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151.
Seniors living with disease or dying should be able to receive competent, comprehensive, and compassionate end-of-life care that offers dignity, self-determination, and relief from pain and suffering. Such care is predicated on an informed public and health and social service providers who are in end-of-life issues and appropriate approaches. There is, however, little evidence that seniors and their families are about end-of-life issues or about their treatment and care options. Furthermore, health and social service providers do not predictably receive the education and training necessary to ensure a high quality of end-of-life care for seniors. This paper discusses public and professional awareness and offers strategies aimed at increasing awareness of end-of-life issues. These strategies also support the development of an approach to end-of-life care for seniors that is caring, compassionate, and ethically, spiritually, and culturally appropriate. The article contributes to an emerging agenda directed at ensuring that all seniors receive end-of-life care that allows a positive conclusion to their lives.  相似文献   
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Abstract from the report of the International Conference on Education (33rd Session) of the International Bureau of Education. It deals with (i) the role of higher education institutions in national development, (ii) improving and sustaining the competence of educators and (iii) managing the system of education.  相似文献   
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The expanding universe is described in terms of the known forces of classical physics. It is shown that great clouds of stars are non-conservative systems and that radiation reaction forces play a part in guiding stellar motions. The forces are of importance in unsymmetrical stars and evidence is collected to show that perhaps all stars are possessed of deep seated thermal asymmetries. The forces continually act to increase the mean velocity of the stars and the galaxy is calculated to expand at a rate which closely approximates the observed rate of expansion. From a relation connecting the mean velocity of the stars and their age, it is deduced from the observed motions that the age of the galaxy is about 1010 years. The deduced rate of expansion of the galaxy agrees well with the observational data and is identical in form and numerical constant with Hubble's relation connecting the velocity of recession and distances of nebulæ.Because of the relative size and spacing of the extra galactic nebulæ and the short time scale it is supposed that the nebulae were formed by fission from a parent-super nebula and this resulted in thermal asymmetries which brought the newly considered forces into action.The resulting expansion was produced by slow evolutionary radiation processes which bear no direct relation to the properties of space or atomic constants.The calculations suggest that in describing the motions of typical stars over long periods of time, radiation reaction forces are as important as the classical gravitational forces.  相似文献   
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This study aimed to analyse fatigue-induced changes in mechanical sprinting properties during a specific repeated-sprint test in elite rugby sevens athletes. Twenty elite rugby sevens players performed ten 40?m sprints on a 30?s cycle with participant’s running back and forth in a marked lane. Radar was used to assess maximal overground sprint performance over each 40?m. Macroscopic mechanical properties (maximal horizontal force (F0), maximal horizontal power (Pmax), maximal ratio of horizontal force (RFpeak), decrease in the ratio of horizontal-to-total force (DRF), total force and maximal sprinting velocity (v0)) were drawn from horizontal force velocity relationships, using a validated method applied to the speed–time data. Fatigue-induced changes were analysed comparing the first sprint to an average of 2nd-4th, 5th-7th and 8th-10th. Repeated-sprint ability (RSA) testing induced substantial changes in the maximal velocity component, with a decrease (–15%) in v0 (effect size (ES)?=?–2.46 to –4.98), and to a lower extent (–5.9%) in the maximal force component F0 (ES?=?–0.59). DRF moderately decreased (14%; ES=–0.76–1.11), and RFpeak largely decreased in the later sprints (ES?=?–0.32 to –1.27). Fatigue observed in this RSA test appeared to have a greater effect on the technical ability to produce horizontal force at high velocities, likely due to an alteration in the ability to maintain horizontally oriented force application when velocity increases rather than during the initial acceleration phase, but also the overall force production capacity. The ability to maintain forward-oriented force at high velocities is of central importance for identifying fatigue and monitoring load.  相似文献   
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