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Difficult Decisions by Sara Holder

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1When You Have Difficult Decisions

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Sermon by Henry Tan @ CBC SS

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The book is available for download in "audio" format, the size of the file-s is: 40.11 Mbs, the file-s for this book were downloaded 11 times, the file-s went public at Mon Mar 01 2010.

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2BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 2 More Pages Personal Microsoft​ Edge 2023 06 28 10 39 06

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3Ruth 02 Making Decisions During Difficult Days 1 6 22

By

Ruth 1: 6-22 Making decisions during difficult days

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The book is available for download in "audio" format, the size of the file-s is: 134.35 Mbs, the file-s for this book were downloaded 33 times, the file-s went public at Thu Jul 21 2016.

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4BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM Personal Microsoft​ Edge 2023 04 11 10 49 54

gh

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5Dead Talk Live: Top 5 Difficult Decisions

By

Most Difficult Decisions that Rick and Madison had to Undertake as a Leader

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The book is available for download in "movies" format, the size of the file-s is: 659.87 Mbs, the file-s for this book were downloaded 5 times, the file-s went public at Tue Nov 22 2022.

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6The Necessity Of Deliberate, Difficult, Decisions In Sobriety.

By

Falling prey to depression, or the "lull" when you feel aimless in life, can happen to the best of all of us, but what happens when it falls on those of us who are sober? Does a drink or drug sound like a good idea, to enhance our life moment? How does a sober person avoid becoming emotionally stalled and, therefore, intrinsically lifeless? If we want to have a new experience in life, we MUST make a new decision - yet that can sometimes feel overwhelming and pointless. How do we do it? And Why should we do it? Is it time for you to make a new decision? If so, listen in today, as I discuss the power of changing it up, by changing your mind.

“The Necessity Of Deliberate, Difficult, Decisions In Sobriety.” Metadata:

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The book is available for download in "audio" format, the size of the file-s is: 19.06 Mbs, the file-s for this book were downloaded 1 times, the file-s went public at Mon Jan 15 2024.

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7Some Of The Most Difficult Decisions Are Those That Will End Sufferin...

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Some of the most difficult decisions are those that will end suffering & bring peace—for us it’s the decision to euthanize. This is why we do it. 🔗 https://peta.vg/3t1j

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The book is available for download in "movies" format, the size of the file-s is: 2.66 Mbs, the file-s for this book were downloaded 1 times, the file-s went public at Fri Jun 27 2025.

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8Ethical Maturity In The Helping Professions : Making Difficult Life And Work Decisions

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Some of the most difficult decisions are those that will end suffering & bring peace—for us it’s the decision to euthanize. This is why we do it. 🔗 https://peta.vg/3t1j

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The book is available for download in "texts" format, the size of the file-s is: 1178.75 Mbs, the file-s for this book were downloaded 100 times, the file-s went public at Tue Sep 20 2022.

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9Putting Syria’s Conflict In Context: Reality On The Ground Driving Difficult Decisions

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Update on US proxy war in Syria… - Syrian forces continue withdrawing following a large offensive carried out by US-sponsored terrorists from Idlib, northern Syria; - Syrian forces previously withdrew from these regions during the 2011-2015 phase of the US proxy war against Syria; - Russian intervention allowed Syrian forces to incrementally take back territory with a specific task force, city-by-city, in operations that spanned years; - It is still too early to draw conclusions about the disposition of forces on either side, including how overextended Russian and Iranian forces may be or the full depth of combat power of US-backed terrorists; - Syrian forces are likely falling back because they are incapable of holding all of this territory at once, particularly in areas like Hama and Homs serving as traditional strongholds of US-backed extremism and will need to incrementally retake it as it did from 2015 onward; References: CNN - Syrian rebel leader says goal is to ‘overthrow’ Assad regime (Dec. 6, 2024): https://edition.cnn.com/2024/12/06/middleeast/syria-rebel-forces-hayat-tahrir-al-sham-al-jolani-intl-latam/index.html US State Dept. - Foreign Terrorist Organizations: https://www.state.gov/foreign-terrorist-organizations/ Judicial Watch - DIA document 2012: https://www.judicialwatch.org/documents/pgs-287-293-291-jw-v-dod-and-state-14-812-2/ Guardian - Thousands flee as Syrian rebels push on towards Homs (Dec. 6, 2024): https://www.theguardian.com/world/live/2024/dec/06/middle-east-crisis-thousands-people-flee-homs-central-syria-rebel-forces-israel-gaza-latest-updates Atlantic Council - Could Syria’s rebels take Damascus? (Dec. 5, 2024): https://www.atlanticcouncil.org/blogs/new-atlanticist/could-syrias-rebels-take-damascus/ Wikimedia - Syria Conflict 2013 Map: https://upload.wikimedia.org/wikipedia/commons/thumb/e/e9/Syrian_Civil_War_map_%28March_15_2013%29.svg/2478px-Syrian_Civil_War_map_%28March_15_2013%29.svg.png Geocurrents - Syrian Ethnicity Map: https://www.geocurrents.info/wp-content/uploads/2014/10/Syria-Large-Ethnicity-Map.png New Yorker - The Redirection (2007): https://www.newyorker.com/magazine/2007/03/05/the-redirection Guardian - US begins training Syrian rebels in Jordan to become anti-Isis force (May 2015): https://www.theguardian.com/world/2015/may/07/us-begins-training-syrian-rebels-jordan-anti-isis-force Middle East Eye - US troop numbers in Jordan surge to record high amid Gaza war (Jun. 2024): https://www.middleeasteye.net/news/us-troop-numbers-jordan-surge-record-high-amid-gaza-war Where to Find My Work: Website: https://landdestroyer.blogspot.com/ Telegram: https://t.me/brianlovethailand Twitter: https://twitter.com/BrianJBerletic Odysee (YouTube alternative): https://odysee.com/@LandDestroyer:8 Rumble (YouTube alternative): https://rumble.com/c/c-1459863 Weibo: https://weibo.com/u/7726044004 ไบรอัน แฟนคลับ (Facebook): https://facebook.com/BrianThaiFanclub/ Line Group: https://lin.ee/JIxTpKe Gab: https://gab.com/BrianBerletic VK (Facebook alternative): https://vk.com/brianberletic How to Support my Work (and thank you!): Buy Me A Coffee: https://www.buymeacoffee.com/TheNewAtlas Patreon: https://www.patreon.com/landdestroyer PromptPay: 0851547235

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The book is available for download in "movies" format, the size of the file-s is: 202.81 Mbs, the file-s for this book were downloaded 17 times, the file-s went public at Fri Dec 13 2024.

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10NASA Technical Reports Server (NTRS) 20070019328: Difficult Decisions Made Easier

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NASA missions are extremely complex and prone to sudden, catastrophic failure if equipment falters or if an unforeseen event occurs. For these reasons, NASA trains to expect the unexpected. It tests its equipment and systems in extreme conditions, and it develops risk-analysis tests to foresee any possible problems. The Space Agency recently worked with an industry partner to develop reliability analysis software capable of modeling complex, highly dynamic systems, taking into account variations in input parameters and the evolution of the system over the course of a mission. The goal of this research was multifold. It included performance and risk analyses of complex, multiphase missions, like the insertion of the Mars Reconnaissance Orbiter; reliability analyses of systems with redundant and/or repairable components; optimization analyses of system configurations with respect to cost and reliability; and sensitivity analyses to identify optimal areas for uncertainty reduction or performance enhancement.

