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\"This collection explores social processes and meanings germane to the educational mobility of first-generation college students before and during their matriculation into higher education. The contributing scholars examine dynamics, policies, practices, and programs that inform college access and persistence for first generation students\"-- Provided by publisher.

Determines the prevalence of frailty in the adult population in Christchurch Hospital, a tertiary New Zealand hospital. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.

Objective To describe the current definitions, aetiology, assessment tools and clinical implications of frailty in modern surgical practice. Background Frailty is a critical issue in modern surgical practice due to its association with adverse health events and poor post-operative outcomes. The global population is rapidly ageing resulting in more older patients presenting for surgery. With this, the number of frail patients presenting for surgery is also increasing. Despite the identification of frailty as a significant predictor of poor health outcomes, there is currently no consensus on how to define, measure and diagnose this important syndrome. Methods Relevant references were identified through keyword searches of the Cochran, MEDLINE and EMbase databases. Results Despite the lack of a gold standard operational definition, frailty can be conceptualised as a state of increased vulnerability resulting from a decline in physiological reserve and function across multiple organ systems, such that the ability to withstand stressors is impaired. Multiple studies have shown a strong association between frailty and adverse peri-operative outcomes. Frailty may be assessed using multiple tools; however, the ideal tool for use in a clinical setting has yet to be identified. Despite the association between frailty and adverse outcomes, few interventions have been shown to improve outcomes in these patients. Conclusion Frailty encompasses a group of individuals at high risk of adverse post-operative outcomes. Further work exploring ways to optimally assess and target interventions towards these patients should be the focus of ongoing research.

A central finding of bilingual research is that cognates – words that share semantic, phonological, and orthographic characteristics across languages – are processed faster than non-cognate words. However, it remains unclear whether cognate facilitation effects are reliant on identical cognates, or whether facilitation simply varies along a continuum of cross-language orthographic and phonological similarity. In two experiments, German–English bilinguals read identical cognates, close cognates, and non-cognates in a lexical decision task and a sentence-reading task while their eye movements were recorded. Participants read the stimuli in their L1 German and L2 English. Converging results found comparable facilitation effects of identical and close cognates vs. non-cognates. Cognate facilitation could be described as a continuous linear effect of cross-language orthographic similarity on lexical decision accuracy and latency, as well as fixation durations. Cross-language phonological similarity modulated the continuous orthographic similarity effect in single word recognition, but not in sentence processing.

The development of preschoolers’ language skills is influenced by literacy environments and individual differences in storybook exposure. Extant research is limited as most studies (a) investigate the effects on lower level language (LLL; e.g., vocabulary, grammar), but not the effects on higher level language (HLL; e.g., comprehension monitoring, narrative comprehension), and (b) focus on shared reading in the home literacy environment (HLE), but not on the child care literacy environment (CCLE) and the child as active literacy agent. We addressed these two gaps. First, we investigated the contributions of the HLE and the CCLE to the storybook exposure of 201 German preschoolers (MAge = 5; 5 years). A multilevel model showed that parents’ storybook exposure was the most important predictor of children’s storybook exposure. By contrast, child care workers’ storybook exposure was not a significant predictor. Second, we explored the unique contributions of HLE, CCLE, and preschoolers’ storybook exposure to LLL and HLL skills. Multilevel models showed that children’s storybook exposure explained unique variance not only in LLL skills, but also in HLL skills. Literacy environments explained additional variance in LLL skills. In sum, our results suggest that literacy environments are differentially related to children’s storybook exposure and language skills. Our finding that children’s storybook exposure was a unique predictor of vocabulary, grammar, comprehension monitoring, and narrative comprehension indicates that shared book reading has the potential to foster a range of early literacy skills which predict reading comprehension.

Unplanned readmissions (URs) after colorectal surgery (CRS) are common, expensive, and result from failure to progress in postoperative recovery. These are considered preventable, although the true extent is yet to be defined. In addition, their successful prediction remains elusive due to significant heterogeneity in this field of research. This systematic review and meta-analysis of observational studies aimed to identify the clinically relevant predictors of UR after colorectal surgery. A systematic review was conducted using indexed sources (The Cochrane Database of Systematic Reviews, MEDLINE, and Embase) to search for published studies in English between 1996 and 2022. The search strategy returned 625 studies for screening of which, 150 were duplicates, and 305 were excluded for irrelevance. An additional 150 studies were excluded based on methodology and definition criteria. Twenty studies met the inclusion criteria and for the meta-analysis. Independent meta-extraction was conducted by multiple reviewers (JD & SR) in accordance with PRISMA guidelines. The primary outcome was defined as UR within 30 days of index discharge after colorectal surgery. Data were pooled using a random-effects model. Risk of bias was assessed using the Quality in Prognosis Studies tool. The reported 30-day UR rate ranged from 6% to 22.8%. Increased comorbidity was the strongest preoperative risk factor for UR (OR 1.39, 95% CI 1.28-1.51). Stoma formation was the strongest operative risk factor (OR 1.54, 95% CI 1.38-1.72). The occurrence of postoperative complications was the strongest postoperative and overall risk factor for UR (OR 3.03, 95% CI 1.21-7.61). Increased comorbidity, stoma formation, and postoperative complications are clinically relevant predictors of UR after CRS. These risk factors are readily identifiable before discharge and serve as clinically relevant targets for readmission risk-reducing strategies. Successful readmission prediction may facilitate the efficient allocation of healthcare resources.

