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John B. White Dana Burr Bradley Thomas Nicholson John Bonaguro Kathleen Abrahamson 《Educational gerontology》2015,41(7):519-526
The aging of the Baby Boom presents long-term care with many new challenges. Among these are the historically high levels of drug use by this cohort. This study surveyed administrators of licensed skilled nursing facilities in the Commonwealth of Kentucky regarding their perception of current drug use by residents, facility policies and procedures currently in place regarding illicit drug use, and their attitudes toward use of illicit drugs by residents. The results of interviews with 40 administrators or their designees revealed that they have experienced little problem with use or abuse of illegal drugs by residents. Fewer than one-third of the facilities had formal policies in place regarding illegal drug use. Only 10% had any experience with requests for medical marijuana, but almost one in five had a policy on the matter and nearly one-third stated they would support medical marijuana use by some of their residents if the matter arose. These authors recommend the following: (a) that the issue of illicit drug use needs to be addressed now before the situation becomes critical, (b) that administrators and staff need to be educated about recreational drug use and appropriate responses to drug abuse, (c) that screening instruments for drug abuse in this population should be developed and implemented, and (d) that policies regarding medical marijuana need to be adopted by all such facilities. 相似文献
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Abstract The aims of this study were: (1) to characterize selected fitness and health attributes of two types of habitual recreational off-road vehicle riders – off-road motorcyclists and all-terrain vehicle riders; (2) to explore differences among riders in terms of vehicle type, age, and gender; and (3) to compare the fitness and health of riders to population norms and clinical health standards. Canadian off-road riders (n = 141) of both sexes aged 16 years and over were recruited through local and national off-road riding organizations. Anthropometry, fitness, and health measures of off-road motorcycle and all-terrain vehicle riders were compared with population norms, health standards, and physical activity guidelines. Off-road motorcycle riders had above average aerobic fitness (79th percentile), while all-terrain vehicle riders were lower than average (40th percentile). All riders had a healthy blood lipid profile and a low incidence of the metabolic syndrome (12.9%) compared with members of the general population. Off-road motorcycle riders had healthier body composition and fitness than all-terrain vehicle riders; however, the body composition of off-road motorcycle riders was no healthier than that of the general population and all-terrain vehicle riders were worse than the general population. Off-road motorcycle riders had healthier anthropometry and fitness than all-terrain vehicle riders and thus fewer health risk factors for future disease, demonstrating that the physiological profiles of off-road riders are dependent on vehicle type. 相似文献
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In Experiment 1, six groups of pigeons (n=8) were tested for wavelength generalization either immediately or 24 h after learning a successive discrimination, with 550 nm reinforced and a black vertical line extinguished. The groups differed in the stimulus present during single stimulus pretraining, which was 550 nm (pretrain S+), the vertical Une (pretrain S?), or a neutral dim white light (pretrain Sn), respectively. The three immediate generalization gradients were steep and indistinguishable, reflecting only the immediately preceding discrimination training condition. The three delay gradients were flatter, with the flattening particularly marked in the pretrain S? group. This was interpreted as proactive interference (PI) resulting from the memory that both the 550-nm and the line stimuli had previously been reinforced. In Experiment 2, two (TD) groups of pigeons (n=16) were given single stimulus training with a 555-nm keylight followed by eight sessions of discrimination training with two line angles, then one session of non-differential (ND) training with the same two lines, and then a wavelength generalization test either immediately or after a 24-h delay. Two other (hold) groups (n=16) received similar training, except for the TD Une angle training sessions, in these hold groups, the wavelength gradient was flatter in a delayed test; in the TD groups it was steeper, indicating PI from the prior TD training. These two experiments suggest that the “attentional sets,” which purportedly result from TD and ND training, may fruitfully be viewed as target memories subject to the principles of interference theory. 相似文献
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Dr. Leslie J. Davison David Burr Jean C. Eberlein Daniel J. Fuchs Lupita Saucedo Bob H. Steffen 《TechTrends》2000,44(4):11-15
