistic and cultural resources within distance education communities. This article describes the results of a 2-year qualitative study that examined distance education communities containing transnational multilingual elementary students and families. This article discusses factors that should be considered when supporting distance education programs.

Introduction

L'industrie automobile est a la croisée des chemins, car elle est soumise a une conjonction d'externalités d'une ampleur et d'une intensité rarement vues : absorption de toutes les crises récentes, celles du Covid et des semi-conducteurs, mais aussi celle de la hausse des prix de l'énergie. C'est celui de parvenir å intégrer ces techniques afin de parvenir a réinventer l'automobile de demain, une automobile connectée, robotisée et traitant automatiquement de grands volumes de données afin de progresser en intelligence, et de mettre celle-ci au service de l'humain, pour un usage réinventé de l'automobile et pour instaurer un systéme de mobilité plus durable. Il appelle ainsi a mieux cibler l'accompagnement des fournisseurs pour faire émerger une nouvelle génération d'ETI et aussi l'apparition de grands équipementiers leaders dans le monde de l'électrique, de l'hydrogene et, plus globalement, de l'automobile de demain. Il demande aussi que l'Europe se donne du temps pour s'adapter a la transition en protégeant temporairement, a l'instar des États-Unis, son marché intérieur.

The French automotive industry faces the challenge of the ecological transition

[...]the vehicle of the future must be considered within the broader framework of the mobility of the future, taking into account the entire value chain. Transforming our future into a sustainable future: planning for the automotive transition Didier Sepulchre de Condé, Mechanical industry The automotive industry is in turmoil, firstly because of the economic situation, with a market deeply affected by Covid, shortages of materials and components and disoriented customers;and secondly because of the structural situation, with the forced transition to electrification. The four paradoxes of the ecological transition of the European car industry Alois Kirchner, Former Director of Cabinet of the Minister for Industry The energy transition in the automotive sector is essential for achieving French and European climate objectives. [...]the actions implemented come up against four paradoxes, which must be overcome if this transition is to succeed: * the regulation on the reduction of CO2 emissions from the tank to the wheel, to the exclusion of other sources which now represent the majority of emissions from new vehicles;* the steering of vehicle traffic restrictions based on Crit'air stickers, leading to the prohibition of access to certain cities for vehicles that are more virtuous than others that are still allowed to enter;* the inability to implement policies to support the production of vehicles on European soil that are sufficiently powerful to halt the fall in associated jobs;a situation that benefits production sites that are not subject to the same environmental standards;* and the rising price of "green" vehicles, leading to a slowdown in the renewal of the fleet and the maintenance of a high level of pollution and carbon emissions.

Best practices for pediatricians in diagnosing and treating asthma

Additionally, they can treat atopic comorbidities such as atopic dermatitis, chronic urticaria, nasal polyps, eosinophilic esophagitis, and hypereosinophilic syndrome, resulting in improved quality of life for our patients. Parents should be made aware of its updated black box warning for possible effects on mental health and behavior changes,3 including but not limited to suicidal ideation. FDA requires boxed warning about serious mental health side effects for asthma and allergy drug montelukast (Singulair);advises restricting use for allergic rhinitis.

Indian Act Philanthropy: Why are Community Foundations Missing from Native Communities in Manitoba, Canada?: Revue Canadienne de Recherche sur les OSBL et l'Économie Sociale (ANSERJ)

Un modèle philanthropique axé sur le développement communautaire serait-il en train de renforcer les politiques coloniales plutôt que d'offrir des bénéfices économiques équitables? Cette étude analyse les transcriptions de vingt webinaires publics sur la philanthropie et la Loi sur les Indiens et évalue les 54 fondations communautaires établis au Manitoba, Canada. Ces 54 fondations servent seulement les villes et municipalités des colons-il n'y en a pas une seule dans les communautés autochtones. Comme elles ne desservent que leurs régions géographiques spécifiques, les fondations communautaires au Manitoba concentrent la richesse dans les villes et municipalités dominées par les colons, accaparant des ressources qui pourraient aider les communautés autochtones. Ce modèle philanthropique, en excluant les communautés les plus pauvres du Manitoba, renforce la marginalisation, la pauvreté et les risques de santé dans les communautés autochtones.Alternate :Could a philanthropic model aimed at community development enforce colonial policy rather than providing equitable economic opportunity? This research analyzes the transcripts of 20 public webinars on philanthropy and the Indian Act and maps the 54 community foundations in Manitoba, Canada. All 54 community foundations in Manitoba service only settler-dominated cities and municipalities, with none on Native communities. As community foundations serve only their specific geographical areas, the community foundations in Manitoba effectively concentrate wealth in settler-dominated cities and municipalities, taking away needed resources from Native communities. In excluding the poorest communities in Manitoba, this philanthropic model further entrenches marginalization, poverty, and health risks for Native people on Native communities.

