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71.
Although potassium is critical for normal electro physiology, the associations between pre-operative serum potassium level and peri-operative adverse events such as arrhythmias in cardiac surgery have not been examined in detail. The objective of this study was to determine the prevalence of abnormal pre-operative serum potassium levels and whether such levels were associated with adverse peri-operative events in 50 patients undergoing coronary artery bypass grafting. Intra-operative and post-operative arrhythmias, the need for cardio-pulmonary resuscitation, cardiac death and death due to any cause prior to discharge from the post-operative intensive care unit were studied. The incidence for adverse outcome was 0.5% for death, 0.5% for cardiac death and 2% for cardio pulmonary resuscitation in patients with hypokalemia (serum potassium level <3.5 meq. L−1). Hypokalemia was found to be a predictor of serious peri-operative (OR:2.2; 95% Cl: 1.2–4.1) and post-operative arrhythmias (OR: 1.7;95%Cl: 1.0–2.7). Pre-operative potassium repletion is low cost and low risk treatment measure and the data from this study suggests that screening and repletion be considered in patients scheduled for cardiac surgery.  相似文献   
72.
This research parallels Tongan academic Hūfanga ‘Okusitino Māhina’s assertions in the 1994 Contemporary Pacific article Our Sea of Islands, that ‘People are thought to walk forward into the past and walk backward into the future, both taking place in the present, where the past and the future are constantly mediated in the ever-transforming present’ alongside those of Professor Terry Irwin and fellow Transition Designers in which they discuss the use of Indigenous Wisdom to enable designing for the Long Now as defined by Brand in his 1999 book The Clock for the Long Now: Time and Responsibility. In the 2015 Transition Design Monograph Irwin asserts that, ‘Transition Design draws on knowledge and wisdom from the past to conceive solutions in the present with future generations in mind’. This paper draws on the pre-industrial wisdom of indigenous knowledge, specifically that of the Pacific regions, Moana, who have lived and designed sustainably in-place for generations to illustrate the value it holds for the formulation of sustainable and sustaining futures.  相似文献   
73.
This article problematises the place of religion within publicly managed Education and Training Board (ETB) schools in the Republic of Ireland. The study draws on interview data from 43 school personnel across 18 ETB second-level schools, as well as eight interviews with ETB Education/Chief Executive Officers. Having established the legal and historical contexts, the place of religion is explored from the perspective of school life and prescribed curriculum. Across the 18 schools, the prescribed curriculum for Religious Education did not take the form of ‘faith formation’. Rather, focus was placed on exploring all world religions. However, this compares with the role of religion within the life of the school; 14 of the 18 participating schools had religious dimensions as part of school life. Half of these schools (n = 7) were Designated Community Colleges, while the remainder were Non-Designated (n = 7). The religious dimension was always Catholic in nature. Bar a few exceptions, the role of religion within the life of the school remained largely unquestioned by school personnel. The article explores the findings in light of the legislative and historical contexts.  相似文献   
74.
Students’ rating of teacher behaviors provides valuable information on teaching improvement and instructional quality. Unfortunately, there is a lack of new validated instruments for measuring teacher behaviors. The Teacher Behaviors Inventory is an old inventory that was initially developed to measure teaching behaviors as regards lecture-based instructions, which is effected through the use of low-inference items. The aim of this study was to assess its continued suitability in the present educational setting by examining its construct validity and internal consistency through the lens of one lecturer’s teaching behaviors, as rated by 527 students after six interactive lectures. The variables evaluated, as mentioned above, were achieved after an items removal process, which resulted in a 32-item version. Apart from being valid and reliable, this condensed version allows for immediate assessment of teaching behaviors after an instruction session as the rating procedure is now more straightforward and less time-consuming, and also enables a reduction in rating errors. Therefore, the 32-item format serves as a practical diagnostic feedback tool in the present educational arena, permitting a longitudinal teaching behavior assessment to enhance teachers’ professional development.  相似文献   
75.
Education research is increasingly being recognized as a legitimate route for faculty development in universities. However, many anatomy faculty lack the appropriate training and access to experienced mentors who can help them develop their own education research projects. Inspired by the American Physiological Society’s Institute for Teaching and Learning, the coauthors proposed and developed the inaugural Anatomy Education Research Institute (AERI 2017). Funded by an American Association of Anatomists Innovations grant, the five-day institute was held in Bloomington, Indiana in July 2017. The coauthors spent two years preparing the conference schedule, inviting speakers who could discuss education research topics and mentor applicants, reviewing applications, developing assessment instruments for the institute, and hosting the institute. A total of 62 registered participants (applicants and invited speakers) attended AERI 2017. Through a series of presentations and workshops, participants were introduced to many aspects of education research and the Scholarship of Teaching and Learning, including developing rigorous education research questions, determining appropriate methods to assess these questions, and searching the education research literature. Each day also included regular time devoted to work on their own education research project with help from more experienced mentors. Throughout the conference, participants were encouraged to post information on Twitter, using the hashtag #AERI2017. Participants had strong positive impressions of the conference and strongly requested future AERI conferences be held. Follow-up analyses will assess the institute in alignment with Kirkpatrick’s Four Levels of Evaluation Model, though preliminary evaluation indicates AERI 2017 met the original aims of the proposal.  相似文献   
76.