It is fitting that the teachers of tomorrow are provided with the correct modeling of technology in their first education class. To separate technology from education is both impossible and foolish. The sooner college students are exposed to the latest forms of technology, the more equipped they will be to integrate these tools into their teaching strategies for the benefit of future learners. 相似文献
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Kathleen Burr Oliver Prudence Dalrymple Harold P. Lehmann Deborah Ann McClellan Karen A. Robinson Claire Twose 《Journal of the Medical Library Association》2008,96(1):50-57
Objective: The objectives were (1) to develop an academic, graduate-level course designed for information professionals seeking to bring evidence to clinical medicine and public health practice and to address, in the course approach, the “real-world” time constraints of these domains and (2) to further specify and realize identified elements of the “informationist” concept.Setting: The course took place at the Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University.Participants: A multidisciplinary faculty, selected for their expertise in the course core competencies, and three students, two post-graduate National Library of Medicine (NLM) informationist fellows and one NLM second-year associate, participated in the research.Intervention: A 1.5-credit, graduate-level course, “Informationist Seminar: Bringing the Evidence to Practice,” was offered in October to December 2006. In this team-taught course, a series of lectures by course faculty and panel discussions involving outside experts were combined with in-class discussion, homework exercises, and a major project that involved choosing and answering, in both oral and written form, a real-world question based on a case scenario in clinical or public health practice.Conclusion: This course represents an approach that could be replicated in other academic health centers with similar pools of expertise. Ongoing journal clubs that reiterate the question-and-answer process with new questions derived from clinical and public health practice and incorporate peer review and faculty mentoring would reinforce the skills acquired in the seminar.
Highlights
- Interdisciplinary faculty designed and offered a graduate-level course to teach the skills required by an informationist in clinical and public health practice, further elaborating a model for preparing informationists.
Implications
- This scalable approach to teaching skills for the transfer of evidence into practice could be replicated in academic health centers with similar pools of expertise; such replication could contribute data toward validating this training approach.
- Greater clarity on an appropriate, or “good enough,” standard of evidence for supporting point-of-action decision making is needed.
- Based on the assumption that practicing skills increases confidence and the likelihood that skills will be applied, this course included mentored practice of oral and written evidence presentation skills. Further research could determine whether a course that includes such mentored practice increases the likelihood that students will apply their newly acquired skills.
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Dana Burr Bradley 《Educational gerontology》2013,39(7):569-581
Developing good research ideas is both a science and an art. Teaching students how to select and then conceptualize the research idea requires both tools and practice. This paper discusses the identification of an appropriate research question and the refinement of it into a working research plan in the format of a grant proposal. The author has used the development of a grant proposal to demonstrate the linkages between theoretical models of aging policy and aging policy research in a master's level Aging and Public Policy Course. In this course students choose, develop, and refine a research statement in response to a request for proposal from an independent foundation. The theoretical knowledge cycle is used to discuss how these students learn over time to refine and reformulate their ideas into workable research questions. Students report that writing for a real funding entity allows them to develop both proficiency with the construction of a research question and research plan and develop expertise with aging policy. 相似文献
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HS Batra Ashwini Kumar TK Saha Pratibha Misra Vivek Ambade 《Indian journal of clinical biochemistry : IJCB》2015,30(2):230-233
To establish utility of single enzymatic marker for the diagnosis of acute pancreatitis. This is a cohort study. Tertiary care centre proven cases of acute pancreatitis (n = 50) admitted in surgery ward between December 2011 and May 2013 were included in the study. Serum amylase and lipase were performed along with many analytes. All relevant data including serum lab values and imaging were collected. All 50 patients included in the study had raised serum lipase, 42 patients had both amylase and lipase raised, 8 patients had amylase normal but lipase raised. In smaller hospitals where limited lab and radiological facilities are available, estimation of serum lipase will be a better choice over serum amylase in diagnosis of acute pancreatitis. 相似文献