循证决策视角下的患者健康咨询主题分析

[目的/意义]为了将大数据更好地用于循证决策,文章构建了循证决策视角下的患者健康主题分析模型。[方法/过程]首先使用LDA主题模型对高血压问答数据进行主题探测,并结合文献提炼出高血压八大主题;再次使用问卷调查法和层次分析法对主题探测结果进行评估;最后对得到的证据进行实践讨论。[结果/结论]文章对大数据和循证决策的结合做了尝试性探索,结果表明循证决策视角下的患者健康主题分析模型,具有一定的实用性和创新性。     

Demystifying blockchain: A critical analysis of challenges,applications and opportunities

The blockchain is considered to be the potential driver of the digital economy. The Blockchain technology outweighs the challenges associated with the traditional transaction business governed and regulated by the third trusted party. There is a growth in the interest among the researchers, the industry, and the academia to study and leverage the potential of Blockchain. Blockchain provides a decentralized and distributed public ledger for all the participating parties. Though it seems that blockchain is a viable choice and solution for all the centralized governed and regulated transactions (in digital online space), it has potential challenges that need to be resolved; opportunities to be explored, and applications to be studied. This paper utilizes a systematic literature review to study several research endeavors made in the domain of blockchain. To further research on blockchain adoption, the paper theoretically constructs an integrated framework of the blockchain innovation adoption process in an organization considering organizational and user acceptance perspectives. This would facilitate its widespread adoption, thereby achieving sustained leadership solutions. The paper offers 23 propositions to information systems (IS)/information management (IM) scholars with respect to innovation characteristics, organizational characteristics, environmental characteristics, and user acceptance characteristics. Further, the paper explores several areas of future research and directions that can provide deep insights for overcoming challenges and for the adoption of blockchain technology.     

The influence of formal and informal formative pre‐service experiences on teacher self‐efficacy

Formal pre‐service training has been shown to be effective in building teacher self‐efficacy beliefs. However, the impact of other, less formal, ‘teacher‐like’ pre‐service experiences on the formation of efficacy beliefs has not previously been investigated. This study examines the associations between both formal and informal formative pre‐service experiences and teacher self‐efficacy. In addition, the effect of years of teaching experience on these associations was investigated. Three hundred fifteen teachers of general and Judaic studies in Jewish day schools in the USA responded to a survey about their formal pre‐service experiences; informal experiences as youth advisors, camp counsellors and childcare supervisors; and two measures of teacher self‐efficacy. Formal pre‐service training and positive student‐teaching experiences, as well as each of the three informal experiences, were found to be associated with positive teacher self‐efficacy. Interestingly, formal and informal pre‐service experiences appear to be associated with different aspects of teacher self‐efficacy. Formal teacher training was most strongly associated with efficacy for instructional practices, while the positive informal experiences were most strongly associated with efficacy for student engagement. The potential impact of both formal and informal experiences did not appear to fade over time. On the contrary, for those variables where an interaction with years of teaching was detected, it was the efficacy beliefs of the most senior teachers that were most related to their pre‐service experiences. These findings have important implications for the practice of both teacher trainers and those charged with recruiting and supporting teachers.     

Chinese children with ASD in Hong Kong (SAR): development of inclusive practice

The advancement of inclusive educational provision in the Asia‐Pacific region has been guided by international research. As one example, Hong Kong has developed a unique and cultural response to inclusive practice within the region. This paper reviews Hong Kong's development of inclusive education practice for children with autism spectrum disorder (ASD). It provides an account of how services in education have developed for Chinese children with ASD, from diagnosis to school placement, and how the students are supported. A number of challenges for the region are discussed including those related to pedagogy, mentoring, placement, support and the need for culturally appropriate professional learning.     

