968 resultados para P21 - Planning, Coordination, and Reform


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This study analyzes differences in metacognitive skills and executive functioning between two groups of students (10-12 years) with different levels of metacognitive knowledge (high n = 50, low n = 64). Groups were established based on students' score on a test of knowledge of strategy use. Metacognitive skills were assessed by means of self-report. Students reported the frequency with which they applied these strategies during the phases of planning, execution, and evaluation of learning. Information about student executive functioning was provided by families and teachers, who completed two parallel forms of a behavior rating scale. The results indicated that: a) the group with high levels of metacognitive knowledge reported using their metacognitive skills more frequently than their peers in the other group. These differences were statistically significant in the phases of planning and execution; b) both family and teachers informed of better levels of executive functioning in the students with high metacognitive knowledge. Statistically significant differences were found in planning, functional memory, focus, and sustained attention. These results show the existence of an association between different levels of metacognitive knowledge, and differences in metacognitive skills and executive functions, and suggest the need to emphasize this set of variables in order to encourage students to acquire increasing levels of control over their learning process.

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Urban planning in China is in a period of change, where participatory planning may supplement the traditional planning system. Since the beginning of the 21st century, several pilot participatory planning projects have responded to the new challenge. The author collected eight cases from the Chinese planning institution to explore the possible models of and barriers to participatory planning. On the other hand, public participation has been a concrete component of planning and implementation process in the United States. The author will also elaborate on one practical case of the planning process in the United States to compare the two countries on planning methods and barriers.

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C3S2E '16 Proceedings of the Ninth International C* Conference on Computer Science & Software Engineering

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Part 20: Health and Care Networks

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Objective Structured Clinical Examinations (OSCE) improved communication skills of student of Pharmacology in Medicine and Podiatry degree. Bellido I, Blanco E, Gomez-Luque A. D. Pharmacology and Clinical Therapeutic. Medicine School. University of Malaga. IBIMA. Malaga, Spain. Objective Structured Clinical Examinations (OSCEs) are versatile multipurpose evaluative tools that can be utilized to assess health care professionals in a clinical setting including communication skills and ability to handle unpredictable patient behavior, which usually are not included in the traditional clinical exam. To designee and perform OSCEs by student is a novelty that really like to the students and may improve their arguing and planning capacities and their communication skills. Aim: To evaluate the impact of designing, developing and presenting Objective Structured Clinical Examinations (OSCE) by student in the communication skills development and in the learning of medicines in Medicine and Podiatry undergraduate students. Methods: A one-year study in which students were invited to voluntarily form groups (4 students maximum). Each group has to design and perform an OSCE (10 min maximum) showing a clinical situation/problem in which medicines’ use was needed. A clinical history, camera, a mobile-phone's video editor, photos, actors, dolls, simulators or whatever they may use was allowed. The job of each group was supervised and helped by a teacher. The students were invited to present their work to the rest of the class. After each OSCE performance the students were encouraged to ask questions if they wanted to do it. After all the OSCEs performances the students voluntarily answered a satisfaction survey. Results: Students of Pharmacology of Medicine degree and Podiatry degree, N=80, 53.75% female, 21±2.3 years old were enrolled. 26 OSCEs showing a clinical situation or clinical problem were made. The average time spent by students in making the OSCE was 21.5±9 h. The percentage of students which were satisfied with this way of presentation of the OSCE was 89.7%. Conclusion: Objective Structured Clinical Examinations (OSCE) designed and performed by student of Pharmacology of the Medicine and Podiatry Degree improved their communication skills.

