Science.gov

Sample records for prevention critical reflections

  1. Teaching Critical Reflection

    ERIC Educational Resources Information Center

    Smith, Elizabeth

    2011-01-01

    Despite long-standing commitment to the notion of critical reflection across the healthcare professions it is unusual for critical theory and practice to be taught as explicit subjects in healthcare higher education. There is evidence to show that reflective techniques such as critical portfolios and reflective diaries can help students to…

  2. Critically Reflective Leadership

    ERIC Educational Resources Information Center

    Cunningham, Christine L.

    2012-01-01

    Critical Reflective Practice (CRP) has a proven reputation as a method for teacher-researchers in K-12 classrooms, but there have been few published examples of this method being used to document school leaders' work-based practice. This paper outlines adaptations made by the author from an original CRP method to a Critically Reflective Leadership…

  3. Educational Criticism: Reflections and Reconsiderations.

    ERIC Educational Resources Information Center

    McCutcheon, Gail

    1982-01-01

    This paper presents reflections and reconsiderations of notions about educational criticism. Several issues about the process of educational criticism need to be explored: (1) the metaphor of criticism; (2) exemplifying and elaborating methods for criticism; and (3) exploring the critic's role. (CJ)

  4. Murals Reflecting Prevention.

    ERIC Educational Resources Information Center

    Office of Elementary and Secondary Education (ED), Washington, DC. Safe and Drug Free Schools Program.

    This document is used in a collaborative project that engages children and adolescents in alcohol, tobacco, and drug prevention activities through the arts. The project offers an innovative teaching resource that uses the universal language of the arts for drug prevention. By creating murals with drug prevention themes, elementary and secondary…

  5. A Critically Reflective Social Studies?

    ERIC Educational Resources Information Center

    Clarke, Marge

    1990-01-01

    Examines social studies in the twenty-first century from a critical theory perspective. Traces critical reflection's origins from Marxist educational theories to Jurgen Habermas's critical theory. Highlights Fred Newmann's curricular model, "Education for Citizen Action," for developing competent action in public affairs. Advocates infusing…

  6. Critical Reflection as Doctoral Education

    ERIC Educational Resources Information Center

    Brookfield, Stephen D.

    2015-01-01

    This chapter considers how doctoral education, particularly in applied settings such as education, social work, counseling, and health care, could be reimagined if it was organized around the idea and process of critical reflection: of helping students to better understand how power operates in educational environments and how students' sense of…

  7. Working in the Midst of Ideological and Cultural Differences: Critically Reflecting on Youth Suicide Prevention in Indigenous Communities

    ERIC Educational Resources Information Center

    White, Jennifer

    2007-01-01

    Many non-Aboriginal practitioners are interested in working effectively with Aboriginal youth, families, and communities. Honouring Indigenous ways of knowing and being informed by a critical consciousness regarding the influence of history, politics, and social forces in the emergence of suicidal behaviour among Aboriginal youth are central to…

  8. Teaching Critical Reflection to Graduate Students

    ERIC Educational Resources Information Center

    Watson, Gavan Peter Longley; Kenny, Natasha

    2014-01-01

    Critical reflection is a highly valued and widely applied learning approach in higher education. There are many benefits associated with engaging in critical reflection, and it is often integrated into the design of graduate level courses on university teaching as a life-long learning strategy to help ensure that learners build their capacity as…

  9. New Cultures of Critical Reflection in Qatar

    ERIC Educational Resources Information Center

    McNiff, Jean

    2011-01-01

    We speak about the need for critical reflection on practice, but what do we do when we do it; and how do we explain how and why we should do it? This paper explores these issues, and itself acts as the site for an exploration and explanation of what it means to be critically reflective. Drawing on recent research in Qatar, I give an account of how…

  10. Reflecting on Reflection as a Critical Component in Service Learning

    ERIC Educational Resources Information Center

    Bloomquist, Catherine

    2015-01-01

    Despite the popularity of service learning, it is sometimes criticized for its lack of academic rigor. This piece provides a counterpoint to that argument by describing a LIS service-learning course from the student's perspective. I focus particularly on the role of reflection, a key component in service-learning courses that helps to…

  11. Critical Reflective Work Behaviour: A Survey Research.

    ERIC Educational Resources Information Center

    van Woerkom, Marianne; Nijhof, Wim J.; Nieuwenhuis, Loek F. M.

    After a review of the literature, critical reflective work behavior (CRWB) was defined as: a set of connected, individual activities aimed at analyzing, optimizing, or innovating work practices on the individual, team, or organizational level. The combination of literature review and analysis of case studies led to the operationalization of CRWB…

  12. Critical Reflective Working Behaviour: A Survey Research.

    ERIC Educational Resources Information Center

    van Woerkom, Marianne; Nijhof, Wim J.; Nieuwenhuis, Loek F. M.

    2002-01-01

    Survey responses from 742 of 1,670 Dutch workers validated the following dimensions of critically reflective work behavior: learning from mistakes, vision sharing, challenging group-think, asking for feedback, experimentation, knowledge sharing, and awareness of employability. Individual self-efficacy had more impact than job/organizational…

  13. Creating Critical Viewers: A Personal Reflection

    ERIC Educational Resources Information Center

    Cherow-O'Leary, Renee

    2014-01-01

    This essay is a personal reflection on the implementation of "Creating Critical Viewers," a national media literacy program sponsored by the National Academy of Television Arts and Sciences (NATAS), an industry association, in 1995. The television industry's decision to develop a media literacy curriculum in the 1990s was a powerful…

  14. Evidence for practice, epistemology, and critical reflection.

    PubMed

    Avis, Mark; Freshwater, Dawn

    2006-10-01

    Evidence-based practice (EBP) has become a critical concept for ethical, accountable professional nursing practice. However, critical analysis of the concept suggests that EBP overemphasizes the value of scientific evidence while underplaying the role of clinical judgement and individual nursing expertise. This paper explores the empiricist position that valid evidence is the basis for all knowledge claims. We argue against the positivist idea that science should be regarded as the only credible means for generating evidence on which to base knowledge claims. We propose that the process of critically reflecting on evidence is a fundamental feature of empirical epistemology. We suggest that critical reflection on evidence derived from science, arts and humanities and, in particular, nursing practice experience can provide a sound basis for knowledge claims. While we do not attempt to define what counts as evidence, it is argued that there is much to be gained by making the processes of critical reflection explicit, and that it can make a valid contribution to expert nursing practice, without recourse to irreducible concepts such as intuition. PMID:16965303

  15. Keeping the Spirit of Community Partnerships Alive in the Scale Up of HIV/AIDS Prevention: Critical Reflections on the Roll Out of DEBI (Diffusion of Effective Behavioral Interventions)

    PubMed Central

    Pinto, Rogério M.; Hunter, Joyce; Rapkin, Bruce; Remien, Robert H.

    2009-01-01

    DEBI, or the Diffusion of Effective Behavioral Interventions is the largest centralized effort to diffuse evidence-based prevention science to fight HIV/AIDS in the United States. DEBI seeks to ensure that the most effective science-based prevention interventions are widely implemented across the country in community-based organizations. Thus, this is a particularly timely juncture in which to critically reflect on the extent to which known principles of community collaboration have guided key processes associated with the DEBI rollout. We review the available evidence on how the dissemination of packaged interventions is necessary but not sufficient for ensuring the success of technology transfer. We consider additional principles that are vital for successful technology transfer, which were not central considerations in the rollout of the DEBI initiative. These issues are: (1) community perceptions of a top-down mode of dissemination; (2) the extent to which local innovations are being embraced, bolstered, or eliminated; and (3) contextual and methodological considerations that shape community preparedness. Consideration of these additional factors is necessary in order to effectively document, manage, and advance the science of dissemination and technology transfer in centralized prevention efforts within and outside of HIV/AIDS. PMID:18612809

  16. Leak prevention critical for ASTs

    SciTech Connect

    Edwards, B.

    1994-08-01

    Aboveground storage tanks can be crafted to prevent leaks caused by vandalism, overfill accidents and faulty valves. New designs and safety devices available in aboveground storage tanks (ASTs) have made ASTs viable option for owners of commercial, institutional and governmental facilities with storage needs of less than 20,000 gallons.

  17. INDUSTRIAL POLLUTION PREVENTION: A CRITICAL REVIEW

    EPA Science Inventory

    The U.S. Congress passed the Pollution Prevention Act in October 1990. Pollution prevention is clearly a concept that will be of increasing importance to U.S. companies and to the public agencies that are responsible for regulating those companies. In this critical review the aut...

  18. Teaching Critical Reflection. Myths and Realities No. 7.

    ERIC Educational Resources Information Center

    Stein, David

    Critical reflection blends learning through experience with theoretical and technical learning to form new knowledge constructions and new behaviors or insights. Through the process of critical reflection, adults come to interpret and create new knowledge and actions from their experiences. It is generally agreed that critical reflection consists…

  19. Critical Reflectivity and the Development of New Culturally Relevant Teachers

    ERIC Educational Resources Information Center

    Durden, Tonia R.; Truscott, Diane M.

    2013-01-01

    Three case studies present how preservice teachers use reflections while learning to teach. Interviews and document analysis reveal that critical reflections evidence greater understanding of culturally relevant pedagogy and offer a platform for critical consciousness. Using critical reflectivity to develop teachers' understandings of…

  20. Critical Reflection in the Workplace: Is It Just Too Difficult?

    ERIC Educational Resources Information Center

    Rigg, Clare; Trehan, Kiran

    2008-01-01

    Purpose: The intentions of this article are to contribute reflections of an empirical account of working with critical reflection within an organisational development programme, addressing the following questions: What space is there for critical reflection in organisational development? What issues are raised for in-company developers and…

  1. Critical Action Learning--Rituals and Reflective Spaces

    ERIC Educational Resources Information Center

    Heneberry, Pamela; Turner, Arthur

    2016-01-01

    This paper is written to outline our ideas on rituals and reflective places and how this thinking has emerged through our writing, facilitation and reflections around critical action learning and critical leadership. We attempt to show the conceptual framework that underpins our vision of Critical Leadership and how out of this work we have begun…

  2. Critically Reflective Dialogues in Learning Communities of Professionals

    ERIC Educational Resources Information Center

    de Groot, Esther; Endedijk, Maaike D.; Jaarsma, A. Debbie C.; Simons, P. Robert-Jan; van Beukelen, Peter

    2014-01-01

    Communities in which professionals share and create knowledge potentially support their continued learning. To realise this potential more fully, members are required to reflect critically. For learning at work such behaviour has been described as critically reflective work behaviour, consisting of six aspects: challenging groupthink, critical…

  3. Exploring Dimensions of Critical Reflection in Activist-Facilitator Practice

    ERIC Educational Resources Information Center

    Hanson, Cindy

    2013-01-01

    This article explores how 14 diverse, Canadian activist-facilitators working in international development experience and understand "critical reflection" as a component of participatory methodologies in facilitation practices. The findings, based on my doctoral study, demonstrate that although critical reflection is often discussed as…

  4. Gender Equality in Academia: A Critical Reflection

    ERIC Educational Resources Information Center

    Winchester, Hilary P. M.; Browning, Lynette

    2015-01-01

    Gender equality in academia has been monitored in Australia for the past three decades so it is timely to reflect on what progress has been made, what works, and what challenges remain. When data were first published on the gender composition of staff in Australian universities in the mid-1980s women comprised 20 per cent of academic staff and…

  5. Honesty in Critically Reflective Essays: An Analysis of Student Practice

    ERIC Educational Resources Information Center

    Maloney, Stephen; Tai, Joanna Hong-Meng; Lo, Kristin; Molloy, Elizabeth; Ilic, Dragan

    2013-01-01

    In health professional education, reflective practice is seen as a potential means for self-improvement from everyday clinical encounters. This study aims to examine the level of student honesty in critical reflection, and barriers and facilitators for students engaging in honest reflection. Third year physiotherapy students, completing summative…

  6. Reflective Practice and Supervision in Child Abuse Prevention

    ERIC Educational Resources Information Center

    Wightman, Barbara; Whitaker, Kate; Traylor, Diane; Yeider, Sheri; Hyden, Vivian C.; Weigand, Barbara

    2007-01-01

    The contributors to this article reflect on the process and value of participating together in a monthly reflective supervision group for supervisors in a child abuse prevention program. Some of them joined the group with considerable interest in and experience with reflective supervision. For others this was an entirely new experience that they…

  7. Approaching Reflexivity through Reflection: Issues for Critical Management Education

    ERIC Educational Resources Information Center

    Hibbert, Paul

    2013-01-01

    This conceptual article seeks to develop insights for teaching reflexivity in undergraduate management classes through developing processes of critical reflection. Theoretical inferences to support this aim are developed and organized in relation to four principles. They are as follows: first, preparing and making space for reflection in the…

  8. A Physical Educators Use of Freirian Praxis for Critical Reflection

    ERIC Educational Resources Information Center

    Canada-Phillips, Stephanie

    2014-01-01

    Reflection is a vital component of quality teaching. It is supported and practiced in teacher preparation programs and furthered by the National Board for Professional Teaching Standards, whereas critical reflection with particular emphasis on the internal schema of the practitioner has not been focused on much and training within teacher…

  9. Using Blogs to Enhance Critical Reflection and Community of Practice

    ERIC Educational Resources Information Center

    Yang, Shih-Hsien

    2009-01-01

    Using the theories of critical reflection and community of practice, the aim of this paper was to explore the use of blogs as a reflective platform in the training processes of English as a Foreign Language (EFL) student teachers, who were learning to teach English for future employment in Taiwan. They made use of blogs as a platform to critically…

  10. Teaching for Liberation: Critical Reflections in Teacher Education

    ERIC Educational Resources Information Center

    Lam, Kevin D.

    2015-01-01

    In this article the author shares a critical reflection of his work as a teacher educator over the last five years teaching in both public and private universities in the U.S. Midwest. The author reflects on his work in a class called "Diversity in Education" over the course of two semesters as a way to trace the genealogy of a course…

  11. Developing and Sustaining Critical Reflection in Teacher Education.

    ERIC Educational Resources Information Center

    Smyth, John

    1989-01-01

    The emergence of reflectivity in teacher education is discussed. Four forms of action (describing, informing, confronting, and reconstructing) are suggested to uncover the forces that inhibit and constrain teachers and teacher educators in their efforts to implement critical reflection in their curricula. (IAH)

  12. Transforming Violent Selves through Reflection in Critical Communicative Research

    ERIC Educational Resources Information Center

    Flecha, Ainhoa; Pulido, Cristina; Christou, Miranda

    2011-01-01

    Currently, teenagers are being socialized into a world of violent realities, not only through social interaction but also through interaction via the media, especially via the Internet. Research conducted using the critical communicative methodology has shown that this methodology helps young people to reflect critically about their violent…

  13. Development of Critically Reflective Dialogues in Communities of Health Professionals

    ERIC Educational Resources Information Center

    de Groot, Esther; Endedijk, Maaike; Jaarsma, Debbie; van Beukelen, Peter; Simons, Robert-Jan

    2013-01-01

    Critically reflective dialogues (CRD) are important for knowledge sharing and creating meaning in communities. CRD includes different aspects: being open about mistakes, critical opinion sharing, asking for and giving feedback, experimentation, challenging groupthink and research utilisation. In this article we explore whether CRD aspects change…

  14. A two-reflection divergent differentiating critical angle refractometer

    NASA Astrophysics Data System (ADS)

    Guo, Wenping; Xia, Min; Li, Wei; Dai, Jie; Yang, Kecheng

    2011-05-01

    A new critical angle refractometer (CAR) for high accuracy refractive index measurement of liquid has been developed. The instrument improves the accuracy by two reflections in an elongated parallelogram prism, and acquires the angular reflectivity without any angle scanning parts through introduction of a point source with a divergent beam and a charge coupled device. In addition, it employs a simple and robust measurement method that gets the critical angle by differentiating the angular reflectivity. Through investigating absorbing media with absorption index κ (the imaginary part of refractive index) from 0 to 10-2.1, the theoretical calculation shows that the proposed two-reflection CAR would outperform the traditional one-reflection CAR on lowering the principal error from the differentiation method and improving the ability of getting the critical angle. By testing two typical liquids-salt-water solution and milk, the preliminary experiment indicates that this two-reflection divergent differentiating critical angle refractometer is feasible and of high accuracy.

  15. Critically Reflective Work Behaviour within Autonomous Professionals' Learning Communities

    ERIC Educational Resources Information Center

    de Groot, Esther; van den Berg, B. A. M.; Endedijk, M. D.; van Beukelen, P.; Simons, P. R. J.

    2011-01-01

    Informal learning communities in which participants show critically reflective work behaviour (CRWB) have the potential to support lifelong learning. In practice this behaviour does not always occur in groups of autonomous professionals. This study explores design principles (DPs) that could act as social affordances for CRWB, within the context…

  16. Critically Reflective Work Behavior of Health Care Professionals

    ERIC Educational Resources Information Center

    de Groot, Esther; Jaarsma, Debbie; Endedijk, Maaike; Mainhard, Tim; Lam, Ineke; Simons, Robert-Jan; van Beukelen, Peter

    2012-01-01

    Introduction: Better understanding of critically reflective work behavior (CRWB), an approach for work-related informal learning, is important in order to gain more profound insight in the continuing development of health care professionals. Methods: A survey, developed to measure CRWB and its predictors, was distributed to veterinary…

  17. Critical Reflections: Interpretation and Analysis of Japanese Women's Settlement Experiences

    ERIC Educational Resources Information Center

    Takeda, Atsushi

    2012-01-01

    In this paper, I discuss how I came to call into question the way in which I interpreted interview data in my dissertation, which investigated the migration and settlement experience of Japanese women who are married to Australian men and reside in Australia. Through critical reflections, I realized the way in which the positionality of…

  18. Developing Praxis through Critical Reflections in the ESL Writing Classroom.

    ERIC Educational Resources Information Center

    Matsuda, Paul Kei

    When four writing instructors were given the opportunity to teach writing for second language learners, they decided to collaborate in some ways and chose journal sharing as a way of facilitating their collaboration. The original goal of journal sharing was to critically reflect on their teaching practices and to connect their knowledge of…

  19. Teaching Research Methods Courses in Human Geography: Critical Reflections

    ERIC Educational Resources Information Center

    Crooks, Valorie A.; Castleden, Heather; Tromp-van Meerveld, Ilja

    2010-01-01

    The authors reflect critically on their experiences of teaching research methods/methodology/techniques (MMT) courses in human geography for the first time. Through a highly reflexive process involving journaling, they engage with the broader scholarship of teaching and learning approach. Three themes characterize commonalities in their…

  20. The Quest for World Class Universities in China: Critical Reflections

    ERIC Educational Resources Information Center

    Ngok, Kinglun; Guo, Weiqing

    2008-01-01

    Building world-class universities has become a national policy priority in China since then-President Jiang Zemin announced in May 1998 that China must have several world-class universities of international advanced level. This article aims to offer critical reflections on the policy in relation to building world-class universities in China. It…

  1. Qualitative Outcomes of a Homestay Immersion with Critical Reflection

    ERIC Educational Resources Information Center

    Shannonhouse, Laura; Barden, Sejal; Mobley, A. Keith

    2015-01-01

    The authors explore the impact of a 3-week homestay cultural immersion on 10 counselor trainees by analyzing their 210 structured journals using consensual qualitative research. Findings suggest that establishing meaningful relationships and engaging in critical reflection are central to increasing multicultural awareness. Implications for…

  2. The Ideological Myth of Education: A Critical Reflection

    ERIC Educational Resources Information Center

    Higgs, P.

    2008-01-01

    When reflecting critically on issues of education in society it is necessary to consider the following question: in what scientific paradigm should educational theory and practice be located in order to address issues of education in society in an educationally responsible manner? In this essay, I argue that for education theory and practice to…

  3. How reflective practice improves nurses' critical thinking ability.

    PubMed

    Cirocco, Maria

    2007-01-01

    Purposeful reflection is consistent with adult learning theory. It is known to lead to a deeper understanding of issues and to develop judgment and skill. Required by law to ensure members' competence in their professional practice, the College of Nurses of Ontario recommends and has developed a tool for evaluating reflective practice. The tool focuses on key attributes said to be demonstrated by competent practitioners, including critical thinking (CT) and job knowledge. This study aimed to determine whether nurses engage in reflective practice and whether they perceive that it enhances their CT ability. Surveys were sent to 60 gastroenterology nurses at a large teaching hospital; 34 surveys were anonymously returned. All respondents engaged in reflective practice, and 24 reported using the college's tool. Nineteen respondents strongly agreed that their nursing practice had improved as a result. Critical thinking is difficult to assess because of a lack of clear-cut performance criteria. Improvement of CT was difficult to evaluate from the responses, even though all respondents participated in reflective practice. Both CT and reflective practice need to be better defined in order to examine and explain their relationship. PMID:18156956

  4. Reconsidering nutrition science: critical reflection with a cultural lens

    PubMed Central

    2014-01-01

    Background European culture gave birth to modern science as a means to investigate and explain the natural world. The biomedical disciplines that have since emerged, including nutrition, presuppose a web of basic presuppositions, background assumptions and implicit cultural values that are often overlooked and escape peer review. These "hidden subjectivities" are widely taken-for-granted while exerting a powerful hold on the scope, direction and patterns of disciplinary thought. Nutrition science currently has no accepted means of collectively attending to hidden subjectivities embedded within its methods and practice. Here I propose that directing inquiry into these dimensions holds potential to advance our discipline. Methods This critically reflective approach emerged from critical theory and the practice of cross-cultural engagement (CCE). CCE deliberately seeks out and critically engages food and health understandings of non-European cultures. Its protocol includes cognitive frameshifting, a practice of temporarily stepping outside of habitual thought patterns and into a non-biomedical framework of background assumptions. A cultural lens metaphor derives from CCE practice and is forwarded here as a viable means for restoring critically reflective attention to hidden subjectivities while also inviting further CCE practice within the discipline. Results Critical reflection with a cultural lens allows cognitive attachments to materialism, reductionism, mechanistic thought, naïve realism, control over nature and pervasive subject-object dichotomies between mind and matter, scientist and nature, experience and reality, among many others to become more available for critical consideration. Culturally diverse food and health understandings otherwise dismissed as "unscientific" or held in abeyance gain value as alternative assumptive frameworks and cognitive models that can be temporarily inhabited for further intercultural reflection and insight. Conclusion Critical

  5. Benchmarking of Graphite Reflected Critical Assemblies of UO2

    SciTech Connect

    Margaret A. Marshall; John D. Bess

    2011-11-01

    A series of experiments were carried out in 1963 at the Oak Ridge National Laboratory Critical Experiments Facility (ORCEF) for use in space reactor research programs. A core containing 93.2% enriched UO2 fuel rods was used in these experiments. The first part of the experimental series consisted of 253 tightly-packed fuel rods (1.27 cm triangular pitch) with graphite reflectors [1], the second part used 253 graphite-reflected fuel rods organized in a 1.506 cm triangular pitch [2], and the final part of the experimental series consisted of 253 beryllium-reflected fuel rods with a 1.506 cm triangular pitch. [3] Fission rate distribution and cadmium ratio measurements were taken for all three parts of the experimental series. Reactivity coefficient measurements were taken for various materials placed in the beryllium reflected core. The first part of this experimental series has been evaluated for inclusion in the International Reactor Physics Experiment Evaluation Project (IRPhEP) [4] and the International Criticality Safety Benchmark Evaluation Project (ICSBEP) Handbooks, [5] and is discussed below. These experiments are of interest as benchmarks because they support the validation of compact reactor designs with similar characteristics to the design parameters for a space nuclear fission surface power systems. [6

  6. Development of critically reflective dialogues in communities of health professionals.

    PubMed

    de Groot, Esther; Endedijk, Maaike; Jaarsma, Debbie; van Beukelen, Peter; Simons, Robert-Jan

    2013-10-01

    Critically reflective dialogues (CRD) are important for knowledge sharing and creating meaning in communities. CRD includes different aspects: being open about mistakes, critical opinion sharing, asking for and giving feedback, experimentation, challenging groupthink and research utilisation. In this article we explore whether CRD aspects change over time, through a study of two dialogues each from six different communities of veterinary health professionals. Change was studied from the perspective of observations, through analysing transcripts of dialogues, and from the perspective of community members' perceptions, through an evaluative discussion with members. The results showed that some communities became more open about mistakes, a finding that is related to an increase in trust. Other observed aspects of CRD seemed to be fairly stable over time. Community members perceived research utilisation and asking for and giving feedback to have been increased. From an analysis of perceptions of the community members it emerged that limited interaction could be associated with the epistemological conceptions of community members. PMID:22976456

  7. [Prevention in sexology--some critical issues].

    PubMed

    Kjellberg, Göran

    2010-03-24

    The high number of divorces could partly be attributed to a lack of sexual desire in the couples linked to the prevailing sexual hyperstimulation in society. Sexual harassment on the internet and the exposition of abuse incidents in the mass media contribute to the increased numbers of child sexual abuse. Enhanced awareness among adults about the potential dangers of television and the internet, as well as psychotherapeutic treatment of abusers and their victims would be of preventative importance. Psychotherapeutic treatment of adolescents in situations of developmental "break-down" could result in a more mature sexuality contributing to fewer cases of sexual abuse and to the stabilisation of future couples on the long-term. PMID:20408361

  8. Criticality Benchmark Analysis of Water-Reflected Uranium Oxyfluoride Slabs

    SciTech Connect

    Margaret A. Marshall; John D. Bess

    2009-11-01

    A series of twelve experiments were conducted in the mid 1950's at the Oak Ridge National Laboratory Critical Experiments Facility to determine the critical conditions of a semi-infinite water-reflected slab of aqueous uranium oxyfluoride (UO2F2). A different slab thickness was used for each experiment. Results from the twelve experiment recorded in the laboratory notebook were published in Reference 1. Seven of the twelve experiments were determined to be acceptable benchmark experiments for the inclusion in the International Handbook of Evaluated Criticality Safety Benchmark Experiments. This evaluation will not only be available to handbook users for the validation of computer codes and integral cross-section data, but also for the reevaluation of experimental data used in the ANSI/ANS-8.1 standard. This evaluation is important as part of the technical basis of the subcritical slab limits in ANSI/ANS-8.1. The original publication of the experimental results was used for the determination of bias and bias uncertainties for subcritical slab limits, as documented by Hugh Clark's paper 'Subcritical Limits for Uranium-235 Systems'.

  9. Reflective particle technology for identification of critical components

    SciTech Connect

    Tolk, K M

    1992-01-01

    Reflective Particle Tags were developed for uniquely identifying individual strategic weapons that would be counted in order to verify arms control treaties. These tags were designed to be secure from copying and transfer even after being lift under the control of a very determined adversary for a number of years. This paper discusses how this technology can be applied in other applications requiring confidence that a piece of equipment, such as a seal or a component of a secure, has not been replaced with a similar item. The hardware and software needed to implement this technology is discussed, and guidelines for the sign of systems that rely on these or similar randomly formed features for security applications are presented. Substitution of identical components is one of the easiest ways to defeat security seals, secure containers, verification instrumentation, and similar equipment. This technology, when properly applied, provides a method to counter this defeat scenario. This paper presents a method for uniquely identifying critical security related equipment. Guidelines for implementing identification systems based on reflective particles or similar random features without compromising their intrinsic security are discussed.

  10. Near Surface Seismic Reflection Imaging: Great Potential Under Critical Eye

    NASA Astrophysics Data System (ADS)

    Miller, R. D.; Peterie, S.; Judy, B. E.

    2014-12-01

    Seismic-reflection imaging has long been a mainstay in the oil and gas exploration community with mind boggling advancements in just the last decade, but its application to engineering, environmental, and groundwater problems has not seen the same level of utilization. A great deal of the problem lies in the many assumptions that are valid for deep exploration that are violated in the very complex near surface. Large channel systems with acquisition geometries conducive for both deep and shallow targets are many times assumed to be capable of extending the imaging depth window. In reality, constraints of the source and sensor/recording systems must be considered, where large powerful sources are needed to image exploration depths while low-energy, high-frequency sources are required for the shallow and thin targets in the near surface. Attempts to make one size fit all will result in artifacts that result in bogus images and characterizations in the shallow subsurface.Narrow optimum offsets, highly attenuative materials, extreme velocity variability, wavefield interference, and low signal-to-noise ratios provide an ideal breeding ground for the generation of artifacts on near-surface seismic-reflection data. With the cost of shallow reflection data being so high relative to other geophysical methods and invasive sampling, sometimes a single failure can hinder the growth in the use of the method. The method is extremely powerful and has the potential to provide vast quantities of information critical to understand the distributed hydrogeological and biogeochemical processes that elude borehole investigations. It is imperative that data be acquired in its rawest possible form and be processed with an eye to each operation. Cost savings sometimes result in one-size-fits-all acquisition and automated processing flows. Attention to detail and following signal from origination to characterization is essential.

  11. Working with Uncertainty to Support the Teaching of Critical Reflection

    ERIC Educational Resources Information Center

    Mackay, Margaret; Tymon, Alex

    2013-01-01

    This paper explores the cumulative reflections of lecturers examining their tacit assumptions of teaching practice. Despite extensive literature on the educational value of reflection, there is less visible research on teachers assessing their own reflective thinking. This longitudinal interpretive study uses Larrivee's assessment framework…

  12. Teaching Critical Thinking Using Reflective Journaling in a Nursing Fellowship Program.

    PubMed

    Zori, Susan

    2016-07-01

    Critical thinking (CT) is considered to be foundational for the development of RN clinical reasoning. Reflective journaling has been used as an educational strategy to support the development of CT. This project's purpose was to explore how using reflective journaling about CT dispositions with RNs in a fellowship program might influence RN's use of CT dispositions. This descriptive, qualitative study used content analysis as the method to analyze journal entries focused on seven CT dispositions: inquisitiveness, systematicity, open mindedness, analyticity, truth seeking, CT maturity, and CT confidence written by RNs in the first 7 weeks of their fellowship program. Based on the content analysis of journal entries, two major descriptive themes emerged: Development of Critical Thinking Is a Process That Develops During a Period of Time, and Purposefully Engaging Critical Thinking Dispositions May Help Prevent Negative Patient Outcomes. The purposeful use of CT dispositions as described in the journal entries also helped to guide the RN's individual learning. J Contin Educ Nurs. 2016;47(7):321-329. PMID:27351265

  13. Historical Consciousness and Critical Thinking: Reflections on an Indigenous Movement.

    ERIC Educational Resources Information Center

    Rockwell, Elsie

    1999-01-01

    Approaches critical thinking as a socially constructed orientation embedded in collective histories, asking how social conditions and cultural representations may foster critical thinking. Examines the work of Vygotsky and Gramsci, suggesting that concepts forged in literate or academic traditions are the basis for critical thinkings. Also…

  14. How Critical Reflection Benefits Faculty as They Implement Learner-Centered Teaching

    ERIC Educational Resources Information Center

    Blumberg, Phyllis

    2015-01-01

    Critical reflection assists faculty as they transition to using learner-centered approaches. When this reflection occurs within the context of social media, they can obtain reinforcing feedback and support.

  15. Using Video Records to Mediate Teaching Interns' Critical Reflection

    ERIC Educational Resources Information Center

    Scott, Sarah E.; Kucan, Linda; Correnti, Richard; Miller, Leigh A.

    2013-01-01

    In this study we investigated how the use of video records in a literacy methods course supports the development of reflective practitioners when video is a core element of the course design. Specifically, we detail how interns' video-based reflections provide evidence that the use of video records of teaching interns' promotes the development of…

  16. Promoting Critical Reflection in Teacher Education through Popular Media

    ERIC Educational Resources Information Center

    Ryan, Patrick A.; Townsend, Jane S.

    2012-01-01

    Recognizing the possible influences of media narratives upon self-concepts, teacher educators have used films and television programs about teachers to promote preservice teachers' reflections on their professional identities and instructional practices. Theoretical models of reflection, in conjunction with media analysis, have the potential to…

  17. Reflective Practice in Physiotherapy Education: A Critical Conversation.

    ERIC Educational Resources Information Center

    Clouder, Lynn

    2000-01-01

    Describes how reflective practice is conceptualized and interpreted by practicing physiotherapists and undergraduate physiotherapy students. Analysis of qualitative interviews and workshops highlights both contextual and practical differences in modes of reflection by practitioners. Discussion notes the context of the task-oriented culture of the…

  18. Through the Looking Glass: Some Criticisms of Reflection.

    ERIC Educational Resources Information Center

    Kompf, Michael; Bond, W. Richard

    This paper examines several questions about reflective thinking and its application in education as a way of extending the applications of the concept. An early section offers background on reflection from dictionary definitions and from philosophers such as John Locke and John Dewey. The next section examines educational practice and reflective…

  19. A Regression Model of Predictor Variables on Critical Reflection in the Classroom: Integration of the Critical Incident Questionnaire and the Framework for Reflective Thinking

    ERIC Educational Resources Information Center

    Gilstrap, Donald L.; Dupree, Jason

    2008-01-01

    This research study investigates the influence of independent variables on students' critical reflection scores in a library instruction program. A student sample (n=321), enrolled in English Composition II courses, participated in a four-session library instruction curriculum. Brookfield's Critical Incident Questionnaire was used as the main…

  20. Critical Reflection as a Learning Tool for Nurse Supervisors: A Hermeneutic Phenomenological Study

    ERIC Educational Resources Information Center

    Urbas-Llewellyn, Agnes

    2013-01-01

    Critical reflection as a learning tool for nursing supervisors is a complex and multifaceted process not completely understood by healthcare leadership, specifically nurse supervisors. Despite a multitude of research studies on critical reflection, there remains a gap in the literature regarding the perceptions of the individual, the support…

  1. Gifts Differing: Critical Reflection, Technology and the Creation of a Learning Culture.

    ERIC Educational Resources Information Center

    Parsons, Michael H.

    Critical reflection refers to an adaptation of civic literacy theory by educators seeking to promote the development of learning communities, taking an analytical approach to educational institutions. Critical reflection is being combined with the praxis approach, which stresses investigating issues, acting based on findings, subjecting outcomes…

  2. Using Community Based Action Research To Promote Critical Reflection in Preservice Teachers.

    ERIC Educational Resources Information Center

    Genor, Michele

    This paper documents one university's use of action research to encourage preservice teachers' ongoing critical reflection as they negotiated diversity and community in their classrooms. Several supervisors developed a self-study research plan, meeting over 1 year to study several strategies for engaging preservice teachers in critical reflection.…

  3. The Effect of Specific Feedback on Critical Reflection of Physical Therapy Students during Internships

    ERIC Educational Resources Information Center

    Dye, Deanna; Scott, Karen Wilson; Ostrom, Lee; Devine, Nancy; Leight, Jennifer

    2011-01-01

    An essential component of expert professional practice is a practitioner's ability to critically reflect on one's performance. The purpose of this study was to determine the effect of specific electronic feedback provided by the coordinator of clinical education on students' critical reflection ability displayed in weekly journal writings during…

  4. A Critical Reflection on Knowledge Hierarchies, Language and Development

    ERIC Educational Resources Information Center

    Langthaler, Margarita; Witjes, Nina; Slezak, Gabriele

    2012-01-01

    Purpose: The purpose of this paper is to contribute to the discussion about the developmental value of knowledge by reflecting on the "knowledge for development" (K4D) paradigm. In particular, it draws attention to the interaction between linguistic and communicative processes and the areas of power, knowledge and education. This is considered…

  5. Interwoven Conversations: Learning and Teaching through Critical Reflection.

    ERIC Educational Resources Information Center

    Newman, Judith M.

    This volume examines learning, teaching, and reflective practice. It is a personal account of a summer institute held in 1989 during which 21 teachers engaged in an exploration of writing and reading. Among metaphors discussed at the institute, one of the most powerful was the notion of teaching/learning being created from a fabric of interwoven…

  6. Reflections on the criticality of special actinide elements

    SciTech Connect

    Clayton, E.D.

    1987-04-01

    During recent years, the list of nuclides known to be capable of supporting a chain reaction has substantially increased. Since the criticality aspects for some of these nuclides differ in important respects from those of the most common fissile nuclides, /sup 235//sub 92/U, and /sup 239//sub 94/Pu, a new term, ''fissible'' was recently proposed in nuclear engineering to help distinguish differences. Activation energies for fission have been calculated for 41 of the actinide isotopes which are grouped according to four types of nuclides, those with even-Z, even-N, odd-Z, odd-N, odd-Z, even-N, and even-Z, odd-N. With the possible exception of /sup 237//sub 92/U, all fissible isotopes listed have even N. The activation energy for fission is less in the case of the even-Z, even-N isotopes, but almost without eception it is the odd-N isotopes that undergo fission with thermal neutrons and which constitute the principal criticality problem. This paper reviews the criticality and fissionability aspects of the fissile and fissible actinide isotopes. The criticality of aqueous mixtures of fissile and fissible isotopes also is briefly discussed, including limits for criticality control.

  7. Co-Reflection in Online Learning: Collaborative Critical Thinking as Narrative

    ERIC Educational Resources Information Center

    Yukawa, Joyce

    2006-01-01

    This article presents findings from a comparative case study of the learning experiences of two graduate students in an online action research course. The key roles played by reflection and co-reflection, an emerging concept, are identified through the use of narrative analysis. Co-reflection is a collaborative critical thinking process mediated…

  8. Critical Reflection as a Framework for Transformative Learning in Teacher Education

    ERIC Educational Resources Information Center

    Liu, Katrina

    2015-01-01

    This paper presents a framework for critical reflection that teacher educators can employ to analyze prospective teachers' reflection and support their transformative learning. The author argues that teacher educators should not only pay attention to the cognitive processes of prospective teachers (how they reflect), but also the content of…

  9. Community water fluoridation and caries prevention: a critical review.

    PubMed

    Pizzo, Giuseppe; Piscopo, Maria R; Pizzo, Ignazio; Giuliana, Giovanna

    2007-09-01

    The aim of this paper was to critically review the current role of community water fluoridation in preventing dental caries. Original articles and reviews published in English language from January 2001 to June 2006 were selected through MEDLINE database. Other sources were taken from the references of the selected papers. For the past 50 years community water fluoridation has been considered the milestone of caries prevention and as one of the major public health measures of the 20th century. However, it is now accepted that the primary cariostatic action of fluoride occurs after tooth eruption. Moreover, the caries reduction directly attributable to water fluoridation have declined in the last decades as the use of topical fluoride had become more widespread, whereas enamel fluorosis has been reported as an emerging problem in fluoridated areas. Several studies conducted in fluoridated and nonfluoridated communities suggested that this method of delivering fluoride may be unnecessary for caries prevention, particularly in the industrialized countries where the caries level has became low. Although water fluoridation may still be a relevant public health measure in poor and disadvantaged populations, the use of topical fluoride offers an optimal opportunity to prevent caries among people living in both industrialized and developing countries. PMID:17333303

  10. Beryllium reflected cavity reactor for UF6 critical experiments

    NASA Technical Reports Server (NTRS)

    Jarvis, G. A.; Bernard, W.; Helmick, H. H.; White, R.

    1975-01-01

    Experiments and theoretical studies are being conducted for NASA on critical assemblies with one-meter diam by one-meter long low-density cores surrounded by a thick beryllium reflector. These assemblies make extensive use of existing nuclear propulsion reactor components, facilities, and instrumentation. Due to excessive porosity in the reflector, the initial critical mass was 19 kg U(93.2). Addition of a 17-cm-thick by 89-cm-diam beryllium flux trap in the cavity reduced the critical mass to 7 kg when all the uranium was in the zone just outside the flux trap. A mockup aluminum UF6 container was placed inside the flux trap and fueled with uranium-graphite elements. Fission distributions and reactivity worths of fuel and structural materials are available. These results will be used to guide the design of a prototype plasma core reactor which will test energy removal by optical radiation.

  11. Sustaining Critically Reflective Practitioners: Competing with the Dominant Discourse

    ERIC Educational Resources Information Center

    Corley, Aileen; Eades, Elaine

    2006-01-01

    This article argues that discourse analysis can be utilized in conjunction with other forms of analysis to develop a more critical teaching and research agenda for Human Resource Development (HRD); in particular this article suggests that the introduction of a discourse analysis perspective can support and facilitate the development of critically…

  12. Reading Poetry for Critical Reflection on Consumer Behavior

    ERIC Educational Resources Information Center

    Scimone, Anthony J.

    2010-01-01

    Like many other dimensions of everyday life, people's need to satisfy themselves with stuff derives from deep impulses and responds to both obvious and subtle images. Ultimately, it isn't the commodities people buy so much as the behaviors they exhibit that are worth critical examination. What better way, then, to understand this phenomenon than…

  13. Ideology and Critical Self-Reflection in Information Literacy Instruction

    ERIC Educational Resources Information Center

    Critten, Jessica

    2015-01-01

    Information literacy instruction traditionally focuses on evaluating a source for bias, relevance, and timeliness, and rightfully so; this critical perspective is vital to a well-formed research process. However, this process is incomplete without a similar focus on the potential biases that the student brings to his or her interactions with…

  14. Combining Critical Reflection and Design Thinking to Develop Integrative Learners

    ERIC Educational Resources Information Center

    Welsh, M. Ann; Dehler, Gordon E.

    2013-01-01

    In this article, we argue for advancing grounded curricula, which explicitly link theory and pedagogy, and executing them in authentic and multidisciplinary settings as a means to facilitate student growth into integrative learners. We describe the development of a student-centered learning experience that combines elements of critical management…

  15. Where Poems Hide: Finding Reflective, Critical Spaces inside Writing Workshop

    ERIC Educational Resources Information Center

    Flint, Amy Seely; Laman, Tasha Tropp

    2012-01-01

    Research and teaching resources are replete with ideas for creating a more culturally responsive and critical curricula (Allen, 2010; Bomer & Bomer, 2001; Lewison, Leland, & Harste, 2008). Many have suggested that by offering a curriculum that is authentic and meaningful to children, real differences will be made in teaching and learning. In this…

  16. The Call for an African University: A Critical Reflection

    ERIC Educational Resources Information Center

    van Wyk, Berte; Higgs, Philip

    2007-01-01

    In this paper, we draw on philosophy (particularly African philosophy) to analyse the call for an African university. The call for an African university may be viewed as a call that insists that all critical and transformative educators in Africa embrace an indigenous African worldview and root their nation's educational paradigms in an indigenous…

  17. Following Alice: Theories of Critical Thinking and Reflective Practice in Action at Postgraduate Level

    ERIC Educational Resources Information Center

    Swanwick, Ruth; Kitchen, Ruth; Jarvis, Joy; McCracken, Wendy; O'Neil, Rachel; Powers, Steve

    2014-01-01

    This paper presents a flexible framework of principles for teaching critical thinking and reflective practice skills at the postgraduate level. It reports on a collaborative project between four UK institutions providing postgraduate programmes in deaf education. Through a critical review of current theories of critical thinking and reflective…

  18. Reflections on the Use of Critical Incident Stress Debriefing in Schools

    ERIC Educational Resources Information Center

    Aucott, Clare; Soni, Anita

    2016-01-01

    Providing support to schools following a critical incident has become an established part of service delivery for many Educational Psychology Services (EPSs) in the UK. This article offers reflections on the use of Critical Incident Stress Debriefing (CISD) in schools. A review of the literature on critical incidents, trauma, resilience and…

  19. A Critical Assessment of Vector Control for Dengue Prevention

    PubMed Central

    Achee, Nicole L.; Gould, Fred; Perkins, T. Alex; Reiner, Robert C.; Morrison, Amy C.; Ritchie, Scott A.; Gubler, Duane J.; Teyssou, Remy; Scott, Thomas W.

    2015-01-01

    Recently, the Vaccines to Vaccinate (v2V) initiative was reconfigured into the Partnership for Dengue Control (PDC), a multi-sponsored and independent initiative. This redirection is consistent with the growing consensus among the dengue-prevention community that no single intervention will be sufficient to control dengue disease. The PDC's expectation is that when an effective dengue virus (DENV) vaccine is commercially available, the public health community will continue to rely on vector control because the two strategies complement and enhance one another. Although the concept of integrated intervention for dengue prevention is gaining increasingly broader acceptance, to date, no consensus has been reached regarding the details of how and what combination of approaches can be most effectively implemented to manage disease. To fill that gap, the PDC proposed a three step process: (1) a critical assessment of current vector control tools and those under development, (2) outlining a research agenda for determining, in a definitive way, what existing tools work best, and (3) determining how to combine the best vector control options, which have systematically been defined in this process, with DENV vaccines. To address the first step, the PDC convened a meeting of international experts during November 2013 in Washington, DC, to critically assess existing vector control interventions and tools under development. This report summarizes those deliberations. PMID:25951103

  20. A critical assessment of vector control for dengue prevention.

    PubMed

    Achee, Nicole L; Gould, Fred; Perkins, T Alex; Reiner, Robert C; Morrison, Amy C; Ritchie, Scott A; Gubler, Duane J; Teyssou, Remy; Scott, Thomas W

    2015-05-01

    Recently, the Vaccines to Vaccinate (v2V) initiative was reconfigured into the Partnership for Dengue Control (PDC), a multi-sponsored and independent initiative. This redirection is consistent with the growing consensus among the dengue-prevention community that no single intervention will be sufficient to control dengue disease. The PDC's expectation is that when an effective dengue virus (DENV) vaccine is commercially available, the public health community will continue to rely on vector control because the two strategies complement and enhance one another. Although the concept of integrated intervention for dengue prevention is gaining increasingly broader acceptance, to date, no consensus has been reached regarding the details of how and what combination of approaches can be most effectively implemented to manage disease. To fill that gap, the PDC proposed a three step process: (1) a critical assessment of current vector control tools and those under development, (2) outlining a research agenda for determining, in a definitive way, what existing tools work best, and (3) determining how to combine the best vector control options, which have systematically been defined in this process, with DENV vaccines. To address the first step, the PDC convened a meeting of international experts during November 2013 in Washington, DC, to critically assess existing vector control interventions and tools under development. This report summarizes those deliberations. PMID:25951103

  1. [Cardiovascular prevention according to CEIPC: a critical appraisal].

    PubMed

    Miguel-García, Félix; Merino-Senovilla, Alejandro; Montero-Alonso, María José; García-Ortiz, Alejandra; Sanz-Cantalapiedra, Ruperto; Maderuelo-Fernández, José Angel

    2010-01-01

    We present a critical appraisal of the adaptation to the 4th European Guidelines on Cardiovascular Disease Prevention in Clinical Practice carried out by The Spanish Interdisciplinary Committee for Cardiovascular Disease Prevention (CEIPC), which is based on: 1) the removal, by the CEIPC, of important restrictions on the start of drug therapy that are contained in the European guide 2) the existence of internal contradictions and differing recommendations regarding the goals of LDL in the several publications of the CEIP adaptation; and 3) and the almost total lack of necessary discussion about risk tables in Spain. Therefore, it makes a critical appraisal of some of the most important clinical recommendations shared by the CEIPC and the European guide that are not supported by clinical evidence, like the implicit proposal of using the estimated cardiovascular risk as a target for treatment, the criteria to begin the antihypertensive drug therapy and therapeutic goals for blood pressure, LDL-cholesterol and HbA1c. The public health administration and also the scientific society must ensure transparency and independence in the drafting of documents endorsed by them, including the management and declaration of potential conflicts of interest among editors and group members. The public health administration and also the scientific society must guarantee a framework of honesty and transparency in the documents endorsed by them, with a complete declaration of the authors conflict of interests. PMID:20571719

  2. Infantile amnesia reflects a developmental critical period for hippocampal learning.

    PubMed

    Travaglia, Alessio; Bisaz, Reto; Sweet, Eric S; Blitzer, Robert D; Alberini, Cristina M

    2016-09-01

    Episodic memories formed during the first postnatal period are rapidly forgotten, a phenomenon known as 'infantile amnesia'. In spite of this memory loss, early experiences influence adult behavior, raising the question of which mechanisms underlie infantile memories and amnesia. Here we show that in rats an experience learned during the infantile amnesia period is stored as a latent memory trace for a long time; indeed, a later reminder reinstates a robust, context-specific and long-lasting memory. The formation and storage of this latent memory requires the hippocampus, follows a sharp temporal boundary and occurs through mechanisms typical of developmental critical periods, including the expression switch of the NMDA receptor subunits from 2B to 2A, which is dependent on brain-derived neurotrophic factor (BDNF) and metabotropic glutamate receptor 5 (mGluR5). Activating BDNF or mGluR5 after training rescues the infantile amnesia. Thus, early episodic memories are not lost but remain stored long term. These data suggest that the hippocampus undergoes a developmental critical period to become functionally competent. PMID:27428652

  3. Critical reflections on the principle of beneficence in biomedicine

    PubMed Central

    Munyaradzi, Mawere

    2012-01-01

    Medical ethics as a scholarly discipline and a system of moral principles that apply values and judgments to the practice of medicine encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, anthropology and sociology. As such there are a number of values in medical ethics such as autonomy, non-maleficence, confidentiality, dignity, honesty, justice and beneficence, among others. These values act as guidelines for professionals in the medical fraternity and are therefore used to judge different cases in the fraternity. For purposes of this work, this paper examines the principle of beneficence in biomedicine. Using both hypothetical cases and others in real life situations, the paper reflects on the implications of beneficence in biomedicine. It argues that the principle of beneficence is a prima facie obligation that should “always be acted upon unless it conflicts on a particular occasion with an equal or stronger principle”. PMID:22514763

  4. Reflections on Gibbs: From Critical Phenomena to the Amistad

    NASA Astrophysics Data System (ADS)

    Kadanoff, Leo P.

