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This article reports that the Massachusetts Department of Education responds to a critique of its tests of English Language Arts done by education critic Susan Goldsmith. Having read Goldsmith's thoughtful evaluation of the 2001 Massachusetts Comprehensive Assessment System English Language Arts tests, the Department of Education addressed some of the issues and challenges she raised. In English Language Arts, the learning standards contained in the curriculum framework are organized into sequences that measure language, reading comprehension, writing and revision.

Analyzes the effects of seminars on the attitude of junior medical students towards many aspects of the health care system in the U.S. Need for physicians to be actively involved on social issues; Response of students to seminars; Evaluation of changes in the attitudes of the students before and after the seminar.

Introduction: Stop the Bleed (STB), and other trainings that promote health education in basic trauma management techniques, is offered mostly in English and Spanish in the United States. Limited access to injury prevention training may contribute to inequities in health outcomes for individuals with limited English proficiency (LEP). Our study aims to determine the feasibility and effectiveness of STB training in 4 languages spoken in a super diverse refugee settlement community, Clarkston, GA. Methods: Written STB educational materials were culturally adapted, translated, and back translated into 4 languages: Arabic, Burmese, Somali, and Swahili. Four 90-minute in-person STB trainings were conducted by medical personnel with community-based interpreters at a central and familiar location in the Clarkston community. Pre- and post-tests were administered in participant's preferred language to evaluate change in knowledge and beliefs as well as the effectiveness of the training method. Results: A total of 46 community members were trained in STB, the majority of which were women (63%). Participants demonstrated improvement in their knowledge, confidence, and comfort using STB techniques. Participants reported that 2 aspects of the training were particularly beneficial: the presence of language concordant interpreters from the community and small group hands on sessions that allowed for practicing STB techniques. Conclusion: Cultural and linguistic adaptation of STB training is a feasible, cost-effective, and effective method for disseminating life-saving information and trauma education to immigrant populations who have LEP. Expansion of community training and partnerships to support the needs of diverse communities is both necessary and urgent. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to evaluate the prevalence of obstetric and gynecologic (Ob/Gyn) hospitalists and determine if an association exists between the presence of Ob/Gyn hospitalists and severe maternal morbidity (SMM)., Methods: This observational study included data from hospitals listed in the USA TODAY 's 2019 article titled, "Deadly deliveries: Childbirth complication rates at maternity hospitals." Telephone and email surveys of staff in these hospitals identified the presence or absence of continuous providers in the hospital 24 hours, 7 days a week (24/7 coverage) and the types of providers who are employed, then compared these responses with the SMM cited by USA TODAY ., Results: Eight hundred ten hospitals were contacted, with participation from 614 labor and delivery units for a response rate of 75.8%. Fifty-seven percent of units were staffed with 24/7 coverage, with 46% of hospitals' coverage primarily provided by an Ob/Gyn hospitalist and 54% primarily by a nonhospitalist OB/Gyn provider. The SMM and presence of 24/7 coverage increased with the level of neonatal care and delivery volume. Of hospitals with 24/7 coverage, those that primarily used Ob/Gyn hospitalists had a lower SMM for all mothers (1.7 versus 2.0, P = 0.014) and for low-income mothers (1.9 versus 2.30, P = 0.007) than those who primarily used nonhospitalist OB/Gyn providers., Conclusions: Severe maternal morbidity increases with delivery volume, level of neonatal care, and 24/7 coverage. Of hospitals with 24/7 coverage, units that staff with Ob/Gyn hospitalists have lower levels of SMM than those that use nonhospitalist Ob/Gyn providers., Competing Interests: The authors disclose no conflict of interest., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

Animal cloning is "complex process that lets one exactly copy the genetic, or inherited, traits of an animal." In 1997, Dolly the sheep was the first animal cloned and since then "scientists have used animal cloning to breed dairy cows, beef cattle, poultry, hogs and other species of livestock." Cloned animals are highly attractive to livestock breeders because "cloning essentially produces an identical copy of an animal with superior traits." The main purpose of cloning livestock is "more focused on efficiency and economic benefits of the producer rather than the overall effect of cloning on an animal's physical and mental welfare." The focus of this article is threefold. First, the science behind animal cloning is explained and some potential uses and risks of this technology are explored. Second, FDA's historical evolution, current regulatory authority, and limitations of that authority, is described. Lastly, a new regulatory vision recognizes the realities of 21st century global markets and the dynamic evolution of scientific discovery and technology.

Targeting the sources of phosphorus (P) and transport pathways of drainage from agricultural land will assist in the reduction of P loading to surface waters. Our research investigated the vertical movement of P from dairy manure and broiler litter through four Atlantic Coastal Plain soils. A randomized split-plot design with two main-plot tillage treatments (no tillage [NT] and chisel tillage [CH]) and five manure P rate split-plot treatments was used at each location. The split-plot P rates were 0, 100, 200, 300, and 400 kg P ha(-1) yr(-1). Four consecutive years of manure application began at all sites 5 yr before sampling. Soils were sampled to a depth of 150 cm from each split plot in seven depth increments and analyzed for soil test phosphorus (STP), water-extractable soil phosphorus (WSP), and degree of phosphorus saturation (DPS). The DPS of the 0- to 15-cm depths confirmed that at the 100 kg P ha(-1) yr(-1) application rate, all sites exceeded the threshold for P saturation (30%). At depths greater than 30 cm, DPS was typically below the 30% saturation threshold. The DPS change points ranged from 25 to 34% for the 0- to 90-cm depths. Our research concluded that the risk of P leaching through the matrix of the Atlantic Coastal Plain soils studied was not high; however, P leaching via macropore bypass may contribute to P loss from these soils.