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21.
The continually rising percentage of the elderly population and the demand for geriatric nursing care are dramatically related. While it is true that most undergraduate programs prepare nurses for the care of geriatric patients, most receive limited academic preparation in the nursing curriculum (Williams & Mezey, 2000 Williams , C. , & Mezey , M. ( 2000 ). Older adults: Recommended baccalaureate competencies and curricular guidelines for geriatric nursing care . American Association of Colleges of Nursing and the John A. Hartford Foundation Institute for Geriatric Nursing . Retrieved August 10, 2008, from http://www.aacn.nche.edu/Education/pdf/Gercomp.pdf  [Google Scholar]). This is particularly true in the Philippines where there is no stand-alone geriatric nursing course.

This phenomenological study purports to capture the lived experiences of Filipino nursing students' dilemmas in geriatric care. Five Filipino senior nursing students and three clinical faculty from a comprehensive university in the Philippines were purposely chosen for the study. A two-part instrumentation was used. The first is the robotfoto, a Dutch term which means a cartographic sketch of the subject (Kelchtermans & Ballet, 2002 Kelchtermans , G. , & Ballet , K. ( 2002 ). The micropolitics of teacher induction: A narrative bibliographical study on teacher socialization . Teaching and Teacher Education , 18 ( 1 ), 105120 .[Crossref], [Web of Science ®] [Google Scholar]). The second was a semi-structured face-to-face interview that was recorded with the consent of the participants. The full texts were phenomenologically reduced using a repertory grid to observe both cool and warm analyses, which facilitates the identification of unique conceptual clusters. Findings of this study have described the elements that define student dilemmas in geriatric care. The emerged Students' Dilemmas in Geriatrics Causality Quadrant (SDGCQ), which consists of (a) Foundational Deficit, (b) Psychological Deficit, (c) Relational-Attitudinal Deficit, and (d) Occupational Deficit, are valuable discussion points for needed reforms in the present-day nursing curriculum.  相似文献   
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This article explores the role of voluntary quality assessments in higher education, underscoring their main features and potentialities, and showing that basic principles and guidelines can be customised in different countries or single institutions. The article extensively presents an assessment project developed at the University of Siena, the first integrated assessment of teaching and research quality of a whole university carried out in Italy. The article clearly highlights the relevance of quality assurance and performance measurement systems and the behavioural and organisational impacts they may have.  相似文献   
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This research, which was conducted with crew members of an America's Cup team, had the following objectives: (a) to assess energy expenditure and intake during training; (b) to evaluate the sailors' diet, and (c) to identify any dietary flaws to determine the appropriate intake of nutrients, correct possible dietary mistakes, and improve their food habits. Energy expenditure was estimated on 15 sailors using direct measurements (oxygen consumption) and a 3-day activity questionnaire. Oxygen consumption was measured on sailors during both on-water America's Cup sailing training and dry-land fitness training. Composition of the diet was estimated using a 3-day food record. Average daily energy expenditure of the sailors ranged from 14.95 to 24.4 MJ, depending on body mass and boat role, with the highest values found in grinders and mastmen. Daily energy intake ranged from 15.7 to 23.3 MJ (from +6% to -18% of energy expenditure). The contributions of carbohydrate, protein, and fat to total energy intake were 43%, 18%, and 39% respectively, values that are not in accord with the recommended guidelines for athletes. Our results show the importance of assessing energy balance and food habits for America's Cup sailors performing different roles. The practical outcome of this study was that the sailors were given dietary advice and prescribed a Mediterranean diet, explained in specific nutrition lectures.  相似文献   
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Physiological characteristics of America's Cup sailors   总被引:2,自引:0,他引:2  
