719 resultados para Presentation to APHO staff conference


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This study explored the impact of downsizing on levels of uncertainty, coworker and management trust, and communicative effectiveness in a health care organization downsizing during a 2-year period from 660 staff to 350 staff members. Self-report data were obtained from employees who were staying (survivors), from employees were being laid off (victims), and from employees with and without managerial responsibilities. Results indicated that downsizing had a similar impact on the amount of trust that survivors and victims had for management. However, victims reported feeling lower levels of trust toward their colleagues compared with survivors. Contrary to expectations, survivors and victims reported similar perceptions of job and organizational uncertainty and similar levels of information received about changes. Employees with no management responsibilities and middle managers both reported lower scores than did senior managers on all aspects of information received. Implications for practice and the management of the communication process are discussed.

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This paper describes the implementation and evaluation of a three-way model of service development mentoring. This population health mentoring program was funded by the Commonwealth Department of Health and Ageing to enable staff from eight Divisions of General Practice in South Australia to gain a sound understanding of population health concepts relevant to their workplace. The distinguishing features of service development mentoring were that the learning was grounded within an individual's work setting and experience; there was an identified population health problem or issue confronting the Division of General Practice; and there was an expectation of enhanced organisational performance. A formal evaluation found a consensus among all learners that mentoring was a positive and worthwhile experience, where they had achieved what they had set out to do. Mentors found the model of learning agreeable and effective. Division executive officers recognised enhanced skills among their "learner" colleagues, and commented positively on the benefits to their organisations through the development of well researched and relevant projects, with the potential to improve the efficiency of their population health activities.

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This paper reports on the results of a survey of selected University of Queensland (UQ) veterinary students aimed at elucidating factors causing stress during the five undergraduate years of the program. Students from each of the five years were asked to form six- or seven-member focus groups. Each focus group was then interviewed and their opinions sought on causes of ongoing stress and the ranking of those causes into predetermined categories. They were also asked to give their opinions on counseling services available within the university and what, if any, services they would like to see in place to help students with stress-related problems. Students in the first, third, and fourth years of the program rated academic issues as the most likely causes of ongoing stress, while students in the second and fifth years of the program ranked lifestyle and financial issues as more likely to cause ongoing stress. in most cases, students coped well with these causes of stress and tended not to use counseling services available to all UQ students. When faced with stressful issues, students looked to their classmates or family members for help and not to university counseling services. Students were also happy to approach staff members in the Veterinary School when faced with a problem. The authors nevertheless conclude that mechanisms set in place at the undergraduate level to help veterinary students cope with stress should particularly benefit those students when they become new graduates and are faced with the stresses of veterinary practice.

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China attracted a record of US$52.7×109 in foreign direct investment (FDI) in the year 2002, surpassing the United States to become the world’s largest FDI recipient. China’s success in attracting FDI has received significant attention from academics. Several theoretical approaches have been developed to explain the determinants of FDI in China. However, it seems to be ignored that China has also become a growing provider of significant FDI to the rest the world. According to United Nations Conference on Trade and Development (UNCTAD)’s 2004 report, as a developing country, replacing Japan, China has made the list of the expected top five home countries worldwide for the first time in terms of geographical coverage (2004–2005). Vietnam is second largest market and another emerging transition tiger in Southeast Asia. Both China and Vietnam were and are experiencing transitions from centrally planned economy to free market economy. This paper, therefore, attempts to explore the development of Chinese investment in Vietnam, analysing the main motives for, and characteristics of, Chinese Multinational Enterprises’ (MNEs) investment in Vietnam.

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Motivation: While processing of MHC class II antigens for presentation to helper T-cells is essential for normal immune response, it is also implicated in the pathogenesis of autoimmune disorders and hypersensitivity reactions. Sequence-based computational techniques for predicting HLA-DQ binding peptides have encountered limited success, with few prediction techniques developed using three-dimensional models. Methods: We describe a structure-based prediction model for modeling peptide-DQ3.2 beta complexes. We have developed a rapid and accurate protocol for docking candidate peptides into the DQ3.2 beta receptor and a scoring function to discriminate binders from the background. The scoring function was rigorously trained, tested and validated using experimentally verified DQ3.2 beta binding and non-binding peptides obtained from biochemical and functional studies. Results: Our model predicts DQ3.2 beta binding peptides with high accuracy [area under the receiver operating characteristic (ROC) curve A(ROC) > 0.90], compared with experimental data. We investigated the binding patterns of DQ3.2 beta peptides and illustrate that several registers exist within a candidate binding peptide. Further analysis reveals that peptides with multiple registers occur predominantly for high-affinity binders.

