Language barriers adversely affect health care access, utilization, outcomes, and patient safety. Trained formal interpreters can improve care quality and safety, but many patients and families with limited English proficiency do not receive appropriate language services during health care encounters.

Despite continued growth of the US population with limited English proficiency, federal language use standards, and enhanced education about appropriate use of language services, there has been only modest improvement over time in pediatricians’ use of language services. (Read the full article)

Participating in a trial may affect processes of care by participating physicians; however, no study has assessed whether it affects processes of care for nonenrolled patients.

Participation in a trial may affect processes of care for nonenrolled patients, even when care providers participating in or familiar with the trial protocol are unaware that data on nonenrolled patients are being collected for a study. (Read the full article)

Links between clinically diagnosed sleep problems and adverse behavioral outcomes are well documented. However, in nonclinical populations, causal links between disrupted sleep and the development of behavioral difficulties are far from clear.

Seven-year-old children with nonregular bedtimes had more behavioral difficulties than children who had regular bedtimes. There were clear dose–response relationships, and the effects of not having regular bedtimes appeared to be reversible. (Read the full article)

Epidemiologic studies have documented that children’s sleep duration is associated with obesity risk. Experimental studies with adults suggest that short sleep may lead to changes in appetite-regulating hormones and food intake, which could lead to weight gain over time.

This controlled experimental study demonstrates that compared to sleeping less, when children increase sleep, they report decreased caloric intake, have lower fasting leptin levels, and weigh less. Such changes, if maintained, could help prevent excess weight gain over time. (Read the full article)

The incidence of invasive candidiasis in hospitalized infants is related to postnatal exposures, but large-scale studies relating the incidence of invasive candidiasis to changes in exposures over time are not available.

This study describes the association between the incidence of invasive candidiasis and changes in use of antifungal prophylaxis, empirical antifungal therapy, and broad-spectrum antibacterial antibiotics over time. (Read the full article)

XY disorders of sex development have a diverse etiology and often present with atypical genitalia in the newborn period. Sex assignment in those cases in whom this is marked genital ambiguity is a rare, challenging situation that requires multidisciplinary input.

An international registry has shown temporal changes over the last 3 decades in the practice of sex assignment with a greater proportion of severely affected infants being raised as boys, raising the need for long-term monitoring of these children. (Read the full article)

The prevalence of disability in childhood has been on the rise for the past several decades. Children living in poverty are more likely to have chronic health conditions and experience disabilities.

The percentage of children with disabilities rose 16% between 2001 and 2011. Economically disadvantaged children had the highest rates of disability, but economically advantaged children experienced greater increases in disability. Disability due to neurodevelopmental or mental health conditions rose substantially. (Read the full article)

In developed countries, child health disparities across wealth gradients are commonly widening; at the same time, child mortality in low- and middle-income countries is declining. Whether these declines are associated with widening or narrowing disparities is unknown.

A systematic analysis of the evidence on child mortality gradients by wealth in less-developed countries shows that mortality is declining fastest among the poorest in most countries, leading to declining disparities in this important indicator of child health. (Read the full article)

Obesity among youth can have immediate health effects as well as longer-term consequences during adulthood. Overweight/obese children and adolescents are much more likely than normal-weight children to become overweight/obese adults.

This large, multisite longitudinal study examines patterns of exit from and entry into obesity between childhood and adolescence. Socioeconomic factors, body image, television habits, and parental obesity were important predictors of whether children remained obese or became obese. (Read the full article)

Head Start, a federally funded preschool program for low-income US children, has been reported to have beneficial effects on developmental outcomes. The association of Head Start participation with changes in children’s BMI has not been examined.

Preschool-aged children with an unhealthy weight status who participated in Head Start had a significantly healthier BMI by kindergarten entry age than comparison children in a primary care health system (both those receiving and those not receiving Medicaid). (Read the full article)

Adequate sleep is critical for adolescent health. Available data suggest a historical downward trend in sleep behavior, but there has been no rigorous evaluation of recent US trends.

The proportion of adolescents who regularly obtain ≥7 hours of sleep is decreasing. Decreases in sleep exhibit period effects that are constant across adolescents according to gender, race, socioeconomic factors, and urbanicity. The gender gap in adequate sleep is widening. (Read the full article)

High bilirubin levels are associated with sensorineural hearing loss. Exchange transfusions are recommended when bilirubin levels reach certain thresholds. However, the relative and excess risks of hearing loss in infants with bilirubin levels at/above exchange transfusion thresholds are unknown.

In this Northern California population of term and late preterm infants, elevated bilirubin levels were not associated with an increased risk of sensorineural hearing loss unless the levels were at least 10 mg/dL above exchange transfusion thresholds. (Read the full article)

Every time an education institution loses a funding source, rethinks program delivery, revises positions, incorporates technology, or changes curriculum, it is making an investment in change. These are sizable, important investments, so why not protect them?