    2003-03-01

    J. Willard Gibbs, the younger was the first American theorist. He was one of the inventors of statistical physics. His introduction and development of the concepts of phase space, phase transitions, and thermodynamic surfaces was remarkably correct and elegant. These three concepts form the basis of different but related areas of physics. The connection among these areas has been a subject of deep reflection from Gibbs' time to our own. I shall talk about these connections by using concepts suggested by the work of Michael Berry and explicitly put forward by the philosopher Robert Batterman. This viewpoint relates theory-connection to the applied mathematics concepts of asymptotic analysis and singular perturbations. J. Willard Gibbs, the younger, had all his achievements concentrated in science. His father, also J. Willard Gibbs, also a Professor at Yale, had one great achievement that remains unmatched in our day. I shall describe it.

  5. Critical reflections on the principle of beneficence in biomedicine.

    PubMed

    Munyaradzi, Mawere

    2012-01-01

    Medical ethics as a scholarly discipline and a system of moral principles that apply values and judgments to the practice of medicine encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, anthropology and sociology. As such there are a number of values in medical ethics such as autonomy, non-maleficence, confidentiality, dignity, honesty, justice and beneficence, among others. These values act as guidelines for professionals in the medical fraternity and are therefore used to judge different cases in the fraternity. For purposes of this work, this paper examines the principle of beneficence in biomedicine. Using both hypothetical cases and others in real life situations, the paper reflects on the implications of beneficence in biomedicine. It argues that the principle of beneficence is a prima facie obligation that should "always be acted upon unless it conflicts on a particular occasion with an equal or stronger principle". PMID:22514763

  6. Suicide prevention in correctional facilities: reflections and next steps.

    PubMed

    Hayes, Lindsay M

    2013-01-01

    Data from a recent national study of inmate suicides indicates that the suicide rate in county jails throughout the United States has steadily decreased. Despite this progress, the author argues that rather than developing and maintaining comprehensive policies and practices, policymakers and correctional administrators appear preoccupied with the notion that suicides can only be prevented when inmates are on suicide precautions. Measures such as closed-circuit television monitoring, suicide-resistant jail cells, safety smocks, and new technology are popular tools to keep certain inmates safe. There is more to suicide prevention than simply observing suicidal inmates and waiting for them to attempt suicide. The author argues that suicides are prevented and suicide rates reduced when correctional facilities provide a comprehensive array of programming that identifies suicidal inmates who are otherwise difficult to identify, ensures their safety on suicide precautions, and provides a continuity of care throughout confinement. PMID:23664363

  7. Thermoacoustic wave propagation and reflection near the liquid-gas critical point.

    PubMed

    Zhang, P; Shen, B

    2009-06-01

    We study the thermoacoustic wave propagation and reflection near the liquid-gas critical point. Specifically, we perform a numerical investigation of the acoustic responses in a near-critical fluid to thermal perturbations based on the same setup of a recent ultrasensitive interferometry measurement in CO2 [Y. Miura, Phys. Rev. E 74, 010101(R) (2006)]. The numerical results agree well with the experimental data. Different features regarding the reflection pattern of thermoacoustic waves near the critical point under pulse perturbations are revealed by the proper inclusion of the critically diverging bulk viscosity. PMID:19658455

  8. [Opinions on the prevention and treatment of chronic critical illness].

    PubMed

    An, Youzhong

    2016-07-01

    Chronic critical illness (CCI) is an inevitable result of overpopulation and aging, as well as the development of medicine. The number of CCI patients will constantly increase and become an unaffordable economic burden for families, societies and countries. CCI could be prevented by multiple measures. Firstly, doctors must know about the pathophysiology and etiology of the disease. When providing organ function support for CCI patient, we have to know and treat the cause of the disease as early as possible. Secondly, we need to precisely monitor the insults caused by the disease and/or improper host response to the disease, evaluate the organ reserve function, and predict the outcomes and life quality after discharging from hospital. In addition, it is necessary to strengthen the humanity training of health care workers, publicize the correct thanatopsis in the whole society that every life is "born to die", and define the core role of medicine as "to comfort always". PMID:27452750

  9. Criticality experiments and analysis of molybdenum reflected cylindrical uranyl fluoride water solution reactors

    NASA Technical Reports Server (NTRS)

    Fieno, D.; Fox, T.; Mueller, R.

    1972-01-01

    Clean criticality data were obtained from molybdenum-reflected cylindrical uranyl-fluoride-water solution reactors. Using ENDF/B molybdenum cross sections, a nine energy group two-dimensional transport calculation of a reflected reactor configuration predicted criticality to within 7 cents of the experimental value. For these reactors, it was necessary to compute the reflector resonance integral by a detailed transport calculation at the core-reflector interface volume in the energy region of the two dominant resonances of natural molybdenum.

  10. Reflection on Teaching and Epistemological Structure: Reflective and Critically Reflective Processes in "Pure/Soft" and "Pure/Hard" Fields

    ERIC Educational Resources Information Center

    Kreber, Carolin; Castleden, Heather

    2009-01-01

    We empirically explored whether academics from pure/soft and pure/hard fields engage in reflective practice on teaching differently and, if so, whether these differences could be partially explained by the epistemological structure of their discipline. Interview data from academics in pure/hard (N = 30) and pure/soft fields (N = 10) were…

  11. The "R" Word in Teacher Education: Understanding the Teaching and Learning of Critical Reflective Practice

    ERIC Educational Resources Information Center

    McCabe, Michael; Walsh, Steve; Wideman, Ronald; Winter, Eileen

    2009-01-01

    The case for critical reflective practice (CRP) among teachers has been advocated for some time. Reflective practice is now at the heart of a number of teacher education programmes and is regarded as an important element in the preparation of new teachers. While it is clear that CRP is highly regarded by teacher educators, less clear is whether…

  12. Radical Questioning on the Long Walk to Freedom: Nelson Mandela and the Practice of Critical Reflection

    ERIC Educational Resources Information Center

    Brookfield, Stephen

    2008-01-01

    Nelson Mandela's autobiography "The Long Walk to Freedom" describes how an iconic political activist and freedom fighter reflected on, and sometimes modified, four core assumptions at the heart of his struggle to overturn the White supremacist, minority hegemony and create a free South Africa. Critical reflection's focus is on understanding the…

  13. Nurturing Reflective Teaching During Critical-Thinking Instruction in a Computer Simulation Program

    ERIC Educational Resources Information Center

    Yeh, Yu-Chu

    2004-01-01

    Nurturing reflective teaching and improving critical-thinking instruction are two important goals in teacher education, but these are only achievable when teachers-in-training are provided with opportunities for building professional knowledge and for exhibiting reflective teaching practices. A computer simulation program (CS-TGCTS) was therefore…

  14. Teaching Research Methodology Using a Project-Based Three Course Sequence Critical Reflections on Practice

    ERIC Educational Resources Information Center

    Braguglia, Kay H.; Jackson, Kanata A.

    2012-01-01

    This article presents a reflective analysis of teaching research methodology through a three course sequence using a project-based approach. The authors reflect critically on their experiences in teaching research methods courses in an undergraduate business management program. The introduction of a range of specific techniques including student…

  15. Becoming Critical Thinkers: The Impact of Treatments on Student Reflective Practice in the College Classroom

    ERIC Educational Resources Information Center

    Depinet, Andrea

    2012-01-01

    The purpose of the study was to determine the effect of instructional treatments on reflective practice and critical thinking in the college classroom at Bowling Green State University in the College of Business. The study employed a quasi-experimental pretest posttest control group design to examine student reflective practice among three…

  16. The Use of Psychological Foundations To Inform Teaching for Critical Reflectivity.

    ERIC Educational Resources Information Center

    Farber, Kathleen S.

    This paper considers the theoretical positions that ground teacher education programs and asks whether these theories reflect the experiences and voices of all society or merely those of the dominant culture. The paper proposes the incorporation of elements of critical pedagogy as taught by Paulo Freire and reflective thinking according to John…

  17. Reflective Thinking and Teaching Practices: A Precursor for Incorporating Critical Thinking into the Classroom?

    ERIC Educational Resources Information Center

    Choy, S. Chee; Oo, Pou San

    2012-01-01

    The concept of reflective thinking as a precursor for incorporating critical thinking has been not been adequately researched. Most research has not given any effective strategies on how to incorporate these two concepts. There is a constant need to incorporate critical thinking into the classroom without much success. This study will attempt to…

  18. Curriculum Evaluation in Higher Education: Self Reflection in a Critical Community.

    ERIC Educational Resources Information Center

    Kemmis, Stephen; Hughes, Clare

    A conception of evaluation is developed which depends upon the self-reflective activities of those most closely involved in the development and teaching of a course. This model is based upon the critical theory of Jurgen Habermas, and focuses upon the way participant understandings of a course evolve through the process of critical debate. This…

  19. Using a critical reflection process to create an effective learning community in the workplace.

    PubMed

    Walker, Rachel; Cooke, Marie; Henderson, Amanda; Creedy, Debra K

    2013-05-01

    Learning circles are an enabling process to critically examine and reflect on practices with the purpose of promoting individual and organizational growth and change. The authors adapted and developed a learning circle strategy to facilitate open discourse between registered nurses, clinical leaders, clinical facilitators and students, to critically reflect on practice experiences to promote a positive learning environment. This paper reports on an analysis of field notes taken during a critical reflection process used to create an effective learning community in the workplace. A total of 19 learning circles were conducted during in-service periods (that is, the time allocated for professional education between morning and afternoon shifts) over a 3 month period with 56 nurses, 33 students and 1 university-employed clinical supervisor. Participation rates ranged from 3 to 12 individuals per discussion. Ten themes emerged from content analysis of the clinical learning issues identified through the four-step model of critical reflection used in learning circle discussions. The four-step model of critical reflection allowed participants to reflect on clinical learning issues, and raise them in a safe environment that enabled topics to be challenged and explored in a shared and cooperative manner. PMID:22459911

  20. An Examination of the Construct of Critical Reflection: Implications for Teacher Education Programming in the 21st Century.

    ERIC Educational Resources Information Center

    Yost, Deborah S.; Sentner, Sally M.; Forlenza-Bailey, Anna

    2000-01-01

    Provides a rationale and framework for promoting critical reflection in teacher preparation, focusing on what critical reflection is, whether and how reflective practice can be taught, constructivist methods, dialogue as a form of teaching, action research to nurture reflective practice, and writing as a tool to encourage connections between…

  1. Tracking changes and preventing loss in critical tiger habitat.

    PubMed

    Joshi, Anup R; Dinerstein, Eric; Wikramanayake, Eric; Anderson, Michael L; Olson, David; Jones, Benjamin S; Seidensticker, John; Lumpkin, Susan; Hansen, Matthew C; Sizer, Nigel C; Davis, Crystal L; Palminteri, Suzanne; Hahn, Nathan R

    2016-04-01

    The global population of wild tigers remains dangerously low at fewer than 3500 individuals. Habitat loss, along with poaching, can undermine the international target recovery of doubling the number of wild tigers by 2022. Using a new satellite-based monitoring system, we analyzed 14 years of forest loss data within the 76 landscapes (ranging from 278 to 269,983 km(2)) that have been prioritized for conservation of wild tigers. Our analysis provides an update of the status of tiger habitat and describes new applications of technology to detect precisely where forest loss is occurring in order to curb future habitat loss. Across the 76 landscapes, forest loss was far less than anticipated (79,597 ± 22,629 km(2), 7.7% of remaining habitat) over the 14-year study period (2001-2014). Habitat loss was unevenly distributed within a subset of 29 landscapes deemed most critical for doubling wild tiger populations: 19 showed little change (1.5%), whereas 10 accounted for more than 98% (57,392 ± 16,316 km(2)) of habitat loss. Habitat loss in source population sites within 76 landscapes ranged from no loss to 435 ± 124 km(2) ([Formula: see text], SD = 89, total = 1676 ± 476 km(2)). Doubling the tiger population by 2022 requires moving beyond tracking annual changes in habitat. We highlight near-real-time forest monitoring technologies that provide alerts of forest loss at relevant spatial and temporal scales to prevent further erosion. PMID:27051881

  2. Using Edward de Bono's six hats game to aid critical thinking and reflection in palliative care.

    PubMed

    Kenny, Lesley J

    2003-03-01

    This article describes the use of a creative thinking game to stimulate critical thinking and reflection with qualified health professionals undertaking palliative care education. The importance of reflective practice in nursing is well documented and numerous models are available. However, the author as a nurse teacher has found that many of these models are either too simple or too complex to be valuable in practice. The six hats game, devised by Edward de Bono, is a method that stimulates a variety of types of thinking and when used as a means of reflection helps students to become more critical about their practice. Using this game with a palliative care case study the author demonstrates how thinking more creatively about the patients' perceived needs and problems can assist in developing reflective skills. The article concludes with a discussion on some of the challenges of using this method and suggestions for future practical uses. PMID:12682572

  3. Tracking changes and preventing loss in critical tiger habitat

    PubMed Central

    Joshi, Anup R.; Dinerstein, Eric; Wikramanayake, Eric; Anderson, Michael L.; Olson, David; Jones, Benjamin S.; Seidensticker, John; Lumpkin, Susan; Hansen, Matthew C.; Sizer, Nigel C.; Davis, Crystal L.; Palminteri, Suzanne; Hahn, Nathan R.

    2016-01-01

    The global population of wild tigers remains dangerously low at fewer than 3500 individuals. Habitat loss, along with poaching, can undermine the international target recovery of doubling the number of wild tigers by 2022. Using a new satellite-based monitoring system, we analyzed 14 years of forest loss data within the 76 landscapes (ranging from 278 to 269,983 km2) that have been prioritized for conservation of wild tigers. Our analysis provides an update of the status of tiger habitat and describes new applications of technology to detect precisely where forest loss is occurring in order to curb future habitat loss. Across the 76 landscapes, forest loss was far less than anticipated (79,597 ± 22,629 km2, 7.7% of remaining habitat) over the 14-year study period (2001–2014). Habitat loss was unevenly distributed within a subset of 29 landscapes deemed most critical for doubling wild tiger populations: 19 showed little change (1.5%), whereas 10 accounted for more than 98% (57,392 ± 16,316 km2) of habitat loss. Habitat loss in source population sites within 76 landscapes ranged from no loss to 435 ± 124 km2 (x¯=24km2, SD = 89, total = 1676 ± 476 km2). Doubling the tiger population by 2022 requires moving beyond tracking annual changes in habitat. We highlight near–real-time forest monitoring technologies that provide alerts of forest loss at relevant spatial and temporal scales to prevent further erosion. PMID:27051881

  4. Ethics Leadership in Research, Healthcare and Organizational Systems: Commentary and Critical Reflections

    ERIC Educational Resources Information Center

    Gabriele, Edward F.

    2011-01-01

    In the last decades there has arisen a greater awareness of the ever present need for critical academic reflection on the nature of ethics leadership and committees in research, healthcare, and organizational systems. Yet what is meant by ethics itself? How is ethics understood as a historical phenomenon? What challenges must ethics leaders face…

  5. A Critical Reflection on My Learning and Its Integration into My Professional Practice

    ERIC Educational Resources Information Center

    Cartwright, Sally

    2016-01-01

    This paper, "A critical reflection on my learning and its integration into my professional practice," was successfully submitted for a Master's programme at the University of Bath (UK) in 2010, whilst Sally was working full-time as a teacher in a large secondary school in an English town 10 miles from the city of Bath. Sally died of a…

  6. Let's Not Get Too Personal: Critical Reflection, Reflexivity and the Confessional Turn

    ERIC Educational Resources Information Center

    Swan, Elaine

    2008-01-01

    Purpose: The purpose of this paper is to ask how we can think about critical reflection as a pedagogical practice given the "confessional turn." By the "confessional turn," the author refers to the idea that "subjective, autobiographical and confessional modes of expression" have expanded exponentially across a wide range of social spheres,…

  7. Critical Reflection to Identify Gaps between Espoused Theory and Theory-in-Use

    ERIC Educational Resources Information Center

    Savaya, Riki; Gardner, Fiona

    2012-01-01

    Critical reflection (CR) is a process by which one may identify the assumptions governing one's actions, question them, and develop alternative behaviors. This article presents two cases that demonstrate the use of CR to raise social workers' awareness of gaps between what Schon and Argryis term social workers' "espoused theories" and the…

  8. Establishing Open and Critical Discourses in the Science Classroom: Reflecting on Initial Difficulties.

    ERIC Educational Resources Information Center

    Dawson, Vaille M.; Taylor, Peter C.

    1998-01-01

    Presents a reflective account of a science teacher's endeavors to use the referent of critical constructivism to transform her pedagogical practices. The context of the action research is a Year 10 bioethics unit taught at an independent girls' school. Contains 44 references. (DDR)

  9. Producing Neoliberal Citizens: Critical Reflections on Human Rights Education in Pakistan

    ERIC Educational Resources Information Center

    Khoja-Moolji, Shenila

    2014-01-01

    This paper challenges the celebratory uptake of human rights education (HRE) in postcolonial contexts by making visible the ideological and political entanglements of the discourse with neoliberal assumptions of citizenship. I draw evidence from, and critically reflect on, a specific HRE programme--a series of summer camps for girls entitled,…

  10. Critical and Creative Reflective Inquiry: Surfacing Narratives to Enable Learning and Inform Action

    ERIC Educational Resources Information Center

    Cardiff, Shaun

    2012-01-01

    Narratives are being increasingly used in nursing and action research. In this participatory action research study, nurse leaders of an acute care of the older person unit collectively, critically and creatively reflected on lived experiences in order to explore the concept of person-centred leadership within their own practice. This paper…

  11. Evaluation of Critical Thinking and Reflective Thinking Skills among Science Teacher Candidates

    ERIC Educational Resources Information Center

    Demir, Sibel

    2015-01-01

    The aim of this study was to evaluate and determine the critical thinking and reflective thinking skills of science teacher candidates. The study was performed with the participation of 30 teacher candidates enrolled in the science teaching department of a university in Turkey. Scales administered during the study included the California Critical…

  12. The Experience of Critical Self-Reflection by Life Coaches: A Phenomenological Study

    ERIC Educational Resources Information Center

    Shaw, Deanna Lynn

    2012-01-01

    The purpose of this study was to describe the experience of critical self-reflection by life coaches. Life coaching is expanding within many disciplines including education, health care, business, social work, and wellness. Life coaching involves a coach working with an individual or groups aimed at effecting change for professional and personal…

  13. Guiding Preservice Teachers to Critically Reflect: Towards a Renewed Sense about English Learners

    ERIC Educational Resources Information Center

    Markos, Amy Michele

    2011-01-01

    The purpose of this practitioner inquiry was to explore the use of Guided Critical Reflection (GCR) in preparing preservice teachers for English learners (ELs). As a teacher researcher, I documented, analyzed, and discussed the ways in which students in my course used the process of GCR to transform their passively held understandings about ELs.…

  14. Renaming Teaching Practice through Teacher Reflection Using Critical Incidents on a Virtual Training Course

    ERIC Educational Resources Information Center

    Badia, Antoni; Becerril, Lorena

    2016-01-01

    This study approaches teacher learning from a dialogical viewpoint where lecturers' voices used in a training course context reflect how lecturers generated new professional discourse. The design of the training course considered the analysis of several critical incidents (CIs) in online teaching. An analytical framework based on lecturers'…

  15. Enhancing Critical Reflection and Writing Skills in the HBSE Classroom and beyond

    ERIC Educational Resources Information Center

    Wiener, Diane R.

    2012-01-01

    Human Behavior in the Social Environment (HBSE) is an ideal location in which graduate social work students can enhance their critical reflection and writing skills while integrating social work theories with practice, research, and policy. A writing-intensive, learner-centered model using specific strategies is described via a framework of…

  16. Observation of near-critical reflection of internal waves in a stably stratified fluid

    NASA Astrophysics Data System (ADS)

    Dauxois, Thierry; Didier, Anthony; Falcon, Eric

    2004-06-01

    An experimental study is reported of the near-critical reflection of internal gravity waves over sloping topography in a stratified fluid. An overturning instability close to the slope and triggering the boundary-mixing process is observed and characterized. These observations are found in good agreement with a recent nonlinear theory.

  17. From idealistic helper to enterprising learner: critical reflections on personal development through experiences from Afghanistan.

    PubMed

    Wickford, Jenny; Rosberg, Susanne

    2012-05-01

    There is little written about the cultural, social, and ethical challenges encountered by physiotherapists engaging in development work. This article takes a critical perspective on what it means to engage in development work as an expatriate physiotherapist, through a self-critical reflection on experiences from Afghanistan. The field notes from an ethnographic study of a development project conducted in Afghanistan were analysed to explore the transformative process of personal and professional development of the development worker. The critical reflective process entailed a change in meaning perspective, described as a shift from the position of an Idealistic Helper to an Enterprising Learner. Of importance in this process were "disorienting dilemmas" that challenged personal perceptions. Critical reflection over such dilemmas led to deeper understanding facilitating the process of change. The essential lesson learned is that the baseline for understanding others is an understanding of one's own meaning perspectives and manner of participation in relation to others and their context. The insights gained have implications for physiotherapists working in development contexts, for other development workers, and for physiotherapists working with patients in clinical practice in a nondevelopment context. Exploring how to collaborate in development contexts could be done using reflective groups with expatriate and local physiotherapists and/or patients. This could lead to greater understanding of oneself, each other, and the local context. PMID:22047471

  18. A Critical Analysis of Approaches To Targeted PTSD Prevention: Current Status and Theoretically Derived Future Directions

    ERIC Educational Resources Information Center

    Feldner, Matthew T.; Monson, Candice M.; Friedman, Matthew J.

    2007-01-01

    Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have…

  19. Evaluation of Plutonium Hemisphere Critical Experiments Partially Reflected by Steel and Oil

    SciTech Connect

    John D. Bess

    2012-01-01

    A series of 15 critical experiments performed at the Rocky Flats Critical Mass Laboratory in the late 1960s were evaluated and then determined to represent acceptable benchmark experiments for the validation of calculational methods. This series of experiments was part of a larger set of experiments performed to evaluate operational safety margins at the Rocky Flats Plant. The experiments consisted of bare plutonium metal hemishells reflected by steel hemishells of increasing thickness and motor oil. The hemishell assembly was suspended within dual aluminum tanks. Criticality was achieved by pumping oil into the tanks such that effectively infinite reflection was achieved in all directions except directly above the assembly; then the critical oil height was recorded. The results of these experiments had been initially ignored because early computational methods had been inadequate to analyze partially-reflected configurations. The dominant uncertainties include the uncertainty in the average plutonium density and the composition of materials in the gaps between the plutonium hemishells. Simple and detailed benchmark models were developed. Eigenvalue calculations using MCNP5 and ENDF/B-VII.0 were within 2s of the benchmark values. This benchmark evaluation has been added to the ICSBEP Handbook.

  20. A reflective lens: applying critical systems thinking and visual methods to ecohealth research.

    PubMed

    Cleland, Deborah; Wyborn, Carina

    2010-12-01

    Critical systems methodology has been advocated as an effective and ethical way to engage with the uncertainty and conflicting values common to ecohealth problems. We use two contrasting case studies, coral reef management in the Philippines and national park management in Australia, to illustrate the value of critical systems approaches in exploring how people respond to environmental threats to their physical and spiritual well-being. In both cases, we used visual methods--participatory modeling and rich picturing, respectively. The critical systems methodology, with its emphasis on reflection, guided an appraisal of the research process. A discussion of these two case studies suggests that visual methods can be usefully applied within a critical systems framework to offer new insights into ecohealth issues across a diverse range of socio-political contexts. With this article, we hope to open up a conversation with other practitioners to expand the use of visual methods in integrated research. PMID:21207106

  1. On critical conditions for detonation initiation by shock reflection from obstacles

    NASA Astrophysics Data System (ADS)

    Thomas, G. O.; Ward, S. M.; Williams, R. Ll.; Bambrey, R. J.

    A series of experiments supported by numerical simulations are reported on the interaction between a planar incident shock and a single obstacle. The test mixtures used were stoichiometric hydrogen and oxygen diluted with either argon or nitrogen at sub-atmospheric pressures. The main aim of the study was to determine the conditions under which a reflected detonation was generated. Observed critical conditions are compared with a simple predictive criterion based on the ratio of auto-ignition delay time behind an ideal reflected shock to the acoustic transit time across the face of the obstacle.

  2. Frustrated total internal reflection and critical coupling in a thick plasmonic grating with narrow slits

    SciTech Connect

    Mattiucci, N.; D'Aguanno, G. E-mail: giuseppe.daguanno@us.army.mil; Bloemer, M. J.; Alù, A.

    2014-06-02

    We demonstrate the possibility of critical coupling through frustrated total internal reflection in a thick plasmonic grating below the first diffraction order. Differently from conventional approaches relying on the excitation of surface plasmon-polaritons, here we exploit the light coupling with the leaky modes supported by the grating. This mechanism entails a wide-angle coupling and effectively access spectral bands that would otherwise be difficult to probe using conventional plasmonic critical coupling techniques, such as the Otto configuration. Our finding may pave the way to efficient plasmonic bio-sensor devices.

  3. Critical Thinking and Reflection for Mental Health Nursing Students Roberts Marc Critical Thinking and Reflection for Mental Health Nursing Students 160pp £16.99 SAGE Learning Matters 9781473913127 1473913128 [Formula: see text].

    PubMed

    2016-03-16

    This essential guide starts by focusing on the skills required to apply critical thinking to personal reflection and practice. Focus then moves to the underlying principles of practice and evidence-based nursing care. Finally, there are helpful chapters on how to improve reflective and critical writing skills to meet academic standards. PMID:26982854

  4. Lactate in the emergency department: a case-based critical reflection.

    PubMed

    Fenwick, Rob

    2016-09-01

    Serum lactate levels are frequently measured in patients with undifferentiated conditions in emergency departments. This article uses a case-based reflection to critically analyse the role of lactate measurement in these patients. It examines the rationale for testing, and the potential causes of raised levels, to remind clinicians that this diagnostic intervention must be taken in the context of patients' clinical presentations and not in isolation. PMID:27615347

  5. Biomass Burning Aerosol Absorption Measurements with MODIS Using the Critical Reflectance Method

    NASA Technical Reports Server (NTRS)

    Zhu, Li; Martins, Vanderlei J.; Remer, Lorraine A.

    2010-01-01

    This research uses the critical reflectance technique, a space-based remote sensing method, to measure the spatial distribution of aerosol absorption properties over land. Choosing two regions dominated by biomass burning aerosols, a series of sensitivity studies were undertaken to analyze the potential limitations of this method for the type of aerosol to be encountered in the selected study areas, and to show that the retrieved results are relatively insensitive to uncertainties in the assumptions used in the retrieval of smoke aerosol. The critical reflectance technique is then applied to Moderate Resolution Imaging Spectrometer (MODIS) data to retrieve the spectral aerosol single scattering albedo (SSA) in South African and South American 35 biomass burning events. The retrieved results were validated with collocated Aerosol Robotic Network (AERONET) retrievals. One standard deviation of mean MODIS retrievals match AERONET products to within 0.03, the magnitude of the AERONET uncertainty. The overlap of the two retrievals increases to 88%, allowing for measurement variance in the MODIS retrievals as well. The ensemble average of MODIS-derived SSA for the Amazon forest station is 0.92 at 670 nm, and 0.84-0.89 for the southern African savanna stations. The critical reflectance technique allows evaluation of the spatial variability of SSA, and shows that SSA in South America exhibits higher spatial variation than in South Africa. The accuracy of the retrieved aerosol SSA from MODIS data indicates that this product can help to better understand 44 how aerosols affect the regional and global climate.

  6. Why the Neighborhood Social Environment Is Critical in Obesity Prevention.

    PubMed

    Suglia, Shakira F; Shelton, Rachel C; Hsiao, Amber; Wang, Y Claire; Rundle, Andrew; Link, Bruce G

    2016-02-01

    The continuing obesity epidemic in the USA calls for the examination of antecedents to the well-known risk factors of physical activity and diet. The neighborhood built environment has been extensively studied in relation to obesity noting an increased risk of development and prevalence of obesity in relation to numerous built environment characteristics (lack of green spaces, higher number of fast food restaurants, low walkability indices). The neighborhood social environment, however, has been less extensively studied but is perhaps an equally important component of the neighborhood environment. The neighborhood social environment, particularly constructs of social capital, collective efficacy, and crime, is associated with obesity among both adults and children. Several studies have identified physical activity as a potential pathway of the neighborhood social environment and obesity association. Further work on social networks and norms and residential segregation, as well as the examination of dietary behaviors and mental health as potential mediating pathways, is necessary. Given the existing evidence, intervening on the neighborhood social environment may prove to be an effective target for the prevention on obesity. Intervention studies that promote healthy behaviors and prevent obesity while addressing aspects of the neighborhood social environment are necessary to better identify targets for obesity prevention. PMID:26780582

  7. Use of Poems Written by Physicians to Elicit Critical Reflection by Students in a Medical Biochemistry Course

    ERIC Educational Resources Information Center

    Van Winkle, Lon J.; Robson, Chester; Chandar, Nalini; Green, Jacalyn M.; Viselli, Susan M.; Donovan, Kelly

    2011-01-01

    Purpose: Critical reflection helps to animate humanistic values needed for professional behavior in medical students. We wanted to learn whether poems written by physicians could foster such critical reflection. To do so, we determined whether the poems elicited dissonance (i.e., recognition of their own or others behavior as incongruent with…

  8. Pre-Service Teachers' Critical Reflections of Arts and Education Discourse: Reconstructions of Experiences in Early Childhood and Higher Education

    ERIC Educational Resources Information Center

    Miller, Melinda G.; Nicholas, Ellen L.; Lambeth, Meaghan L.

    2008-01-01

    This layered account of arts education is produced through the three authors' critical reflections of experiences in their own early childhood education, and their pre-service teacher education. The first layer establishes links between the arts, learning in the arts and critically reflective practices through an account of teaching and learning…

  9. Establishing open and critical discourses in the science classroom: Reflecting on initial difficulties

    NASA Astrophysics Data System (ADS)

    Dawson, Vaille M.; Taylor, Peter C.

    1998-09-01

    This paper presents a reflective account of a science teacher’s endeavours to use the referent of critical constructivism to transform her pedagogical practices. The context of her action research was a Year 10 Bioethics unit taught at an independent girls’ school in Perth, Western Australia. Students were provided with opportunities to engage in open and critical discourses; many did, but a few were unwilling to participate in accordance with the teacher’s intentions. We illustrate the disruptive influence of these “dissident” students and explore the reasons for their unwillingness to suspend their disbelief in a new way of knowing (and of being) that involves a radical change in the role of language in the classroom. We conclude with recommendations for epistemological pluralism and the careful use of critical discourse for re-negotiating teaching and learning roles and creating conditions for open discourse to flourish.

  10. The Reflective Practice Guide: An Interdisciplinary Approach to Critical Reflection Bassot Barbara The Reflective Practice Guide: An Interdisciplinary Approach to Critical Reflection 152pp £26.99 Routledge 9781138784314 1138784311 [Formula: see text].

    PubMed

    2016-06-22

    The aim of this book is to support all professional practitioners for whom reflection is integral to practice. This makes it unique among books on reflective practice, which usually cover only one discipline. PMID:27332603

  11. Spectroscopic refractometer for transparent and absorbing liquids by reflection of white light near the critical angle

    SciTech Connect

    Sanchez-Perez, C.; Garcia-Valenzuela, A.

    2012-11-15

    We propose and evaluate a spectroscopic refractometer device to measure the refractive index dispersion of transparent and absorbing solutions. The angle-dependent reflectivity of a white beam of light in an internal reflection configuration around the critical angle is spectrally analyzed. The refractive index in a wavelength range from 400 nm to 900 nm is obtained from the angle-reflectivity curve around the critical angle at each wavelength. The device does not use angle scanning mechanisms, decreasing considerably the complexity of the instrument in comparison to previous proposals. As a result, the measurements are obtained relatively fast. Nevertheless, a good experimental resolution in refractive index of about {Delta}n Almost-Equal-To 10{sup -4} at all the wavelengths is achieved in the case of transparent solutions. The calibration procedure of the device is discussed in detail. We also present measurements of the refractive index dispersion of rhodamine 6G-methanol solutions, which has a strong absorption band in the visible spectra.

  12. Measuring third year undergraduate nursing students' reflective thinking skills and critical reflection self-efficacy following high fidelity simulation: A pilot study.

    PubMed

    Tutticci, Naomi; Lewis, Peter A; Coyer, Fiona

    2016-05-01

    Critical reflection underpins critical thinking, a highly desirable generic nursing graduate capability. To improve the likelihood of critical thinking transferring to clinical practice, reflective thinking needs to be measured within the learning space of simulation. This study was divided into two phases to address the reliability and validity measures of previously untested surveys. Phase One data was collected from individuals (n = 6) using a 'think aloud' approach and an expert panel to review content validity, and verbatim comment analysis was undertaken. The Reflective Thinking Instrument and Critical Reflection Self-Efficacy Visual Analogue Scale items were contextualised to simulation. The expert review confirmed these instruments exhibited content validity. Phase Two data was collected through an online survey (n = 58). Cronbach's alpha measured internal consistency and was demonstrated by all subscales and the Instrument as a whole (.849). There was a small to medium positive correlation between critical reflection self-efficacy and general self-efficacy (r = .324, n = 56, p = .048). Participant responses were positive regarding the simulation experience. The research findings demonstrated that the Reflective Thinking and Simulation Satisfaction survey is reliable. Further development of this survey to establish validity is recommended to make it viable. PMID:27235566

  13. Critical experiments on single-unit spherical plutonium geometries reflected and moderated by oil

    SciTech Connect

    Rothe, R.E.

    1997-05-01

    Experimental critical configurations are reported for several dozen spherical and hemispherical single-unit assemblies of plutonium metal. Most were solid but many were hollow-centered, thick, shell-like geometries. All were constructed of nested plutonium (mostly {sup 2139}Pu) metal hemispherical shells. Three kinds of critical configurations are reported. Two required interpolation and/or extrapolation of data to obtain the critical mass because reflector conditions were essentially infinite. The first finds the plutonium essentially fully reflected by a hydrogen-rich oil; the second is essentially unreflected. The third kind reports the critical oil reflector height above a large plutonium metal assembly of accurately known mass (no interpolation required) when that mass was too great to permit full oil reflection. Some configurations had thicknesses of mild steel just outside the plutonium metal, separating it from the oil. These experiments were performed at the Rocky Flats Critical Mass Laboratory in the late 1960s. They have not been published in a form suitable for benchmark-quality comparisons against state-of-the-art computational techniques until this paper. The age of the data and other factors lead to some difficulty in reconstructing aspects of the program and may, in turn, decrease confidence in certain details. Whenever this is true, the point is acknowledged. The plutonium metal was alpha-phase {sup 239}Pu containing 5.9 wt-% {sup 240}Pu. All assemblies were formed by nesting 1.667-mm-thick (nominal) bare plutonium metal hemispherical shells, also called hemishells, until the desired configuration was achieved. Very small tolerance gaps machined into radial dimensions reduced the effective density a small amount in all cases. Steel components were also nested hemispherical shells; but these were nominally 3.333-mm thick. Oil was used as the reflector because of its chemical compatibility with plutonium metal.

  14. Prevention of Iatrogenic Anemia in Critical and Neonatal Care.

    PubMed

    Jakacka, Natalia; Snarski, Emilian; Mekuria, Selamawit

    2016-01-01

    Iatrogenic anemia caused by diagnostic blood sampling is a common problem in the intensive care unit, where continuous monitoring of blood parameters is very often required. Cumulative blood loss associated with phlebotomy along with other factors render this group of patients particularly susceptible to anemia. As it has been proven that anemia in this group of patients leads to inferior outcomes, packed red blood cell transfusions are used to alleviate possible threats associated with low hemoglobin concentration. However, the use of blood components is a procedure conferring a set of risks to the patients despite improvements in safety. Iatrogenic blood loss has also gained particular attention in neonatal care, where cumulative blood loss due to samples taken during the first week of life could easily equal or exceed circulating blood volume. This review summarizes the current knowledge on the causes of iatrogenic anemia and discusses the most common preventive measures taken to reduce diagnostic blood loss and the requirement for blood component transfusions in the aforementioned clinical situations. PMID:26935514

  15. Reflection and moral maturity in a nurse's caring practice: a critical perspective.

    PubMed

    Sumner, Jane

    2010-07-01

    The likelihood of nurse reflection is examined from the theoretical perspectives of Habermas' Theory of Communicative Action and Moral Action and Sumner's Moral Construct of Caring in Nursing as Communicative Action, through a critical social theory lens. The argument is made that until the nurse reaches the developmental level of post-conventional moral maturity and/or Benner's Stage 5: expert, he or she is not capable of being inwardly directed reflective on self. The three developmental levels of moral maturity and Benner's stages are presented with discussion on whether or not there can be self-reflection because of an innate vulnerability that leads to self-protective behaviours. It is only when the confidence from mastery of practice has been achieved can the nurse be comfortable with reflection that enables him or her to become enlightened, emancipated, and empowered. The influences and constraints of the knowledge power between nurse and patient are acknowledged. The power hierarchy of the institution is recognized as constraining. PMID:20536765

  16. Validation of FSP Reactor Design with Sensitivity Studies of Beryllium-Reflected Critical Assemblies

    SciTech Connect

    John D. Bess; Margaret A. Marshall

    2013-02-01

    The baseline design for space nuclear power is a fission surface power (FSP) system: sodium-potassium (NaK) cooled, fast spectrum reactor with highly-enriched-uranium (HEU)-O2 fuel, stainless steel (SS) cladding, and beryllium reflectors with B4C control drums. Previous studies were performed to evaluate modeling capabilities and quantify uncertainties and biases associated with analysis methods and nuclear data. Comparison of Zero Power Plutonium Reactor (ZPPR)-20 benchmark experiments with the FSP design indicated that further reduction of the total design model uncertainty requires the reduction in uncertainties pertaining to beryllium and uranium cross-section data. Further comparison with three beryllium-reflected HEU-metal benchmark experiments performed at the Oak Ridge Critical Experiments Facility (ORCEF) concluded the requirement that experimental validation data have similar cross section sensitivities to those found in the FSP design. A series of critical experiments was performed at ORCEF in the 1960s to support the Medium Power Reactor Experiment (MPRE) space reactor design. The small, compact critical assembly (SCCA) experiments were graphite- or beryllium-reflected assemblies of SS-clad, HEU-O2 fuel on a vertical lift machine. All five configurations were evaluated as benchmarks. Two of the five configurations were beryllium reflected, and further evaluated using the sensitivity and uncertainty analysis capabilities of SCALE 6.1. Validation of the example FSP design model was successful in reducing the primary uncertainty constituent, the Be(n,n) reaction, from 0.28 %dk/k to 0.0004 %dk/k. Further assessment of additional reactor physics measurements performed on the SCCA experiments may serve to further validate FSP design and operation.

  17. Experimental physics characteristics of a heavy-metal-reflected fast-spectrum critical assembly

    NASA Technical Reports Server (NTRS)

    Heneveld, W. H.; Paschall, R. K.; Springer, T. H.; Swanson, V. A.; Thiele, A. W.; Tuttle, R. J.

    1971-01-01

    A zero-power critical assembly was designed, constructed, and operated for the purpose of conducting a series of benchmark experiments dealing with the physics characteristics of a UN-fueled, Li-7 cooled, Mo-reflected, drum-controlled compact fast reactor for use with a space-power electric conversion system. The experimental program consisted basically of measuring the differential neutron spectra and the changes in critical mass that accompanied the stepwise addition of (Li-7)3N, Hf, Ta, and W to a basic core fueled with U metal in a pin-type Ta honeycomb structure. In addition, experimental results were obtained on power distributions, control characteristics, neutron lifetime, and reactivity worths of numerous absorber, structural, and scattering materials.

  18. Sharing stories: using narratives to illustrate the role of critical reflection in practice with First Australians.

    PubMed

    Booth, Jodie; Nelson, Alison

    2013-09-01

    This paper aims to fill a gap in existing literature by using examples of reflective practice and how these informed service delivery and development with First Australians within a population health paradigm. Population-based approaches have been proposed as useful for providing services that reach beyond the individual. They may be particularly helpful in providing a framework for occupational therapists working with First Australians, when modified appropriately. "Healthy Ears" is a statewide ear health programme for First Australians. It is an example of a health promotion programme working to partner with First Australian communities using a community-driven and strengths-based approach. The occupational therapy role within this service has been recently established. Collaborative autoethnography was used to produce narrative reflection and discussion between the first and second authors in order to illustrate the role of critical reflection in developing this new occupational therapy service. The narratives presented are based on three main themes, which emerged as important guiding principles; these are core occupational therapy knowledge and skills, partnerships with communities and organizations and cultural safety. Each theme comprises narrative excerpts followed by interpretations based on the literature. The findings from these narratives, whilst limited to a particular context, suggest there is a need for greater professional preparation and support for occupational therapists working cross-culturally through undergraduate training and professional development opportunities. This paper highlights the usefulness of reflective practice as a tool for developing culturally safe occupational therapy services and emphasizes the importance of relationships with key First Australians as a platform for culturally safe practice. PMID:23319148

  19. Critical Social Theory and Transformative Learning: Evidence in Pre-Service Teachers' Service-Learning Reflection Logs

    ERIC Educational Resources Information Center

    Carrington, Suzanne; Selva, Gitta

    2010-01-01

    This paper reports on the opportunities for transformational learning experienced by a group of pre-service teachers who were engaged in service-learning as a pedagogical process with a focus on reflection. Critical social theory informed the design of the reflection process as it enabled a move away from knowledge transmission toward knowledge…

  20. Validation of a Method for Measuring Medical Students' Critical Reflections on Professionalism in Gross Anatomy

    ERIC Educational Resources Information Center

    Wittich, Christopher M.; Pawlina, Wojciech; Drake, Richard L.; Szostek, Jason H.; Reed, Darcy A.; Lachman, Nirusha; McBride, Jennifer M.; Mandrekar, Jayawant N.; Beckman, Thomas J.

    2013-01-01

    Improving professional attitudes and behaviors requires critical self reflection. Research on reflection is necessary to understand professionalism among medical students. The aims of this prospective validation study at the Mayo Medical School and Cleveland Clinic Lerner College of Medicine were: (1) to develop and validate a new instrument for…

  1. Prevention-centered caries management strategies during critical periods in early childhood.

    PubMed

    Milgrom, Peter; Chi, Donald L

    2011-10-01

    The current caries management model in the United States is based on restoring teeth rather than preventing disease. Scarce resources make this approach unsustainable, especially in clinical settings that serve vulnerable child populations. This paper presents specific prevention-centered caries management strategies that should form the basis of clinical interventions targeted at children during four critical periods in childhood: pre-age 1, ages 1-3, ages 4-5, and ages 6-7. PMID:22132585

  2. Development of Information Security-Focused Incident Prevention Measures for Critical Information Infrastructure in Japan

    NASA Astrophysics Data System (ADS)

    Kobayashi, Hideaki; Watanabe, Kenji; Watanabe, Takahito; Nagayasu, Yukinobu

    In recent years, the dilemma of cyber attacks by malicious third parties targeting security vulnerabilities in information and communication systems has emerged, resulting in security incidents. This situation suggests that the establishment of proactive efforts and recurrence prevention measures are becoming imperative, especially in critical infrastructure sectors.This paper provides an analysis of 58 security incident cases, which occurred in critical infrastructures worldwide and were published in media. The purpose of the analysis is to conclude to a valid list of recurrence prevention measures that constitute good practices.

  3. Health Behavior Theory for Pressure Ulcer Prevention: Root-Cause Analysis Project in Critical Care Nursing.

    PubMed

    Choi, Kristen R; Ragnoni, Jennifer A; Bickmann, Jonathan D; Saarinen, Hannah A; Gosselin, Ann K

    2016-01-01

    The purpose of this project was to use a behavioral theory to examine pressure ulcer prevention by nurses in a critical care setting. A root-cause analysis approach was used, including an integrative literature review, operationalization of behavioral constructs into a survey, and root-cause analysis application in a cardiovascular intensive care unit. This article highlights an innovative approach to quality improvement in critical care. PMID:26111143

  4. What Is a Critical Multicultural Researcher? A Self-Reflective Study of the Role of the Researcher

    ERIC Educational Resources Information Center

    Schoorman, Dilys; Bogotch, Ira

    2010-01-01

    Critical multiculturalism and social justice have emerged in educational contexts as primarily pedagogical concerns, confined to the processes of teaching and learning. This article raises the question about the application of these principles to the research process. Through a critical self-reflection on researcher roles and practices, this…

  5. Experimental physics characteristics of a heavy-metal-reflected fast-spectrum critical assembly

    NASA Technical Reports Server (NTRS)

    Heneveld, W. H.; Paschall, R. K.; Springer, T. H.; Swanson, V. A.; Thiele, A. W.; Tuttle, R. J.

    1972-01-01

    A zero-power critical assembly was designed, constructed, and operated for the purpose of conducting a series of benchmark experiments dealing with the physics characteristics of a UN-fueled, Li-cooled, Mo-reflected, drum-controlled compact fast reactor for use with a space-power electric conversion system. The range of the previous experimental investigations has been expanded to include the reactivity effects of:(1) surrounding the reactor with 15.24 cm (6 in.) of polyethylene, (2) reducing the heights of a portion of the upper and lower axial reflectors by factors of 2 and 4, (3) adding 45 kg of W to the core uniformly in two steps, (4) adding 9.54 kg of Ta to the core uniformly, and (5) inserting 2.3 kg of polyethylene into the core proper and determining the effect of a Ta addition on the polyethylene worth.

  6. CRITICAL IMPERMEABILITY PRESSU RE OF LEAK PREVENTED SEAL BY BLOCKING EFFECT

    NASA Astrophysics Data System (ADS)

    Kaga, Munehiko

    We have carried out the research on the impermeability of segment joint of shield tunnel used in a new water-expansion rubber material of injected ty pe. As the result, we found a new mechanism of impermeability by blocking effect. As next step, we investigated the impermeability function of a hard rubber leak prevented seal. It can be estimated that the critical imperm eability pressure rapidly increases if the hard rubber leak prevented seal has a cut-off performance by blockage effect. Consequently, we clarified that the hard rubber leak prevented seal has impermeability function by blocking effect. This result can be utilized for the development of impermeability method.

