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The aim of this study was to examine the effectiveness of either a standard care programme (n = 9) or a 12-week supported exercise programme (n = 10) on glycaemic control, β-cell responsiveness, insulin resistance, and lipid profiles in newly diagnosed Type 2 diabetes patients. The standard care programme consisted of advice to exercise at moderate to high intensity for 30 min five times a week; the supported exercise programme consisted of three 60-min supported plus two unsupported exercise sessions per week. Between-group analyses demonstrated a difference for changes in low-density lipoprotein cholesterol only (standard care programme 0.01 mmol · L(-1), supported exercise programme -0.6 mmol · L(-1); P = 0.04). Following the standard care programme, within-group analyses demonstrated a significant reduction in waist circumference, whereas following the supported exercise programme there were reductions in glycosylated haemoglobin (6.4 vs. 6.0%; P = 0.007), waist circumference (101.4 vs. 97.2 cm; P = 0.021), body mass (91.7 vs. 87.9 kg; P = 0.007), body mass index (30.0 vs. 28.7 kg · m(-2); P = 0.006), total cholesterol (5.3 vs. 4.6 mmol · L(-1); P = 0.046), low-density lipoprotein cholesterol (3.2 vs. 2.6 mmol · L(-1); P = 0.028), fasting β-cell responsiveness (11.5 × 10(-9) vs. 7.0 × 10(-9) pmol · kg(-1) · min(-1); P = 0.009), and insulin resistance (3.0 vs. 2.1; P = 0.049). The supported exercise programme improved glycaemic control through enhanced β-cell function associated with decreased insulin resistance and improved lipid profile. This research highlights the need for research into unsupported and supported exercise programmes to establish more comprehensive lifestyle advice for Type 2 diabetes patients. 相似文献
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Public libraries are among key sites for the acquisition of cultural capital, and possibly one of the most potent means through which the state can address inequality. While digitalization of public libraries already attracted significant scholarly attention, the evidence of its contribution to the acquisition of cultural skills and knowledge and social mobility remains limited, as does the conceptual understanding of links between digitalization, cultural capital, and social stratification. This article draws on two disconnected bodies of research, the sociological analysis of cultural capital and stratification and research on digital divides. To bridge these two bodies of research, the interplay of cultural and digital capital in public libraries was investigated. The extensive dataset from the UK Taking Part Survey (2016–17) was analyzed using two-step cluster analysis and multinomial regression models to explore the contrasting profiles of contemporary library users. Results identify four distinct user groups: Traditional, Active, Family, and Tech Access, which possess different degrees of cultural and digital capital, have different demographic profiles, and benefit from digitalized libraries in different ways. If libraries are to fulfil their role in reducing social inequalities, it is important that they tailor their digital services to the specific characteristics of each user group. This approach also provides a useful template for exploring the interplay of digitalization and (in)equality in other cultural institutions. 相似文献
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Adrian Higham 《Publishing Research Quarterly》1988,4(4):45-51
Despite the dominance of the English language, publishers in the United States had export sales in 1987 of less than 6 percent
of their total sales. Adrian Higham analyzes the major overseas markets for U.S. books and suggests ways for publishers to
improve their export sales to each. The key to higher sales, he argues, is acquiring “insider status” in each market. Although
he is convinced that publishers can do better, he reminds us that there is no simple solution.
Adrian Higham brings to his consultancy an extensive background in international publishing. Following his wide career with
Longman he served as managing director of John Wiley & Sons’ Company in the United Kingdom and subsequently as senior vice
president and general manager of the International Group of John Wiley & Sons in New York. 相似文献
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In this article we develop the arguments of Glatter on the importance of adopting a more ‘organisation-oriented’ approach to educational leadership development. Through a critical review of current publications and national courses in the field, we argue that educational leadership is still very skills focussed at the expense of more sophisticated understandings of organisational context. This skills focus, or ‘agency without structure’, as Glatter puts it, encourages a ‘can do’ culture of simplistic solution-seeking rather than appreciation of complexity and paradox in the leadership experience which can produce better judgements. To identify such ‘understandings’, we then examine five traditions of thinking about ‘organisation’ through their related literatures. The first four, thinking psychologically, thinking structurally, thinking culturally and thinking politically, build on organisational ‘frames’. The fifth literature explores how these frames are constantly and variously brought into play through ‘complex responsive processes’ of organising in our daily work lives. Implications of this more organisation-focussed approach for educational leadership development are discussed through examples from the authors’ own research and teaching. 相似文献
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助学贷款的不同目标--对贷款的设计、评价及政策可能产生的影响 总被引:6,自引:0,他引:6
本文对世界各地助学贷款的不同目标作了简要的回顾和评论 ,着重论述了两种不同目标取向的助学贷款之间的差异 :第一类助学贷款追求经济目标 ,如贷款的设立是为了促进高等教育的成本补偿 ,为紧张的大学财政获取额外财源 ;第二类助学贷款追求社会目标 ,如设立贷款的目的是为了增进高等教育入学机会均等 ,帮助更多贫困家庭的学生上大学。以经济目标为导向的助学贷款一般不含政府补贴 ,以社会目标为导向的助学贷款可能享受政府的补贴 ,但需要对贷款对象进行认真仔细的确认。文章最后指出 ,助学贷款的设计和评价必须考虑到贷款政策的目标。 相似文献