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Michael Ryan Monica Taylor Amanda Barone Leslie Della Pesca Sona Durgana Kelly Ostrowski 《The New Educator》2017,13(2):102-116
ABSTRACTToo often, because of the static nature of schools and the dominant existence of high-stakes testing, professional learning for teachers is determined by administrators or policy and is facilitated by those who are not part of the school community using prepackaged programs. These initiatives run counter to authentic teacher inquiry where teachers enhance their understanding of students and learning and, ideally, develop new teaching practices (Borko, 2004; Cochran-Smith & Lytle, 1999, 2009; Darling-Hammond, 1997). In this article, we focus on how teachers participating in action research begin to position themselves as teacher leaders. 相似文献
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Sona Valsaraj K. T. Augusti Varghese Chemmanam Regi Jose 《Indian journal of clinical biochemistry : IJCB》2009,24(2):175-178
In the present study the efficacies of therapy with insulin, sulphonylurea or insulin + metformin on NIDDM patients are compared.
One group which was on a definite dose of insulin therapy, but with uncontrolled diabetes was treated by doubling the insulin
dose, a second group whose diabetes was not controlled by glibenclamide was switched over to another sulphonylurea viz; glimepiride
and a third group whose diabetes was not controlled by insulin therapy was switched over to a combination therapy with insulin
+metformin. After recording their initial blood parameters all the groups were treated as above for 3 months, and the parameters
were again determined. The fasting blood sugar and serum lipids of the first group were controlled significantly, but the
values were far above normal range. However HDL Cholesterol and atherogenic index were near normal range. In glimepiride treated
group, none of the parameters showed any amelioration. In the combined therapy group, control of blood sugar and atherogenic
index was more or less the same as for group 1, but hyperlipidemia remained slightly above that of the same. From the findings
we can infer that in long term diabetes treatment higher doses of insulin and combined therapy with insulin and metformin
may be more beneficial than with low doses of insulin or sulfonyl urea alone 相似文献
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