APPLICATION OF CHINESE LANGUAGE MODULE FOR IMPROVING LANGUAGE SPEAKING SKILLS

ABSTRACT  This research called classroom action research (CAR) which combined with Chinese teaching material products. The researcher tried to use a Chinese module that was made by himself to improve the ability of students' speaking skills by collaborating with the application of the think pair share technique. Pretest Testing, Cycle 1 Test and Cycle 2 Test use the same test questions by testing 30 vocabulary words which is spoken verbally by each student. In the pre-test 21 students (95%) were ranked D and only 1 student (5%) was ranked C. The percentage of each indirect cycle increased until the final result of cycle 2 was 27% of students still ranked D, 50% of students rated C and 23% of students are rated B. This result is quite satisfying for researchers because Mandarin language skills are quite difficult lessons for beginners especially those who have very little study time but are required to master a lot of pronunciation and vocabulary. Keywords: modules, chinese language, think pair share techniques,  speaking skill

Déploiement de nouveaux rôles infirmiers au Québec et pouvoir médical

Université de Montréal.Le contexte actuel des systèmes de santé occidentaux réclame que des transformations soient opérées dans les modes d’organisation et de dispensation des soins de santé. Pour faire face à ces nouveaux défis, de nombreux établissements ont introduit de nouveaux rôles infirmiers ayant le potentiel de transformer l’offre de services. Cet article a comme but de mieux comprendre le déploiement de ces nouveaux rôles infirmiers en contexte québécois et d’identifier les facteurs qui favorisent ou entravent leur mise en oeuvre, en portant un intérêt particulier à la dimension du pouvoir médical. Notre analyse montre que l’introduction de nouveaux rôles nécessite que soient redéfinis les espaces d’autorité exercés par la profession médicale sur la prestation de l’ensemble des services de santé, incluant les services infirmiers. La question du pouvoir médical, aussi délicate soit-elle, est d’autant plus importante que la négociation des frontières entre la profession infirmière et la profession médicale se présente comme un incontournable pour maximiser le plein potentiel de ces rôles et atteindre les objectifs poursuivis en termes d’accessibilité, de globalité et de qualité des services.The current context of health-care systems in the western world demands that transformations be made in the modes of organization and provision of health-care services. In order to face these new challenges, many institutions have introduced new roles for nurses, with the potential to make significant changes in the services available. This paper aims to develop a better understanding of the implementation of these new nursing roles in the Québec context, and to identify the factors that enhance or hinder their implementation, with a particular focus on the power of the medical profession. This analysis shows that the introduction of new roles requires a redefinition of the fields of authority exercised by the medical profession over delivery of the full range of health-care services, including nursing services. The issue of medical power, delicate as it is, takes on all the more importance as the negotiation of the boundaries between the nursing profession and the medical profession becomes an inevitable step toward maximizing the full potential of these roles, and to achieving the goals pursued in terms of accessibility, universality and quality of services

Job satisfaction of health professionals in Kigali University Teaching Hospital

Magister Public Health - MPHJob satisfaction is important for the delivery of quality health care and health worker retention. This study aimed to identify the extent of job satisfaction among University Teaching Hospital of Kigali (UTHK) health workers and to describe the variables related to job satisfaction. These included working conditions, remuneration, patient care, development opportunities, supervision, time pressure and staff relations. A cross- sectional survey of UTHK health workers was conducted using a standardized instrument to identify health worker job satisfaction with related key work factors. A self-administered questionnaire was used to collect data from 274 health workers selected using a proportional stratified random sampling method and which included 21 medical doctors, 159 nurses, 19 midwives, 37 paramedic and 37 administrative staff. Respondents provided written consent to participate in the study. Analysis consisted of both descriptive statistics of overall satisfaction and various satisfactionrelated factors. For determining whether there is a significant relationship between job satisfaction and its independent variables, data were categorized and Chi-square or Fisher Exact test performed. Results showed a moderate overall job satisfaction level with 79.1% of respondents rating their satisfaction between 6 and 8 (mean: 6.7) on a scale of 1-10. A majority of respondents (82.6%) reported being dissatisfied with work income and 85.6% believed that their pay was not comparable to the work done. Over four fifths of the respondents (83.3%) reported feeling overwhelmed by responsibilities at work while a big percentage (96.5%) reported their job to be demanding physically, emotionally as well as mentally. However, respondents reported strong satisfaction (between 80% and 95%) with respect to work meaning, professionalization, training and orientation variables. Factors significantly associated with job satisfaction were adequate training to fulfill responsibilities (p value<0.001), feeling unvalued by the hospital (p=0.037) and dissatisfaction with supervisor care for patients and employees (p=0.034). In conclusion, improvement of remuneration, working conditions and hospital management in Kigali University Teaching Hospital would be expected to increase the level of job satisfaction of hospital health workforce

Understanding collaborative working in a facilitated interdisciplinary environment