  7. A critical reflection on the personal impact of managerial hegemony within nurse education.

    PubMed

    Gordon, N S; Wimpenny, P

    1996-03-01

    This paper, written by two male nurse teachers, describes and analyses their experience of working in a nurse education culture permeated by the philosophy of business management. The introduction of business management practices to nurse education is discussed as a reflection of the current political hegemony of market forces and individualism. The authors discuss the implications for nurse teachers of being continually exposed to these politically motivated forces which increasingly provide the paradigm for service developments within the United Kingdom health services. In discussing the impact of this exposure it is argued that at the personal level individual teachers are experiencing a degree of apathy and personal dissonance which undermines their professional value system, resulting in emotional distress and a crisis of identity. It provides a critical reflection on the way organizational dynamics and power relations influence the subjective sense-making of individuals. The authors use a multiplicity of perspectives, including those provided by individual psychology, power relations, feminism and personhood, to argue for the need to develop an alternative paradigm which is characterized by the valuing of individual persons, empathic sensitivity and the fostering of creativity. PMID:8655822

  8. Critical Reflectance Derived from MODIS: Application for the Retrieval of Aerosol Absorption over Desert Regions

    NASA Technical Reports Server (NTRS)

    Wells, Kelley C.; Martins, J. Vanderlei; Remer, Lorraine A.; Kreidenweis, Sonia M.; Stephens, Graeme L.

    2012-01-01

    Aerosols are tiny suspended particles in the atmosphere that scatter and absorb sunlight. Smoke particles are aerosols, as are sea salt, particulate pollution and airborne dust. When you look down at the earth from space sometimes you can see vast palls of whitish smoke or brownish dust being transported by winds. The reason that you can see these aerosols is because they are reflecting incoming sunlight back to the view in space. The reason for the difference in color between the different types of aerosol is that the particles arc also absorbing sunlight at different wavelengths. Dust appears brownish or reddish because it absorbs light in the blue wavelengths and scatters more reddish light to space, Knowing how much light is scattered versus how much is absorbed, and knowin that as a function of wavelength is essential to being able to quantify the role aerosols play in the energy balance of the earth and in climate change. It is not easy measuring the absorption properties of aerosols when they are suspended in the atmosphere. People have been doing this one substance at a time in the laboratory, but substances mix when they are in the atmosphere and the net absorption effect of all the particles in a column of air is a goal of remote sensing that has not yet been completely successful. In this paper we use a technique based on observing the point at which aerosols change from brightening the surface beneath to darkening it. If aerosols brighten a surface. they must scatter more light to space. If they darken the surface. they must be absorbing more. That cross over point is called the critical reflectance and in this paper we show that critical reflectance is a monotonic function of the intrinsic absorption properties of the particles. This parameter we call the single scattering albedo. We apply the technique to MODIS imagery over the Sahara and Sahel regions to retrieve the single scattering albedo in seven wavelengths, compare these retrievals to ground

  9. Not Just Another Single Issue: Teen Pregnancy Prevention's Link to Other Critical Social Issues.

    ERIC Educational Resources Information Center

    National Campaign To Prevent Teen Pregnancy, Washington, DC.

    This report discusses critical social issues linked to teen pregnancy, explaining that teen pregnancy prevention should be viewed as working to improve these social issues. After providing general background on teen pregnancy, the report offers five fact sheets: (1) "Teen Pregnancy, Welfare Dependency, and Poverty" (continuing to reduce teen…

  10. Enteral nutrition in the prevention and treatment of pressure ulcers in adult critical care patients.

    PubMed

    Cox, Jill; Rasmussen, Louisa

    2014-12-01

    Prevention and healing of pressure ulcers in critically ill patients can be especially challenging because of the patients' burden of illness and degree of physiological compromise. Providing adequate nutrition may help halt the development or worsening of pressure ulcers. Optimization of nutrition can be considered an essential ingredient in prevention and healing of pressure ulcers. Understanding malnutrition in critical care patients, the effect of nutrition on wound healing, and the application of evidence-based nutritional guidelines are important aspects for patients at high risk for pressure ulcers. Appropriate screenings for nutritional status and risk for pressure ulcers, early collaboration with a registered dietician, and administration of appropriate feeding formulations and micronutrient and macronutrient supplementation to promote wound healing are practical solutions to improve the nutritional status of critical care patients. Use of nutritional management and enteral feeding protocols may provide vital elements to augment nutrition and ultimately result in improved clinical outcomes. PMID:25452406

  11. Beyond Socks, Signs, and Alarms: A Reflective Accountability Model for Fall Prevention.

    PubMed

    Hoke, Linda M; Guarracino, Dana

    2016-01-01

    Despite standard fall precautions, including nonskid socks, signs, alarms, and patient instructions, our 48-bed cardiac intermediate care unit (CICU) had a 41% increase in the rate of falls (from 2.2 to 3.1 per 1,000 patient days) and a 65% increase in the rate of falls with injury (from 0.75 to 1.24 per 1,000 patient days) between fiscal years (FY) 2012 and 2013. An evaluation of the falls data conducted by a cohort of four clinical nurses found that the majority of falls occurred when patients were unassisted by nurses, most often during toileting. Supported by the leadership team, the clinical nurses developed an accountability care program that required nurses to use reflective practice to evaluate each fall, including sending an e-mail to all staff members with both the nurse's and the patient's perspective on the fall, as well as the nurse's reflection on what could have been done to prevent the fall. Other program components were a postfall huddle and guidelines for assisting and remaining with fall risk patients for the duration of their toileting. Placing the accountability for falls with the nurse resulted in decreases in the unit's rates of falls and falls with injury of 55% (from 3.1 to 1.39 per 1,000 patient days) and 72% (from 1.24 to 0.35 per 1,000 patient days), respectively, between FY2013 and FY2014. Prompt call bell response (less than 60 seconds) also contributed to the goal of fall prevention. PMID:26710147

  12. A study of the relationship between reflective writing and critical thinking in seventh grade integrated science students

    NASA Astrophysics Data System (ADS)

    Rowicki, Mark Adam

    This study examined the role of reflective journal writing on the development of critical thinking in seventh grade integrated science students. The students participating in this study were part of four science classes taught by the same instructor, using the same curriculum and methods employed during this study. The larger working group consisted of 69 seventh grade students who were allowed to participate in this study by virtue of a signed consent form. The 12 students who comprised the smaller writing group were selected from the larger working group. The smaller, criterion-based writing group was selected from the working group based on their level of critical thinking as indicated on the pre-test instrument. The study utilized several methods of data collection. Data were collected through analyses of student journal entries, class discussions, and a pre and posttest instrument to measure a student's level of critical thinking. All participants were given code names to mask their identity. The findings of this study indicate that a majority of the students' ability to think critically appeared to improve after 18 weeks of reflective journal writing. However, no relationship was found between a student's level of critical thinking and his or her ability to write reflectively. Although many participants did improve their level of reflective writing and critical thinking, there was no direct relationship found between the two skills. This study provided some evidence that reflective journal writing is beneficial for students although some benefits may be intangible. The attitudes of many students toward writing improved, and there was a noticeable increase in students' willingness to share their thoughts and respond to questions in class. Practice in reflective writing also contributed to improved writing skills by the participants. Additionally, there are five recommendations for further research derived from this study.

  13. A New Holistic Security Approach for Government Critical Systems: Flooding Prevention

    NASA Astrophysics Data System (ADS)

    Alhabeeb, Mohammed; Almuhaideb, Abdullah; Le, Phu Dung; Srinivasan, Bala

    Flooding attack is a threat to services in the Internet. They can cause significant financial losses. This paper presents a new holistic security approach which prevents flooding in the government critical systems. A new corporation with local service providers has been suggested to finding the real source of the flooding attacks. In addition, a new concept of a dynamic-multi-communicationpoint is included to make the prevention of flooding attacks easier. Also the dynamic key encryption technique is adapted as a part of the proposed approach to enhance its functionality.

  14. Prophylactic use of dressings for pressure ulcer prevention in the critical care unit.

    PubMed

    Thorpe, Elaine

    2016-06-23

    Multiple comorbidities and intensive therapy increase the risk of pressure ulcer (PU) development in critical care unit (CCU) patients. Given the high number of risk factors that CCU patients present with, it is important to acknowledge that not all PUs are entirely preventable, and incidence is thought to be between 14% and 42%. The consequences of acquiring a PU in critical care include increased mortality, morbidity and longer length of stay. Implementing prevention strategies as soon as the patient enters the unit can significantly reduce incidence. By adopting a proactive versus reactive mind-set, one CCU abandoned traditional PU risk assessment and implemented a number of intensive interventions, including the use of a prophylactic sacral dressing as an adjunct. As a result, PU incidence fell from 19.9 per 1000 patient population to 0.84 per 1000 patient population in 2014. In addition, 310 PU-free days were achieved. PMID:27345087

  15. A Critical Evaluation of the Usefulness of a Coding Scheme to Categorise Levels of Reflective Thinking

    ERIC Educational Resources Information Center

    Bell, Amani; Kelton, Jill; McDonagh, Nadia; Mladenovic, Rosina; Morrison, Kellie

    2011-01-01

    The use of reflective learning journals to encourage higher order learning outcomes is a growing area in higher education research and practice. However, without a unified and clear definition of reflection, identifying and assessing reflection is problematic for educators. In an attempt to address this issue, in 1999 Kember and colleagues devised…

  16. Validation of Safety-Critical Systems for Aircraft Loss-of-Control Prevention and Recovery

    NASA Technical Reports Server (NTRS)

    Belcastro, Christine M.

    2012-01-01

    Validation of technologies developed for loss of control (LOC) prevention and recovery poses significant challenges. Aircraft LOC can result from a wide spectrum of hazards, often occurring in combination, which cannot be fully replicated during evaluation. Technologies developed for LOC prevention and recovery must therefore be effective under a wide variety of hazardous and uncertain conditions, and the validation framework must provide some measure of assurance that the new vehicle safety technologies do no harm (i.e., that they themselves do not introduce new safety risks). This paper summarizes a proposed validation framework for safety-critical systems, provides an overview of validation methods and tools developed by NASA to date within the Vehicle Systems Safety Project, and develops a preliminary set of test scenarios for the validation of technologies for LOC prevention and recovery

  17. Study of neutron noise from reflected, metal assemblies with criticality safety applications in mind

    SciTech Connect

    Barnett, C.S.

    1985-08-20

    The author studied the statistics of detected neutrons that leaked from four subcritical reflected, enriched-uranium assemblies, to explore the feasibility of developing a criticality warning system based on neutron noise analysis. The calculated multiplication factors of the assemblies are 0.59, 0.74, 0.82, and 0.92. The author studied three possible discriminators, i.e., three signatures that might be used to discriminate among assemblies of various multiplications. They are: (1) variance-to-mean ratio of the counts in a time bin (V/M); (2) covariance-to-mean ratio of the counts in a common time bin from two different detectors (C/M); and (3) covariance-to-mean ratio of the counts from a single detector in two adjacent time bins of equal length, which the author calls the serial-covariance-to-mean ratio (SC/M). The performances of the three discriminators were not greatly different, but a hierarchy did emerge: SC/M greater than or equal to V/M greater than or equal to C/M. An example of some results: in the neighborhood of k = 0.6 the ..delta..k required for satisfactory discrimination varies from about 3% to 7% as detector solid angle varies from 19% to 5%. In the neighborhood of k = 0.8 the corresponding ..delta..ks are 1% and 2%. The noise analysis techniques studied performed well enough in deeply subcritical situations to deserve testing in an applications environment. They have a good chance of detecting changes in reactivity that are potentially dangerous. One can expect sharpest results when doing comparisons, i.e., when comparing two records, one taken in the past under circumstances known to be normal and one taken now to search for change.

  18. Structure and Agency in Learning: A Critical Realist Theory of the Development of Capacity to Reflect on Academic Practice

    ERIC Educational Resources Information Center

    Kahn, Peter; Qualter, Anne; Young, Richard

    2012-01-01

    Theories of learning typically downplay the interplay between social structure and student agency. In this article, we adapt a causal hypothesis from realist social theory and draw on wider perspectives from critical realism to account for the development of capacity to engage in reflection on professional practice in academic roles. We thereby…

  19. Understanding Critical Reflection as Informal Learning: A Cultural Historical Activity Theory Analysis of Factory Workers in Korea

    ERIC Educational Resources Information Center

    Lee, Kyoung Hwa

    2011-01-01

    This study started from the question "how does learning occur in human life". In particular, I am interested in learning that takes place continuously anywhere at any time rather than learning that is occurred by being taught by others. This study interpreted critical reflection as learning that continuously occur in anywhere at any time i.e. as…

  20. Education for Sustainable Development Networks, Potential and Challenge: A Critical Reflection on the Formation of the Caribbean Regional Network

    ERIC Educational Resources Information Center

    Down, Lorna; Nurse, Henderson

    2007-01-01

    In this paper we seek to reflect critically on the process of establishing a Caribbean Network for the reorientation of teacher education to address sustainability. We begin by addressing the origin and purpose/value of the network. As a sub-network of the UNITWIN/UNESCO International Network for the Reorientation of Teacher Education to Address…

  1. How a Small Family Run Business Adopted Critical Reflection Action Learning Using Hand Drawn Images to Initiate Organisational Change

    ERIC Educational Resources Information Center

    Shepherd, Gary

    2016-01-01

    In this account of practice I would like to share my experiences of facilitating a Critical Reflection Action Learning (CRAL) set with a small family run business, struggling to make change and expand their services due to the problems they encountered in separating their business lives from their family lives. The account I present here is based…

  2. QCD diffraction: a critical phenomenon reflecting both confinement and chiral-symmetry breaking

    SciTech Connect

    White, A.R.

    1982-07-01

    Arguments are presented for studying soft diffractive physics at anti p-p colliders in terms of Critical Pomeron Reggeon Field Theory. It is emphasized that both confinement and chiral-symmetry breaking play a vital role in the occurrence of the Critical Pomeron in QCD. SU(3) is the unique strong-interaction gauge group giving the Critical Pomeron and the maximum number of quarks allowed by asymptotic freedom is required for criticality.

  3. Practicing Critical Thinking in an Educational Psychology Classroom: Reflections from a Cultural-Historical Perspective

    ERIC Educational Resources Information Center

    Lyutykh, Elena

    2009-01-01

    Present standards include creative and critical thinking among dispositions essential for the teaching profession. While teaching introductory courses in educational psychology, I have noticed that even though students can easily describe critical thinking in the abstract, they rarely and reluctantly engage in thinking critically about their own…

  4. The Use of Critical Incidents to Foster Reflection and Learning in HRD.

    ERIC Educational Resources Information Center

    Preskill, Hallie

    1996-01-01

    Graduate students in two human resource development courses (n=35) answered critical incidents questions each week and evaluated the critical incidents method. Critical incidents increased students' understanding of evaluation and instructional design, raised consciousness of assumptions and beliefs, and highlighted communication issues affecting…

  5. Preventive HIV/AIDS education through physical education: reflections from Zambia.

    PubMed

    Njelesani, Donald

    2011-01-01

    Governments, UN agencies and international and local NGOs have mounted a concerted effort to remobilise sport as a vehicle for broad, sustainable social development. This resonates with the call for sport to be a key component in national and international development objectives. Missing in these efforts is an explicit focus on physical education within state schools, which still enroll most children in the global South. This article focuses on research into one of the few instances where physical education within the national curriculum is being revitalised as part of the growing interest in leveraging the appeal of sport and play as means to address social development challenges such as HIV/AIDS. It examines the response to the Zambian government's 2006 Declaration of Mandatory Physical Education (with a preventive education focus on HIV/AIDS) by personnel charged with its implementation and illustrates weaknesses within the education sector. The use of policy instruments such as decrees/mandates helps ensure the mainstreaming of physical education in development. However, the urgency required to respond to new mandates, particularly those sanctioned by the highest levels of government, can result in critical pieces of the puzzle being ignored, thereby undermining the potential of physical education (and sport) within development. PMID:21949950

  6. Exploring the Impact of Critical Reflection through the Use of Service-Learning and Digital Storytelling

    ERIC Educational Resources Information Center

    Daniels, Kisha

    2013-01-01

    In an ongoing effort to address the needs of 21st century teachers, a service-learning project was designed which coupled structured reflection and technology. The reflective practitioner model through the use of traditional methods coursework has long been viewed as the most appropriate model for the development of teachers (Hall, 2012). However,…

  7. Teachers Talking about Teaching and School: Collaboration and Reflective Practice via Critical Friends Groups

    ERIC Educational Resources Information Center

    Kuh, Lisa P.

    2016-01-01

    Reflective practice has potentially positive effects on an organization's capacity to focus on student learning and teaching practices. In an effort to comply with policy and provide teachers with opportunities to reflect on their practice, districts, schools, and teachers have turned to various models that feature collaborative experiences. One…

  8. The mature minor: some critical psychological reflections on the empirical bases.

    PubMed

    Partridge, Brian C

    2013-06-01

    Moral and legal notions engaged in clinical ethics should not only possess analytic clarity but a sound basis in empirical findings. The latter condition brings into question the expansion of the mature minor exception. The mature minor exception in the healthcare law of the United States has served to enable those under the legal age to consent to medical treatment. Although originally developed primarily for minors in emergency or quasi-emergency need for health care, it was expanded especially from the 1970s in order to cover unemancipated minors older than 14 years. This expansion initially appeared plausible, given psychological data that showed the intellectual capacity of minors over 14 to recognize the causal connection between their choices and the consequences of their choices. However, subsequent psychological studies have shown that minors generally fail to have realistic affective and evaluative appreciations of the consequences of their decisions, because they tend to over-emphasize short-term benefits and underestimate long-term risks. Also, unlike most decisionmakers over 21, the decisions of minors are more often marked by the lack of adequate impulse control, all of which is reflected in the far higher involvement of adolescents in acts of violence, intentional injury, and serious automobile accidents. These effects are more evident in circumstances that elicit elevated affective responses. The advent of brain imaging has allowed the actual visualization of qualitative differences between how minors versus persons over the age of 21 generally assess risks and benefits and make decisions. In the case of most under the age of 21, subcortical systems fail adequately to be checked by the prefrontal systems that are involved in adult executive decisions. The neuroanatomical and psychological model developed by Casey, Jones, and Summerville offers an empirical insight into the qualitative differences in the neuroanatomical and neuropsychological bases

  9. Experience based learning (EBL): Exploring professional teaching through critical reflection and reflexivity.

    PubMed

    Murphy, Fiona; Timmins, Fiona

    2009-01-01

    Utilising Rolfe's [Rolfe, G., 1998. Expanding Nursing Knowledge: Understanding and Researching Your Own Practice. Butterworth-Heinemann, Oxford] reflexive action research, one novice nurse educator explored current teaching practice. The data were collected from a reflective journal and colleague feedback. Through this data collection and applying Rolfe's (1998) understanding-action-evaluation (UAE) cycle an insight was gained within the community of practice regarding teaching methods. Didactic lecture methods were found to be the preferred option, arising from lack of confidence. Through personal reflection and sharing with colleagues overall teaching practice improved. It is suggested that models of reflective practice that focus on work based learning, rather than the individual are utilised within nurse education settings to develop localised theory and support novice teachers. Models of reflection and action research may be used within these frameworks to extrapolate in depth reflections as a basis for theory development. PMID:18603477

  10. Thinking and meddling with boundaries: Critical reflections on Matthew Weinstein's narrative of street medics, red-zones and glop

    NASA Astrophysics Data System (ADS)

    Alsop, Steve

    2015-03-01

    In pursuit of more mindful notions of hybridity, this review essay provides a series of reflections on Mathew Weinstein's representations of Street Medics and `sciences for the red zones of neoliberalism'. My analysis draws on three popular ways of thinking with boundaries to offer a critical reading of the boundary-work that the essay performs with respect to three dialectics: (1) technical and political; (2) disciplinarily and multidisciplinarities; and (3) structures and agencies. I conclude with reflections on my boundary labour as a researcher, writer and pedagogue and how such cultural work might learn to live better with difference, ambiguities, hybrids and cross-hybrid learning.

  11. The metaphor of experience and the experience of metaphor: critical reflection on a contemplative process toward aliveness and compassion.

    PubMed

    Kuchan, Karen L

    2009-01-01

    An epistemological web invites critical reflection and the possibility of new ideas emerging in the space between experience and different ways of thinking. A web offers a postmodern method of a hermeneutic of experience and a way of knowing that creates space for a robust, flexible, dynamic process of critical reflection and discovery. The following article utilizes an inter-textual epistemological web (see Figure 1, p. 4) to answer the question, "Do metaphors of experience and experiences of metaphor during contemplative healing prayer with a spiritual director nurture a transformational process toward aliveness and compassion?" How can one discover and communicate this reality in dialog with Hebrew scripture, psychoanalytic theory, affective neuroscience and ways of thinking about contemplative transformation? PMID:20306943

  12. [Prevention and management of refeeding syndrome in patients with chronic critical illness].

    PubMed

    Chen, Jun; Fan, Chaogang

    2016-07-01

    Nutritional support is an important means to treat the patients with chronic critical illness for commonly associated malnutrition. Refeeding syndrome is a serious complication during the process, mainly manifested as severe electrolyte with hypophosphataemia being the most common. Refeeding syndrome is not uncommon but it is often ignored. In our future clinical work, we need to recognize this chinical situation and use preventative and treatment measures. According to NICE clinical nutrition guideline, we discussed the risk factors, treatment methods and preventive measures of refeeding syndrome in patients with chronic critical illness. We argued that for patients with high risk refeeding syndrome, nutritional support treatment should be initially low calorie and slowly increased to complete requirement. Circulation capacity should be recovered, fluid balance must be closely monitored and supplement of vitamins, microelement, electrolytes should be noted. After the emergence of refeeding syndrome, we should reduce or even stop the calorie intake, give an active treatment for electrolyte disorder, provide vitamin B, and maintain the functions of multiple organs. PMID:27452747

  13. Representing the Margins: Multimodal Performance as a Tool for Critical Reflection and Pedagogy

    ERIC Educational Resources Information Center

    Darvin, Ron

    2015-01-01

    This article discusses how drama as a multimodal performance can be a powerful means to represent marginalized identities and to stimulate critical thought among teachers and learners about material conditions of existence and social inequalities.

  14. Progressing Knowledge in Alternative and Local Food Networks: Critical Reflections and a Research Agenda

    ERIC Educational Resources Information Center

    Tregear, Angela

    2011-01-01

    In the now extensive literature on alternative food networks (AFNs) (e.g. farmers' markets, community supported agriculture, box schemes), a body of work has pointed to socio-economic problems with such systems, which run counter to headline claims in the literature. This paper argues that rather than being a reflection of inherent complexities in…

  15. A Critical Reflection on Integrating Informational Technology into EFL Curriculum: An EFL Teacher's Inquiry

    ERIC Educational Resources Information Center

    Chen, Jin-Shan

    2011-01-01

    This paper examines the reflective practices of integrating informational technology into English curriculum of an EFL (English as a foreign language) teacher in Taiwan over a decade. The teaching experiences have been reconstructed and represented through first person narrative inquiry, highlighting the conflicts the teacher encountered, the…

  16. Role Reversal: Educators in an Enabling Program Embark on a Journey of Critical Self-Reflection

    ERIC Educational Resources Information Center

    McDougall, Jenny; Davis, Wendy

    2011-01-01

    While much has been written about the transformative potential of adult education from the student perspective, little research has been done into the experiences of those who teach in such contexts. This paper draws on the reflections of three academics who work in an enabling program in regional Australia. We embarked on a process of critical…

  17. Fostering Critical Reflection: Moving From a Service to a Social Justice Paradigm.

    PubMed

    Owen, Julie E

    2016-06-01

    This chapter explores how community engagement creates opportunities to facilitate meaningful discussions about issues including: the nature and sources of power; who benefits and who is silenced by service and leadership efforts; which community actions result in change rather than charity; and how to developmentally sequence reflective practice. PMID:27150903

  18. Transforming Undergraduate and Graduate Candidate Social Perceptions about Diverse Learners through Critical Reflection

    ERIC Educational Resources Information Center

    Martinez, Tonnie; Penner-Williams, Janet; Herrera, Socorro; Rodriguez, Diane

    2011-01-01

    Each preservice or inservice teacher who faces the prospect of student diversity in clinical experiences or practice settings does so with an individual set of assumptions about cultures and languages that differ from his or her own. Mezirow (1991) maintained that reflections on such assumptions and presuppositions about oneself and others can…

  19. Preparing Teachers for Diverse Contexts: A Collective Case Study of Critical Reflection

    ERIC Educational Resources Information Center

    Ramirez, Laurie A.

    2009-01-01

    This collective case study focused on 4 novice teachers' reflections on diversity in their classrooms and schools. The 4 participants were followed throughout their final year of an undergraduate, secondary teacher education program and into their 1st year of teaching in public secondary schools. This research was an effort to engage…

  20. Walking the Walk? Critical Reflections from an Afro-Irish Emancipatory Research Network

    ERIC Educational Resources Information Center

    Adshead, Maura; Dubula, Vuyiseka

    2016-01-01

    In this article the authors, who are both collaborators in this project, reflect on the challenges faced in developing and sustaining an emancipatory research framework approach to our research network in the context of radically shifting ideals and objectives for higher education in all partner institutions. The article is focused around…

  1. Journeys in Peace Education: Critical Reflection and Personal Witness. Peace Education Reports No. 14.

    ERIC Educational Resources Information Center

    Zuber, Robert, Ed.

    These essays attempt to chronicle the work of six authors in peace education as they reflect on the processes and important persons leading them to commit to peace education. They also examine those obstacles, successes and failures encountered trying to make these commitments concrete and substantial. The essays in this volume include: (1) "Paper…

  2. A Corpus-Based Investigation of Critical Reflective Practice and Context in Early Career Teacher Settings

    ERIC Educational Resources Information Center

    Murphy, Bróna

    2015-01-01

    Reflective practice is at the core of teacher education programmes and is highly regarded as an essential component in the education of new and experienced teachers. Given the recent interest in language use and the role of discourse in articulating knowledge of one's practice, this paper focuses on how two groups of early career teachers from…

  3. Enhancing our understanding of emancipatory nursing: a reflection on the use of critical feminist methodologies.

    PubMed

    MacDonnell, Judith Ann

    2014-01-01

    The aim of this analysis is to contribute to an understanding of emancipatory nursing in the context of higher education. Engagement with formative studies that used critical feminist methodologies led to my research focus on lesbian, gay, bisexual, and transgender (LGBT) health in my academic research program. Dimensions of emancipatory nursing include reflexivity, transformative learning, interdisciplinarity, praxis, and situated privilege. Several critical feminist methodologies are addressed: feminist ethnography, community-based participatory action research (CBPAR), and comparative life history. Commonalities across methodologies illustrate the potential for emancipatory outcomes/goals. PMID:25102217

  4. Reflections of the Caribbean in Children's Picture Books: A Critical Multicultural Analysis

    ERIC Educational Resources Information Center

    Malcolm, Zaria T.; Lowery, Ruth McKoy

    2011-01-01

    In this article, the authors argue for a critical analysis of the books that are used to represent different cultural groups in the United States. They advocate exposing preservice teachers and others to the diverse experiences of young children in books, to the ways in which these books can be used in classrooms, and they argue that the stories…

  5. Reconceptualizing Self and Other through Critical Media Engagement. Experiences and Reflections of English Learners and Teacher

    ERIC Educational Resources Information Center

    Huang, Shin-ying

    2015-01-01

    This research explores how critical media literacy transforms ways of engaging with media texts and expands the understanding and practice of literacy. In this qualitative teacher inquiry, even though the teacher researcher had envisioned for the students an identity as academic-language learners who engage with competing ideologies of masculinity…

  6. Breaking the Cycle of Racism in the Classroom: Critical Race Reflections from Future Teachers of Color

    ERIC Educational Resources Information Center

    Kohli, Rita

    2008-01-01

    As a resource specialist in a middle school in Oakland, California, the author worked with many students who were labeled "learning disabled." Contrary to the label, these students were critical of the world and challenged it in brilliant ways that have forever changed the author's life perspective. To highlight the impact that cultural bias in…

  7. On the "Art and Science" of Personal Transformation: Some Critical Reflections

    ERIC Educational Resources Information Center

    Jones, Raya A.

    2012-01-01

    This paper takes a critical look at the applicability of the Jungian view on individuation and imagination. While Jungian ideas can bring something fresh and necessary into educational practice, personal enthusiasm might blind us to a dissonance between educational goals and the therapeutic goal of analytical psychology. The case is made with…

  8. Government, Public Relations, and Lobby Groups: Stimulating Critical Reflections on Information Providers in Society.

    ERIC Educational Resources Information Center

    Dyer, Suzette

    2003-01-01

    In a management class role-playing activity, students adopt the roles of parents, government representatives, and health providers in a scenario about child immunization. The objective is to develop critical understanding of the creation, management, and dissemination of information on decision making. (Contains 26 references.) (SK)

  9. Fostering Critical Thinking and Reflection through Blog-Mediated Peer Feedback

    ERIC Educational Resources Information Center

    Novakovich, J.

    2016-01-01

    The introduction of digital literacy practices has created a tension in academia, with many academics challenging the view that critical thinking can be fostered on social networks. A quasi-experimental study was conducted on two sections of university-level writing classrooms to determine if there were meaningful differences in the quality of…

  10. The Race for Class: Reflections on a Critical Raceclass Theory of Education

    ERIC Educational Resources Information Center

    Leonardo, Zeus

    2012-01-01

    This article is intended to appraise the insights gained from Critical Race Theory (CRT) in Education. It is particularly interested in CRT's relationship with Marxist discourse, which falls under two questions. One, how does CRT understand Marxist concepts, such as "capital," which show up in the way CRT appropriates them? The article argues that…

  11. Using Critical Incident Reflections: A Self-Study as a Mathematics Teacher Educator

    ERIC Educational Resources Information Center

    Goodell, Joanne E.

    2006-01-01

    In this paper, I report the results of a 4-year study into how my students learn to become mathematics teachers during the combined 15-week methods and field placement course I teach. At the start of most weekly methods class meetings, groups of three or four students reported their critical incidents to each other, and then chose one incident to…

  12. Critical Issues in K-12 Service-Learning: Case Studies and Reflections.

    ERIC Educational Resources Information Center

    Gulati-Partee, Gita, Ed.; Finger, William R., Ed.

    This compilation includes practical and transferable principles that can be used by service-learning practitioners. The 39 case studies and personal essays in the compilation are organized around critical issues in strengthening long-term institutional and community support for K-12 service-learning programs. Each article describes how the issue…

  13. Reflecting on Social Emotional Learning: A Critical Perspective on Trends in the United States

    ERIC Educational Resources Information Center

    Hoffman, Diane M.

    2009-01-01

    This critical cultural analysis of trends in the field of social emotional learning (SEL) in the United States considers how ideas concerning emotional skills and competencies have informed programmatic discourse. While currently stressing links between SEL and academic achievement, program literature also places emphasis on ideals of caring,…

  14. Everyone's a Criminal? Reflections on Critical Reading in the Primary Classroom.

    ERIC Educational Resources Information Center

    Smith, Vivienne

    Richard Hoggart calls for "creative reading"--meaning "recognizing that some books are better than others." Those influenced by Paulo Freire call for "critical reading," meaning that what matters is that readers are encouraged to "read the word and the world." Hoggart and Freire give a clear idea of what they think the adult who reads critically…

  15. Complications during intrahospital transport of critically ill patients: Focus on risk identification and prevention

    PubMed Central

    Knight, Patrick H; Maheshwari, Neelabh; Hussain, Jafar; Scholl, Michael; Hughes, Michael; Papadimos, Thomas J; Guo, Weidun Alan; Cipolla, James; Stawicki, Stanislaw P; Latchana, Nicholas

    2015-01-01

    Intrahospital transportation of critically ill patients is associated with significant complications. In order to reduce overall risk to the patient, such transports should well organized, efficient, and accompanied by the proper monitoring, equipment, and personnel. Protocols and guidelines for patient transfers should be utilized universally across all healthcare facilities. Care delivered during transport and at the site of diagnostic testing or procedure should be equivalent to the level of care provided in the originating environment. Here we review the most common problems encountered during transport in the hospital setting, including various associated adverse outcomes. Our objective is to make medical practitioners, nurses, and ancillary health care personnel more aware of the potential for various complications that may occur during patient movement from the intensive care unit to other locations within a healthcare facility, focusing on risk reduction and preventive strategies. PMID:26807395

  16. Antithrombotic alternatives for stroke prevention in atrial fibrillation: critical differences and remaining questions

    PubMed Central

    Kalus, James S

    2013-01-01

    Three therapeutic alternatives for prevention of stroke in patients with atrial fibrillation are available in dabigatran (an oral direct thrombin inhibitor), rivaroxaban, and apixaban (both oral blood coagulation factor Xa inhibitors). Compared with warfarin, these new agents have a more predictable pharmacodynamic response and fewer major clinically relevant drug–drug interactions. These agents also have few, if any, food–drug interactions, and infrequent or no need for routine laboratory monitoring. These agents also bring new disadvantages, particularly lack of clearly defined reversal strategies, inability to effectively monitor patient response, and higher cost. Selection of the most appropriate oral antithrombotic agent for a given patient is dependent on clinician knowledge of the similarities and critical differences between the available antithrombotic medications. PMID:24432039

  17. Theory before practice: implicit assumptions about clinical nursing education in Australia as revealed through a shared critical reflection.

    PubMed

    Grealish, Laurie; Smale, Lacey Anne

    2011-08-01

    The transfer of nursing education into the higher education sector occurred over a 10-year period in Australia (1985-1994). Australian nurse leaders settled on a single outcome measure to be applied for all nursing graduates in the form of national competency standards. While this move enabled diversity, the lack of consistency in curriculum design has subsequently led to increasing confusion for clinicians who support students' learning in clinical placements. Using a shared critical reflection method, the authors reviewed (1) the evaluation comments from nurses in one nursing unit of a hospital in one Australian jurisdiction and (2) an historical review of nursing literature at the time of the transfer of nursing education into the higher education sector. The reflection suggests that the aim of the transfer, to create critical thinking graduates, has been undermined by the implicit clinical education practices that have since emerged. In order to address the contemporary challenges for clinical staff working with students from multiple universities, as well as increased student numbers to address the nursing shortage, we recommend a new approach to curriculum design: a national clinical curriculum drawn from social, as well as cognitive, learning theory that at once informs clinicians of students' potential abilities and provides the scope to accommodate the increasingly difficult and critical learning requirements of tertiary-based nursing students. PMID:21955266

  18. YAP Is a Critical Inducer of SOCS3, Preventing Reactive Astrogliosis.

    PubMed

    Huang, Zhihui; Wang, Ying; Hu, Guoqing; Zhou, Jiliang; Mei, Lin; Xiong, Wen-Cheng

    2016-05-01

    Yes-associated protein (YAP) is a key transcriptional cofactor of the Hippo pathway, critical for the development of multiple organs. However, its role in the developing brain remains poorly understood. Here, we found that YAP was highly expressed in astrocytes and YAP deletion elevated the astrocytic activation in culture and in vivo, which was associated with microglial activation. At the molecular level, YAP in astrocytes was activated by IFNβ or ciliary neurotrophic factor (CNTF), which was necessary for IFNβ or CNTF induction of the suppressor of cytokine signaling 3 (SOCS3), a negative regulator of the Janus kinase-signal transducer and activator of transcription (JAK-STAT) inflammatory pathway. YAP(-/-) astrocytes thus showed hyperactivation of the JAK-STAT inflammatory pathway and reactive astrogliosis. Expression of SOCS3 in YAP(-/-) astrocytes prevented the hyperactivation of STAT3 and partially restored the astrocytic activation. Finally, reactive astrogliosis was associated with blood-brain barrier dysfunction in YAP brain-selective knockout mice. Taken together, these results identify unrecognized functions of YAP in preventing reactive astrogliosis and reveal a pathway of YAP-SOCS for the negatively control of neuroinflammation. PMID:26679195

  19. YAP Is a Critical Inducer of SOCS3, Preventing Reactive Astrogliosis

    PubMed Central

    Huang, Zhihui; Wang, Ying; Hu, Guoqing; Zhou, Jiliang; Mei, Lin; Xiong, Wen-Cheng

    2016-01-01

    Yes-associated protein (YAP) is a key transcriptional cofactor of the Hippo pathway, critical for the development of multiple organs. However, its role in the developing brain remains poorly understood. Here, we found that YAP was highly expressed in astrocytes and YAP deletion elevated the astrocytic activation in culture and in vivo, which was associated with microglial activation. At the molecular level, YAP in astrocytes was activated by IFNβ or ciliary neurotrophic factor (CNTF), which was necessary for IFNβ or CNTF induction of the suppressor of cytokine signaling 3 (SOCS3), a negative regulator of the Janus kinase–signal transducer and activator of transcription (JAK–STAT) inflammatory pathway. YAP−/− astrocytes thus showed hyperactivation of the JAK–STAT inflammatory pathway and reactive astrogliosis. Expression of SOCS3 in YAP−/− astrocytes prevented the hyperactivation of STAT3 and partially restored the astrocytic activation. Finally, reactive astrogliosis was associated with blood–brain barrier dysfunction in YAP brain-selective knockout mice. Taken together, these results identify unrecognized functions of YAP in preventing reactive astrogliosis and reveal a pathway of YAP-SOCS for the negatively control of neuroinflammation. PMID:26679195

  20. The benefits of a critical stance: a reflection on past papers on the theories of reasoned action and planned behaviour.

    PubMed

    Manstead, Antony S R

    2011-09-01

    In this paper, I reflect on past papers published in the British Journal of Social Psychology (BJSP) that have played a role in the development of the theory of reasoned action (TRA) and the theory of planned behaviour (TPB). I focus on seven papers that fall into five categories: (1) those that critique the TRA/TPB for taking insufficient account of social factors; (2) those that critique the models on the grounds that many social behaviours are 'habitual'; (3) those that critically examine the construct of perceived behavioural control; (4) those that argue for the importance of affective factors, which appear to be overlooked in the TRA/TPB; and (5) those that argue for the importance of studying the role of moderating factors and interaction effects in the TRA/TPB. I conclude that BJSP's traditional focus on criticism and theory development is one that benefits the journal and the field. PMID:21884536

  1. Critical femtosecond laser parameters for the fabrication of optimal reflecting diffraction gratings on Invar36

    NASA Astrophysics Data System (ADS)

    Mohammad Hossein, Goudarzi; Meng-Jyun, Lin; Ji-Bin, Horng; Jeng-Ywan, Jeng

    2016-06-01

    This paper discusses the effect of femtosecond laser parameters on Invar36, and the efficiency of reflecting diffraction gratings on the alloy. Several gratings were made with different laser parameters in two regimes: constant repetition rates and constant average laser power on the Invar surface. The efficiency of diffraction gratings is measured in an off-plane configuration by determining the power of diffracted points. With the constant average power technique, an increase in laser influence decreased the ablation depth of lines and increased the line widths. The discoloration of line edges from increasing the laser influence more than 0.57 J /cm2 decreased the grating efficiency by over 49%. It was also found that increasing the repetition rate enhanced the grating efficiency and increasing the average power decreased the efficiency. In addition, the ablation threshold of Invar is 0.122 J /cm2 when the number of pulses (NOP) equals 389.

  2. Which medicine? Whose standard? Critical reflections on medical integration in China

    PubMed Central

    Fan, Ruiping; Holliday, Ian

    2007-01-01

    There is a prevailing conviction that if traditional medicine (TRM) or complementary and alternative medicine (CAM) are integrated into healthcare systems, modern scientific medicine (MSM) should retain its principal status. This paper contends that this position is misguided in medical contexts where TRM is established and remains vibrant. By reflecting on the Chinese policy on three entrenched forms of TRM (Tibetan, Mongolian and Uighur medicines) in western regions of China, the paper challenges the ideology of science that lies behind the demand that all traditional forms of medicine be evaluated and reformed according to MSM standards. Tibetan medicine is used as a case study to indicate the falsity of a major premise of the scientific ideology. The conclusion is that the proper integrative system for TRM and MSM is a dual standard based system in which both TRM and MSM are free to operate according to their own medical standards. PMID:17664302

  3. Critical Reexamination of Resonant Soft X-Ray Bragg Forbidden Reflections in Magnetite

    SciTech Connect

    Wilkins, S.B.; Di Matteo, S.; Beale, T.A.W.; Joly, Y.; Mazzoli, C.; Hatton, P.D.; Bencok, P.; Yakhou, F.; Brabers, V.A.M.

    2009-05-01

    Magnetite, Fe{sub 3}O{sub 4}, displays a highly complex low-temperature crystal structure that may be charge and orbitally ordered. Many of the recent experimental claims of such ordering rely on resonant soft x-ray diffraction at the oxygen K and iron L edges. We have reexamined this system and undertaken soft x-ray diffraction experiments on a high-quality single crystal. Contrary to previous claims in the literature, we show that the intensity observed at the Bragg forbidden (001/2){sub c} reflection can be explained purely in terms of the low-temperature structural displacements around the resonant atoms. This does not necessarily mean that magnetite is not charge or orbitally ordered but rather that the present sensitivity of resonant soft x-ray experiments does not allow conclusive demonstration of such ordering.

  4. Dropout Prevention and the Model-Minority Stereotype: Reflections from an Asian American High School Dropout

    ERIC Educational Resources Information Center

    Wexler, Jade; Pyle, Nicole

    2012-01-01

    A recent review of the research by the U.S. Department of Education Institute of Education Sciences has resulted in the recommendation of six promising practices to ensure that all students are actively engaged in school and on a path to post-secondary success (Dynarski et al. in Dropout prevention: A practice guide (NCEE 2008-4025)). The purpose…

  5. Reflections on Implementation of the PREPaRE Crisis Prevention and Intervention Curriculum

    ERIC Educational Resources Information Center

    Reeves, Melissa A.; Brock, Stephen E.

    2009-01-01

    After a nationwide search, the NASP PREPaRE Workgroup recently invited Brian Lazzaro, Christina Conolly-Wilson, and Melinda Susan to join the workgroup. This was done in an attempt to meet the ever-increasing demand and associated duties that accompany the dissemination of the PREPaRE Crisis Prevention and Intervention Training Curriculum. In this…

  6. The journey of positioning self as both mental health nurse and qualitative researcher: a critical reflection.

    PubMed

    Brunero, S J; Jeon, Y H; Foster, K

    2015-09-01

    This paper discusses the development of a mental health nurse clinician to a mental health nurse researcher. Understanding the theoretical and professional drives that shape mental health nurses clinical practice and how that links to becoming a researcher is discussed. Mental health nurses who conduct research have to often move between their clinical roles and that of the researcher, doing this safely using a reflective supervision approach enables the nurse to conduct the research from a stronger professional and ethical standpoint. The intention of the paper is to encourage mental health nurses to engage in research and development. Shifting between the positions of a mental health nurse clinician and a qualitative researcher has some parallels to the processes in the nurse-service user relationship. This paper addresses this development from practitioner to researcher in one mental health nurse's journey through a PhD study using constructivist grounded theory. The paper examines theoretical and professional drives that have shaped my clinical practice and the role of the researcher in constructivist grounded theory, the notion of the researcher shifting between insider and outsider status, and the importance of reflexivity in conducting research. These influences will be discussed in the context of the development of a constructivist grounded theory study of the delivery of health care to service users with a mental illness in general hospital wards. PMID:26234189

  7. Towards Eco-reflexive Science Education. A Critical Reflection About Educational Implications of Green Chemistry

    NASA Astrophysics Data System (ADS)

    Sjöström, Jesper; Eilks, Ingo; Zuin, Vânia G.

    2016-05-01

    The modern world can be described as a globalized risk society. It is characterized by increasing complexity, unpredictable consequences of techno-scientific innovations and production, and its environmental consequences. Therefore, chemistry, just like many other knowledge areas, is in an ongoing process of environmentalization. For example, green chemistry has emerged as a new chemical metadiscipline and movement. The philosophy of green chemistry was originally based on a suggestion of twelve principles for environment-friendly chemistry research and production. The present article problematizes limitations in green chemistry when it comes to education. It argues that the philosophy of green chemistry in the context of education needs to be extended with socio-critical perspectives to form educated professionals and citizens who are able to understand the complexity of the world, to make value-based decisions, and to become able to engage more thoroughly in democratic decision-making on sustainability issues. Different versions of sustainability-oriented science/chemistry education are discussed to sharpen a focus on the most complex type, which is Bildung-oriented, focusing emancipation and leading to eco-reflexive education. The term eco- reflexive is used for a problematizing stance towards the modern risk society, an understanding of the complexity of life and society and their interactions, and a responsibility for individual and collective actions towards socio-ecojustice and global sustainability. The philosophical foundation and characteristics of eco-reflexive science education are sketched on in the article.

  8. Autistic expertise: a critical reflection on the production of knowledge in autism studies.

    PubMed

    Milton, Damian Em

    2014-10-01

    The field of autism studies is a highly disputed territory within which competing contradictory discourses abound. In this field, it is the voices and claims of autistic people regarding their own expertise in knowledge production concerning autism that is most recent in the debate, and traditionally the least attended to. In this article, I utilise the theories of Harry Collins and colleagues in order to reflect upon and conceptualise the various claims to knowledge production and expertise within the field of autism studies, from the perspective of an author who has been diagnosed as being on the autism spectrum. The notion that autistic people lack sociality is problematised, with the suggestion that autistic people are not well described by notions such as the 'social brain', or as possessing 'zero degrees of cognitive empathy'. I then argue, however, that there is a qualitative difference in autistic sociality, and question to what extent such differences are of a biological or cultural nature, and to what extent interactional expertise can be gained by both parties in interactions between autistic and non-autistic people. In conclusion, I argue that autistic people have often become distrustful of researchers and their aims, and are frequently frozen out of the processes of knowledge production. Such a context results in a negative feedback spiral with further damage to the growth of interactional expertise between researchers and autistic people, and a breakdown in trust and communication leading to an increase in tension between stakeholder groups. The involvement of autistic scholars in research and improvements in participatory methods can thus be seen as a requirement, if social research in the field of autism is to claim ethical and epistemological integrity. PMID:24637428

  9. [Tobacco: knowledge, reasoning and opinion of high school students in Doubs. Reflections on prevention].

    PubMed

    Michaud, C; Saraiva, I; Henry, Y; Dodane, M

    2003-03-01

    The prevalence of smoking has increased among young people aged 14 to 18 between 1993 and 1999, and most notably among girls within the same period. These observations illustrate the necessity for significant changes in mass media campaigns and education programmes related to the prevention of smoking among youth. The objective of this survey, initiated by the city of Besançon and the French National Mutual Insurance of Doubs, was to describe and analyse the knowledge and rationale of high school students on tobacco and their opinions in terms of prevention. Twelve public and private high schools in Besançon and Morteau (Doubs-France) participated in the survey; the group also represented a mix of general and professional schools. The questionnaire was filled out by 970 students selected at random. 96% of the students indicated cancer as being the main illness linked to tobacco and 94% stated that second-hand smoke constitutes a health risk. 61% admitted to seeking out the psychoactive effects of smoking. The students responses confirm that the types of messages relayed in a smoking prevention campaign which have an impact on them are: evoking fear of death (74%) and the use of humor (16%). One-third of high school students find that it is unacceptable to forbid smoking on school premises. The knowledge of the dangers related to smoking is not sufficient to keep young people from smoking and confirms that an educational approach based solely on knowledge and facts will not be sufficient to decrease their tobacco consumption. It is important to take into account the image that young people have of tobacco as a means to combat stress in future prevention strategies and campaigns. PMID:12806810

  10. Conceptualizing learning for sustainability through environmental assessment: critical reflections on 15 years of research

    SciTech Connect

    Sinclair, A. John Diduck, Alan Fitzpatrick, Patricia

    2008-10-15

    Numerous scholars are now directing their attention to the education and learning implications of participatory resource and environmental governance because of the potential implications of these for generating the social mobilization necessary to achieve sustainability trajectories. Our work, and that of other researchers, establishes that public participation in environmental assessment (EA) provides fertile ground for considering the intricacies of governance as they relate to participation, and for examining the education and learning implications of participation. Since EA law requires in many cases that public voices be part of the decision process, it has resulted in the creation of fascinating, state-sanctioned, deliberative spaces for civic interactions. Our purpose here is to share, and build upon, a framework that conceptualizes the relationships among participation, education, learning and sustainability in an EA context. We do so by considering findings from studies we have undertaken on participation in EA in Canada since the early 90's. Our approach was interactive and collaborative. We each considered in detail the key results of our earlier work as they relate to education, learning and EA process design. The findings illuminate aspects of the conceptual framework for which there is considerable empirical evidence, such as the link between meaningful participation and critical education and the diversity of individual learning outcomes associated with public participation in EA. The findings also highlight those parts of the framework for which the empirical evidence is relatively sparse, such as the range of possible social learning outcomes, their congruence with sustainability criteria, and the roles of monitoring and cumulative and strategic assessments in shaping EA into an adaptive, learning system.