As I attended the annual Storage Visions conference a couple of weeks ago, I was struck again by just how much flash is being used in enterprise systems, and what the potential is for future uses going forward.

With the 2016 presidential elections approaching, tension in the Democratic Republic of Congo is increasing. President Kabila is nearing the end of his second term and political manoeuvring within the government to create conditions for a third term is mobilising popular opposition, testing the country’s fragile democratisation and stability. International pressure is now vital to find a peaceful way forward.

The U.S. tests its students more than most nations, but is the deluge of data providing the information schools need?

Polymyxins are increasingly used as the critical last-resort therapeutic options for multidrug-resistant gram-negative bacteria. Unfortunately, polymyxin resistance has increased gradually for the last few years. Although studies on mechanisms of polymyxin are expanding, system-wide analyses of the underlying mechanism for polymyxin resistance and stress response are still lacking. To understand how Klebsiella pneumoniae adapt to colistin (polymyxin E) pressure, we carried out proteomic analysis of Klebsiella pneumoniae strain cultured with different concentrations of colistin. Our results showed that the proteomic responses to colistin treatment in Klebsiella pneumoniae involving several pathways, including (i) gluconeogenesis and TCA cycle; (ii) arginine biosynthesis; (iii) porphyrin and chlorophyll metabolism; and (iv) enterobactin biosynthesis. Interestingly, decreased abundance of class A β-lactamases including TEM, SHV-11, SHV-4 were observed in cells treated with colistin. Moreover, we also present comprehensive proteome atlases of paired polymyxin-susceptible and -resistant Klebsiella pneumoniae strains. The polymyxin-resistant strain Ci, a mutant of Klebsiella pneumoniae ATCC BAA 2146, showed missense mutation in crrB. The crrB mutant Ci, which displayed lipid A modification with 4-amino-4-deoxy-L-arabinose (L-Ara4N) and palmitoylation, showed striking increases of CrrAB, PmrAB, PhoPQ, ArnBCADT and PagP. We hypothesize that crrB mutations induce elevated expression of the arnBCADTEF operon and pagP via PmrAB and PhoPQ. Moreover, multidrug efflux pump KexD, which was induced by crrB mutation, also contributed to colistin resistance. Overall, our results demonstrated proteomic responses to colistin treatment and the mechanism of CrrB-mediate colistin resistance, which may further offer valuable information to manage polymyxin resistance.

Student Sandisiwe Msomi saved R23 400 in small change over a year, which she will now use to pay for the registration fees of her second academic year.

As shootings break out at high school athletic events, districts must grapple with major questions about their role in keeping venues safe.

Microsoft originally sought to become a 'carbon neutral' company, meaning it could generate carbon emissions as long as it offset them through other means, but "in short, neutral is not enough to address the world's needs," says Microsoft President Brad Smith.

The U.S. Department of Education sees two specific challenges potentially undermining the quality of the international assessment program, writes Mark Schneider.

Penn State Law in University Park will have a mandatory credit/no-credit grading system for the spring 2020 semester in order to be supportive of students during the novel coronavirus public health crisis.

Qualcomm's new home Internet box will grab 5G from towers a mile from your house.

Today, 98% of households with 2- to 8-year-old children include a mobile device, like smartphones, tablets, and iPods or other smart-mobile devices, an increase from 75% in 2013. We are really connected, but not connecting at all.

As schools apply more scrutiny to the methods and materials they use to teach early reading, educators and parents in some states have started to form new advocacy efforts—trying to pressure states and districts to adopt new approaches to teacher training and evaluating materials.

Although the escape room was created with a primary focus to mobilise Christians, OM Riverboats and OM France worked together to make adjustments in the simulation to suit non-believers better.

As schools apply more scrutiny to the methods and materials they use to teach early reading, educators and parents in some states have started to form new advocacy efforts—trying to pressure states and districts to adopt new approaches to teacher training and evaluating materials.

A new survey of school districts and CMOs will provide new insights into trends, and complement other data on teachers and principals.

What gets tested gets taught, so performance assessments that measure the competencies that matter can lead to instruction that yields those competencies, argues Ben Kornell of Envision Learning Partners.

In Calhoun County, Miss., the local district pays $9,275 a month for the slowest Internet service in all of Mississippi. They're not the only ones with these issues—many rural schools struggle to get high-speed access. But all that could be about to change.

One Bangladeshi woman doesn’t believe her future can change until she participates in an OM tailoring class, gaining skills and a relationship with Jesus.

From an increase in teacher activism to a decline in the number of people who want to be teachers, here are 10 of the biggest shifts in the profession over the past decade.