The aim of this study was to assess the physiological profile of America's Cup grinders and mastmen, by measuring energy expenditure during sailing and assessing their aerobic and anaerobic fitness. The study focused on estimating the energy used during grinding activity, by measuring oxygen uptake (VO(2)) during sail setting in real sailing conditions. In the laboratory, using an arm-cranking ergometer, we measured VO(2peak) during an incremental maximal exercise test and total energy expended during the effort and recovery phases of an all-out test that simulated grinding activity, in six grinders and mastmen and ten sailors of the same crew. Total energy used during grinding corresponded to 45% (s = 9) and 51% (s = 5) of that used in the all-out test (234 kJ, s = 21.7) for tacks and gybes, respectively. In both grinding activity and the all-out test, VO(2) increased during and after the effort. The "VO(2) top value" was 53% (s = 8.6), 68% (s = 5.5), and 78% (s = 3.1) of VO(2peak) (4.7 l . min(-1), s = 0.43) in tacks, gybes, and the all-out test, respectively. During fast sequences of grinding activity, the "VO(2) top value" reached 65% (s = 7.1) VO(2peak) in tacks and 91% (s = 3.3) VO(2peak) in gybes. Our results suggest that grinders and mastmen are characterized by a high anaerobic capacity but their performance can be improved by powering aerobic fitness, to increase this energy contribution to all-out efforts and to guarantee fast recovery when grinding activity is repeated with short rest intervals.  相似文献   
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Past and present discussions on education all too frequently neglect the role that silence plays in learning. In this article I set out to demonstrate that silence is the very foundation of learning. My claim is that we must find ways of freeing silence in our pedagogical practices so that our discourse does not denigrate into mere empty words, but becomes a means towards self‐knowledge. My position is that no discourse can awaken self‐knowledge; what it can do, at best, is to help create an inner state of silence necessary for mental, moral, and spiritual growth of the human self. The essay is a defense of Socratic learning, complemented with the poetic discourse of Max Picard. Such a marriage alone can render education creative, most especially when it is applied to reading and writing.  相似文献   
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In Experiment 1, pigeons were trained in a within-subjects design to discriminate sequences of light flashes (illumination of the feeder) that varied in number, but not in time (2f/4sec and 8f/4sec), and in time, but not in number (4f/2sec and 4f/8sec). Number samples required a response to one of two comparison dimensions (either color or line), whereas time samples required a response to the remaining comparison dimension. Delay testing revealed a significant choose-small bias following number samples and a significant choose-long bias following time samples. In Experiment 2, testing confirmed that in the absence of a sample, there was a bias to respond small to the number comparisons and long to the time comparisons. Additional tests indicated that the birds were discriminating time samples on the basis of the number of light flashes occurring during the last few seconds of the time samples, rather than on the basis of the total duration of the flash sequence. Consequently, the choose-long bias observed for time samples during delay testing was really a choose-small bias. In Experiment 3, the birds received baseline training with a 5-sec delay and were subsequently tested at shorter and longer delays. A choose-large bias occurred at delays shorter than the baseline training delay, whereas a choose-small bias was again observed at delays longer than the baseline delay. These findings provide additional empirical support for the conceptualizing of memory for number and time in terms of a common mechanism.  相似文献   
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The effect of differential outcome expectancies on memory for temporal and nontemporal information was examined. Pigeons were trained to match short (2-sec) and long (8-sec) sample durations to red and green comparison stimuli, and vertical and horizontal lines to vertical and horizontal comparison stimuli. In Experiment 1, one differential outcome (DO) group received food for correct choices on short-sample trials, whereas another received food for correct choices on long-sample trials. On line-orientation trials, half of each DO group received food for correct responses following vertical samples, whereas the other half received food for correct responses following horizontal samples. Overall retention was greater in the DO groups than in a nondifferential (NDO) group that received either food or no food for correct responses on a random half of all trials. Furthermore, although the NDO group displayed a choose-short bias for temporal samples, both DO groups displayed equivalent biases to select the comparison stimulus associated with food. In Experiment 2, differential outcome expectancies were extinguished off-baseline. Subsequently, in the first nondifferential outcome test session, the. DO groups performed less, accurately than the NDO group. These findings indicate that temporal samples are not retrospectively and analogically coded when they are differentially associated with food and no food. Instead, they are remembered in terms of the corresponding outcome expectancies.  相似文献   
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