  11. A critical reflection of a decade of urbanization and global environmental change research and science coordination

    NASA Astrophysics Data System (ADS)

    Griffith, C.

    2015-12-01

    The Urbanization and Global Environmental Change (UGEC) Project was established in 2005 when attention to the bidirectional interactions of urbanization and GEC issues and the associated system responses was very new and the community of UGEC researchers very small. Much of the urban scholarship used specific disciplinary lenses through which to understand the city, e.g., in terms of demographics and population growth, ecology of cities or economics of cities. Over the last decade new analytical lenses have revealed much more about how cities function, the underlying socio-economic and ecological processes that drive urbanization, their dynamic and teleconnected nature, and other bio-physical interactions within the Earth system. Furthermore, it is within the cities that the impacts of current and projected urbanization and environmental changes are felt, but also where action is taken and where great potential for intervention of urbanization trajectories exists towards creating more livable urban futures. A former IHDP core project, now Future Earth project, UGEC is in its sunset/synthesis phase and exploring future directions. This presentation will: Give an brief overview of UGEC evolution over the course of the last decade not only in terms of the science, but also the institution Present preliminary results from a critical analysis of UGEC's ten year role as a GEC research coordination project including its impact, strengths and weaknesses Make the case for greater interdisciplinarity (particularly across the physical sciences and humanities) and involvement of other stakeholders (private sector and decisionmakers) in future urbanization and environmental research, as 'urban' is a crosscutting issue that has both global to local scale implications Present work that UGEC is leading, which is to advance an urban agenda within the new Future Earth initiative as part of the recently awarded Cluster Activity 'Livable Urban Futures', as an example of research

  12. [[The prevention of food wastage by restoring the value to food: reflections of an agroeconomist].

    PubMed

    Segré, Andrea

    2014-01-01

    Each year, about one trillion USD worth of food sales is lost or wasted. In addition to its economic impacts, food wastage has significant societal costs that are born indirectly by taxpayers. Should damage costs associated with food wastage be accounted for, this global wastage appears much higher. In fact, the monetization of environmental costs such as the impact of greenhouse gases, land erosion, water use and pollinators loss amnounts to another trillion USD. Furthermore, a valuation of social costs, such as health effects of pesticides, loss of livelihoods and conflicts over natural resources adds another trillion USD. Noteworthy is the fact that not all food wastage reduction strategies are equal in terms of environmental efficiency and reducing food wastage must be a priority over energy recovery fromn food wastage. As a case study, the Italian National Plan for Food Waste Prevention (PINPAS) aims at reducing food wastage upstream the food chain, will be considered. PINPAS also seeks to improve recovery measures of unsold food. As indicated in the Guidelines on the preparation of food waste prevention programmes by the European Commission, PINPAS engages all stakeholders of the agri-food chain, from policy makers to civil groups aid producers. The first action will be the reintroduction of food education at school. PMID:25558710

  13. "A Moving Target": A Critical Race Analysis of Latina/o Faculty Experiences, Perspectives, and Reflections on the Tenure and Promotion Process

    ERIC Educational Resources Information Center

    Urrieta, Luis, Jr.; Méndez, Lina; Rodríguez, Esmeralda

    2015-01-01

    This article examines how Latina/o professors perceive, experience, and reflect on the tenure and promotion process. Findings for this longitudinal study are drawn from a purposive sample of nine female and seven male, Latina/o tenure-track faculty participants. Using a Critical Race Theory, Latino Critical (LatCrit) Race Theory, and Chicana…

  14. The "Critical Friend" Role in Fostering Reflective Practices and Developing Staff Cohesion: A Case Study in a New Secondary School, New Zealand

    ERIC Educational Resources Information Center

    Wright, Noeline; Adam, Amina

    2015-01-01

    This exploratory case study, arising from a longitudinal project into the establishment of a new secondary school in New Zealand, examines reflective practice through critical friend roles among staff. The paper describes, through the lens of Bourdieu's logic of practice, the implementation of a critical friendship approach linked to the school…

  15. Towards critical digital health studies: Reflections on two decades of research in health and the way forward.

    PubMed

    Lupton, Deborah

    2016-01-01

    In this article, I provide some reflections on critical digital health research in the context of Health's 20th anniversary. I begin by outlining the various iterations of digital technologies that have occurred since the early 1990s--from Web 1.0 to Web 2.0 to Web 3.0. I then review the research that has been published on the topic of digital health in this journal over the past two decades and make some suggestions for the types of directions and theoretical perspectives that further sociocultural and political research could tackle. My concluding comments identify four main areas for further research: (1) devices and software, (2) data materialisations, (3) data practices and (4) data mobilities. PMID:26487686

  16. Muslim women's reflections on the acceptability of vaginal microbicidal products to prevent HIV infection.

    PubMed

    Hoel, Nina; Shaikh, Sadiyya; Kagee, Ashraf

    2011-04-01

    This paper examines South African Muslim women's opinions of the acceptability of microbicidal products to prevent HIV infection if these were to become available in the future. In the context of the HIV pandemic, prophylactic methods such as male circumcision, vaccines and microbicidal preparations are increasingly thought of as ways to reduce the incidence of infection. We examine the extent to which participants' religious beliefs and the implications of religious norms and ideals might influence decision-making concerning hypothetical acceptability to use a microbicide. We conducted qualitative interviews with 29 Muslim women residing in South Africa, a country with one of the highest HIV prevalence rates in the world. Four themes emerged from the data, namely, (1) participants' questioning of the need for microbicides; (2) reasons they gave in favour of microbicide use; (3) the juxtaposition of microbicide use and religious ethics; and (4) the role of religious authorities in decision-making regarding microbicide use. The juxtaposition of microbicide use and religious ethics was further informed by three sub-themes, namely, the life-promoting nature of both Islam and microbicide use, the possibility that microbicide use could encourage sexual risk-taking among male partners, and that the use of these products contradicted womens' notions of ethical agency and ideals about marriage. These themes and sub-themes are analysed in the context of gender relations among South African Muslims. The study findings are significant in light of recent data showing the effectiveness of a microbicidal preparation in reducing the risk of HIV infection in South Africa. We also show that the acceptability of microbicidal products is to a certain extent linked to a variety of religious persuasions and ideals. When microbicides become available in the future, proponents of their use will need to consider religious reasoning of potential users, including that of Muslim women. PMID

  17. Reflections from an Undergraduate Student Peer Facilitator in the Team Up for Healthy Living School-Based Obesity Prevention Project

    PubMed Central

    Crenshaw, Caroline E.; Mozen, Diana M.; Dalton, William T.; Slawson, Deborah L.

    2015-01-01

    Team Up for Healthy Living was a cluster-randomized trial to evaluate a cross-peer school-based obesity prevention program in Southern Appalachia. Undergraduate students from the disciplines of Kinesiology, Nutrition, and Public Health were trained as peer facilitators to deliver an 8-week curriculum in high school Lifetime Wellness classes. The focus of the curriculum was on improving diet and physical activity with an additional emphasis on enhancing leadership and communication skills. Control group participants received their regularly scheduled Lifetime Wellness curriculum. The current article is about the experiences of an undergraduate kinesiology student participating as a peer-facilitator in the Team-Up for Healthy Living trial. A brief overview of the program and peer facilitator training is followed by this students reflections on both personal development and student outcomes. PMID:26636111

  18. A Value-Critical Choice Analysis of a Policy to Prevent Suicide in Veterans and Service Members.

    PubMed

    Schuman, Donna L; Schuman, Donald L

    2016-10-01

    A few years after the advent of the Global War on Terror, veteran and service member suicide emerged on the national forefront as a public health issue of significant concern. This social policy analysis applies a value-critical choice model to the military suicide prevention provisions mandated by Section 2 of Exec. Order No. 13625 (2012): Improving Access to Mental Health Services for Veterans, Service Members, and Military Families. Results reveal that the suicide prevention provisions mandated by the order have not been fully and effectively implemented and the goal of reducing military suicide remains elusive. PMID:27254385

  19. Use of Methadone for Prevention of Opioid Withdrawal in Critically Ill Children

    PubMed Central

    Jeffries, Sonia A; McGloin, Rumi; Pitfield, Alexander F; Carr, Roxane R

    2012-01-01

    Background Opioids are commonly administered to critically ill children for analgesia and sedation, but many patients experience opioid withdrawal upon discontinuation. The authors’ institution developed a protocol for using methadone to prevent opioid withdrawal in children who have received morphine by continuous IV infusion for 5 days or longer in the pediatric intensive care unit (PICU). Objectives The primary objectives were to determine if opioids were tapered according to the protocol and to determine the conversion ratio for IV morphine to oral methadone that was used. Secondary objectives were to describe the methadone dosage used and the clinical outcomes, to evaluate adjustments to methadone dosing, and to report the incidence of adverse effects. Methods A retrospective analysis of charts was conducted for pediatric patients who had received morphine by continuous IV infusion for 5 days or longer followed by methadone in the PICU between May 2008 and August 2009. Validated scoring systems (the Withdrawal Assessment Tool and the State Behavioral Scale) were used to assess symptoms of withdrawal and degree of sedation, respectively. Results Forty-three patients were included in the study, with median age of 8 months (range 0.25–201 months). For 31 patients (72%), the protocol was not used, and there were no patients for whom the protocol was followed to completion. The median duration of weaning was 10 days (range 0–91 days). The conversion ratio for IV morphine to oral methadone was 1:0.78 for anticipated 5-day weaning and 1:0.98 for anticipated 10-day weaning. During the first 10 days of weaning, 18 patients (42%) experienced withdrawal symptoms. The methadone dose was increased for 11 (26%) of the 43 patients. Patients were sedated for a median of 1 day (range 0–9 days), were comfortable for a median of 6.5 days (range 1–64 days), and were agitated for a median of 2.5 days (range 0–23 days). Naloxone was required for 2 patients. Conclusions

  20. Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer

    PubMed Central

    2013-01-01

    Introduction Breast cancer remains a significant scientific, clinical and societal challenge. This gap analysis has reviewed and critically assessed enduring issues and new challenges emerging from recent research, and proposes strategies for translating solutions into practice. Methods More than 100 internationally recognised specialist breast cancer scientists, clinicians and healthcare professionals collaborated to address nine thematic areas: genetics, epigenetics and epidemiology; molecular pathology and cell biology; hormonal influences and endocrine therapy; imaging, detection and screening; current/novel therapies and biomarkers; drug resistance; metastasis, angiogenesis, circulating tumour cells, cancer ‘stem’ cells; risk and prevention; living with and managing breast cancer and its treatment. The groups developed summary papers through an iterative process which, following further appraisal from experts and patients, were melded into this summary account. Results The 10 major gaps identified were: (1) understanding the functions and contextual interactions of genetic and epigenetic changes in normal breast development and during malignant transformation; (2) how to implement sustainable lifestyle changes (diet, exercise and weight) and chemopreventive strategies; (3) the need for tailored screening approaches including clinically actionable tests; (4) enhancing knowledge of molecular drivers behind breast cancer subtypes, progression and metastasis; (5) understanding the molecular mechanisms of tumour heterogeneity, dormancy, de novo or acquired resistance and how to target key nodes in these dynamic processes; (6) developing validated markers for chemosensitivity and radiosensitivity; (7) understanding the optimal duration, sequencing and rational combinations of treatment for improved personalised therapy; (8) validating multimodality imaging biomarkers for minimally invasive diagnosis and monitoring of responses in primary and metastatic disease

  1. Humanizing Pedagogy through HIV and AIDS Prevention: Transforming Teacher Knowledge. Series in Critical Narrative

    ERIC Educational Resources Information Center

    Paradigm Publishers, 2006

    2006-01-01

    This book explores the power of educators to serve as HIV and AIDS prevention agents. The definitive text represents the work of a distinguished panel of teacher educators and health scientists who identify core information and skills effective educators of HIV and AIDS prevention should learn as they prepare to attend to the academic and human…

  2. Sexual Assault Prevention for Women with Intellectual Disabilities: A Critical Review of the Evidence

    ERIC Educational Resources Information Center

    Barger, Erin; Wacker, Julia; Macy, Rebecca; Parish, Susan

    2009-01-01

    Although research has indicated that women with intellectual disabilities are significantly burdened with sexual violence, there is a dearth of sexual assault prevention research for them. To help address this serious knowledge gap, the authors summarize the findings of general sexual assault prevention research and discuss its implications for…

  3. Prevention

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Prevention Basic Facts & Information Some factors that affect your ... control of the things that you can change. Preventive Recommendations for Adults Aged 65 and Older The ...

  4. A Critical Review of the Characteristics of Theater-Based HIV Prevention Interventions for Adolescents in School Settings.

    PubMed

    Taboada, Arianna; Taggart, Tamara; Holloway, Ian; Houpt, Amanda; Gordon, Robert; Gere, David; Milburn, Norweeta; Lightfoot, Alexandra F

    2016-07-01

    Theater-based interventions are a viable prevention strategy for changing sexual health knowledge, attitudes, and behaviors related to HIV prevention. However, few studies have explored interventions in English-speaking, high-income countries such as the United States, Canada, or the United Kingdom. This article critically reviews the literature to identify key characteristics of theater-based HIV prevention strategies used for adolescents in school-settings in the United States, Canada, and the United Kingdom. Specifically, we identify the theatrical approach used in HIV prevention interventions, the behavioral theories that inform such interventions, and the study design and results of existing evaluation studies conducted in school settings. In the 10 articles reviewed, we found limited grounding in theory and the use of nonrigorous study design. To strengthen the evidence and practical application of theater-based HIV prevention interventions, we highlight three specific recommendations for practitioners and researchers: (1) define and operationalize the theater approach and techniques used, (2) ensure theater-based interventions are grounded in theory, and (3) conduct rigorous evaluation of theater-based interventions. These recommendations are key to strengthening future research on and implementation of theater-based interventions for HIV prevention. PMID:27095037

  5. Critical gaps in universal access to reproductive health: contraception and prevention of unsafe abortion.

    PubMed

    Culwell, Kelly R; Vekemans, Marcel; de Silva, Upeka; Hurwitz, Manuelle; Crane, Barbara B

    2010-07-01

    Unsafe abortion accounts for a significant proportion of maternal deaths, yet it is often forgotten in discussions around reducing maternal mortality. Prevention of unsafe abortion starts with prevention of unwanted pregnancies, most effectively through contraception. When unwanted pregnancies occur, provision of safe, legal abortion services can further prevent unsafe abortions. If complications arise from unsafe abortion, emergency treatment must be available. Recommendations made on this issue during the Precongress Workshop held prior to the 2009 FIGO World Congress in Cape Town, South Africa, were part of a report that was adopted by the FIGO General Assembly. These recommendations address prevention of unsafe abortion and its consequences and support access to safe abortion care to the full extent allowed by national laws, along with 6 strategies for implementation, including integration of family planning into other reproductive health services, adequate training for providers, task-sharing with mid-level providers, and using evidence to discuss this issue with key stakeholders. PMID:20451196

  6. Health prevention in the era of biosocieties: a critical analysis of the 'Seek-and-Treat' paradigm in HIV/AIDS prevention.

    PubMed

    Foth, Thomas; O'Byrne, Patrick; Holmes, Dave

    2016-06-01

    On 18 November 2014, the United Nations launched an urgent new campaign to end AIDS as a global health threat by 2030. With its proposed strategy, the UN follows leading scientists who had declared the failure of former prevention strategies and now were promoting a 'Seek and Treat for Optimal Prevention' (STOP) approach as the most cost-effective response to the pandemic to meet the goal of 'an AIDS-free generation'. STOP combines antiretroviral therapy and routine HIV screening to find persons unaware that they are HIV-positive, because research has shown that people consistently change their behaviour (i.e. increase condom use, have fewer partners) after an HIV diagnosis. AIDS activists have broadly criticized this strategy on different levels. In this article, we go beyond these criticisms and try to analyse the political rationalities behind this 'new' strategy. We believe that it is necessary to put the rationale underpinning the STOP programme into the context of broader societal transformations that can best be captured as the development of advanced liberal societies and the new emphasis on self-controlling or self-responsibility rather than on disciplining behaviour. PMID:26146905

  7. Problem Solving and Critical Inquiry in the Written and Oral Reflections of Middle School Preservice Teachers' Classroom Experiences

    ERIC Educational Resources Information Center

    Smith, Ann Marie; Lennon, Sean

    2011-01-01

    The purpose of this action research study was to investigate undergraduate preservice student-teachers' interpretations of written reflections and how these written reflections impacted their thoughts about teaching practices. A second question was to investigate how preservice teachers talked about their processes of reflection beyond the…

  8. Critical issues in implementing a national integrated all-vaccine preventable disease surveillance system☆

    PubMed Central

    Hyde, Terri B.; Andrus, Jon K.; Dietz, Vance J.; Andrus, Jon K.; Hyde, Terri B.; Lee, Carla E.; Widdowson, Marc-Alain; Verani, Jennifer R.; Friedman, Cindy; Azziz-Baumgartner, Eduardo; Lopez, Adriana S.; Jumaan, Aisha; Dietz, Vance J.

    2015-01-01

    In 2007, the World Health Organization published the Global Framework for Immunization Monitoring and Surveillance (GFIMS) outlining measures to enhance national surveillance for vaccine preventable diseases (VPDs). The GFIMS emphasized that VPD surveillance should be integrated and placed in a ‘unified framework’ building upon the strengths of existing surveillance systems to prevent duplication of activities common to all surveillance systems and to minimize human resource and supply expenditures. Unfortunately, there was little experience in actually developing integrated VPD surveillance. We describe the process of developing operational guidance for ministries of health to implement such an integrated surveillance system for multiple VPDs. PMID:23777699

  9. Session 1.3: health protection and disease prevention: a critical review of experience.

    PubMed

    Merlin-Scholtes, Joanna; Narain, Jai; Chunsuttiwat, Supamit; Hyde-Price, Caroline; Dubois, Philippe Francois; Sorensen, Eigil

    2005-01-01

    This is a summary of the presentations and discussion of Health Protection and Disease Prevention of the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The topics discussed included issues related health protection and disease prevention as pertaining to the responses to the damage created by the Tsunami. It is presented in the following major sections: (1) key questions; (2) national perspectives; (3) an international perspective; (4) laboratory aspects in disease surveillance; and (5) partnership. PMID:16496618

  10. An Investigation of the Effects of Field Experience and Critical Reflection on Pre-Service Teachers' Beliefs about Diversity

    ERIC Educational Resources Information Center

    Renn, Peter C.

    2012-01-01

    This study was conducted to investigate the effects of critical reflection and field experiences on pre-service teachers' beliefs about diversity. A convenience sample of 64 students enrolled in two sections of an education course at a Midwestern university participated in the study. Participants in the intervention group completed field…

  11. A Qualitative Study of Managerial Coaching: How Critical Reflection and Experiential Learning Are Facilitated within a Multi-National Pharmaceutical Company

    ERIC Educational Resources Information Center

    Herrera, Tony Isaac

    2010-01-01

    This qualitative case study was designed to explore whether and how a sample of domestic and international managers use two key adult education concepts--critical reflection and experiential learning--to influence changes in individual employees whom they coach. The study is based on the primary assumption that although managers do not…

  12. Thinking and Meddling with Boundaries: Critical Reflections on Matthew Weinstein's Narrative of Street Medics, Red-Zones and Glop

    ERIC Educational Resources Information Center

    Alsop, Steve

    2015-01-01

    In pursuit of more mindful notions of hybridity, this review essay provides a series of reflections on Mathew Weinstein's representations of Street Medics and "sciences for the red zones of neoliberalism". My analysis draws on three popular ways of thinking with boundaries to offer a critical reading of the boundary-work that the…

  13. "Math Is All around Us and … We Can Use It to Help Us": Teacher Agency in Mathematics Education through Critical Reflection

    ERIC Educational Resources Information Center

    Felton, Mathew D.; Koestler, Courtney

    2015-01-01

    As social-justice mathematics teacher educators, we have always engaged and supported the prospective and practicing teachers in our classes in critical reflection about mathematics and the teaching and learning of mathematics (Felton, 2010, 2012; Felton & Koestler, 2012; Koestler, 2012). Although there are different notions, purposes, and…

  14. Examining the Practice of Critical Reflection for Developing Pre-Service Teachers' Multicultural Competencies: Findings from a Study Abroad Program in Honduras

    ERIC Educational Resources Information Center

    Sharma, Suniti; Phillion, JoAnn; Malewski, Erik

    2011-01-01

    In response to a critical need in teacher preparation, study abroad programs aimed at developing multicultural competencies in pre-service teachers have proliferated across the United States. Multicultural competencies constitute the ability to challenge misconceptions that lead to discrimination based on cultural difference, reflect on one's…

  15. Developing a Capacity to Engage in Critical Reflection: Students' "Ways of Knowing" within an Undergraduate Business and Accounting Programme

    ERIC Educational Resources Information Center

    Lucas, Ursula; Tan, Phaik Leng

    2013-01-01

    The development of a capacity to engage in critical reflection is central to higher education. However, students vary in this capacity and its development requires students to move from an absolute towards a contextual way of knowing. Using 32 semi-structured interviews, this study identifies the ways of knowing of 17 business and accounting…

  16. Promoting Mental Health Literacy among Educators: Critical in School-Based Prevention and Intervention

    ERIC Educational Resources Information Center

    Whitley, Jessica; Smith, J. David; Vaillancourt, Tracy

    2013-01-01

    Teachers and other school staff play key roles as partners in the prevention, identification, and intervention of mental health difficulties among children and youth. However, it is essential that teachers are equipped with sufficient mental health literacy to engender effective practices in these areas. This article reviews the literature related…

  17. Endomucin prevents leukocyte–endothelial cell adhesion and has a critical role under resting and inflammatory conditions

    PubMed Central

    Zahr, Alisar; Alcaide, Pilar; Yang, Jinling; Jones, Alexander; Gregory, Meredith; dela Paz, Nathaniel G.; Patel-Hett, Sunita; Nevers, Tania; Koirala, Adarsha; Luscinskas, Francis W.; Saint-Geniez, Magali; Ksander, Bruce; D'Amore, Patricia A.; Argüeso, Pablo

    2016-01-01

    Endomucin is a membrane-bound glycoprotein expressed luminally by endothelial cells that line postcapillary venules, a primary site of leukocyte recruitment during inflammation. Here we show that endomucin abrogation on quiescent endothelial cells enables neutrophils to adhere firmly, via LFA-1-mediated binding to ICAM-1 constitutively expressed by endothelial cells. Moreover, TNF-α stimulation downregulates cell surface expression of endomucin concurrent with increased expression of adhesion molecules. Adenovirus-mediated expression of endomucin under inflammatory conditions prevents neutrophil adhesion in vitro and reduces the infiltration of CD45+ and NIMP-R14+ cells in vivo. These results indicate that endomucin prevents leukocyte contact with adhesion molecules in non-inflamed tissues and that downregulation of endomucin is critical to facilitate adhesion of leukocytes into inflamed tissues. PMID:26831939

  18. Endomucin prevents leukocyte-endothelial cell adhesion and has a critical role under resting and inflammatory conditions.

    PubMed

    Zahr, Alisar; Alcaide, Pilar; Yang, Jinling; Jones, Alexander; Gregory, Meredith; dela Paz, Nathaniel G; Patel-Hett, Sunita; Nevers, Tania; Koirala, Adarsha; Luscinskas, Francis W; Saint-Geniez, Magali; Ksander, Bruce; D'Amore, Patricia A; Argüeso, Pablo

    2016-01-01

    Endomucin is a membrane-bound glycoprotein expressed luminally by endothelial cells that line postcapillary venules, a primary site of leukocyte recruitment during inflammation. Here we show that endomucin abrogation on quiescent endothelial cells enables neutrophils to adhere firmly, via LFA-1-mediated binding to ICAM-1 constitutively expressed by endothelial cells. Moreover, TNF-α stimulation downregulates cell surface expression of endomucin concurrent with increased expression of adhesion molecules. Adenovirus-mediated expression of endomucin under inflammatory conditions prevents neutrophil adhesion in vitro and reduces the infiltration of CD45(+) and NIMP-R14(+) cells in vivo. These results indicate that endomucin prevents leukocyte contact with adhesion molecules in non-inflamed tissues and that downregulation of endomucin is critical to facilitate adhesion of leukocytes into inflamed tissues. PMID:26831939

  19. Life skills, mathematical reasoning and critical thinking: a curriculum for the prevention of problem gambling.

    PubMed

    Turner, Nigel E; Macdonald, John; Somerset, Matthew

    2008-09-01

    Previous studies have shown that youth are two to three times more likely than adults to report gambling related problems. This paper reports on the development and pilot evaluation of a school-based problem gambling prevention curriculum. The prevention program focused on problem gambling awareness and self-monitoring skills, coping skills, and knowledge of the nature of random events. The results of a controlled experiment evaluating the students learning from the program are reported. We found significant improvement in the students' knowledge of random events, knowledge of problem gambling awareness and self-monitoring, and knowledge of coping skills. The results suggest that knowledge based material on random events, problem gambling awareness and self-monitoring skills, and coping skills can be taught. Future development of the curriculum will focus on content to expand the students' coping skill options. PMID:18095146

  20. A critical review of expert systems for corrosion prevention and control

    SciTech Connect

    Roberge, P.R.

    1994-12-31

    The serious gap that exists between modern corrosion science and the real world, where a heavy toll is continuously paid to corrosion, is a clear indication that the present knowledge of corrosion mechanisms is not always translated into sound practices. The dichotomy between prevention principles discovered in a laboratory environment and their application on an industrial scale can often be felt at specialized conferences where scientists and operational engineers seem to be speaking different languages. The application of artificial intelligence to perform expert functions has opened new communication channels between various strata of corrosion knowledge holders. This paper reviews the efforts recently made public on the applications of the expert system technology to corrosion prevention and control.

  1. Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications.

    PubMed

    Porteous, Grete H; Hanson, Neil A; Sueda, Lila Ann A; Hoaglan, Carli D; Dahl, Aaron B; Ohlson, Brooks B; Schmidt, Brian E; Wang, Chia C; Fagley, R Eliot

    2016-05-01

    Vaccine-preventable diseases (VPDs) such as measles and pertussis are becoming more common in the United States. This disturbing trend is driven by several factors, including the antivaccination movement, waning efficacy of certain vaccines, pathogen adaptation, and travel of individuals to and from areas where disease is endemic. The anesthesia-related manifestations of many VPDs involve airway complications, cardiovascular and respiratory compromise, and unusual neurologic and neuromuscular symptoms. In this article, we will review the presentation and management of 9 VPDs most relevant to anesthesiologists, intensivists, and other hospital-based clinicians: measles, mumps, rubella, pertussis, diphtheria, influenza, meningococcal disease, varicella, and poliomyelitis. Because many of the pathogens causing these diseases are spread by respiratory droplets and aerosols, appropriate transmission precautions, personal protective equipment, and immunizations necessary to protect clinicians and prevent nosocomial outbreaks are described. PMID:27088999

  2. Why a macroeconomic perspective is critical to the prevention of noncommunicable disease.

    PubMed

    Smith, Richard

    2012-09-21

    Effective prevention of noncommunicable diseases will require changes in how we live, and thereby effect important economic changes across populations, sectors, and countries. What we do not know is which populations, sectors, or countries will be positively or negatively affected by such changes, nor by how much. Without this information we cannot know which policies will produce effects that are beneficial both for economies and for health. PMID:22997330

  3. Behavioral Interventions to Prevent HIV Transmission and Acquisition for Transgender Women: A Critical Review

    PubMed Central

    Kuhns, Lisa M.; Reisner, Sari L.; Mimiaga, Matthew J.

    2016-01-01

    Abstract: Worldwide, transgender women are at disproportionately higher risk of HIV infection, with the primary mode of infection being condomless anal intercourse. Although very few HIV prevention interventions have been developed and tested specifically for transgender women, growing evidence suggests that behavioral HIV risk reduction interventions for other marginalized groups are efficacious. We outline the current state of knowledge and areas in need of further development in this area. PMID:27429186

  4. Behavioral Interventions to Prevent HIV Transmission and Acquisition for Transgender Women: A Critical Review.

    PubMed

    Garofalo, Robert; Kuhns, Lisa M; Reisner, Sari L; Mimiaga, Matthew J

    2016-08-15

    Worldwide, transgender women are at disproportionately higher risk of HIV infection, with the primary mode of infection being condomless anal intercourse. Although very few HIV prevention interventions have been developed and tested specifically for transgender women, growing evidence suggests that behavioral HIV risk reduction interventions for other marginalized groups are efficacious. We outline the current state of knowledge and areas in need of further development in this area. PMID:27429186

  5. Combinations of Obesity Prevention Strategies in U.S. Elementary Schools: A Critical Review

    PubMed Central

    Shirley, Kaleena; Rutfield, Rachel; Hall, Nathanael; Fedor, Nicholas; McCaughey, Virginia K.; Zajac, Kristyn

    2014-01-01

    The prevalence of obesity among children has roughly tripled in the past thirty years. Given the numerous health risks associated with obesity, elementary schools have implemented a variety of prevention programs targeting this problem. This review examines recent studies of combinations of obesity prevention programs in U.S. elementary schools and offers recommendations about effective strategies. We found twelve studies that met selection criteria and reviewed their findings related to obesity-related outcomes. Among the single intervention strategies, neither physical activity nor education alone demonstrated efficacy in reducing objective measures of obesity. Most studies of programs with two or three components (i.e., physical activity plus nutrition, physical activity plus both education and nutrition) found statistically significant improvements in objective obesity-related outcomes. Studies evaluating programs with community and parental involvement suggest that these components may increase effectiveness. However, studies assessing outcomes following the cessation of the program showed a reversal of positive effects, suggesting that long-term implementation of programs is important for sustained gains. Results suggest that combinations of obesity prevention programs sustained over time are most likely to be effective. PMID:25288474

  6. [Evidence-based medicine and prevention of thrombosis in microsurgery. Critical review].

    PubMed

    Dumont, L-A; Gangloff, G; Grolleau-Raoux, J-L; Chavoin, J-P; Garrido-Stowhas, I

    2011-06-01

    Prevention of thrombosis in microsurgery was the point of numerous publications without any referenced protocol. The question of this article was to know if it existed, for a patient who needed a microsurgical procedure, any medical treatment used, proved to lower the thrombotic risk. Using principles of evidence-based medicine, we observed that none of the medical treatments proved efficiency on preventing vascular thrombosis, arterial or venous. The low molecular weight heparins (LMWH) could be used on postoperatives to prevent the deep venous thrombosis of lower limbs but not to lower specially the microvascular thrombosis rate. Aspirin did not improve the positive rates and its adjunction to LMWH increased the bleeding. The evidence-based medicine, as we used it here, permits to conclude that the microsurgeon should not wait any miracle of the medical treatments. Until scientific studies prove efficacity of a treatment, the surgeon has to make a personal choice: keeping habits or following evidence-based medicine. The experience of the surgeon, of the anesthetist and of the paramedical team seem to be the main point to decrease the thrombotic risk during the multidisciplinary healing care of the patient. PMID:20646817

  7. Respiratory health of elite athletes – preventing airway injury: a critical review

    PubMed Central

    Kippelen, Pascale; Fitch, Kenneth D; Anderson, Sandra Doreen; Bougault, Valerie; Boulet, Louis-Philippe; Rundell, Kenneth William; Sue-Chu, Malcolm; McKenzie, Donald C

    2012-01-01

    Elite athletes, particularly those engaged in endurance sports and those exposed chronically to airborne pollutants/irritants or allergens, are at increased risk for upper and lower airway dysfunction. Airway epithelial injury may be caused by dehydration and physical stress applied to the airways during severe exercise hyperpnoea and/or by inhalation of noxious agents. This is thought to initiate an inflammatory cascade/repair process that, ultimately, could lead to airway hyperresponsiveness (AHR) and asthma in susceptible athletes. The authors review the evidence relating to prevention or reduction of the risk of AHR/asthma development. Appropriate measures should be implemented when athletes exercise strenuously in an attempt to attenuate the dehydration stress and reduce the exposure to noxious airborne agents. Environmental interventions are the most important. Non-pharmacological strategies can assist, but currently, pharmacological measures have not been demonstrated to be effective. Whether early prevention of airway injury in elite athletes can prevent or reduce progression to AHR/asthma remains to be established. PMID:22522585

  8. Prevention

    MedlinePlus

    ... Prevention Treatment 2003 U.S. Outbreak African Rodent Importation Ban For Clinicians Clinical Recognition Specimen Collection Treatment Smallpox ... Examining Animals with Suspected Monkeypox African Rodent Importation Ban Resources Related Links Poxvirus Molluscum Contagiosum Orf Virus ( ...

  9. Supplemental Parenteral Nutrition Is the Key to Prevent Energy Deficits in Critically Ill Patients.

    PubMed

    Oshima, Taku; Heidegger, Claudia-Paula; Pichard, Claude

    2016-08-01

    This review emphasizes the role of a timely supplemental parenteral nutrition (PN) for critically ill patients. It contradicts the recommendations of current guidelines to avoid the use of PN, as it is associated with risk. Critical illness results in severe metabolic stress. During the early phase, inflammatory cytokines and mediators induce catabolism to meet the increased body energy demands by endogenous sources. This response is not suppressed by exogenous energy administration, and the early use of PN to reach the energy target leads to overfeeding. On the other hand, early and progressive enteral nutrition (EN) is less likely to cause overfeeding because of variable gastrointestinal tolerance, a factor frequently associated with significant energy deficit. Recent studies demonstrate that adequate feeding is beneficial during and after the intensive care unit (ICU) stay. Supplemental PN allows for timely adequate feeding, if sufficient precautions are taken to avoid overfeeding. Indirect calorimetry can precisely define the adequate energy prescription. Our pragmatic approach is to start early EN to progressively test the gut tolerance and add supplemental PN on day 3 or 4 after ICU admission, only if EN does not meet the measured energy target. We believe that supplemental PN plays a pivotal role in the achievement of adequate feeding in critically ill patients with intolerance to EN and does not cause harm if overfeeding is avoided by careful prescription, ideally based on energy expenditure measured by indirect calorimetry. PMID:27256992

  10. Lycopene and Its Antioxidant Role in the Prevention of Cardiovascular Diseases-A Critical Review.

    PubMed

    Müller, Lars; Caris-Veyrat, Catherine; Lowe, Gordon; Böhm, Volker

    2016-08-17

    The present review is based mainly on papers published between 2000 and 2011 and gives information about the properties of the carotenoid lycopene in chemical and biological systems and its possible role in preventing cardiovascular diseases (CVD). The main aim of this report is to highlight its role as an antioxidant, also reported are bioactive properties that may influence the development of foam cells and protection against endothelial cell damage. The paper will also examine recent observations that lycopene may improve blood flow and reduce inflammatory responses. Lycopene possesses antioxidant properties in vitro, and some epidemiological studies have reported protective effects against the progression of CVD. The oxidation of human low density lipoproteins (LDL) is a fundamental mechanism in the initiation of atherosclerosis. A beneficial role of lycopene as antioxidant in the prevention of CVD is suggested but the data are still controversial. Lycopene is believed to be the most potent carotenoid antioxidant in vitro. Tissue culture experiments and animal studies support potential cardioprotective effects for lycopene and other carotenoids in the blood. Most studies showed beneficial effects of lycopene to individuals who are antioxidant-deficient like elderly patients, or humans exposed to higher levels of oxidative stress like smokers, diabetics, hemodialysis patients and acute myocardial infarction patients. By defining the right population and combining antioxidant potentials of lycopene with vitamins and other bioactive plant compounds, the beneficial role of lycopene in CVD can be clarified in future studies. PMID:25675359

  11. Preventive and therapeutic strategies in critically ill patients with highly resistant bacteria.

    PubMed

    Bassetti, Matteo; De Waele, Jan J; Eggimann, Philippe; Garnacho-Montero, Josè; Kahlmeter, Gunnar; Menichetti, Francesco; Nicolau, David P; Paiva, Jose Arturo; Tumbarello, Mario; Welte, Tobias; Wilcox, Mark; Zahar, Jean Ralph; Poulakou, Garyphallia

    2015-05-01

    The antibiotic pipeline continues to diminish and the majority of the public remains unaware of this critical situation. The cause of the decline of antibiotic development is multifactorial and currently most ICUs are confronted with the challenge of multidrug-resistant organisms. Antimicrobial multidrug resistance is expanding all over the world, with extreme and pandrug resistance being increasingly encountered, especially in healthcare-associated infections in large highly specialized hospitals. Antibiotic stewardship for critically ill patients translated into the implementation of specific guidelines, largely promoted by the Surviving Sepsis Campaign, targeted at education to optimize choice, dosage, and duration of antibiotics in order to improve outcomes and reduce the development of resistance. Inappropriate antimicrobial therapy, meaning the selection of an antibiotic to which the causative pathogen is resistant, is a consistent predictor of poor outcomes in septic patients. Therefore, pharmacokinetically/pharmacodynamically optimized dosing regimens should be given to all patients empirically and, once the pathogen and susceptibility are known, local stewardship practices may be employed on the basis of clinical response to redefine an appropriate regimen for the patient. This review will focus on the most severely ill patients, for whom substantial progress in organ support along with diagnostic and therapeutic strategies markedly increased the risk of nosocomial infections. PMID:25792203

  12. Prevention and intervention strategies to alleviate preoperative anxiety in children: a critical review.

    PubMed

    Wright, Kristi D; Stewart, Sherry H; Finley, G Allen; Buffett-Jerrott, Susan E

    2007-01-01

    Preoperative anxiety (anxiety regarding impending surgical experience) in children is a common phenomenon that has been associated with a number of negative behaviors during the surgery experience (e.g., agitation, crying, spontaneous urination, and the need for physical restraint during anesthetic induction). Preoperative anxiety has also been associated with the display of a number of maladaptive behaviors postsurgery, including postoperative pain, sleeping disturbances, parent-child conflict, and separation anxiety. For these reasons, researchers have sought out interventions to treat or prevent childhood preoperative anxiety and possibly decrease the development of negative behaviors postsurgery. Such interventions include sedative premedication, parental presence during anesthetic induction, behavioral preparation programs, music therapy, and acupuncture. The present article reviews the existing research on the various modes of intervention for preoperative anxiety in children. Clinical implications and future directions are discussed. PMID:17179531

  13. A critical evaluation of arguments opposing male circumcision for HIV prevention in developed countries

    PubMed Central

    Morris, Brian J.; Bailey, Robert C.; Klausner, Jeffrey D.; Leibowitz, Arleen; Wamai, Richard G.; Waskett, Jake H.; Banerjee, Joya; Halperin, Daniel T.; Zoloth, Laurie; Weiss, Helen A.; Hankins, Catherine A.

    2013-01-01

    A potential impediment to evidence-based policy development on medical male circumcision (MC) for HIV prevention in all countries worldwide is the uncritical acceptance by some of arguments used by opponents of this procedure. Here we evaluate recent opinion-pieces of 13 individuals opposed to MC. We find that these statements misrepresent good studies, selectively cite references, some containing fallacious information, and draw erroneous conclusions. In marked contrast, the scientific evidence shows MC to be a simple, low-risk procedure with very little or no adverse long-term effect on sexual function, sensitivity, sensation during arousal or overall satisfaction. Unscientific arguments have been recently used to drive ballot measures aimed at banning MC of minors in the USA, eliminate insurance coverage for medical MC for low-income families, and threaten large fines and incarceration for health care providers. Medical MC is a preventative health measure akin to immunisation, given its protective effect against HIV infection, genital cancers and various other conditions. Protection afforded by neonatal MC against a diversity of common medical conditions starts in infancy with urinary tract infections and extends throughout life. Besides protection in adulthood against acquiring HIV, MC also reduces morbidity and mortality from multiple other sexually transmitted infections (STIs) and genital cancers in men and their female sexual partners. It is estimated that over their lifetime one-third of uncircumcised males will suffer at least one foreskin-related medical condition. The scientific evidence indicates that medical MC is safe and effective. Its favourable risk/benefit ratio and cost/benefit support the advantages of medical MC. PMID:22452415

  14. A Comparativist's Predicaments of Writing about "Other" Education: A Self-Reflective, Critical Review of Studies of Japanese Education

    ERIC Educational Resources Information Center

    Takayama, Keita

    2011-01-01

    This self-reflexive essay teases out the predicaments that I have encountered through my past publishing experience, while situating them in a critical review of the existing English-language studies of Japanese education. Drawing on postcolonial theoretical insights and recent critical sociology of academic knowledge production, I use my personal…

  15. Cumulative experiences with life adversity: Identifying critical levels for targeting prevention efforts

    PubMed Central

    Mitchell, Kimberly J.; Tynes, Brendesha; Umaña-Taylor, Adriana J.; Williams, David

    2015-01-01

    This paper aims to assess the role of individual types and cumulative life adversity for understanding depressive symptomatology and aggressive behavior. Data were collected in 2011 as part of the Teen Life Online and in Schools Study from 916 ethnically-diverse students from 12 middle, K-8, 6-12 and high schools in the Midwest United States. Youth reported an average of 4.1 non-victimization adversities and chronic stressors in their lifetimes. There was a linear relationship between number of adversities and depression and aggression scores. Youth reporting the highest number of adversities (7 or more) had significantly higher depression and aggression scores than youth reporting any other number of adversities suggesting exposure at this level is a critical tipping point for mental health concerns. Findings underscore an urgent need to support youth as they attempt to negotiate, manage, and cope with adversity in their social worlds. PMID:26057876

  16. Cumulative experiences with life adversity: Identifying critical levels for targeting prevention efforts.

    PubMed

    Mitchell, Kimberly J; Tynes, Brendesha; Umaña-Taylor, Adriana J; Williams, David

    2015-08-01

    This paper aims to assess the role of individual types and cumulative life adversity for understanding depressive symptomatology and aggressive behavior. Data were collected in 2011 as part of the Teen Life Online and in Schools Study from 916 ethnically-diverse students from 12 middle, K-8, 6-12 and high schools in the Midwest United States. Youth reported an average of 4.1 non-victimization adversities and chronic stressors in their lifetimes. There was a linear relationship between number of adversities and depression and aggression scores. Youth reporting the highest number of adversities (7 or more) had significantly higher depression and aggression scores than youth reporting any other number of adversities suggesting exposure at this level is a critical tipping point for mental health concerns. Findings underscore an urgent need to support youth as they attempt to negotiate, manage, and cope with adversity in their social worlds. PMID:26057876

  17. β-cell dysfunction: Its critical role in prevention and management of type 2 diabetes

    PubMed Central

    Saisho, Yoshifumi

    2015-01-01

    Type 2 diabetes (T2DM) is characterized by insulin resistance and β-cell dysfunction. Although, in contrast to type 1 diabetes, insulin resistance is assumed to be a major pathophysiological feature of T2DM, T2DM never develops unless β-cells fail to compensate insulin resistance. Recent studies have revealed that a deficit of β-cell functional mass is an essential component of the pathophysiology of T2DM, implying that β-cell deficit is a common feature of both type 1 and type 2 diabetes. β-cell dysfunction is present at the diagnosis of T2DM and progressively worsens with disease duration. β-cell dysfunction is associated with worsening of glycemic control and treatment failure; thus, it is important to preserve or recover β-cell functional mass in the management of T2DM. Since β-cell regenerative capacity appears somewhat limited in humans, reducing β-cell workload appears to be the most effective way to preserve β-cell functional mass to date, underpinning the importance of lifestyle modification and weight loss for the treatment and prevention of T2DM. This review summarizes the current knowledge on β-cell functional mass in T2DM and discusses the treatment strategy for T2DM. PMID:25685282

  18. Antiplatelet therapy for secondary prevention of noncardioembolic ischemic stroke: a critical review.

    PubMed

    O'Donnell, Martin J; Hankey, Graeme J; Eikelboom, John W

    2008-05-01

    For patients with ischemic stroke or transient ischemic attack caused by atherothromboembolism, immediate and long-term aspirin reduces the relative risk of recurrent stroke, MI, and death attributable to vascular causes. Oral anticoagulation is not more effective than aspirin. Long-term clopidogrel reduces the relative risk of stroke, MI, or vascular death by about 9% (0.3% to 16.5%) compared with aspirin. Any long-term benefits of clopidogrel combined with aspirin, compared with aspirin or clopidogrel alone, appear to be offset by increased major bleeding. The combination of aspirin and extended-release dipyridamole reduces the relative odds of stroke, MI, or vascular death by about 18% (odds ratio 0.82, 0.74 to 0.91) compared with aspirin alone without causing more bleeding. Cilostazole reduces the risk of stroke, MI, or vascular death by 39% compared to placebo. A large clinical trial comparing clopidogrel with the combination of aspirin and dipyridamole, in >20 000 patients with recent (<120 days) atherothrombotic ischemic stroke, is expected to report in 2008. Emerging antiplatelet therapies presently being evaluated for secondary prevention of atherothromboembolism include other P(2)Y(12) ADP receptor antagonists (prasugrel, cangrelor, AZD 6140), thromboxane receptor antagonists (eg, S18886 - terutroban), and thrombin receptor (PAR-1) antagonists (eg, SCH530348). PMID:18369175

  19. Sexual assault prevention programs for college-aged men: a critical evaluation.

    PubMed

    Garrity, Stacy E

    2011-03-01

    An unacceptably large percent of women experience sexual assault during their collegiate years and efforts to eliminate sexual assault exist in various forms at numerous universities. The only way to effectively decrease the occurrence of rape on college campuses is to stop the perpetrators. This review examined established sexual assault prevention programs designed for college men to determine if an ideal educational program exists, or if one can be established, to effectively change male attitudes and behaviors about sexual assault. A library search of scientific databases yielded seven studies, published from 2000 to 2007, that met inclusion criteria. Through a variety of interventions, a measurable number of formerly held attitudes about rape myth and the role of the bystanders in an assaultive situation were effectively changed immediately postintervention in several studies. In addition, one study demonstrated sustained behavioral change. These results can effectively be used to provide education for forensic and school-based nurses to guide practice for development of educational programs to successfully change harmful attitudes and beliefs that contribute to rape. PMID:21348933

  20. SUMO-targeted ubiquitin ligase RNF4 plays a critical role in preventing chromosome loss.

    PubMed

    Hirota, Kouji; Tsuda, Masataka; Murai, Junko; Takagi, Tokiyo; Keka, Islam Shamima; Narita, Takeo; Fujita, Mari; Sasanuma, Hiroyuki; Kobayashi, Junya; Takeda, Shunichi

    2014-10-01

    RING finger protein 4 (RNF4) represents a subclass of ubiquitin ligases that target proteins modified by the small ubiquitin-like modifier (SUMO) for ubiquitin-mediated degradation. We disrupted the RNF4 gene in chicken DT40 cells and found that the resulting RNF4(-/-) cells gradually lost proliferation capability. Strikingly, this compromised proliferation was associated with an unprecedented cellular effect: the gradual decrease in the number of intact chromosomes. In the 6 weeks after gene targeting, there was a 25% reduction in the DNA content of the RNF4(-/-) cells. Regarding trisomic chromosome 2, 60% of the RNF4(-/-) cells lost one homologue, suggesting that DNA loss was mediated by whole chromosome loss. To determine the cause of this chromosome loss, we examined cell-cycle checkpoint pathways. RNF4(-/-) cells showed a partial defect in the spindle assembly checkpoint, premature dissociation of sister chromatids, and a marked increase in the number of lagging chromosomes at anaphase. Thus, combined defects in SAC and sister chromatid cohesion may result in increased lagging chromosomes, leading to chromosome loss without accompanying chromosome gain in RNF4(-/-) cells. We therefore propose that RNF4 plays a novel role in preventing the loss of intact chromosomes and ensures the maintenance of chromosome integrity. PMID:25205350

  1. Critical Thinking and Reflection Exercises in a Biochemistry Course to Improve Prospective Health Professions Students’ Attitudes Toward Physician-Pharmacist Collaboration

    PubMed Central

    Cornell, Susan; Fjortoft, Nancy; Bjork, Bryan C.; Chandar, Nalini; Green, Jacalyn M.; La Salle, Sophie; Viselli, Susan M.; Burdick, Paulette; Lynch, Sean M.