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O sistema educacional vem sofrendo influência direta das modificações ocorridas na sociedade, que está cada vez mais exposta a uma gama de informações que nem sempre são transformadas em conhecimento. Essas transformações vão desde uma nova postura do professor em sala de aula até a própria função social da escola, que ainda não responde às necessidades da sociedade. Nesse novo cenário faz-se imprescindível um professor mais preparado para orientar o aluno, ajudando-o a interagir com o outro, a selecionar as informações a que está exposto e a transformá-las em conhecimento, bem como a interagir com seus semelhantes. É importante considerar que aprendizagem do aluno está diretamente relacionada aos métodos de ensino aos quais está submetido. E, para garantir tal aprendizagem é necessário haver uma equipe mais preparada, mais coesa, ciente do trabalho que está desenvolvendo. Por isso a parceria do trabalho entre a coordenação pedagógica e os professores se torna indispensável. Mas será que o coordenador tem esse olhar? Para saber como o coordenador pedagógico atua na formação continuada dos professores, a pesquisa foi desenvolvida com uma parte teórica e uma parte prática. No referencial teórico estão Álvaro Marchesi, Vitor Henrique Paro e José Carlos Libâneo, por sua grande contribuição na área da gestão; Antônio Nóvoa, Cleide Terzi, Laurinda Almeida e Vera Placco, por seus trabalhos sobre formação de professores e de coordenadores pedagógicos, além de dissertações de mestrado e teses de doutorado sobre o tema. Na parte prática a pesquisa se organiza na perspectiva da metodologia quali/quantitativa, com entrevistas com nove coordenadores pedagógicos. Como a ênfase da dissertação está na construção do perfil desse profissional, foram entrevistados coordenadores de diversos segmentos (Educação Infantil, Ensino Fundamental e Ensino Médio) de diferentes escolas (rede particular e pública). No aspecto quantitativo da pesquisa, foi aplicado um questionário a dezesseis professores, para saber da atuação do coordenador pedagógico no aspecto formador. Os resultados mostraram que o coordenador pedagógico também precisa de formação. Ele desempenha tarefas específicas e que não são tratadas nem nas universidades nem nos cursos de especialização; precisa haver a parceria entre o coordenador pedagógico e o diretor pedagógico, para juntos decidirem os caminhos a serem seguidos dentro da escola; precisa haver um olhar mais direcionado para a formação da equipe, com reuniões, encontros, leituras e atividades planejadas, intencionais; há necessidade de devolutivas aos professores com mais frequência, estar mais perto, mais atuante; o coordenador pedagógico precisa repensar o trabalho coletivo, dar a seus professores autonomia para atuarem, dentro do que for possível. Mesmo os coordenadores pedagógicos que não têm autonomia dentro da escola podem fazer algo para deixar o trabalho com a marca do seu direcionamento; somente com um trabalho de parceria será possível resolver os conflitos e as tensões existentes e fortalecer a liderança, a confiança de seus pares, o trabalho em equipe. Dessa forma, as limitações do trabalho pedagógico com certeza diminuirão.

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This report describes the practice of teamwork as expressed in case conferences for care of the elderly and evaluates the effectiveness of case conferences in their contribution to care. The study involved the observation of more than two hundred case conferences in sixteen locations throughout the West Midlands, in which one thousand seven hundred and three participants were involved. Related investigation of service outcomes involved an additional ninety six patients who were interviewed in their homes. The pu`pose of the study was to determine whether the practice of teamwork and decision-making in case conferences is a productive and cost effective method of working. Preliminary exploration revealed the extent to which the team approach is part of the organisational culture and which, it is asserted, serves to perpetuate the mythical value of team working. The study has demonstrated an active subscription to the case conference approach, yet has revealed many weaknesses, not least of which is clear evidence that certain team members are inhibited in their contribution. Further, that the decisional process in case conferences has little consequence to care outcome. Where outcomes are examined there is evidence of service inadequacy. This work presents a challenge to professionals to confront their working practices with honesty and with vision, in the quest for the best and most cost effective service to patients.

