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21.
The history of an older child victim of Munchausen by proxy (MBP) is described. He was referred for evaluation after repeated sinus surgeries for recurrent sinus infections believed to be related to a falsified history of an immunodeficiency. The perpetrator was the mother of this 14-year-old victim, consistent with the majority of such cases. This case prompted a review of cases of MBP in older children reported in our hospital as well as a literature search for other cases in older children. METHODS: This study was a chart review of children over 6 years of age who had been evaluated by social services at the Children's Hospital at the Cleveland Clinic and reported as cases of Munchausen by proxy to Child Protective Services between January 2001 and June 2003. Also, an OVID, Psychline, and Pubmed literature review of published cases of Munchausen by proxy were identified, and cases occurring in the older child were selected for review. RESULTS: Older children who are the victims of Munchausen by proxy may have an induced illness, but falsified reports of symptoms and medical history to coerce the child to undergo medical procedures may be more common. Collusion of the victim with the perpetrator may also become a factor as the child ages and adopts the deception. Given the complex relationship that exists between the parent and child, it is difficult to predict whether the victim either will assist the caregiver in maintaining the factitious illness or be able to recognize the falsification. CONCLUSIONS: Older children who are the victims of Munchausen by proxy may fear consequences of revealing the factitious illness. Physicians must consider the possibility of this diagnosis whenever there are discrepancies in a child's illness that makes a factitious illness a consideration.  相似文献   
22.
This paper studies the patterns of innovation in the ICT field using patents and patent citations. It provides an original methodology to identify ICT applications using patent abstracts and selecting the most frequent sequential triples of words without any a priori selection of keywords. This paper shows that the set of IPC classes related to ICT is broader than the one usually considered.Moreover, our results show that ICT applications can be distinguished into two main groups in terms of growth and structure of innovative activities, technological pervasiveness, and knowledge sources. High opportunity ICT applications are characterised by high growth of patenting activity, high rate of entry of new innovators and high concentration of technological activity across firms. They also display a diversified knowledge base in terms of technological domains and actors involved. Conversely, low opportunity ICT applications are characterised by a lower growth and by a lower concentration of innovative activities across firms, as well as by a lower rate of entry of new innovators. Innovations in these ICT applications show less diversified knowledge sources and a higher degree of internal knowledge base.  相似文献   
23.
The Halpern Critical Thinking Assessment (HCTA) is a reliable measure of critical thinking that has been validated with numerous qualitatively different samples and measures of academic success (Halpern, 2010a). This paper presents several cross-national applications of the assessment, and recent work to expand the validation of the HCTA with real-world outcomes of critical thinking (e.g., contracting a sexual transmitted infection because you did not wear a condom). The real-world outcomes (RWO) inventory measures behavior in a wide range of domains, such as education, health, finance, and interpersonal relationships. Study 1 examined whether scores on the HCTA predicted real-world outcomes in three qualitatively different samples in the United States. Study 2 used the HCTA to assess the effectiveness of an online critical thinking course, and whether the HCTA predicted real-world outcomes in Ireland. Study 3 describes preliminary research involving the translation quality of the RWO (into Spanish and Portuguese) and explored differences in behaviors in the two countries. Overall, the HCTA is a useful tool for assessing critical thinking and predicts real-world outcomes of critical thinking. Cross-national implications and applications are discussed.  相似文献   
24.
ABSTRACT

Using 1,400 survey responses collected from two large urban community college systems in Texas, this study examined how students’ financial habits, stress, and well-being influenced their enrollment behaviors. Working students, compared to their nonworking peers, reported significantly lower levels of overall financial well-being. After controlling for other relevant predictors of persistence, regression results showed that students with lower financial well-being and higher financial stress were more likely to doubt their ability to complete college. Results for the restricted sample of working students revealed a strong relationship between a student’s financial well-being and stress. These students also reported having to reduce their semester course load and/or stopping out for a semester in order to work more hours to pay for expenses. These findings suggest that initiatives aimed at helping students improve their financial literacy and money management skills may be an effective, yet underutilized, way to improve retention rates at community colleges.  相似文献   
25.
Abstract

The aim of this study was to assess the extent to which measures derived from the new FIFA referees’ fitness tests can be used to monitor a referee's match-related physical capacity. Match-analysis data were collected (Prozone®, Leeds, UK) from 17 soccer referees for 5.0 (s = 1.7) FA Premier League matches per referee during the first 4 months of the 2007–08 season. Physical match performance categories included total distance covered, high-intensity running distance (speed >5.5 m · s?1), and sprinting distance (>7.0 m · s?1). The two tests were a 6 × 40-m sprint test and a 150-m interval test. Heart rate demand was correlated with total match distance covered (r = ?0.70, P = 0.002) and high-intensity running (r = ?0.57, P = 0.018) in the interval test. The fastest 40-m sprint was related to total distance covered (r = ?0.69, P = 0.002), high-intensity running (r = ?0.76, P < 0.001), and sprinting distance (r = ?0.75, P = 0.001), while mean time for the 40-m sprints was related to total distance covered (r = ?0.70, P = 0.002), high-intensity running (r = ?0.77, P < 0.001), and sprinting distance (r = ?0.77, P < 0.001). The referees who recorded the best interval-test heart rate demand and fastest 40-m time produced the best physical match performances. However, only the sprint test and in particular the fastest 40-m time had appropriate construct validity for the physical assessment of soccer referees.  相似文献   
26.
Abstract

