About learning,more emphasis was put on the role of teachers in the past,while gradually people realized the key role of the learner during the process of teaching and learning.The traditional class mode was challenge...About learning,more emphasis was put on the role of teachers in the past,while gradually people realized the key role of the learner during the process of teaching and learning.The traditional class mode was challenged.The concept of student-centre class changes the roles of the teacher and the students.The rule of the students becomes more and more important,which means the student will take more responsibilities on learning,and their autonomy should be firmed.And this article will discuss the teacher's role under the concept of learner autonomy.展开更多
Background: Data from a pilot study suggested that noetic therapies -healing practices that are not mediated by tangible elements -can reduce preprocedural distress and might affect outcomes in patients undergoing per...Background: Data from a pilot study suggested that noetic therapies -healing practices that are not mediated by tangible elements -can reduce preprocedural distress and might affect outcomes in patients undergoing percutaneous coronary intervention. We undertook a multicentre, prospective trial of two such practices: intercessory prayer and music, imagery, and touch(MIT) therapy. Methods: 748 patients undergoing percutaneous coronary intervention or elective catheterisation in nine USA centres were assigned in a 2×2 factorial randomisation either off-site prayer by established congregations of various religions or no off-site prayer(double-blinded) and MIT therapy or none(unmasked). The primary endpoint was combined in-hospital major adverse cardiovascular events and 6-month readmission or death. Prespecified secondary endpoints were 6-month major adverse cardiovascular events, 6 month death or readmission, and 6-month mortality. Findings: 371 patients were assigned prayer and 377 no prayer; 374 were assigned MIT therapy and 374 no MIT therapy. The factorial distribution was: standard care only, 192; prayer only, 182; MIT therapy only, 185; and both prayer and MIT therapy, 189. No significant difference was found for the primary composite endpoint in any treatment comparison. Mortality at 6 months was lower with MIT therapy than with no MIT therapy(hazard ratio 0.35,95%CI 0.15-0.82, p=0.016). Interpretation: Neither masked prayer nor MIT therapy significantly improved clinical outcome after elective catheterisation or percutaneous coronary intervention.展开更多
文摘About learning,more emphasis was put on the role of teachers in the past,while gradually people realized the key role of the learner during the process of teaching and learning.The traditional class mode was challenged.The concept of student-centre class changes the roles of the teacher and the students.The rule of the students becomes more and more important,which means the student will take more responsibilities on learning,and their autonomy should be firmed.And this article will discuss the teacher's role under the concept of learner autonomy.
文摘Background: Data from a pilot study suggested that noetic therapies -healing practices that are not mediated by tangible elements -can reduce preprocedural distress and might affect outcomes in patients undergoing percutaneous coronary intervention. We undertook a multicentre, prospective trial of two such practices: intercessory prayer and music, imagery, and touch(MIT) therapy. Methods: 748 patients undergoing percutaneous coronary intervention or elective catheterisation in nine USA centres were assigned in a 2×2 factorial randomisation either off-site prayer by established congregations of various religions or no off-site prayer(double-blinded) and MIT therapy or none(unmasked). The primary endpoint was combined in-hospital major adverse cardiovascular events and 6-month readmission or death. Prespecified secondary endpoints were 6-month major adverse cardiovascular events, 6 month death or readmission, and 6-month mortality. Findings: 371 patients were assigned prayer and 377 no prayer; 374 were assigned MIT therapy and 374 no MIT therapy. The factorial distribution was: standard care only, 192; prayer only, 182; MIT therapy only, 185; and both prayer and MIT therapy, 189. No significant difference was found for the primary composite endpoint in any treatment comparison. Mortality at 6 months was lower with MIT therapy than with no MIT therapy(hazard ratio 0.35,95%CI 0.15-0.82, p=0.016). Interpretation: Neither masked prayer nor MIT therapy significantly improved clinical outcome after elective catheterisation or percutaneous coronary intervention.