Continuance intention in financial technology: a framework and meta-analysis

PurposeAlthough many studies have sought to address the topic of continuance intention among Fintech customers, the reported findings are fragmented. Therefore, the present study proposes a research model that integrates the main constructs involved in Fintech continuance intention.Design/methodology/approachThe current study uses a meta-analytic-based correlation analysis of effect sizes, meta-regression analysis and meta-analytic structural equation modeling, with 247 effect sizes in 69 studies involving 26,140 respondents.FindingsThe results reveal continuance intention is driven by satisfaction and trust, with ease of use and usefulness being antecedents of satisfaction and trust. The authors also found evidence to show satisfaction partially mediates the relationship between ease of use and continuance intention and that trust fully mediates the relationship between ease of use and continuance intention and partially mediates the relationship between usefulness and continuance intention. In addition, the authors found that in Western countries, with higher Human Development Index levels and greater of use of electronic payment, satisfaction has more impact on continuance intention.Practical implicationsFrom a theoretical standpoint, this meta-analytic study has implications for the literature on Fintech by offering an empirical generalization on the strength of the antecedents of Fintech continuance intentions and by testing possible moderators in a wide range of countries and studies. In other words, this study's goal is to broaden the scope of the research. Regarding managerial implications, it is important to listen to user opinions regarding the positive and negative points of their experience with these technologies and take them into consideration when planning improvements. Additionally, the analysis shows the importance of using data from user interaction with technology, obtained, for example, through big data analytics, whereby companies can see how users behave, how much time they spend accessing certain functions and which technological features they use most, and thus seek to improve whatever is needed.Originality/valueThis meta-analytic study advances the understanding of Fintech continuance intentions. Using the proposed approach, it is possible to generate accurate estimates of the effect size of each analyzed antecedent as the meta-analytic method jointly evaluates the results produced by a wide variety of studies performed in different contexts, allowing more accurate conclusions to be drawn.

Vaccines for COVID-19 arm RSV: An update

[...]in this case, the Pfizer/BioNTech response-which is appropriate-is that if the level of antibodies is too low, we may need a third dose in the age group of 2 to 5 years. All that said, it seems the existing vaccines now have a 3-dose series in adults;we don't know necessarily yet for children if 2 or 3 doses will be necessary for all the mRNA vaccines, but there are reasonably good data that the immune responses induced may still provide a level of protection that is reasonable. Whenever there is a new variant, there are basic science laboratories in various parts of the world that are poised to immediately do studies with model systems in which they can put the variants into a virus that is not pathogenic and ask the question "Do the antibodies from some of the recipients of the vaccine provide some level of protection in a laboratory study?" With the Omicron surge being so big, we were able to get a pretty good idea of whether people who had received the vaccine were significantly less likely to have significant consequences from infection. William J. Muller is an attending physician of infectious diseases and scientific director of clinical and community trials at the Stanley Manne Children's Research Institute at Ann & Robert H. Lurie Children's Hospital of Chicago and an associate professor of pediatrics at Northwestern University Feinberg School of Medicine in Chicago, Illinois.

