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671.
This report summarizes the results of a survey of faculty member attitudes towards the evaluation of teaching at the University of Western Ontario. Although the existing system of evaluation is perceived as narrow in focus, ineffective in improving teaching and inflexible, faculty members still optimistically expect that a satisfactory system is possible.  相似文献   
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Although screening for child abuse at emergency departments (EDs) increases the detection rate of potential child abuse, an accurate instrument is lacking. This study was designed to measure the accuracy of a screening instrument for detection of potential child abuse used in EDs. In a prospective cohort study at three Dutch EDs, a 6-item screening instrument for child abuse, Escape, was completed for each child visiting the ED. The data from the completed Escape instrument was used to calculate sensitivity, specificity, and the positive/negative predictive value per item. The clinical notes and conclusions of the screen instruments of all potentially abused children reported to the hospitals’ Child Abuse Teams were collected and reviewed by an expert panel. A logistic regression model was used to evaluate the predictors of potential abuse. Completed Escape instruments were available for 18,275 ED visits. Forty-four of the 420 children with a positive screening result, and 11 of the 17,855 children with a negative result were identified as potentially abused. Sensitivity of the Escape instrument was 0.80 and specificity was 0.98. Univariate logistic regression showed that potentially abused children were significantly more likely to have had an aberrant answer to at least one of the items, OR = 189.8, 95% CI [97.3, 370.4]. Most of the children at high risk for child abuse were detected through screening. The Escape instrument is a useful tool for ED staff to support the identification of those at high risk for child abuse.  相似文献   
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Abstract

In this paper, we highlight the need to explore the excessive significance given to the Paralympic Games as a vehicle for the encouragement of participation of people with a disability within sport. The media spectacle around the games that the International Paralympic Committee (IPC) has worked tirelessly to develop has become, for policy-makers and the public alike, a sufficient outlet for disability sport provision. The honourable goals of the IPC articulated through the ethos of Paralympism have been assumed to be valid for all people with a disability, yet in terms of widening participation, their utility is limited. This paper first illuminates the relationship between the International Olympic Committee and the IPC before we turn our attention to the ethos of Paralympism. Highlighting the necessity for ‘sport for all’, we use a human rights lens, aided by a capabilities approach to facilitate better ways to educate the public about the need for equality of access to sporting participation opportunities.  相似文献   
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