Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to ...Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.展开更多
Misconceptions are common in the care of patients with inflammatory bowel disease(IBD).In this paper,we state the most commonly found misconceptions in clinical practice and deal with the use of 5-aminosalicylates and...Misconceptions are common in the care of patients with inflammatory bowel disease(IBD).In this paper,we state the most commonly found misconceptions in clinical practice and deal with the use of 5-aminosalicylates and thiopurines,to review the related scientificevidence,and make appropriate recommendations.Prevention of errors needs knowledge to avoid making such errors through ignorance.However,the amount of knowledge is increasing so quickly that one new danger is an overabundance of information.IBD is a model of a very complex disease and our goal with this review is to summarize the key evidence for the most common daily clinical problems.With regard to the use of 5-aminosalicylates,the best practice may to be consider abandoning the use of these drugs in patients withsmall bowel Crohn's disease.The combined approach with oral plus topical 5-aminosalicylates should be the first-line therapy in patients with active ulcerative colitis;once-daily treatment should be offered as a first choice regimen due to its better compliance and higher efficacy.With regard to thiopurines,they seem to be as effective in ulcerative colitis as in Crohn's disease.Underdosing of thiopurines is a form of undertreatment.Thiopurines should probably be continued indefinitely because their withdrawal is associated with a high risk of relapse.Mercaptopurine is a safe alternative in patients with digestive intolerance or hepatotoxicity due to azathioprine.Finally,thiopurine methyltransferase(TPMT)screening cannot substitute for regular monitoring because the majority of cases of myelotoxicity are not TPMT-related.展开更多
Understanding discipline-specific texts in English is a basic requirement for science students, who must develop their content knowledge and language skills. Particularly, interesting is the fact that the language of ...Understanding discipline-specific texts in English is a basic requirement for science students, who must develop their content knowledge and language skills. Particularly, interesting is the fact that the language of science is characterized by the use of figurative language, which appeals to the common knowledge of the world, mainly to explain, clarify, and describe intricate concepts. Metaphors are helpful for lexicalizing new concepts and meanings or extending the meanings of pre-existing words. The analysis of tropes as a means to improve foreign language learners' reading competence is a rather novel teaching practice in ESP (English for Specific Purposes), implemented at the University of Rio Cuarto, Argentina. Therefore, the aim of this paper is to explain the theoretical basis for teaching and developing metaphorical competence in ESP classes as a means of providing an intellectually stimulating alternative approach, and to present some teaching ideas and activities designed to familiarize students with the use of metaphorical language in scientific discourse in order to enhance their reading competence.展开更多
Knowledge of the environment is essential for the survival of organisms; but those organisms have to have the capacity to stabilize such knowledge. The aim of this article is to analyze the various strategies for stab...Knowledge of the environment is essential for the survival of organisms; but those organisms have to have the capacity to stabilize such knowledge. The aim of this article is to analyze the various strategies for stabilizing human knowledge, with a special focus on its material anchors and their interactions with other stabilization means. In particular, I consider how such stabilization is reflected in scientific activity and practice, and what its repercussions are for the models of science that have dominated the philosophical landscape of the 20th century. My starting hypothesis will be that the role of material anchors in stabilizing conceptual blends is analogous to that of technology in grounding scientific knowledge. The framework I adopt with regard to conceptualization is that of Fauconnier and Turner (2002) on conceptual blends. Just as technology intervenes in scientific practice in conjunction with conceptual elements, so do material anchors, which conjoin other non-material strategies of knowledge stabilization. Endowing knowledge with a material basis may be understood firstly as an element (sometimes a key element) for representing knowledge and offering an explanation, and secondly as a way of providing a scientific hypothesis with empirical grounding. It is this second sense that connects with scientific experimentation and the use of instruments and technology.展开更多
To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical Un...To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical University (SMMU) launched an English for Medical Academic Purpose (EMAP) curriculum with English Forum on Medical Humanities (EFMH), a project-based teaching practice. Based on Rogers' learner-centered humanistic teaching approach which emphasizes students' involvement and experiences in learning, EFMH puts students and their practice in a central place. After four-year exploration and operation, the Forum has developed from a small-scaled embryo into an internationalized, standardized and professionalized event, having produced fruitful outcomes. It is expected that the success of EFMH will provide inspiring experiences and enlightenments for higher medical education in terms of academic English teaching and teachers' responsibilities to foster high-quality medical students.展开更多
