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61.
Edward F. Ansello 《Educational gerontology》2013,39(3):211-218
Rural hospitals face difficult times as Medicare health insurance threatens their survival. A small community in Polk County, North Carolina, developed a program that was designed to take advantage of the Medicare skilled nursing benefit as a payment source and which can be implemented by any rural hospital that has Medicare-certified swing beds or distinct nursing facilities. This program involves the development of a special unit, the Restorative Care Unit (RCU), which provides subacute care to older adults. A major element in the RCU care system is a highly structured continuing education program for hospital staff. The continuing education component trains personnel to implement and manage the RCU care system using a team approach. The Appalachian Geriatric Education Center Consortium recognized the need for dissemination of this model of service. They took the concept, developed a curriculum and implemented it with eight rural hospitals. The purpose of this article is to describe in detail the RCU care system continuing education element, and present results from a qualitative and quantitative evaluation of the program. The stages of the development of the program are described, in addition to the content of the curriculum. 相似文献
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The aim of this study was to examine the maturation responses of young people to submaximal treadmill exercise. Body mass was controlled using both the conventional ratio standard and allometric modelling. Ninety-seven boys and 97 girls with a mean age of 12.2 years completed a discontinuous, incremental exercise test to voluntary exhaustion. We measured peak oxygen uptake (VO2peak) and VO2 when running at 8, 9 and 10 km x h(-1). Sexual maturation was assessed visually using Tanner's indices of pubic hair. Peak VO2 was significantly higher in boys (P<0.001); this was still the case when the influence of body mass was covaried out. During submaximal exercise, no significant differences in absolute VO2 were observed between the sexes (P>0.05); however, values of VO2, expressed both in ratio with body mass and adjusted for body mass using allometry, were significantly greater in boys than in girls (P<0.001). For absolute VO2, significant main effects (P<0.05) were seen for maturity at each exercise stage. With the influence of body mass controlled using either the ratio standard or allometry, no significant main effects (P>0.05) for maturity were observed. Our results indicate that boys are less economical than girls while running at 8-10 km x h(-1) and that, independently of body mass, maturation does not influence the VO2 response to submaximal exercise. 相似文献
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Hillman CH Belopolsky AV Snook EM Kramer AF McAuley E 《Research quarterly for exercise and sport》2004,75(2):176-185
Electrocortical and behavioral responses of low, moderate, and high physically active older adults were compared with a younger control group on neutral and incompatible conditions of a flankers task. Compared to younger adults, high and moderate active older adults exhibited increased event-related potentials component P3 amplitude for the incompatible condition at the frontal electrode site. For the neutral condition, only low active older adults exhibited decreased amplitude at the central-parietal site, compared to younger adults. P3 latency revealed the longest latencies for low active older adults, followed by moderate active, high active, and younger adults, respectively. Reaction time (RT) data revealed that younger adults exhibited faster RT compared to all three older groups. Results suggest that physical activity may improve executive control function in older adults by affecting the distribution of P3 amplitude, which has been related to memory and attentional processes, and by decreasing P3 latency, which relates to the speed of cognitive processing. 相似文献
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Edward E. Morgan Jr. 《International Review of Education/Internationale Zeitschrift für Erziehungswissenschaft/Revue internationale l'éducation》1975,21(2):207-215
American students participating in a study abroad program in Switzerland were studied over a three-year period (1968–1970) using the methods of participant observation and written questionnaires. The researcher developed a typology of five unique types of student adaptation. From this typology recommendations are made to increase the educational impact of study abroad on participants. 相似文献
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