Purpose: This paper reports on the trial of a new form of project insurance in UK construction designed to improve collaborative working among project participants by enhancing their joint responsibility for project outcomes. Its purpose is to examine the interprofessional collaborative endeavour under these new insurance arrangements, drawing on a structuration model of interdisciplinary collaboration developed in the field of healthcare studies. Design/Methodology/Approach: The research involved a longitudinal, action research approach with participant observation over the period of the trial project. A novel element included a project facilitator as part of the action research team. In addition, qualitative and quantitative data were collected using semi-structured interviews with project participants and close scrutiny of the documented project record. Findings: The study findings are in line with other social practice-based studies of collaboration in construction in which collaborators socialise the collaborative endeavour, developing their interpretation of what collaboration means and their own modus operandi. However, project structure emerges as a more important element in the collaboration process than is typically recognised in practice-based studies. More significantly, the analysis reveals that it is the interplay of structure, the socialising processes of the participants, and facilitation that helps develop interdependence among project participants and provides a basis for understanding collaboration on the trial project. Research limitations/implications: The case study project provides a unique context for the examination of collaboration under the new project insurance arrangements. But the results have implications for the study of collaboration in highlighting the important relationship between project structure, collaboration and facilitation. Practical implications: Understanding the importance of how interdependency is developed through structure, the socialising processes of collaborators, and facilitation has important implications for those concerned with designing project arrangements and managing collaborative processes. Originality/value: The trial project is the first full trial of the new project insurance arrangements in the UK, and provides a unique context for the study of collaboration. By highlighting the significance of project structure, and the interplay between structure, the collaborators’ emerging practices and facilitation, the paper departs from other work in this area to suggest fruitful avenues for further enquiry, and for practice

Connected and Autonomous Vehicles (CAVs) Challenges with Nonmotorized Amenities Environments

With the deployment of Connected and Automated Vehicles in the coming decades, road transportation will experience a significant upheaval. CAVs (Connected and Autonomous Vehicles) have been a main emphasis of Transportation and the automotive sector, and the future of transportation system analysis is widely anticipated. The examination and future development of CAVs technology has been the subject of numerous researches. However, as three essential kinds of road users, pedestrians, bicyclists, and motorcyclists have experienced little to no handling. We explored the influence of CAVs on non-motorized mobility in this article and seven various issues that CAVs face in the environment

Prevalence and Risk Factors For Intestinal Nematodes Infections among Primary School Children at Kigeme Refugee Camp, Southern Province, Rwanda

Background Intestinal parasitic infections are common in camps of internally displaced people or refugees. Although, much has been done in Rwanda for their control in the general population, little is known about the prevalence among children in refugees’ camps. Objective The aim of this study was to determine the prevalence of intestinal nematodes infections and associated risk factors among primary school children at Kigeme refugee camp, southern province of Rwanda in 2021. Methods A cross sectional study was conducted; a total number of 383 stool samples were collected and examined using formal ether concentration technique. Results Approximately, one out of two participants (48.0%) were found to be infected with at least one intestinal nematode. Ascaris lumbricoides was found to be most prevalent (81%), followed by Trichirus trichiura (7.1%) and hookworm (3.8%). Parental illiteracy was identified as a risk factor, while knowledge on transmission roots of intestinal nematodes was seen as a protective factor. Conclusion Family members and parental education in particular is key as far as prevention of intestinal nematodes infections is concerned. Enhancement of public health education about hygiene and sanitation as well as regular mass drug administration could be important in fighting against intestinal parasitic infections. Rwanda J Med Health Sci 2022;5(3):332-33

Crystal structure of solid Oxygen at high pressure and low temperature

Results of X-ray diffraction experiments on solid oxygen at low temperature and at pressures up to 10 GPa are presented.A careful sample preparation and annealing around 240 K allowed to obtain very good diffraction patterns in the orthorhombic delta-phase. This phase is stable at low temperature, in contrast to some recent data [Y. Akahama et al., Phys. Rev. B64, 054105 (2001)], and transforms with decreasing pressure into a monoclinic phase, which is identified as the low pressure alpha-phase. The discontinuous change of the lattice parameters, and the observed metastability of the alpha-phase increasing pressure suggest that the transition is of the first order.Comment: 4 pages with three figure

Adapting to Latent Subgroup Shifts via Concepts and Proxies

We address the problem of unsupervised domain adaptation when the source domain differs from the target domain because of a shift in the distribution of a latent subgroup. When this subgroup confounds all observed data, neither covariate shift nor label shift assumptions apply. We show that the optimal target predictor can be non-parametrically identified with the help of concept and proxy variables available only in the source domain, and unlabeled data from the target. The identification results are constructive, immediately suggesting an algorithm for estimating the optimal predictor in the target. For continuous observations, when this algorithm becomes impractical, we propose a latent variable model specific to the data generation process at hand. We show how the approach degrades as the size of the shift changes, and verify that it outperforms both covariate and label shift adjustment

Academic response to storm-related natural disasters—lessons learned

On 30 October 2017, selected faculty and administrators from Research Centers in Minority Institutions (RCMI) grantee institutions gathered to share first-hand accounts of the devastating impact of Hurricanes Harvey, Irma, and Maria, which had interrupted academic activities, including research, education, and training in Puerto Rico, Florida, and Texas. The presenters reviewed emergency response measures taken by their institutions to maintain community health care access and delivery, the storm-related impact on clinical and research infrastructure, and strategies to retain locally grown clinical expertise and translational science research talent in the aftermath of natural disasters. A longer-term perspective was provided through a comparative review of lessons learned by one New Orleans-based institution (now more than a decade post-storm) in the aftermath of Hurricane Katrina. Caring for the internal and external communities associated with each institution and addressing the health disparities exacerbated by storm-related events is one key strategy that will pay long-term dividends in the survival of the academic institutions and the communities they serve