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The development of an engineering curriculum assumes a body of knowledge that students, as future engineers, will need to know. Students acquire this body of knowledge through lectures, laboratories, projects and assignments and other means. The question then arises, how does one select the content and processes that are appropriate for the engineering education? What might be the consequences of these choices? Mary Shelley's Frankenstein presents a tale showing some of the possible consequences of poor choices in teaching content and process. In Shelley's novel, the ‘monster’ finds himself caught between two worlds, one comprised of humans and the other of animals. In this allegory, the engineer is caught between the two worlds of science and art. The purpose of this allegory is to demonstrate how engineers, by accepting the body of knowledge presented to them without questioning the underlying values and assumptions, may find themselves embracing an oppressive ideology and developing an unhealthy identity. Consequently, engineering programs must provide forums where students are not only allowed but encouraged to critique the hidden values and assumptions contained in the programme content and process.  相似文献   
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巨大的挑战     
"Keep staring:I might do a trick!"That's the message on a T-shirt of mine. People stare at me all the time, so I thought this shirt would be funny.See, I'm a dwarf(矮子).  相似文献   
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Introduction

There are limited data describing mobility interventions provided to patients with femoral catheters. The purpose of this study was to examine the incidence of femoral catheter related adverse effects during physical therapy (PT) sessions in a cardiovascular intensive care unit (ICU).

Methods

This was a prospective, observational study and included patients with at least one femoral catheter. Data were collected after each PT session.

Results

There were 77 subjects with a total of 92 femoral catheters (50 arterial, 15 central venous, and 27 dialysis) treated. A total of 210 separate PT sessions occurred with 630 mobility activities including sitting on side of bed, standing at the bedside, transfers to stretcher chair or regular chair, and walking. There were no catheter related mechanical or thrombotic complications during any of the PT sessions.

Conclusions

Physical therapy sessions, including standing and walking were feasible and safe in cardiovascular ICU patients with femoral catheters who met the criteria for mobility interventions. The results from this study support the hypothesis that early mobilization in patients with femoral catheters is important to minimize functional decline and provide evidence that the presence of femoral catheters alone should not be a reason to limit progressive mobility interventions.Key Words: physical therapy, ICU, early mobilization, femoral catheter  相似文献   
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