By using the method of least square linear fitting to analyze data do not exist errors under certain conditions, in order to make the linear data fitting method that can more accurately solve the relationship expressi...By using the method of least square linear fitting to analyze data do not exist errors under certain conditions, in order to make the linear data fitting method that can more accurately solve the relationship expression between the volume and quantity in scientific experiments and engineering practice, this article analyzed data error by commonly linear data fitting method, and proposed improved process of the least distance squ^re method based on least squares method. Finally, the paper discussed the advantages and disadvantages through the example analysis of two kinds of linear data fitting method, and given reasonable control conditions for its application.展开更多
The great Haiyuan earthquake occurred at 20:06:09 on December 16,1920 in the south of Ningxia Hui Autonomous Region.The magnitude of this earthquake is 8.5,listed as one of the three greatest earthquakes to ever occur...The great Haiyuan earthquake occurred at 20:06:09 on December 16,1920 in the south of Ningxia Hui Autonomous Region.The magnitude of this earthquake is 8.5,listed as one of the three greatest earthquakes to ever occur in Chinese continent.This devastating earthquake killed about 230,000 people according to previous reports.Recent studies show that total casualties may have reached 270,000.The study of this earthquake using modern scientific and technological methods is the first in the history of earthquake research in China.Significant breakthroughs took place in the middle of last century.The earthquake surface rupture,with 200km in length and prominent left-lateral strike-slip displacement,was discovered.The first monograph on the Haiyuan earthquake was published.In the 1980s,innovative large-scale geological mapping technology for active faults was developed during studies on the Haiyuan earthquake surface ruptures,with the publication of the first large-scale map of the Haiyuan active fault.Quantitative studies were carried out on the fine structure and geometry of the fault zone,Holocene slip rate,co-seismic displacement,paleoearthquake and recurrence intervals and future earthquake risk assessment.The innovative studies also included rupture propagation along the strike-slip fault,evolution of pull-apart basins,determination of total displacement of the strike-slip fault,transition equilibrium between strike-slip displacement along its major strand and crustal shortening at the end of the strike-slip fault,and the mechanism of deformation on Liupan Mountain.On the occasion of the 90th anniversary of the Haiyuan earthquake,careful retrospect of scientific progress achieved during the recent 20 years would be helpful in providing further direction in the study of active faults and earthquake hazard reduction.While taking this occasion to remember those lost by the Haiyuan earthquake,we aim to make greater contributions to earthquake prediction and seismic hazard reduction.展开更多
The globalization development of science and technology makes academic English education in Chinese universities become a trend, and the establishment and application of digital teaching environment also provides an e...The globalization development of science and technology makes academic English education in Chinese universities become a trend, and the establishment and application of digital teaching environment also provides an efficient technical support for the teaching and practice of Academic English. Through its own characteristics and Academic English teaching requirements analysis, understand the function and role of digital environment in academic English teaching and trying to propose effective strategies for Academic English Teaching Practice Exploration.展开更多
This paper aims at assessing the evolutionist and creationist conceptions of Brazilian teachers. The work is developed within the framework of the European project BIOHEAD-CITIZEN (biology, health and environmental e...This paper aims at assessing the evolutionist and creationist conceptions of Brazilian teachers. The work is developed within the framework of the European project BIOHEAD-CITIZEN (biology, health and environmental education for better citizenship), which takes into account that scientific knowledge and teachers' attitudes and values can influence the teaching practices. The large questionnaire BIOHEAD-CITIZEN, which was constructed to be applied in 19 countries in Europe, Africa and Middle East countries, was applied, in this study, to six groups of Brazilian teachers: primary school teachers, biology teachers and Portuguese language teachers and corresponding teachers-to-be. For this paper the answers to questions about evolution were used as dependent variables. Descriptive and multivariate analyses were carried out. Biology teachers and biology teachers-to-be gave more importance to the natural selection and the evolution process than the other groups of teachers. Comparing to the BIOHEAD-CITIZEN countries, the total Brazilian sample showed a higher percentage of creationist conceptions, particularly the Brazilian biology teachers and teachers-to-be. As discussed herein, this may not be an obstacle for teaching evolution as they accept both creationist and evolutionist concomitantly.展开更多