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The book is available for download in "texts" format, the size of the file-s is: 4.18 Mbs, the file-s for this book were downloaded 61 times, the file-s went public at Fri Oct 28 2016.

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11ERIC ED126846: Difficult Budgetary Decisions: A Desk-Top Calculator Model To Facilitate Executive Decisions.

By

Presented is a budgetary decision model developed to aid the executive officers in arriving at tentative decisions on enrollment, tuition rates, increased compensation, and level of staffing as they affect the total institutional budget. The model utilizes a desk-top programmable calculator (in this case, a Burroughs Model C 3660). The model allows the executive officers to meet together and test inputs to the budget and receive immediate feedback on the size and nature of the resulting institutional budget. The outputs allow the decisionmakers to discuss immediately the effects of their decisions on inputs as they relate to outputs. The use of a calculator has certain advantages in terms of expense, ease of programming, and portability. (Author)

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The book is available for download in "texts" format, the size of the file-s is: 13.15 Mbs, the file-s for this book were downloaded 93 times, the file-s went public at Tue May 05 2015.

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12BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 2 More Pages Personal Microsoft​ Edge 2023 05 22 10 50 04

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13BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 2 More Pages Personal Microsoft​ Edge 2023 05 28 08 03 32

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14BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 2 More Pages Personal Microsoft​ Edge 2023 05 29 08 04 12

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The book is available for download in "movies" format, the size of the file-s is: 900.62 Mbs, the file-s for this book were downloaded 15 times, the file-s went public at Mon Jun 12 2023.

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15BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM Personal Microsoft​ Edge 2023 04 12 10 01 19

er

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16Preckwinkle Releases Preliminary Forecast, Warns Of Difficult Decisions Ahead

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Preckwinkle announced a projected operating shortfall for FY2017 of $174.3 million, driven by factors including gridlock over a state budget, growing legacy debt service costs and increased technology spending needed to upgrade antiquated and outdated systems. A projected FY2016 year-end budget shortfall of $48 million will be closed by spending reductions via holdbacks in both personnel and non-personnel costs, expenditure reductions by the Cook County Health and Hospitals System and a new encumbrance policy that discontinues the practice of rolling over funds unspent by departments at year’s end. “I introduced the preliminary forecast early in my administration to increase transparency in the budget process, determine potential fiscal pitfalls early and encourage public input,” Preckwinkle said. “This preliminary forecast provides a helpful appraisal of the County’s financial position as we develop the FY2017 budget. To close the FY 16 budget shortfall and address the FY 17 gap, we will have a number of tough decisions to make over the coming months.” Uncertainty over a state budget has impacted Cook County’s FY2016 and will influence decisions necessary to form the FY2017 budget. The most recent monthly reporting period showed the state owes Cook County government $53.1 million, and an additional $57.4 million to the Health and Hospitals System from FY2016. A number of grant-funded programs could be at-risk depending on funding levels in the reported budget deal being deliberated in Springfield. Total FY2017 expenditures in the General Fund are forecasted to rise, driven primarily by the County’s pledge to use higher sales tax receipts to pay down Pension Fund liabilities in 2017, amounting to an additional $80 million expense, along with increased spending on transportation infrastructure by $54.5 million, and dedicating $30 million to legacy debt service, consistent with commitments made last year. Additional spending pressures are driven by rising personnel costs ($52.2M), higher employee health benefit costs ($13.4M, which are expected to rise at the rate of medical inflation) and increasing contractual service costs primarily supporting justice initiatives ($8.5M). Contributing non-personnel factors also include increased technology spending in the operating funds through technology upgrades and maintenance obligations ($14.3M) as the County continues to shift these expenses away from debt funding and moves these critical investments into operating funds . Overall, County General Fund Revenues are projected to decline by 4 percent in 2017 versus 2016, other than property and sales tax revenues. Revenues from the delinquent tax sale process are projected to decline $12 million from last year based on the impact of State legislation to move up the tax sale date. Additionally, the County is experiencing flat or declining revenue in a number of areas including $10 million less from cigarette and other tobacco product taxes. Preckwinkle noted that the forecasted gap does not include the potential negative implications a proposed constitutional amendment passed by the Illinois Legislature might have on the County’s public safety budget. The amendment will go to the voters in November and would require revenues derived from taxes and fees relating to vehicles to be dedicated to construction, maintenance and traffic-related costs of roads and bridges. The County continues to analyze this possible amendment but believes there is a risk of a negative impact on the County’s Public Safety programs should it be adopted in the fall. The President pointed out that her administration has confronted tight fiscal times before and made the hard decisions to achieve balanced budgets. “Since taking office, we’ve eliminated operating deficits of $1.6 billion, lowered the County’s headcount by 9.4 percent and reduced the County’s direct operating tax allocation to the hospitals system by over $260 million without compromising patient care,” she said. “The County has responsibly closed gaps before and we will do it again. We will navigate these tough times, make hard but necessary decisions, and confront our financial challenges without kicking the can down the road.” In order to address the preliminary gap, the President has directed the budget department to look at contract savings, to delay hiring, and to implement additional personnel and non-personnel holdbacks. The holdback falls under the statutory discretion of the County’s budget director and serves as a savings mechanism by retaining, or holding back, dollars allocated to County departments in the budget. A public hearing on the 2017 preliminary forecast will take place at 6 p.m. on July 19 in the Cook County Board Room on the 5th floor of 118 N. Clark St.

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The book is available for download in "movies" format, the size of the file-s is: 129.17 Mbs, the file-s for this book were downloaded 49 times, the file-s went public at Wed Sep 19 2018.

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17FA 100 Difficult Decisions

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Hello Everyone! We open this week's episode with an actual retrospective of the show. As it is our 100th episode we wanted to take some time to reflect on the show. We talk about why we started the show, how we've grown in doing the show, and how we've seen the fandom (and culture in general) change in the two years we've been doing the show. We then talk about the future of the show and our personal futures and what plans we have coming up. We then launch into the main topic for this week, difficult decisions. In an average day we make 70 active decisions, and oftentimes we find ourselves overburdened with the choices we make. Metriko talks about his decision making process and how he's worked to improve and streamline it to be manageable and more helpful than stressful. For more information, including a list of topics, see our Show Notes for this episode.  Thanks and, as always, be well!

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The book is available for download in "audio" format, the size of the file-s is: 214.39 Mbs, the file-s for this book were downloaded 27 times, the file-s went public at Sat Jul 04 2020.

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18BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 2 More Pages Personal Microsoft​ Edge 2023 05 30 08 14 37

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19BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM Personal Microsoft​ Edge 2023 05 25 08 08 29

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20West Bloomfield Schools Superintendent Talks Difficult Decisions Brought On By Budget Cuts

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West Bloomfield School District Superintendent, Dr. Gerald Hill, says the school board has to face difficult decisions regarding budget cuts in public education- most notably the recent discussion on closing an elementary school. Stay up to date with our videos by subscribing to our channel: https://www.youtube.com/user/CivicCenterTV15?sub_confirmation=1. Visit our website for more information on the Megacast and Coronavirus: https://civiccentertv.com/ Follow us ⬇ ⬇ • https://www.youtube.com/user/CivicCenterTV15 • https://www.facebook.com/civiccentertv15/ • https://twitter.com/CivicCenterTV • https://www.instagram.com/civiccentertv/

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The book is available for download in "movies" format, the size of the file-s is: 26.98 Mbs, the file-s for this book were downloaded 15 times, the file-s went public at Mon Dec 21 2020.

