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This article discusses HIV infection in terms of the risk manager's information needs in the health care environment. The malpractice problem, increasing workman's compensation suits, the greater role of the ombudsman, implementation of the National Practitioner Data Bank, and the Joint Commission on Accreditation of Health Care Organizations' (JCAHO) emphasis on clinical excellence are conditions which have given greater importance to the risk manager's position. Included in this article are hedges to retrieve various components of risk management and a select bibliography from AIDSLINE.  相似文献   
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Prospective application of serum cytokines, lipopolysaccharide (LPS), and heat shock proteins (eHSPs) requires reliable measurement of these biomarkers that can signify exercise-induced heat stress in hot conditions. To accomplish this, both short-term (7 day) reliability (at rest, n = 12) and the acute responsiveness of each biomarker to exercise in the heat (pre and post 60-min cycling, 34.5°C and 70% RH, n = 20) were evaluated. Serum was analysed for the concentration of C-reactive protein (CRP), interleukin-6 (IL-6), heat shock protein 72 (eHSP72), immunoglobulin M (IgM) and LPS. Test–retest reliability was determined as the coefficient of variation (CV). Biomarkers with the least short-term within-participant variation were IL-6 (19%, ±20%; CV, ±95% confidence limits (CL)) and LPS (23%, ±13%). Greater variability was observed for IgM, eHSP72 and CRP (CV range 28–38%). IL-6 exhibited the largest increase in response to acute exercise (95%, ±11%, P = < 0.001) and although CRP had a modest CV (12%, ±7%), it increased substantially post-exercise (P = 0.02, ES; 0.78). In contrast, eHSP72 and LPS exhibited trivial changes post-exercise. It appears variation of common inflammatory markers after exercise in the heat is not always discernible from short-term (weekly) variation.  相似文献   
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ABSTRACT

North Carolina Central University (NCCU) recognized the need to address the increasing rates of Ds, Fs, and Withdrawal by students matriculating in online courses. Led by two science faculty, a faculty learning community in partnership with the NCCU Division of Extended Studies was created to assess online science course offerings and instruction. Faculty within this learning community completed the Quality Matters (QM) “Applying the Quality Matters Rubric” course. This online training course, coupled with services provided by the NCCU Division of Extended Studies, offered the faculty learning community a variety of pedagogical strategies to meet their instructional needs. All faculty participating in this learning community completed the online training course and all faculty indicated that they implemented changes in their subsequent online course offerings. This article describes the impact of that training and the application of quality course design standards in the Quality Matters Rubric on the design and student outcomes for an Introductory Biology course over four terms. As faculty learning communities are broadly utilized, it is anticipated that this article may present an effective strategy to increase the quality and quantity of online science, technology, engineering and mathematics (STEM) courses at similar institutions.  相似文献   
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Conclusions As the pilot project has only been in operation for one semester there are no profound statements that can be made. What we have at present is the base information for comparison of all data over the duration of the project. Cross tabulation of the data to date has begun. However it should be re-iterated here that there appears to be a lack of understanding by the parents' as to the reason for the all-girls classes at the school and that this situation may be due to the fact that in this school community we have the typical sex-stereotyping roles and attitudes existing. The big question is, Will this intervention strategy of single-sex science classes be effective in altering the girls views about what is appropriate for them to study or follow as a career?  相似文献   
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The purpose of this study was to examine students’ perceptions of previously identified negative aspects of practicum during preparation courses for careers in the field of early childhood education. Students at each of three year levels of the course earlier had been surveyed using a Likert‐type instrument following recent practicum experiences. Item frequency analysis was conducted for each separate year group's responses and for the combined group. Analysis of data from the combined responses included item properties, item‐scale relationships, scale properties and instrument factor analysis. Results of factor analysis revealed seven interpretable stressors, the most serious being the cluster labelled ‘physical demands’. The 10 most negative aspects for each year level (i.e. items with the lowest means) were compiled in a subsequent instrument similar to the original but also including a request for explanatory comments following each item. These three instruments were administered at the end of the same year. Student comments on the latter instruments clarified the statistical results and are presented here in the categories of ‘demands on students’, Hime and energy’, ‘coping with written requirements’, and ‘conforming with mistrusted practices’. Reflections on the implications of this illumination of statistical analysis are then presented.  相似文献   
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Substantial research has detailed the reading deficits experienced by children with Duchenne muscular dystrophy (DMD). Although phonological awareness (PA) is vital in reading development, little is known about PA in the DMD population. This pilot study describes the PA abilities of a group of five young children with DMD, comparing the results with those of a group of children with spinal muscular atrophy and with those of a group of typically developing children. The Preschool and Primary Inventory of Phonological Awareness was used to assess the PA skills of the participants. Results indicated that the children with DMD performed significantly poorer than the typically developing group on tests of Syllable Segmentation, Rhyme Awareness, Alliteration Awareness and Phoneme Isolation and significantly poorer than the spinal muscular atrophy group on Rhyme Awareness. The findings of this pilot study indicate that children with DMD may have an increased risk of having PA difficulties, thus requiring early PA training.  相似文献   
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