Nowadays researchers working in various fields study the issues of argument. They represent different approaches which distinguish with theoretical and practical comprehension of argument problems. Informal study of a...Nowadays researchers working in various fields study the issues of argument. They represent different approaches which distinguish with theoretical and practical comprehension of argument problems. Informal study of argument is one of the approaches. The key reason of its appearance was the criticism of formal logic in the late 20th century. Researchers consider the argument from the different point of view. Formal dialectics and pragma-dialectics were based on dialectics. Contemporary rhetorical theories of argument were created on the rhetorical grounds; theory of speech acts on the basis of practical philosophy etc.. This paper is devoted to some theoretical problems of informal logic which was formed on the logic background in the late 70's. In spite of numerous papers, books, and text-books on informal logic published over the last thirty years, logicians has not achieved consensus so far on many issues. Among the numerous problems are: what is the subject matter of informal logic? Does informal logic belong to the realm of logic? Is it applied epistemology? What is a real argument? And what are the criteria for evaluating of such arguments?展开更多
Pediatrics belongs to highly professional important disciplines clinically. Because of abstract content of pediatrics, knowledge at odds and the lack of clinical practice, they pediatric pose serious challenges to the...Pediatrics belongs to highly professional important disciplines clinically. Because of abstract content of pediatrics, knowledge at odds and the lack of clinical practice, they pediatric pose serious challenges to the traditional teaching model. With the development of multimedia and network technology and the popularization of hardware facilities in higher vocational colleges, profound change took place in clinical pediatric teaching mode. Multimedia technology has become an important part of modern teaching methods. Through multimedia technology applications in pediatric vocational clinical teaching practice, the pediatric clinical teaching is optimized and classroom teaching improved, but also problems found in the application process of multimedia technology.展开更多
Offering lectures'both on science frontier and practical skills;a fraining course on food biotechnology-specially tailored for developing countries showed how biotechnology can upgrade ancient approaches to food p...Offering lectures'both on science frontier and practical skills;a fraining course on food biotechnology-specially tailored for developing countries showed how biotechnology can upgrade ancient approaches to food production,.like fermentation.展开更多
The scientificalization1 of educational research methods was always the most predominant in the two tides of educational experiment in China in the twentieth century,the result of which was unexpectedly dissatisfactor...The scientificalization1 of educational research methods was always the most predominant in the two tides of educational experiment in China in the twentieth century,the result of which was unexpectedly dissatisfactory,because researchers misunderstood the connotation of scientificalization in such a degree that resulted in the worship for methods and thought of replacement.If researchers reflect dialectically on the classic codes of experiment,and aim at reconstructing the viewpoint of experiment in education in the dimensions of ideas and pattern,they would guide the research on education by an“ideal type”,decently intervene the“logic of practice”with the“logic of theory”,so that the theorists and practitioners in education can finally coexist and co-develop.展开更多
基金This work was supported by the Postgraduate Independent Project of Beijing University of Chinese Medicine(No.2017-JYB-XS-085).
文摘Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.
文摘Misconceptions are common in the care of patients with inflammatory bowel disease(IBD).In this paper,we state the most commonly found misconceptions in clinical practice and deal with the use of 5-aminosalicylates and thiopurines,to review the related scientificevidence,and make appropriate recommendations.Prevention of errors needs knowledge to avoid making such errors through ignorance.However,the amount of knowledge is increasing so quickly that one new danger is an overabundance of information.IBD is a model of a very complex disease and our goal with this review is to summarize the key evidence for the most common daily clinical problems.With regard to the use of 5-aminosalicylates,the best practice may to be consider abandoning the use of these drugs in patients withsmall bowel Crohn's disease.The combined approach with oral plus topical 5-aminosalicylates should be the first-line therapy in patients with active ulcerative colitis;once-daily treatment should be offered as a first choice regimen due to its better compliance and higher efficacy.With regard to thiopurines,they seem to be as effective in ulcerative colitis as in Crohn's disease.Underdosing of thiopurines is a form of undertreatment.Thiopurines should probably be continued indefinitely because their withdrawal is associated with a high risk of relapse.Mercaptopurine is a safe alternative in patients with digestive intolerance or hepatotoxicity due to azathioprine.Finally,thiopurine methyltransferase(TPMT)screening cannot substitute for regular monitoring because the majority of cases of myelotoxicity are not TPMT-related.
