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This international and interdisciplinary study investigated and compared computer access, attitudes and perceptions towards computers, and preferred settings for computer learning among college freshmen in Australia, China, Ghana, Puerto Rico and the US. The authors discuss implications for computer training in teacher preparation and international business management education. This paper also presents conclusions regarding the development of technological competency within the framework of the computer culture and socio-political circumstances. L'impact de 1'accès sur les perceptions et attitudes envers les ordinateurs: une étude internationale. Cette étude internationale et interdisciplinaire a recherché et comparé les possibilités d'accès À l'ordinateur, les perceptions et attitudes envers les ordinateurs et les environnements préférés pour l'apprentissage par ordinateur parmi les étudiants de première année de collège en Australie, Chine, Ghana, Puerto Rico et USA. Les auteurs discutent les implications de la formation par ordinateur pour la préparation des enseignants et l'éducation dans le management du business international. Cet article présente aussi des conclusions concernant le développement des compétences en matière de technologie dans le cadre d'une culture de l'ordinateur et de circonstances socio-politiques. Die Möglichkeit des Informationszugangs und ihr Einfluss auf Wahrnehmung und Einstellung zu Computern: eine internationale Studie. Diese internationale und interdisziplinäre Studie untersucht and vergleicht die Zugangsmöglichkeiten zu Computern, sowie die Einstellung zu ihnen and Umgang mit ihnen and bevorzugte Plätze für Computer gestütztes Lernen bei College Studenten des Erstsemesters in Australien, China, Ghana, Puerto Rico und den USA. Die Autoren besprechen Implikationen für die Computerausbildang bei Lehrern und die Ausbildang im internationalen Business Management. Die Studie veröffentlicht Ergebnisse and Beschlüsse zur Erlangung technologischer Kompetenz im Rahmen der Computerkultur und der soziopolitischen Umstände.  相似文献   
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National governments are setting up digital service teams (DST) – IT units outside the centralized CIO's office – to respond to complex governmental and societal challenges in a responsive and agile manner. DSTs emerge as a third space between centralized and decentralized IT departments that are triggered by large-scale IT failures and the need to abandon black swan IT projects - tasks that traditional CIO offices were not able to handle so far. DSTs design principles have been replicated from the initial idea of the UK's Government Digital Service team and implemented in other countries, such as the U.S., Canada, Italy, or Finland. For this article, a qualitative interpretative approach was chosen to understand external and internal context factors that contribute to the emergence of these digital service teams. The article brings initial clarity of the composition and tasks of DSTs and extends the existing theory of context by providing insights about this third space between centralized and decentralized IT departments to organize IT Governance in public sector organizations.  相似文献   
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Congenital Cytomegalovirus (CMV) infection and alpha 1-antitrypsin (A1AT) deficiency are separately well described entities, but their simultaneous occurrence can pose a special challenge to a clinician, especially dealing with optimal diagnostic as well as therapeutic approach. Congenital CMV infection is the most common vertically transmitted infection in developed countries. In 85–95% of newborns it runs asymptomatic, while in others it is presented with jaundice, petechias, hepatosplenomegaly and central nervous system damage. A1AT deficiency is on the other hand, the most common genetic liver disease in children, and the clinical spectrum varies from the accidentally detected increased levels of transaminases through to the severe infant cholestasis that can progress to cirrhosis. The following case report describes a two-month old male with severe clinical presentation of congenital CMV infection probably exacerbated due to A1AT deficiency comorbidity. The clinical manifestations and unusually difficult clinical signs this infant presented lead to assumption that the additional liver damage exists. Extensive laboratory analyses were performed, including PCR for CMV DNA, A1AT serum concentration, A1AT genotyping, followed and confirmed with phenotyping. Patient was treated parenteral with ganciclovir, what continued with oral valganciclovir and supportive therapy. Intensive and thorough supportive treatment of the infant resulted in satisfactory progress and excellent outcome. Patient was followed-up till the age of 18 months. The presented case provides excellent example about successful overcoming obstacles in differential diagnosis of A1AT in neonates and infants. Medical charts analysis was the methodology used in making this report.  相似文献   
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European Journal of Psychology of Education - Research has shown that teachers are able to adapt their processing strategy of student information to situational demands, whereby they flexibly use...  相似文献   
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