2,411 research outputs found

    Situated cognition and the culture of learning

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    Includes bibliographical references (p. 16-17

    Ahli pendidikan cina di Malaysia:pejuang jati diri masyarakat cina

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    The analysis of reading tasks and texts

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    Bibliography : p. 78-8

    Cognitive apprenticeship : teaching the craft of reading, writing, and mathtematics

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    Includes bibliographical references (p. 25-27)This research was supported by the National Institute of Education under Contract no. US-NIE-C-400-81-0030 and the Office of Naval Research under Contract No. N00014-85-C-002

    Association of hematocrit value with cardiovascular morbidity and mortality in incident hemodialysis patients

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    Association of hematocrit value with cardiovascular morbidity and mortality in incident hemodialysis patients.BackgroundAssociations between hematocrit values and clinical outcome have been studied with conflicting results in cardiac patients, end-stage renal disease (ESRD) patients, and ESRD patients with cardiac disease. We studied dialysis patients to determine the relationship between hematocrit value and cardiac risk under current Dialysis Outcomes Quality Initiative (DOQI) practices.MethodsMedicare data were used to study 50,579 incident hemodialysis patients selected from January 1, 1998, to December 31, 1999, who received hemodialysis for 9 months after the onset of ESRD. Patients were divided into groups on the basis of the hematocrit value: ≤30%, >30% to ≤33%, >33% to ≤36%, >36% to ≤39%, and >39%. For hospitalization, the follow-up extended to 21/2 years; for mortality, 3 years.ResultsCompared to patients with hematocrit values of >33% to ≤36%, patients with values of >36% to ≤39% and those with values of >39% had risk ratios for hospitalization due to cardiac disease of 0.92 (95% CI 0.88 to 0.97) and 0.79 (95% CI 0.72 to 0.87), respectively, and risk ratios for death due to cardiac disease of 0.92 (95% CI 0.87 to 0.98) and 0.83 (95% CI 0.74 to 0.93), respectively, in the follow-up period.ConclusionThe significant associations we report do not establish a causal relationship between higher hematocrit values and lower risks of cardiac morbidity and mortality. A randomized clinical trial in low-risk patients is needed to establish causality

    Reproduction of Spanish Mackerel, Scomberomorus maculatus, from the Southeastern United States

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    Spanish mackerel, Scomberomorus maculatus, were collected during 1977-80 in the Gulf of Mexico and from North Carolina to south Florida during 1980-81 to describe their reproductive biology. The major spawning period extended from May to September in all areas and peaked during the spring and early summer. Most fish were mature at about 350 mm FL, but size at maturity varied between sexes and sampling areas. Males matured at a smaller size than females. Fecundity was estimated from 52 fish from all areas and ranged from about 100,000 eggs for a 328 mm (295 g) fish to 2,113,000 eggs for a 626 mm (2,415 g) fish. Fork length and total weight were equally good predictors of fecundity

    Cognición y aprendizaje

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    Situated Cognition and the Culture of Learning

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    Cholesteatoma and family history: An international survey

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    Objective To explore the relative frequency of a family history of cholesteatoma in patients with known cholesteatoma, and whether bilateral disease or earlier diagnosis is more likely in those with a family history. Associations between cleft lip or palate and bilateral disease and age of diagnosis were also explored. Design An online survey of patients with diagnosed cholesteatoma was conducted between October 2017 and April 2019. Participants The sample consisted of patients recruited from two UK clinics and self‐selected respondents recruited internationally via social media. Main outcome measures Side of cholesteatoma, whether respondents had any family history of cholesteatoma, age of diagnosis and personal or family history of cleft lip or palate were recorded. Results Of 857 respondents, 89 (10.4%) reported a positive family history of cholesteatoma. Respondents with a family history of cholesteatoma were more likely to have bilateral cholesteatoma (P = .001, odds ratio (OR) 2.15, 95% confidence interval (CI) 1.35‐3.43), but there was no difference in the age of diagnosis (P = .23). Those with a history of cleft lip or palate were not more likely to have bilateral disease (P = .051, OR 2.71, CI 1.00‐7.38), and there was no difference in age of diagnosis (P = .11). Conclusion The relatively high proportion of respondents that reported a family history of cholesteatoma offers supporting evidence of heritability in cholesteatoma. The use of social media to recruit respondents to this survey means that the results cannot be generalised to other populations with cholesteatoma. Further population‐based research is suggested to determine the heritability of cholesteatoma
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