Knee injuries such as anterior cruciate ligament lesions and patellar tendonitis are very frequent in volleyball, and are often attributed to micro traumas that occur during the landing phase of airborne actions. The aim of the present study was to compare different jumping activities during official men's and women's volleyball games. Twelve top-level matches from the Italian men's and women's professional leagues were analysed. The jumps performed during the games were classified according to the landing technique used by the player (left or right foot or both feet together), court position, and ball trajectory. Chi-square analyses were performed to detect differences in landing techniques between the sexes, court positions, and trajectories when serving, attacking, blocking, and setting. Significant differences (P < 0.05) were found between the sexes for block, set, and spike but not for the jump serve. The frequency of landings on one foot was related to court position and the trajectory of the sets: when spiking faster sets, the players were more likely to use a one-footed landing. The present results should help coaches and physiotherapists to devise appropriate training and prevention programmes, and reveal the need for further detailed biomechanical investigations of the relationships between landings and knee injuries.  相似文献   
27.
Taking as reference the proposals of the European Higher Education Area, the aim of this study is to identify the competencies which a wide sample of teachers in Spanish primary schools (6–12 age group) consider to be important for their professional performance and which they use in their everyday teaching, and to what extent their university training prepared them for their practising professional development. To do this, an ad hoc instrument was devised and applied to experienced practising teachers and to teacher trainees who were on teacher training placements during the last semester of their course. The results of the study show that initial teacher training should deal in depth with the competencies related to the organisation and management of teaching–learning, the use of new technologies in the primary classroom, the involvement of the families, education in values, social skills and skills for working in professional groups. Finally, proposals are made for training based on the articulation between theory and practice, to allow the professional competencies mentioned to be developed and used in practice, as well as encouraging close collaboration between teacher trainers and experienced practising teachers.  相似文献   
28.
ABSTRACT

Table tennis requires rapid and extreme movements that may result in shoulder adaptations, such as glenohumeral internal rotation deficit, which is a risk factor for several injuries. This study compared range of motion of internal and external rotation and total rotation motion of glenohumeral joint between dominant and non-dominant shoulders of table tennis players. This is a cross-sectional observational study. Twenty healthy male table tennis players that were enrolled in an official table tennis league took part in this study (mean age: 22.9 ± 12.9 years, time of sports practice: 6.2 ± 7.12 years). Measurements of passive glenohumeral external rotation and internal rotation were taken with the individuals in the supine and sidelying positions. Total rotation motion was calculated by summing external and internal rotations. The dominant side showed decreased internal rotation when compared to non-dominant side in both supine (mean difference: 14.9°, p = 0.02) and sidelying positions (mean difference: 16.3°, p = 0.01). No significant difference (> 0.05) was found for external rotation and total rotation motion between dominant and non-dominant shoulders. The findings indicate that table tennis players exhibit glenohumeral internal rotation deficit of dominant shoulder.  相似文献   
29.
The purpose of this study was to compare the power expressed during the bench press exercise in resistance-trained men following different pre-activation conditions. Twenty-two trained men (age 24.1?±?1.7 years, height 178.6?±?6.1?cm, body mass 81.1?±?10.6?kg) completed a maximal effort bench press (1-RM) test (100.0?kg?±?8.1?kg). In a subsequent assessment, each participant performed concentric bench press movements with loads of 20%, 30%, 40% and 50% of their 1-RM preceded by either a concentric contraction (CC), a low isometric preload (LIP; 70% 1-RM) or a high isometric preload (HIP; 100% 1-RM) conditions. All movements were performed in a Smith machine with a settable quick-release device. Participants performed all three conditions in randomized fashion. Results indicated that power outputs during the bench press exercise following HIP were significantly (p?<?0.05) greater than CC at 20% 1-RM (+9%), 30% 1-RM (+16%) and 40% 1-RM (+14%), and LIP at 20% 1-RM (+4%), 30% 1-RM (+20%) and 40% 1-RM (+15%). No differences were found between conditions at 50% 1-RM. Area under the force–power curve with HIP was greater (p?<?0.05) than with CC and LIP. In conclusion, results of this study indicate that the use of a HIP (100% 1-RM) in trained participants results in significantly greater power output during the concentric phase of a multi-joint exercise when compared to standard concentric movement.  相似文献   
30.
Assessing cultural values: developing an attitudinal scale   总被引:1,自引:0,他引:1  
Effective measurement of cultural value is often elusive because of its multidimensional nature. It is also influenced by sociodemographic characteristics (manifest variables) and attitudinal characteristics (latent variables) of populations. While the former is easily available to researchers, the latter has not been fully studied. This paper suggests the use of a cultural worldview scale that was developed to measure cultural attitudes of people, using factor and cluster analysis. Four factors comprise the scale: cultural linkages, recognition of cultural values, cultural loss and preservation of traditions and customs. Some advantages of using this scale are demonstrated, and relationships with sociodemographic variables are investigated. Managerial and policy implications are discussed.
Jeff BennettEmail:
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