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21Difficult Decisions

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West Bloomfield School District Superintendent, Dr. Gerald Hill, says the school board has to face difficult decisions regarding budget cuts in public education- most notably the recent discussion on closing an elementary school. Stay up to date with our videos by subscribing to our channel: https://www.youtube.com/user/CivicCenterTV15?sub_confirmation=1. Visit our website for more information on the Megacast and Coronavirus: https://civiccentertv.com/ Follow us ⬇ ⬇ • https://www.youtube.com/user/CivicCenterTV15 • https://www.facebook.com/civiccentertv15/ • https://twitter.com/CivicCenterTV • https://www.instagram.com/civiccentertv/

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22Aging Is A Family Affair : How To Prepare For Tomorrow's Difficult Caregiving Decisions--today

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West Bloomfield School District Superintendent, Dr. Gerald Hill, says the school board has to face difficult decisions regarding budget cuts in public education- most notably the recent discussion on closing an elementary school. Stay up to date with our videos by subscribing to our channel: https://www.youtube.com/user/CivicCenterTV15?sub_confirmation=1. Visit our website for more information on the Megacast and Coronavirus: https://civiccentertv.com/ Follow us ⬇ ⬇ • https://www.youtube.com/user/CivicCenterTV15 • https://www.facebook.com/civiccentertv15/ • https://twitter.com/CivicCenterTV • https://www.instagram.com/civiccentertv/

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23When You Have Difficult Decisions

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CBC KD Sunday Sermon

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24Making Medical Decisions : How To Make Difficult Medical And Ethical Choices For Yourself And Your Family

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CBC KD Sunday Sermon

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25Dead Talk Live: Top 5 Difficult Decisions - Audio Only

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Most Difficult Decisions that Rick and Madison had to Undertake as a Leader

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26Oakland County Executive Discusses The Difficult Decisions Made During The Pandemic

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David Coulter, Oakland County Executive, says that many tough decisions were made over the course of the pandemic, but that they were worthwhile, as they saved thousands of lives. Stay up to date with our videos by subscribing to our channel: https://www.youtube.com/user/CivicCenterTV15?sub_confirmation=1. Visit our website for more information on the Megacast and Coronavirus: https://civiccentertv.com/ Follow us ⬇ ⬇ • https://www.youtube.com/user/CivicCenterTV15 • https://www.facebook.com/civiccentertv15/ • https://twitter.com/CivicCenterTV • https://www.instagram.com/civiccentertv/

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27SkyNews - "This Is An Absolute Pivotal Moment For Our Sector." @EmmaMcClarkin Is Calling On The PM To Confirm Whether Pubs Will Reopen On July 4th, Saying Businesses Need The Clarification As They Make "extremely Difficult Decisions" About The Future. #Breakfast

By

"This is an absolute pivotal moment for our sector." @EmmaMcClarkin is calling on the PM to confirm whether pubs will reopen on July 4th, saying businesses need the clarification as they make "extremely difficult decisions" about the future. https://t.co/Dhm7Mt7bwq #Breakfast https://t.co/RelvJpvmZk Source: https://twitter.com/SkyNews/status/1273883777719296001 Uploader: SkyNews

“SkyNews - "This Is An Absolute Pivotal Moment For Our Sector." @EmmaMcClarkin Is Calling On The PM To Confirm Whether Pubs Will Reopen On July 4th, Saying Businesses Need The Clarification As They Make "extremely Difficult Decisions" About The Future. #Breakfast” Metadata:

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“SkyNews - "This Is An Absolute Pivotal Moment For Our Sector." @EmmaMcClarkin Is Calling On The PM To Confirm Whether Pubs Will Reopen On July 4th, Saying Businesses Need The Clarification As They Make "extremely Difficult Decisions" About The Future. #Breakfast” Subjects and Themes:

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28When You Have Difficult Decisions

By

Sermon by Henry Tan @ CBC SS

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29Difficult Decisions In Thoracic Surgery : An Evidence-based Approach

Sermon by Henry Tan @ CBC SS

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30Difficult Decisions : Closing And Merging Academic Libraries

Sermon by Henry Tan @ CBC SS

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31Videate_youtube_2Cogg8lITg8_964_-_Explaining_Some_Difficult_Decisions_-_The_Dail

Sermon by Henry Tan @ CBC SS

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32NATO Leaders Have Warned Zelensky He Will Have To Make Some ‘difficult Decisions.’

By

There are more calls for a ceasefire or some kind of negotiated settlement of the Ukraine conflict. Some NATO leaders have warned Zelensky he will have to make some ‘difficult decisions.’ However, the west has little interest in Russia’s plan to restore the peace. That plan is in plain view.

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33Governor Christie: Second-Term Governors Are Built To Make The Difficult Decisions

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Atlantic City, 11-17-2016. Transcript: Governor Christie: The fact is that people spoke clearly on November 8th and said they want gas tax money to be used for transportation and infrastructure in this state and not for anything else. It makes this gas tax much more of a user fee than a true tax because the people who are paying that tax are using the roads with their vehicles, using our mass transit systems, and, as a result, they’re making sure that every dollar of that goes into the maintenance and the improvement of those systems. Now listen, I’ve been involved in politics in this state for a long time, and everyone’s going to play politics with an issue like this, but this is what second-term governors were invented for, not have to run for anything. I don’t have to pretend that you can fix this problem without increasing a tax. I don’t have to pretend that it’s bad policy to dedicate a tax for the very purpose the tax is being paid for. I don’t have to pretend that New Jersey is affordable and doesn’t need tax cuts if I were in the other party. Second-term governors are built to make the difficult decisions that first-term governors are a little more scared to make because they got one more shot in front of the voters. I made this deal because it was in the best interest of the state and I made this deal because we can’t leave it to politics any longer on the way that we fund our roads and our bridges and our mass transit systems, and we shouldn’t leave it to you to have to raise your property taxes in order to maintain your roads. We shouldn’t leave it to you to have to be the one to deal with the wrath of the property taxpayer by yourself, and through this plan you’ll have the opportunity now not to have to face that decision of raising property taxes just to maintain the capital infrastructure of your municipality. # # #

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3421022010 When You Have Difficult Decisions (Mark 14:1-72) By Elder Ong See Lian

21022010 When you have difficult decisions (Mark 14:1-72) by Elder Ong See Lian

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35BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM And 1 More Page Personal Microsoft​ Edge 2023 04 10 12 00 28

df

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36EU Threatens Serbia With More BULLSH*T And "difficult Decisions" | Redacted With Clayton Morris