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Part 13: Virtual Reality and Simulation

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The well-known degrees of freedom problem originally introduced by Nikolai Bernstein (1967) results from the high abundance of degrees of freedom in the musculoskeletal system. Such abundance in motor control have two sides: i) because it is unlikely that the Central Nervous System controls each degree of freedom independently, the complexity of the control needs to be reduced, and ii) because there are many options to perform a movement, a repetition of a given movement is never the same. It leads to two main topics in motor control and biomechanics: motor coordination and motor variability. The present thesis aimed to understand how motor systems behave and adapt under specific conditions. This thesis comprises three studies that focused on three topics of major interest in the field of sports sciences and medicine: expertise, injury risk and fatigue. The first study (expertise) has focused on the muscle coordination topic to further investigate the effect of expertise on the muscle synergistic organization, which ultimately may represent the underlying neural strategies. Studies 2 (excessive medial knee displacement) and 3 (fatigue) both aimed to better understand its impact on the dynamic local stability. The main findings of the present thesis suggest: 1) there is a great robustness in muscle synergistic organization between swimmers at different levels of expertise (study 1, chapter II), which ultimately indicate that differences in muscle coordination is mainly explained by peripheral adaptations; 2) injury risk factors such as excessive medial knee displacement (study 2, chapter III) and fatigue (study 3, chapter IV) alter the dynamic local stability of the neuromuscular system towards a more unstable state. This change in dynamic local stability represents a loss of adaptability in the neuromuscular system reducing the flexibility to adapt to a perturbation.

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The number of hot days is increasing in many parts of the world because of the heat island phenomenon and global climate change. High air temperature greatly affects human thermal comfort and public health, particularly in urban areas. Therefore, the challenging task of, urban designers and urban planners in accommodating the increasing population is to make cities with the least level of vulnerability to future climate change. Interest in transferring urban climatic knowledge into urban planning practices, and developing mitigation strategies to adapt to climate change, has been increased in recent years. The use of vegetation and appropriate urban geometry are shown very promising in mitigating the adverse effects of heat island and providing a better pedestrian thermal comfort. This article reviews studies on pedestrian level urban greening and geometry in improving thermal comfort in cities. Such strategies can be applied at the preliminary stages of urban planning and thus directly affect the microclimate. The analyzed data include simulation and field measurement studies. The discussion of this research clearly reflects how urban design guidelines can be applied to enhance outdoor thermal comfort and minimize the heat island effect. This study is helpful in controlling the consequences of city design from the early design stage.

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Employment is a well-known social determinant of health and wellbeing and important for the liveability of a region. Yet, spatial data are rarely used to understand barriers and facilitators of accessing employment within a city. Therefore it remains challenging to plan cities that provide equitable opportunities for urban job seekers. This paper sought to: (1) identify urban planning and neighbourhood spatial attributes that facilitate access to employment; (2) conceptualise how neighbourhood attributes that facilitate accessible urban employment may be related to health and wellbeing behaviours and outcomes; and (3) isolate potentially important neighbourhood-level spatial measures that policy-makers and planners could use to assess urban employment accessibility. A conceptual framework was developed through a social determinants of health lens, where more upstream (e.g., neighbourhood attributes) and more downstream (e.g., behaviours, intermediate outcomes) determinants of urban employment were identified in relation to long-term health and social outcomes of interest. Six potential neighbourhood spatial measures of employment were identified. These were classified into measures of: access to employment (n = 4), local employment (n = 1), and neighbourhood employment level (n = 1). The spatial measures proposed rely on routinely collected administrative datasets existing within Australia (i.e., census data); therefore can be replicated over time and data are available nationally. Together, this research identified a suite of potential (and readily available) spatial measures that can be used to assess selected neighbourhood attributes as they relate to urban employment access. Such spatial measures can be used to inform future planning decisions that integrate policies across multiple sectors, thereby improving employment accessibility in an urban context.

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Best practice encompasses a transfer of expert knowledge developed in one setting to address a particular issue and, through achieving some recognised benchmark, that technique, model and/or policy is applied in another setting to achieve the same desired improvement. Best practice can sometimes bring with it an inherent structure and assumed knowledge that may largely be absent in the new setting to which it is being applied. This type of “best practice” approach may come to represent the placeless-ness of externally derived and applied planning knowledge; removing itself from deliberative planning, placemaking and coproduction efforts where a collective and jointly aspired-to outcome is desired. The objectives of this paper are twofold: 1) to examine the implementation of a transfer of planning ideas across distances and in planning practice by investigating two very different “best practice” case studies (one in Australia and one in Nepal); and 2) to develop an adaptive “good practice” approach that can be used to structure deliberative planning efforts in placemaking. Central to this paper is the theoretical perspective of the diversity, interdependence and authentic dialogue (DIAD) theory of collaborative rationality and its emphasis on deliberation, collaboration and use of different knowledge types to aid with decision-making. The theoretical ideas of the paper are then worked through the two case studies to also illustrate that the DIAD may be applied to site specific (design/planning) projects, thereby adding a new layer of good practice applicability to the theory.