特色兴校：民办高校实施内涵式发展战略的有效途径

由于民办高校较少受到行政化制约,有更灵活的机制来培育自身的办学特色,因此,特色兴校是民办高校实施内涵式发展战略的有效途径。＂特色兴校＂首先要解决好科学定位问题,关键是尊重传统,核心是注重创新,要切实遵循教育发展规律。办学特色要集中体现在民办高校的学科特色和人才培养质量上。     

Use of the one-minute preceptor as a teaching tool in the gross anatomy laboratory

The one-minute preceptor (OMP) is a time-efficient technique used for teaching in busy clinical settings. It consists of five microskills: (1) get a commitment from the student, (2) probe for supporting evidence, (3) reinforce what was done right, (4) correct errors and fill in omissions, and (5) teach a general rule. It can also be used to address structure-identification questions in gross anatomy laboratory small-group settings. The OMP is an active learner-centered teaching approach that prepares students for a style of learning that they need to master in clinical settings, provides novice anatomy teachers with an efficient and effective teaching strategy, and moves anatomy learning beyond mere name tagging to active knowledge construction.     

Enhancing children's literacy skills: designing the Q‐Tales ecosystem for children's e‐book design and publication

This article describes the conceptualisation and development of a pedagogical framework to support the design of e‐books for children to enhance literacy development. It emerged from research undertaken within the Q‐Tales international consortium project of the EU's Horizon 2020 Programme for Research and Innovation, where the aim was to facilitate key stakeholders to collaborate and participate in the online production and publication of high‐quality, educational e‐books for children. The pedagogical framework described here sought to answer the question “What concepts and principles undergird the effective design of pedagogically impactful e‐books for children?” It is grounded by the theoretical underpinnings of socio‐constructivism, constructionism and skill theory, and how they relate to children's literacy development. A framework describing different narrative forms and component features, key pedagogical activities appropriate for different stages of reading development and design recommendations regarding the integration of multimedia into e‐books are also central to the pedagogical framework. As well as informing the design of the Q‐Tales infrastructure for children's e‐book design and publication, we hope the guidelines and pedagogical activities enumerated here will be widely useful for those designing and developing digital, interactive narratives, particularly e‐books to enhance children's emerging literacy.     

Changes in the Multi‐Level Effects of Socio‐Economic Status on Reading Achievement in Sweden in 1991 and 2001

This study examines the changes in educational inequality at the school‐ and individual‐levels in 1991 and 2001. Comparisons are made between the IEA Reading Literacy Study 1991 and the so called 10‐Year Trend Study in PIRLS 2001. The between‐school differences in reading achievement variance and the size of the relationship between SES and reading achievement at school‐level are the two main focuses. Applying a two‐level structural equation modeling technique, it was found that the between‐school differences in reading achievement were greater in RLS 2001 than in RLS 1991, and the school SES effect has been strengthened over time. These changes indicate that educational inequality in Sweden has increased over time. Some possible explanations to these changes are discussed with reference to school reforms and demographic changes.     

Comparison of 3D reconstructive technologies used for morphometric research and the translation of knowledge using a decision matrix

The use of three‐dimensional (3D) models for education, pre‐operative assessment, presurgical planning, and measurement have become more prevalent. With the increase in prevalence of 3D models there has also been an increase in 3D reconstructive software programs that are used to create these models. These software programs differ in reconstruction concepts, operating system requirements, user features, cost, and no one program has emerged as the standard. The purpose of this study was to conduct a systematic comparison of three widely available 3D reconstructive software programs, Amira^®, OsiriX, and Mimics^®, with respect to the software's ability to be used in two broad themes: morphometric research and education to translate morphological knowledge. Cost, system requirements, and inherent features of each program were compared. A novel concept selection tool, a decision matrix, was used to objectify comparisons of usability of the interface, quality of the output, and efficiency of the tools. Findings indicate that Mimics was the best‐suited program for construction of 3D anatomical models and morphometric analysis, but for creating a learning tool the results were less clear. OsiriX was very user‐friendly; however, it had limited capabilities. Conversely, although Amira had endless potential and could create complex dynamic videos, it had a challenging interface. These results provide a resource for morphometric researchers and educators to assist the selection of appropriate reconstruction programs when starting a new 3D modeling project. Anat Sci Educ 6: 393–403. © 2013 American Association of Anatomists.