By

The leaders of France and Germany have sent a letter to Serbian President Vucic telling him to work out that little spat that he’s got going on with Kosovo. That’s nice of them to say so but the border conflict was actually already worked out last week. So why are NATO leaders bossing Serbia around right now? https://www.rt.com/news/562158-serbia-kosovo-vucic-eu-talks/ 💰 moomoo Open and Deposit to get up to 13 FREE stocks valued up to $32,000 ➡ https://redacted.inc/moomoo and 🇦🇺 If you're in Australia you can sign up right here: https://j.moomoo.com/00l2fm 🚨 We're being censored, and it's more important than ever to have a home away from these big tech oligarchs. That's why we built https://redacted.inc Please come on over and sign up for FREE, so we always have a way to stay in touch. 🚨 ✅ Sign up for our Free DAILY newsletter delivered right to your inbox first thing in the morning. ➜ https://redacted.inc 📺 Become a Redacted Channel Member right here: https://www.youtube.com/channel/UCoJhK5kMc4LjBKdiYrDtzlA/join 🔥 Join our FREE Financial Freedom 90 Day Bootcamp. Totally Free. Download it here: ➜ https://morninginvest.com/Bootcamp 🔥 #redacted #claytonmorris #moomoo ----- DISCLAIMER: I am not a financial adviser. I only express my opinion based on my experience. Your experience may be different. These videos are for educational and inspirational purposes only. Investing of any kind involves risk. While it is possible to minimize risk, your investments are solely your responsibility. It is imperative that you conduct your own research. There is no guarantee of gains or losses on investments. AFFILIATE DISCLOSURE: Some of the links on this channel are affiliate links, meaning, at NO additional cost to you, I may earn a commission if you click through and make a purchase and/or subscribe. However, this does not impact my opinion. We recommend them because they are helpful and useful, not because of the small commissions we make if you decide to use their services. Please do not spend any money on these products unless you feel you need them or that they will help you achieve your goals.

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37Hurricane Katrina: Status Of The Health Care System In New Orleans And Difficult Decisions Related To Efforts To Rebuild It Approximately 6 Months After Hurricane Katrina

By

GAO-06-576R Hurricane Katrina: Status of the Health Care System in New Orleans and Difficult Decisions Related to Efforts to Rebuild It Approximately 6 Months After Hurricane Katrina Published 28-Mar-06 http://www.gao.gov/new.items/d06576r.pdf (Unofficial mirror of http://www.documentcloud.org/documents/241932-hurricane-katrina-status-of-the-health-care.html)

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38Insights : How Expert Principals Make Difficult Decisions

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GAO-06-576R Hurricane Katrina: Status of the Health Care System in New Orleans and Difficult Decisions Related to Efforts to Rebuild It Approximately 6 Months After Hurricane Katrina Published 28-Mar-06 http://www.gao.gov/new.items/d06576r.pdf (Unofficial mirror of http://www.documentcloud.org/documents/241932-hurricane-katrina-status-of-the-health-care.html)

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39Ethical Issues In Dementia Care : Making Difficult Decisions

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GAO-06-576R Hurricane Katrina: Status of the Health Care System in New Orleans and Difficult Decisions Related to Efforts to Rebuild It Approximately 6 Months After Hurricane Katrina Published 28-Mar-06 http://www.gao.gov/new.items/d06576r.pdf (Unofficial mirror of http://www.documentcloud.org/documents/241932-hurricane-katrina-status-of-the-health-care.html)

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40BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM Personal Microsoft​ Edge 2023 05 24 08 18 21

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41BBC I Player Newsnight ‘ Difficult Decisions’ Ahead For The New PM Personal Microsoft​ Edge 2023 05 26 11 01 58

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44DECIDEDLY DIFFICULT DECISIONS

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SPN100 Drabble Challenge. Prompt Word: SPIRAL. For Dean, picking out breakfast is a serious business.

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45Alberta Ranchers Face Difficult Decisions As Drought Drags On

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Bob Lowe, President, Canadian Cattleman's AssociationLearn more about your ad choices. Visit megaphone.fm/adchoices

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47ERIC ED586232: Later School Start Times For Supporting The Education, Health, And Well-Being Of High School Students: A Systematic Review. Campbell Systematic Reviews 2017:15 Background: A Number Of School Systems Worldwide Have Proposed And Implemented Later School Start Times As A Means Of Avoiding The Potentially Negative Impacts That Early Morning Schedules Can Have On Adolescent Students. Even Mild Sleep Deprivation Has Been Associated With Significant Health And Educational Concerns: Increased Risk For Accidents And Injuries, Impaired Learning, Aggression, Memory Loss, Poor Self-esteem, And Changes In Metabolism. Although Researchers Have Begun To Explore The Effects Of Delayed School Start Time, No One Has Conducted A Rigorous Review Of Evidence To Determine Whether Later School Start Times Support Adolescent Health, Education, And Well-being. Objectives: We Aimed To Assess The Effects Of A Later School Start Time For Supporting Health, Education, And Well-being In High School Students. Secondary Objectives Were To Explore Possible Differential Effects Of Later School Start Times In Student Subgroups And In Different Types Of Schools; To Identify Implementation Practices, Contextual Factors, And Delivery Modes Associated With Positive And Negative Effects Of Later Start Times; And To Assess The Effects Of Later School Start Times On The Broader Community (high School Faculty And Staff, Neighborhood, And Families). Search Methods: We Conducted The Main Search For This Review On 28 October 2014 And Updated It On 8 February 2016. We Searched CENTRAL As Well As 17 Key Electronic Databases (including MEDLINE, Embase, ERIC, PsycINFO, And Sociological Abstracts), Current Editions Of Relevant Journals And Organizational Websites, Trial Registries, And Google Scholar. Selection Criteria: We Included Any Randomized Controlled Trials, Controlled Before-and-after Studies, And Interrupted Time Series Studies With Sufficient Data Points That Pertained To Students Aged 13 To 19 Years And That Compared Different School Start Times. Studies That Reported Either Primary Outcomes Of Interest (academic Outcomes, Amount Or Quality Of Sleep, Mental Health Indicators, Attendance, Or Alertness) Or Secondary Outcomes (health Behaviors, Health And Safety Indicators, Social Outcomes, Family Outcomes, School Outcomes, Or Community Outcomes) Were Eligible. Data Collection And Analysis: At Least Two Review Authors Independently Determined Inclusion And Exclusion Decisions Through Screening Titles, Abstracts, And Full-text Reports. Two Review Authors Independently Extracted Data For All Eligible Studies. We Presented Findings Through A Narrative Synthesis Across All Studies. When Two Or More Study Samples Provided Sufficient Information To Permit Effect Size Calculations, We Conducted Random-effects Meta-analyses To Synthesize Effects Across Studies. Results: Our Search Located 17 Eligible Records Reporting On 11 Unique Studies With 297,994 Participants; The Studies Examined Academic Outcomes, Amount And Quality Of Sleep, Mental Health Indicators, Attendance, And Student Alertness. Overall, The Quality Of The Body Of Evidence Was Very Low, As We Rated Most Studies As Being At High Or Unclear Risk Of Bias With Respect To Allocation, Attrition, Absence Of Randomization, And The Collection Of Baseline Data. Therefore, We Cannot Be Confident About The Effects Of Later School Start Times. Preliminary Evidence From The Included Studies Indicated A Potential Association Between Later School Start Times And Academic And Psychosocial Outcomes, But Quality And Comparability Of These Data Were Low And Often Precluded Quantitative Synthesis. Four Studies Examined The Association Between Later School Start Times And Academic Outcomes, Reporting Mixed Results. Six Studies Examined Effects On Total Amount Of Sleep And Reported Significant, Positive Relationships Between Later School Start Times And Amount Of Sleep. One Study Provided Information Concerning Mental Health Outcomes, Reporting An Association Between Decreased Depressive Symptoms And Later School Start Times. There Were Mixed Results For The Association Between Later School Start Times And Absenteeism. Three Studies Reported Mixed Results Concerning The Association Between Later School Start Times And Student Alertness. There Was Limited Indication Of Potential Adverse Effects On Logistics, As The Qualitative Portions Of One Study Reported Less Interaction Between Parents And Children, And Another Reported Staffing And Scheduling Difficulties. Because Of The Insufficient Evidence, We Cannot Draw Firm Conclusions Concerning Adverse Effects At This Time. It Is Important To Note The Limitations Of This Evidence, Especially As Randomized Controlled Trials And High-quality Primary Studies Are Difficult To Conduct; School Systems Are Often Unwilling Or Unable To Allow Researchers The Necessary Control Over Scheduling And Data Collection. Moreover, This Evidence Does Not Speak To The Process Of Implementing Later School Starts, As The Included Studies Focused On Reporting The Effects Rather Than Exploring The Process. Authors' Conclusions: This Systematic Review On Later School Start Times Suggests Several Potential Benefits For This Intervention And Points To The Need For Higher Quality Primary Studies. However, As A Result Of The Limited Evidence Base, We Could Not Determine The Effects Of Later School Start Times With Any Confidence. [Additional Funding Was Provided By: (1) Department Of Public Health Sciences, Canada; And (2) Canadian Institutes Of Health Research And The Population Health Intervention Research Network, Canada.]