    2013-01-01

    Objective. To determine the impact of performing critical-thinking and reflection assignments within interdisciplinary learning teams in a biochemistry course on pharmacy students’ and prospective health professions students’ collaboration scores. Design. Pharmacy students and prospective medical, dental, and other health professions students enrolled in a sequence of 2 required biochemistry courses. They were randomly assigned to interdisciplinary learning teams in which they were required to complete case assignments, thinking and reflection exercises, and a team service-learning project. Assessment. Students were asked to complete the Scale of Attitudes Toward Physician-Pharmacist Collaboration prior to the first course, following the first course, and following the second course. The physician-pharmacist collaboration scores of prospective health professions students increased significantly (p<0.001). Conclusions. Having prospective health professions students work in teams with pharmacy students to think and reflect in and outside the classroom improves their attitudes toward physician-pharmacist collaboration. PMID:24159210

  2. Interleukin-2 critically regulates bone marrow erythropoiesis and prevents anemia development.

    PubMed

    Chopra, Martin; Langenhorst, Daniela; Beilhack, Andreas; Serfling, Edgar; Patra, Amiya K

    2015-12-01

    Mice deficient in IL-2 signaling develop severe anemia indicating a defect in erythropoiesis. However, why deficiency in IL-2, an essential growth factor for lymphocytes, or in IL-2 signaling components should result in defective erythropoiesis is unclear. Here, we have analyzed the mechanism of IL-2 signaling deficiency induced anemia in mice and show that IL-2 plays an indispensable role in bone marrow (BM) erythropoiesis via maintenance of regulatory T (Treg) cells. In absence of IL-2 signaling, IFN-γ produced by the activated T cells suppressed klf1 expression, resulting in an early block in erythrocyte differentiation. Anemia, in IL-2 or IL-2 signaling deficient mice always developed prior to the manifestation of other autoimmune complications such as colitis, suggesting that anemia in these mice might be a contributing factor in inducing other pathological complications in later stages. Our study shows, how essential cytokines of lymphoid cells could exert critical influence on the development of erythrocytes and thus expanding our understanding of the complex regulation of hematopoiesis in the BM. Besides, our findings might facilitate the use of IL-2 and anti-IFN-γ as a clinical remedy against anemia that arise in cancer patients following radiotherapy or chemotherapy, a context which simulates the situation of IL-2 deficiency. PMID:26404745

  3. Improvement of Aerosol Optical Depth Retrieval over Hong Kong from a Geostationary Meteorological Satellite Using Critical Reflectance with Background Optical Depth Correction

    NASA Technical Reports Server (NTRS)

    Kim, Mijin; Kim, Jhoon; Wong, Man Sing; Yoon, Jongmin; Lee, Jaehwa; Wu, Dong L.; Chan, P.W.; Nichol, Janet E.; Chung, Chu-Yong; Ou, Mi-Lim

    2014-01-01

    Despite continuous efforts to retrieve aerosol optical depth (AOD) using a conventional 5-channelmeteorological imager in geostationary orbit, the accuracy in urban areas has been poorer than other areas primarily due to complex urban surface properties and mixed aerosol types from different emission sources. The two largest error sources in aerosol retrieval have been aerosol type selection and surface reflectance. In selecting the aerosol type from a single visible channel, the season-dependent aerosol optical properties were adopted from longterm measurements of Aerosol Robotic Network (AERONET) sun-photometers. With the aerosol optical properties obtained fromthe AERONET inversion data, look-up tableswere calculated by using a radiative transfer code: the Second Simulation of the Satellite Signal in the Solar Spectrum (6S). Surface reflectance was estimated using the clear sky composite method, awidely used technique for geostationary retrievals. Over East Asia, the AOD retrieved from the Meteorological Imager showed good agreement, although the values were affected by cloud contamination errors. However, the conventional retrieval of the AOD over Hong Kong was largely underestimated due to the lack of information on the aerosol type and surface properties. To detect spatial and temporal variation of aerosol type over the area, the critical reflectance method, a technique to retrieve single scattering albedo (SSA), was applied. Additionally, the background aerosol effect was corrected to improve the accuracy of the surface reflectance over Hong Kong. The AOD retrieved froma modified algorithmwas compared to the collocated data measured by AERONET in Hong Kong. The comparison showed that the new aerosol type selection using the critical reflectance and the corrected surface reflectance significantly improved the accuracy of AODs in Hong Kong areas,with a correlation coefficient increase from0.65 to 0.76 and a regression line change from tMI [basic algorithm] = 0

  4. Refined analysis of the critical age ranges of childhood overweight: implications for primary prevention.

    PubMed

    Hoffmann, Sascha W; Ulrich, Rolf; Simon, Perikles

    2012-10-01

    Prevention-interventions would certainly benefit from a precise knowledge of the age range when the most pronounced increases in prevalence of overweight and obesity occur in the general population. Data of 15,662 subjects aged 2-18 years were obtained from a national representative health survey (German Health Interview and Examination Survey for Children and Adolescents (KiGGS)) conducted in Germany. Weight, height, and BMI z-scores were calculated relative to the UK 1990 reference, and prevalence of overweight and obesity was defined according to the IOTF (International Obesity Task Force) age- and sex-specific cut-offs. Univariate ANOVAs for overweight, obesity, weight, height, and BMI z-scores as dependent variables were employed to assess significant differences for these measures across various age levels. Significant analysis was followed by post-hoc comparisons using Bonferroni adjustments. The main effect of age was estimated using a multinomial logistic regression model, and by defining the first derivative of a polynomial spline function. Different eclectic slopes over the entire age range from 2 to 18 years have been observed. Prevalence of overweight substantially increases between the 5th and the 8th year (12.5-21.4%; P ≤ 0.001). Maximum increase of the polynomial fit was detected at 7.2 years. Our findings suggest a relatively narrow age range at the first school year when overweight in German children especially increases. We therefore propose that psychosocial correlates may be related to the general life-time event around the age of entering school. PMID:22714087

  5. Apolipoprotein A-V gene therapy for disease prevention / treatment: a critical analysis

    PubMed Central

    Forte, Trudy M.; Sharma, Vineeta; Ryan, Robert O.

    2016-01-01

    Abstract Apolipoprotein (apo) A-V is a novel member of the class of exchangeable apo's involved in triacylglycerol (TG) homeostasis. Whereas a portion of hepatic-derived apoA-V is secreted into plasma and functions to facilitate lipo­protein lipase-mediated TG hydrolysis, another portion is recovered intracellularly, in association with cytosolic lipid droplets. Loss of apoA-V function is positively correlated with elevated plasma TG and increased risk of car­diovascular disease. Single nucleotide polymorphisms (SNP) in the APOA5 locus can affect transcription efficiency or introduce deleterious amino acid substitutions. Likewise, rare mutations in APOA5 that compromise functionality are associated with increased plasma TG and premature myocardial infarction. Genetically engineered mouse mod­els and human population studies suggest that, in certain instances, supplementation with wild type (WT) apoA-V may have therapeutic benefit. It is hypothesized that individuals that manifest elevated plasma TG owing to deleter­ious APOA5 SNPs or rare mutations would respond to WT apoA-V supplementation with improved plasma TG clearance. On the other hand, subjects with hypertriglyceridemia of independent origin (unrelated to apoA-V func­tion) may not respond to apoA-V augmentation in this manner. Improvement in the ability to identify individuals predicted to benefit, advances in gene transfer technology and the strong connection between HTG and heart disease, point to apoA-V supplementation as a viable disease prevention / therapeutic strategy. Candidates would include individuals that manifest chronic TG elevation, have low plasma apoA-V due to an APOA5 mutation/polymorphism and not have deleterious mutations/polymorphisms in other genes known to influence plasma TG levels. PMID:26679785

  6. The "Messy" Business of Academic Developers Leading Other Academic Developers: Critical Reflection on a Curriculum Realignment Exercise

    ERIC Educational Resources Information Center

    Thomas, Sharon; Cordiner, Moira

    2014-01-01

    Little has been written about academic developers (ADs) working in teams leading other ADs. This paper chronicles the experience of a group of ADs in one Australian university working on a curriculum realignment exercise. Unexpectedly the dominant theme in participants' reflections was group dynamics, not the process. We were confronted by…

  7. International Pre-Service Teachers' Self-Confidence in Critical Reflective Thinking and Writing through an Intercultural Patches Program

    ERIC Educational Resources Information Center

    Tangen, Donna; Mercer, Louise

    2012-01-01

    This paper describes part of an action research study that was designed to explore the outcomes of an ongoing program in which the participants, a group of domestic and international pre-service teachers and lecturers, worked together in reflective writing workshops. While the primary long-term goal of the program was to develop the intercultural…

  8. Difference as a Creative and Critical Force in Teacher Education: Reflective Partners Teaching in and out of the Wheelchair

    ERIC Educational Resources Information Center

    Østern, Tone Pernille; Øyen, Elen

    2014-01-01

    This study reflects on a research and development project between two dance practitioners, one of them a wheelchair user, working together to develop pedagogical design within teacher education at a university in Norway. The aim of the authors is to encourage student teachers toward becoming inclusive and brave teachers who define diversity among…

  9. The Ethical Foundation of Critical Pedagogy in Contemporary Academia: (Self)-Reflection and Complicity in the Process of Teaching

    ERIC Educational Resources Information Center

    Rabikowska, Marta

    2009-01-01

    In this paper an ethical approach to educational methodology is discussed in relation to the philosophies of Emanuel Levinas and Robert Cox. Cox's anti-essentialist understanding of historical materialism and Levinas' metaphysical idealism are applied to an analysis of the (self)-reflective methods required today in Higher Education in the UK,…

  10. The Reliability of Evidence Contained in the National Qualifications Framework Impact Study: A Critical Reflection--Research Article

    ERIC Educational Resources Information Center

    Higgs, Philip; Keevy, James

    2007-01-01

    This article reflects on the reliability of the evidence contained in the National Qualifications Framework Impact Study, a longitudinal comparative study conducted by the South African Qualifications Authority since 2002. In so doing, the veracity of evidence-based research in determining the impact of the South African Qualifications Framework…

  11. A "Quality Revolution" Constrained? A Critical Reflection on Quality Assurance Methodology from the South African Higher Education Context

    ERIC Educational Resources Information Center

    Luckett, Kathy

    2010-01-01

    This paper attempts a brief meta-reflection on quality assurance policy and practice in South African higher education, with a focus on methodology. More specifically it seeks to answer the question "What are the effects of the Higher Education Quality Committee's (HEQC) quality assurance technologies on institutional practice and how could they…

  12. Moving Forward by Looking Back: Reflecting on a Decade of CDC's Work in Sexual Violence Prevention, 2000–2010

    PubMed Central

    Simon, Thomas R.; Basile, Kathleen C.; Yee, Sue Lin; Lang, Karen; Spivak, Howard

    2012-01-01

    Abstract In 2011, the Division of Violence Prevention (DVP) within CDC's Injury Center engaged an external panel of experts to review and evaluate its research and programmatic portfolio for sexual violence (SV) prevention from 2000 to 2010. This article summarizes findings from the review by highlighting DVP's key activities and accomplishments during this period and identifying remaining gaps in the field and future directions for SV prevention. DVP's SV prevention work in the 2000s included (1) raising the profile of SV as a public health problem, (2) shifting the field toward a focus on the primary prevention of SV perpetration, and (3) applying the public health model to SV research and programmatic activities. The panel recommended that DVP continue to draw attention to the importance of sexual violence prevention as a public health issue, build on prior investments in the Rape Prevention and Education Program, support high-quality surveillance and research activities, and enhance communication to improve the link between research and practice. Current DVP projects and priorities provide a foundation to actively address these recommendations. In addition, DVP continues to provide leadership and guidance to the research and practice fields, with the goal of achieving significant reductions in SV perpetration and allowing individuals to live to their full potential. PMID:23140201

  13. The Power of Debate: Reflections on the Potential of Debates for Engaging Students in Critical Thinking about Controversial Geographical Topics

    ERIC Educational Resources Information Center

    Healey, Ruth L.

    2012-01-01

    Many controversial subjects characterize geography in the 21st century. Issues such as climate change, sustainability and social exclusion generate much discussion and often involve clear differences in opinion of how they might be addressed. Higher education is an important space for critical engagement with challenging issues. Preparing for and…

  14. Teachers' Reflections on the Perceptions of Oppression and Liberation in Neo-Marxist Critical Pedagogies

    ERIC Educational Resources Information Center

    Yaakoby, Tova

    2013-01-01

    Critical pedagogy speaks of teachers as liberating and transformative intellectuals. Yet their voice is absent from its discourse.The emancipatory action research, described in this article, created a dialogue between teachers and the ideas concerning oppression and liberation found in Neo-Marxist pedagogies. It strongly suggests that teachers can…

  15. Critical Reflection on the Massification of Higher Education in Korea: Consequences for Graduate Employment and Policy Issues

    ERIC Educational Resources Information Center

    Yeom, Min-ho

    2016-01-01

    The paper critically reviews the results of Korean massification in higher education (HE) and focuses on the consequences related to graduate employment. By analysing statistical data and reviewing related articles, this study explores the process of the massification of HE, investigates major factors influencing the expansion, and analyses and…

  16. LeaderBeing: Critical Reflections on Context, Character and Challenge in the Culture of Research and Its Administration

    ERIC Educational Resources Information Center

    Gabriele, Edward F.; Caines, Vaughan V.

    2014-01-01

    Servant leadership is a critical concept for understanding the ongoing importance of research administration as a central profession of service within the culture of research itself. The leadership of research administrators is both a unique gift and a challenge to the research culture. To ensure the continued productivity of the research…

  17. Family, friend or foe? Critical reflections on the relevance and role of social capital in health promotion and community development.

    PubMed

    Wakefield, Sarah E L; Poland, Blake

    2005-06-01

    Social capital has been the focus of considerable academic and policy interest in recent years. Despite this interest, the concept remains undertheorized: there is an urgent need for a critical engagement with this literature that goes beyond summary. This paper lays a foundation for a critical dialogue between social capital and health promotion, by examining problematics in the conceptualization and practice of social capital building and linking these to models of community development, a cornerstone health promotion strategy. In so doing, the paper contributes to the existing literature by providing a theoretical exposition and critique of various threads in social capital discourse, and linking these threads explicitly to community development practice. Distinctions between communitarian, institutional and critical approaches to social capital are elaborated, and the relationships between these three approaches and three models of community development-social planning, locality development, and social action-are discussed. The existing social capital literature is then critically examined in relation to three key themes common to both literatures: community integration, public participation, and power relations. This examination suggests that social capital cannot be conceived in isolation from economic and political structures, since social connections are contingent on, and structured by, access to material resources. This runs counter to many current policy discourses, which focus on the importance of connection and cohesion without addressing fundamental inequities in access to resources. This paper posits that approaches to community development and social capital should emphasise the importance of a conscious concern with social justice. A construction of social capital which explicitly endorses the importance of transformative social engagement, while at the same time recognising the potential negative consequences of social capital development, could

  18. Critical Thinking.

    ERIC Educational Resources Information Center

    Callison, Daniel

    1998-01-01

    Distinguishes between critical and creative thinking and discusses critical-thinking in relation to modern instructional programs and information literacy. Outlines goals in critical-thinking curriculum, critical thinking skills (student disposition, interpretation, analysis, evaluation, inference, presenting argument, and reflection), and…

  19. Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries

    PubMed Central

    2012-01-01

    Background An obstetric fistula is a traumatic childbirth injury that occurs when labor is obstructed and delivery is delayed. Prolonged obstructed labor leads to the destruction of the tissues that normally separate the bladder from the vagina and creates a passageway (fistula) through which urine leaks continuously. Women with a fistula become social outcasts. Universal high-quality maternity care has eliminated the obstetric fistula in wealthy countries, but millions of women in resource-poor nations still experience prolonged labor and tens of thousands of new fistula sufferers are added to the millions of pre-existing cases each year. This article discusses fistula prevention in developing countries, focusing on the factors which delay treatment of prolonged labor. Discussion Obstetric fistulas can be prevented through contraception, avoiding obstructed labor, or improving outcomes for women who develop obstructed labor. Contraception is of little use to women who are already pregnant and there is no reliable screening test to predict obstruction in advance of labor. Improving the outcome of obstructed labor depends on prompt diagnosis and timely intervention (usually by cesarean section). Because obstetric fistulas are caused by tissue compression, the time interval from obstruction to delivery is critical. This time interval is often extended by delays in deciding to seek care, delays in arriving at a hospital, and delays in accessing treatment after arrival. Communities can reasonably demand that governments and healthcare institutions improve the second (transportation) and third (treatment) phases of delay. Initial delays in seeking hospital care are caused by failure to recognize that labor is prolonged, confusion concerning what should be done (often the result of competing therapeutic pathways), lack of women’s agency, unfamiliarity with and fear of hospitals and the treatments they offer (especially surgery), and economic constraints on access to

  20. Preventing E-cadherin aberrant N-glycosylation at Asn-554 improves its critical function in gastric cancer.

    PubMed

    Carvalho, S; Catarino, T A; Dias, A M; Kato, M; Almeida, A; Hessling, B; Figueiredo, J; Gärtner, F; Sanches, J M; Ruppert, T; Miyoshi, E; Pierce, M; Carneiro, F; Kolarich, D; Seruca, R; Yamaguchi, Y; Taniguchi, N; Reis, C A; Pinho, S S

    2016-03-31

    E-cadherin is a central molecule in the process of gastric carcinogenesis and its posttranslational modifications by N-glycosylation have been described to induce a deleterious effect on cell adhesion associated with tumor cell invasion. However, the role that site-specific glycosylation of E-cadherin has in its defective function in gastric cancer cells needs to be determined. Using transgenic mice models and human clinical samples, we demonstrated that N-acetylglucosaminyltransferase V (GnT-V)-mediated glycosylation causes an abnormal pattern of E-cadherin expression in the gastric mucosa. In vitro models further indicated that, among the four potential N-glycosylation sites of E-cadherin, Asn-554 is the key site that is selectively modified with β1,6 GlcNAc-branched N-glycans catalyzed by GnT-V. This aberrant glycan modification on this specific asparagine site of E-cadherin was demonstrated to affect its critical functions in gastric cancer cells by affecting E-cadherin cellular localization, cis-dimer formation, molecular assembly and stability of the adherens junctions and cell-cell aggregation, which was further observed in human gastric carcinomas. Interestingly, manipulating this site-specific glycosylation, by preventing Asn-554 from receiving the deleterious branched structures, either by a mutation or by silencing GnT-V, resulted in a protective effect on E-cadherin, precluding its functional dysregulation and contributing to tumor suppression. PMID:26189796

  1. Preventing E-cadherin aberrant N-glycosylation at Asn-554 improves its critical function in gastric cancer

    PubMed Central

    Carvalho, S; Catarino, TA; Dias, AM; Kato, M; Almeida, A; Hessling, B; Figueiredo, J; Gärtner, F; Sanches, JM; Ruppert, T; Miyoshi, E; Pierce, M; Carneiro, F; Kolarich, D; Seruca, R; Yamaguchi, Y; Taniguchi, N; Reis, CA; Pinho, SS

    2016-01-01

    E-cadherin is a central molecule in the process of gastric carcinogenesis and its posttranslational modifications by N-glycosylation have been described to induce a deleterious effect on cell adhesion associated with tumor cell invasion. However, the role that site-specific glycosylation of E-cadherin has in its defective function in gastric cancer cells needs to be determined. Using transgenic mice models and human clinical samples, we demonstrated that N-acetylglucosaminyltransferase V (GnT-V)-mediated glycosylation causes an abnormal pattern of E-cadherin expression in the gastric mucosa. In vitro models further indicated that, among the four potential N-glycosylation sites of E-cadherin, Asn-554 is the key site that is selectively modified with β1,6 GlcNAc-branched N-glycans catalyzed by GnT-V. This aberrant glycan modification on this specific asparagine site of E-cadherin was demonstrated to affect its critical functions in gastric cancer cells by affecting E-cadherin cellular localization, cis-dimer formation, molecular assembly and stability of the adherens junctions and cell–cell aggregation, which was further observed in human gastric carcinomas. Interestingly, manipulating this site-specific glycosylation, by preventing Asn-554 from receiving the deleterious branched structures, either by a mutation or by silencing GnT-V, resulted in a protective effect on E-cadherin, precluding its functional dysregulation and contributing to tumor suppression. PMID:26189796

  2. Thinking Critically about Critical Thinking

    ERIC Educational Resources Information Center

    Mulnix, Jennifer Wilson

    2012-01-01

    As a philosophy professor, one of my central goals is to teach students to think critically. However, one difficulty with determining whether critical thinking can be taught, or even measured, is that there is widespread disagreement over what critical thinking actually is. Here, I reflect on several conceptions of critical thinking, subjecting…

  3. Intricacies and strategies for the implementation of new technologies in radiotherapy: Reflections on the meaning and prevention of the error

    NASA Astrophysics Data System (ADS)

    Espejo-Villalobos, J. D.; Franco-Cabrera, M. C.; Estrada-Hernandez, C.; Quintero-Castelan, M. S.

    2012-10-01

    When facing the challenge of implementing new technologies in Radiotherapy, a reflection on philosophical and ethical principles is in order for the Medical Physicist to assume a reality of increased risks of harm to the patient. A series of ideas from philosophers and clinical professionals are reviewed to encourage an increased awareness of our ethical responsibility towards patients that entrust us with their hopes for alleviating their disease.

  4. Intricacies and strategies for the implementation of new technologies in radiotherapy: Reflections on the meaning and prevention of the error

    SciTech Connect

    Espejo-Villalobos, J. D.; Franco-Cabrera, M. C.; Estrada-Hernandez, C.; Quintero-Castelan, M. S.

    2012-10-23

    When facing the challenge of implementing new technologies in Radiotherapy, a reflection on philosophical and ethical principles is in order for the Medical Physicist to assume a reality of increased risks of harm to the patient. A series of ideas from philosophers and clinical professionals are reviewed to encourage an increased awareness of our ethical responsibility towards patients that entrust us with their hopes for alleviating their disease.

  5. Understanding the pathogenesis of hip fracture in the elderly, osteoporotic theory is not reflected in the outcome of prevention programmes

    PubMed Central

    Guerado, Enrique; Sandalio, Rosa M; Caracuel, Zaira; Caso, Enrique

    2016-01-01

    Hip fractures are an acute and worsening public health problem. They mainly affect elderly people, a population group that is highly vulnerable to disease and accidents, and to falls in particular. Although it has been suggested that osteoporosis is the cause of hip fractures, they mainly occur after a fall has been suffered. The underlying causes of a fall are not related to osteoporosis, although pharmaceutical companies have coined the term “osteoporotic fracture” for hip fractures in the elderly. Drug treatments for osteoporosis have not diminished the frequency of these injuries, nor have they prevented the occurrence of a subsequent fracture. Since pharmaceutical interests require osteoporosis to be considered a disease, rather than a normal condition of senescence, they go further by assuming that treatment for osteoporosis is essential, and that this policy will diminish the incidence of hip fractures. On the other hand, the origin and treatment of conditions that may be conducive to provoking falls are very difficult to elucidate. In this paper, we consider some of the medical and social problems that arise in this area, as well as conflicts of interest regarding the aetiopathogenesis and prevention of hip fracture, and propose a new paradigm for the prevention of falls. PMID:27114929

  6. Medicine's perception of reality - a split picture: critical reflections on apparent anomalies within the biomedical theory of science.

    PubMed

    Kirkengen, Anna Luise; Ekeland, Tor-Johan; Getz, Linn; Hetlevik, Irene; Schei, Edvin; Ulvestad, Elling; Vetlesen, Arne Johan

    2016-08-01

    Escalating costs, increasing multi-morbidity, medically unexplained health problems, complex risk, poly-pharmacy and antibiotic resistance can be regarded as artefacts of the traditional knowledge production in Western medicine, arising from its particular worldview. Our paper presents a historically grounded critical analysis of this view. The materialistic shift of Enlightenment philosophy, separating subjectivity from bodily matter, became normative for modern medicine and yielded astonishing results. The traditional dichotomies of mind/body and subjective/objective are, however, incompatible with modern biological theory. Medical knowledge ignores central tenets of human existence, notably the physiological impact of subjective experience, relationships, history and sociocultural contexts. Biomedicine will not succeed in resolving today's poorly understood health problems by doing 'more of the same'. We must acknowledge that health, sickness and bodily functioning are interwoven with human meaning-production, fundamentally personal and biographical. This implies that the biomedical framework, although having engendered 'success stories' like the era of antibiotics, needs to be radically revised. PMID:25967850

  7. The path from art to evidence in treating critical limb ischaemia--reflections on 35 years' experience.

    PubMed

    Lepäntalo, M

    2012-01-01

    Despite numerous attempts, chronic critical limb ischaemia (CLI) has not been unequivocally defined as yet. Its epidemiology is poorly investigated and its prevalence probably higher than anticipated. It is accompanied by high mortality and morbidity irrespective of the way it is treated. Its management is very expensive. Additionally, the prevailing diabetes epidemic is increasing the need for revascularizations although there is a clear lack of evidence as to when to revascularize an ulcerated diabetic foot. The fast development of endovascular techniques blurs the vision as the window of opportunity for gathering proper evidence keeps narrowing. The notion of endovascular artistry prevails, but attempts to conduct proper studies with clear definitions, strict criteria and appropriate outcome measures in a standardised manner should continue--preferably using propensity scoring if randomised controlled trials are not possible. This review highlights some of the steps leading from art to evidence and illustrates the difficulties encountered along the path. In parallel with this overview, the progress of the treatment for CLI in Finland is described from the perspective of the work concluded at Helsinki University Central Hospital. PMID:22623439

  8. Efficacy and predictors of success of noninvasive ventilation for prevention of extubation failure in critically ill children with heart disease.

    PubMed

    Gupta, Punkaj; Kuperstock, Jacob E; Hashmi, Sana; Arnolde, Vickie; Gossett, Jeffrey M; Prodhan, Parthak; Venkataraman, Shekhar; Roth, Stephen J

    2013-04-01

    The study aimed primarily to evaluate the efficacy of noninvasive ventilation (NIV) and to identify possible predictors for success of NIV therapy in preventing extubation failure in critically ill children with heart disease. The secondary objectives of this study were to assess the efficacy of prophylactic NIV therapy initiated immediately after tracheal extubation and to determine the characteristics, outcomes, and complications associated with NIV therapy in pediatric cardiac patients. A retrospective review examined the medical records of all children between the ages 1 day and 18 years who sustained acute respiratory failure (ARF) that required NIV in the cardiovascular intensive care unit (CVICU) at Lucile Packard Children's Hospital between January 2008 and June 2010. Patients were assigned to a prophylactic group if NIV was started directly after extubation and to a nonprophylactic group if NIV was started after signs and symptoms of ARF developed. Patients were designated as responders if they received NIV and did not require reintubation during their CVICU stay and nonresponders if they failed NIV and reintubation was performed. The data collected included demographic data, preexisting conditions, pre-event characteristics, event characteristics, and outcome data. The outcome data evaluated included success or failure of NIV, duration of NIV, CVICU length of stay (LOS), hospital LOS, and hospital mortality. The two complications of NIV assessed in the study included nasal bridge or forehead skin necrosis and pneumothorax. The 221 eligible events during the study period involved 172 responders (77.8 %) and 49 nonresponders (22.2 %). A total of 201 events experienced by the study cohort received continuous positive airway pressure (CPAP), with 156 responders (78 %), whereas 20 events received bilevel positive airway pressure (BiPAP), with 16 responders (80 %). In the study, 58 events (26.3 %) were assigned to the prophylactic group and 163 events (73

  9. Preventing Healthcare-Associated Infections by Monitoring the Cleanliness of Medical Devices and Other Critical Points in a Sterilization Service.

    PubMed

    Veiga-Malta, Isabel

    2016-04-01

    It is well known that the common goal of all central sterile supply departments (CSSDs) is to prevent healthcare-associated infections. Such infections entail high costs to society, not only economic but also social. Therefore, delivering safe medical devices and guaranteeing a positive contribution to the control of healthcare-associated infections form the main responsibilities of a CSSD. The monitoring of the effectiveness of medical device cleaning processes is highly recommended. However, ensuring a flawless environment for the preparation, assembly, and packaging of medical devices and clean handling of sterilized items is crucial to achieving the goal of safe medical devices. This study analyzed not only the cleanliness of surgical instruments but also two critical aspects of the surrounding environment: the cleanliness of work surfaces and the cleanliness of workers' hands. To evaluate the cleanliness of surgical instruments, two methods were used: the adenosine triphosphate (ATP) detection method and a residual protein test. It was not the intention of this work to make an exhaustive comparison of these methods. The ATP bioluminescence method was also used for monitoring the cleanliness of work surfaces and workers' hands. The aims of this study were to establish the most suitable method of evaluating the cleanliness of reusable medical devices in the CSSD and to assess the quality of the environment. Assessing the surgical instruments, work surfaces, and staff hands for cleanliness allowed the identification of possible contamination sources and to correct them by improving cleaning/disinfection protocols. Furthermore, the use of ATP monitoring tests of workers' hands highlighted the importance of staff compliance with good practice guidelines. Thus, these results have a positive impact on the CSSD quality system and, consequently, on patient safety. PMID:27100075

  10. Advances in the Science, Treatment, and Prevention of the Disease of Obesity: Reflections From a Diabetes Care Editors' Expert Forum.

    PubMed

    Cefalu, William T; Bray, George A; Home, Philip D; Garvey, W Timothy; Klein, Samuel; Pi-Sunyer, F Xavier; Hu, Frank B; Raz, Itamar; Van Gaal, Luc; Wolfe, Bruce M; Ryan, Donna H

    2015-08-01

    As obesity rates increase, so too do the risks of type 2 diabetes, cardiovascular disease, and numerous other detrimental conditions. The prevalence of obesity in U.S. adults more than doubled between 1980 and 2010, from 15.0 to 36.1%. Although this trend may be leveling off, obesity and its individual, societal, and economic costs remain of grave concern. In June 2014, a Diabetes Care Editors' Expert Forum convened to review the state of obesity research and discuss the latest prevention initiatives and behavioral, medical, and surgical therapies. This article, an outgrowth of the forum, offers an expansive view of the obesity epidemic, beginning with a discussion of its root causes. Recent insights into the genetic and physiological factors that influence body weight are reviewed, as are the pathophysiology of obesity-related metabolic dysfunction and the concept of metabolically healthy obesity. The authors address the crucial question of how much weight loss is necessary to yield meaningful benefits. They describe the challenges of behavioral modification and predictors of its success. The effects of diabetes pharmacotherapies on body weight are reviewed, including potential weight-neutral combination therapies. The authors also summarize the evidence for safety and efficacy of pharmacotherapeutic and surgical obesity treatments. The article concludes with an impassioned call for researchers, clinicians, governmental agencies, health policymakers, and health-related industries to collectively embrace the urgent mandate to improve prevention and treatment and for society at large to acknowledge and manage obesity as a serious disease. PMID:26421334

  11. Contemporary Reflections on the Safety of Long-Term Aspirin Treatment for the Secondary Prevention of Cardiovascular Disease.

    PubMed

    Fanaroff, Alexander C; Roe, Matthew T

    2016-08-01

    Aspirin has been the cornerstone of therapy for the secondary prevention treatment of patients with cardiovascular disease since landmark trials were completed in the late 1970s and early 1980s that demonstrated the efficacy of aspirin for reducing the risk of ischemic events. Notwithstanding the consistent benefits demonstrated with aspirin for both acute and chronic cardiovascular disease, there are a number of toxicities associated with aspirin that have been showcased by recent long-term clinical trials that have included an aspirin monotherapy arm. As an inhibitor of cyclooxygenase (COX), aspirin impairs gastric mucosal protective mechanisms. Previous trials have shown that up to 15-20 % of patients developed gastrointestinal symptoms with aspirin monotherapy, and approximately 1 % of patients per year had a clinically significant bleeding event, including 1 in 1000 patients who suffered an intracranial or fatal bleed. These risks have been shown to be compounded for patients with acute coronary syndromes (ACS) and those undergoing percutaneous coronary intervention (PCI) who are also treated with other antithrombotic agents during the acute care/procedural period, as well as for an extended time period afterwards. Given observations of substantial increases in bleeding rates from many prior long-term clinical trials that have evaluated aspirin together with other oral platelet inhibitors or oral anticoagulants, the focus of contemporary research has pivoted towards tailored antithrombotic regimens that attempt to either shorten the duration of exposure to aspirin or replace aspirin with an alternative antithrombotic agent. While these shifts are occurring, the safety profile of aspirin when used for the secondary prevention treatment of patients with established cardiovascular disease deserves further consideration. PMID:27028617

  12. Exposing the hidden curriculum influencing medical education on the health of Indigenous people in Australia and New Zealand: the role of the Critical Reflection Tool.

    PubMed

    Ewen, Shaun; Mazel, Odette; Knoche, Debra

    2012-02-01

    The disparity in health status between Indigenous and non-Indigenous people in Australia and New Zealand is widely known, and efforts to address this through medical education are evidenced by initiatives such as the Committee of Deans of Australian Medical Schools' Indigenous Health Curriculum Framework. These efforts have focused primarily on formal curriculum reform. In this article, the authors discuss the role of the hidden curriculum in influencing the teaching and learning of Indigenous health (i.e., the health of Indigenous people) during medical training and suggest that in order to achieve significant changes in learning outcomes, there needs to be better alignment of the formal and hidden curriculum. They describe the Critical Reflection Tool as a potential resource through which educators might begin to identify the dimensions of their institution's hidden curricula. If used effectively, the process may guide institutions to better equip medical school graduates with the training necessary to advance changes in Indigenous health. PMID:22189879

  13. Octupole degree of freedom for the critical-point candidate nucleus {sup 152}Sm in a reflection-asymmetric relativistic mean-field approach

    SciTech Connect

    Zhang, W.; Li, Z. P.; Zhang, S. Q.; Meng, J.

    2010-03-15

    The potential energy surfaces of even-even {sup 146-156}Sm are investigated in the constrained reflection-asymmetric relativistic mean-field approach with parameter set PK1. It is shown that the critical-point candidate nucleus {sup 152}Sm marks the shape/phase transition not only from U(5) to SU(3) symmetry, but also from the octupole-deformed ground state in {sup 150}Sm to the quadrupole-deformed ground state in {sup 154}Sm. By including the octupole degree of freedom, an energy gap near the Fermi surface for single-particle levels in {sup 152}Sm with beta{sub 2}=0.14approx0.26 is found and the important role of the octupole deformation driving pair nu2f{sub 7/2} and nu1i{sub 13/2} is demonstrated.

  14. Reflections on How a University Binge Drinking Prevention Initiative Supports Alcohol Screening, Brief Intervention, and Referral for Student Alcohol Use.

    PubMed

    Robertson-Boersma, Danielle; Butt, Peter; Dell, Colleen Anne

    2015-09-01

    What's Your Cap: Know When to Put a Lid on Drinking (WYC) is a student-led and research-based binge-drinking prevention campaign at the University of Saskatchewan, Canada. It was formed to encourage a culture of alcohol moderation on the university campus through peer-to-peer engagement that emphasizes promotional items and activities of interest to students. Since its development in 2011, WYC has been guided by a logic model that promotes: 1) perceived and actual student drinking norms on campus; 2) benefits of a student-led initiative; and 3) merits of working with community partners. With the release of a clinical guide in Canada for alcohol screening, brief intervention, and referral (SBIR) in 2013, WYC was prompted to consider whether it is a form of population-based SBIR. SBIR is commonly undertaken in the substance use field by health care practitioners, and this paper shares the potential for a student-based SBIR modification on a university campus. PMID:26339219

  15. Reflections on How a University Binge Drinking Prevention Initiative Supports Alcohol Screening, Brief Intervention, and Referral for Student Alcohol Use

    PubMed Central

    Robertson-Boersma, Danielle; Butt, Peter; Dell, Colleen Anne

    2015-01-01

    What’s Your Cap: Know When to Put a Lid on Drinking (WYC) is a student-led and research-based binge-drinking prevention campaign at the University of Saskatchewan, Canada. It was formed to encourage a culture of alcohol moderation on the university campus through peer-to-peer engagement that emphasizes promotional items and activities of interest to students. Since its development in 2011, WYC has been guided by a logic model that promotes: 1) perceived and actual student drinking norms on campus; 2) benefits of a student-led initiative; and 3) merits of working with community partners. With the release of a clinical guide in Canada for alcohol screening, brief intervention, and referral (SBIR) in 2013, WYC was prompted to consider whether it is a form of population-based SBIR. SBIR is commonly undertaken in the substance use field by health care practitioners, and this paper shares the potential for a student-based SBIR modification on a university campus. PMID:26339219

  16. Resisting the binarism of victim and agent: Critical reflections on 20 years of scholarship on young women and heterosexual practices in South African contexts.

    PubMed

    Shefer, Tamara

    2016-01-01

    The last 20 years have seen a proliferation of research, spurred by the imperatives of the HIV epidemic and reportedly high rates of gender-based violence, on heterosexual practices in the South African context. Research has focused on how poverty, age and gender within specific cultural contexts shape sexual agency and provide a context for unequal, coercive and violent practices for young women. This paper takes stock of what we currently 'know' about heterosex and critically reflects on the political and ideological effects of such research, specifically in the light of young women's agency. A primary concern is that efforts to address gender inequality and the normative gender practices that shape inequitable heterosexual practices may have functioned to reproduce the very discourses that underpin such inequalities. The paper 'troubles' the victim-agency binarism as it has been played out in South African research on heterosex, raising concerns about how the research may reproduce gendered, classed and raced othering practices and discourses and bolstered regulatory and disciplinary responses to young women's sexualities. The paper argues for critical, feminist self-reflexivity that should extend to re-thinking methodologies entrenched in frameworks of authority and surveillance. PMID:25981719

  17. Knowledge of Pediatric Critical Care Nurses Regarding Evidence Based Guidelines for Prevention of Ventilator Associated Pneumonia (VAP)

    ERIC Educational Resources Information Center

    Ahmed, Gehan EL Nabawy; Abosamra, Omyma Mostafa

    2015-01-01

    Ventilator associated pneumonia (VAP) is a costly, preventable, and often fatal consequence of medical therapy that increases hospital and intensive care stays in mechanically ventilated patients. The prevention of VAP is primarily the responsibility of the bedside nurse whose knowledge, beliefs, and practices influence the health outcome of ICU…

  18. Tuberculin Skin Test Reversion following Isoniazid Preventive Therapy Reflects Diversity of Immune Response to Primary Mycobacterium tuberculosis Infection

    PubMed Central

    Johnson, Denise F.; Malone, LaShaunda L.; Zalwango, Sarah; Mukisa Oketcho, Joy; Chervenak, Keith A.; Thiel, Bonnie; Mayanja-Kizza, Harriet; Stein, Catherine M.; Boom, W. Henry; Lancioni, Christina L.

    2014-01-01

    Rationale Healthy household contacts (HHC) of individuals with Tuberculosis (TB) with Tuberculin Skin Test (TST) conversions are considered to harbor latent Mycobacterium tuberculosis (Mtb), and at risk for TB. The immunologic, clinical, and public health implications of TST reversions that occur following Isoniazid preventive therapy (IPT) remain controversial. Objectives To measure frequency of TST reversion following IPT, and variation in interferon-gamma (IFN-γ) responses to Mtb, in healthy Ugandan TB HHC with primary Mtb infection evidenced by TST conversion. Methods Prospective cohort study of healthy, HIV-uninfected, TST-negative TB HHC with TST conversions. Repeat TST was performed 12 months following conversion (3 months following completion of 9 month IPT course) to assess for stable conversion vs. reversion. Whole blood IFN-γ responses to Mtb antigen 85B (MtbA85B) and whole Mtb bacilli (wMtb) were measured in a subset (n = 27 and n = 42, respectively) at enrollment and TST conversion, prior to initiation of IPT. Results Of 122 subjects, TST reversion was noted in 25 (20.5%). There were no significant differences in demographic, clinical, or exposure variables between reverters and stable converters. At conversion, reverters had significantly smaller TST compared to stable converters (13.7 mm vs 16.4 mm, respectively; p = 0.003). At enrollment, there were no significant differences in IFN-γ responses to MtbA85B or wMTB between groups. At conversion, stable converters demonstrated significant increases in IFN-γ responses to Ag85B and wMtb compared to enrollment (p = 0.001, p<0.001, respectively), while there were no significant changes among reverters. Conclusions TST reversion following IPT is common following primary Mtb infection and associated with unique patterns of Mtb-induced IFN-γ production. We have demonstrated that immune responses to primary Mtb infection are heterogeneous, and submit that prospective longitudinal studies

  19. Report of a case of cyberplagiarism - and reflections on detecting and preventing academic misconduct using the Internet

    PubMed Central

    2000-01-01

    applied. There is a striking gap between what is technically possible and what is in widespread use. As a consequence of the case described in this report, JMIR has taken the lead in applying information technology to prevent and fight plagiarism by routinely checking new submissions for evidence of cyberplagiarism. PMID:11720923

  20. CRITICAL CONFIGURATION FOR BERYLLIUM REFLECTED ASSEMBLIES OF U(93.15)O2 FUEL RODS (1.506-CM PITCH AND 7-TUBE CLUSTERS)

    SciTech Connect

    Margaret A. Marshall

    2012-05-01

    A series of critical experiments were completed in 1962-1965 at Oak Ridge National Laboratory’s Critical Experiments Facility in support of the Medium-Power Reactor Experiments (MPRE) program. In the late 1950’s efforts were made to study “power plants for the production of electrical power in space vehicles”. The MPRE program was a part of those efforts and studied the feasibility of a stainless steel system, boiling potassium 1 MW(t), or about 140 kW(e), reactor. The program was carried out in [fiscal years] 1964, 1965, and 1966. A summary of the program’s effort was compiled in 1967. The delayed critical experiments were a mockup of a small, potassium-cooled space power reactor for validation of reactor calculations and reactor physics methods. Initial experiments, performed in November and December of 1962, consisted of a core of 253 unmoderated stainless steel tubes, each containing 26 UO2 fuel pellets, surrounded by a graphite reflector. Measurements were made to determine critical reflector arrangements, fission-rate distributions, and cadmium ratio distributions. “The [assemblies were built] on [a] vertical assembly machine so that the movable part was the core and bottom reflector.” The first two experiments in the series were evaluated in HEU-COMP-FAST-001 (SCCA-FUND-EXP-001) and HEU-COMP-FAST-002 (SCCA-FUND-EXP-002). The first experiment had the 253 fuel tubes packed tightly into a 22.87 cm outside diameter (OD) core tank (References 1 and 2). The second experiment in the series, performed in early 1963, had the 253 fuel tubes at a 1.506-cm triangular lattice in a 25.96 cm OD core tank and graphite reflectors on all sides. The third set of experiments in the series, performed in mid-1963, which is studied in this evaluation, used beryllium reflectors. The beryllium reflected system was the preferred reactor configuration for this application because of the small thickness of the reflector. The two core configurations had the 253 fuel tubes

  1. Impulsive delayed reward discounting as a genetically-influenced target for drug abuse prevention: a critical evaluation.

    PubMed

    Gray, Joshua C; MacKillop, James

    2015-01-01

    This review evaluates the viability of delayed reward discounting (DRD), an index of how much an individual devalues a future reward based on its delay in time, for genetically-informed drug abuse prevention. A review of the literature suggests that impulsive DRD is robustly associated with drug addiction and meets most of the criteria for being an endophenotype, albeit with mixed findings for specific molecular genetic influences. Several modes of experimental manipulation have been demonstrated to reduce DRD acutely. These include behavioral strategies, such as mindfulness, reward bundling, and episodic future thinking; pharmacological interventions, including noradrenergic agonists, adrenergic agonists, and multiple monoamine agonists; and neuromodulatory interventions, such as transcranial magnetic stimulation and transcranial direct current stimulation. However, the generalization of these interventions to positive clinical outcomes remains unclear and no studies to date have examined interventions on DRD in the context of prevention. Collectively, these findings suggest it would be premature to target DRD for genetically-informed prevention. Indeed, given the evidence of environmental contributions to impulsive DRD, whether genetically-informed secondary prevention would ever be warranted is debatable. Progress in identifying polymorphisms associated with DRD profiles could further clarify the underlying biological systems for pharmacological and neuromodulatory interventions, and, as a qualitatively different risk factor from existing prevention programs, impulsive DRD is worthy of investigation at a more general level as a novel and promising drug abuse prevention target. PMID:26388788

  2. Impulsive delayed reward discounting as a genetically-influenced target for drug abuse prevention: a critical evaluation

    PubMed Central

    Gray, Joshua C.; MacKillop, James

    2015-01-01

    This review evaluates the viability of delayed reward discounting (DRD), an index of how much an individual devalues a future reward based on its delay in time, for genetically-informed drug abuse prevention. A review of the literature suggests that impulsive DRD is robustly associated with drug addiction and meets most of the criteria for being an endophenotype, albeit with mixed findings for specific molecular genetic influences. Several modes of experimental manipulation have been demonstrated to reduce DRD acutely. These include behavioral strategies, such as mindfulness, reward bundling, and episodic future thinking; pharmacological interventions, including noradrenergic agonists, adrenergic agonists, and multiple monoamine agonists; and neuromodulatory interventions, such as transcranial magnetic stimulation and transcranial direct current stimulation. However, the generalization of these interventions to positive clinical outcomes remains unclear and no studies to date have examined interventions on DRD in the context of prevention. Collectively, these findings suggest it would be premature to target DRD for genetically-informed prevention. Indeed, given the evidence of environmental contributions to impulsive DRD, whether genetically-informed secondary prevention would ever be warranted is debatable. Progress in identifying polymorphisms associated with DRD profiles could further clarify the underlying biological systems for pharmacological and neuromodulatory interventions, and, as a qualitatively different risk factor from existing prevention programs, impulsive DRD is worthy of investigation at a more general level as a novel and promising drug abuse prevention target. PMID:26388788

  3. Neutron reflecting supermirror structure

    DOEpatents

    Wood, James L.

    1992-01-01

    An improved neutron reflecting supermirror structure comprising a plurality of stacked sets of bilayers of neutron reflecting materials. The improved neutron reflecting supermirror structure is adapted to provide extremely good performance at high incidence angles, i.e. up to four time the critical angle of standard neutron mirror structures. The reflection of neutrons striking the supermirror structure at a high critical angle provides enhanced neutron throughput, and hence more efficient and economical use of neutron sources.

  4. Neutron reflecting supermirror structure

    DOEpatents

    Wood, J.L.

    1992-12-01

    An improved neutron reflecting supermirror structure comprising a plurality of stacked sets of bilayers of neutron reflecting materials. The improved neutron reflecting supermirror structure is adapted to provide extremely good performance at high incidence angles, i.e. up to four time the critical angle of standard neutron mirror structures. The reflection of neutrons striking the supermirror structure at a high critical angle provides enhanced neutron throughput, and hence more efficient and economical use of neutron sources. 2 figs.

