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Thesis (Ed.D.)--Boston University / Many urban schools struggle to retain their best teachers because of challenging work environments, poor salaries, and ineffective school leadership. The additional requirements of the No Child Left Behind legislation for teachers to be highly qualified and the increased academic requirements of raising students to a proficient level in reading and mathematics mean that these schools face additional challenges to retaining teachers. Little research has been done on teacher retention in relation to NCLB in urban schools, but the few studies available have suggested that NCLB has had a negative impact on teacher morale and retention in urban schools. The research project was a paired case study that examined teacher retention in four urban schools, contrasting two schools that showed improvement under NCLB in terms of student achievement with two schools that did not show improvement. This study used human resource data, teacher and principal interviews, and school improvement plans to answer the following three research questions: 1) Does the teacher retention rate remain constant as schools improve? 2) Is there a pattern of teacher retention in improving schools? 3) What do improving schools do to attract, train, and retain teachers? The results showed that all schools had increased levels of teacher retention from the beginning of the study until the end. Improving schools had slightly higher rates of teacher retention, especially among teachers who were determined to be desirable. There was some evidence that as student achievement rates rose in improving schools, so did the rate of teacher retention. Lastly, the findings suggest that schools that were improving were also schools that embodied many of the factors that teachers are looking for in a school, including strong school leadership, positive working conditions, and other supports for teachers new and experienced, such as professional development and mentoring. This study has several limitations, such as a small sample size and a limited pool of human resource data. The findings have important implications for urban school districts that are trying to retain quality teachers.

The diploma thesis aims to confirm whether Pirate parties are liberal and left-libertarian parties and that they are similar to green parties in this way. After 2006 Pirate parties emerged gradually as a new alternative to manage the politics and democracy in Western democracies. Pirates came up with themes such as the fight against copyright or the protection of individuals within the internet. In the first theoretical part of this thesis both liberalism and left-libertarianism as well as Green parties are discussed. The second empirical part deals with Pirate parties. First, their origin and development are described and, with an emphasis on Swedish, German, Icelandic and the Czech Pirate Party - because of their relevance associated with electoral successes -, basic elements of their programmes are introduced. Based on those findings the analysis confronting the elements of liberalism and left-libertarianism with programmes of Pirate parties is performed in the final section of the thesis. The hypothesis that Pirate parties are predominantly left-libertarian parties is proved. Powered by TCPDF (www.tcpdf.org)

Objective: Aortic stenosis (AS) patients with eccentric hypertrophy (Ecc-LVH) have increased left ventricular (LV) size and possibly reduced ejection fraction (EF). However, previous studies suggest worse outcomes with concentric remodeling and hypertrophy. We hypothesized that Ecc-LVH pattern in AS patients will also be associated with greater heart failure (HF) and all-cause mortality (ACM). Methods: We queried the electronic medical record from a community-based university practice for all AS patients. We included patients with >60 days follow-up and interpretable Doppler echocardiograms. We recorded demographics, Doppler-echo parameters, laboratories, HF readmission and ACM with follow-up to 2083 days. There were 329 patients divided into 4 groups based on the presence of LV hypertrophy (LVH) and relative wall thickness (RWT) by echocardiography. Ecc-LVH had RWT<0.43 and LVH. Results: Patients with severe AS were older, had greater coronary disease prevalence, lower hemoglobin, greater LV mass index, more abnormal diastolic function, greater HF and ACM. Multivariate Cox proportional analysis revealed that valvulo-arterial impedance (p=0.017) and Ecc-LVH (p=0.033) were HF predictors. Brain natriuretic peptide>100 pg/ml (p<0.001) and Ecc-LVH (p=0.019) were ACM predictors. ACM was increased in Ecc-LVH patients with both moderate (HR=3.67-8.18 vs other geometries, p=0.007-0.0007) and severe AS (HR=3.94-9.48 vs normal and concentric remodeling, p=0.0002). In patients with HF, Ecc-LVH was associated with greater HF in moderate AS vs normal geometry (HR=3.28, p=0.0135) and concentric remodeling (HR=2.66, p=0.0472). Conclusions: Patients with AS and Ecc-LVH have greater ACM than other LV geometries with both moderate and severe AS and greater HF in moderate AS.

Aims: The peak transmitral velocity/peak mitral annular velocity (E/e′) ratio has been used as a left ventricular (LV) filling pressure (LVFP) correlate. However, the E/e′ and its changes with haemodynamic alterations have not always correlated with changes in LVFP's. We hypothesized that indexing E/e′ to a measure of LV filling volume may enhance the correlation with LVFP and LVFP changes. Methods and results: We summarized previously obtained haemodynamic and Doppler echo data in 137 dogs with coronary microsphere embolization induced-chronic LV dysfunction prior to and following haemodynamic induced alterations in LVFP's. E/e′ values were obtained as E∗tau where tau is the inverse logarithmic LV pressure decay. E∗tau was indexed to LV filling volume by dividing by the diastolic time velocity integral (DVI) and correlated with LV mean diastolic pressure (LVmDP). Similarly, the relationship of E/e′ and E/e′/DVI to LV pre A wave pressure was evaluated in 84 patients by invasive haemodynamics and Doppler echo. Combining data from all interventions, LVmDP correlated with E∗tau (r = 0.408) but more strongly with E∗tau/DVI (r = 0.667, z = 3.03, P = 0.0008). The change in LVmDP correlated with the change in E∗tau/DVI (r = 0.742) more strongly than E∗Tau (r = 0.187, Z = 4.01, P < 0.0001). In the patient cohort, E/e′ was modestly correlated with LV pre A wave pressure (r = 0.301) but more strongly correlated with E/e′/DVI (r = 0.636, z = 2.36, P = 0.0161). Conclusion: Indexing E to both LV relaxation and filling volume results in a more robust relation with LVFP's and with LVFP changes.

