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A physiotherapist is part of the multidisciplinary team in most intensive care units in Australia. Physiotherapists are primary contact practitioners and use a comprehensive multisystem assessment that includes the respiratory, cardiovascular, neurological, and musculoskeletal systems to formulate individualized treatment plans. The traditional focus of treatment has been the respiratory management of both intubated and spontaneously breathing patients. However, the emerging evidence of the longstanding physical impairment suffered by survivors of intensive care has resulted in physiotherapists re-evaluating treatment priorities to include exercise rehabilitation as a part of standard clinical practice. The goals of respiratory physiotherapy management are to promote secretion clearance, maintain or recruit lung volume, optimize oxygenation, and prevent respiratory complications in both the intubated and spontaneously breathing patient. In the intubated patient, physiotherapists commonly employ manual and ventilator hyperinflation and positioning as treatment techniques whilst in the spontaneously breathing patients there is an emphasis on mobilization. Physiotherapists predominantly use functional activities for the rehabilitation of the critically ill patient in intensive care. While variability exists between states and centers, Australian physiotherapists actively treat critically ill patients targeting interventions based upon research evidence and individualized assessment. A trend toward more emphasis on exercise rehabilitation over respiratory management is evident.Key Words: physiotherapy, intensive care  相似文献   
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Three female tenure-track faculty members at a Hispanic-Serving Institution explored how their cultural backgrounds inform their pedagogical approaches toward equity. They drew upon Mills’s (1959) and Collins’s (1993) frameworks to examine how their personal biographies, local social contexts, and broader systemic institutions affect their teaching processes for diverse students. These teaching processes include limiting assumptions about students, encouraging students to consider their own personal biographies in relation to the social world, welcoming students’ multiple modes of expression, serving as role models, and challenging inequities in schooling. They conclude with recommendations for enhancing inclusivity in student learning and faculty development.  相似文献   
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The solution variable analysis tool and decision variable analysis tool have universal application to systematically evaluate and recommend solutions to clients. These tools provide a structured process for analyzing identified solutions to root causes; identifying pros and cons of proposed solutions; determining solutions that can address multiple root causes; weighing cost, quality, and timeliness of proposed solutions; and identifying solutions in a cost‐effective and timely manner.  相似文献   
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Students' conceptions of how objects are seen directly, and in mirrors, were explored in an analysis of their written and drawn responses to common visual phenomena depicted in cartoons with brief text. Students in Grades K-10 (n=214) completed a questionnaire and some were interviewed. Evidence was sought to support an hypothesis for increasingly sophisticated responses related to the concepts of sight, light, reflection and image. The developmental model used in this analysis was the updated SOLO Taxonomy (Biggs & Collis, 1991; Collis & Biggs 1991). It appears from the results that different modes of functioning can interfere to produce factually incorrect recollections of experience particularly in the age group 7 to 13 years approximately. Also, this is associated with the common spurious conception that mirrors have a lateral inversion property. Explanations involving light were extremely rare and its role related to the production of an image ‘in the mirror’ but not to the perception of an image in the eyes. Specializations: science education, students' understandings of phenomena in science. Specializations: cognitive development, evaluation, mathematics and science education. Specializations: mathematics education, students' understanding of chance and data concepts.  相似文献   
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The Edmund Rice Education Australia (EREA) Flexible Learning Centres aim to provide a supportive learning environment for young people who find themselves outside of the mainstream secondary schooling system. Drawing on twenty first Century learning principles, the Centres aim to deliver a personalised learning experience with an emphasis on flexibility and individual choice. Provision of a comprehensive curriculum enables young people to make positive future life choices and successfully transition into employment and further training. The aim of this research project has been to work with teaching staff at a Flexible Learning Centre in North Queensland, Australia, to explore the value of integrating ICT in the form of Web 2.0 technologies to enhance young people??s engagement with the subject of science. The findings of this case study suggest that ICT integration is effective in revitalising science education interest for disengaged young people. This may have wider implications in relation to general concerns of declining student interest and participation in science in the secondary years of schooling.  相似文献   
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Two pivotal and interconnected claims are addressed in this article. First, strategy precedes program effectiveness. Second, graduation rates and rankings are insufficient in any account of academic progress for African American students. In this article, graduation is regarded as the floor and not the ceiling, as it were. The ideal situation in the promotion of strategy is the alignment of high graduation rates or rankings with high graduation cumulative grade point averages. This strategic alignment is precisely what needs to be formulated in the first instance before making judgments about program development and/or operational effectiveness. The work of the Office of African American Affairs of the University of Virginia provides the context for observing trends in academic performance that illustrate the optimal alignment between high graduation rankings and correspondingly high grade point averages.  相似文献   
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In spite of the widening racial achievement gap among U.S. college students (U.S. Census Bureau, 2011), some universities are achieving success in supporting the graduation and postcollege goals of Black undergraduates (Apprey, Bassett, Preston-Grimes, Lewis, & Wood 2014/this issue; Baker, 2006; Hrabowski, 2003; Hrabowski & Maton, 2009). Although research has documented efforts to improve students’ college academic success in mathematics, science, and engineering (Maton & Hrabowski, 2004), little research has examined the role of undergraduate support programs across the academic disciplines to bridge success for students from high school graduation through graduate school matriculation. This is a key link in the pipeline to career and lifelong achievement for Black students. The following case study describes an inclusive cluster-mentoring model for Black undergraduates at a Research I university that includes four elements—(a) student peer-advising, (b) faculty–student academic mentoring and advising, (c) culturally sensitive initiatives, and (d) organized parental support—to create high impact with measurable results. This university-based model can serve as a guide to improve and expand services that support the academic and leadership success of Black undergraduate students in other higher education settings.  相似文献   
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