One Size Doesn't Fit All: Bringing Out the Best in Any Size Church

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In this Q&A, adapted from the January 14 episode of Public Health On Call , Dorry Segev, MD, PhD ’09, MHS ’09 , professor of Surgery at the Johns Hopkins School of Medicine and professor of Epidemiology at the Bloomberg School, talks with Stephanie Desmon about his studies with immunocompromised patients and COVID-19 vaccination throughout the pandemic—and why he thinks an individualized approach is needed for this population. All of our lights were moved to fluorescents about 8 years ago, and now I've about 1/2 that are LEDs. Personally I'm finding LED lights way better than fluorescents which tended to blow frequently. LEDs have come down in price, and I keep an eye out for when they're on special too. Tier 2 of the MTSS provides additional supports for students identified as needing extra skills and resources to access their learning. This is often provided in supplemental or small group assistance. A few examples: That's too complicated for a big government agency, but that is what doctors do. That's what medical providers do: They individualize care for their patients. For any other medication I give my patients, I have the permission to [individualize care]. For vaccines, we don't have permission.

While the levers of a personalized influence model remain the same, the tactics within each become contextualized to suit individual needs (see Exhibit).

K-12 ACADEMIC & CTE

In the previously described application configuration we were assuming the build of ApplicationA and ADFLibrary1 was all on the same developer machine. It's relatively simply for 1 developer to copy the JARs to the correct location to satisfy the dependencies. Yet in a typical development environment there will be multiple developers working on different modules across different developer machines. Moving JARs between developer PCs becomes problematic. We really need some sort of developer repository to share the modules archives. Nigel Cassidy:I’m Nigel Cassidy, and welcome to a slightly different episode of the CIPD Podcast. Last week the CIPD hosted it’s Festival of Work at London Olympia. It was a two day conference bringing together thousands of people, professionals and business leaders to discuss the new world of work. For one of the sessions, I took to the stage to interview two special guests, the CIPD’s own Digital Learning Portfolio Manager, Giorgia Gamba-Quilliam and Susi Miller, author of Designing Accessible Learning Content. Our conversation focused on learning, whether a one size fits all approach to learning is feasible, and the practicalities of designing adaptable, inclusive and vitally accessible learning experiences. In this episode, you’ll get a chance to hear that conversation in full, or if you were at the festival, to hear it again. I hope you enjoy it.

We know from large studies that at least in people who are immunocompetent, higher antibody levels directly correlate with clinical protection. In those with normal immune systems, T cell responses, B cell responses, [and] antibody responses all work in synchrony. That synchrony might be broken in, for example, the transplant patient who is on T cell inhibitors. At this point we only see differing behaviour with af:outputText values in af:columns where they show Dates *and* the af:outputText includes an af:clientAttribute tag. SM:Yeah, definitely yes. And for me I think that the one, the huge benefit really of what happened when everything suddenly went digital, for me there was a real strong feeling of empathy because everybody was in the same situation. And for me, from an accessibility point of view, that was where the temporary and the situational kind of aspect really came to life. People understood how difficult it was to be working in an environment where you were home schooling children and you maybe didn’t have the, you had old computer equipment, you didn’t have the right you know? So that was, that’s that bit I hope we don’t lose, because we really did understand and we could empathise with what other people were going through in that situation. And I think to carry that learning on and to really feed it into everything we do is a key learning for me. GGQ:Well it’s not about compromising, like we, both Susi and I were saying, it’s about making something better for everybody. So it’s really not writing for the 20% or creating for the 20% but for the 100%. And yeah, maybe the 80% might be able to access what we do. But really, do we have any hard evidence of that either? Because a lot of disabilities are hidden, a lot of people don’t want to share their own disabilities. So we’re making huge assumptions about the number of people who can access what we’re producing. So if we make the most possible accessible thing, then that’s when we reach the -- NC:I just wondered if we could just ask our audience maybe, just on a show of hands, how many of you have either been tasked with making some improvements and been just not sure where to go next. I mean is this a problem? Interesting yes, about a dozen hands have gone up.

GGQ:Yeah. I totally agree, because it encourages creativity rather than taking away, like you were saying. I would say it's absolutely critical for anyone who’s immunocompromised to get vaccinated. Even if they don't have a lot of detectable antibodies, they likely have some amount of protection. They're still at risk of acquiring the disease at a higher rate with more severe infection than people who are immunocompetent, although maybe not as severe as if they had not been vaccinated at all. Improving information materials to make them more inclusive or targeted for trans and non-binary people could also help increase screening uptake. And the option to self-sample for HPV. Self-sampling is being piloted in the UK and has been successful in other countries including the US.” SM:Yeah, so either, for me it’s like a, it could be a contextual framework as I came up with in the book, or for, for a lot of people, if you’re trying to make, understand it yourself or trying to explain it to other people, then breaking it down into different access needs. So maybe thinking of vision access needs, hearing access needs, cognitive and motor access needs. And really understanding what you need to do for each of those categories, those lenses of access needs is a great place to start. ora:ojdeploy]