Family Self-Sufficiency Program Outcomes for Participants Enrolling During and After the Great Recession

Utilizing administrative data from the Family Self-Sufficiency (FSS) Program operated by the Denver Housing Authority, four program outcomes, (a) savings and escrow growth, (b) credit and debt reduction, (c) employment and earnings, and (d) positive exits from subsidized housing, are examined to assess if any differences exist between participants ( n = 424) who enrolled during or after the Great Recession. Propensity score matching with replacement was employed to match FSS enrollees. Compared to post-Great Recession enrollees, results suggest that enrollees entering the program during the Great Recession were more likely to reduce their monthly contractual debt and derogatory debt, increase monthly earned income, and remain in the FSS Program longer. Findings suggest that attaining participant financial capability goals is possible during severe economic shocks and may provide vulnerable families with additional capacity to weather such shocks.

Teachers with Special Needs. De-Psychiatrization of Children in Schools

Psychiatrization not only affects adults. Ever more children in Western countries are being diagnosed with a mental disorder of behavior, such as ADHD. Children may often be labelled with the best intentions, for example in order to be able to provide them with suitable care and guidance. However, this labelling can have exclusionary effects and often entails the consequence that important discussion about contextual factors that give rise to (the perception of) unwelcome behavior or academic underperformance rarely, if at all, takes place. In this article we contend that although children are of central concern to schools and the design of pupils’ education, it is important not to make pupils the sole owner of problems that arise. It is therefore high time that a far more critical normative stance towards inclusive education is taken, in which the presently widespread biomedical approach is met with a school community response that focuses not on the nature of individual disorders but on the special need for additional capacity that schools and teachers have in meeting (perceived) deviant behaviors and emotions and/or academic underperformance. We argue that teaching should not set out to remedy individual diagnoses, but that teachers should be supported to extend their professional competence to the benefit of all pupils.

The Aluminium Demand Risk of Terawatt Photovoltaics for Net Zero Emissions by 2050

The broad electrification scenario of recent photovoltaics roadmaps predicts that by 2050 we will need more than 60 TW of photovoltaics installed and be producing up to 4.5 TW of additional capacity each year if we are to rapidly reduce emissions to ‘net-zero’ and limit global warming to < 2°C. Given that after 2020, just over 700 GWp was installed, this represents an enormous manufacturing task which will create a demand for a number of metals. We show here that growth to 60 TW of photovoltaics could require up to 480 Mt of aluminium by 2050. A key concern for this aluminium demand is its large global warming potential. We predict the cumulative emissions arising from emission reduction scenarios in China and show that rapid decarbonisation of the electricity grid within 10 years will be required if they are to be kept below 1000 Mt CO2e by 2050.

793 Orthopaedic Surgical Training in The Independent Sector During the COVID 19 Pandemic

Introduction The COVID pandemic had led to the cancellation of elective Orthopaedics in the NHS. The aim of this study was to investigate the effect of the independent sector on orthopaedic training and the effect of the COVID pandemic on training locally. Method A retrospective review of trauma and elective operations was made between April and September of 2019 and 2020 to compare the effects of COVID on training opportunities and the additional capacity provided by the private sector. Results The impact of COVID on Surgical training at GWH has been no decrease in trauma operating experience, but a 53% decrease in elective operating experience and a 74% decrease in joint replacement operative experience during an equivalent six-month period. Use of the independent hospital has enabled 6% of the total elective surgery experience, and 11% of the joint replacement surgery experience. Discussion The private sector has provided additional capacity but a productivity of 66 cases from 48 half day lists is low (1.4 cases per list) has proved disappointing. There has been a low impact on elective training. The challenges have been faced on the elective side as trauma cases have remained consistent during the pandemic. Conclusions Use of the alliance between the private sector and NHS as a resource to provide additional training opportunities needs to be developed further in the future with incentivised guidance. Orthopaedic training will inevitably adapt to the challenges presented for the next generations of surgeons.

The rational design of a redox-active mixed ion/electron conductor as a multi-functional binder for lithium-ion batteries

A redox-active mixed ion and electron conductor (redox-active MIEC) is presented as a binder. High capacity was guaranteed, particularly at high rates due to its MIEC nature, while an additional capacity was achieved from its redox activity.

Dual Lithium Storage of Pt electrode: Alloying and Reversible Surface Layer

As the importance of additional capacity beyond the theoretical limitation of lithium-ion batteries has been recognized, extensive research into effectively utilizing the extra lithium accommodation is being conducted. One of...

Implementing a ride share program for patient transportation home from a hospital admission.

243 Background: This quality improvement project takes place within a large hospital, on a team that manages about 1700 oncology discharges per year. The hospital emphasizes the importance of discharging patients early in the day to encourage more efficient patient flow. On advanced medicine units within the hospital, 19% of discharge delays were reported as stemming from transportation issues related to family being delayed. Methods: A multidisciplinary group utilized a ride share company to implement a HIPPA compliant transportation program. Upon admission, each patient was screened for potential transportation barriers by a coordinator. Patients outside of a 35-mile drive from the hospital were excluded. Patients who expressed a concern about reliable transportation were offered enrollment. The patient completed a consent form, agreeing to be texted by the company with logistical information about their ride. At the end of the patient’s stay, the coordinator scheduled a “will call” ride within the vendor’s electronic system, which could then be activated by the patient via phone upon discharge. The coordinator tracked each patient’s barriers along with an estimated number of hours saved. Results: The average time saved per patient was 5.3 hours and, at peak, the average number of rides per month was 36. The estimated additional capacity created was 7.2 patients annually. About 14% of transportation barrier screenings resulted in a ride being scheduled. Of the patients that declined, 53% preferred to travel with family or friends, 28% were excluded due to distance, 10% were too ill to utilize the service, and 8% declined for other reasons. Conclusions: The intervention provided clear value to the institution and the patient, and the organization is now exploring a system-wide ride share transportation program. The team identified an untapped opportunity in using the program for admissions. Suggested patient populations for expansion include patients leaving the Emergency Department, those with fairly predictable lengths of stay, such as gastrointestinal surgery patients, and populations of relatively lower acuity since they are more likely to be well enough to get into their home without assistance. [Table: see text]

Advanced Airspace Management Process

In order to increase efficiency and reduce delays, an improved airspace management process must be implemented leading to optimal route planning, better utilization of available airspace and increased performance targets in service delivery - through the establishment functional blocks of airspace (FABs). The Single European Sky (SES) project supports the establishment of the FAB through greater optimization and better performance, strengthening the ATM network through the introduction of the main objectives of the regulatory package, redesigning the European airspace in order to establish new air traffic flows; creating an increase in additional capacity, all with the aim of increasing the efficiency of the ATM system.