By

Background: A number of school systems worldwide have proposed and implemented later school start times as a means of avoiding the potentially negative impacts that early morning schedules can have on adolescent students. Even mild sleep deprivation has been associated with significant health and educational concerns: increased risk for accidents and injuries, impaired learning, aggression, memory loss, poor self-esteem, and changes in metabolism. Although researchers have begun to explore the effects of delayed school start time, no one has conducted a rigorous review of evidence to determine whether later school start times support adolescent health, education, and well-being. Objectives: We aimed to assess the effects of a later school start time for supporting health, education, and well-being in high school students. Secondary objectives were to explore possible differential effects of later school start times in student subgroups and in different types of schools; to identify implementation practices, contextual factors, and delivery modes associated with positive and negative effects of later start times; and to assess the effects of later school start times on the broader community (high school faculty and staff, neighborhood, and families). Search methods: We conducted the main search for this review on 28 October 2014 and updated it on 8 February 2016. We searched CENTRAL as well as 17 key electronic databases (including MEDLINE, Embase, ERIC, PsycINFO, and Sociological Abstracts), current editions of relevant journals and organizational websites, trial registries, and Google Scholar. Selection criteria: We included any randomized controlled trials, controlled before-and-after studies, and interrupted time series studies with sufficient data points that pertained to students aged 13 to 19 years and that compared different school start times. Studies that reported either primary outcomes of interest (academic outcomes, amount or quality of sleep, mental health indicators, attendance, or alertness) or secondary outcomes (health behaviors, health and safety indicators, social outcomes, family outcomes, school outcomes, or community outcomes) were eligible. Data collection and analysis: At least two review authors independently determined inclusion and exclusion decisions through screening titles, abstracts, and full-text reports. Two review authors independently extracted data for all eligible studies. We presented findings through a narrative synthesis across all studies. When two or more study samples provided sufficient information to permit effect size calculations, we conducted random-effects meta-analyses to synthesize effects across studies. Results: Our search located 17 eligible records reporting on 11 unique studies with 297,994 participants; the studies examined academic outcomes, amount and quality of sleep, mental health indicators, attendance, and student alertness. Overall, the quality of the body of evidence was very low, as we rated most studies as being at high or unclear risk of bias with respect to allocation, attrition, absence of randomization, and the collection of baseline data. Therefore, we cannot be confident about the effects of later school start times. Preliminary evidence from the included studies indicated a potential association between later school start times and academic and psychosocial outcomes, but quality and comparability of these data were low and often precluded quantitative synthesis. Four studies examined the association between later school start times and academic outcomes, reporting mixed results. Six studies examined effects on total amount of sleep and reported significant, positive relationships between later school start times and amount of sleep. One study provided information concerning mental health outcomes, reporting an association between decreased depressive symptoms and later school start times. There were mixed results for the association between later school start times and absenteeism. Three studies reported mixed results concerning the association between later school start times and student alertness. There was limited indication of potential adverse effects on logistics, as the qualitative portions of one study reported less interaction between parents and children, and another reported staffing and scheduling difficulties. Because of the insufficient evidence, we cannot draw firm conclusions concerning adverse effects at this time. It is important to note the limitations of this evidence, especially as randomized controlled trials and high-quality primary studies are difficult to conduct; school systems are often unwilling or unable to allow researchers the necessary control over scheduling and data collection. Moreover, this evidence does not speak to the process of implementing later school starts, as the included studies focused on reporting the effects rather than exploring the process. Authors' conclusions: This systematic review on later school start times suggests several potential benefits for this intervention and points to the need for higher quality primary studies. However, as a result of the limited evidence base, we could not determine the effects of later school start times with any confidence. [Additional funding was provided by: (1) Department of Public Health Sciences, Canada; and (2) Canadian Institutes of Health Research and the Population Health Intervention Research Network, Canada.]