  5. Assessment of Critical Care Provider’s Application of Preventive Measures for Ventilator-Associated Pneumonia in Intensive Care Units

    PubMed Central

    Amiri-Abchuyeh, Maryam; Gholipour-Baradari, Afshin; Yazdani-Cherati, Jamshid; Nikkhah, Attieh

    2015-01-01

    Background The implementation of guidelines for the prevention of Ventilator-associated pneumonia has been shown to have a significant effect in reducing the incidence of VAP. Objective The aim of the present study was to evaluate the implementation of the preventive strategies for VAP in ICUs of university hospitals of Sari, Iran. Materials and Methods This cross-sectional study was carried out in 600 beds/day in the ICUs of university hospitals of Sari from April to June 2012. Sampling was done by availability technique in patients receiving mechanical ventilation in the ICU. The implementation of the preventive measures was assessed by a standard checklist with previously approved validity and reliability. Results The percentage of implementing each of the measures was as follows: sterile suction, 88.44%; semi-recumbent position, 76.8%; oral hygiene, 58.45%; using heat and moisture exchanges (HMEs), 58%; controlling cuff pressure, 46.8%; hand hygiene, 32.8%; using anti-coagulants, 26.8% and physiotherapy, 25.5%. Closed suction system, continuous drainage of subglottic secretions and kinetic beds were not used at all. Conclusion The overall mean percentage of implementing preventive measures was low and required designing integrated guidelines by considering the conditions of the ICUs in each country, as well as educating and encouraging the staffs to use the recommended guidelines. PMID:26435967

  6. Reflecting Reflective Practice

    ERIC Educational Resources Information Center

    Galea, Simone

    2012-01-01

    This paper demystifies reflective practice on teaching by focusing on the idea of reflection itself and how it has been conceived by two philosophers, Plato and Irigaray. It argues that reflective practice has become a standardized method of defining the teacher in teacher education and teacher accreditation systems. It explores how practices of…

  7. Teacher Perceptions of High School Student Failure in the Classroom: Identifying Preventive Practices of Failure Using Critical Incident Technique

    ERIC Educational Resources Information Center

    Kalahar, Kory G.

    2011-01-01

    Student failure is a prominent issue in many comprehensive secondary schools nationwide. Researchers studying error, reliability, and performance in organizations have developed and employed a method known as critical incident technique (CIT) for investigating failure. Adopting an action research model, this study involved gathering and analyzing…

  8. Suicide Prevention: Critical Elements for Managing Suicidal Clients and Counselor Liability Without the Use of a No-Suicide Contract

    ERIC Educational Resources Information Center

    Lee, Jeane B.; Bartlett, Mary L.

    2005-01-01

    Despite its entrenchment as a standard of practice, no-suicide contracts fail to achieve their purpose as an effective part of treatment or as an effective method of inoculating counselors against potential lawsuits should a client commit suicide. Critical elements for managing suicidal clients and counselor liability without reliance on the…

  9. An exploratory study of the potential learning benefits for medical students in collaborative drawing: creativity, reflection and ‘critical looking’

    PubMed Central

    2013-01-01

    Background Building on a series of higher educational arts/medicine initiatives, an interdisciplinary drawing module themed on the human body was developed for both year 3 Craft students and year 3 Medicine degree students. This became the subject of a research project exploring how the collaborative approach to drawing adopted on this module impacted on the students’ learning. In this article, emphasis is given to issues thought to have most potential relevance to medical education. Methods Using an ethnographic research design, the methods adopted were: direct observation of all aspects of the module sessions, audio and video recordings and photographs of the sessions, the incorporation of a semi-structured discussion at the end of each session, and anonymous student questionnaires. Results A number of key themes emerged. The complex, phased and multi-sensory nature of the ‘critical looking’ skills developed through the drawing exercises was seen as of potential value in medical education, being proposed as analogous to processes involved in clinical examination and diagnosis. The experience of interdisciplinary collaborative drawing was significant to the students as a creative, participatory and responsive form of learning. The emphasis on the physical experience of drawing and the thematic use of the human body as drawing subject led to reflective discussions about bodily knowledge and understanding. There were indications that students had a meta-cognitive awareness of the learning shifts that had occurred and the sessions provoked constructive self-reflective explorations of pre-professional identity. Conclusions This preliminary study suggests, through the themes identified, that there may be potential learning outcomes for medical students in this model of interdisciplinary collaborative drawing of the human body. Further research is needed to explore their applicability and value to medical education. There is a need to explore in more depth the

  10. Onset of Alcohol Use Disorders and Comorbid Psychiatric Disorders in a Military Cohort: Are there Critical Periods for Prevention of Alcohol Use Disorders?

    PubMed

    Fink, David S; Gallaway, M Shayne; Tamburrino, Marijo B; Liberzon, Israel; Chan, Philip; Cohen, Gregory H; Sampson, Laura; Shirley, Edwin; Goto, Toyomi; D'Arcangelo, Nicole; Fine, Thomas; Reed, Philip L; Calabrese, Joseph R; Galea, Sandro

    2016-04-01

    Alcohol use disorders (AUD) are commonly comorbid with anxiety and mood disorders; however, a strategy for AUD prevention remains unclear in the presence of three competing etiological models that each recommends different high-risk groups. Therefore, the investigation of the three hypotheses in a characteristically unique cohort is critical to identifying pervasive characteristics of AUD that can inform a universal prevention strategy. The current study evaluated the temporality and onset of comorbid AUD and psychiatric disorders in a representative sample of 528 Ohio Army National Guard soldiers using structured clinical interviews from 2009 to 2012. We examined temporality both statistically and graphically to identify patterns that could inform prevention. General estimating equations with dichotomous predictor variables were used to estimate odds ratios between comorbid psychiatric disorders and AUDs. An annualized rate of 13.5 % persons per year was diagnosed with any AUD between 2010 and 2012. About an equal proportion of participants with comorbid psychiatric disorders and AUD initiated the psychiatric disorder prior to the AUD and half initiated the psychiatric disorder after the AUD. Regardless of onset, however, the majority (80 %) AUD initiated during a short interval between the ages of 16 and 23. Focused primary prevention during this narrow age range (16-23 years) may have the greatest potential to reduce population mental health burden of AUD, irrespective of the sequencing of comorbid psychiatric disorder. PMID:26687202

  11. Discussion, Critical Reflection, and Collaborative Knowledge Construction in Experiential Education. A Response to "Taking People's History Back to the People: An Approach to Making History Popular, Relevant, and Intellectual"

    ERIC Educational Resources Information Center

    Kopish, Michael

    2014-01-01

    This response discusses the pedagogical and conceptual omissions and other dilemmas of the history project described by Lempert. The intent of the project is ambitious and worthwhile; however, without emphasis on the critical process of sense making through discussion, reflection, and collaborative knowledge construction, the project falls short…

  12. Mastitis prevention and control practices and mastitis treatment strategies associated with the consumption of (critically important) antimicrobials on dairy herds in Flanders, Belgium.

    PubMed

    Stevens, M; Piepers, S; De Vliegher, S

    2016-04-01

    The main objectives of this study were to evaluate to what extent variations in herd-level antimicrobial consumption (AMC) can be explained by differences in management practices that are consistently effective in the prevention of (sub)clinical mastitis, on the one hand, and by differences in mastitis treatment strategies, on the other hand. Antimicrobial consumption data were obtained during 2012 and 2013 by "garbage can audits" and expressed as antimicrobial treatment incidences (ATI) for all compounds combined (total ATI) and for the critically important antimicrobials for human health separately. Data on mastitis prevention and control practices were obtained via face-to-face interviews performed during herd visits in March 2013. Some management practices and treatment strategies related to udder health were associated with the total AMC. However, the results demonstrated that implementing effective udder health management practices does not necessarily imply a low AMC and vice versa. Herds participating in a veterinary herd health management program and herds selectively drying off cows used fewer antimicrobials compared with herds not participating in such a program or applying blanket dry-cow therapy. Moreover, herds treating (some) (sub)clinical mastitis cases with intramammary homeopathic substances consumed fewer antimicrobials than herds not applying such homeopathic treatments. Besides these factors, no other direct association was found between effective udder health management practices on the one hand and AMC on the other hand. Also, the use of critically important antimicrobials was only associated with the way in which subclinical mastitis cases were treated. The latter indicates that the AMC of critically important antimicrobials is potentially driven by factors other than those included in this study such as those related to the "mindset" of the veterinarians and their farmers. Future research should therefore aim to unravel the reasoning of

  13. Haitian reflections.

    PubMed

    Docrat, Fathima

    2010-08-01

    Natural disasters and acts of terrorism demonstrate a similar critical need for national preparedness. As one of a team of volunteers with a local South African NGO who recently went on a medical mission, I would like to share glimpses of our experience and reflect on the mistakes - and also to state the obvious: that we do not learn from our mistakes. A simple literature search has shown that the same mistakes happen repeatedly. 'Humanitarian disasters occur with frightening regularity, yet international responses remain fragmented, with organizations and responders being forced to "reinvent the wheel" with every new event'. This is the result of an obvious lack of preparedness. PMID:20822625

  14. Trials in adult critical care that show increased mortality of the new intervention: Inevitable or preventable mishaps?

    PubMed

    Russell, James A; Williams, Mark D

    2016-12-01

    Several promising therapies assessed in the adult critically ill in large, multicenter randomized controlled trials (RCTs) were associated with significantly increased mortality in the intervention arms. Our hypothesis was that there would be wide ranges in sponsorship (industry or not), type(s) of intervention(s), use of DSMBs, presence of interim analyses and early stopping rules, absolute risk increase (ARI), and whether or not adequate prior proof-of-principle Phase II studies were done of RCTs that found increased mortality rates of the intervention compared to control groups. We reviewed RCTs that showed a statistically significant increased mortality rate in the intervention compared to control group(s). We recorded source of sponsorship, sample sizes, types of interventions, mortality rates, ARI (as well as odds ratios, relative risks and number needed to harm), whether there were pre-specified interim analyses and early stopping rules, and whether or not there were prior proof-of-principle (also known as Phase II) RCTs. Ten RCTs (four industry sponsored) of many interventions (high oxygen delivery, diaspirin cross-linked hemoglobin, growth hormone, methylprednisolone, hetastarch, high-frequency oscillation ventilation, intensive insulin, NOS inhibition, and beta-2 adrenergic agonist, TNF-α receptor) included 19,126 patients and were associated with wide ranges of intervention versus control group mortality rates (25.7-59 %, mean 29.9 vs 17-49 %, mean 25 %, respectively) yielding ARIs of 2.6-29 % (mean 5 %). All but two RCTs had pre-specified interim analyses, and seven RCTs were stopped early. All RCTs were preceded by published proof-of-principle RCT(s), two by the same group. Seven interventions (except diaspirin cross-linked hemoglobin and the NOS inhibitor) were available for use clinically at the time of the pivotal RCT. Common, clinically available interventions used in the critically ill were associated with increased mortality in large

  15. Estimating the critical immunity threshold for preventing hepatitis A outbreaks in men who have sex with men.

    PubMed

    Regan, D G; Wood, J G; Benevent, C; Ali, H; Smith, L Watchirs; Robertson, P W; Ferson, M J; Fairley, C K; Donovan, B; Law, M G

    2016-05-01

    Several outbreaks of hepatitis A in men who have sex with men (MSM) were reported in the 1980s and 1990s in Australia and other countries. An effective hepatitis A virus (HAV) vaccine has been available in Australia since 1994 and is recommended for high-risk groups including MSM. No outbreaks of hepatitis A in Australian MSM have been reported since 1996. In this study, we aimed to estimate HAV transmissibility in MSM populations in order to inform targets for vaccine coverage in such populations. We used mathematical models of HAV transmission in a MSM population to estimate the basic reproduction number (R 0) and the probability of an HAV epidemic occurring as a function of the immune proportion. We estimated a plausible range for R 0 of 1·71-3·67 for HAV in MSM and that sustained epidemics cannot occur once the proportion immune to HAV is greater than ~70%. To our knowledge this is the first estimate of R 0 and the critical population immunity threshold for HAV transmission in MSM. As HAV is no longer endemic in Australia or in most other developed countries, vaccination is the only means of maintaining population immunity >70%. Our findings provide impetus to promote HAV vaccination in high-risk groups such as MSM. PMID:26566273

  16. Barriers to successful implementation of prevention-of-mother-to-child-transmission (PMTCT) of HIV programmes in Malawi and Nigeria: a critical literature review study

    PubMed Central

    Okoli, James Christian; Lansdown, Gail Elizabeth

    2014-01-01

    Mother-to-child-transmission (MTCT) of HIV still remains a significant route of new HIV infection in children in Malawi and Nigeria, despite the introduction of Prevention-of-Mother-to-Child-Transmission (PMTCT) of HIV programmes in both countries. A critical literature review, based on the findings from 12 primary research articles, explores the reasons for the inadequacy and failure of PMTCT. Findings show socioeconomic and sociocultural factors as the biggest barriers to the success of PMTCT programmes. Other factors include: limited male involvement, the organization of PMTCT and health workers’ inefficiency. In conclusion, PMTCT programmes will remain inefficient unless these factors are addressed. There is an urgent need to strengthen PMTCT programmes by stakeholders through a collaborative strategic effort to ensure high PMTCT programme uptake in Malawi and Nigeria, in order to eliminate HIV/AIDS in children. PMID:25767672

  17. Neutron reflecting supermirror structure

    DOEpatents

    Wood, James L.

    1992-01-01

    An improved neutron reflecting supermirror structure comprising a plurality of stacked sets of bilayers of neutron reflecting materials. The improved neutron reflecting supermirror structure is adapted to provide extremely good performance at high incidence angles, i.e. up to four time the critical angle of standard neutron mirror structures. The reflection of neutrons striking the supermirror structure at a high critical angle provides enhanced neutron throughput, and hence more efficient and economical use of neutron sources. One layer of each set of bilayers consist of titanium, and the second layer of each set of bilayers consist of an alloy of nickel with carbon interstitially present in the nickel alloy.

  18. Male migration and risky sexual behavior in rural India: is the place of origin critical for HIV prevention programs?

    PubMed Central

    2011-01-01

    Background Recent studies of male migrants in India indicate that those who are infected with HIV are spreading the epidemic from high risk populations in high prevalence areas to populations in low prevalence areas. In this context, migrant men are believed to initiate and have risky sexual behaviors in places of destination and not in places of origin. The paucity of information on men's risky sexual behaviors in places of origin limits the decision to initiate HIV prevention interventions among populations in high out-migration areas in India. Methods A cross-sectional behavioral survey was conducted among non-migrants, returned migrants (with a history of migration), and active (current) migrants in rural areas across two districts with high levels of male out-migration: Prakasam district in Andhra Pradesh and Azamgarh district in Uttar Pradesh. Surveys assessed participant demographics, migration status, migration history, and sexual behavior along the migration routes, place of initiation of sex. District-stratified regression models were used to understand the associations between migration and risky sexual behaviors (number of partners, condom use at last sex) and descriptive analyses of migrants' place of sexual initiation and continuation along migration routes. Results The average age at migration of our study sample was 19 years. Adjusted regression analyses revealed that active migrants were more likely to engage in sex with sex workers in the past 12 months (Prakasam: 15 percent vs. 8 percent; adjusted odds ratio (aOR)=2.1, 95% CI 1.2-3.4; Azamgarh: 19 percent vs.7 percent; aOR=4.0, 95% CI 2.4-6.6) as well as have multiple (3+) sex partners (Prakasam: 18 percent vs. 9 percent; aOR=2.0, 95% CI 1.3-3.2; Azamgarh: 28 percent vs. 21 percent; aOR=1.9, 95% CI 1.2-3.0) than non-migrants. Contrary to popular belief, a high proportion of active and returned migrants (almost 75 percent of those who had sex) initiated sex at the place of origin before migrating

  19. Critical Management in Knowledge Organizations

    ERIC Educational Resources Information Center

    Macpherson, Reynold

    2008-01-01

    Purpose: The purpose of this paper is to invite educational managers and management educators to reflect critically on practice. Design/methodology/approach: Using the point of Socrates' death, the paper suggests ways of reflecting on actions using ethically-critical, socially-critical, environmentally-critical, politically-critical and…

  20. Beyond Evidence: A Critical Appraisal of Global Warming as a Socio-Scientific Issue and a Reflection on the Changing Nature of Scientific Literacy in School

    ERIC Educational Resources Information Center

    Colucci-Gray, L.

    2014-01-01

    Tom G. K. Bryce and Stephen P. Day's (2013) original article on scepticism and doubt in science education explores the context of citizens' attitudes towards the complexities and uncertainties of global issues, namely global warming. This response aims to stimulate reflection on some of the implicit assumptions underpinning the…

  1. Breaking the Back of Economic and Financial (Il)Literacy in South Africa: A Critical Reflection of the Role of Economic Education

    ERIC Educational Resources Information Center

    Maistry, S. M.

    2010-01-01

    South African society is characterized by high levels of poverty and unemployment. South Africa has an embarrassingly uneven distribution of income as reflected by the Gini-coefficient. While much of the country's economic ailments can be attributed to poor and selective application of economic policies during the apartheid era, there is a growing…

  2. What Does It Mean to Be a Friendly Outsider? Critical Reflection on Finding a Role as an Action Researcher with Communities Developing Renewable Energy Projects

    ERIC Educational Resources Information Center

    Rogers, Jennifer; Convery, Ian; Simmons, Eunice; Weatherall, Andrew

    2012-01-01

    This paper is a reflective account exploring the value of using action research in a relatively new context in the United Kingdom; the development of community renewable-energy projects. There is a strong rationale for using action research in this setting due to the synergies between the principles and practice of action research and localised…

  3. Impact of Guided-Inquiry-Based Instruction with a Writing and Reflection Emphasis on Chemistry Students' Critical Thinking Abilities

    ERIC Educational Resources Information Center

    Gupta, Tanya; Burke, K. A.; Mehta, Akash; Greenbowe, Thomas J.

    2015-01-01

    The Science Writing Heuristic (SWH) laboratory instruction approach has been used successfully over a decade to engage students in laboratory activities. SWH-based instruction emphasizes knowledge construction through individual writing and reflection, and collaborative learning as a group. In the SWH approach, writing is a core component of…

  4. Reflective Teaching

    ERIC Educational Resources Information Center

    Farrell, Thomas S. C.

    2013-01-01

    Thomas Farrell's "Reflective Teaching" outlines four principles that take teachers from just doing reflection to making it a way of being. Using the four principles, Reflective Practice Is Evidence Based, Reflective Practice Involves Dialogue, Reflective Practice Links Beliefs and Practices, and Reflective Practice Is a Way of Life,…

  5. The Role of Critical Self-Reflection of Assumptions in an Online HIV Intervention for Men Who Have Sex with Men

    ERIC Educational Resources Information Center

    Wilkerson, J. Michael; Danilenko, Gene P.; Smolenski, Derek J.; Myer, Bryn B.; Rosser, B. R. Simon

    2011-01-01

    The Men's INTernet Study II included a randomized controlled trial to develop and test an Internet-based HIV prevention intervention for U.S men who use the Internet to seek sex with men. In 2008, participants (n = 560) were randomized to an online, interactive, sexual risk-reduction intervention or to a wait list null control. After 3 months,…

  6. Estimated critical conditions for UO[sub 2]F[sub 2]--H[sub 2]O systems in fully water-reflected spherical geometry

    SciTech Connect

    Jordan, W.C.; Turner, J.C.

    1992-12-01

    The purpose of this report is to document reference calculations performed using the SCALE-4.0 code system to determine the critical parameters of UO[sub 2]F[sub 2]-H[sub 2]O spheres. The calculations are an extension of those documented in ORNL/CSD/TM-284. Specifically, the data for low-enriched UO[sub 2]F[sub 2]-H[sub 2]O spheres have been extended to highly enriched uranium. These calculations, together with those reported in ORNL/CSD/TM-284, provide a consistent set of critical parameters (k[sub [infinity

  7. What's new with the flu? Reflections regarding the management and prevention of influenza from the 2nd New Zealand Influenza Symposium, November 2015.

    PubMed

    Charania, Nadia A; Mansoor, Osman D; Murfitt, Diana; Turner, Nikki M

    2016-01-01

    Influenza is a common respiratory viral infection. Seasonal outbreaks of influenza cause substantial morbidity and mortality that burdens healthcare services every year. The influenza virus constantly evolves by antigenic drift and occasionally by antigenic shift, making this disease particularly challenging to manage and prevent. As influenza viruses cause seasonal outbreaks and also have the ability to cause pandemics leading to widespread social and economic losses, focused discussions on improving management and prevention efforts is warranted. The Immunisation Advisory Centre (IMAC) hosted the 2nd New Zealand Influenza Symposium (NZiS) in November 2015. International and national participants discussed current issues in influenza management and prevention. Experts in the field presented data from recent studies and discussed the ecology of influenza viruses, epidemiology of influenza, methods of prevention and minimisation, and experiences from the 2015 seasonal influenza immunisation campaign. The symposium concluded that although much progress in this field has been made, many areas for future research remain. PMID:27607085

  8. In-Between Critical Mathematics Education and Ethnomathematics. A Philosophical Reflection and an Empirical Case of a Romany Students' Group Mathematics Education

    ERIC Educational Resources Information Center

    Francois, Karen; Stathopoulou, Charoula

    2012-01-01

    Although D' Ambrosio (2001) in his later work speaks about the political dimension of Ethnomathematics as "an evidence" and the researchers of Critical Mathematics Education have incorporated ethnomathematical ideas in their research, these two approaches are up to now perceived as separate research fields. In this paper we briefly present the…

  9. Filling in the Implementation Gap? Problems in the Greek Educational System--An Evidence-Based Explanatory Framework and Critical Reflections

    ERIC Educational Resources Information Center

    Kyridis, Argyris; Fotopoulos, Nikos; Chronopoulou, Ageliki; Papadakis, Nikos; Zagkos, Christos

    2011-01-01

    The Greek educational system during last 50 years recounts among numerous reformations and counterreformations. All the continuous changes seem not to be characterized by a clearly defined operational aim and rational continuity. Currently, educators, pupils, university students, parents, politicians and citizens criticize various structural and…

  10. The Collective Memory of a Civil War as Reflected in Edutainment and Its Impact on Israeli Youth: A Critical Reading of Consensual Myths

    ERIC Educational Resources Information Center

    Gesser-Edelsburg, Anat

    2012-01-01

    Following the political assassination of Prime Minister Yitzhak Rabin, in 1998 Israel's national theater Habimah produced the play "Civil War." The play addressed the religious/hawkish-secular/dovish rift in Israel through a critical reading of events from Jewish history and raises the potential of civil war and political violence in Israel over…

  11. Reflecting on the Moral Bases of Critical Pedagogy in PETE: Toward a Foucaultian Perspective on Ethics and the Care of the Self

    ERIC Educational Resources Information Center

    Sicilia-Camacho, Alvaro; Fernandez-Balboa, Juan Miguel

    2009-01-01

    In teacher education and in physical education teacher education (PETE), the possibilities and pitfalls of critical pedagogy (CP) for transforming society have been frequently debated. From these debates, it has become quite clear that the lines separating "technocrats" from "radicals" are so strongly drawn that limit the advance of PETE. In the…

  12. Critical Information Literacy as Core Skill for Lifelong STEM Learning in the 21st Century: Reflections on the Desirability and Feasibility for Widespread Science Media Education

    ERIC Educational Resources Information Center

    Storksdieck, Martin

    2016-01-01

    Grace Reid and the late Stephen Norris argue in this issue the urgent need for widespread Science Media Education (SME) as an integral part of formal and informal science education. SME is to achieve two goals: First, allow learners to critically evaluate any media as a source for scientific information by understanding the socio-economic and…

  13. Critical Literacy Needs Teachers as Transformative Leaders. Reflections on Teacher Training for the Introduction of the (New) Modern Greek Language Curriculum in Cyprus

    ERIC Educational Resources Information Center

    Neophytou, Lefkios; Valiandes, Stavroula

    2013-01-01

    The new Curricula of Cyprus aspire to deliver a new ethos in teaching and learning that promotes the notion of "the humane and democratic school" and emphasises the right of every child to succeed. In this context, the new Modern Greek language curriculum in Cyprus has been moulded upon the notion of Critical Literacy (CL). CL is neither…

  14. No departure to "Pandora"? Using critical phenomenology to differentiate "naive" from "reflective" experience in psychiatry and psychosomatic medicine (A comment on Schwartz and Wiggins, 2010)

    PubMed Central

    2010-01-01

    The mind-body problem lies at the heart of the clinical practice of both psychiatry and psychosomatic medicine. In their recent publication, Schwartz and Wiggins address the question of how to understand life as central to the mind-body problem. Drawing on their own use of the phenomenological method, we propose that the mind-body problem is not resolved by a general, evocative appeal to an all encompassing life-concept, but rather falters precisely at the insurmountable difference between "natural" and a "reflective" experience built into phenomenological method itself. Drawing on the works of phenomenologically oriented thinkers, we describe life as inherently "teleological" without collapsing life with our subjective perspective, or stepping over our epistemological limits. From the phenomenology it can be demonstrated that the hypothetical teleological qualities are a reflective reconstruction modelled on human behavioural structure. PMID:21040525

  15. “Where Does the Circle End?”: Representation as a Critical Aspect of Reflection in Teaching Social and Behavioral Sciences in Medicine

    PubMed Central

    Devlin, Michael J.; Richards, Boyd F.; Cunningham, Hetty; Desai, Urmi; Lewis, Owen; Mutnick, Andrew; Nidiry, Mary Anne J.; Saha, Prantik; Charon, Rita

    2014-01-01

    Objective This paper describes a reflective learning program within a larger curriculum on behavioral and social science that makes use of close reading, written representation of experience, discussion, and textual response. This response may in turn lead to further reflection, representation, and response in a circular pattern. A unique feature of this program is that it pays attention to the representation itself as the pivotal activity within reflective learning. Using the narrative methods that are the hallmark of this program, faculty writings were analyzed to characterize the essential benefits that derive from these practices. Methods In the context of a faculty development seminar on the teaching of behavioral and social sciences in medical curricula, a group of fifteen faculty members wrote brief narratives of reflective learning experiences in which they had made use of the methods described above. Their responses were submitted to iterative close reading and discussion, and potential themes were identified. Results Four themes emerged: writing as attention to self, writing as attention to other, writing as reader/writer contract, and writing as discovery. In each instance, writing provides a new or deepened perspective, and in each case the dividends for the writer are amplified by the narrative skills of those who read, listen, and respond. Conclusions The narrative pedagogy described and modeled herein provides a potentially promising approach to teaching the social, cultural, behavioral, and interpersonal aspects of medical education and practice. Future research will deepen our understanding of the benefits and limitations of this pedagogy and expand our appreciation of its applications. PMID:25272952

  16. Critical Configuration and Physics Mesaurements for Graphite Reflected Assemblies of U(93.15)O2 Fuel Rods (1.27-CM Pitch)

    SciTech Connect

    Margaret A. Marshall

    2011-09-01

    A series of critical experiments were completed in 1962-1965 at Oak Ridge National Laboratory's Critical Experiments Facility in support of the Medium-Power Reactor Experiments (MPRE) program. In the late 1950's efforts were made to study 'power plants for the production of electrical power in space vehicles'. The MPRE program was a part of those efforts and studied the feasibility of a stainless steel system, boiling potassium 1 MW(t), or about 140 kW(e), reactor. The program was carried out in FY 1964, 1965, and 1966. A summary of the program's effort was compiled in 1967. The delayed critical experiments served as a mockup of a small, potassium-cooled space power reactor for validation of reactor calculations and reactor physics methods. Initial experiments, performed in November and December of 1962, consisted of a core of unmoderated 253 stainless steel tubes, each containing 26 UO2 fuel pellets, surrounded by a graphite reflector. Measurements were made to determine critical reflector arrangements, fission-rate distributions, and cadmium ratio distributions. Subsequent experiments used beryllium reflectors and also measured the reactivity for various materials placed in the core. 'The [assemblies were built] on [a] vertical assembly machine so that the movable part was the core and bottom reflector.' The experiment studied within this evaluation was the first of the series and had the 253 fuel tubes packed tightly into a 22.87 cm outside diameter (OD) core tank. Two critical configurations were found by varying the amount of graphite reflector (References 1 and 2). Information for this evaluation was compiled from Reference 1 and 2, reports on subsequent experiments in the series, and the experimental logbook as well as from communication with the experimenter, John T. Mihalczo.

  17. Mission Critical: Preventing Antibiotic Resistance

    MedlinePlus

    ... this? Submit What's this? Submit Button Past Emails File Formats Help: How do I view different file formats (PDF, DOC, PPT, MPEG) on this site? Adobe PDF file Microsoft PowerPoint file Microsoft Word file Microsoft Excel ...

  18. Estimated critical conditions for UO{sub 2}F{sub 2}--H{sub 2}O systems in fully water-reflected spherical geometry

    SciTech Connect

    Jordan, W.C.; Turner, J.C.

    1992-12-01

    The purpose of this report is to document reference calculations performed using the SCALE-4.0 code system to determine the critical parameters of UO{sub 2}F{sub 2}-H{sub 2}O spheres. The calculations are an extension of those documented in ORNL/CSD/TM-284. Specifically, the data for low-enriched UO{sub 2}F{sub 2}-H{sub 2}O spheres have been extended to highly enriched uranium. These calculations, together with those reported in ORNL/CSD/TM-284, provide a consistent set of critical parameters (k{sub {infinity}}, volume, mass, mass of water) for UO{sub 2}F{sub 2} and water over the full range of enrichment and moderation ratio.

  19. Estimated Critical Conditions for UO(Sub 2)F(Sub 2)-H(Sub 2)O Systems in Fully Water-Reflected Spherical Geometry

    SciTech Connect

    Jordan, W.C.

    1992-01-01

    The purpose of this report is to document reference calculations performed using the SCALE-4.0 code system to determine the critical parameters of UO{sub 2}F{sub 2}-H{sub 2}O spheres. The calculations are an extension of those documented in ORNL/CSD/TM-284. Specifically, the data for low-enriched UO{sub 2}F{sub 2}-H{sub 2}O spheres have been extended to highly enriched uranium. These calculations, together with those reported in ORNL/CSD/TM-284, provide a consistent set of critical parameters (k{sub {infinity}}, volume, mass, mass of water) for UO{sub 2}F{sub 2} and water over the full range of enrichment and moderation ratio.

  20. Reflection Coefficients.

    ERIC Educational Resources Information Center

    Greenslade, Thomas B., Jr.

    1994-01-01

    Discusses and provides an example of reflectivity approximation to determine whether reflection will occur. Provides a method to show thin-film interference on a projection screen. Also applies the reflectivity concepts to electromagnetic wave systems. (MVL)

  1. CRITICAL CONFIGURATION AND PHYSICS MEASUREMENTS FOR GRAPHITE REFLECTED ASSEMBLIES OF U(93.15)O2 FUEL RODS (1.506-CM PITCH)

    SciTech Connect

    Margaret A. Marshall

    2012-03-01

    A series of critical experiments were completed in 1962-1965 at Oak Ridge National Laboratory’s Critical Experiments Facility in support of the Medium-Power Reactor Experiments (MPRE) program. In the late 1950’s efforts were made to study “power plants for the production of electrical power in space vehicles”. The MPRE program was a part of those efforts and studied the feasibility of a stainless steel system, boiling potassium 1 MW(t), or about 140 kW(e), reactor. The program was carried out in [fiscal years] 1964, 1965, and 1966. A summary of the program’s effort was compiled in 1967. The delayed critical experiments were a mockup of a small, potassium-cooled space power reactor for validation of reactor calculations and reactor physics methods. Initial experiments, performed in November and December of 1962, consisted of a core of 253 unmoderated stainless steel tubes, each containing 26 UO2 fuel pellets, surrounded by a graphite reflector. Measurements were made to determine critical reflector arrangements, fission-rate distributions, and cadmium ratio distributions. Subsequent experiments used beryllium reflectors and also measured the reactivity for various materials placed in the core. “The [assemblies were built] on [a] vertical assembly machine so that the movable part was the core and bottom reflector.” The first experiment in the series was evaluated in HEU-COMP-FAST-001. It had the 253 fuel tubes packed tightly into a 22.87 cm outside diameter (OD) core tank (References 1 and 2). The second experiment in the series, performed in early 1963, which is studied in this evaluation, had the 253 fuel tubes at a 1.506-cm triangular lattice in a 25.96 cm OD core tank and graphite reflectors on all sides. The experiment has been determined to represent an acceptable benchmark experiment. Information for this evaluation was compiled from published reports on all three parts of the experimental series (Reference 1-5) and the experimental logbook as

  2. From Cases to Capacity? A Critical Reflection on the Role of ‘Ethical Dilemmas’ in the Development of Dual-Use Governance

    PubMed Central

    Edwards, Brett; Revill, James; Bezuidenhout, Louise

    2016-01-01

    The dual-use issue is often framed as a series of paralyzing ‘dilemmas’ facing the scientific community as well as institutions which support innovation. While this conceptualization of the dual-use issue can be useful in certain contexts (such as in awareness-raising and as part of educational activities directed at the scientific community) its usefulness is more limited when reflecting on the governance and politics of the dual-use issue. Within this paper, key shortcomings of the dilemma framing are outlined. It is argued that many of the issues raised in the most recent debates about ‘dual-use’ bird flu research remain unresolved. This includes questions about the trajectories of certain lines of research, as well as broader trends in the practice and governance of science. This leads to difficult questions about current approaches to the dual-use issue within the US, as well as internationally. PMID:23703451

  3. Beyond evidence: a critical appraisal of global warming as a socio-scientific issue and a reflection on the changing nature of scientific literacy in school

    NASA Astrophysics Data System (ADS)

    Colucci-Gray, L.

    2014-09-01

    Tom G. K. Bryce and Stephen P. Day's (2013) original article on scepticism and doubt in science education explores the context of citizens' attitudes towards the complexities and uncertainties of global issues, namely global warming. This response aims to stimulate reflection on some of the implicit assumptions underpinning the relationships between science, technology and the public. I argue that an underestimation of the political and ethical dimensions of science and technology limits the possibilities for education to set the agenda for citizens' participation in science and technological matters. Drawing on Sheila Jasanoff's model of co-production, this paper proposes a radical re-affirmation of the aims and purposes of science education to embrace a multiplicity of disciplines, narratives and ways of knowing in science, technology and society issues.

  4. Using vignettes in qualitative research to explore barriers and facilitating factors to the uptake of prevention of mother-to-child transmission services in rural Tanzania: a critical analysis

    PubMed Central

    2014-01-01

    Background Vignettes are short stories about a hypothetical person, traditionally used within research (quantitative or qualitative) on sensitive topics in the developed world. Studies using vignettes in the developing world are emerging, but with no critical examination of their usefulness in such settings. We describe the development and application of vignettes to a qualitative investigation of barriers to uptake of prevention of mother-to-child transmission (PMTCT) HIV services in rural Tanzania in 2012, and critique the successes and challenges of using the technique in this setting. Methods Participatory Learning and Action (PLA) group activities (3 male; 3 female groups from Kisesa, north-west Tanzania) were used to develop a vignette representing realistic experiences of an HIV-infected pregnant woman in the community. The vignette was discussed during in-depth interviews with 16 HIV-positive women, 3 partners/relatives, and 5 HIV-negative women who had given birth recently. A critical analysis was applied to assess the development, implementation and usefulness of the vignette. Results The majority of in-depth interviewees understood the concept of the vignette and felt the story was realistic, although the story or questions needed repeating in some cases. In-depth interviewers generally applied the vignette as intended, though occasionally were unsure whether to steer the conversation back to the vignette character when participants segued into personal experiences. Interviewees were occasionally confused by questions and responded with what the character should do rather than would do; also confusing fieldworkers and presenting difficulties for researchers in interpretation. Use of the vignette achieved the main objectives, putting most participants at ease and generating data on barriers to PMTCT service uptake. Participants’ responses to the vignette often reflected their own experience (revealed later in the interviews). Conclusions Participatory

  5. Critical information literacy as core skill for lifelong STEM learning in the 21st century: reflections on the desirability and feasibility for widespread science media education

    NASA Astrophysics Data System (ADS)

    Storksdieck, Martin

    2016-03-01

    Grace Reid and the late Stephen Norris argue in this issue the urgent need for widespread Science Media Education (SME) as an integral part of formal and informal science education. SME is to achieve two goals: First, allow learners to critically evaluate any media as a source for scientific information by understanding the socio-economic and socio-cultural context of how and why news and entertainment media are created, and secondly, utilize media as a legitimate and productive source for science education and science learning. While laudable, I will argue that SME as an integral part of STEM education is unrealistic, and offer instead that the broader concept of Information Literacy might be more easily achieved within the current strong movement to conceptualize STEM education via science and engineering practices and within the broad goals of strengthening learners' 21st century skills.

  6. Critical Reflections on Evolutionary Psychology and Sexual Selection Theory as Explanatory Account of Emergence of Sex Differences in Psychopathology: Comment on Martel (2013)

    PubMed Central

    Hankin, Benjamin L.

    2014-01-01

    Martel (2013) proposed a meta-theory, based on sexual selection theory and broad evolutionary psychological (EP) principles, to account for well-known sex differences in the emergence of common behavioral and certain internalizing disorders across childhood and adolescence, respectively. This Comment first enumerates several strengths and then offers two primary critiques about Martel’s proposal. Martel provides an exceptional, integrative review that organizes several disparate literatures that hold promise to enhance understanding of such sex differences. At the same time, I raise critical questions regarding EP generally, and sexual selection theory specifically, as the meta-theoretical framework chosen to bind together these different influences and mechanisms as drivers of the sex difference in different psychopathologies. Indeed, it is not clear that EP is necessary—nor does it provide unique explanatory power—to explicate the emergence of sex differences in internalizing and externalizing disorders among youth. Moreover, Martel’s EP-based proposal pertains to adolescent-onset depression and social phobia but does not provide an explanation for known sex differences in other common childhood-onset and early adult-onset anxiety disorders. PMID:24188421

  7. Ethnomedicine and dominant medicine in multicultural Australia: a critical realist reflection on the case of Korean-Australian immigrants in Sydney

    PubMed Central

    Han, Gil-Soo; Ballis, Harry

    2007-01-01

    Background Viewed through the micro focus of an interpretive lens, medical anthropology remains mystified because interpretivist explanations seriously downplay the given context in which individual health seeking-behaviours occur. This paper draws upon both the interpretivist and political economy perspectives to reflect on the ethno medical practices within the Korean-Australian community in Sydney. Methods We draw on research data collected between 1995 and 1997 for an earlier study of the use of biomedical and traditional medicine by Korean-Australians in Sydney. A total of 120 interviews were conducted with a range of participants, including biomedical doctors, traditional health professionals, Korean community leaders and Korean migrants representing a range of socio-economic backgrounds and migration patterns. Results and Discussion First, the paper highlights the extent to which the social location of migrants in a host society alters or restructures their initial cultural practices they bring with them. Second, taking hanbang medicine in the Korean-Australian community as an illustrative case, the paper explores the transformation of the dominant biomedicine in Australia as a result of the influx of ethnomedicine in the era of global capitalism and global movement. Conclusion In seeking to explain the popularity and supply of alternative health care, it is important to go beyond the culture of each kind of health care itself and to take into consideration the changes occurring at societal, national and global levels as well as consequential individual response to the changes. New social conditions influence the choice of health care methods, including herbal/alternative medicine, health foods and what are often called New Age therapies. PMID:17201916

  8. The Reflective Learning Continuum: Reflecting on Reflection

    ERIC Educational Resources Information Center

    Peltier, James W.; Hay, Amanda; Drago, William

    2005-01-01

    The importance of reflection to marketing educators is increasingly recognized. However, there is a lack of empirical research that considers reflection within the context of both the marketing and general business education literature. This article describes the use of an instrument that can be used to measure four identified levels of a…

  9. On the subtraction method for in-situ reflection and diffusion coefficient measurements.

    PubMed

    Robinson, Philip; Xiang, Ning

    2010-03-01

    The subtraction method is a technique critical to several important acoustic measurements. It involves subtracting a reference measurement including only direct sound from one with direct sound and a reflection, to isolate the reflection. The process is very sensitive to environmental conditions, such as changes in temperature, air movement, and microphone positioning. These variations cause small time differences between the reference and reflection measurements, which prevent complete subtraction of the direct sound; the residual direct sound then pollutes analysis of the isolated reflection. This work evaluates methods to compensate for differences to achieve minimal interference from the residual direct sound. PMID:20329814

  10. Segregation of anterior temporal regions critical for retrieving names of unique and non-unique entities reflects underlying long-range connectivity.

    PubMed

    Mehta, Sonya; Inoue, Kayo; Rudrauf, David; Damasio, Hanna; Tranel, Daniel; Grabowski, Thomas

    2016-02-01

    Lesion-deficit studies support the hypothesis that the left anterior temporal lobe (ATL) plays a critical role in retrieving names of concrete entities. They further suggest that different regions of the left ATL process different conceptual categories. Here we test the specificity of these relationships and whether the anatomical segregation is related to the underlying organization of white matter connections. We reanalyzed data from a previous lesion study of naming and recognition across five categories of concrete entities. In voxelwise logistic regressions of lesion-deficit associations, we formally incorporated measures of disconnection of long-range association fiber tracts (FTs) and covaried for recognition and non-category-specific naming deficits. We also performed fiber tractwise analyses to assess whether damage to specific FTs was preferentially associated with category-selective naming deficits. Damage to the basolateral ATL was associated with naming deficits for both unique (famous faces) and non-unique entities, whereas the damage to the temporal pole was associated with naming deficits for unique entities only. This segregation pattern remained after accounting for comorbid recognition deficits or naming deficits in other categories. The tractwise analyses showed that damage to the uncinate fasciculus (UNC) was associated with naming impairments for unique entities, while damage to the inferior longitudinal fasciculus (ILF) was associated with naming impairments for non-unique entities. Covarying for FT transection in voxelwise analyses rendered the cortical association for unique entities more focal. These results are consistent with the partial segregation of brain system support for name retrieval of unique and non-unique entities at both the level of cortical components and underlying white matter fiber bundles. Our study reconciles theoretic accounts of the functional organization of the left ATL by revealing both category-related processing

  11. Vaginal Memory T Cells Induced by Intranasal Vaccination Are Critical for Protective T Cell Recruitment and Prevention of Genital HSV-2 Disease

    PubMed Central

    Sato, Ayuko; Suwanto, Aldina; Okabe, Manami; Sato, Shintaro; Nochi, Tomonori; Imai, Takahiko; Koyanagi, Naoto; Kunisawa, Jun; Kawaguchi, Yasushi

    2014-01-01

    of HSV-2 generated long-lasting IFN-γ-secreting T cells in vaginal mucosa more effectively than systemic immunization. We found that these vaginal effector memory T cells are critical for the early stage of viral clearance at natural infection sites and prevent severe vaginal inflammation and herpes encephalitis. PMID:25231301

  12. CRITICAL CONFIGURATION AND PHYSICS MEASUREMENTS FOR BERYLLIUM REFLECTED ASSEMBLIES OF U(93.15)O2 FUEL RODS (1.506-CM PITCH)

    SciTech Connect

    Margaret A. Marshall

    2013-03-01

    Cadmium ratios were measured with enriched uranium metal foils at various locations in the assembly with the fuel tube at the 1.506-cm spacing. They are described in the following subsections. The experiment configuration was the same as the first critical configuration described in HEU-COMP-FAST-004 (Case 1). The experimenter placed 0.75-cm-diameter × 0.010-cm-thick 93.15%-235U-enriched uranium metal foils with and without 0.051-cm-thick cadmium covers at various locations in the core and top reflector. One part of the cadmium cover was cupshape and contained the uranium foil. The other part was a lid that fit over the exposed side of the foil when it was in the cup shaped section of the cover. As can be seen in the logbook, two runs were required to obtain all the measurements necessary for the cadmium ratio. The bare foil measurements within the top reflector were run first as part of the axial foil activation measurements. The results of this run are used for both the axial activation results and the cadmium ratios. Cadmium covered foils were then placed at the same location through the top reflector in a different run. Three pairs of bare and cadmium covered foils were also placed through the core tank. One pair was placed at the axial center of a fuel tube 11.35 cm from the center of the core. Two pairs of foils were placed on top of fuel tubes 3.02 and 12.06 cm from the center of the core. The activation of the uranium metal foils was measured after removal from the assembly using two lead shielded NaI scintillation detectors as follows. The NaI scintillators were carefully matched and had detection efficiencies for counting delayed-fission-product gamma rays with energies above 250 KeV within 5%. In all foil activation measurements, one foil at a specific location was used as a normalizing foil to remove the effects of the decay of fission products during the counting measurements with the NaI detectors. The normalization foil was placed on one Na

  13. CRITICAL CONFIGURATION AND PHYSICS MEASUREMENTS FOR BERYLLIUM REFLECTED ASSEMBLIES OF U(93.15)O2 FUEL RODS (1.506-CM PITCH AND 7-TUBE CLUSTERS)

    SciTech Connect

    Margaret A. Marshall

    2014-03-01

    Cadmium ratios were measured with enriched uranium metal foils at various locations in the assembly with the fuel tube at the 1.506-cm spacing. They are described in the following subsections. The experiment configuration was the same as the first critical configuration described in HEU-COMP-FAST-004 (Case 1). The experimenter placed 0.75-cm-diameter × 0.010-cm-thick 93.15%-235U-enriched uranium metal foils with and without 0.051-cm-thick cadmium covers at various locations in the core and top reflector. One part of the cadmium cover was cupshape and contained the uranium foil. The other part was a lid that fit over the exposed side of the foil when it was in the cup shaped section of the cover. As can be seen in the logbook, two runs were required to obtain all the measurements necessary for the cadmium ratio. The bare foil measurements within the top reflector were run first as part of the axial foil activation measurements. The results of this run are used for both the axial activation results and the cadmium ratios. Cadmium covered foils were then placed at the same location through the top reflector in a different run. Three pairs of bare and cadmium covered foils were also placed through the core tank. One pair was placed at the axial center of a fuel tube 11.35 cm from the center of the core. Two pairs of foils were placed on top of fuel tubes 3.02 and 12.06 cm from the center of the core. The activation of the uranium metal foils was measured after removal from the assembly using two lead shielded NaI scintillation detectors as follows. The NaI scintillators were carefully matched and had detection efficiencies for counting delayed-fission-product gamma rays with energies above 250 KeV within 5%. In all foil activation measurements, one foil at a specific location was used as a normalizing foil to remove the effects of the decay of fission products during the counting measurements with the NaI detectors. The normalization foil was placed on one Na

  14. Critical Configuration and Physics Measurements for Beryllium Reflected Assemblies of U(93.15)O₂ Fuel Rods (1.506-cm Pitch and 7-Tube Clusters)

    SciTech Connect

    Marshall, Margaret A.; Bess, John D.; Briggs, J. Blair; Murphy, Michael F.; Mihalczo, John T.

    2015-03-01

    Cadmium ratios were measured with enriched uranium metal foils at various locations in the assembly with the fuel tube at the 1.506-cm spacing. They are described in the following subsections. The experiment configuration was the same as the first critical configuration described in HEU-COMP-FAST-004 (Case 1). The experimenter placed 0.75-cm-diameter × 0.010-cm-thick 93.15%-235U-enriched uranium metal foils with and without 0.051-cm-thick cadmium covers at various locations in the core and top reflector. One part of the cadmium cover was cupshape and contained the uranium foil. The other part was a lid that fit over the exposed side of the foil when it was in the cup shaped section of the cover. As can be seen in the logbook, two runs were required to obtain all the measurements necessary for the cadmium ratio. The bare foil measurements within the top reflector were run first as part of the axial foil activation measurements. The results of this run are used for both the axial activation results and the cadmium ratios. Cadmium covered foils were then placed at the same location through the top reflector in a different run. Three pairs of bare and cadmium covered foils were also placed through the core tank. One pair was placed at the axial center of a fuel tube 11.35 cm from the center of the core. Two pairs of foils were placed on top of fuel tubes 3.02 and 12.06 cm from the center of the core. The activation of the uranium metal foils was measured after removal from the assembly using two lead shielded NaI scintillation detectors as follows. The NaI scintillators were carefully matched and had detection efficiencies for counting delayed-fission-product gamma rays with energies above 250 KeV within 5%. In all foil activation measurements, one foil at a specific location was used as a normalizing foil to remove the effects of the decay of fission products during the counting measurements with the NaI detectors. The normalization foil was placed on one Na

  15. Reflecting on Data

    ERIC Educational Resources Information Center

    Kraus, Rudolf V.

