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1.
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   
2.
The purpose of this paper was to investigate Malaysian primary pre-service teachers’ perceptions of students’ disruptive behaviour and their self-reported strategies to prevent and to manage such behaviours. Results indicate that Malaysian pre-service teachers understand disruptive behaviours to be those that disrupt the learning and teaching process. They identified the cause of student disruptive behaviour as factors residing within the individual student. Pre-service teachers here reported preventative strategies in terms of changing teaching strategies and threats to use punishment. When addressing students’ disruptive behaviour, pre-service teachers reported that they would use one-to-one counselling with students and remove tokens or hold back rewards. A discussion regarding the implications for teacher education institutions and future research concludes this paper.  相似文献   
3.
The electrodeposition of zinc-nickle alloy was obtained on a copper cathode of 1×1cm2. The deposited alloys are quantitatively analyzed by atomic absorption spectrometry. The morphology of the deposits was observed by means of scanning electron microscopy (SEM). We observed that the electrodeposition of zinc-nickle alloy is an anomalous codeposition. The catalytic effects of SCN” on the electrochemical behavior of Ni deposition and hydrogen discharge are obvious. SEM analysis shows that the surface morphology of the coating appears to be more compact and homogeneous with the increase of SCN” concentration. Supported by the State Key Lab. for Phys. Chem. of Solid Surface, Xiamen University  相似文献   
4.
Hepatocellular carcinoma (HCC) is a hypervascular primary liver cancer characterized by rapid progression, besides, resistance to traditional chemotherapeutic agents. It has been shown that microRNAs play critical roles in regulation of tumor cell sensitivity to drugs through modulating the expression of genes involved in drug transport. The present study investigated whether restoration of miR-122 in HCC cells could alter the cell cycle distribution and the expression of multidrug resistance (MDR)-related genes (ABCB1, ABCC1, ABCG2 and ABCF2). After overexpression of miR-122 in HepG2 cells treated or untreated with doxorubicin doses, total RNAs and protein extracts were isolated for application of QRT-PCR and western blotting techniques. Moreover, cell cycle distribution was monitored by flow cytometry. Our results revealed that, the over expression of miR-122 in HepG2 cells treated or untreated with doxorubicin could modulate the sensitivity of cells to chemotherapeutic drug through downregulation of MDR-related genes, ABCB1 and ABCF2. Interpretation of cell cycle distribution revealed that, the anti-proliferative effect of miR-122 is associated with the accumulation of cells in G0/G1 phase. Moreover, treatment with miR-122 and doxorubicin resulted in high percentage of HCC cells in G0/G1 phase. Taken together, our findings revealed that, overexpression of miR-122 inhibited HCC cell growth by inducing cell cycle arrest and this arrest is associated with down-regulation of MDR-related genes.  相似文献   
5.
A multimedia English for Specific Purposes (ESP) programme was developed to train flight attendants. The programme comprised of two units. Unit one is listening comprehension, which provides the flight attendants' with specific information of Airbus A340. Unit two is reading comprehension, which provides the flight attendants with the emergency procedures. The effect of this programme on the flight attendants' safety knowledge and problem solving was measured using an achievement test which comprises two parts; the first part includes 10 multiple‐choice questions based on listening comprehension and measuring safety knowledge; the second part includes 15 multiple‐choice questions based on reading comprehension and measuring problem solving situations. The sample of the study consists of 36 flight attendants divided into two groups. The test was administered as a pretest and a posttest for the equivalence of the groups and their achievement. The results revealed that the computerised ESP programme has a measurable effect on the flight attendants' recall of safety knowledge and problem solving skills. The researchers recommended that similar computerised ESP programmes should be designed in order for the flight attendants to be well equipped with skills and knowledge in dealing with emergency problems that they may occur during flight.  相似文献   
6.
Purpose: Participation in labour markets and high-value crops among men and women smallholder farmers has always been an important strategy for poverty alleviation and attainment of food and income security. In contributing to the generation of gender-disaggregated empirical literature, this paper examined determinants of women smallholder farmers’ participation in their households’ decision-making regarding cash crop production.

Methodology: Data for the paper were sourced from a baseline survey conducted by Monitory and Evaluation Technical Support Services, Institute of Statistical, Social and Economic Research and Ghana Statistical Service for the USAID Feed the Future Programme in their Northern Ghana Zone of Influence. The data were analysed using probit regression analysis to identify factors which significantly influence women farmers’ participation in cash crop production.