Four theoretical frameworks were used to explore causations of turnover amongst high school teachers in Nigeria: (1) teachers’ personal health, (2) work–family life, (3) job satisfaction, and (4) actual turnover intention. Quantitative data were obtained from 925 public high school teachers in Ogun State, South-Western Nigeria. Cronbach's Alpha reliability procedure, regression modelling and t-test were used to analyse a total of 96 causations of turnover. Ad hoc analysis returned an Alpha value of 0.78. However, this improved to 0.93 when the causation factors were reduced to 64 – those with highest item-rest and itemtotal correlations. The findings showed that job (dis)satisfaction, personal health and work– family life conflict are prominent amongst the issues that trigger the intention of Nigerian high school teachers to quit their jobs voluntarily. Insights from the findings will help funding administrators in prioritising strategic decisions around mitigating turnover.  相似文献   
77.
It is clear from the extant literature that gender inequities exist in a myriad of ways in science classrooms. Past research, however, has been conducted solely from researchers' observations and has neglected to investigate students' awareness of and reactions to their own experiences. Hence, this study focused on students' perceptions of gender differences in instructional activity and talk about that activity in physics and honors physics classes. Data analysis showed that although teachers may be unaware of gender inequities, students of both sexes are not unaware of such inequities. Females explained their fears of offering their opinions and participating in activities like labs and small-group or whole-class discussions. Differential language patterns were found for males and females, particularly when discussion was structured and rewarded for refutation. Explanations are offered for these disparities and suggestions are given for addressing gender bias in science classrooms. It has been well documented that science classrooms are not gender fair (Bazler & Simonis, 1991; Bianchini, 1993; Tobin, 1988). Teachers, texts, and the forms of instruction they perpetuate contribute to gender inequities in science instruction. For example, research tracing changes in science textbooks over time has shown that current texts have failed to eliminate barriers to women in science (Bianchini, 1993). Science textbooks are criticized for their unequal treatment of genders, with illustrations, photos, and texts of males far outnumbering those of females, despite the approximate 50/50 male/female ratio of our population (Bazler & Simonis, 1991). In addition to the proclivity of science textbooks to favor males, researchers speculate that the tendency for boys to achieve higher than girls in science may be a result of more opportunity to engage in academic tasks (Tobin & Garnett, 1987). Their behavior shows that teachers have differential expectations for students' responses in activities like teacher-led discussion. In teacher-led, whole-class discussion, boys are spoken to more frequently and are asked more higher-order questions (Becker, 1991; Hall & Sadler, 1982). Teachers in science classrooms elaborate more on males' responses than females' responses in large-group discussion of scientific concepts (Jones & Wheatley, 1990). © 1996 John Wiley & Sons, Inc.  相似文献   
78.
The word “empowerment” is associated with several different and fundamentally inadequate paradigms. This paper presents an alternative, empowering view of empowerment. The essence of empowerment is increasing the behavior potential of persons, individually and in groups and organizations. Behavior potential is not some abstract concept of “what a person might do if” Instead, it is the totality of behaviors that are actually available to a given person in a given environment. These behaviors do not occur in a vacuum; behavior potential is the intersection of the person's behavioral productions with the organization's expectations and permissions. An individual is empowered to the extent that he or she possesses a rich repertoire of behaviors and is expected and permitted to make full use of this repertoire by the organization.  相似文献   
79.
The roles and functions of 52 school psychologists from Iowa and Tennessee were examined. A multivariate analysis of variance (MANOVA) was used to test differences between reported time spent on prereferral, assessment, intervention, consultation, and curriculum-based assessment. Significant differences were found for the time spent in all areas. A second one-way MANOVA was used to test the differences between the two groups in reported actual time spent and desired time spent. A significant difference was found for consultation. A third MANOVA was utilized to test the differences between the two groups' desired time spent on the five variables. A significant difference was found for curriculum-based assessment. The results suggest that school psychologists in Tennessee and Iowa occupy different roles. School psychologists in Tennessee reported spending the majority of their time on assessment activities, whereas the Iowa sample balances their time between the five functions. The Iowa role exemplifies alternative functions for school psychologists. The Tennessee role is oriented more toward the refer, test, place model.  相似文献   
80.
Britain’s exit from the European Exchange Rate Mechanism in 1992 and the Second Iraq War in 2003 are two infamous examples of disastrous policy, but governments blunder all the time – whatever party is in power. Infrastructure projects overrun. The aims and techniques of different departments clash. Scandals erupt among officials and politicians. Controversies stymie attempts at agreement and consensus. But why exactly do these failures happen? Are they more or less widespread than in the private sector? And can studying British governments’ decision-making across the twentieth century improve it in the future? In his May 2018 inaugural lecture, Professor O'Hara recommended a slow, deliberative, transparent, democratic and above all humble and sensitive approach in order to avoid another Black Wednesday or ruinous war – an approach in contrast to the populist tone of much recent debate.  相似文献   
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