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The atmosphere you create for your students has a great influence on their learning. To get the m... more The atmosphere you create for your students has a great influence on their learning. To get the most potential from our brains, we must set up an atmosphere that is conducive to maintaining a positive, successful environment. Classroom Strategies: The color of a room has a significant impact on how the brain first reacts. o Primary Students-use high-contrast colors such as reds, oranges, and yellows. o Secondary Students-use less distracting and stress reducing colors such as blues and greens. Keep the room as close to 70 degrees as possible. The ideal temperature range is between 68 and 72 degrees. If you have no control over this, be sure to keep blankets and/or sweatshirts in the room for those who are consistently cold. Allow fresh air into the room when the outside temperature is desirable. Keep your room neat and uncluttered. Be a role model for the organization you would like the students to have.
The Clearing House, 2000
Background: A large proportion of patients receiving antiretroviral therapy (ART) in low and midd... more Background: A large proportion of patients receiving antiretroviral therapy (ART) in low and middle income countries (LMICs) have unknown treatment outcomes and are classified as lost to follow-up (LTFU). Physical tracing of patients classified as LTFU is common; however, effects of tracing on outcomes remains unclear. The objective of this systematic review is to compare estimates of LTFU, mortality and retention in LMIC in cohorts of patients with and without physical tracing. We systematically identified studies in LMIC programmatic settings using MEDLINE (2003MEDLINE ( -2011) ) and HIV conference abstracts (2009)(2010)(2011). Studies reporting the proportion LTFU 12-months after ART initiation were included. Tracing activities were determined from manuscripts or by contacting study authors. Studies were classified as ''tracing studies'' if physical tracing was available for the majority of patients. Summary estimates from the 2 groups of studies (tracing and non-tracing) for LTFU, mortality, stop of ART, transfers out, and retention on ART were determined. 261 papers and 616 abstracts were identified of which 39 studies comprising 54 separate cohorts (n = 187,666) met inclusion criteria. Of those, physical tracing was available for 46% of cohorts. Treatment programs with physical tracing activities had lower estimated LTFU (7.6% vs. 15.1%; p,.001), higher estimated mortality (10.5% vs. 6.6%; p = .006), higher retention on ART (80.0 vs. 75.8%; p = .04) and higher retention at the original site (80.0% vs. 72.9%; p = .02). Conclusions: Knowledge of patient tracing is critical when interpreting program outcomes of LTFU, mortality and retention. The reduction of the proportion LTFU in tracing studies was only partially explained by re-classification of unknown outcomes. These data suggest that tracing may lead to increased re-engagement of patients in care, rather than just improved classification of unknown outcomes.
The atmosphere you create for your students has a great influence on their learning. To get the m... more The atmosphere you create for your students has a great influence on their learning. To get the most potential from our brains, we must set up an atmosphere that is conducive to maintaining a positive, successful environment. Classroom Strategies: The color of a room has a significant impact on how the brain first reacts. o Primary Students-use high-contrast colors such as reds, oranges, and yellows. o Secondary Students-use less distracting and stress reducing colors such as blues and greens. Keep the room as close to 70 degrees as possible. The ideal temperature range is between 68 and 72 degrees. If you have no control over this, be sure to keep blankets and/or sweatshirts in the room for those who are consistently cold. Allow fresh air into the room when the outside temperature is desirable. Keep your room neat and uncluttered. Be a role model for the organization you would like the students to have.
The Clearing House, 2000
Background: A large proportion of patients receiving antiretroviral therapy (ART) in low and midd... more Background: A large proportion of patients receiving antiretroviral therapy (ART) in low and middle income countries (LMICs) have unknown treatment outcomes and are classified as lost to follow-up (LTFU). Physical tracing of patients classified as LTFU is common; however, effects of tracing on outcomes remains unclear. The objective of this systematic review is to compare estimates of LTFU, mortality and retention in LMIC in cohorts of patients with and without physical tracing. We systematically identified studies in LMIC programmatic settings using MEDLINE (2003MEDLINE ( -2011) ) and HIV conference abstracts (2009)(2010)(2011). Studies reporting the proportion LTFU 12-months after ART initiation were included. Tracing activities were determined from manuscripts or by contacting study authors. Studies were classified as ''tracing studies'' if physical tracing was available for the majority of patients. Summary estimates from the 2 groups of studies (tracing and non-tracing) for LTFU, mortality, stop of ART, transfers out, and retention on ART were determined. 261 papers and 616 abstracts were identified of which 39 studies comprising 54 separate cohorts (n = 187,666) met inclusion criteria. Of those, physical tracing was available for 46% of cohorts. Treatment programs with physical tracing activities had lower estimated LTFU (7.6% vs. 15.1%; p,.001), higher estimated mortality (10.5% vs. 6.6%; p = .006), higher retention on ART (80.0 vs. 75.8%; p = .04) and higher retention at the original site (80.0% vs. 72.9%; p = .02). Conclusions: Knowledge of patient tracing is critical when interpreting program outcomes of LTFU, mortality and retention. The reduction of the proportion LTFU in tracing studies was only partially explained by re-classification of unknown outcomes. These data suggest that tracing may lead to increased re-engagement of patients in care, rather than just improved classification of unknown outcomes.