    2014-01-01

    This article describes a two-day optics laboratory activity that investigates the scientific phenomenon of reflection, which students are generally familiar with but usually have not studied in depth. This investigation can be used on its own or as part of a larger unit on optics. This lesson encourages students to think critically and…

  16. The Affirmative Action Debate: A Critical Reflection

    ERIC Educational Resources Information Center

    van Wyk, Berte

    2010-01-01

    In this article I contend that we cannot divorce affirmative action from issues about race and racism. Further, debates on affirmative action have to acknowledge the power of words/concepts/definitions and how they can be constructed and used for the purposes of domination or liberation. I argue that, in debating affirmative action, we have to…

  17. The nanny in the schoolhouse: critical reflections

    NASA Astrophysics Data System (ADS)

    James, Jennifer Hauver

    2013-06-01

    What can narratives do for us? In this response to Grimes' article, I endeavor to answer this question, considering the author's story as both a space for unpacking and the complex intersection of identity, teaching and learning and as an effort to name herself in the midst of such complexity. Specifically, I address the raced, gendered, classed nature of the relationships that Grimes' suggests facilitate science learning in her classroom, asking "What is gained or lost when students' success is attributed to such relationships?"

  18. Qualifications Frameworks in Africa: A Critical Reflection

    ERIC Educational Resources Information Center

    Higgs, P.; Keevy, J.

    2009-01-01

    Today there is an accelerating trend towards qualifications frameworks as an instrument to develop, classify and recognise formal learning across the African continent, as is also the case across most of Europe, Australasia and the Asia-Pacific region. As more and more countries and regions across the world develop qualifications frameworks to…

  19. Reciprocal Teaching: Critical Reflection on Practice

    ERIC Educational Resources Information Center

    McAllum, Ruth

    2014-01-01

    This paper highlights reciprocal teaching as an inclusive instructional strategy that has been shown to improve reading comprehension and metacognitive skills. It provides a conceptual background to reciprocal teaching and examines its purpose, strengths and weaknesses. The notion of reciprocal teaching as an evidence-based practice is also…

  20. The Nanny in the Schoolhouse: Critical Reflections

    ERIC Educational Resources Information Center

    James, Jennifer Hauver

    2013-01-01

    What can narratives do for us? In this response to Grimes' article, I endeavor to answer this question, considering the author's story as both a space for unpacking and the complex intersection of identity, teaching and learning and as an effort to name herself in the midst of such complexity. Specifically, I address the raced, gendered, classed…

  1. Complexity and Educational Research: A Critical Reflection

    ERIC Educational Resources Information Center

    Kuhn, Lesley

    2008-01-01

    Judgements concerning proper or appropriate educational endeavour, methods of investigation and philosophising about education necessarily implicate perspectives, values, assumptions and beliefs. In recent years ideas from the complexity sciences have been utilised in many domains including psychology, economics, architecture, social science and…

  2. Transforming Early Childhood Education through Critical Reflection

    ERIC Educational Resources Information Center

    Anderson, Elizabeth M.

    2014-01-01

    There is tension growing in early childhood education between an emphasis on higher learning standards, teacher-directed activities, and evidence-based instructional methods and maintaining active, dynamic and integrated learning experiences for young children. This short essay highlights the ways in which our existing values and beliefs,…

  3. Reflected Glory

    ERIC Educational Resources Information Center

    Forster, Colin

    2006-01-01

    The scientific model of how people see things is far removed from children's real-world experience. They know that light is needed in order to see an object, but may not know that light is reflected off the object and some of that light enters the eyes. In this article, the author explores children's understanding of reflection and how to develop…

  4. Rethinking Critically Reflective Research Practice: Beyond Popper's Critical Rationalism

    ERIC Educational Resources Information Center

    Ulrich, Werner

    2006-01-01

    We all know that ships are safest in the harbor; but alas, that is not what ships are built for. They are destined to leave the harbor and to confront the challenges that are waiting beyond the harbor mole. A similar challenge confronts the practice of research. Research at work cannot play it safe and stay in whatever theoretical and…

  5. Preventing stroke

    MedlinePlus

    Stroke - prevention; CVA - prevention; cerebral vascular accident - prevention; TIA - prevention, transient ischemic attack - prevention ... Clinical Cardiology; Council on Functional Genomics and ... Council on Hypertension. Guidelines for the primary prevention ...

  6. Parliamentarians critical role in the mobilization of political will and resources. Ms. Imelda Henkin urges parliamentarians to work for HIV / AIDS prevention.

    PubMed

    1999-12-01

    Like other countries of the world, the rising HIV epidemic has been spreading through the Asian continent, especially in South East Asia. More than 7 million Asians are already infected and HIV is clearly beginning to devastate the vast population of India and China. Reducing vulnerability to HIV infection can be achieved by improving young peoples' access to preventive methods such as male and female condoms, counseling, and follow-up. As the epidemic spreads and its dire effects are becoming increasingly visible, there is a need for a largely expanded response. The Joint UN Programme on HIV/AIDS is an innovative venture of the UN to help the world prevent new HIV infections, care for those who are infected, and mitigate the impact of the epidemic. Parliamentarians play a crucial role in the overall effort against the HIV/AIDS crisis by serving as a crucial link between the people and the government, mobilizing the political will and the resources to master these global challenges. PMID:12295688

  7. A feasible strategy for preventing blood clots in critically ill patients with acute kidney injury (FBI): study protocol for a randomized controlled trial

    PubMed Central

    2014-01-01

    Background Previous pharmacokinetic trials suggested that 40 mg subcutaneous enoxaparin once daily provided inadequate thromboprophylaxis for intensive care unit patients. Critically ill patients with acute kidney injury are at increased risk of venous thromboembolism and yet are often excluded from these trials. We hypothesized that for critically ill patients with acute kidney injury receiving continuous renal replacement therapy, a dose of 1 mg/kg enoxaparin subcutaneously once daily would improve thromboprophylaxis without increasing the risk of bleeding. In addition, we seek to utilize urine output prior to discontinuing dialysis, and low neutrophil gelatinase-associated lipocalin in dialysis-free intervals, as markers of renal recovery. Methods/Design In a multicenter, double-blind randomized controlled trial in progress at three intensive care units across Denmark, we randomly assign eligible critically ill adults with acute kidney injury into a treatment (1 mg/kg enoxaparin subcutaneously once daily) or control arm (40 mg enoxaparin subcutaneously once daily) upon commencement of continuous renal replacement therapy. We calculated that with 133 patients in each group, the study would have 80% power to show a 40% reduction in the relative risk of venous thromboembolism with 1 mg/kg enoxaparin, at a two-sided alpha level of 0.05. An interim analysis will be conducted after the first 67 patients have been included in each group. Enrolment began in March 2013, and will continue for two years. The primary outcome is the occurrence of venous thromboembolism. Secondary outcomes include anti-factor Xa activity, bleeding, heparin-induced thrombocytopenia, filter lifespan, length of stay, ventilator free days, and mortality. We will also monitor neutrophil gelatinase-associated lipocalin and urine volume to determine whether they can be used as prognostic factors for renal recovery. Discussion Critically ill unit patients with acute kidney injury present a

  8. Obesity Prevention Programs for Children and Youth: Why Are Their Results so Modest?

    ERIC Educational Resources Information Center

    Thomas, Helen

    2006-01-01

    The purpose of this paper is to critically reflect upon the mixed/modest results of the primary studies related to the effectiveness of physical activity enhancement and improving nutritional intake in obesity prevention programs for children and youth. The results of a recent review of this topic that included 57 randomized controlled trials…

  9. Reflective Learning

    ERIC Educational Resources Information Center

    Morales, Stephen

    2011-01-01

    In this article, the author presents his study of parent participation at an international school in Spain offering the British curriculum. He used quantitative methods and administered questionnaires to gather data that reflected the views of a large proportion of the school's parent community. He administered semi-structured interviews to gain a…

  10. Targeting Atp6v1c1 Prevents Inflammation and Bone Erosion Caused by Periodontitis and Reveals Its Critical Function in Osteoimmunology

    PubMed Central

    Wang, Lin; Lu, Yun; Li, Qian; Zhu, Zheng; Shao, Jian-Zhong; Chen, Wei

    2015-01-01

    Periodontal disease (Periodontitis) is a serious disease that affects a majority of adult Americans and is associated with other systemic diseases, including diabetes, rheumatoid arthritis, and other inflammatory diseases. While great efforts have been devoted toward understanding the pathogenesis of periodontitis, there remains a pressing need for developing potent therapeutic strategies for targeting this pervasive and destructive disease. In this study, we utilized novel adeno-associated virus (AAV)-mediated Atp6v1c1 knockdown gene therapy to treat bone erosion and inflammatory caused by periodontitis in mouse model. Atp6v1c1 is a subunit of the V-ATPase complex and regulator of the assembly of the V0 and V1 domains of the V-ATPase complex. We demonstrated previously that Atp6v1c1 has an essential function in osteoclast mediated bone resorption. We hypothesized that Atp6v1c1 may be an ideal target to prevent the bone erosion and inflammation caused by periodontitis. To test the hypothesis, we employed AAV RNAi knockdown of Atp6v1c1 gene expression to prevent bone erosion and gingival inflammation simultaneously. We found that lesion-specific injection of AAV-shRNA-Atp6v1c1 into the periodontal disease lesions protected against bone erosion (>85%) and gingival inflammation caused by P. gingivalis W50 infection. AAV-mediated Atp6v1c1 knockdown dramatically reduced osteoclast numbers and inhibited the infiltration of dendritic cells and macrophages in the bacteria-induced inflammatory lesions in periodontitis. Silencing of Atp6v1c1 expression also prevented the expressions of osteoclast-related genes and pro-inflammatory cytokine genes. Our data suggests that AAV-shRNA-Atp6v1c1 treatment can significantly attenuate the bone erosion and inflammation caused by periodontitis, indicating the dual function of AAV-shRNA-Atp6v1c1 as an inhibitor of bone erosion mediated by osteoclasts, and as an inhibitor of inflammation through down-regulation of pro

  11. 'Whose failure counts?' A critical reflection on definitions of failure for community health volunteers providing HIV self-testing in a community-based HIV/TB intervention study in urban Malawi.

    PubMed

    Sambakunsi, Rodrick; Kumwenda, Moses; Choko, Augustine; Corbett, Elizabeth L; Desmond, Nicola Ann

    2015-12-01

    The category of community health worker applied within the context of health intervention trials has been promoted as a cost-effective approach to meeting study objectives across large populations, relying on the promotion of the concept of 'community belonging' to encourage altruistic volunteerism from community members to promote health. This community-based category of individuals is recruited to facilitate externally driven priorities defined by large research teams, outside of the target research environment. An externally defined intervention is then 'brought to' the community through locally recruited community volunteers who form a bridge between the researchers and participants. The specific role of these workers is context-driven and responsive to the needs of the intervention. This paper is based on the findings from an annual evaluation of community health worker performance employed as community counsellors to deliver semi-supervised HIV self-testing (HIVST) at community level of a large HIV/TB intervention trial conducted in urban Blantyre, Malawi. A performance evaluation was conducted to appraise individual service delivery and assess achievements in meeting pre-defined targets for uptake of HIVST with the aim of improving overall uptake of HIVST. Through an empirical 'evaluation of the evaluation' this paper critically reflects on the position of the community volunteer through the analytical lens of 'failure', exploring the tensions in communication and interpretation of intervention delivery between researchers and community volunteers and the differing perspectives on defining failure. It is concluded that community interventions should be developed in collaboration with the population and that information guiding success should be clearly defined. PMID:26762610

  12. ‘Whose failure counts?’ A critical reflection on definitions of failure for community health volunteers providing HIV self-testing in a community-based HIV/TB intervention study in urban Malawi

    PubMed Central

    Sambakunsi, Rodrick; Kumwenda, Moses; Choko, Augustine; Corbett, Elizabeth L.; Desmond, Nicola Ann

    2015-01-01

    The category of community health worker applied within the context of health intervention trials has been promoted as a cost-effective approach to meeting study objectives across large populations, relying on the promotion of the concept of ‘com-munity belonging’ to encourage altruistic volunteerism from community members to promote health. This community-based category of individuals is recruited to facilitate externally driven priorities defined by large research teams, outside of the target research environment. An externally defined intervention is then ‘brought to’ the community through locally recruited community volunteers who form a bridge between the researchers and participants. The specific role of these workers is context-driven and responsive to the needs of the intervention. This paper is based on the findings from an annual evaluation of community health worker performance employed as community counsellors to deliver semi-supervised HIV self-testing (HIVST) at community level of a large HIV/TB intervention trial conducted in urban Blantyre, Malawi. A performance evaluation was conducted to appraise individual service delivery and assess achievements in meeting pre-defined targets for uptake of HIVST with the aim of improving overall uptake of HIVST. Through an empirical ‘evaluation of the evaluation’ this paper critically reflects on the position of the community volunteer through the analytical lens of ‘failure’, exploring the tensions in communication and interpretation of intervention delivery between researchers and community volunteers and the differing perspectives on defining failure. It is concluded that community interventions should be developed in collaboration with the population and that information guiding success should be clearly defined. PMID:26762610

  13. [Concept analysis of reflective thinking].

    PubMed

    Van Vuuren, M; Botes, A

    1999-09-01

    The nursing practice is described as a scientific practice, but also as a practice where caring is important. The purpose of nursing education is to provide competent nursing practitioners. This implies that future practitioners must have both critical analytical thinking abilities, as well as empathy and moral values. Reflective thinking could probably accommodate these thinking skills. It seems that the facilitation of reflective thinking skills is essential in nursing education. The research question that is relevant in this context is: "What is reflective thinking?" The purpose of this article is to report on the concept analysis of reflective thinking and in particular on the connotative meaning (critical attributes) thereof. The method used to perform the concept analysis is based on the original method of Wilson (1987) as described by Walker & Avant (1995). As part of the concept analysis the connotations (critical attributes) are identified, reduced and organized into three categories, namely pre-requisites, processes and outcomes. A model case is described which confirms the essential critical attributes of reflective thinking. Finally a theoretical definition of reflective thinking is derived and reads as follows: Reflective thinking is a cyclic, hierarchical and interactive construction process. It is initiated, extended and continued because of personal cognitive-affective interaction (individual dimension) as well as interaction with the social environment (social dimension). to realize reflective thinking, a level of internalization on the cognitive and affective domain is required. The result of reflective thinking is a integrated framework of knowledge (meaningful learning) and a internalized value system providing a new perspective on and better understanding of a problem. Reflective thinking further leads to more effective decision making- and problem solving skills. PMID:11040626

  14. PReventing early unplanned hOspital readmission aFter critical ILlnEss (PROFILE): protocol and analysis framework for a mixed methods study

    PubMed Central

    Walsh, Timothy S; Salisbury, Lisa; Donaghy, Eddie; Ramsay, Pamela; Lee, Robert; Rattray, Janice; Lone, Nazir

    2016-01-01

    Introduction Survivors of critical illness experience multidimensional disabilities that reduce quality of life, and 25–30% require unplanned hospital readmission within 3 months following index hospitalisation. We aim to understand factors associated with unplanned readmission; develop a risk model to identify intensive care unit (ICU) survivors at highest readmission risk; understand the modifiable and non-modifiable readmission drivers; and develop a risk assessment tool for identifying patients and areas for early intervention. Methods and analysis We will use mixed methods with concurrent data collection. Quantitative data will comprise linked healthcare records for adult Scottish residents requiring ICU admission (1 January 2000–31 December 2013) who survived to hospital discharge. The outcome will be unplanned emergency readmission within 90 days of index hospital discharge. Exposures will include pre-ICU demographic data, comorbidities and health status, and critical illness variables representing illness severity. Regression analyses will be used to identify factors associated with increased readmission risk, and to develop and validate a risk prediction model. Qualitative data will comprise recorded/transcribed interviews with up to 60 patients and carers recently experiencing unplanned readmissions in three health board regions. A deductive and inductive thematic analysis will be used to identify factors contributing to readmissions and how they may interact. Through iterative triangulation of quantitative and qualitative data, we will develop a construct/taxonomy that captures reasons and drivers for unplanned readmission. We will validate and further refine this in focus groups with patients/carers who experienced readmissions in six Scottish health board regions, and in consultation with an independent expert group. A tool will be developed to screen for ICU survivors at risk of readmission and inform anticipatory interventions. Ethics and

  15. Molecular dissection of the miR-17-92 cluster's critical dual roles in promoting Th1 responses and preventing inducible Treg differentiation

    PubMed Central

    Jiang, Shan; Li, Chaoran; Olive, Virginie; Lykken, Erik; Feng, Feng; Sevilla, Jose; Wan, Ying; He, Lin

    2011-01-01

    Mir-17-92 encodes 6 miRNAs inside a single polycistronic transcript, the proper expression of which is critical for early B-cell development and lymphocyte homeostasis. However, during the T-cell antigen response, the physiologic function of endogenous miR-17-92 and the roles of the individual miRNAs remain elusive. In the present study, we functionally dissected the miR-17-92 cluster and revealed that miR-17 and miR-19b are the key players controlling Th1 responses through multiple coordinated biologic processes. These include: promoting proliferation, protecting cells from activation-induced cell death, supporting IFN-γ production, and suppressing inducible regulatory T-cell differentiation. Mechanistically, we identified Pten (phosphatase and tensin homolog) as the functionally important target of miR-19b, whereas the function of miR-17 is mediated by TGFβRII and the novel target CREB1. Because of its vigorous control over the Th1 cell–inducible regulatory T cell balance, the loss of miR-17-92 in CD4 T cells results in tumor evasion. Our results suggest that miR-19b and miR-17 could be harnessed to enhance the efficacy of T cell–based tumor therapy. PMID:21972292

  16. Methicillin-Resistant Staphylococcus aureus Colonization and Risk of Subsequent Infection in Critically Ill Children: Importance of Preventing Nosocomial Methicillin-Resistant Staphylococcus aureus Transmission

    PubMed Central

    Goldner, Brian W.; Ross, Tracy; Shepard, John W.; Carroll, Karen C.

    2011-01-01

    Background. Methicillin-resistant Staphylococcus aureus (MRSA) colonization is a predictor of subsequent infection in hospitalized adults. The risk of subsequent MRSA infections in hospitalized children colonized with MRSA is unknown. Methods. Children admitted to an academic medical center’s pediatric intensive care unit between March 2007 and March 2010 were included in the study. Anterior naris swabs were cultured to identify children with MRSA colonization at admission. Laboratory databases were queried and National Healthcare Safety Network definitions applied to identify patients with MRSA infections during their hospitalization or after discharge. Results. The MRSA admission prevalence among 3140 children was 4.9%. Overall, 56 children (1.8%) developed an MRSA infection, including 13 (8.5%) colonized on admission and 43 (1.4%) not colonized on admission (relative risk [RR], 5.9; 95% confidence interval [CI], 3.4–10.1). Of those, 10 children (0.3%) developed an MRSA infection during their hospitalization, including 3 of 153 children (1.9%) colonized on admission and 7 of 2987 children (0.2%) not colonized on admission (RR, 8.4; 95% CI, 2.7–25.8). African-Americans and those with public health insurance were more likely to get a subsequent infection (P < .01 and P = .03, respectively). We found that 15 children acquired MRSA colonization in the pediatric intensive care unit, and 7 (47%) developed a subsequent MRSA infection. Conclusions. MRSA colonization is a risk factor for subsequent MRSA infection in children. Although MRSA colonized children may have lower risks of subsequent infection than adults, children who acquire MRSA in the hospital have similarly high rates of infection. Preventing transmission of MRSA in hospitalized children should remain a priority. PMID:21878424

  17. Applying critical thinking to nursing.

    PubMed

    Price, Bob

    2015-08-19

    Critical thinking and writing are skills that are not easy to acquire. The term 'critical' is used differently in social and clinical contexts. Nursing students need time to master the inquisitive and ruminative aspects of critical thinking that are required in academic environments. This article outlines what is meant by critical thinking in academic settings, in relation to both theory and reflective practice. It explains how the focus of a question affects the sort of critical thinking required and offers two taxonomies of learning, to which students can refer when analysing essay requirements. The article concludes with examples of analytical writing in reference to theory and reflective practice. PMID:26285997

  18. Reflective Packaging

    NASA Technical Reports Server (NTRS)

    1994-01-01

    The aluminized polymer film used in spacecraft as a radiation barrier to protect both astronauts and delicate instruments has led to a number of spinoff applications. Among them are aluminized shipping bags, food cart covers and medical bags. Radiant Technologies purchases component materials and assembles a barrier made of layers of aluminized foil. The packaging reflects outside heat away from the product inside the container. The company is developing new aluminized lines, express mailers, large shipping bags, gel packs and insulated panels for the building industry.

  19. Development of English Language Teaching Reflection Inventory

    ERIC Educational Resources Information Center

    Akbari, Ramin; Behzadpoor, Foad; Dadvand, Babak

    2010-01-01

    The present study was carried out to develop and validate an L2 teacher reflection instrument. For this purpose, a six component model of second language (L2) teacher reflection, encompassing practical, cognitive, meta-cognitive, affective, critical and moral reflection, was developed using experts' opinion and a comprehensive review of the…

  20. Reflective Teaching in Second Language Classrooms.

    ERIC Educational Resources Information Center

    Richards, Jack C.; Lockhart, Charles

    The discussion of reflective techniques for second language teaching is intended for teacher trainees and in-service teachers and focuses on practical applications of the reflective method. Each chapter presents an important dimension of teaching and poses questions for classroom observation, investigation, and critical reflection. The suggested…

  1. Toward critical bioethics.

    PubMed

    Árnason, Vilhjálmur

    2015-04-01

    This article deals with the question as to what makes bioethics a critical discipline. It considers different senses of criticism and evaluates their strengths and weaknesses. A primary method in bioethics as a philosophical discipline is critical thinking, which implies critical evaluation of concepts, positions, and arguments. It is argued that the type of analytical criticism that restricts its critical role to critical thinking of this type often suffers from other intellectual flaws. Three examples are taken to demonstrate this: premature criticism, uncritical self-understanding of theoretical assumptions, and narrow framing of bioethical issues. Such flaws can lead both to unfair treatment of authors and to uncritical discussion of topics. In this context, the article makes use of Häyry's analysis of different rationalities in bioethical approaches and argues for the need to recognize the importance of communicative rationality for critical bioethics. A radically different critical approach in bioethics, rooted in social theory, focuses on analyses of power relations neglected in mainstream critical thinking. It is argued that, although this kind of criticism provides an important alternative in bioethics, it suffers from other shortcomings that are rooted in a lack of normative dimensions. In order to complement these approaches and counter their shortcomings, there is a need for a bioethics enlightened by critical hermeneutics. Such hermeneutic bioethics is aware of its own assumptions, places the issues in a wide context, and reflects critically on the power relations that stand in the way of understanding them. Moreover, such an approach is dialogical, which provides both a critical exercise of speech and a normative dimension implied in the free exchange of reasons and arguments. This discussion is framed by Hedgecoe's argument that critical bioethics needs four elements: to be empirically rooted, theory challenging, reflexive, and politely skeptical

  2. Reflected Glory

    NASA Astrophysics Data System (ADS)

    2011-02-01

    The nebula Messier 78 takes centre stage in this image taken with the Wide Field Imager on the MPG/ESO 2.2-metre telescope at the La Silla Observatory in Chile, while the stars powering the bright display take a backseat. The brilliant starlight ricochets off dust particles in the nebula, illuminating it with scattered blue light. Igor Chekalin was the overall winner of ESO's Hidden Treasures 2010 astrophotography competition with his image of this stunning object. Messier 78 is a fine example of a reflection nebula. The ultraviolet radiation from the stars that illuminate it is not intense enough to ionise the gas to make it glow - its dust particles simply reflect the starlight that falls on them. Despite this, Messier 78 can easily be observed with a small telescope, being one of the brightest reflection nebulae in the sky. It lies about 1350 light-years away in the constellation of Orion (The Hunter) and can be found northeast of the easternmost star of Orion's belt. This new image of Messier 78 from the MPG/ESO 2.2-metre telescope at the La Silla Observatory is based on data selected by Igor Chekalin in his winning entry to the Hidden Treasures competition [1]. The pale blue tint seen in the nebula in this picture is an accurate representation of its dominant colour. Blue hues are commonly seen in reflection nebulae because of the way the starlight is scattered by the tiny dust particles that they contain: the shorter wavelength of blue light is scattered more efficiently than the longer wavelength red light. This image contains many other striking features apart from the glowing nebula. A thick band of obscuring dust stretches across the image from the upper left to the lower right, blocking the light from background stars. In the bottom right corner, many curious pink structures are also visible, which are created by jets of material being ejected from stars that have recently formed and are still buried deep in dust clouds. Two bright stars, HD 38563A and

  3. Reflected Glory

    NASA Astrophysics Data System (ADS)

    2011-02-01

    The nebula Messier 78 takes centre stage in this image taken with the Wide Field Imager on the MPG/ESO 2.2-metre telescope at the La Silla Observatory in Chile, while the stars powering the bright display take a backseat. The brilliant starlight ricochets off dust particles in the nebula, illuminating it with scattered blue light. Igor Chekalin was the overall winner of ESO's Hidden Treasures 2010 astrophotography competition with his image of this stunning object. Messier 78 is a fine example of a reflection nebula. The ultraviolet radiation from the stars that illuminate it is not intense enough to ionise the gas to make it glow - its dust particles simply reflect the starlight that falls on them. Despite this, Messier 78 can easily be observed with a small telescope, being one of the brightest reflection nebulae in the sky. It lies about 1350 light-years away in the constellation of Orion (The Hunter) and can be found northeast of the easternmost star of Orion's belt. This new image of Messier 78 from the MPG/ESO 2.2-metre telescope at the La Silla Observatory is based on data selected by Igor Chekalin in his winning entry to the Hidden Treasures competition [1]. The pale blue tint seen in the nebula in this picture is an accurate representation of its dominant colour. Blue hues are commonly seen in reflection nebulae because of the way the starlight is scattered by the tiny dust particles that they contain: the shorter wavelength of blue light is scattered more efficiently than the longer wavelength red light. This image contains many other striking features apart from the glowing nebula. A thick band of obscuring dust stretches across the image from the upper left to the lower right, blocking the light from background stars. In the bottom right corner, many curious pink structures are also visible, which are created by jets of material being ejected from stars that have recently formed and are still buried deep in dust clouds. Two bright stars, HD 38563A and

  4. Withdrawal and withholding of medical treatment for patients lacking capacity who are in a critical condition--reflections on the judgment of the Supreme Court in Aintree University Hospitals NHS Foundation Trust v James.

    PubMed

    Wise, Ian

    2014-12-01

    Consideration of recent judgment of the Supreme Court in leading case concerning the withdrawal and withholding of medical treatment for a patient lacking capacity who was in a critical condition. PMID:25349194

  5. Allergy prevention.

    PubMed

    Muche-Borowski, Cathleen; Kopp, Matthias; Reese, Imke; Sitter, Helmut; Werfel, Thomas; Schäfer, Torsten

    2010-09-01

    The further increase of allergies in industrialized countries demands evidence-based measures of primary prevention. The recommendations as published in the guideline of 2004 were updated and consented on the basis of a systematic literature search. Evidence from the period February 2003-May 2008 was searched in the electronic databases Cochrane and MEDLINE as well as in reference lists of recent reviews and by contacting experts. The retrieved citations were screened for relevance first by title and abstract and in a second step as full paper. Levels of evidence were assigned to each included study and the methodological quality of the studies was assessed as high or low. Finally the revised recommendations were formally consented (nominal group process) by representatives of relevant societies and organizations including a self-help group. Of originally 4556 hits, 217 studies (4 Cochrane Reviews, 14 meta-analyses, 19 randomized controlled trials, 135 cohort and 45 case-control studies) were included and critically appraised. Grossly unchanged remained the recommendations on avoiding environmental tobacco smoke, breast-feeding over 4 months (alternatively hypoallergenic formulas for children at risk), avoiding a mold-promoting indoor climate, vaccination according to current recommendations, and avoidance of furry pets (especially cats) in children at risk. The recommendation on reducing the house dust mite allergen exposure as a measure of primary prevention was omitted and the impact of a delayed introduction of supplementary food was reduced. New recommendations were adopted concerning fish consumption (during pregnancy / breast-feeding and as supplementary food in the first year), avoidance of overweight, and reducing the exposure to indoor and outdoor air pollutants. The revision of this guideline on a profound evidence basis led to (1) a confirmation of existing recommendations, (2) substantial revisions, and (3) new recommendations. Thereby it is possible

  6. Reflections of a "Racial Queer"

    ERIC Educational Resources Information Center

    Chang-Ross, Aurora

    2010-01-01

    In this article, I reflect on my personal experiences of racial queerness. In an effort to speak my secrets, I explore my identity production as a Multiracial person by critically examining my positionality throughout various key stages in my life. I present Multiracial microaggressions--those accumulated moments that underscore my racial…

  7. The Critical State of Violence Prevention.

    ERIC Educational Resources Information Center

    Noguera, Pedro A.

    1996-01-01

    "Get-tough" measures don't address the causes of school violence or explain schools' increasing vulnerability to its occurrence. The legacy of social control profoundly influences school culture. Truly safe urban schools are small and treat kids like individuals; involve parents; create a supportive, aesthetically appealing environment; and stress…

  8. Reflecting to Conform? Exploring Irish Student Teachers' Discourses in Reflective Practice

    ERIC Educational Resources Information Center

    McGarr, Oliver; McCormack, Orla

    2014-01-01

    A new model of reflective practice for student teachers on school placement was implemented into a teacher education program. The model aimed to encourage critical reflection that challenged hegemonic assumptions and power relations. In contrast to this, the analysis of the student teachers' reflections revealed a desire to fit in and…

  9. Practitioner insights on obesity prevention: the voice of South Australian OPAL workers.

    PubMed

    2016-06-01

    Knowledge based on science has been central to implementing community-based childhood obesity prevention interventions. The art of practitioner wisdom is equally critical to ensure locally relevant responses. In South Australia (SA), the OPAL (Obesity Prevention and Lifestyle) program has been implemented to reduce childhood obesity across 20 communities reaching nearly one quarter of the state's population. Staff from across the State come together at regular intervals to share practice challenges and insights and refine the model of practice. Over a 3-year period 12 reflective practice workshops were held with OPAL staff (n = 46). OPAL staff were guided by an external facilitator using inquiring questions to reflect on their health promotion practice within local government. Three themes were identified as central within the reflections. The first theme is shared clarity through the OPAL obesity prevention model highlighting the importance of working to a clearly articulated, holistic obesity prevention model. The second theme is practitioner skill and sensitivity required to implement the model and deal with the 'politics' of obesity prevention. The final theme is the power of relationships as intrinsic to effective community based health promotion. Insights into the daily practices and reflections from obesity prevention practitioners are shared to shed light on the skills required to contribute to individual and social change. OPAL staff co-authored this paper. PMID:25700429

  10. A Reflective Look at Reflecting Teams

    ERIC Educational Resources Information Center

    Pender, Rebecca L.; Stinchfield, Tracy

    2012-01-01

    This article reviewed existing literature and research on the reflecting team process. There is a dearth of empirical research that explores the reflecting team process and the outcome of counseling that uses reflecting teams. Implications of using reflecting teams for counselors, counselor educators, and clients will be discussed. A call for…

  11. The Yoga of Critical Discourse

    ERIC Educational Resources Information Center

    Hyde, Andrea M.

    2013-01-01

    This article offers a comparative self-reflection on two seemingly disparate teaching practices: hatha yoga and critical social theories of education. As some have already discovered, the two enacted fields share many core principles and practices; deal with strikingly similar content; and are primarily self-reflective. As an…

  12. Addressing critical gaps in achieving universal access to sexual and reproductive health (SRH): the case for improving adolescent SRH, preventing unsafe abortion, and enhancing linkages between SRH and HIV interventions.

    PubMed

    Mbizvo, Michael Takura; Zaidi, Shahida

    2010-07-01

    The new target for achieving universal access to reproductive health was integrated within the revised Millennium Development Goal framework in October 2008, following reaffirmation of this ICPD goal at the 2005 World Summit. To achieve this goal, the Alliance for Women's Health identified 3 issues needing urgent attention: (1) adolescent sexual and reproductive health; (2) unsafe abortions and related mortality and morbidity; and (3) HIV prevention and care. These themes were discussed in Cape Town at the FIGO 2009 Precongress Workshop convened by the Alliance. The critical gaps identified by the Workshop included: the lack of information on sexual and reproductive health (SRH) issues for adolescents, such as safe sexual practices, contraception, risks related to early childbearing; unsafe abortion and its adverse consequences; and inadequate linkages between sexual and reproductive health and HIV interventions that result in missed opportunities for addressing both. Recommendations included the use of innovative information dissemination techniques, ensuring access to family planning and comprehensive abortion care to the full extent allowed by national laws, in accordance with FIGO and WHO guidelines, and promotion of universal HIV counseling and testing with opt-out strategies within SRH services and information on SRH in all HIV services. PMID:20451907

  13. Critical Care

    MedlinePlus

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications from surgery, ... attention by a team of specially-trained health care providers. Critical care usually takes place in an ...

  14. Reflected Ceiling Plan/Reflected Deck Plan 2009; Reflected Ceiling Plan/Reflected Deck ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Reflected Ceiling Plan/Reflected Deck Plan 2009; Reflected Ceiling Plan/Reflected Deck Plan 2010 - Gilpin's Falls Covered Bridge, Spanning North East Creek at Former (Bypassed) Section of North East Road (SR 272), North East, Cecil County, MD

  15. Reflectivity: Curricula Expectations and Instructional Realities.

    ERIC Educational Resources Information Center

    Sorgman, Margo

    1986-01-01

    Reviews the research and writing of several authors who advocated intellectual reflectivity as either a major goal or method of social studies. Analyzes the practical constraints which tended to prevent schools and teachers from adopting reflectivty and makes recommendations for increasing teachers' acceptance of reflectivity. (JDH)

  16. A Place for Critical Literacy

    ERIC Educational Resources Information Center

    Beck, Ann S.

    2005-01-01

    The critical literacy classroom is characterized by an emphasis on students' voices and on dialogue as a tool with which students reflect on and construct meanings from texts and discourses. Is it appropriate, however, to teach critical literacy in settings such as penal institutions where student voices are deliberately discouraged and silenced?…

  17. Preventing School Violence

    ERIC Educational Resources Information Center

    Rulloda, Rudolfo Barcena

    2011-01-01

    School violence has mushroomed into a devastating epidemic and is deteriorating the basic foundation of education. In this article, the author will present several teaching strategies for preventing school violence from becoming an arduous enigma within the classroom and school environments, and focus on assessment and reflection in order to…

  18. Diffusely Reflecting Paints Containing TFE

    NASA Technical Reports Server (NTRS)

    Shai, M. C.; Schutt, J. B.

    1985-01-01

    Highly reflective, diffused coatings developed by incorporating polytetrafluoroethylene (TFE) pigment with alcohol-soluble binders. Alcohol and binder mixed together in blender before adding TFE. TFE preferably outgassed in mechanical-pump vacuum for typical interval of 4 hours before adding to liquid. Like wetting agent, vacuum treatment helps to prevent clumping of TFE and eases dispersion throughout mixture. Mixture blended for 3 to 5 minutes before used. Coatings useful on reflectance-standard surfaces for calibrating radiometric instruments in both laboratory and field. Paints washable and usable as optical reference surfaces.

  19. Critical Thoughts on Critical Thinking

    ERIC Educational Resources Information Center

    Cody, Dean E.

    2006-01-01

    Scholars in many academic areas, including librarians, devote a significant amount of thought to critical thinking. Surveying views of its use and possibility, the author considers some key librarians' thoughts on critical thinking. In conclusion, the inability to define critical thinking means that librarians need to emphasize control of…

  20. Critical Thinking vs. Critical Consciousness

    ERIC Educational Resources Information Center

    Doughty, Howard A.

    2006-01-01

    This article explores four kinds of critical thinking. The first is found in Socratic dialogues, which employ critical thinking mainly to reveal logical fallacies in common opinions, thus cleansing superior minds of error and leaving philosophers free to contemplate universal verities. The second is critical interpretation (hermeneutics) which…

  1. Critically Thinking about Critical Thinking

    ERIC Educational Resources Information Center

    Weissberg, Robert

    2013-01-01

    In this article, the author states that "critical thinking" has mesmerized academics across the political spectrum and that even high school students are now being called upon to "think critically." He furthers adds that it is no exaggeration to say that "critical thinking" has quickly evolved into a scholarly…

  2. How Critical Is Critical Thinking?

    ERIC Educational Resources Information Center

    Shaw, Ryan D.

    2014-01-01

    Recent educational discourse is full of references to the value of critical thinking as a 21st-century skill. In music education, critical thinking has been discussed in relation to problem solving and music listening, and some researchers suggest that training in critical thinking can improve students' responses to music. But what exactly is…

  3. Developing reflective writing as effective pedagogy.

    PubMed

    Kennison, Monica

    2012-01-01

    While reflective writing about practice experiences is frequently used in nursing curricula to foster critical thinking, faculty members may be unaware of how to help students reflect, what kinds of feedback are helpful, and how to deal with students' concerns. This article describes faculty best practices in mentoring the student to effectively think critically through structured reflective writing. Models of structured reflection, Baker's four-step model and John's revision of Carper's patterns of knowing, are discussed as effective guides at graduate and undergraduate levels. The article addresses potentially problematic issues with the implementation and evaluation of reflective writing assignments in clinical courses. With foresight and planning, reflective writing may be an empowering strategy for facilitating students' thinking skills. PMID:23061188

  4. Frustrated Total Internal Reflection: A Simple Application and Demonstration.

    ERIC Educational Resources Information Center

    Zanella, F. P.; Magalhaes, D. V.; Oliveira, M. M.; Bianchi, R. F.; Misoguti, L.; Mendonca, C. R.

    2003-01-01

    Describes the total internal reflection process that occurs when the internal angle of incidence is equal to or greater than the critical angle. Presents a demonstration of the effect of frustrated total internal reflection (FTIR). (YDS)

  5. VPS35 in Dopamine Neurons Is Required for Endosome-to-Golgi Retrieval of Lamp2a, a Receptor of Chaperone-Mediated Autophagy That Is Critical for α-Synuclein Degradation and Prevention of Pathogenesis of Parkinson's Disease

    PubMed Central

    Tang, Fu-Lei; Erion, Joanna R.; Tian, Yun; Liu, Wei; Yin, Dong-Min; Ye, Jian; Tang, Baisha; Mei, Lin

    2015-01-01

    Vacuolar protein sorting-35 (VPS35) is essential for endosome-to-Golgi retrieval of membrane proteins. Mutations in the VPS35 gene have been identified in patients with autosomal dominant PD. However, it remains poorly understood if and how VPS35 deficiency or mutation contributes to PD pathogenesis. Here we provide evidence that links VPS35 deficiency to PD-like neuropathology. VPS35 was expressed in mouse dopamine (DA) neurons in substantia nigra pars compacta (SNpc) and STR (striatum)—regions that are PD vulnerable. VPS35-deficient mice exhibited PD-relevant deficits including accumulation of α-synuclein in SNpc-DA neurons, loss of DA transmitter and DA neurons in SNpc and STR, and impairment of locomotor behavior. Further mechanical studies showed that VPS35-deficient DA neurons or DA neurons expressing PD-linked VPS35 mutant (D620N) had impaired endosome-to-Golgi retrieval of lysosome-associated membrane glycoprotein 2a (Lamp2a) and accelerated Lamp2a degradation. Expression of Lamp2a in VPS35-deficient DA neurons reduced α-synuclein, supporting the view for Lamp2a as a receptor of chaperone-mediated autophagy to be critical for α-synuclein degradation. These results suggest that VPS35 deficiency or mutation promotes PD pathogenesis and reveals a crucial pathway, VPS35-Lamp2a-α-synuclein, to prevent PD pathogenesis. SIGNIFICANCE STATEMENT VPS35 is a key component of the retromer complex that is essential for endosome-to-Golgi retrieval of membrane proteins. Mutations in the VPS35 gene have been identified in patients with PD. However, if and how VPS35 deficiency or mutation contributes to PD pathogenesis remains unclear. We demonstrated that VPS35 deficiency or mutation (D620N) in mice leads to α-synuclein accumulation and aggregation in the substantia nigra, accompanied with DA neurodegeneration. VPS35-deficient DA neurons exhibit impaired endosome-to-Golgi retrieval of Lamp2a, which may contribute to the reduced α-synuclein degradation through

  6. Criticality Safety Basics for INL Emergency Responders

    SciTech Connect

    Valerie L. Putman

    2012-08-01

    This document is a modular self-study guide about criticality safety principles for Idaho National Laboratory emergency responders. This guide provides basic criticality safety information for people who, in response to an emergency, might enter an area that contains much fissionable (or fissile) material. The information should help responders understand unique factors that might be important in responding to a criticality accident or in preventing a criticality accident while responding to a different emergency.

    This study guide specifically supplements web-based training for firefighters (0INL1226) and includes information for other Idaho National Laboratory first responders. However, the guide audience also includes other first responders such as radiological control personnel.

    For interested readers, this guide includes clearly marked additional information that will not be included on tests. The additional information includes historical examples (Been there. Done that.), as well as facts and more in-depth information (Did you know …).

    INL criticality safety personnel revise this guide as needed to reflect program changes, user requests, and better information. Revision 0, issued May 2007, established the basic text. Revision 1 incorporates operation, program, and training changes implemented since 2007. Revision 1 increases focus on first responders because later responders are more likely to have more assistance and guidance from facility personnel and subject matter experts. Revision 1 also completely reorganized the training to better emphasize physical concepts behind the criticality controls that help keep emergency responders safe. The changes are based on and consistent with changes made to course 0INL1226.

  7. "Keeping SCORE": Reflective Practice through Classroom Observations

    ERIC Educational Resources Information Center

    Farrell, Thomas S. C.

    2011-01-01

    Reflective practice means that teachers must subject their own teaching beliefs and practices to critical examination. One way of facilitating reflective practice in ESL teachers is to encourage them to engage in classroom observations as part of their professional development. This paper reports on a case study of a short series of classroom…

  8. Reflections on Teaching Financial Statement Analysis

    ERIC Educational Resources Information Center

    Entwistle, Gary

    2015-01-01

    In her 2011 article "Towards a 'scholarship of teaching and learning': The individual and the communal journey," Ursula Lucas calls for more critical reflection on individual teaching experiences and encourages sharing such experiences with the wider academy. In this spirit Gary Entwistle reflects upon his experiences teaching financial…

  9. Towards a Philosophy of Reflective Practice.

    ERIC Educational Resources Information Center

    Ricard-Fersing, Eliane

    1999-01-01

    Study of reflective teaching must consider the individual being, subject, and actor. This paper addresses questions to contemporary sociology about competencies of social actors and examines reflectivity which is based on the action itself, concluding that teachers must become conscious of themselves as social actors in a critical society and…

  10. Minimum Critical Values Study

    SciTech Connect

    Fox, P.B.

    2005-07-11

    This report provides minimum critical values for various 30-cm water-reflected uranium and plutonium oxide and nitrate aqueous mixtures as calculated by the SCALE CSAS1X sequence using the 238-group ENDF/B-V neutron cross-section library. The minimum values were determined through parametric searches in one-dimensional geometry. The calculations have been performed to obtain the minimum values: critical volume and mass for spheres, critical radius for cylinders, critical thickness for slabs, and minimum critical concentration (infinite geometry) for the following homogeneous mixtures: (1) UO{sub 2}-H{sub 2}O for 3, 4, 5, 20, and 100 wt % {sup 235}U; (2) UNH for 3, 4, 5, 20, and 100 wt % {sup 235}U; (3) PuO{sub 2}-H{sub 2}O for 100/0/0, 95/5/0, 90/5/5, 80/10/10, and 71/17/11/1 wt % of {sup 239}Pu/{sup 240}Pu/{sup 241}Pu(/{sup 242}Pu); and (4) PuNH for 100/0/0, 95/5/0, 90/5/5, 80/10/10, and 71/17/11/1 wt % of {sup 239}Pu/{sup 240}Pu/{sup 241}Pu(/{sup 242}Pu). All bounding surfaces were fully reflected by 30 cm of H{sub 2}O.

  11. The microbiome and critical illness.

    PubMed

    Dickson, Robert P

    2016-01-01

    The central role of the microbiome in critical illness is supported by a half century of experimental and clinical study. The physiological effects of critical illness and the clinical interventions of intensive care substantially alter the microbiome. In turn, the microbiome predicts patients' susceptibility to disease, and manipulation of the microbiome has prevented or modulated critical illness in animal models and clinical trials. This Review surveys the microbial ecology of critically ill patients, presents the facts and unanswered questions surrounding gut-derived sepsis, and explores the radically altered ecosystem of the injured alveolus. The revolution in culture-independent microbiology has provided the tools needed to target the microbiome rationally for the prevention and treatment of critical illness, holding great promise to improve the acute and chronic outcomes of the critically ill. PMID:26700442

  12. Qualitative Analysis of Written Reflections during a Teaching Certificate Program

    PubMed Central

    Castleberry, Ashley N.; Payakachat, Nalin; Ashby, Sarah; Nolen, Amanda; Carle, Martha; Neill, Kathryn K.

    2016-01-01

    Objective. To evaluate the success of a teaching certificate program by qualitatively evaluating the content and extent of participants’ reflections. Methods. Two investigators independently identified themes within midpoint and final reflection essays across six program years. Each essay was evaluated to determine the extent of reflection in prompted teaching-related topic areas (strengths, weaknesses, assessment, feedback). Results. Twenty-eight themes were identified within 132 essays. Common themes encompassed content delivery, student assessment, personal successes, and challenges encountered. Deep reflection was exhibited, with 48% of essays achieving the highest level of critical reflection. Extent of reflection trended higher from midpoint to final essays, with significant increases in the strengths and feedback areas. Conclusion. The teaching certificate program fostered critical reflection and self-reported positive behavior change in teaching, thus providing a high-quality professional development opportunity. Such programs should strongly consider emphasizing critical reflection through required reflective exercises at multiple points within program curricula. PMID:26941436

  13. Challenging Narcissus, or Reflecting on Reflecting.

    ERIC Educational Resources Information Center

    Achilles, C. M.

    The concept of reflective practice and teaching people to be reflective practitioners is examined. The document begins with a look at professional knowledge according to three prominent professionals in the educational administration field: Schon, Schein, and Achilles. "Reflective" strategies that could be incorporated into courses and seminars,…

  14. Criticality Model

    SciTech Connect

    A. Alsaed

    2004-09-14

    The ''Disposal Criticality Analysis Methodology Topical Report'' (YMP 2003) presents the methodology for evaluating potential criticality situations in the monitored geologic repository. As stated in the referenced Topical Report, the detailed methodology for performing the disposal criticality analyses will be documented in model reports. Many of the models developed in support of the Topical Report differ from the definition of models as given in the Office of Civilian Radioactive Waste Management procedure AP-SIII.10Q, ''Models'', in that they are procedural, rather than mathematical. These model reports document the detailed methodology necessary to implement the approach presented in the Disposal Criticality Analysis Methodology Topical Report and provide calculations utilizing the methodology. Thus, the governing procedure for this type of report is AP-3.12Q, ''Design Calculations and Analyses''. The ''Criticality Model'' is of this latter type, providing a process evaluating the criticality potential of in-package and external configurations. The purpose of this analysis is to layout the process for calculating the criticality potential for various in-package and external configurations and to calculate lower-bound tolerance limit (LBTL) values and determine range of applicability (ROA) parameters. The LBTL calculations and the ROA determinations are performed using selected benchmark experiments that are applicable to various waste forms and various in-package and external configurations. The waste forms considered in this calculation are pressurized water reactor (PWR), boiling water reactor (BWR), Fast Flux Test Facility (FFTF), Training Research Isotope General Atomic (TRIGA), Enrico Fermi, Shippingport pressurized water reactor, Shippingport light water breeder reactor (LWBR), N-Reactor, Melt and Dilute, and Fort Saint Vrain Reactor spent nuclear fuel (SNF). The scope of this analysis is to document the criticality computational method. The criticality

  15. Critical Care

    MedlinePlus

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications from surgery, accidents, infections, and severe breathing problems. It involves ...