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This chapter contributes to the anthology on learning to research - researching to learn because it emphases a need to design curricula that enables living research, and on-going researcher development, rather than one that restricts student and staff activities, within a marketised approach towards time. In recent decades higher education (HE) has come to be valued for its contribution to the global economy. Referred to as the neo-liberal university, a strong prioritisation has been placed on meeting the needs of industry by providing a better workforce. This perspective emphasises the role of a degree in HE to secure future material affluence, rather than to study as an on-going investment in the self (Molesworth , Nixon & Scullion, 2009: 280). Students are treated primarily as consumers in this model, where through their tuition fees they purchase a product, rather than benefit from the transformative potential university education offers for the whole of life.Given that HE is now measured by the numbers of students it attracts, and later places into well-paid jobs, there is an intense pressure on time, which has led to a method where the learning experiences of students are broken down into discrete modules. Whilst this provides consistency, students can come to view research processes in a fragmented way within the modular system. Topics are presented chronologically, week-by-week and students simply complete a set of tasks to ‘have a degree’, rather than to ‘be learners’ (Molesworth , Nixon & Scullion, 2009: 277) who are living their research, in relation to their own past, present and future. The idea of living research in this context is my own adaptation of an approach suggested by C. Wright Mills (1959) in The Sociological Imagination. Mills advises that successful scholars do not split their work from the rest of their lives, but treat scholarship as a choice of how to live, as well as a choice of career. The marketised slant in HE thus creates a tension firstly, for students who are learning to research. Mills would encourage them to be creative, not instrumental, in their use of time, yet they are journeying through a system that is structured for a swift progression towards a high paid job, rather than crafted for reflexive inquiry, that transforms their understanding throughout life. Many universities are placing a strong focus on discrete skills for student employability, but I suggest that embedding the transformative skills emphasised by Mills empowers students and builds their confidence to help them make connections that aid their employability. Secondly, the marketised approach creates a problem for staff designing the curriculum, if students do not easily make links across time over their years of study and whole programmes. By researching to learn, staff can discover new methods to apply in their design of the curriculum, to help students make important and creative connections across their programmes of study.

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This follow-up study examined the long term effects of a staff development model on P–12 classroom teachers' instructional practices and dispositions regarding a curricular innovation. The sample, 44 private school practitioners who participated in the staff development program that used the model, was administered a survey at three checkpoints over a three year period to gather quantitative data regarding the participants' concerns about the curricular innovation. A comparison group of 19 practitioners also completed the survey. Qualitative data, gathered through interviews conducted with ten of the 44 participants, contributed to understanding the participants' perspectives on changes they perceived in their teaching practices as a result of the staff development. Elements of the model that were most instrumental in effecting those changes were identified. ^ The findings indicated that the participants demonstrated changes in the quality of their concerns, moving from self concerns and task concerns to impact concerns immediately following the training. The decrease in self concerns was sustained three years after the staff development, while task concerns increased and impact concerns returned to pre staff development levels. A significant difference in stages of concern between the participant and the comparison groups was noted at self and impact stages. ^ Findings revealed that participants changed their teaching practices and beliefs about instructional processes as a result of the staff development, becoming more collaborative and confident in implementing innovative approaches; they were perceived as leaders among their peers. Elements of the staff development model that participants identified as being influential in the change process included the opportunity for collaboration, authenticity of the training activities, and ongoing and comprehensive nature of the training. ^

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The purpose of this study was to assess and enhance the attitudes and knowledge of physical therapy students toward telecommunication technology. A questionnaire was given to appraise the attitudes and knowledge of 156 physical therapy students toward telecommunication technology. The intervention was a one hour presentation on applications relevant to physical therapy practice. The majority of students expressed interest in telecommunication before the presentation, and felt that expanded use of telecommunication was important to the profession. However, only a minority of students demonstrated knowledge about specific medical telecommunication applications. The post-intervention questionnaire showed the presentation to be effective in changing students' attitudes toward telecommunication, and increasing their knowledge relevant to the practice of physical therapy. If physical therapy curricula were to include exposure to telecommunication, perhaps physical therapists will be more inclined to use the technology in the future.