Leisure reading is a main contributor to print exposure, which is in turn related to individual differences in reading and language skills. The Author Recognition Test (ART) is a brief and objective measure of print exposure that has been used in reading research since the 1990s. Life span studies have reported contradicting results concerning age differences in print exposure, possibly due to the use of ART versions that differed regarding authors’ mean publication year. We investigated effects of participant age and authors’ mean publication year, literary level, and circulation frequency on author recognition probability between adolescence and old age (N = 339; age 13–77 years). An explanatory item response analysis showed that participant age and circulation frequency were positively related to recognition probability. Mean publication year was negatively related to recognition probability, indicating that recent authors who have been widely read for only a few years were less often recognized than classic authors who have been widely read for several decades. The relation between participant age and recognition probability was moderated by author variables. For classic authors, the recognition probability increased between adolescence and old age. By contrast, for recent authors, the recognition probability increased only between adolescence and middle age. Our results suggest that the mean publication year is a key author variable for the detection of print exposure differences between young, middle-aged and older adults. We discuss implications for author selection when updating the ART and for measuring print exposure in age-diverse samples.

In this study, we investigated the baseword frequency effect in children and its implications for models of visual word recognition. The baseword frequency effect reflects the finding that response latencies in the lexical decision task to nonwords derived from high-frequency basewords (e.g., GREAN derived from GREEN) are shorter than for those derived from low-frequency basewords (e.g., SLEAT derived from SLEET). Importantly, the baseword frequency effect presents a challenge to current activation-based models of visual word recognition. One explanation for this effect is that the orthographic representations of high-frequency basewords are easier to access. This allows a quick progression to a verification stage in which the exact spelling of a stimulus is checked, upon which the lexicality decision is then based. The main goal of this study was to investigate whether such a verification mechanism is specifically modulated by the quality of the orthographic lexicon. We tested whether the baseword frequency effect was evident in children’s lexical decisions to pseudohomophones (PsH) and whether verification accuracy varied as a function of children’s orthographic knowledge. The baseword frequency effect in response latency was observed in both German-speaking adults and children. Children’s spelling skills significantly influenced the accuracy of the verification stage in their responses to PsH. These findings imply that verification is an integral part of word reading and thus should be included in computational models of visual word recognition.

Background Multiple tools exist estimating perioperative risk. With an ageing surgical demographic, frailty is becoming an increasingly important concept in perioperative medicine due to its association with adverse post-operative outcomes. Reduced physical activity is a hallmark of frailty, and we postulate that a low pre-operative step count may be an objective measure of frailty. This study aimed to determine the association between low pre-operative step count and post-operative outcomes in patients undergoing elective colorectal cancer surgery. Methods A prospective analysis of 85 older patients undergoing major elective colorectal surgery was performed at a tertiary centre between October 2017 and October 2018. Patients aged 65 years and over who met inclusion criteria were provided with an activity tracker to wear for 14 days prior to planned surgery. Their median daily step count was measured and a cut-off of < 2500 steps/day was used to define a reduced step count. Primary outcomes included length of stay and 30-day post-operative complication rate. Multivariable logistic regression analyses were used to analyze the influence of low pre-operative step count and other preoperative variables, on post-operative outcomes including mortality, prolonged hospital admission, and complication rates. Results Of 85 patients, 17 (20%) were identified as having a low pre-operative step count. A low pre-operative step count was associated with a significantly increased length of stay (14 vs. 6 days, IRR 2.09, 95% CI 1.55–2.83, p ≤ 0.01) and rate of major post-operative complications (29.4% vs. 8.8%, OR 3.34, 95% CI 1.03–14.3, p = 0.04). It was also associated with significantly increased rates of discharge to care facilities ( p < 0.01) and requiring support on discharge ( p = 0.03). Conclusion Low pre-operative step count (< 2500 steps/day) is predictive of an increased risk of post-operative morbidity in patients undergoing elective colorectal surgery. Accurate preoperative identification may allow for treatment modification and tailored perioperative care. The possibility of using a wearable activity tracker as a simple but powerful pre-habilitation tool is raised as an important avenue for future study. Trial registration Australian New Zealand Clinical Trials Registry ( ACTRN12618000045213 ).

Reports a case of a 56-year old male patient presenting with small bowel obstruction secondary to an enteric ileal duplication cyst. Discusses enteric duplication cysts (EDC) in adults. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.