Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors

Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.

Unit 8 How do you make a banana milk shake?Section B(2a-2e)教学设计

教材分析本堂课是人教版新目标《英语》八年级上册Unit 8 How do you make a banana milk shake？Section B 2a—2e的阅读课,阅读材料是关于美国感恩节及感恩节传统食物——火鸡的制作。阅读语篇分为两个部分：一是美国感恩节的由来;二是火鸡的制作过程和方法。

How does Mechanical Loading Make Bone Microstructure: Modeling vs. Remodeling

Bone modeling and remodeling are governed by distinct biochemical processes that may hold unique opportunities for optimizing bone mass[1,2].Remodeling refers to the coupled resorption and subsequent formation on the bone surface,while modeling represents uncoupled formation or resorption.Mechanical loading is known to improve bone mass,though whether this occurs through modeling or remodeling(or by some combination)is unclear.Dynamic in vivo morphometry utilizing high resolution micro-CT and image registration has only recently become feasible and thus holds an untapped and expanding potential for understanding bone metabolism by quantifying and localizing formation/resorption and modeling/remodeling events.16-week-old mice were given 2 baseline weekly micro-CT scans of both tibiae prior to the initiation of daily unilateral loading(contralateral limb for nonloaded control).Weekly scanning and daily loading continued for 5 weeks.Registered images for each mouse in a global coordinate system revealed the time course of each voxel,and changes in bone mass were quantified as modeling or remodeling starting at the onset of loading.In cortical bone,after an initial response to loading in both regimes,modeling emerged as the dominant response.Loading effects were largest in areas of mechanical significance.For example,anabolic modeling on the periosteal surface of the half of the tibia in compression under axial load presented a strong effect of loading,whereas the same measure on the endosteal surface in the area in tension showed no difference.Similarly,in trabecular bone anabolic modeling was significantly increased with loading on trabecular plates but not rods(plates have been shown to be the major contributor to overall bone strength).The catabolic modeling response on the endosteal surface showed an interesting transition over time.Loading initially led to a significant suppression of catabolic modeling,but over time increased it to levels significantly beyond that of nonloaded controls.

Unit 8 How do you make a banana milk shake?Section B(3a-4) Writing教学设计

本堂课的目标是培养学生的写作能力，引导学生在掌握本堂课的目标语言后，积极参与课堂活动，在提高写作技巧的同时，有效提高学生的语言交际能力，从而使课堂教学更有成效。

How Do the Chinese Make Love? A Community Based Survey in China

Aims: To investigate how the Chinese make love. Methods: From Jan. 2009 to Dec. 2009, a survey was carried out of 600 adults (300 male and 300 female adults) in Tianhe community (Guangzhou, China). Information included masturbation, sexual foreplay, oral sex, intercourse, coordination with sexual partner, self-evaluation of one’s sexual function. Results: 255 females and 229 males fulfilled the questionnaires. 48.8% females and 68.7% males admitted of masturbation experiences. 59.9% women reported some passionate touch before sex, and 63.2% men reported some moderate touch. One third of the women could accept oral intercourse, while two thirds of the men couldn’t accept oral intercourse. The frequency of sexual intercourse per month is less than 10 times in 72.5% women and 77.7% men. 72.9% men and 54.9% women would like to frequently change the position in sexual intercourse. Still, 72.9% men and 54.9% women would like to coordinate with the sexual partner when she/he had sexual requirement. 74.1% women thought her sexual function as general level. Conclusions: The results of the present study indicated that most men and women in China could enjoy their sex lives through the most common way: sexual intercourse. Although masturbation and oral sex are two of the common sex activities, part of the adults still had a negative attitude towards the two activities, especially women.

CO_(2)Emissions Post-COP26:Who is Responsible to Curb the Flow?Does it Matter if We Can Make it a Win-Win?

The debate about climate change is highly politicized.Not everyone is convinced that CO_(2)emissions are worth curbing despite seemingly irrefutable evidence in the IPCC’s latest report.[1]Some have vested interests in exploiting fossil fuels while others think alternative,cheaper solutions can be found.Countries that have shifted from manufacturing to service-based economies will find it easier to decarbonize.Other countries with relatively low carbon emissions per capita but large populations believe it is unfair that they should have to bear heavy costs of decarbonization to solve a problem that wealthier countries have created.