“ERIC ED586232: Later School Start Times For Supporting The Education, Health, And Well-Being Of High School Students: A Systematic Review. Campbell Systematic Reviews 2017:15 Background: A Number Of School Systems Worldwide Have Proposed And Implemented Later School Start Times As A Means Of Avoiding The Potentially Negative Impacts That Early Morning Schedules Can Have On Adolescent Students. Even Mild Sleep Deprivation Has Been Associated With Significant Health And Educational Concerns: Increased Risk For Accidents And Injuries, Impaired Learning, Aggression, Memory Loss, Poor Self-esteem, And Changes In Metabolism. Although Researchers Have Begun To Explore The Effects Of Delayed School Start Time, No One Has Conducted A Rigorous Review Of Evidence To Determine Whether Later School Start Times Support Adolescent Health, Education, And Well-being. Objectives: We Aimed To Assess The Effects Of A Later School Start Time For Supporting Health, Education, And Well-being In High School Students. Secondary Objectives Were To Explore Possible Differential Effects Of Later School Start Times In Student Subgroups And In Different Types Of Schools; To Identify Implementation Practices, Contextual Factors, And Delivery Modes Associated With Positive And Negative Effects Of Later Start Times; And To Assess The Effects Of Later School Start Times On The Broader Community (high School Faculty And Staff, Neighborhood, And Families). Search Methods: We Conducted The Main Search For This Review On 28 October 2014 And Updated It On 8 February 2016. We Searched CENTRAL As Well As 17 Key Electronic Databases (including MEDLINE, Embase, ERIC, PsycINFO, And Sociological Abstracts), Current Editions Of Relevant Journals And Organizational Websites, Trial Registries, And Google Scholar. Selection Criteria: We Included Any Randomized Controlled Trials, Controlled Before-and-after Studies, And Interrupted Time Series Studies With Sufficient Data Points That Pertained To Students Aged 13 To 19 Years And That Compared Different School Start Times. Studies That Reported Either Primary Outcomes Of Interest (academic Outcomes, Amount Or Quality Of Sleep, Mental Health Indicators, Attendance, Or Alertness) Or Secondary Outcomes (health Behaviors, Health And Safety Indicators, Social Outcomes, Family Outcomes, School Outcomes, Or Community Outcomes) Were Eligible. Data Collection And Analysis: At Least Two Review Authors Independently Determined Inclusion And Exclusion Decisions Through Screening Titles, Abstracts, And Full-text Reports. Two Review Authors Independently Extracted Data For All Eligible Studies. We Presented Findings Through A Narrative Synthesis Across All Studies. When Two Or More Study Samples Provided Sufficient Information To Permit Effect Size Calculations, We Conducted Random-effects Meta-analyses To Synthesize Effects Across Studies. Results: Our Search Located 17 Eligible Records Reporting On 11 Unique Studies With 297,994 Participants; The Studies Examined Academic Outcomes, Amount And Quality Of Sleep, Mental Health Indicators, Attendance, And Student Alertness. Overall, The Quality Of The Body Of Evidence Was Very Low, As We Rated Most Studies As Being At High Or Unclear Risk Of Bias With Respect To Allocation, Attrition, Absence Of Randomization, And The Collection Of Baseline Data. Therefore, We Cannot Be Confident About The Effects Of Later School Start Times. Preliminary Evidence From The Included Studies Indicated A Potential Association Between Later School Start Times And Academic And Psychosocial Outcomes, But Quality And Comparability Of These Data Were Low And Often Precluded Quantitative Synthesis. Four Studies Examined The Association Between Later School Start Times And Academic Outcomes, Reporting Mixed Results. Six Studies Examined Effects On Total Amount Of Sleep And Reported Significant, Positive Relationships Between Later School Start Times And Amount Of Sleep. One Study Provided Information Concerning Mental Health Outcomes, Reporting An Association Between Decreased Depressive Symptoms And Later School Start Times. There Were Mixed Results For The Association Between Later School Start Times And Absenteeism. Three Studies Reported Mixed Results Concerning The Association Between Later School Start Times And Student Alertness. There Was Limited Indication Of Potential Adverse Effects On Logistics, As The Qualitative Portions Of One Study Reported Less Interaction Between Parents And Children, And Another Reported Staffing And Scheduling Difficulties. Because Of The Insufficient Evidence, We Cannot Draw Firm Conclusions Concerning Adverse Effects At This Time. It Is Important To Note The Limitations Of This Evidence, Especially As Randomized Controlled Trials And High-quality Primary Studies Are Difficult To Conduct; School Systems Are Often Unwilling Or Unable To Allow Researchers The Necessary Control Over Scheduling And Data Collection. Moreover, This Evidence Does Not Speak To The Process Of Implementing Later School Starts, As The Included Studies Focused On Reporting The Effects Rather Than Exploring The Process. Authors' Conclusions: This Systematic Review On Later School Start Times Suggests Several Potential Benefits For This Intervention And Points To The Need For Higher Quality Primary Studies. However, As A Result Of The Limited Evidence Base, We Could Not Determine The Effects Of Later School Start Times With Any Confidence. [Additional Funding Was Provided By: (1) Department Of Public Health Sciences, Canada; And (2) Canadian Institutes Of Health Research And The Population Health Intervention Research Network, Canada.]” Metadata:

  • Title: ➤  ERIC ED586232: Later School Start Times For Supporting The Education, Health, And Well-Being Of High School Students: A Systematic Review. Campbell Systematic Reviews 2017:15 Background: A Number Of School Systems Worldwide Have Proposed And Implemented Later School Start Times As A Means Of Avoiding The Potentially Negative Impacts That Early Morning Schedules Can Have On Adolescent Students. Even Mild Sleep Deprivation Has Been Associated With Significant Health And Educational Concerns: Increased Risk For Accidents And Injuries, Impaired Learning, Aggression, Memory Loss, Poor Self-esteem, And Changes In Metabolism. Although Researchers Have Begun To Explore The Effects Of Delayed School Start Time, No One Has Conducted A Rigorous Review Of Evidence To Determine Whether Later School Start Times Support Adolescent Health, Education, And Well-being. Objectives: We Aimed To Assess The Effects Of A Later School Start Time For Supporting Health, Education, And Well-being In High School Students. Secondary Objectives Were To Explore Possible Differential Effects Of Later School Start Times In Student Subgroups And In Different Types Of Schools; To Identify Implementation Practices, Contextual Factors, And Delivery Modes Associated With Positive And Negative Effects Of Later Start Times; And To Assess The Effects Of Later School Start Times On The Broader Community (high School Faculty And Staff, Neighborhood, And Families). Search Methods: We Conducted The Main Search For This Review On 28 October 2014 And Updated It On 8 February 2016. We Searched CENTRAL As Well As 17 Key Electronic Databases (including MEDLINE, Embase, ERIC, PsycINFO, And Sociological Abstracts), Current Editions Of Relevant Journals And Organizational Websites, Trial Registries, And Google Scholar. Selection Criteria: We Included Any Randomized Controlled Trials, Controlled Before-and-after Studies, And Interrupted Time Series Studies With Sufficient Data Points That Pertained To Students Aged 13 To 19 Years And That Compared Different School Start Times. Studies That Reported Either Primary Outcomes Of Interest (academic Outcomes, Amount Or Quality Of Sleep, Mental Health Indicators, Attendance, Or Alertness) Or Secondary Outcomes (health Behaviors, Health And Safety Indicators, Social Outcomes, Family Outcomes, School Outcomes, Or Community Outcomes) Were Eligible. Data Collection And Analysis: At Least Two Review Authors Independently Determined Inclusion And Exclusion Decisions Through Screening Titles, Abstracts, And Full-text Reports. Two Review Authors Independently Extracted Data For All Eligible Studies. We Presented Findings Through A Narrative Synthesis Across All Studies. When Two Or More Study Samples Provided Sufficient Information To Permit Effect Size Calculations, We Conducted Random-effects Meta-analyses To Synthesize Effects Across Studies. Results: Our Search Located 17 Eligible Records Reporting On 11 Unique Studies With 297,994 Participants; The Studies Examined Academic Outcomes, Amount And Quality Of Sleep, Mental Health Indicators, Attendance, And Student Alertness. Overall, The Quality Of The Body Of Evidence Was Very Low, As We Rated Most Studies As Being At High Or Unclear Risk Of Bias With Respect To Allocation, Attrition, Absence Of Randomization, And The Collection Of Baseline Data. Therefore, We Cannot Be Confident About The Effects Of Later School Start Times. Preliminary Evidence From The Included Studies Indicated A Potential Association Between Later School Start Times And Academic And Psychosocial Outcomes, But Quality And Comparability Of These Data Were Low And Often Precluded Quantitative Synthesis. Four Studies Examined The Association Between Later School Start Times And Academic Outcomes, Reporting Mixed Results. Six Studies Examined Effects On Total Amount Of Sleep And Reported Significant, Positive Relationships Between Later School Start Times And Amount Of Sleep. One Study Provided Information Concerning Mental Health Outcomes, Reporting An Association Between Decreased Depressive Symptoms And Later School Start Times. There Were Mixed Results For The Association Between Later School Start Times And Absenteeism. Three Studies Reported Mixed Results Concerning The Association Between Later School Start Times And Student Alertness. There Was Limited Indication Of Potential Adverse Effects On Logistics, As The Qualitative Portions Of One Study Reported Less Interaction Between Parents And Children, And Another Reported Staffing And Scheduling Difficulties. Because Of The Insufficient Evidence, We Cannot Draw Firm Conclusions Concerning Adverse Effects At This Time. It Is Important To Note The Limitations Of This Evidence, Especially As Randomized Controlled Trials And High-quality Primary Studies Are Difficult To Conduct; School Systems Are Often Unwilling Or Unable To Allow Researchers The Necessary Control Over Scheduling And Data Collection. Moreover, This Evidence Does Not Speak To The Process Of Implementing Later School Starts, As The Included Studies Focused On Reporting The Effects Rather Than Exploring The Process. Authors' Conclusions: This Systematic Review On Later School Start Times Suggests Several Potential Benefits For This Intervention And Points To The Need For Higher Quality Primary Studies. However, As A Result Of The Limited Evidence Base, We Could Not Determine The Effects Of Later School Start Times With Any Confidence. [Additional Funding Was Provided By: (1) Department Of Public Health Sciences, Canada; And (2) Canadian Institutes Of Health Research And The Population Health Intervention Research Network, Canada.]
  • Author:
  • Language: English

