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61.
For decades, the HIV epidemic has exacted an enormous toll worldwide. However, trend analyses have discerned significant declines in the overall prevalence of HIV over the last two decades. More recently, advances in biomedical, behavioural, and structural interventions offer considerable promise in the battle against generalised epidemics. Despite advances in the prevention of transmission and new infections, morbidity and mortality of HIV among young people remains a considerable concern for individuals, couples, families, communities, practitioners, and policy-makers around the globe. To accelerate the end of the global HIV epidemic among young people, we must merge existing efficacious interventions with more novel, cost-effective implementation strategies to develop integrated, multi-level combination interventions. The benefits of conceptualising the HIV epidemic more broadly and adopting ecological frameworks for the development of HIV prevention programmes are critical.  相似文献   
62.
Decision-making is a complex process that is largely studied from an experimental perspective or in specific organizational contexts. As such, no generalizable framework exists with which to study decision-making from an individual differences perspective for predictive/selection purposes. By generalising a context-specific decision model proposed by Koriat and Goldsmith (1996), the focus of this research was to therefore test a novel framework for studying individual differences in decision-making tendencies. Utilising this framework within a fictitious Medical Decision-Making Test (MDMT) yielded five novel variables that provided unique insight into individuals’ decision tendencies: Optimal, Realistic, Incompetent, Hesitant and Congruent. Metacognitive confidence and its calibration (bias and CAQ) were used as predictor variables to validate this framework. One hundred ninety-three undergraduate students completed the MDMT and three cognitive ability tests with confidence ratings, a personality questionnaire, and the Need for Closure questionnaire. All decision tendency variables demonstrated excellent internal consistency and were predicted by the metacognitive variables incrementally to the remaining variables as hypothesized. Additionally, the metacognitive indices were found to generalize across the decision-making and cognitive tests. The results imply that this novel framework and MDMT reliably capture individuals’ decision behaviour that shares a meaningful relationship with their general confidence and calibration.  相似文献   
63.
Instruction in hematopathology at Mayo Medical School has evolved from instructor‐guided direct inspection under the light microscope (laboratory method), to photomicrographs of glass slides with classroom projection (projection method). These methods have not been compared directly to date. Forty‐one second‐year medical students participated in this pilot study, a prospective, randomized, crossover study measuring educational performance during a hematology pathophysiology course. The students were randomized to one of two groups. All students received the same didactic lectures in the classroom and subsequent case‐based review of peripheral blood smears using either laboratory or projection methods, on day one with a crossover to the other method on day two. Pre‐ and post‐test examinations centered on morphology recognition measured educational performance on each day, followed by a questionnaire identifying the student's favored method. There was no significant difference in the pre‐test and post‐test scores between the two teaching methods (rank‐sum P = 0.43). Students overwhelmingly preferred the projection method and perceived it as superior (76%), although post‐test scores were not significantly different. Student's recommended method was split with 50% favoring the projection method, 43% favoring a combined approach, and 23% noting logistical challenges to the laboratory. In this study, the laboratory and projection method were equivalent in terms of educational performance for hematopathology among medicals students. A classroom‐based approach such as the projection method is favored, given the large class sizes in undergraduate medical education, as well as the ergonomic challenges and additional resources required for large group instruction in a laboratory setting. Anat Sci Educ 7: 130–134. © 2013 American Association of Anatomists.  相似文献   
64.
Robert Craig's constitutive meta-model of communication reminds us that while communication scholarship may feel like discovery of communication's natural properties, it is also often (if not always) on a path to invention of new possibilities and reconstitution. The constitutive meta-model suggests that every theory of communication is also a design language for communication, and that design itself may be a path to theory development. Design inquiry can be conducted in all subdisciplines of communication, incorporating and contributing to widely disparate communication theories. Design work itself takes many forms, producing artifacts as diverse as individual messages, persuasive campaigns, interaction protocols, large-scale participation frameworks for public decision-making, and more. This special issue explores design scholarship in the field of communication, with five original essays representing different subfields and different theoretical approaches. In this introduction, we argue that design work is more than application of theory; design itself is a theory-building enterprise. It is a distinct form of inquiry that builds new knowledge, complementary to, but different in kind from, empirical and critical scholarship.  相似文献   
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