The participants of OM Chile’s nine-month Intensive Training were different people when they left than when they had arrived.

When asked to share his testimony, a participant of OM Chile's Adventure Team realises just how much God has worked in his life.

Lebanese authorities detained the head of the exchange dealers syndicate Mahmoud Mrad in a bid to end the manipulation of the dollar in the parallel market, Financial Prosecutor Judge Ali Ibrahim said Friday.

Sept. 2, 2017 event moved from outdoors on the Dover Green to indoors at The Old State House.

Programs explore the importance of railroads to America’s economy and way of life, and their impact on Delaware.

In India, however, this is not likely to be a separate offering — Disney titles are being made available on the homegrown Hotstar, with no change in subscription plans, as of now.

 Exchange Rate notification for Import / Export of goods with effect from 1st October, 2010

Agency: NAT Closing Date: 5/20/2020

NEW CASTLE (Oct. 23, 2018) – Department of Health and Social Services (DHSS) Secretary Dr. Kara Odom Walker, a board-certified family physician, is reassuring Delawareans that a proposed change to the public charge rule by the U.S. Department of Homeland Security does not affect current eligibility for health care and social services in Delaware, and […]

Dover --

The Delaware Department of Transportation (DelDOT) continues to review operational needs while keeping the health and safety of our employees and customers in mind. To that end, all public facing buildings that deliver various services will be going cashless across the State, including toll plazas and all Division of Motor Vehicle locations, effective Tuesday, March 17, 2020.

At DelDOT's four DMV locations, only credit or debit cards will be accepted, and the Department continues to urge all customers to utilize mydmv.delaware.gov which offers more than 20 services online, including renewal of Delaware Driver License/ID, renewing vehicle registration, and changing your home address. [More]

Dover --

The Delaware Department of Transportation (DelDOT) continues to review operational needs while keeping the health and safety of our employees and customers in mind.

Effective Tuesday, March 17, 2020 at 6:00pm, the Biden Welcome Center on I-95 in Newark will temporarily close to the public as efforts continue to limit crowds from gathering in response to the Coronavirus. Fuel will still be available at the gas station located on the north side of the property and bathroom facilities in the convenience store will also be available to motorists. [More]

Dover --

The Delaware Department of Transportation (DelDOT) continues to review operational needs while keeping the health and safety of our employees and customers in mind.

Effective Monday, March 23, 2020, all four Delaware Division of Motor Vehicles (DMV) locations will go to kiosk, drive-through and emergency appointment only. Dealer paperwork can be dropped off for processing and picked up when notified. [More]

Wilmington --

After statewide Public Hearing Workshops, DART listened to its riders and the public, and as a result, changes were made to the original proposal. The "Bold type" indicates a change from or an addition to the original proposal based on public comments. New schedules will be available online and on buses in early May. [More]

Newport --

Traffic Information: The Delaware Department of Transportation (DelDOT) announces to motorists that the following ramps will be closed for reconstruction of the guardrails and the installation of detection system.



Sunday, March 15, 2020 from 8:00 p.m. until 5:00 a.m. on Monday, March 16, 2020

Location: Exit 5B/I-95 northbound to Route 141 northbound

Monday, March 16, 2020 starting at 8:00 p.m. until 5:00 a.m. on Tuesday, March 17, 2020

Tuesday, March 17, 2020 at 8:00 p.m. until 5:00 a.m. on Wednesday, March 18, 2020

Location: Exit 3A/Route 141 northbound to I-95 northbound

Location: Exit 3A/Route 141 southbound to I-95 northbound

Detour Routes for Exits:

Exit 5B/I-95 northbound to Route 141 northbound

For traffic on I-95 northbound, south of Route 141 interchange, motorists will take the decel/accel lane to the ramp to I-295 northbound, take the ramp to US 13 southbound and take the ramp to Route 141 northbound.

Exit 3A/Route 141 northbound to I-95 northbound

Motorist traveling northeast on Airport Road will follow detour signs, taking Route 141 southbound to US 13 to I-295 to I-95 northbound. [More]

Milton --

Locations: Route 1 Northbound/Southbound between Primehook Road and Deep Branch Road, Milton.

Times and Dates: 6:30 a.m. until 6:30 p.m., Monday through Sunday, pending weather.

April 6, 2020 through May 27, 2020

Traffic Information: The Delaware Department of Transportation (DelDOT) announces to motorists that work is scheduled to begin at the intersection at Route 5 and Route 1 for the reconstruction of the intersection. [More]

The NSW Government has issued an update with the following information:The Home Affairs Department recently announced that the Subclass 491 Skilled Work Regional visa will replace the present 489 visa in Nov 2019.The visa in the new subclass will have…