Findings: The probit analysis identified intra-household power relations such as women participation in household decision-making, control over household productive resources and control over household income as significant determinants of smallholder women farmers’ participation in cash crop production.

Theoretical Implication: Improving women smallholder farmers’ power to participate in household decision-making, access to and control over household productive resources and income are therefore imperative in boosting women farmers’ participation in cash crop production.

Practical Implications: It is therefore recommended that any gender-targeted policy and programme with the aim of women’s economic empowerment must critically examine the sociocultural barriers impeding women’s participation in their household decision-making and control over household productive resources. Women farmers’ participation in their households’ decision-making regarding cash crop production and the use of income generated from it should be encouraged through gender mainstreaming in agricultural service delivery.  相似文献   

7.
Education and Information Technologies - Digital storytelling (DST) is a novel approach that uses modern computer technology to amplify language learning and teaching. The present study aims to...  相似文献   
8.
The purpose of this study was to determine the effect of information mapping strategy on mathematics conceptual knowledge of junior high school students in Rokan Hulu Riau, Indonesia. The study also examined the relationship between mathematics conceptual knowledge and mathematics achievement. Using a quasi-experimental method, the study was carried out on 132 students from one junior high school in Rokan Hulu Riau, Indonesia. It was completed in 6 weeks. Instruments used in this study were mathematics conceptual knowledge test and mathematics achievement test. The results of this study indicated that there were significant differences in mathematics conceptual knowledge between the information mapping strategy group and the traditional group. It was concluded that using information mapping strategy may impact students' conceptual knowledge. There was a relationships between mathematics conceptual knowledge and mathematics achievement.  相似文献   
9.
Endothelial cell death due to increased reactive oxygen species(ROS) may contribute to the initial endothelial injury,which promotes atherosclerotic lesion formation.Piper sarmentosum(PS),a natural product,has been shown to have an antioxidant property,which is hypothesized to inhibit production of ROS and prevent cell injury.Thus,the present study was designed to determine the effects of PS on the hydrogen peroxide(H2O2)-induced oxidative cell damage in cultured human umbilical vein endothelial cells(HUVECs).In this experiment,HUVECs were obtained by collagenase perfusion of the large vein in the umbilical cord and cultured in medium M200 supplemented with low serum growth supplementation(LSGS).HUVECs were treated with various concentrations of H2O2(0-1000 μmol/L) and it was observed that 180 μmol/L H2O2 reduced cell viability by 50% as denoted by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT) assay.Using the above concentration as the positive control,the H2O2-induced HUVECs were concomitantly treated with various concentrations(100,150,250 and 300 μg/ml) of three different extracts(aqueous,methanol and hexane) of PS.Malondialdehyde(MDA),superoxide dismutase(SOD),catalase(CAT) and glutathione peroxidase(GPX) levels showed a significant increase(P0.05) in HUVECs compared to the negative control.However,PS extracts showed a protective effect on HUVECs from H2O2-induced cell apoptosis with a significant reduction in MDA,SOD,CAT and GPX levels(P0.05).Furthermore,PS had exhibited ferric reducing antioxidant power with its high phenolic content.Hence,it was concluded that PS plays a beneficial role in reducing oxidative stress in H2O2-induced HUVECs.  相似文献   
10.
The purpose was to examine power output and three-dimensional (3D) kinematic variables in the upper limbs, lower limbs and trunk in elite flat-water kayakers during kayak ergometer paddling. An additional purpose was to analyse possible changes in kinematics with increased intensity and differences between body sides. Six male and four female international level flat-water kayakers participated. Kinematic and kinetic data were collected during three tasks; low (IntL), high (IntH) and maximal (IntM) intensities. No differences were observed in any joint angles between body sides, except for shoulder abduction. Significantly greater range of motion (RoM) values were observed for IntH compared to IntL and for IntM compared to IntL in trunk and pelvis rotation, and in hip, knee and ankle flexion. The mean maximal power output was 610 ± 65 and 359 ± 33 W for the male and female athletes, respectively. The stroke frequencies were significantly different between all intensities (IntL 59.3 ± 6.3; IntH 108.0 ± 6.8; IntM 141.7 ± 18.4 strokes/min). The results showed that after a certain intensity level, the power output must be increased by other factors than increasing the joint angular RoM. This information may assist coaches and athletes to understand the relationship between the movement of the kayaker and the paddling power output.  相似文献   
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