用do还是用make？

do和make这两个动词很常用。有时它们的汉语译文也很相近。do one’s work中的“do”译成“做”，make a deal with sb中的“make”也译成“做”。如果将上面的do和make互换，则不行。可见，需要掌握do和make的习惯用法。请你做一做下面的练习，这些习语你都掌握了吗?

Unit8 How do you make banana milk shake

教学目标与要求:1.语言知识:1)复习掌握本单元的重点单词,如:sugar,cheese,popcorn,corn,lettuce...;2)掌握正确用how much和how many对事物的数量进行提问;2.语言技能:1)学生们能够熟练运用所学的知识,来正确描述做简单食物的过程;2)学生能正确运用表示顺序的词来表达事情发展的步骤和顺序。

新目标英语《How do you make a banana milk shake》的教学设计

一、设计思路 Section A部分主要包括三个话题：一是有关香蕉奶昔的制作，二是有关水果色拉的制作，三是关于西餐罗宋汤的制作。教师即要通过白板教学播放食物的制作过程，最大程度地调动学生的视觉、感觉、听觉，还要通过自身的演示排除一些生词的障碍，在听、说、读、表演的基础上，完成写作练笔的过程。同时，通过小组讨论，小组游戏及比赛来激发所有学生参与其中，最终达到对目标语言准确、熟练的运用。

教学设计:人教版八年级英语上册Unit 8 How do you make a banana milk shake?

一、教学目的:1教材分析:英语课程改革的重点就是从学生的学习兴趣、生活经验和认知水平出发,倡导体验、实践、参与、合作与交流的学习方式和任务型的教学途径,发展学生的综合语言运用能力,使语言学习的过程成为学生形成积极的情感态度、主动思维和大胆实践、提高跨文化意识和形成自主学习能力的过程。

Novel Decision Making Methodology under Pythagorean Probabilistic Hesitant Fuzzy Einstein Aggregation Information

This research proposes multicriteria decision-making(MCDM)-based real-time Mesenchymal stem cells(MSC)transfusion framework.The testing phase of the methodology denotes the ability to stick to plastic surfaces,the upregulation and downregulation of certain surface protein markers,and lastly,the ability to differentiate into various cell types.First,two scenarios of an enhanced dataset based on a medical perspective were created in the development phase to produce varying levels of emergency.Second,for real-timemonitoring ofCOVID-19 patients with different emergency levels(i.e.,mild,moderate,severe,and critical),an automated triage algorithmbased on a formal medical guideline is proposed,taking into account the improvement and deterioration procedures fromone level to the next.For this strategy,Einstein aggregation information under the Pythagorean probabilistic hesitant fuzzy environment(PyPHFE)is developed.Einstein operations on PyPHFE such as Einstein sum,product,scalar multiplication,and their properties are investigated.Then,several Pythagorean probabilistic hesitant fuzzy Einstein aggregation operators,namely the Pythagorean probabilistic hesitant fuzzy weighted average(PyPHFWA)operator,Pythagorean probabilistic hesitant fuzzy Einstein weighted geometric(PyPHFEWG)operator,Pythagorean probabilistic hesitant fuzzy Einstein ordered weighted average(PyPHFEOWA)operator,Pythagorean probabilistic hesitant fuzzy Einstein ordered weighted geometric(PyPHFEOWG)operator,Pythagorean probabilistic hesitant fuzzy Einstein hybrid average(PyPHFEHA)operator and Pythagorean probabilistic hesitant fuzzy Einstein hybrid geometric(PyPHFEHG)operator are investigated.All the above-mentioned operators are helpful in design the algorithm to tackle uncertainty in decision making problems.In last,a numerical case study of decision making is presented to demonstrate the applicability and validity of the proposed technique.Besides,the comparison of the existing and the proposed technique is established to show the effectiveness and validity of the established technique.

Unit 7 How do you make a banana milk shake?词汇教学活动设计

教材：义务教育课程标准实验教科书英语（新目标）Go for it!