文摘Understanding discipline-specific texts in English is a basic requirement for science students, who must develop their content knowledge and language skills. Particularly, interesting is the fact that the language of science is characterized by the use of figurative language, which appeals to the common knowledge of the world, mainly to explain, clarify, and describe intricate concepts. Metaphors are helpful for lexicalizing new concepts and meanings or extending the meanings of pre-existing words. The analysis of tropes as a means to improve foreign language learners' reading competence is a rather novel teaching practice in ESP (English for Specific Purposes), implemented at the University of Rio Cuarto, Argentina. Therefore, the aim of this paper is to explain the theoretical basis for teaching and developing metaphorical competence in ESP classes as a means of providing an intellectually stimulating alternative approach, and to present some teaching ideas and activities designed to familiarize students with the use of metaphorical language in scientific discourse in order to enhance their reading competence.
文摘Knowledge of the environment is essential for the survival of organisms; but those organisms have to have the capacity to stabilize such knowledge. The aim of this article is to analyze the various strategies for stabilizing human knowledge, with a special focus on its material anchors and their interactions with other stabilization means. In particular, I consider how such stabilization is reflected in scientific activity and practice, and what its repercussions are for the models of science that have dominated the philosophical landscape of the 20th century. My starting hypothesis will be that the role of material anchors in stabilizing conceptual blends is analogous to that of technology in grounding scientific knowledge. The framework I adopt with regard to conceptualization is that of Fauconnier and Turner (2002) on conceptual blends. Just as technology intervenes in scientific practice in conjunction with conceptual elements, so do material anchors, which conjoin other non-material strategies of knowledge stabilization. Endowing knowledge with a material basis may be understood firstly as an element (sometimes a key element) for representing knowledge and offering an explanation, and secondly as a way of providing a scientific hypothesis with empirical grounding. It is this second sense that connects with scientific experimentation and the use of instruments and technology.
文摘To conform to the college English teaching reform from English for General Purposes (EGP) to English for Academic Purposes (EAP) in the vital transfer era, the Foreign Language Department of Second Military Medical University (SMMU) launched an English for Medical Academic Purpose (EMAP) curriculum with English Forum on Medical Humanities (EFMH), a project-based teaching practice. Based on Rogers' learner-centered humanistic teaching approach which emphasizes students' involvement and experiences in learning, EFMH puts students and their practice in a central place. After four-year exploration and operation, the Forum has developed from a small-scaled embryo into an internationalized, standardized and professionalized event, having produced fruitful outcomes. It is expected that the success of EFMH will provide inspiring experiences and enlightenments for higher medical education in terms of academic English teaching and teachers' responsibilities to foster high-quality medical students.
文摘By using the method of least square linear fitting to analyze data do not exist errors under certain conditions, in order to make the linear data fitting method that can more accurately solve the relationship expression between the volume and quantity in scientific experiments and engineering practice, this article analyzed data error by commonly linear data fitting method, and proposed improved process of the least distance squ^re method based on least squares method. Finally, the paper discussed the advantages and disadvantages through the example analysis of two kinds of linear data fitting method, and given reasonable control conditions for its application.
文摘The great Haiyuan earthquake occurred at 20:06:09 on December 16,1920 in the south of Ningxia Hui Autonomous Region.The magnitude of this earthquake is 8.5,listed as one of the three greatest earthquakes to ever occur in Chinese continent.This devastating earthquake killed about 230,000 people according to previous reports.Recent studies show that total casualties may have reached 270,000.The study of this earthquake using modern scientific and technological methods is the first in the history of earthquake research in China.Significant breakthroughs took place in the middle of last century.The earthquake surface rupture,with 200km in length and prominent left-lateral strike-slip displacement,was discovered.The first monograph on the Haiyuan earthquake was published.In the 1980s,innovative large-scale geological mapping technology for active faults was developed during studies on the Haiyuan earthquake surface ruptures,with the publication of the first large-scale map of the Haiyuan active fault.Quantitative studies were carried out on the fine structure and geometry of the fault zone,Holocene slip rate,co-seismic displacement,paleoearthquake and recurrence intervals and future earthquake risk assessment.The innovative studies also included rupture propagation along the strike-slip fault,evolution of pull-apart basins,determination of total displacement of the strike-slip fault,transition equilibrium between strike-slip displacement along its major strand and crustal shortening at the end of the strike-slip fault,and the mechanism of deformation on Liupan Mountain.On the occasion of the 90th anniversary of the Haiyuan earthquake,careful retrospect of scientific progress achieved during the recent 20 years would be helpful in providing further direction in the study of active faults and earthquake hazard reduction.While taking this occasion to remember those lost by the Haiyuan earthquake,we aim to make greater contributions to earthquake prediction and seismic hazard reduction.
