南非改革卫生人员教育、卫生科学研究和卫生服务模式的经验

为实现人人享有卫生保健的全球目标,世界卫生组织要求各国开发改革卫生保健、医疗实践和医学教育的新模式。由卫生科学社区定向型教育合作网开发的合作模式已在许多国家推广。在美国、拉丁美洲和南非,由凯洛格基金资助,对实现人人享有卫生保健的实施模式已经进行了详尽的研究。     

Biomechanical loading in the triple jump

The triple jump is a demanding field event in which a jumper must tolerate extremely high impact forces while maintaining high horizontal speed. The present study was designed to clarify the mechanical loading characteristics and the role of neuromuscular function in the triple jump. Seven national triple jumpers (4 males, 3 females) volunteered to perform 3-6 jumps. The mean best performances were 14.32+/-0.45 m and 11.90+/-0.28 m for males and females, respectively. The three longest triple jumps for each jumper were selected for final analysis. The mean contact times were 0.139 s (hop), 0.157 s (step) and 0.177 s (jump). The largest ground reaction forces were observed in the step (15.2 times body weight), while the highest peak pressures were recorded under the heel and forefoot. The plantar pressure of the lateral side of the forefoot was highly related to the length of the triple jump (P < 0.05-0.01). In addition, electromyograms of both legs Suggested that mechanical loading places high demands on the neuromuscular system, as characterized by the high rate of activation in the pre-activity phase followed by high eccentric activity. Thus, the high activities of the gastrocnemius, vastus lateralis and hip extensor muscles seem to play an important role in preventing unnecessary yielding of the jumper during the braking phase.     

The effects of captions on deaf students' content comprehension, cognitive load, and motivation in online learning

The authors examined the effects of captions on deaf students' content comprehension, cognitive load, and motivation in online learning. The participants in the study were 62 deaf adult students who had limited reading comprehension skills and used sign language as a first language. Participants were randomly assigned to either the control group or the experimental group. The independent variable was the presence of captions, and the dependent variables were content comprehension, cognitive load, and motivation. The study applied a posttest-only control group design. The results of the experiment indicated a significant difference (t = -2.16, p < .05) in content comprehension but no statistically significant difference in cognitive load and motivation between the two groups. These results led to suggestions for improvements in learning materials for deaf individuals.