The rise of the variants

Case fatality rates were lower during the Delta-dominated period than the Omicron period, however.3 Additionally, the report included the caveat that vaccination rates also increased from the period of Delta-dominated infections until Omicron took over.3 Although the US increase in the Omicron XBB variant is still relatively new, it has been significant, rising from about 4% of cases in a week to more than 40%,' dwarfing the Australian study's estimates of a weekly growth rate of around 57%.2 It is still too early to estimate the exact impact of the Omicron XBB variant, but some experts believe they have zeroed in on the source of its potency. The mechanism for higher transmis-sibility in this variant is still a mystery, but increased angiotensin-converting enzyme 2 binding in this latest variant explains its superior growth and resistance to antibodies.4 Changes to the spike protein-the major target for vaccines-and monoclonal antibodies in the XBB variant make it more immune evasive than previous Omicron variants, data from another study suggested.5 Omicron, XBB, and children Most of the data on the impact of the Omicron strains that have taken over US COVID-19 infections focus on adult patients, but some reports have estimated the impact on the pediatric population specifically. [...]he said, influenza has taken over both COVID-19 and respiratory syncytial virus (RSV) cases in his community.

PCL-based nanoparticles for doxorubicin-ezetimibe co-delivery: A combination therapy for prostate cancer using a drug repurposing strategy

Results: The average size of nanoparticles (NPs) observed by field emission scanning electron microscopy (FE-SEM) was around 82?23.80 nm, 59.7?18.7 nm, and 67.6?23.8 nm for EZ@ PCEC, DOX@PCEC, and DOX+EZ@PCEC NPs, respectively, which had a spherical morphology. Based on the MTT assay results, PCEC copolymer exhibited negligible cytotoxicity on the PC3 cell line. [...]PCEC was a biocompatible and suitable nano-vehicle for this study. In preclinical studies, not only statins, but also EZ, demonstrated antitumor activity in PCA cells and synergistic toxicity when combined with other anti-cancer drugs.12 Recently, repurposing the efficacy of the currently used anti-viral drugs, such as remdesivir and favipiravir, has attracted a lot of attention to fight COVID-19.13 Use of drug combinations could increase the success rate of drug repurposing screens. [...]a better knowledge of these therapeutic modalities is needed for improved cancer therapy14 Combination therapy based on nano codelivery is an effective method to overcome chemotherapy limitations. [...]the prepared copolymer was placed under the vacuum to evaporate the solvent and dry it.19 Preparation of drug-loaded PCEC NPs NPs were prepared using both double emulsion (W /O/ W2)21 and simple emulsion (O/W) methods (Fig.

Concern, Conflict, and Chaos: Nebraska Educator Experiences during the Pandemic

During the spring of 2020, Nebraska's 983 public schools sat vacant, and Nebraska's 329,290 Pre-Kindergarten to Grade 12 students were learning in environments other than school. Educators were expected to pivot quickly from traditional classroom instruction to remote experiences. Understanding the effects of the pandemic on educators is necessary to effectively meet their needs and the needs of students. The purpose of this study was to identify and describe the experiences of Nebraska's urban and rural PreK-Grade 12 educators during the early stages of the COVID-19 pandemic. In surveys collected in July 2020, participants (i.e., superintendents, principals, and teachers) completed both fixed-response items and one open-ended question that assessed experiences during the initial pandemic-related school closings. The results indicate educators identified lack of family help and inability to engage students as a top concern about student academic progress. Educators reported dramatic increases in stress during school closures. Many reported coping only somewhat well or worse. Educators also reported personal challenges with remote instruction, including mental health issues and blurred work- and home-life boundaries. Significant differences were found between rural and urban educators, as well as between elementary and secondary educators. Direct quotes from participants vividly describe their lived experiences.

Racism in pediatric health

SPECIAL REPORT Since the inception of the United States, social, economic, political, and scientific institutions have been built on a foundation emphasizing the inferiority of individuals related to phenotypic differences.1 This hierarchy ensconced white individuals as superior to all other groups with Native Americans and Blacks on the bottom. Some fifty years after the discovery of the genetic code, at a White House ceremony in 2000 to announce the discovery, Craig Venter, a pioneer of DNA sequencing, observed, "The concept of race has no genetic or scientific basis. With structural or institutional racism, there is decreased access to health care and resources for education, leading to lower health literacy and fewer health care providers of color.12'13 Over time, this has led to a distrust of the health care system as a whole by POC due to widely publicized historical events such as the Tuskegee Syphilis Study and the Marion tuberculosis outbreak. [...]non-Hispanic Blacks have a higher prevalence of recurrent asthma exacerbations and hospitalizations than Whites after adjusting for demographic and socioeconomic factors.16 One study revealed that with non-Black children, poor children were 45% more likely than children who were not poor to have asthma.