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The study aimed to analyze the nursing diagnoses of the nutrition domain from NANDA International in patients undergoing hemodialysis. This is a transversal study conducted in a university hospital in northeastern Brazil, with 50 hemodialysis patients. The data collection instrument was an interview form and a physical examination, in digital format, applied between the months of December 2013 to May 2014. Data analysis was divided into two stages. In the first, defining characteristics, related factors and risk factors were judged as to their presence by the researcher, according to the data collected. In the second stage, based on data from the first, diagnostic inference by experts was held. The results were organized in tables and analyzed using descriptive and inferential statistics for the diagnoses that showed higher frequencies than 50%. The project was approved by the Ethics Committee responsible for the research institution (protocol number 392 535), with Certificate Presentation to Ethics Assessment 18710613.4.00005537 number. The results indicate a median of 7 (± 1.51) nursing diagnoses of the nutrition domain per patient. Six diagnoses with greater frequency than 50% were identified, namely: Risk for electrolyte imbalance, Risk for unstable blood glucose level, Excess fluid volume, Readiness for enhanced fluid balance, Readiness for enhanced nutrition and Risk for deficient fluid volume. The defining characteristics, related and risk factors presented an average of 34.78 (± 6.86), 15.50 (± 3.40) and a median of 4 (± 1.93), respectively, and 11 of these components had statistically significant association with the respective diagnoses. Were identified associations between adventitious breath sounds, edema and pulmonary congestion with the diagnosis Excess fluid volume; Expressed desire to increase fluid balance with the nursing diagnosis Readiness for enhanced fluid balance; It feeds regularly, Attitude to food consistent with the health goals, Consume adequate food, expresses knowledge about healthy food choices, expresses desire to improve nutrition, expresses knowledge about liquid healthier choices and following appropriate standard supply with diagnosis Readiness for enhanced nutrition. It is concluded that the diagnosis of the nutrition domain related to electrolyte problems are prevalent in customer submitted to hemodialysis. The identification of these diagnoses contributes to the development of a plan of care targeted to the needs of these clients, providing better quality of life and advance in the practice of care

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The purpose of this volume, the tenth in a series of similar publications (Goodell, 1964, 1965, 1968; Frakes 1971, 1973 ; Cassidy et al., 1977), is to continue a presentation to the research community of sediment core descriptions and attendant data of cored and otherwise obtained sediments retrieved in waters of the Southern Ocean aboard the research vessel, ARA Islas Orcadas (formerly, USNS Eltanin), as a part of the circumpolar survey begun by Eltanin in 1962 (see issue of Antarctic Journal of the United States, Vol. 8, No. 3, 1973). The data presented herein are concerned with the results of coring activities aboard cruise 1578 of Islas Orcadas, the fourth marine geology coring cruise of this vessel under the terms of the present United States-Argentine agreement. The core descriptions are organised as follows: 1) a brief summary of the coring objectives of the cruise, together with a discussion of core recovery; 2) a table and map of station location data for materials retrieved; 3) a table of tentative age-dates for each piston core; 4) an explanation of the laboratory procedures and descriptive criteria used in the description of the sediments, and 5) lithologic descriptions of the piston and trigger cores, and the piston and trigger core bag samples.

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The purpose of this volume, the ninth in a series of similar publications (Goodell, 1964, 1965, 1968; Frakes 1971, 1973 ; Cassidy et al., 1977), is to continue a presentation to the research community of sediment core descriptions and attendant data of cored and otherwise obtained sediments retrieved in waters of the Southern Ocean aboard the research vessel, ARA Islas Orcadas (formerly, USNS Eltanin), as a part of the circumpolar survey begun by Eltanin in 1962 (see issue of Antarctic Journal of the United States, Vol. 8, No. 3, 1973). The data presented herein are concerned with the results of coring activities aboard cruise 1277 of Islas Orcadas, the third marine geology coring cruise of this vessel under the terms of the present United States-Argentine agreement. The core descriptions are organised as follows: 1) a brief summary of the coring objectives of the cruise, together with a discussion of core recovery; 2) a table and map of station location data for materials retrieved; 3) a table of tentative age-dates for each piston core; 4) an explanation of the laboratory procedures and descriptive criteria used in the description of the sediments, and 5) lithologic descriptions of the piston and trigger cores, and the piston and trigger core bag samples.

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Acknowledgements This study was supported by a Medical Research Council UK grant (grant number G0800901), as a sub-study of Nitrites in Acute Myocardial Infarction. Thanks are due to Roger Staff, for invaluable advice regarding receiver operator characteristic analysis.

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This work was supported by the Swiss National Science Foundation (31003A-124988/1 to PB, 31003A-138187 and 31003A-159600/1 to PC). We are grateful to the staff of La Vaux-Lierre for giving us access to the bird care centre, to Sylvie Massemin and Jean-Patrice Robin for their help in data sampling and to Olivier Glaizot and two anonymous reviewers for their comments on the manuscript.