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Whilst health science, epidemiology and public health developments have forged enormous progress in understanding, prevention and cure in the health care area we still appear to lack the motivation to tackle the fundamental antecedents of many of our emerging population-based community health problems; the prevention of chronic illness being a prime example.

In spite of much progress in the area of health science, the social, economic and evolutionary forces that cast our physical being in the world still remain poorly understood or accepted in the health care arena. However, if our health care systems are to be manageable and sustainable in the future, these wider antecedents of our health status and wellbeing must be factored more fundamentally in to our management models with more effort being put into preventing lifestyle related chronic illnesses than is currently the case.

As in the past where public health infrastructure innovations such as running water and efficient waste disposal systems served to add greatly to the wellbeing of individuals and communities, we now need to make similar efforts to control preventable illnesses such as metabolic syndrome, type 2 diabetes and lifestyle related cardio-vascular disease at their source rather than waiting until the manifestation of these conditions require major medical and chemical intervention and management before we act. Our young people are at risk of early onset chronic conditions as a result of their emerging sedentary lifestyles, un-healthy dietary habits and health related behaviours, yet we continue to concentrate our health management effort on managing those with existing chronic conditions while leaving younger generations with lifestyle practices and behaviours that pre-dispose individuals to developing chronic illness earlier and earlier in their lives.

It is time we took notice of these emerging trends and began expending more effort to prevent what are essentially lifestyle related illnesses that can be eliminated before they become endemic. By concentrating more upon the social and environmental factors affecting our illness profiles as well as upon dealing more effectively with those who are already suffering from chronic illness we will reduce the need for major end-stage interventions and alleviate the impact and cost of early onset chronic disease. To achieve this new population health vision in Australia at least, we will not only need to utilize the new government funding structures more effectively; those structures that support coordination and more effective management of care, but also take a much broader, environmental and social view of cause and effect in relation to the health of populations.

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Community engagement on planning processes is traditionally adversarial,with residents reacting to a development proposal or local amenity impacts.With the significant increase in inner-urban medium-high density developments andsubsequent pressure on physical and social infrastructure, the City of Yarra embarked on anew approach to the rewrite of its Planning Scheme. This paper describes the process by whichthe City of Yarra involved the community to help address some of the dilemmas and trade-offswhich are necessarily part of planning in an inner-urban area.To hear from a broad range of voices and receive informed recommendations, a deliberativeprocess, the Liveable Yarra project was formed. It aimed to have an in-depth two-wayconversation with the community about how Yarra can adapt to the challenges andopportunities brought about by growth and change.A 60 member People’s Panel, comprising a cross section of Yarra’s community, came togetherto learn, debate and provide recommendations to Council on the topics of housing, transport,built form and the local economy. The Panel was supplemented by feedback from a householdbaseline survey, Council’s Advisory Committees and targeted workshops with hard-to-reachcommunities.This was the first time a deliberative approach has been undertaken for a topic as multifacetedand far-reaching as rewriting a Local Government Planning Scheme. It allowed participantsto gain an understanding of the complexity of planning issues and the challenges this presentsto Council decision making. It’s expected that the revised Planning Scheme will moreaccurately reflect community expectations, improve liveability and enhance communityunderstanding of the complex issues faced by Council in planning the city’s future.Furthermore, in describing this approach, along with reflections from those Councillors,planners and community members involved, we hope to provide a model which other councilscould embrace to enhance their existing planning processes.