Preparing to See Hope: On the Utopic Potentiality of the Stories We Share

I framed my response to your presidential address as a letter in hopes that this intimate form will find you and others in the vein of the words you cite from Audre Lorde, "the personal as political.” Writing to you in this way allows me to aspire after the intimacy denied by the virtual 2021 ASA conference, to imagine what it would have been like to be in a shared space, feeling the urgency of your call for "Love and Resistance in a time of COVID.” This letter, then, might be read as a yearning for social and intellectual associations that have been made dangerous, not least by the COVID-19 pandemic, but also by the increased policing of our work as scholars and teachers in a nation and within institutions organized around the violences of settler colonialism and white supremacist politics hostile to the flourishing of minoritized life and knowledges. Let me begin by thanking you for the story of your experience growing up as a mixed-race Cambodian American adoptee in Valdosta, Georgia. Your evocative descriptions helped ground me in time and place, from the significance of Valdosta as a site of "refuge” during the American Civil War to its transformation over the course of Reconstruction and Jim Crow to the 1980s, when it became the scene of the "most formative” years of your childhood. The reflections you shared on the loneliness you experienced, and the painful "lesson of indifference” instructed by your father, who believed it best to keep the racist crimes committed against your family "to oneself simply because ‘no one cared' and doing otherwise would lead to undeniable trouble and unreconciled hurt,” were deeply affecting and illuminating. Your story finds resonance with the work of Leslie Bow, Lee Isaac Chung, and Monique Truong, who elucidate histories of Asian racial formation and sociality in the US South.1 As a recent transplant to Tallahassee, a north Floridian city that often feels like a part of south Georgia, these texts and your words have helped me negotiate the conflicting feelings and palimpsestic temporal geographies of a place I am still trying to make into home

Happy 2023!

Burnout among physicians has been associated with a significantly higher risk of making errors (eg, medication errors, diagnostic errors, and decision-making errors,) leading to suboptimal patient care and reduced patient satisfaction. O The Nutrition feature is an interesting discussion of the latest food trends and food labels, as well as how to break down this information when discussing with parents. O The Dermatology section features a compelling case of an adolescent boy with scalp thickening and skin folding.

At last, a silver lining

Medical Director, International Patient Services Program, Co-Director, Pediatric Travel Medicine Clinic, Director, International Adoptee Clinic, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois contributing editors Bernard A. Cohen, MD Section Editor for Dermcase, Professor of Pediatrics and Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland Jon Matthew Farber, MD Section Editor for Journal Club, pediatrician, ALL Pediatrics, Woodbridge, Virginia Carlton K.K. Lee, PharmD.MPH, FASHP.FPPAG Section Editor for The Clinical Pharmacologist's Notebook, Pediatric Clinical Pharmacy Specialist, Department of Pharmacy, and Associate Professor, Department of Pediatrics, Johns Hopkins Medical Institutions, Baltimore, Maryland MinaL.Alfieri.MD, MS nstructor of Pediatrics, Feinberg Schoo of Medicine, Northwestern University Attending Physician, Academic General Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois AminJ. MSCE Assistant Professor of Pediatrics, George Washington University School of Medicine and Health Sciences;Pediatric Infectious Diseases Attending, Director, Antimicrobial Stewardship Program, Associate Fellowship Program Director, Children's National Hospital, Washington, DC Michael S. Jellinek, MD Professor of Psychiatry and of Pediatrics, Harvard Medical School, Boston, Massachusetts Candice Jones, MD Board-certified general pediatrician in group practice in Orlando, Florida, former National Health Service Corps Scholar, AAP member, spokesperson and author Andrew J. Schuman, MD Clinical Assistant Professor of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Steven M. Selbst, MD Professor of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, Attending Physician, Pediatric Emergency Medicine, Nemours/Alfred I duPont Hospital for Children, Wilmington, Delaware As 2021 gets underway and an increasing number of coronavirus disease 2019 (COVID-19) vaccines are administered, I believe that 2021 will be much more of a "normal" year, especially with the hope of COVID-19 vaccine availability for children by fall 2021. Issues discussed include illnesses more prevalent in children of color, such as asthma, sickle cell disease, and COVID-19;the difference in pain managementfor White children versus children of color;and how bias impacts mental health issues in children of color.