La surcharge ventriculaire droite (VD), volumétrique ou barométrique, est devenue depuis quelques années un problème de santé publique chez les patients atteints de cardiopathie congénitale.Grâce aux progrès de la prise en charge de ces patients, cette population est grandissante avec des complications spécifiques. La défaillance ventriculaire gauche (VG) est une des complications les plus graves des pathologies de surcharge du VD.L’objectif de ce travail est de déterminer s’il existe des signes d’atteinte précoce du VG chez ces patients grâce à l’étude de 2 modèles chirurgicaux de surcharge du VD (volumétrique : tétralogie de Fallot TOF et barométrique : HYPPE), et si la cardiométrie peut être un outil de dépistage.La première partie de ce travail a consisté en la validation de la technique de cardiométrie électrique chez l’homme pour mesurer le débit cardiaque mais aussi évaluer la volémie.La deuxième partie a consisté en l’analyse du VG des maladies de surcharge du VD : les résultats mettent en évidence, principalement dans le modèle HYPPE plutôt que dans le modèle TOF, une fibrose, des anomalies des tubules T, des anomalies du couplage excitation-contraction associées à une altération de la contraction et de la relaxation sarcomèrique. Même si ces premiers résultats chez le gros animal sont prometteurs, ils nécessitent d’être confirmés par l’inclusion de plus de sujets.En conclusion, la cardiométrie a montré son excellente corrélation au cathéter de conductance pour évaluer la contractilité du VG en situation de stress de façon non invasive, confirmant l’utilité de cet appareil dans le diagnostic et suivi hémodynamique de nos patients. / Right heart overload is become since few years a real public health problem in congenital heart disease. Grow up with congenital heart disease patients have become a large population and suffer from many specific complications, like left ventricular failure. Right heart overload come mainly from two ways, volume or pressure that we reproduce thanks to two porcine models: tetralogy of Fallot (TOF) for volume and pulmonary hypertension (HYPPE). We try to determine on these models if there is early left heart failure and if electrical cardiometry can detect it.First part of this work is a validation of electrical cardiometry as cardiac output evaluation and fluid management reliable tool in healthy newborns and congenital heart disease patients.Second part is a left ventricle analysis of these models: we highlighted early left ventricle lesions of fibrosis, t-tubules disorganization, excitation-contraction coupling abnormalities associated with alteration of sarcomere relaxation and contraction. Even if first results are promising on large animals, we need to include more subjects to confirm these data.In conclusion, we highlighted than electrical cardiometry had an excellent and strong correlation with conductance catheter to evaluate LV contractility by noninvasive way. These results confirm this device usefulness in diagnosis and screening of our patients.

Since the inception of the most recent iteration of the Elementary and Secondary Education Act of 1965, No Child Left Behind (NCLB) has drawn widespread study and discussion. The majority of the research concerning NCLB has reported the perspective of teachers and administrative staff in public schools. The purpose of this research study was to add to the literature the voices of students. Participants in this qualitative research study were six students at Galaxy Junior High. These six students were interviewed multiple times. Based on a qualitative data analysis of their interview transcripts, and follow-up communications, four main categories of student experiences emerged: motivation in school, teaching methods, learning strategies, and connecting school and life. Participants discussed what motivates them in school, including intrinsic as well as extrinsic motivators; the method in which teachers teach; how they learn in school through the use of both bookwork and homework; and how school is the gateway to their future.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21652号 / 医博第4458号 / 新制||医||1035(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 川村 孝, 教授 福原 俊一, 教授 佐藤 俊哉 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Understanding the mechanisms governing left ventricular function and dysfunction is critical to analyze cardiovascular disorders and gaining insights into possible therapies. Left ventricular function can be evaluated using Magnetic Resonance Imaging (MRI). Cardiac displacements and corresponding strains are then computed from the imaging data. In measuring and assessing the left ventricle’s motion, images are taken either in the short axis (top-down) or long axis (side) views. In this project, we will use DENSE MRI data, which measures the displacements of individual tissue voxels during the cardiac cycle. After extracting the myocardial tissue by segmenting the MR images, strains are computed by differentiating the displacement field in the radial direction (across the thickness of the heart wall), longitudinal direction (along the left ventricle long axis), and in the circumferential direction. Current approaches focus mainly on evaluating cardiac motion and strains during ventricular systole, when the ventricles contract and blood is pumped out of the heart ~\cite{srichai2009cardiovascular}. Our aim is to characterize strains during atrial systole, which corresponds to the late filling of the ventricles before the next contraction occurs. Understanding the deformation of the left ventricle during late filling is particularly important to evaluate the passive response of the myocardium, which is related to several cardiac diseases, such as heart failure with preserved ejection fraction and diabetic cardiomyopathy. During this study we will use preclinical data already acquired in healthy swine subjects. Our goal is to evaluate inter subject variability at peak atrial systole and how different segmentations (intra and inter observer variability) affect the computed strains.

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