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Planning, navigation, and search are fundamental human cognitive abilities central to spatial problem solving in search and rescue, law enforcement, and military operations. Despite a wealth of literature concerning naturalistic spatial problem solving in animals, literature on naturalistic spatial problem solving in humans is comparatively lacking and generally conducted by separate camps among which there is little crosstalk. Addressing this deficiency will allow us to predict spatial decision making in operational environments, and understand the factors leading to those decisions. The present dissertation is comprised of two related efforts, (1) a set of empirical research studies intended to identify characteristics of planning, execution, and memory in naturalistic spatial problem solving tasks, and (2) a computational modeling effort to develop a model of naturalistic spatial problem solving. The results of the behavioral studies indicate that problem space hierarchical representations are linear in shape, and that human solutions are produced according to multiple optimization criteria. The Mixed Criteria Model presented in this dissertation accounts for global and local human performance in a traditional and naturalistic Traveling Salesman Problem. The results of the empirical and modeling efforts hold implications for basic and applied science in domains such as problem solving, operations research, human-computer interaction, and artificial intelligence.

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Modern power networks incorporate communications and information technology infrastructure into the electrical power system to create a smart grid in terms of control and operation. The smart grid enables real-time communication and control between consumers and utility companies allowing suppliers to optimize energy usage based on price preference and system technical issues. The smart grid design aims to provide overall power system monitoring, create protection and control strategies to maintain system performance, stability and security. This dissertation contributed to the development of a unique and novel smart grid test-bed laboratory with integrated monitoring, protection and control systems. This test-bed was used as a platform to test the smart grid operational ideas developed here. The implementation of this system in the real-time software creates an environment for studying, implementing and verifying novel control and protection schemes developed in this dissertation. Phasor measurement techniques were developed using the available Data Acquisition (DAQ) devices in order to monitor all points in the power system in real time. This provides a practical view of system parameter changes, system abnormal conditions and its stability and security information system. These developments provide valuable measurements for technical power system operators in the energy control centers. Phasor Measurement technology is an excellent solution for improving system planning, operation and energy trading in addition to enabling advanced applications in Wide Area Monitoring, Protection and Control (WAMPAC). Moreover, a virtual protection system was developed and implemented in the smart grid laboratory with integrated functionality for wide area applications. Experiments and procedures were developed in the system in order to detect the system abnormal conditions and apply proper remedies to heal the system. A design for DC microgrid was developed to integrate it to the AC system with appropriate control capability. This system represents realistic hybrid AC/DC microgrids connectivity to the AC side to study the use of such architecture in system operation to help remedy system abnormal conditions. In addition, this dissertation explored the challenges and feasibility of the implementation of real-time system analysis features in order to monitor the system security and stability measures. These indices are measured experimentally during the operation of the developed hybrid AC/DC microgrids. Furthermore, a real-time optimal power flow system was implemented to optimally manage the power sharing between AC generators and DC side resources. A study relating to real-time energy management algorithm in hybrid microgrids was performed to evaluate the effects of using energy storage resources and their use in mitigating heavy load impacts on system stability and operational security.

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Children with chronic conditions often experience a long treatment which can be complex and negatively impacts the child's well-being. In planning treatment and interventions for children with chronic conditions, it is important to measure health-related quality of life (HrQoL). HrQoL instruments are considered to be a patient-reported outcome measure (PROM) and should be used in routine practice. Purpose: The aim of this study was to compare the content dimensions of HrQoL instruments for children's self-reports using the framework of ICF-CY. Method: The sample consist of six instruments for health-related quality of life for children 5 to 18 years of age, which was used in the Swedish national quality registries for children and adolescents with chronic conditions. The following instruments were included: CHQ-CF, DCGM-37, EQ-5D-Y, KIDSCREEN-52, Kid-KINDL and PedsQL 4.0. The framework of the ICF-CY was used as the basis for the comparison. Results: There were 290 meaningful concepts identified and linked to 88 categories in the classification ICF-CY with 29 categories of the component body functions, 48 categories of the component activities and participation and 11 categories of the component environmental factors. No concept were linked to the component body structures. The comparison revealed that the items in the HrQoL instruments corresponded primarily with the domains of activities and less with environmental factors. Conclusions: In conclusion, the results confirm that ICF-CY provide a good framework for content comparisons that evaluate similarities and differences to ICF-CY categories. The results of this study revealed the need for greater consensus of content across different HrQoL instruments. To obtain a detailed description of children's HrQoL, DCGM-37 and KIDSCREEN-52 may be appropriate instruments to use that can increase the understanding of young patients' needs.