文摘The globalization development of science and technology makes academic English education in Chinese universities become a trend, and the establishment and application of digital teaching environment also provides an efficient technical support for the teaching and practice of Academic English. Through its own characteristics and Academic English teaching requirements analysis, understand the function and role of digital environment in academic English teaching and trying to propose effective strategies for Academic English Teaching Practice Exploration.
文摘This paper aims at assessing the evolutionist and creationist conceptions of Brazilian teachers. The work is developed within the framework of the European project BIOHEAD-CITIZEN (biology, health and environmental education for better citizenship), which takes into account that scientific knowledge and teachers' attitudes and values can influence the teaching practices. The large questionnaire BIOHEAD-CITIZEN, which was constructed to be applied in 19 countries in Europe, Africa and Middle East countries, was applied, in this study, to six groups of Brazilian teachers: primary school teachers, biology teachers and Portuguese language teachers and corresponding teachers-to-be. For this paper the answers to questions about evolution were used as dependent variables. Descriptive and multivariate analyses were carried out. Biology teachers and biology teachers-to-be gave more importance to the natural selection and the evolution process than the other groups of teachers. Comparing to the BIOHEAD-CITIZEN countries, the total Brazilian sample showed a higher percentage of creationist conceptions, particularly the Brazilian biology teachers and teachers-to-be. As discussed herein, this may not be an obstacle for teaching evolution as they accept both creationist and evolutionist concomitantly.
文摘Nowadays researchers working in various fields study the issues of argument. They represent different approaches which distinguish with theoretical and practical comprehension of argument problems. Informal study of argument is one of the approaches. The key reason of its appearance was the criticism of formal logic in the late 20th century. Researchers consider the argument from the different point of view. Formal dialectics and pragma-dialectics were based on dialectics. Contemporary rhetorical theories of argument were created on the rhetorical grounds; theory of speech acts on the basis of practical philosophy etc.. This paper is devoted to some theoretical problems of informal logic which was formed on the logic background in the late 70's. In spite of numerous papers, books, and text-books on informal logic published over the last thirty years, logicians has not achieved consensus so far on many issues. Among the numerous problems are: what is the subject matter of informal logic? Does informal logic belong to the realm of logic? Is it applied epistemology? What is a real argument? And what are the criteria for evaluating of such arguments?
文摘Pediatrics belongs to highly professional important disciplines clinically. Because of abstract content of pediatrics, knowledge at odds and the lack of clinical practice, they pediatric pose serious challenges to the traditional teaching model. With the development of multimedia and network technology and the popularization of hardware facilities in higher vocational colleges, profound change took place in clinical pediatric teaching mode. Multimedia technology has become an important part of modern teaching methods. Through multimedia technology applications in pediatric vocational clinical teaching practice, the pediatric clinical teaching is optimized and classroom teaching improved, but also problems found in the application process of multimedia technology.
文摘Offering lectures'both on science frontier and practical skills;a fraining course on food biotechnology-specially tailored for developing countries showed how biotechnology can upgrade ancient approaches to food production,.like fermentation.
文摘The scientificalization1 of educational research methods was always the most predominant in the two tides of educational experiment in China in the twentieth century,the result of which was unexpectedly dissatisfactory,because researchers misunderstood the connotation of scientificalization in such a degree that resulted in the worship for methods and thought of replacement.If researchers reflect dialectically on the classic codes of experiment,and aim at reconstructing the viewpoint of experiment in education in the dimensions of ideas and pattern,they would guide the research on education by an“ideal type”,decently intervene the“logic of practice”with the“logic of theory”,so that the theorists and practitioners in education can finally coexist and co-develop.