基于学习活动观理念下的教、学、评一致性英语阅读教学课例设计——以外研版《新标准英语》Module 5 Unit 2 If you ever go to London,make sure you visit the Science Museum为例

本文以一节市级送教示范课例改进为载体,探讨阅读教学如何体现英语课程标准的阶段性目标、体现语言学习活动观和阅读教学的层次性,探索指向三位一体教、学、评一致性课例改进的有效途径。1.课例背景本课是2019年大连市名师送教示范活动中的一节阅读课,授课时间为40分钟,授课前先后进行了2次教学改进。本次送教课例研讨主题为教、学、评三位一体的阅读教学改进。

基于语料库的EFL学习者动词MAKE对比研究

本研究基于ETS语料库,从使用频数、类联接结构和名词搭配三个方面对中、法EFL学习者在动词MAKE上的使用情况进行对比分析。通过数据统计和分析发现,中、法学习者在使用动词MAKE时存在着一些共性与差异。两者都存在过度使用该动词的情况,并且在词形变化和语法结构上比较单一,而中国学习者的问题更为突出。在类联接结构方面,中、法学习者的使用习惯与本族语者类似,但是仍存在使用不当的情况。在名词搭配方面,中、法学习者都倾向于使用其虚化用法。

Does Filial Piety Make a Good Government Official?

FILIAL piety has been an essential element of traditional Chinese culture since the time of Confucius and is all about the way Chinese relate to their parents and other family members.Now the concept has found its way into the workplace.Recently this virtue was introduced as one of the criteria for selecting government officials,leading to a flurry of debate among the public. In Weixian County,north China’s Hebei Province,Qi Jinghai, Secretary of the Weixian Committee of the Communist Party of China,introduced a regulation stating that candidates applying

What to Do When You Make Mistakes in Talking

The best way of learning a language is by using it.The best way of learning English is talking in English as much as possible.Sometimes you will get your words mixed up(混淆) and people will not understand you.

具身何以认知——对为何有“做”而没有“学”的历史与理论考察

“做中学”在实践中往往会变成有“做”而没有“学”。在对百年教育改革进程中“做中学”的初衷、异化与乱象进行回顾的基础上,引入认知的具身观点,把“为何有做而没有学”这一现实难题转化为“具身何以认知”这一科学问题,从基于共同编码假说的具身模拟、作为预测器的内部前向模型、扩展想象和行动空间的技术具身之工具合并机制的认知具身三大边界条件出发,对“做中学”为何会变成“有做而没有学”以及如何才能实现“有做亦有学”进行了历史与理论的双重考察。如果说“做中学”以希望开始以失望结束,“发现学习”试图对“做中学”作出超越但最终也归于失败,那么“创中学”基于认知的具身观点则真正实现了对“做中学”和“发现学习”的扬弃与超越,最终实现了“动手”和“动脑”的统一,真正让“做中学”的理想走进教育的现实。可见,“做中学”是正题,“发现学习”是反题,“创中学”则是合题,而这一正反合的三段论隐喻了教育学思想发展与理论建构的辩证统一。

中外企业知识分享模式研究——基于MAKE获奖企业的分析

本文首先通过对2010年以来MAKE获奖数据的分析,对比全球企业在Global MAKE(全球MAKE大奖)和China MAKE(中国MAKE大奖)中的表现,并对两个奖项的评选指标进行数据分析,选择"组织知识分享"这一近年来国外企业知识管理的关注热点作为研究对象,从MAKE获奖企业名单中选取青岛啤酒和斯伦贝谢作为企业知识分享的国内外优秀案例,对企业知识分享的原因、发展过程、模型及措施等进行系统的对比分析,以期为我国企业知识管理与创新提供借鉴。

动态系统理论视域下英语专业学习者虚化动词发展研究——以make为例

基于动态系统理论的研究视角,参照词汇深度知识的分类、发展框架以及语料库语言学的词汇共选理念与工作程序,从使用频率、类联接、搭配、近义词网络拓展等四个维度,分别对大学英语专业不同年级学习者使用虚化动词make的发展轨迹进行考察。研究表明:make内部四个不同维度及同一维度下各方面有各自的变异轨迹,呈现出非线性、复杂性的发展态势。