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21.
Tsveti Markova Lisa Dillon Pierre Morris Khalid Zakaria Giancarlo Zuliani 《Performance Improvement》2014,53(10):13-21
Although there are challenges in delivering a quality improvement initiative at academic medical centers, the potential benefits to resident physicians‐in‐training, hospitals, and patients are significant. This article describes the effects of an institution‐wide effort. Resident physicians‐in‐training from four medical specialty programs partnered with hospital staff while working on team quality‐improvement projects. We tracked clinical outcomes and used validated assessments. The results showed improvements in learning and organizational culture. 相似文献
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This is the second study of the series, and its aim was to investigate the influence of using the suspended aid on circle kinetics. In addition to the kinematic data recorded for part one (Fujihara & Gervais, 2012), the pommel reaction forces and the force applied from the suspended aid (aid reaction force) were analysed in relation to the motion of a whole-body mass centre. The hip joint moment was also computed by combining all segments in the lower extremities into a single rigid segment. Generally, the use of the aid changed the magnitude of the mass-centre trajectory or horizontal pommel reaction forces but not their patterns. The results also showed that the net hip joint moment was altered during circles with the aid. In summary, a suspended aid can be used as a progression for a variety of goals because it allows gymnasts to practise circles which would not be possible without the aid. When a suspended aid is used, however, practitioners should be aware of the possible kinetic alteration caused by the external force from the aid. 相似文献
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Fujihara T Gervais P 《Sports biomechanics / International Society of Biomechanics in Sports》2012,11(1):34-47
The aim of this study was to investigate the influence of a suspended aid on the reaction forces during a basic skill on pommel horse. Twenty gymnasts performed three sets of 10 circles with and without a suspended aid on a pommel horse under which two force plates were set. The results confirmed that the suspended aid could reduce the magnitude of the pommel reaction forces during circles while maintaining the general loading pattern. On the left hand, the average and peak forces were attenuated to 0.59 body weight (BW) and 0.85 BW from 0.76 BW and 1.13 BW, respectively. The right hand experienced slightly larger forces with no-aid trials, but the asymmetry between the hands decreased with the aid. Despite a relatively large variability, all gymnasts experienced smaller impact peak forces with the aid. A suspended aid is most commonly used for a beginner gymnast as an introduction to pommel horse exercises. However, this study confirmed that it can also be useful for all levels of gymnasts who would like to practice pommel horse exercises with reduced pommel reaction forces for a purpose such as a progression for learning a new skill, control of training volume, or rehabilitation. 相似文献
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好奇心是人类的基本特征。通过评价学习的自然规律,探究过程可以给儿童在形成和保持新的世界观方面所需要的直接反馈和个人经验。这些观点可以简化为:探究怎样才能使儿童在获得和理解科学概念的方式上有所不同? 相似文献
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OBJECTIVE: The goal of this study was to examine the association between sexual abuse (SA) and initiation, cessation, and current cigarette smoking among a large representative adult population in France. METHOD: A random sample size of 12,256 adults (18-75 years of age) was interviewed by telephone concerning demographic variables, health practices and beliefs, and health status--for which SA and tobacco questions were included. Bivariate and multivariate analyses were conducted. RESULTS: Nearly 46% of SA survivors were current smokers compared to 34% of non-abused persons (p<.001). Survivors of SA consumed more cigarettes per day than non-abused individuals (14.5 vs. 12.4, p<.01). Survival analysis showed an increased risk of smoking initiation for respondents abused before 18 (adjusted relative hazard=1.55; p<.0001) with referent to the non-abused group. SA was not found to be a significant predictor of current smoking status among those who began smoking after the first incident of SA. Respondents who were not sexually abused were 1.8 times (95% CI, 1.12-2.99) more likely to quit smoking than people who began smoking after they were sexually abused. CONCLUSIONS: The early identification and treatment of sexually abused persons is critical to decrease smoking among adolescents and adults because of the association of SA with both smoking initiation and decreased cessation rates. It may be more difficult to detect an association between SA and current smoking due to the high rates of smoking and lower rates of quitting among the general French population. 相似文献
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Caroline Couture Egide Royer Franc¸ois A. Dupuis Pierre Potvin 《Emotional and Behavioural Difficulties》2013,18(4):284-302
Abstract This study compares belief patterns of teachers from Quebec and Britain about attention deficit hyperactivity disorder (ADHD). It also compares teacher training in ADHD in both countries, as well as their experience with students who have this disorder. The results indicate that: (1) teacher belief patterns about ADHD in Quebec and Britain are different, although teachers from both countries have predominant beliefs about ADHD that are of an allopathic medical nature; (2) British teachers have received less information on ADHD in their initial training than Quebec teachers; and (3) British teachers are contacted more often than Quebec teachers by doctors when they have a youngster using medication to treat ADHD in their classroom. Results are discussed from a sociological and an educational perspective. 相似文献
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Tiziana Lombardo Marie Wörle Vera Hubert Erwin Hildbrand Christina Hinterleitner Ingo Mayer 《文物保护研究》2020,65(2):65-76
ABSTRACTPreviously, heavy use of biocides for the treatment of objects made of organic materials in museum collections (e.g. ethnographic, historical collections) was very common. Now suitable decontamination methods/technologies are being sought. A decontamination treatment by li-CO2 was optimized that considered the specific requirements of museum objects. The treatment was tested on model materials artificially contaminated with biocide solutions containing dichlorodiphenyltrichloroethane (DDT), pentachlorophenol (PCP), lindane, and permethrin or cypermethrin. High decontamination was achieved for DDT, lindane, PCP, and permethrin on artificially biocide loaded wool and wood model materials. Optimal process parameter settings for li-CO2 decontamination include a single 30?min cycle for woolen materials and three sequential 30?min cycles each for wood. These methods allow a reduction of at least 90% of all biocides for wool and between 70% and 85% for wood. Decontamination of the latter was more effective for less polar biocides as DDT and permethrin. Despite a significant improvement in decontamination for wood using co-solvents such as acetone, ethanol, and methyl tertiary-butyl ether (MTBE), their use is not recommended due to the increased risk of damage to the objects, in particular if a surface coating is present. 相似文献
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