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1.
Evaluators of library programs have different perspectives on why to conduct an evaluation and also how to do so. The author suggests that a minimal approach to conducting a library program evaluation is to prove that the program exists. But this perspective has expanded to include different degrees of interest in the client and operations, culminating in a combined focus that leads evaluators to conduct outcome assessments. The chapter includes speculation on what motivates managers to undertake an evaluation, a review of some ways that library evaluations are conducted, and a discussion of several examples of program evaluations. Though there are not single directives for undertaking a library program evaluation, there are a variety of tools and advice to entice librarians to do more of them as a way to improve understanding the value of a library to its clientele and in society.  相似文献   
2.
地理乡村课程资源是广泛存在于乡村社会中有利于实现地理课程教学目标的所有教育资源的总和.由于认识等方面的原因,乡村社会丰富的课程资源没有被充分重视并运用于高中地理教学过程中,导致大量有价值的课程资源的闲置与浪费.高中地理教学过程中开展乡村课程资源开发利用途径探索,把宝贵的乡村课程资源应用于地理教学,对于提高教学质量具有重要的作用.  相似文献   
3.
一、物理试卷综述 1 通读2007年北京高考理综物理试题,我们欣喜地看到,命题人在今年的命题设计中,做到了三贴近(贴近时代、贴近社会、贴近学生的生活),坚持了三个有利的原则,即"有利于高校选拔有学习潜能的新生,有利于中学推行素质教育,有利于扩大高校办学自主权"的命题原则,在考题立意上强调注重学生的素质与能力的考查,真正体现了"以能力测试为主导,考查考生对所学相关课程基础知识,基本技能的掌握程度和综合运用所学知识分析、解决实际问题的能力"的理科综合命题指导思想,试题注重对学生科学素养的考查,关注科学技术与社会经济的发展和环保(STSE),有利于激发学生学习科学的兴趣,形成科学的价值观和养成实事求是的科学态度.  相似文献   
4.

Objective

The aim of this study was to evaluate the concentrations of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and the degree of homeostasis model assessment-insulin resistance (HOMA-IR) in patients with morbid obesity exposed to a three-week low-calorie diet and balneotherapy.

Methods

The study included 33 patients (25 females and 8 males; mean age 46 years) with body mass index (BMI) values of >40 kg/m2. Evaluations of CRP, IL-6, TNF-α, lipid profile, HOMA-IR, and fasting glucose were carried out before (baseline data) and three weeks after the treatment. The control group consisted of 20 healthy volunteers (15 females and 5 males) with a mean age of 39 years and BMI values of ≤24.9 kg/m2.

Results

In the blood of patients with morbid obesity we found significantly elevated levels of CRP, TNF-α, triglycerides, HOMA-IR and fasting glucose, but a decreased level of high density lipoprotein (HDL)-cholesterol, compared with the healthy individuals. The treatment resulted in about a 9.4% reduction in body weight from 122.5 to 111.0 kg and a significant decrease in the concentration of CRP, but no change in TNF-α or IL-6. HOMA-IR was significantly reduced.

Conclusion

The decrease in CRP level without changes in TNF-α or IL-6 concentrations after the low-calorie diet and balneological treatment, suggests that an essential amount of adipose tissue must be removed before proper adipocyte function is restored. The decrease in HOMA-IR indicates an improvement in insulin sensitivity, which is beneficial in obese patients.
  相似文献   
5.

Objective  

The influence of hormone replacement therapy (HRT) on hemostasis processes depends on the type of hormone, the combination of doses, the time of taking HRT, and the route of administration (oral, transdermal, implanted). The aim of the current study was to assess some parameters of coagulation, especially tissue factor pathway inhibitor (TFPI) and tissue factor (TF) in postmenopausal women using oral or transdermal HRT.  相似文献   
6.

Introduction:

There are a number of pre-analytical and analytical factors, which cause false results in the complete blood count. The present case identifies cold agglutinins as the cause for the mismatch between hematocrit and hemoglobin values.

Materials and methods:

70-year old female patient had a history of cerebrovascular diseases and rheumatoid arthritis. During routine laboratory examination, the patient had normal leukocyte and platelet counts; however, the hemoglobin (Hb: 105 g/L) and hematocrit (HCT: 0.214 L/L) results were discordant. Hemolysis, lipemia and cold agglutinin were evaluated as possible reasons for the mismatch between hematocrit and hemoglobin values.

Results:

First blood sample was slightly hemolysed. Redrawn sample without hemolysis or lipemia was analyzed but the mismatch became even more distinct (Hb: 104 g/L and HCT: 0.08 L/L). In this sample, the titration of the cold agglutinin was determined and found to be positive at 1:64 dilution ratios. After an incubation of the sample at 37°C for 2 hours, reversibility of agglutination was observed.

Conclusion:

We conclude that cold agglutinins may interfere with the analysis of erythrocyte and erythrocyte-related parameters (HCT, MCV, MCH and MCHC); however, Hb, leukocyte and platelet counts are not affected.  相似文献   
7.
8.
Tertiary Education and Management - Competences are the most important career capital a university graduate can have. The objective of the paper is to determine which competences acquired at...  相似文献   
9.
This mixed-methods research compared job satisfaction among counselors working in pre-schools and primary-schools. Its quantitative phase included 223 counselors, 70 of whom also participated in the qualitative phase. A demographic information form, job-satisfaction scale and a semi-structured interview protocol were used to collect data. Quantitative analysis indicated that the primary-school counselors’ job satisfaction was higher than that of the pre-school counselors. There were no statistically significant differences in satisfaction between the two groups based on gender, age, or marital status, or the interaction of any of those three demographic factors with the type of school where they worked. In the qualitative phase, approximately half of the primary-school counselors but just one-third of the pre-school counselors reported their job satisfaction as being high; and around half of the pre-school group and one-third of the primary-school group reported that school type where they worked had a negative impact on their job satisfaction.  相似文献   
10.
女孩和男孩在儿童期和前青春期患抑郁症的比率是相等的,但是一进入青春期,女性的抑郁症比率却是男性的两倍.本文回顾了相关的研究,讨论青春期女性与成人不同的、独特的临床症状,以及造成这种差异的发展因素.  相似文献   
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