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This paper investigates the relationship between non-parental care and toddlers’ behavioral outcomes using data from Australia. In particular, we explore heterogeneity in the relationship using the unique data on quality attributes: carer/child ratio, share of qualified staff, and expert ratings. The results suggest that full-time non-parental care, particularly center care, is negatively associated with toddlers’ behavioral outcomes. The negative association is however mitigated when centers have a larger number of carers per child. The negative association between non-parental care and behavioral outcomes also appears to be larger for children with better-educated parents.  相似文献   
2.
Although the methods for medical education continue to evolve due to the development of medicines, the cadaver dissection course still plays a fundamental role. The cadaver dissection course allows students to learn to handle instruments correctly while actively exploring three-dimensional anatomy. However, dissection comes with the risk of accidental injury. In recent years, the number of classes offered for the cadaver dissection course has decreased while the amount of knowledge required in clinical medicine has increased. Simulation-based education (SBE) has been proven to be an effective educational method that enhances the development of practical skills by integrating learners' knowledge and skills. This study aimed to investigate the effect of SBE as a preparatory education course when taken prior to a medical student's enrollment in the cadaver dissection course. In the present study, an SBE assuming practical cadaver dissection course was performed in the Clinical Simulation Center. The frequency of injury rates per 1000 h of cadaver dissection course was significantly less in 2017 and 2018 compared to that in 2016. Two years after the implementation of the SBE, average student self-efficacy scores and written examination scores significantly increased, whereas self-contentment scores were relatively unchanged. The results showed that the implementation of SBE decreased the incidence of injuries and improved students' overall self-efficacy scores and increased acquisition of knowledge evident on written examination score. Therefore, SBE as a preparatory education course may effectively promote the combined development of dissection skills and anatomical knowledge in the subsequent fundamental cadaver dissection course.  相似文献   
3.
Many studies have examined the reentry process of Japanese children raised abroad. Results suggest that “feeling different” is a key factor in describing their experiences. These studies, however, were based only on self-reports of returnees. The current study examined returnees’ peers’ perceptions and the factors that affected them. Results indicated that the returnees’ peers’ perceptions could be summarized by two factors: “advantage” and “difference/disadvantage.” Those who had studied abroad and who had known many returnees had a balanced perspective of the returnee experience. Women were more likely to perceive advantages while those who were older were more likely to perceive differences/disadvantages.  相似文献   
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Objective

The ideal medication for the treatment of acid-related diseases, e.g., peptic ulcers, stress-related gastric bleeding, functional dyspepsia, and gastroesophageal reflux disease, should have a rapid onset of action to promote hemostasis and relieve the symptoms. The aim of our study was to investigate the inhibitory effects on gastric acid secretion of a single oral administration of a proton pump inhibitor, omeprazole 20 mg, and an H2-receptor antagonist, roxatidine 75 mg.

Methods

Ten Helicobacter pylori-negative male subjects participated in this randomized, two-way crossover study. Intragastric pH was monitored continuously for 6 h after single oral administration of omeprazole 20 mg and roxatidine 75 mg. Each administration was separated by a 7-d washout period.

Results

During the 6-h study period, the average pH after administration of roxatidine was higher than that after administration of omeprazole (median: 4.45 vs. 2.65; P=0.0367). Also during the 6-h study period, a longer duration of maintenance at pH above 2, 5, and 6 was observed after administration of roxatidine 75 mg than after administration of omeprazole 20 mg (median: 90.6% vs. 55.2%, P=0.0284; 43.7% vs. 10.6%, P=0.0125; 40.3% vs. 3.3%, P=0.0125; respectively).

Conclusions

In Helicobacter pylori-negative healthy male subjects, oral administration of roxatidine 75 mg increased the intragastric pH more rapidly than that of omeprazole 20 mg.  相似文献   
5.
In general education, European American values stand as the unacknowledged norm and are perceived as being culturally neutral or culture free. By recognizing European American culture and spirituality as one of many diversities, social work students may better identify biased values and expectations inherent in the traditional monocultural and monospiritual approach. By providing space for European American culture and spirituality in social work education, among many others, intersubjective interactions become possible. While recognizing the increasing needs of multicultural/multispiritual heritage populations, in this article, the author reexamines cultural and spiritual competencies, focusing on relational issues that are not currently emphasized enough because of a strong conceptual association of competency with knowledge and skills-based practices.  相似文献   
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This study examined how returnees who experienced more adjustment difficulties (Bumpies) differed from those who experienced fewer (Smoothies). Three open-ended items from 512 returnees1 were analyzed. Ward et al.’s [Ward, C., Bochner, S., & Furnham, A. (2001). The psychology of culture shock. East Sussex: Routledge] adjustment model was used as the theoretical framework for this study.Prior to examining the open-ended items, preliminary analyses were conducted to confirm that these two groups, in fact, differed from each other in their returnee experience. Results suggested that one function, which we named “Lack of Acceptance,” differentiated the two groups; Smoothies felt more accepted by others compared to Bumpies.In the next stage, the open-ended questions related to the items that loaded significantly on the function identified by the discriminant analysis were coded and analyzed. Results suggested that the two groups’ experiences were similar in some respects (e.g., being stereotyped as a returnee, language-related problems) and different in others (e.g., Smoothies felt more accepted by others compared to Bumpies, Bumpies reported more incidents of discrimination and bullying). Results underscored Ward et al.’s [Ward, C., Bochner, S., & Furnham, A. (2001). The psychology of culture shock. East Sussex: Routledge] assertion that adjustment is a result of a two-way interaction between individual and societal variables.  相似文献   
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