  16. | Division of Cancer Prevention

    Cancer.gov

    The Division of Cancer Prevention (DCP) conducts and supports research to determine a person's risk of cancer and to find ways to reduce the risk. This knowledge is critical to making progress against cancer because risk varies over the lifespan as genetic and epigenetic changes can transform healthy tissue into invasive cancer.

  17. Division of Cancer Prevention

    Cancer.gov

    The Division of Cancer Prevention (DCP) conducts and supports research to determine a person's risk of cancer and to find ways to reduce the risk. This knowledge is critical to making progress against cancer because risk varies over the lifespan as genetic and epigenetic changes can transform healthy tissue into invasive cancer.

  18. Critical Muralism

    ERIC Educational Resources Information Center

    Rosette, Arturo

    2009-01-01

    This study focuses on the development and practices of Critical Muralists--community-educator-artist-leader-activists--and situates these specifically in relation to the Mexican mural tradition of los Tres Grandes and in relation to the history of public art more generally. The study examines how Critical Muralists address artistic and…

  19. Orientations to Reflective Practice.

    ERIC Educational Resources Information Center

    Wellington, Bud; Austin, Patricia

    1996-01-01

    Delineates five orientations to reflective practice: immediate, technical, deliberative, dialectic, and transpersonal, each reflecting different social science bases and beliefs and values about education. Views them as interactive, interdependent, noncompeting, aspects of reflective practice. (SK)

  20. Preventing Suicide

    MedlinePlus

    ... The top three methods used in suicides include firearms (49.9%), suffocation (26.7%), and poisoning (15. ... Content source: National Center for Injury Prevention and Control, Division of Violence Prevention Page maintained by: Office ...

  1. Drowning Prevention

    MedlinePlus

    ... Listen Español Text Size Email Print Share Drowning Prevention: Information for Parents Page Content Article Body Drowning ... in very cold water for lengthy periods. Drowning Prevention: Know the Warning Signs These signs may signal ...

  2. Critics and Criticism of Education

    ERIC Educational Resources Information Center

    Ornstein, Allan C.

    1977-01-01

    Radical educational critics, such as Edgar Friedenberg, Paul Goodman, A. S. Neill, John Holt, Jonathan Kozol, Herbert Kohl, James Herndon, and Ivan Illich, have few constructive goals, no strategy for broad change, and a disdain for modernization and compromise. Additionally, these critics, says the author, fail to consider social factors related…

  3. Exercise frequency and bone mineral density development in exercising postmenopausal osteopenic women. Is there a critical dose of exercise for affecting bone? Results of the Erlangen Fitness and Osteoporosis Prevention Study.

    PubMed

    Kemmler, Wolfgang; von Stengel, Simon; Kohl, Matthias

    2016-08-01

    Due to older people's low sports participation rates, exercise frequency may be the most critical component for designing exercise protocols that address bone. The aims of the present article were to determine the independent effect of exercise frequency (ExFreq) and its corresponding changes on bone mineral density (BMD) and to identify the minimum effective dose that just relevantly affects bone. Based on the 16-year follow-up of the intense, consistently supervised Erlangen Fitness and Osteoporosis Prevention-Study, ExFreq was retrospectively determined in the exercise-group of 55 initially early-postmenopausal females with osteopenia. Linear mixed-effect regression analysis was conducted to determine the independent effect of ExFreq on BMD changes at lumbar spine and total hip. Minimum effective dose of ExFreq based on BMD changes less than the 90% quantile of the sedentary control-group (n=43). Cut-offs were determined after 4, 8, 12 and 16years using bootstrap with 5000 replications. After 16years, average ExFreq ranged between 1.02 and 2.96sessions/week (2.28±0.40sessions/week). ExFreq has an independent effect on LS-BMD (p<.001) and hip-BMD (p=.005) changes. Bootstrap analysis detected a minimum effective dose at about 2sessions/week/16years (cut-off LS-BMD: 2.11, 95% CI: 2.06-2.12; total hip-BMD: 2.22, 95% CI: 2.00-2.78sessions/week/16years). In summary, the minimum effective dose of exercise frequency that relevantly addresses BMD is quite high, at least compared with the low sport participation rate of older adults. This result might not be generalizable across all exercise types, protocols and cohorts, but it does indicate at least that even when applying high impact/high intensity programs, exercise frequency and its maintenance play a key role in bone adaptation. PMID:27108341

  4. Reshaping Time: Recommendations for Suicide Prevention in LBGT Populations. Reflections on "Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations" from Journal of Homosexuality 58(1).

    PubMed

    Mullaney, Clare

    2016-01-01

    This article serves as one of the supplementary pieces of this special issue on "Mapping Queer Bioethics," in which we take a solipsistic turn to "map" the Journal of Homosexuality itself. Here, the author examines the journal's 2011 consensus recommendations for the prevention of LGBT suicide. Invoking the axiom approach of Eve Kosovsky Sedgwick's seminal Epistemology of the Closet, the author argues that merely offering practical guidelines at the level of the demonstrative and the instructive may not be sufficient models to address the urgency of suicide rates in LGBTQ youth populations. PMID:26910196

  5. Infection Prevention in Transplantation.

    PubMed

    Pergam, Steven A

    2016-01-01

    The number of patients undergoing hematopoietic cell and solid organ transplantation are increasing every year, as are the number of centers both transplanting and caring for these patients. Improvements in transplant procedures, immunosuppressive regimens, and prevention of transplant-associated complications have led to marked improvements in survival in both populations. Infections remain one of the most important sources of excess morbidity and mortality in transplant, and therefore, infection prevention strategies are a critical element for avoiding these complications in centers caring for high-risk patients. This manuscript aims to provide an update of recent data on prevention of major healthcare-associated infections unique to transplantation, reviews the emergence of antimicrobial resistant infections, and discusses updated strategies to both identify and prevent transmission of these pathogens in transplant recipients. PMID:26820654

  6. New Perspectives on Action Learning: Developing Criticality

    ERIC Educational Resources Information Center

    Anderson, Lisa; Thorpe, Richard

    2004-01-01

    This article discusses the role of criticality in action learning and in Master's level management education; examines approaches to developing criticality through social constructionist approaches to learning and illustrates how a heightened consciousness of language use by managers can be used to develop critical reflection. Examines critical…

  7. Benefits of Reflective Practice

    ERIC Educational Resources Information Center

    Wagner, Kathi

    2006-01-01

    In this article, the author discusses what she was able to learn from an exercise in self-reflection regarding her teaching. She also discusses the advantages of reflection for administrators: First, a reflective practice is data-driven, making it a more valid way to evaluate administrators' knowledge and skills. Second, a reflective practice…

  8. Telescope With Reflecting Baffle

    NASA Technical Reports Server (NTRS)

    Linlor, W. I.

    1985-01-01

    Telescope baffle made from combination of reflecting surfaces. In contrast with previous ellipsoidal reflecting baffles, new baffle reflects skew rays more effectively and easier to construct. For infrared telescopes, reflecting baffles better than absorbing baffles because heat load reduced, and not necessary to contend with insufficiency of infrared absorption exhibited by black coatings.

  9. Vulnerability of critical infrastructures : identifying critical nodes.

    SciTech Connect

    Cox, Roger Gary; Robinson, David Gerald

    2004-06-01

    The objective of this research was the development of tools and techniques for the identification of critical nodes within critical infrastructures. These are nodes that, if disrupted through natural events or terrorist action, would cause the most widespread, immediate damage. This research focuses on one particular element of the national infrastructure: the bulk power system. Through the identification of critical elements and the quantification of the consequences of their failure, site-specific vulnerability analyses can be focused at those locations where additional security measures could be effectively implemented. In particular, with appropriate sizing and placement within the grid, distributed generation in the form of regional power parks may reduce or even prevent the impact of widespread network power outages. Even without additional security measures, increased awareness of sensitive power grid locations can provide a basis for more effective national, state and local emergency planning. A number of methods for identifying critical nodes were investigated: small-world (or network theory), polyhedral dynamics, and an artificial intelligence-based search method - particle swarm optimization. PSO was found to be the only viable approach and was applied to a variety of industry accepted test networks to validate the ability of the approach to identify sets of critical nodes. The approach was coded in a software package called Buzzard and integrated with a traditional power flow code. A number of industry accepted test networks were employed to validate the approach. The techniques (and software) are not unique to power grid network, but could be applied to a variety of complex, interacting infrastructures.

  10. Scintillator reflective layer coextrusion

    SciTech Connect

    Yun, Jae-Chul; Para, Adam

    2001-01-01

    A polymeric scintillator has a reflective layer adhered to the exterior surface thereof. The reflective layer comprises a reflective pigment and an adhesive binder. The adhesive binder includes polymeric material from which the scintillator is formed. A method of forming the polymeric scintillator having a reflective layer adhered to the exterior surface thereof is also provided. The method includes the steps of (a) extruding an inner core member from a first amount of polymeric scintillator material, and (b) coextruding an outer reflective layer on the exterior surface of the inner core member. The outer reflective layer comprises a reflective pigment and a second amount of the polymeric scintillator material.

  11. Reflectivity, Reflexivity and Situated Reflective Practice

    ERIC Educational Resources Information Center

    Malthouse, Richard; Roffey-Barentsen, Jodi; Watts, Mike

    2014-01-01

    This paper describes an aspect of reflective practice referred to as situated reflective practice. The overarching theory is derived from social theories of structuration and reflexivity. In particular, from Giddens' theory of structuration, which sees social life as an interplay of agency and structure. Discussion of the research reported…

  12. Understanding reflective practice.

    PubMed

    Nicol, Jacqueline Sian; Dosser, Isabel

    2016-05-01

    The Nursing and Midwifery Council (NMC) requires that nurses and midwives use feedback as an opportunity for reflection and learning, to improve practice. The NMC revalidation process stipulates that practitioners provide examples of how they have achieved this. To reflect in a meaningful way, it is important to understand what is meant by reflection, the skills required, and how reflection can be undertaken successfully. Traditionally, reflection occurs after an event encountered in practice. The authors challenge this perception, suggesting that reflection should be undertaken before, during and after an event. This article provides practical guidance to help practitioners use reflective models to write reflective accounts. It also outlines how the reflective process can be used as a valuable learning tool in preparation for revalidation. PMID:27154119

  13. Preventing Rejection

    MedlinePlus

    ... Drug Assistance Lifestyle Changes Back to Work or School Physical Changes Relationship Changes Pregnancy Precautions Fertility Labor & Delivery Breastfeeding Risks Cancer Types Risk Factors Prevention & Early Detection ...

  14. Falls prevention for the elderly

    PubMed Central

    Balzer, Katrin; Bremer, Martina; Schramm, Susanne; Lühmann, Dagmar; Raspe, Heiner

    2012-01-01

    Background An ageing population, a growing prevalence of chronic diseases and limited financial resources for health care underpin the importance of prevention of disabling health disorders and care dependency in the elderly. A wide variety of measures is generally available for the prevention of falls and fall-related injuries. The spectrum ranges from diagnostic procedures for identifying individuals at risk of falling to complex interventions for the removal or reduction of identified risk factors. However, the clinical and economic effectiveness of the majority of recommended strategies for fall prevention is unclear. Against this background, the literature analyses in this HTA report aim to support decision-making for effective and efficient fall prevention. Research questions The pivotal research question addresses the effectiveness of single interventions and complex programmes for the prevention of falls and fall-related injuries. The target population are the elderly (> 60 years), living in their own housing or in long term care facilities. Further research questions refer to the cost-effectiveness of fall prevention measures, and their ethical, social and legal implications. Methods Systematic literature searches were performed in 31 databases covering the publication period from January 2003 to January 2010. While the effectiveness of interventions is solely assessed on the basis of randomised controlled trials (RCT), the assessment of the effectiveness of diagnostic procedures also considers prospective accuracy studies. In order to clarify social, ethical and legal aspects all studies deemed relevant with regard to content were taken into consideration, irrespective of their study design. Study selection and critical appraisal were conducted by two independent assessors. Due to clinical heterogeneity of the studies no meta-analyses were performed. Results Out of 12,000 references retrieved by literature searches, 184 meet the inclusion criteria

  15. Critically coupled surface phonon-polariton excitation in silicon carbide.

    PubMed

    Neuner, Burton; Korobkin, Dmitriy; Fietz, Chris; Carole, Davy; Ferro, Gabriel; Shvets, Gennady

    2009-09-01

    We observe critical coupling to surface phonon-polaritons in silicon carbide by attenuated total reflection of mid-IR radiation. Reflectance measurements demonstrate critical coupling by a double scan of wavelength and incidence angle. Critical coupling occurs when prism coupling loss is equal to losses in silicon carbide and the substrate, resulting in maximal electric field enhancement. PMID:19724526

  16. Pedagogical Practices of Reflection in Tertiary Dance Education

    ERIC Educational Resources Information Center

    Leijen, Ali; Lam, Ineke; Simons, P. Robert-Jan; Wildschut, Liesbeth

    2008-01-01

    The three different perspectives on reflection in education are embedded in the philosophical traditions of pragmatism, critical social theory and Kant. We aimed to describe the pedagogical practices of reflection, and to develop a descriptive model of the practices of reflection in tertiary dance education which can be used by dance educators to…

  17. Lights, Camera, Action: Facilitating PETE Students' Reflection through Film

    ERIC Educational Resources Information Center

    Lee, Okseon; Ravizza, Dean; Lee, Myung-Ah

    2009-01-01

    Preparing teacher candidates to be reflective professionals is a critical component of physical education teacher education programs. Although many specific strategies have been developed to facilitate post-lesson reflection, strategies for reflecting on future work and professional life have not been widely explored. As a way to facilitate…

  18. Reflective Practice in Dance: A Review of the Literature

    ERIC Educational Resources Information Center

    Tembrioti, Lara; Tsangaridou, Niki

    2014-01-01

    The importance of reflective practice is frequently noted in the literature; indeed, reflective capacity is regarded as an essential characteristic for professional competence. The ability to think about why and what one does is critical to intelligent practice, practice that is reflective rather than routine. In recent years, higher education…

  19. Reflections in art

    PubMed Central

    CAVANAGH, PATRICK; CHAO, JESSICA; WANG, DINA

    2009-01-01

    When artists depict a mirror in a painting, it necessarily lacks the most obvious property of a mirror: as we move around the painting of the mirror, the reflections we see in it do not change. And yet representations of mirrors and other reflecting surfaces can be quite convincing in paintings. Here, we will examine the rules of reflection, the many ways that painters can break those rules without losing the impression of reflection and the rules that cannot be broken. The rules that govern the perception of reflection are a small subset of the physical rules of reflection. PMID:18534102

  20. Critical Thinking

    ERIC Educational Resources Information Center

    Villano, Matt

    2006-01-01

    True excellence in technology implementation emerges when IT, administrative, and academic leaders link IT to mission-critical institutional objectives, investing in hardware and software to serve an explicit purpose and a distinct population of users. This article illustrates that at public institutions of higher education in New Hampshire as…

  1. Reflections on researching rape resistance.

    PubMed

    Ullman, Sarah E

    2014-03-01

    This article provides a retrospective account of my experience embarking on research about women's resistance to rape, including reflections on personal and professional experiences related to studying this topic. I discuss factors inspiring my interest, including pioneering feminist rape researchers, my experience as a woman living with the reality and fear of rape, and influential mentors who facilitated my career development as a scholar in graduate school and beyond. I weave this narrative together with my thoughts about how the study of resistance relates to other important issues in the field of sexual assault including alcohol, recovery, and prevention. PMID:24626768

  2. Critical Thinking: A Stage Theory of Critical Thinking: Part II.

    ERIC Educational Resources Information Center

    Elder, Linda; Paul, Richard

    1996-01-01

    Describes the following six stages that individuals go through as they develop as critical thinkers: reflective, challenged, beginning, practicing, advanced, and master thinker. For each stage, describes relevant intellectual traits, the self-assessment needed to move forward, and potential obstacles. (AJL)

  3. Preventative Maintenance.

    ERIC Educational Resources Information Center

    Migliorino, James

    Boards of education must be convinced that spending money up front for preventive maintenance will, in the long run, save districts' tax dollars. A good program of preventive maintenance can minimize disruption of service; reduce repair costs, energy consumption, and overtime; improve labor productivity and system equipment reliability; handle…

  4. Preventing Falls

    MedlinePlus

    ... from osteoporosis. Lower-body strength exercises and balance exercises can help you prevent falls and avoid the disability that may result from falling. Here are some fall prevention tips from Go4Life : l Have your eyes and hearing tested often. Always wear your glasses when you ...

  5. Delivery of preventive care

    PubMed Central

    Katz, Alan; Lambert-Lanning, Anita; Miller, Anthony; Kaminsky, Barbara; Enns, Jennifer

    2012-01-01

    Abstract Objective To determine family physicians’ practice of, knowledge about, and attitudes toward delivering preventive care during periodic health examinations (PHEs). Design A stratified sample of 5013 members of the College of Family Physicians of Canada were randomly selected to receive a questionnaire by mail. Descriptive analysis was performed on a national data set of 1010 respondents. Setting Canada. Participants A sample of family physicians from each Canadian province. Main outcome measures Physicians were asked questions about whether they addressed aspects of preventive care, such as tobacco smoking, nutrition, physical activity, alcohol intake, and sun exposure with patients during PHEs. The questions were designed to gauge attitudes and identify barriers to the provision of preventive care. Results Most respondents (87% to 89%) indicated that they were comfortable counseling their patients about issues such as nutrition, physical activity, and alcohol consumption; however, many of these respondents did not refer their patients to specialists or provide them with additional resources to educate patients about the health risks of their conditions. While tobacco smoking risks and cessation were addressed by most family physicians (79%) during PHEs, other topics, such as sun exposure, were often overlooked. Conclusion The results of this survey indicate that while many family physicians follow the evidence-based guidelines for preventive care, current levels of preventive care in the primary care setting are below national standards. It is critical that Canadians receive optimal preventive care to improve the outlook of the chronic disease burden on the health care system. PMID:22267643

  6. Reflective Learning in Practice.

    ERIC Educational Resources Information Center

    Brockbank, Anne, Ed.; McGill, Ian, Ed.; Beech, Nic, Ed.

    This book contains 22 papers on reflective learning in practice. The following papers are included: "Our Purpose" (Ann Brockbank, Ian McGill, Nic Beech); "The Nature and Context of Learning" (Ann Brockbank, Ian McGill, Nic Beech); "Reflective Learning and Organizations" (Ann Brockbank, Ian McGill, Nic Beech); "Reflective Learning in Practice" (Ann…

  7. Liberating Moral Reflection

    ERIC Educational Resources Information Center

    Horell, Harold D.

    2013-01-01

    The author argues that if we are to foster life-giving and liberating moral reflection, we must first liberate moral reflection from distortions; specifically, from the distorting effects of moral insensitivity, destructive moral relativism, and confusions resulting from a failure to understand the dynamics of moral reflection. The author proposes…

  8. Teacher Reflection as Teacher Change, and Teacher Change as Moral Response

    ERIC Educational Resources Information Center

    Boody, Robert M.

    2008-01-01

    Teacher reflection has been a popular topic during the past twenty years. The literature generally discusses teacher reflection as either (a) retrospection, (b) problem solving, (c) critical reflection, or (d) reflection-in-action. This qualitative study went beyond these typical descriptors to characterize teacher reflection instead as teacher…

  9. Critical Discourse Analysis and Leadership

    ERIC Educational Resources Information Center

    Arriaza, Gilberto

    2015-01-01

    This article outlines the need of infusing critical discourse analysis into the preparation and support of prospective school leaders. It argues that in the process of school transformation, the school leader must possess the ability to self-reflect on his/her language and understand the potential power of language as a means that may support or…

  10. Youth, Terrorism and Education: Britain's Prevent Programme

    ERIC Educational Resources Information Center

    Thomas, Paul

    2016-01-01

    Since the 7/7 bombings of July 2005, Britain has experienced a domestic terror threat posed by a small minority of young Muslims. In response, Britain has initiated "Prevent," a preventative counter-terrorism programme. Building on previous, general critiques of Prevent, this article outlines and critically discusses the ways in which…

  11. Revalidation and reflective practice.

    PubMed

    Finch, Alison

    2016-04-01

    From April 2016 nurses must meet the requirements of the new Nursing and Midwifery Council (NMC) revalidation process to maintain their registration. It is their responsibility to ensure they meet all revalidation requirements, but organisations and nurse leaders can support them to do so. Reflection is an important part of revalidation, and nurses are required to submit written reflective accounts and engage in reflective discussion. This article discusses how revalidation encourages a more conscious and active form of reflection. It also describes how leaders can help nurses to reflect on practice to identify improvements and become more familiar with the NMC Code. PMID:27032284

  12. The Reflection Effect in Eclipsing Binaries

    NASA Astrophysics Data System (ADS)

    Gropp, Jeffrey D.; Prsa, Andrej

    2016-01-01

    Using a database of eclipsing binaries (EBs) from the Kepler space telescope, we identified star systems which displayed characteristics corresponding to the reflection effect. The reflection effect is the brightening of one star due to irradiation by its companion. We found 40 candidates amongst the nearly 2,800 EBs in the database. We analyze these candidates and derive parameters and properties of each system using the PHOEBE modeling program. We examine each model fit using probabilistic inference in order to statistically evaluate the best fit model. The model critically tests the reflection effect and provides physical constraints on the principal parameters.

  13. Reflective journaling: developing an online journal for distance education.

    PubMed

    Kessler, Penny D; Lund, Carole H

    2004-01-01

    Reflective journal writing can be a useful heuristic tool to foster critical thinking skills and develop reflective clinical practice in nursing. When combined with a distance education delivery format, the online journal helps to leverage the strengths of reflective learning with educational technology as well as provide a seamless record of learning outcomes across the curriculum. The authors discuss the incorporation of an online reflective journal into a distance education clinical course and provide guidelines for educators considering a similar approach. PMID:14726795

  14. Lens design with suppressed first order reflections

    NASA Astrophysics Data System (ADS)

    Buchheister, Jan; Weth, Christopher

    2010-08-01

    Optical systems with a reflected light condition, e.g. microscopes with reflected light illumination or fundus cameras, need to have weak first order ghosts or even to be completely free from them. Sequential ray tracing can be used to control optical performance and reflections on a ray basis during optimization. This is significantly more efficient in computation time and convergence than the usual approaches with non-sequential ray tracing or reconfigured optical systems to cover all critical ghosts. An ophthalmic lens for a fundus camera was designed with first order reflections stripped out by applying sequential ray tracing. The merit-function only had to be completed under certain conditions guaranteeing the absence of any reflections. No additional reconfiguration of the optical system in the design software was necessary.

  15. Particle reflection and TFTR neutral beam diagnostics

    SciTech Connect

    Kamperschroer, J.H.; Grisham, L.R.; Kugel, H.W.; O`Connor, T.E.; Newman, R.A.; Stevenson, T.N.; von Halle, A.; Williams, M.D.

    1992-04-01

    Determination of two critical neutral beam parameters, power and divergence, are affected by the reflection of a fraction of the incident energy from the surface of the measuring calorimeter. On the TFTR Neutral Beam Test Stand, greater than 30% of the incident power directed at the target chamber calorimeter was unaccounted for. Most of this loss is believed due to reflection from the surface of the flat calorimeter, which was struck at a near grazing incidence (12{degrees}). Beamline calorimeters, of a ``V``-shape design, while retaining the beam power, also suffer from reflection effects. Reflection, in this latter case, artificially peaks the power toward the apex of the ``V``, complicating the fitting technique, and increasing the power density on axis by 10 to 20%; an effect of import to future beamline designers. Agreement is found between measured and expected divergence values, even with 24% of the incident energy reflected.

  16. Particle reflection and TFTR neutral beam diagnostics

    SciTech Connect

    Kamperschroer, J.H.; Grisham, L.R.; Kugel, H.W.; O'Connor, T.E.; Newman, R.A.; Stevenson, T.N.; von Halle, A.; Williams, M.D.

    1992-04-01

    Determination of two critical neutral beam parameters, power and divergence, are affected by the reflection of a fraction of the incident energy from the surface of the measuring calorimeter. On the TFTR Neutral Beam Test Stand, greater than 30% of the incident power directed at the target chamber calorimeter was unaccounted for. Most of this loss is believed due to reflection from the surface of the flat calorimeter, which was struck at a near grazing incidence (12{degrees}). Beamline calorimeters, of a V''-shape design, while retaining the beam power, also suffer from reflection effects. Reflection, in this latter case, artificially peaks the power toward the apex of the V'', complicating the fitting technique, and increasing the power density on axis by 10 to 20%; an effect of import to future beamline designers. Agreement is found between measured and expected divergence values, even with 24% of the incident energy reflected.

  17. Preventing falls

    MedlinePlus

    ... worsened. Improving your vision will help reduce falls. Images ... for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: ...

  18. Preventing Influenza

    MedlinePlus

    ... spread in respiratory droplets distributed by coughing and sneezing, they readily spread from person to person. Additionally, ... and nose with a tissue when coughing or sneezing, you may help prevent those around you from ...

  19. Dengue Prevention

    MedlinePlus

    ... Compartir This photograph shows a mother applying mosquito repellent to her child's skin in order to prevent ... the lights are on. To protect yourself, use repellent on your skin while indoors or out. When ...

  20. Motivating Weak Students: A Critical Discussion and Reflection

    ERIC Educational Resources Information Center

    Ganah, A.

    2012-01-01

    The motivation of students is regarded as one of the problems in the higher education. One of the reasons for the increasing number of students with low-level of motivation is that there are many students enrolling in universities without adequate level of preparation. Consequently, because of complex material delivered to students and their low…

  1. Collaborating Within the "Risk Zone": A Critical Reflection

    ERIC Educational Resources Information Center

    Nomdo, Gideon J.

    2004-01-01

    Universities have realized the need to equip students with appropriate information and computer technology (ICT) skills to prepare them for the workplace. This paper highlights a situation in which academics are uncomfortable with the new technological innovations being used to enhance teaching and learning. The need to integrate technology into…

  2. Development Ethics and Funding Communications Projects: Some Critical Reflections.

    ERIC Educational Resources Information Center

    McAnany, Emile G.

    To evaluate the ethical role of researchers in developmental communication, this paper first reviews current thinking on development theories, suggesting that world recession, as well as skyrocketing national debts and internal conflicts in Third World nations underscore (1) the relationship between Third World development and global stability,…

  3. Reflections on Beardsley's "Aesthetics: Problems in the Philosophy of Criticism"

    ERIC Educational Resources Information Center

    Crawford, Donald

    2010-01-01

    Monroe Beardsley's "Aesthetics" was published the year the author was a junior philosophy major at the University of California, Berkeley, and by the end of that academic year, the author had completed semester courses in the history of ancient as well as modern philosophy, logic, ethics, and the philosophy of religion. The requirements remaining…

  4. Critical reflections on school-based occupational therapy.

    PubMed

    Beck Ericksen, Judy

    2010-01-01

    This article describes the process of facilitating change to practice that is more client-centered and occupation-based in a diverse suburban public school district in the USA from 2001 to 2006. The author sets the context, describes the process that included the use of the School AMPS, and considers factors that facilitated and constrained change. PMID:20170413

  5. Some Critical Reflections on Lifelong Learning Policy in Turkey

    ERIC Educational Resources Information Center

    Sayilan, Fevziye

    2015-01-01

    This paper discusses the Lifelong Learning Strategy document which was on the agenda during the European Union harmonization process of Turkey. The public policies in the document, regarding non-formal and adult education, will be analyzed. Lifelong Learning strategy became a current issue in the last stage of neoliberal transformation of…

  6. Teaching Writing Teachers Writing: Difficulty, Exploration, and Critical Reflection

    ERIC Educational Resources Information Center

    Reid, E. Shelley

    2009-01-01

    While writing pedagogy instructors assign their students a range of writing tasks, often as central or repeated features of the course, a crucial question has not yet been addressed: does it matter what new teachers write? If pedagogy students are being assigned writing in part to further develop their attitudes and practices related to teaching…

  7. Critical Reflections on the Development of a Foundation Degree

    ERIC Educational Resources Information Center

    Morgan, Arthur; Jones, Norah; Fitzgibbon, Karen

    2004-01-01

    Work undertaken on the development of Foundation degrees at the University of Glamorgan directly addressed employer and higher education concerns that the new award should aim to build on, and not reinvent, the HNC/HND awards it sought to replace. One of the key factors in this was to reconsider the role and purpose of "work experience." Within…

  8. Some Reflections on and Criticisms of China's Educational Management Studies

    ERIC Educational Resources Information Center

    Yang, Tian-ping

    2007-01-01

    In spite of having undergone one century's vicissitude, China's educational management studies are still lagging behind those abroad. Two research lines, one being induction and generalization, another being deduction and transplantation, have been roughly evolved over these studies. Both of them have reached the level of empirical science. Since…

  9. Critical Reflections on the Benefits of ICT in Education

    ERIC Educational Resources Information Center

    Livingstone, Sonia

    2012-01-01

    In both schools and homes, information and communication technologies (ICT) are widely seen as enhancing learning, this hope fuelling their rapid diffusion and adoption throughout developed societies. But they are not yet so embedded in the social practices of everyday life as to be taken for granted, with schools proving slower to change their…

  10. A Critical Reflection on Comparative Communication Research Methods.

    ERIC Educational Resources Information Center

    Kang, Myung Koo

    This paper examines the unresolved epistemological and theoretical problems in comparative communication research. The first section examines what "comparative" means by reviewing various fields in the social sciences. The second section provides an overview of epistemic assumptions of comparative communication research and suggests that in the…

  11. Critical Citizenship Education and Community Interaction: A Reflection on Practice

    ERIC Educational Resources Information Center

    Costandius, Elmarie; Rosochacki, Sophia; le Roux, Adrie

    2014-01-01

    The social transformation required in a democratic South Africa can only be achieved through the transformation of perceptions and attitudes. This article argues that community interaction can play an important role not only in raising the level of societal awareness of students, but also in the development of a symbiotic relationship between an…

  12. Problematizing Service-Learning: Critical Reflections for Development and Action

    ERIC Educational Resources Information Center

    Stewart, Trae, Ed.; Webster, Nicole, Ed.

    2010-01-01

    Interest in and research on civic engagement and service-learning have increased exponentially. In this rapid growth, efforts have been made to institutionalize pedagogies of engagement across both K-12 and higher education. As a result, increased positive attention has been complemented equally by well-founded critiques complicating experiential…

  13. Critical reflections for understanding the complexity of psychodramatic theory.

    PubMed

    Drakulić, Aleksandra Mindoljević

    2014-03-01

    While being best known as a method of group psychotherapy, classical psychodrama takes on much broader and more complex meanings associated with: theory of roles, education, interactive improvisation theatre and many other contextual frameworks. The meta-theoretical context in which psychodrama is analysed in this work is first of all clinical, psychiatric and psychotherapeutic. In the past ninety years the development of psychodrama in the world has been influenced by many social events and sundry psychology movements. In her work the author describes and analyses the theory of psychodrama in the context of a behavioural and psychoanalytic perspective. She illustrates its origin and connects it with the influence of ancient drama and the developmental concept of modern European theatre in the first half of the last century, the magic/religious tradition of Indian tribes, constructivism and postmodernism, and the deterministic chaos theory. All the mentioned theoretical backgrounds have in their different ways co-created and contributed to the flexibility, integrity and universality of the psychodramatic method and are mutually intertwined in both the theoretical and the practical, clinical sense. PMID:24608147

  14. Classifying Intersex in DSM-5: Critical Reflections on Gender Dysphoria.

    PubMed

    Kraus, Cynthia

    2015-07-01

    The new diagnosis of Gender Dysphoria (GD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013) defines intersex, renamed "Disorders of Sex Development" (DSD), as a specifier of GD. With this formulation, the status of intersex departs from prior editions, especially from the DSM-IV texts that defined intersex as an exclusion criterion for Gender Identity Disorder. Conversely, GD--with or without a DSD--can apply in the same manner to DSD and non-DSD individuals; it subsumes the physical condition under the mental "disorder." This conceptualization, I suggest, is unprecedented in the history of the DSM. In my view, it is the most significant change in the revised diagnosis, and it raises the question of the suitability of psychiatric diagnosis for individuals with intersex/DSD. Unfortunately, this fundamental question was not raised during the revision process. This article examines, historically and conceptually, the different terms provided for intersex/DSD in the DSM in order to capture the significance of the DSD specifier, and the reasons why the risk of stigma and misdiagnosis, I argue, is increased in DSM-5 compared to DSM-IV. The DSM-5 formulation is paradoxically at variance with the clinical literature, with intersex/DSD and transgender being conceived as incommensurable terms in their diagnostic and treatment aspects. In this light, the removal of intersex/DSD from the DSM would seem a better way to achieve the purpose behind the revised diagnosis, which was to reduce stigma and the risk of misdiagnosis, and to provide the persons concerned with healthcare that caters to their specific needs. PMID:25944182

  15. Revisiting Technology in the Classroom: Critical Reflections of a Multiculturalist

    ERIC Educational Resources Information Center

    Bonilla, James Francisco

    2011-01-01

    In this article the author's review of the literature uncovers six potentially negative effects of technology in the classroom. These include: 1) Limiting pedagogy in teaching for cultural competence; 2) Reinforcing the Digital Divide; 3) Constraining the potential for holistic, humanistic education; 4) Privileging one style of communication while…

  16. Health Systems Governance for health equity: critical reflections.

    PubMed

    Labonté, Ronald

    2010-01-01

    This article addresses several issues pertinent to health systems governance for health equity. It argues the importance of health systems using measures of positive health (well-being), discriminating in favour of historically less advantaged groups and weighing the costs of health care against investments in the social determinants of health. It cautions that the concept of governance could weaken the role of government, with disequalizing effects, while emphasizing the importance of two elements of good governance (transparency and participation) in health systems decision-making. It distinguishes between participation as volunteer labour and participation as exercising political rights, and questions the assumption that decentralization in health systems is necessarily empowering. It then identifies five health system roles to address issues of equity (educator/watchdog, resource broker, community developer, partnership developer and advocate/catalyst) and the implications of these roles for practice. Drawing on preliminary findings of a global research project on comprehensive primary health care, it discusses political aspects of progressive health system reform and the implications of equity-focused health system governance on health workers' roles, noting the importance of health workers claiming their identity as citizens. The article concludes with a commentary on the inherently political nature of health reforms based on equity; the necessary confrontation with power relations politics involves; and the health systems governance challenge of managing competing health discourses of efficiency and results-based financing, on the one hand, and equity and citizen empowerment, on the other. PMID:20963302

  17. Using Autoethnography to Explore and Critically Reflect upon Changing Identity

    ERIC Educational Resources Information Center

    Preston, Annmarie Judge

    2011-01-01

    Reflexivity is a professional requirement of the Adult Guidance Counsellor, with reflexive practice paramount to our work. From 2008 to 2010 I trained as an Adult Guidance Counsellor while working with an unemployed adult client group. During this time, I also journeyed through my first pregnancy. Towards the end of my training, I experienced a…

  18. Beyond the Appearances of Science and Art: Some Critical Reflections

    ERIC Educational Resources Information Center

    Dickson, David

    1974-01-01

    Examines the extent to which constraints on art and science are determined by socio-political systems. Art and science possess surprising intellectual similarity; some of these likenesses are traced, as they affect us all in our daily lives. (Editor/JR)

  19. Questing for Internationalization of Universities in Asia: Critical Reflections

    ERIC Educational Resources Information Center

    Mok, Ka Ho

    2007-01-01

    Globalization and the evolution of the knowledge-based economy have caused dramatic changes to the character and functions of higher education in most countries around the world. One major trend related to reforming and restructuring universities in Asia that has emerged is the adoption of strategies along the lines of the Anglo-Saxon paradigm in…

  20. Preventable hospitalizations and socioeconomic status.

    PubMed

    Blustein, J; Hanson, K; Shea, S

    1998-01-01

    "Preventable" hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan "performance" reflect enrollees' characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance. PMID:9558796

  1. JNCI and Cancer Prevention

    PubMed Central

    Ghosh, Sharmistha; Kramer, Barnett S.

    2015-01-01

    The Journal of the National Cancer Institute (JNCI), with its broad coverage of bench research, epidemiologic studies, and clinical trials, has a long history of publishing practice-changing studies in cancer prevention and public health. These include studies of tobacco cessation, chemoprevention, and nutrition. The landmark Breast Cancer Prevention Trial (BCPT)—the first large trial to prove efficacy of a preventive medication for a major malignancy—was published in the Journal, as were key ancillary papers to the BCPT. Even when JNCI was not the publication venue for the main trial outcomes, conceptual and design discussions leading to the trial as well as critical follow-up analyses based on trial data from the Prostate Cancer Prevention Trial (PCPT) and the Selenium and Vitamin E Chemoprevention Trial (SELECT) were published in the Journal. The Journal has also published important evidence on very charged topics, such as the purported link between abortion and breast cancer risk. In summary, JNCI has been at the forefront of numerous major publications related to cancer prevention. PMID:25713150

  2. Critical Reflexive Practice in Teaching Management Communication

    ERIC Educational Resources Information Center

    Holmes, Prue; Cockburn-Wootten, Cheryl; Motion, Judith; Zorn, Theodore E.; Roper, Juliet

    2005-01-01

    Critical theory has been a distinguishing feature of the communication research program at the Waikato Management School, but significant reflection is required to translate the theory into meaningful classroom experiences. The need for reflection comes from two key tensions in teaching management communication: One is the tension between teaching…

  3. Critical theory and its contribution to the nursing discipline.

    PubMed

    Mosqueda-Díaz, Angélica; Vílchez-Barboza, Vivian; Valenzuela-Suazo, Sandra; Sanhueza-Alvarado, Olivia

    2014-01-01

    This article reflects on the Critical theory, stemming from the most important philosophical concepts and the modifications it has endured over time. Thereafter, we expose the contribution of the Critical theory to Nursing. This emphasizes on the contextual analysis of the phenomena and it is a self-critique to prevent dogmatisms and totalitarianisms. It postulates that in order to establish a truth, we must consider the historical conditions within which said truth emerges. Jürgen Habermas, with his Theory of Communicative Action, reorients the original postulates of the Critical theory, making it more coherent from the social point of view, through the Guiding Interests of Knowledge. Nursing professionals who follow the Critical theory highlight the need to improve the description of the construction of knowledge with an emancipating and liberating purpose, which permits Nursing to provide responses to approach reality through a global and dialectic vision and from a democratic position of knowledge, construct research from the social situational reality that is part of its daily experience; everything that can be unified as a "Philosophy of Nursing Care", which should be incorporated onto the professional formation of the discipline and onto the research area. PMID:25230045

  4. Reflective diffraction grating

    DOEpatents

    Lamartine, Bruce C.

    2003-06-24

    Reflective diffraction grating. A focused ion beam (FIB) micromilling apparatus is used to store color images in a durable medium by milling away portions of the surface of the medium to produce a reflective diffraction grating with blazed pits. The images are retrieved by exposing the surface of the grating to polychromatic light from a particular incident bearing and observing the light reflected by the surface from specified reception bearing.

  5. Tandem resonator reflectance modulator

    DOEpatents

    Fritz, Ian J.; Wendt, Joel R.

    1994-01-01

    A wide band optical modulator is grown on a substrate as tandem Fabry-Perot resonators including three mirrors spaced by two cavities. The absorption of one cavity is changed relative to the absorption of the other cavity by an applied electric field, to cause a change in total reflected light, as light reflecting from the outer mirrors is in phase and light reflecting from the inner mirror is out of phase with light from the outer mirrors.

  6. Tandem resonator reflectance modulator

    DOEpatents

    Fritz, I.J.; Wendt, J.R.

    1994-09-06

    A wide band optical modulator is grown on a substrate as tandem Fabry-Perot resonators including three mirrors spaced by two cavities. The absorption of one cavity is changed relative to the absorption of the other cavity by an applied electric field, to cause a change in total reflected light, as light reflecting from the outer mirrors is in phase and light reflecting from the inner mirror is out of phase with light from the outer mirrors. 8 figs.

  7. Reflections on Foreign Language Education in Iran

    ERIC Educational Resources Information Center

    Farhady, Hossein; Hezaveh, Fattaneh Sajadi; Hedayati, Hora

    2010-01-01

    This article reflects upon foreign-language education in Iran. Contrary to its political and historical reputation in the world, Iran has not been well presented regarding its educational system in general and its foreign-language education in particular. Of course, a critical assessment of the strengths and weaknesses of the Iranian education…

  8. Reflective Inquiry in a College English Class.

    ERIC Educational Resources Information Center

    Kroll, Barry M.

    1992-01-01

    Despite some concerns about its limitations, one college English teacher has found the reflective judgment model (1) very useful in a first-year course on the Vietnam War for understanding students' processes of deliberation, (2) supportive of undergraduate teaching approaches that emphasize critical inquiry, and (3) helpful in guiding responses…

  9. "Blah" or Praxis? Reflection in Freirean Pedagogy.

    ERIC Educational Resources Information Center

    Hasbrook, Melissa

    Paulo Freire's framework pursues social justice, or liberation. Students and teachers critically think about the conditions of their realities, for the purpose of constructing and attempting solutions, referred to as "action" by Freire. Reflection-action is possible through collaboration, or dialogue--interdependent and concurrent processes to…

  10. Reflection in Education: A Kantian Epistemology

    ERIC Educational Resources Information Center

    Procee, Henk

    2006-01-01

    As even its defenders admit, reflection in education suffers from a lack of conceptual clarity. In this essay, Henk Procee provides a philosophical analysis of the central concepts in this domain. In the current literature, these concepts are usually taken from the pragmatic school of John Dewey and from critical social theory associated with…

  11. Professional Education, Reflective Practice, and Feminism.

    ERIC Educational Resources Information Center

    Clegg, Sue

    1999-01-01

    Offers a critical perspective on American feminist Donald Schon and on reflective practice as a pedagogy. Reflexivity's scope in the U.K. has been constrained by its context--professions with large female workforces (nursing, teaching, and social work), where autonomy is limited and orthodoxy predominates. More research is needed. Contains 49…

  12. Reflective Practice: The Teacher in the Mirror

    ERIC Educational Resources Information Center

    Rayford, Celese Raenee

    2010-01-01

    With the enactment of the "No Child Left Behind Act of 2001," administrators have faced extreme pressure to provide professional development to teachers to enhance their skill and knowledge base, make school improvements, and increase student achievement. Research indicated that critical reflection leads to lasting school change and professional…

  13. Community Engagement as Authentic Learning with Reflection

    ERIC Educational Resources Information Center

    Power, Anne

    2010-01-01

    Authentic learning in teacher education is deeply connected with students' future professional practice. This paper describes coaching and mentoring strands of a unit in the preparation of pre-service teachers and critically evaluates reflections made in terms of Professional Teacher Standards. (Contains 1 table.)

  14. Reflection as an Indicator of Cognitive Presence

    ERIC Educational Resources Information Center

    Redmond, Petrea

    2014-01-01

    In the Community of Inquiry (CoI) model, cognitive presence indicators can be used to evaluate the quality of inquiry in a discussion forum. Engagement in critical thinking and deep knowledge can occur through reflective processes. When learners move through the four phases of cognitive presence (triggering, exploration, integration, resolution),…

  15. Using Reflection Documents to Assess Student Learning

    ERIC Educational Resources Information Center

    Powell, Larkin A.

    2009-01-01

    Traditional assessment methods such as tests and essays may not be adequate to evaluate students' ability to solve problems and think critically. I developed a qualitative assessment technique for a junior-level Wildlife Management Techniques course that incorporated written responses in a pre- and post-course reflection exercise. I provided the…

  16. Approaches to Drug Abuse Prevention

    ERIC Educational Resources Information Center

    Gordon, Paula D.

    1971-01-01

    This article concerns the drug abuse related definitions of the words education" and prevention" as they have come to be used today. The writer infers that the changing uses of these words reflects an increasingly more enlightened approach to ameliorating the problem of drug abuse. (Author)

  17. [Update on preventive cardiology and rehabilitation].

    PubMed

    Fernández de Bobadilla Osorio, Jaime; Fernández-Bobadilla, Esteban; García-Porrero, Esteban; Luengo-Fernández, Emilio; Casasnovas-Lenguas, José Antonio

    2012-01-01

    The aim of the Preventive Cardiology and Rehabilitation Section of the Spanish Society of Cardiology is to promote knowledge about and adoption of the lifestyle, therapy and rehabilitation program guidelines that are best able to improve cardiovascular health in the Spanish population. To achieve this aim, a number of working groups have carried out research into and provided education about the latest developments in cardiovascular prevention, and have provided information about these developments to all those affected, including physicians, healthcare workers, healthcare administrators and the general public. This year, the working group on smoking produced an key document that was presented to cardiologists in our Society; its intention was to provide a simple algorithm to help patients give up smoking that could be applied in only 3 minutes. The working group on cardiac rehabilitation gave a presentation on the true impact of rehabilitation on survival after percutaneous coronary intervention and heart failure. Also this year, the European Society of Cardiology published a major revision of guidelines on the treatment of dyslipidemia, which was welcomed by many but criticized by others. Our correspondent at the European Society reflects on the role and usefulness of these guidelines in practice. PMID:22269841

  18. Knowledge translation: the role and place of practice reflection.

    PubMed

    Lockyer, Jocelyn; Gondocz, S Tunde; Thivierge, Robert L

    2004-01-01

    Reflection is the mechanism by which we contemplate and try to understand relatively complex and sometimes troubling ideas for which there is no obvious solution. Reflection allows us to transform current ideas and experiences into new knowledge and action. Personal experiences and organizational feedback can trigger reflection, whereas a lack of time, available colleagues, and social networks detract from the ability professionals have to reflect. Educational programs can encourage reflection through the judicious use of case-based discussion, formal and informal needs assessments, and commitment to change exercises. Learning journals and personal learning projects are self-directed methods that facilitate reflection. In the workplace, critical incident techniques and debriefing of cases provide opportunities for thoughtful inquiry. Additional study is needed to understand how and why reflection works to transform surface learning into deep learning and change in practice; how reflection enhances the integration of reading, collegial interchange, and classroom discussion into practice; and how technology can enhance reflection. PMID:15069912

  19. Reflection, dialogue, and the possibilities of space.

    PubMed

    Kumagai, Arno K; Naidu, Thirusha

    2015-03-01

    To educate physicians who are capable of delivering ethical, socially responsible, patient-centered care, there have been calls for identifying curricular space for reflection on the human and societal dimensions of medicine. These appeals, however, beg the question: What does it mean to devote space in an otherwise busy curriculum for these types of reflection? This Perspective is an attempt to understand the nature of this educational space in terms of its purpose, uses, dynamics, and limitations, and the underlying components that allow reflection and transformation to occur. Reflections on psychosocial themes often take the form of dialogues, which differ from the discussions commonly encountered in clinical settings because they require the engagement of the participants' whole selves--life experiences, backgrounds, personal values, beliefs, and perspectives--in the exchanges. Dialogues allow for the inclusion of affective and experiential dimensions in addition to intellectual/cognitive domains in learning, and for an emphasis on discovering new perspectives, insights, and questions instead of limiting participants solely to an instrumental search for solutions. Although these reflections may vary greatly in their form and settings, the reflective space requires three qualities: safety and confidentiality, an intentional designation of a time apart from the distractions of daily life for reflection and dialogue, and an awareness of the transitional nature--the liminality--of a critically important period of professional identity development. In this open space of reflection and dialogue, one's identity as a humanistic physician takes form. PMID:25426737

  20. Incorporating Educational Theory into Critical Care Orientation.

    ERIC Educational Resources Information Center

    Rashotte, Judy; Thomas, Margot

    2002-01-01

    Describes a critical care nursing program based on Benner's novice-to-expert model, Schon's theory of reflective practice, and Cranton's transformative learning theory. Core components are orientation and continuing education that facilitate acquisition of knowledge, practice skills, attitudes, and critical thinking. (Contains 22 references.) (SK)