“ERIC ED586232: Later School Start Times For Supporting The Education, Health, And Well-Being Of High School Students: A Systematic Review. Campbell Systematic Reviews 2017:15 Background: A Number Of School Systems Worldwide Have Proposed And Implemented Later School Start Times As A Means Of Avoiding The Potentially Negative Impacts That Early Morning Schedules Can Have On Adolescent Students. Even Mild Sleep Deprivation Has Been Associated With Significant Health And Educational Concerns: Increased Risk For Accidents And Injuries, Impaired Learning, Aggression, Memory Loss, Poor Self-esteem, And Changes In Metabolism. Although Researchers Have Begun To Explore The Effects Of Delayed School Start Time, No One Has Conducted A Rigorous Review Of Evidence To Determine Whether Later School Start Times Support Adolescent Health, Education, And Well-being. Objectives: We Aimed To Assess The Effects Of A Later School Start Time For Supporting Health, Education, And Well-being In High School Students. Secondary Objectives Were To Explore Possible Differential Effects Of Later School Start Times In Student Subgroups And In Different Types Of Schools; To Identify Implementation Practices, Contextual Factors, And Delivery Modes Associated With Positive And Negative Effects Of Later Start Times; And To Assess The Effects Of Later School Start Times On The Broader Community (high School Faculty And Staff, Neighborhood, And Families). Search Methods: We Conducted The Main Search For This Review On 28 October 2014 And Updated It On 8 February 2016. We Searched CENTRAL As Well As 17 Key Electronic Databases (including MEDLINE, Embase, ERIC, PsycINFO, And Sociological Abstracts), Current Editions Of Relevant Journals And Organizational Websites, Trial Registries, And Google Scholar. Selection Criteria: We Included Any Randomized Controlled Trials, Controlled Before-and-after Studies, And Interrupted Time Series Studies With Sufficient Data Points That Pertained To Students Aged 13 To 19 Years And That Compared Different School Start Times. Studies That Reported Either Primary Outcomes Of Interest (academic Outcomes, Amount Or Quality Of Sleep, Mental Health Indicators, Attendance, Or Alertness) Or Secondary Outcomes (health Behaviors, Health And Safety Indicators, Social Outcomes, Family Outcomes, School Outcomes, Or Community Outcomes) Were Eligible. Data Collection And Analysis: At Least Two Review Authors Independently Determined Inclusion And Exclusion Decisions Through Screening Titles, Abstracts, And Full-text Reports. Two Review Authors Independently Extracted Data For All Eligible Studies. We Presented Findings Through A Narrative Synthesis Across All Studies. When Two Or More Study Samples Provided Sufficient Information To Permit Effect Size Calculations, We Conducted Random-effects Meta-analyses To Synthesize Effects Across Studies. Results: Our Search Located 17 Eligible Records Reporting On 11 Unique Studies With 297,994 Participants; The Studies Examined Academic Outcomes, Amount And Quality Of Sleep, Mental Health Indicators, Attendance, And Student Alertness. Overall, The Quality Of The Body Of Evidence Was Very Low, As We Rated Most Studies As Being At High Or Unclear Risk Of Bias With Respect To Allocation, Attrition, Absence Of Randomization, And The Collection Of Baseline Data. Therefore, We Cannot Be Confident About The Effects Of Later School Start Times. Preliminary Evidence From The Included Studies Indicated A Potential Association Between Later School Start Times And Academic And Psychosocial Outcomes, But Quality And Comparability Of These Data Were Low And Often Precluded Quantitative Synthesis. Four Studies Examined The Association Between Later School Start Times And Academic Outcomes, Reporting Mixed Results. Six Studies Examined Effects On Total Amount Of Sleep And Reported Significant, Positive Relationships Between Later School Start Times And Amount Of Sleep. One Study Provided Information Concerning Mental Health Outcomes, Reporting An Association Between Decreased Depressive Symptoms And Later School Start Times. There Were Mixed Results For The Association Between Later School Start Times And Absenteeism. Three Studies Reported Mixed Results Concerning The Association Between Later School Start Times And Student Alertness. There Was Limited Indication Of Potential Adverse Effects On Logistics, As The Qualitative Portions Of One Study Reported Less Interaction Between Parents And Children, And Another Reported Staffing And Scheduling Difficulties. Because Of The Insufficient Evidence, We Cannot Draw Firm Conclusions Concerning Adverse Effects At This Time. It Is Important To Note The Limitations Of This Evidence, Especially As Randomized Controlled Trials And High-quality Primary Studies Are Difficult To Conduct; School Systems Are Often Unwilling Or Unable To Allow Researchers The Necessary Control Over Scheduling And Data Collection. Moreover, This Evidence Does Not Speak To The Process Of Implementing Later School Starts, As The Included Studies Focused On Reporting The Effects Rather Than Exploring The Process. Authors' Conclusions: This Systematic Review On Later School Start Times Suggests Several Potential Benefits For This Intervention And Points To The Need For Higher Quality Primary Studies. However, As A Result Of The Limited Evidence Base, We Could Not Determine The Effects Of Later School Start Times With Any Confidence. [Additional Funding Was Provided By: (1) Department Of Public Health Sciences, Canada; And (2) Canadian Institutes Of Health Research And The Population Health Intervention Research Network, Canada.]” Subjects and Themes:

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Find ERIC ED586232: Later School Start Times For Supporting The Education, Health, And Well-Being Of High School Students: A Systematic Review. Campbell Systematic Reviews 2017:15 Background: A Number Of School Systems Worldwide Have Proposed And Implemented Later School Start Times As A Means Of Avoiding The Potentially Negative Impacts That Early Morning Schedules Can Have On Adolescent Students. Even Mild Sleep Deprivation Has Been Associated With Significant Health And Educational Concerns: Increased Risk For Accidents And Injuries, Impaired Learning, Aggression, Memory Loss, Poor Self-esteem, And Changes In Metabolism. Although Researchers Have Begun To Explore The Effects Of Delayed School Start Time, No One Has Conducted A Rigorous Review Of Evidence To Determine Whether Later School Start Times Support Adolescent Health, Education, And Well-being. Objectives: We Aimed To Assess The Effects Of A Later School Start Time For Supporting Health, Education, And Well-being In High School Students. Secondary Objectives Were To Explore Possible Differential Effects Of Later School Start Times In Student Subgroups And In Different Types Of Schools; To Identify Implementation Practices, Contextual Factors, And Delivery Modes Associated With Positive And Negative Effects Of Later Start Times; And To Assess The Effects Of Later School Start Times On The Broader Community (high School Faculty And Staff, Neighborhood, And Families). Search Methods: We Conducted The Main Search For This Review On 28 October 2014 And Updated It On 8 February 2016. We Searched CENTRAL As Well As 17 Key Electronic Databases (including MEDLINE, Embase, ERIC, PsycINFO, And Sociological Abstracts), Current Editions Of Relevant Journals And Organizational Websites, Trial Registries, And Google Scholar. Selection Criteria: We Included Any Randomized Controlled Trials, Controlled Before-and-after Studies, And Interrupted Time Series Studies With Sufficient Data Points That Pertained To Students Aged 13 To 19 Years And That Compared Different School Start Times. Studies That Reported Either Primary Outcomes Of Interest (academic Outcomes, Amount Or Quality Of Sleep, Mental Health Indicators, Attendance, Or Alertness) Or Secondary Outcomes (health Behaviors, Health And Safety Indicators, Social Outcomes, Family Outcomes, School Outcomes, Or Community Outcomes) Were Eligible. Data Collection And Analysis: At Least Two Review Authors Independently Determined Inclusion And Exclusion Decisions Through Screening Titles, Abstracts, And Full-text Reports. Two Review Authors Independently Extracted Data For All Eligible Studies. We Presented Findings Through A Narrative Synthesis Across All Studies. When Two Or More Study Samples Provided Sufficient Information To Permit Effect Size Calculations, We Conducted Random-effects Meta-analyses To Synthesize Effects Across Studies. Results: Our Search Located 17 Eligible Records Reporting On 11 Unique Studies With 297,994 Participants; The Studies Examined Academic Outcomes, Amount And Quality Of Sleep, Mental Health Indicators, Attendance, And Student Alertness. Overall, The Quality Of The Body Of Evidence Was Very Low, As We Rated Most Studies As Being At High Or Unclear Risk Of Bias With Respect To Allocation, Attrition, Absence Of Randomization, And The Collection Of Baseline Data. Therefore, We Cannot Be Confident About The Effects Of Later School Start Times. Preliminary Evidence From The Included Studies Indicated A Potential Association Between Later School Start Times And Academic And Psychosocial Outcomes, But Quality And Comparability Of These Data Were Low And Often Precluded Quantitative Synthesis. Four Studies Examined The Association Between Later School Start Times And Academic Outcomes, Reporting Mixed Results. Six Studies Examined Effects On Total Amount Of Sleep And Reported Significant, Positive Relationships Between Later School Start Times And Amount Of Sleep. One Study Provided Information Concerning Mental Health Outcomes, Reporting An Association Between Decreased Depressive Symptoms And Later School Start Times. There Were Mixed Results For The Association Between Later School Start Times And Absenteeism. Three Studies Reported Mixed Results Concerning The Association Between Later School Start Times And Student Alertness. There Was Limited Indication Of Potential Adverse Effects On Logistics, As The Qualitative Portions Of One Study Reported Less Interaction Between Parents And Children, And Another Reported Staffing And Scheduling Difficulties. Because Of The Insufficient Evidence, We Cannot Draw Firm Conclusions Concerning Adverse Effects At This Time. It Is Important To Note The Limitations Of This Evidence, Especially As Randomized Controlled Trials And High-quality Primary Studies Are Difficult To Conduct; School Systems Are Often Unwilling Or Unable To Allow Researchers The Necessary Control Over Scheduling And Data Collection. Moreover, This Evidence Does Not Speak To The Process Of Implementing Later School Starts, As The Included Studies Focused On Reporting The Effects Rather Than Exploring The Process. Authors' Conclusions: This Systematic Review On Later School Start Times Suggests Several Potential Benefits For This Intervention And Points To The Need For Higher Quality Primary Studies. However, As A Result Of The Limited Evidence Base, We Could Not Determine The Effects Of Later School Start Times With Any Confidence. [Additional Funding Was Provided By: (1) Department Of Public Health Sciences, Canada; And (2) Canadian Institutes Of Health Research And The Population Health Intervention Research Network, Canada.] at online marketplaces:


48Jun 18 - HC Jason Maas Says The Depth Of His Team Made The Roster Decisions Difficult

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Eskimos HC Jason Maas

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49ERIC ED230368: Coastal Decisions: Difficult Choices. Teacher's Guide. Preparing For Tomorrow's World.

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The objective of this "Preparing for Tomorrow's World" (PTW) program module is to help students (grades 7-8) gain insight into coastal issues and confront moral dilemmas which relate to those issues. PTW is an interdisciplinary, future-oriented program incorporating information from the sciences/social sciences and addressing societal concerns which interface science/technology/society. The program promotes responsible citizenry with increased abilities in critical thinking, problem-solving, social/ethical reasoning, and decision-making. The module is comprised of two parts: estuary marshes and activities along the coast. Each is introduced by a filmstrip and followed by student activities--written exercises, role-play simulations, and dilemma discussions (available in the guide as student handouts). Dilemmas, brief stories in which two or more moral/ethical conflicts must be resolved, are accompanied by questions to stimulate thinking and/or generate discussions. In addition to student handouts and instructional strategies, the teaching guide contains module overview, chart indicating moral issues (as identified by Kohlberg) in each dilemma, suggested time schedule, bibliography, and sources for supplementary materials. The module may be used as a separate unit of study, as a mini-course, or incorporated into existing curricula where appropriate. (JN)

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50Tulsi Gabbard 🌺 - Abortion Is One Of The Most Difficult Decisions A Woman Ever Has To Make & Should Not Be Used As A Divisive Political Weapon. I Support Codifying Roe V Wade & Restricting 3rd Trimester Abortions Unless A Woman's Life/severe Health Consequences Are At Risk

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Abortion is one of the most difficult decisions a woman ever has to make & should not be used as a divisive political weapon. I support codifying Roe v Wade & restricting 3rd trimester abortions unless a woman's life/severe health consequences are at risk https://t.co/nCRR0CbaKl https://t.co/fxrq94tqOH Source: https://twitter.com/TulsiGabbard/status/1184307727956434944 Uploader: Tulsi Gabbard 🌺

“Tulsi Gabbard 🌺 - Abortion Is One Of The Most Difficult Decisions A Woman Ever Has To Make & Should Not Be Used As A Divisive Political Weapon. I Support Codifying Roe V Wade & Restricting 3rd Trimester Abortions Unless A Woman's Life/severe Health Consequences Are At Risk” Metadata:

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“Tulsi Gabbard 🌺 - Abortion Is One Of The Most Difficult Decisions A Woman Ever Has To Make & Should Not Be Used As A Divisive Political Weapon. I Support Codifying Roe V Wade & Restricting 3rd Trimester Abortions Unless A Woman's Life/severe Health Consequences Are At Risk” Subjects and Themes:

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1Half Hours With the Lower Animals

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This book is devoted to the study of invertebrate animals. While most people associate the word "animal" with fish, amphibians, reptiles, birds, and mammals, 90% of the animal species on earth are invertebrates, i.e., they have no backbone. Protozoans and invertebrate animals are found world-wide, from the bottom of the oceans to the the rain forests, ice caves, and our own back yards. Many invertebrates still reside in the oceans, while others dwell in our houses, back yards and gardens, in ponds and streams, and on the menus in seafood restaurants. Holders's book represents a traversal of several dozen familiar and not-so-familiar animals without backbones whose ancestors date back to the Cambrian period 500 million years ago. (Summary by Jefferey Smith)

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  • Title: ➤  Half Hours With the Lower Animals
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  • Format: Audio
  • Number of Sections: 30
  • Total Time: 05:08:20

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  • Number of Sections: 30 sections

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