COVID-19 A Longitudinal Perspective on Sustained Remote Teaching From the Republic of Korea

In the Republic of Korea, the COVID-19 pandemic coincided with the start of the 2020 academic year and saw emergency remote teaching (ERT) emerge as a way of maintaining educational continuity for millions of students. While ERT was new and unplanned at the time, the practice became sustained over the semesters that followed, marking a shift from ERT to sustained remote teaching (SRT). Questions remain, however, whether students' experiences and perceptions with learning remotely would improve as a result of institutional preparedness and faculty experience. Given this, we investigated exchange students', a unique group of students who are historically interested in having place-based residential education, experiences, and perceptions with SRT while attending college in Korea. We administered a survey to 140 (spring 2020), 93 (fall 2020), 141 (spring 2021), and 143 (fall 2021) exchange students where they rated their perceptions of teaching and learning processes, student support, and course structure with their SRT learning experiences. Independent-samples one-way ANOVAs comparing perceptions between Semester 1 and 2, Semester 2 and 3, Semester 3 and 4, and Semester 1 and 4 indicated several statistically significant mean score increases, though the scope and degree of the changes are ultimately minor improvements and interpreted as insignificant. Implications for SRT policy and future research are discussed.

Decoding Rahul Gandhi's public deliberation with experts

This is summary of comments on Rahul Gandhi's much publicised discussions with experts on prescriptions to deal with COVID-19 pandemic and its impact. The article questions the purpose of theses deliberations and comments on the political impact of this public spectacle on brand Rahul Gandhi. There is no doubt that perception and symbolism sometimes matter more than reality in politics but then it should be consciously cultivated to portray the right image. The political space is dominated by super human leaders like Prime Minister Modi who claim mastery on everything. Rahul Gandhi needs to understand his key capabilities ensure that the right message effectively reaches his target audience through the offline and online media.

What are the health care protocols in a postpandemic world?

A brief look back On lanuary 31, 2020, US Secretary of Health & Human Services Alex Azar declared the COVID-19 virus a public health emergency and ordered all US citizens returning from the Wuhan, China, region to quarantine for 2 weeks. Rapid diagnostic tests were quickly distributed, personal protective equipment (PPE) was secured, and vaccines were developed in record time. A recent study suggests that young children mount a T-cell activation when exposed to non-COVID-19 seasonal coronavirus infections, which either prevents COVID-19 infections or provides enough protection to render most infections mild.2 In addition, despite the endorsement of the American Academy of Pediatrics (AAP) and the CDC, not many young children were vaccinated against COVID-19 once the FDA approved it use, eventually allowing it to be administered to those as young as 6 months.

Comparison of Survivorship and Failure Modes Between Anatomic and Reverse Total Shoulder Arthroplasty Across Multiple Government Joint Registries for a Single Platform Shoulder System

[...]recent years have seen a dramatic shift in utilization of rTSA in which rTSA is increasingly used to treat OA in patients with an intact rotator cuff, with a corresponding decline in use of aTSA.1-5 The reasons for this shift in usage are multi-factorial but may be due to the perceived lower risk of revision surgery with rTSA relative to aTSA, as the quality of the rotator cuff muscles and tendon are not necessary for a functional rTSA but are pre-requisite for a functional aTSA. Furthermore, these registries have high rates of government-mandated compliance such that all patients are enrolled and very few patients are lost to follow-up, thus minimizing the potential for selection bias that is inherently present in nearly all nongovernment registry clinical outcome studies. [...]to better understand the relative differences in primary aTSA and primary rTSA usage and performance, we analyzed two different government joint registries for survivorship and for reasons for revision associated with one platform shoulder system and compared trends in usage of aTSA and rTSA over a period of over 10 years to elucidate reasons for any market trends. Additionally, reasons for revision and the cumulative revision rate were assessed across the government joint registries to quantify and compare the performance of this platform shoulder prosthesis for primary aTSA and primary rTSA in each country over the study period. Over the period of analysis, use of primary aTSA and primary rTSA with the particular platform system has increased year to year in both Australia and the UK, with the exception of a decline in 2020 and 2021 due to COVID-19.