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41.
The cost of prenatal care in a private nurse-midwifery practice was examined using the activity-based costing system. Findings suggest that the activities of the nurse-midwife (the health care provider) constitute the major cost driver of this practice and that the model of care and associated, time-related activities influence the cost. This pilot study information will be used in the development of a comparative study of prenatal care, client education, and self care.  相似文献   
42.
In early 2006, information industry association UKSG commissioned a research report ‘to identify the new relationships and information exchange requirements … [necessary] to maximize the benefit of OpenURL linking'. Central to the efficient operation of the OpenURL is the knowledge base, which consists of data supplied by content providers including publishers. The report found that a lack of awareness on the part of many publishers of the OpenURL's capabilities and requirements is impacting the quality and timeliness of the data they provide to populate knowledge bases, and thus undermining the potential of this sophisticated technology. A programme of education and advocacy, particularly among smaller publishers, will be key to improving the efficacy with which OpenURL is currently implemented. The study's findings and suggestions will be taken forward by the KBART (Knowledge Bases And Related Tools) working group co‐chaired by UKSG and NISO; this article reviews the initial report and summarizes the planned remit and expected outcomes of the working group.  相似文献   
43.
Walking is a safe, accessible and low cost activity, amenable to change and known to have great potential to increase physical activity levels in sedentary individuals. The objective of this study is to estimate the proportion of the 2009 adult population of England who would attain or exceed vigorous intensity activity (>70% maximum heart rate [HR(max)]) by walking at 3 mph. We conducted predictive impact modelling using participants' (n = 1741, aged 25-64 years) cardiovascular fitness data from treadmill walking tests. We combined this data with English population estimates adjusted for age and sex to estimate the numbers of individuals that would exceed 70% HR(max) (an intensity considered sufficient for fitness gains) when walking at 3 mph (4.8 km · h(-1)). We estimate 1.5 million men (95% confidence interval [CI] 0.9-2.2 million) (from 13.4 million corresponding to 11.6% (95% CI 7.0-16.2%)) and 3.9 million women (95% CI 3.0-4.8 million) (from 13.6 million corresponding to 28.6% (95% CI 22.0-35.1%)) in England aged 25-64 years would benefit from regularly walking at 3 mph. In total, a projected 5.4 million individuals (95% CI 3.9-6.9 million) aged 25-64 (from 26.97 million corresponding to 20.1% (95% CI 14.6-25.7%)) could benefit from walking at 3 mph. Our estimates suggest a considerable number of individuals in the English population could receive fitness and health benefits by walking regularly at 3 mph. Physical activity messages that promote walking at this speed may therefore have the potential to significantly impact national fitness levels and health in England.  相似文献   
44.
There is an ever increasing interest in the development of within firm mechanisms to augment the transfer of intellectual property from laboratory environments to commercialization. The Federal Laboratory System is an example of where policy has recently been developed to strengthen their efforts in the technology transfer process. Entrepreneurial separation to transfer technology programs (ESTT) represent one mechanism that laboratories have to assist with the transfer of intellectual property across boundaries, especially in situations where initial efforts at commercialization have failed. However, no formal research exists on the effectiveness of these programs as a boundary spanning device. This work is based on a preliminary study in the ESTT domain placed in the technology transfer body of literature. In depth interviews were conducted with four organizations, along with a review of more than fifty organizational policies in order to develop an initial framework of ESTT programs. We introduce the concept of ESTT programs and discuss how inventor motivations and characteristics of the invention itself might influence the success of ESTT.  相似文献   
45.
Anatomists are well placed to tackle the transition from face-to-face to blended learning approaches as a result of the rapidly forced changes brought about by Covid-19. The subject is extremely visual and has, therefore, previously been a target for the development of technology-enhanced learning initiatives over the last ten years. Today's students have come to expect the integration of technology in the classroom and remotely. They adjust quickly to the innovative use of new applications and software and have begun to integrate it within their own workflow for note taking and study aids. Given the intense drive toward blended deliveries of anatomy as a result of the Covid-19 pandemic, it is easy to picture how the benefits of working in partnership with students (in order to achieve many of these aims) would be possible, particularly in difficult subjects like neuroanatomy. In doing so, it provides anatomists with new opportunities to engage students in a way that aligns well with best practice frameworks for engaging students through partnership. The current United Kingdom guidelines set out by Advance HE (a professional membership organization for promoting excellence in higher education) strongly encourages the higher education community to seek out appropriate academic contexts where a balance of power can be struck between staff and student to create a community of practice. If such an approach can be fully embraced by anatomists, a strong argument can be made for seizing the opportunity to optimize the benefits of student partnership work in this discipline.  相似文献   
46.
This research drew on positive psychology in order to offer an optimistic way of conceptualising the lives of young people who are often described as having ‘SEBD’ (social, emotional and behavioural difficulties), now SEMH (social, emotional, mental health) in the English 2014 Special Educational Needs and Disability (SEND) Code of Practice. Positive psychology places emphasis on: the future, strengths, resources and potential, and suggests that negative experiences can build positive qualities. The young people in this research identified a range of strengths and resources in their lives that they had built as a result of earlier negative experiences. Narrative Oriented Inquiry (NOI) was used to analyse the themes of potential and growth in their stories which reveal their hopes and aspirations for the future. By giving these young people the opportunity to tell their stories this research permitted them to focus on where they were going, rather than where they had been.  相似文献   
47.
Despite strenuous attempts made by the New Labour government in the UK to progress towards its goal of eradicating child poverty by 2020, educational outcomes for disadvantaged children remain depressed compared to those of more advantaged children. The fact that children from poorer socio‐economic backgrounds are at much greater risk of language delay, which is a key predictor of poorer educational outcomes, indicates that there is a fundamental need to enhance the language abilities of these children in their early years in order to improve educational progress. This paper discusses the extent to which two new major UK policy initiatives may impact on this situation, namely the introduction of the Early Years Foundation Stage, a new curricular framework for children aged from birth to five, and the development of the Early Years Professional role, seen as key to the implementation of this framework. The discussion concludes that due to insufficiently rigorous conceptual underpinnings, especially in the area of language and communication, these innovations seem unlikely to deliver the type of language‐enriched preschool environments necessary to enhance the linguistic capabilities of the poorest children in UK society.  相似文献   
48.
49.
Research in Higher Education - This study models reverse transfer, lateral transfer, and college withdrawal behavior for a national sample of students who began college at bachelor’s granting...  相似文献   
50.
Some recent studies have found a relation between the number of siblings 3–4-year-old children have and their performance on false belief tasks. 2 experiments reported here examine a variety of factors in children's social environments, including daily contact with peers and adults as well as the numbers of their siblings, on a battery of false belief tests. In Experiment 1, 82 preschoolers were studied in Rethymnon, Crete, in order to obtain a range of extended kin available as a resource for the child. In Experiment 2, 75 Cypriot preschoolers were studied in Nicosia in order to examine the influences of each child's daily social contacts, as measured by maternal questionnaire. Logistic regression revealed that the factors which account for most of the predicted variance on the theory of mind tests were ( a ) the number of adult kin available (Experiment 1) or adults interacted with daily (Experiment 2), ( b ) the child's age, ( c ) the number of older siblings a child has, and ( d ) the number of older children interacted with daily. The results suggested that theory of mind is not simply passed from one sibling to another in a process of social influence. It seems more likely that a variety of knowledgeable members of her or his culture influence the apprentice theoretician of mind.  相似文献   
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