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131.
The purpose of clinical research is to create the scientific foundation for medical practice. In this way of thinking, the effect on medical practice occurs after the research has been completed. Social studies of science have debunked the standard model of scientific research, observing that changes in practice associated with research occur not just because of the results of research but also because of the practice of research. Drawing on fieldwork in HIV clinics in the US, South Africa,Thailand, and Uganda, we argue that clinical trials shape medical practice by altering the organizations in which both medical treatment and clinical trials take place. Three general processes are central to this transformation: the modification of material environments, the reorganization of bureaucratic relations, and the prioritization of research values. These processes unfold somewhat differently in the clinics of poorer countries than in those of wealthier ones. 相似文献
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Eugene R. Declercq Carol Sakala Maureen P. Corry Sandra Applebaum Ariel Herrlich 《The Journal of perinatal education》2014,23(1):17-24
To understand the experiences and views of childbearing women in the United States and trends over time, Childbirth Connection carried out the third national Listening to Mothers survey among 2,400 women who gave birth in U.S. hospitals to a single baby from mid-2011 to mid-2012 and could participate in English. A follow-up survey directed to the same participants explored postpartum experiences, in depth and well into the second year after birth; views about maternity care; and some additional pregnancy and birth items. Harris Interactive conducted the surveys using a validated methodology that includes data weighting to ensure that results closely reflect the target population. The follow-up survey was reported in Listening to Mothers III: New Mothers Speak Out. 相似文献
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Comprehension Tools for Teachers: Reading for Understanding from Prekindergarten Through Fourth Grade 总被引:1,自引:0,他引:1
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Susan Clayton Jerry Luebke Carol Saunders Jennifer Matiasek Alejandro Grajal 《Environmental Education Research》2014,20(4):460-475
Societal response to climate change has been inadequate. A perception that the issue is both physically and temporally remote may reduce concern; concern may also be affected by the political polarization surrounding the issue in the USA. A feeling of connection to nature or to animals may increase personal relevance, and a supportive social context may counteract political tensions. Zoos may provide opportunities for both sense of connection and social support. We surveyed over 7000 zoo and aquarium visitors to examine the ways in which a feeling of personal connection among zoo visitors may encourage concern about climate change. Results show that feeling connected to animals at the zoo is significantly associated with cognitive and emotional responses to climate change, as well as with other social groupings and social responses. Overall, the zoo seems to present a supportive social context for considering the topic. 相似文献
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Sue V. Rosser 《Cultural Studies of Science Education》2014,9(2):433-439
Many aspects of the paper “What if we were in a test tube?: students’ gendered meaning making during a biology lesson about the basic facts of the human genitals” intrigue and warrant further exploration. This forum will focus on two particular areas: (1) An expansion of the companion meanings by examining how they resonate with themes forwarded by other feminist scholars who critiqued biology and reproduction. (2) A proposal of some pedagogical approaches that might provide solutions to de-center the prioritization of heterosexual male genitals and of facts over complexities in science. 相似文献
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Enhancement of anatomical learning and developing clinical competence of first‐year medical and allied health profession students 下载免费PDF全文
Sarah A. Keim Janssen Stephane P. VanderMeulen Valerie K. Shostrom Carol S. Lomneth 《Anatomical sciences education》2014,7(3):181-190
Hands‐on educational experiences can stimulate student interest, increase knowledge retention, and enhance development of clinical skills. The Lachman test, used to assess the integrity of the anterior cruciate ligament (ACL), is commonly performed by health care professionals and is relatively easy to teach to first‐year health profession students. This study integrated teaching the Lachman test into a first‐year anatomy laboratory and examined if students receiving the training would be more confident, competent, and if the training would enhance anatomical learning. First‐year medical, physician assistant and physical therapy students were randomly assigned into either the intervention (Group A) or control group (Group B). Both groups received the course lecture on knee anatomy and training on how to perform the Lachman test during a surface anatomy class. Group A received an additional 15 minutes hands‐on training for the Lachman test utilizing a lightly embalmed cadaver as a simulated patient. One week later, both groups performed the Lachman test on a lightly embalmed cadaver and later completed a post‐test and survey. Students with hands‐on training performed significantly better than students with lecture‐only training in completing the checklist, a post‐test, and correctly diagnosing an ACL tear. Students in Group A also reported being more confident after hands‐on training compared to students receiving lecture‐only training. Both groups reported that incorporating clinical skill activities facilitated learning and created excitement for learning. Hands‐on training using lightly embalmed cadavers as patient simulators increased confidence and competence in performing the Lachman test and aided in learning anatomy. Anat Sci Educ 7: 181–190. © 2013 American Association of Anatomists. 相似文献
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