470 research outputs found

    Pushing Past PowerPoint with Web 2.0 Tools

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    This presentation is designed to introduce traditional PowerPoint presentation software users to two Web 2.0-based presentation tools, SlideShare and Issuu. Presentations stored on either site (which serve as web-based publishing archives for your works) can be embedded in an online course or web site. In this session you\u27ll see how a basic PowerPoint presentation will appear using SlideShare or Issuu and can increase accessibility, student engagement, and provide a more polished user interface

    Major Issues Facing Online Education: Challenges and Change

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    This presentation was given at this year\u27s KC REACHE Board meeting by the Technology Subcommittee to address concerns our members have regarding major issues affecting not only our online education programs but those all across the country. These issues include: Accessibility, Copyright, Student Authentication, and Accreditation. We will also present strategies for addressing these issues at the institution level through program reassessment, planning, development, and training and support

    Education vs TFP: Empirical evidence from the Sub-Saharan Countries

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    This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant's and researchers' journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability

    Building the Capacity of the Global Health Workforce: Challenges, Opportunities, and Future Directions

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    Global flows of development assistance for health programs have increased greatly over the past decade. However, an adequately trained global health workforce – an integral component of a well-functioning health system - has not grown commensurate with the burgeoning public health programs funded by international donors. This has negatively affected the ability to expeditiously address global health disparities and inequalities as set forth in the internationally-recognized Millennium Development Goals (MDGs). The size and capacity of the health workforce in less-developed countries (LDCs) are currently constrained by limited educational opportunities within country. Individuals with enough resources to pursue higher education tend to do so in western nations, and often stay in those nations upon graduation so as to gain a higher income, in a concept known as 'brain drain.' Those individuals remaining in their home countries may be trained in the technical concepts of public health practice (i.e. clinical knowledge), but there is shortage of management and operational skills needed to make the technical programs run effectively. Innovative, low-cost and locally-available solutions to address the paucity of a trained health workforce are needed if the MDGs are to be met by the target-date of 2015 and maintained in subsequent years. These solutions must draw on proven management theories and techniques as well as the local knowledge of on-the-ground realities to sustainably address the needs of the communities in LDCs around the world. One example of such a solution is the online distance learning program offered through the University of North Carolina's Public Health Leadership Program known as the 'Global Learning Program.' This program has been shown to increase not only the management skills of global public health professionals, but also to empower these individuals at a personal level to enact change in their health programs and communities. More initiatives such as the UNC Global Learning Program Barker 4 are required to respond to the global community's need for education programs in a local context, which will ultimately lead to the attainment of the MDGs and increased global equity.Master of Public Healt

    Reading Instruction for Children who use AAC: Considerations in the Pursuit of Generalizable Results

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    Our purpose was to review evidence-based literacy instruction for children with severe speech impairment (SSI) who communicate with AAC. This review focuses on three issues important to researchers in this area: participant heterogeneity, assessment and instruction, and research design. We found 8 articles that reported attempts to teach phonological awareness and individual-word reading to a total of 26 children with SSI who used AAC. We evaluated these studies based on reporting of participant characteristics, assessment and instruction modifications, and the strength of research designs. We conclude by highlighting the need for standard assessments that can be used across studies, discussing strategies for facilitating metaanalyses, and suggesting the creation of an online database for researchers to share results on literacy instruction for this population

    Girls on the Move: Adolescent Girls & Migration in the Developing World

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    Adolescent girls in developing countries are migrating to urban areas in ever greater numbers. While migration can be risky, for the majority of girls, migration can increase opportunities and economic stability and provide them with the autonomy to make decisions about their lives. Preventing the worst outcomes and helping girls succeed are essential to unlocking the benefits of migration. When migrant girls can take advantage of the benefits, they can be a powerful force for change in the developing world—improving lives and reducing poverty in their communities and countries. This Girls Count report examines the social and economic determinants of internal migration for adolescent girls in developing countries, and identifies the links between migration, risk, and opportunity. A wide range of evidence on migrant girls is explored, including findings on programs for girls and an agenda for increasing the visibility of migrant girls, reducing their vulnerability, and realizing their full potential

    A systematic review of digital interventions for improving the diet and physical activity behaviors of adolescents

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    Many adolescents have poor diet and physical activity behaviors, which can lead to the development of noncommunicable diseases in later life. Digital platforms offer inexpensive means of delivering health interventions, but little is known about their effectiveness. This systematic review was conducted to synthesize evidence on the effectiveness of digital interventions to improve diet quality and increase physical activity in adolescents, to effective intervention components and to assess the cost-effectiveness of these interventions. Following a systematic search, abstracts were assessed against inclusion criteria, and data extraction and quality assessment were performed for included studies. Data were analyzed to identify key features that are associated with significant improvement in behavior. A total of 27 studies met inclusion criteria. Most (n = 15) were Web site interventions. Other delivery methods were text messages, games, multicomponent interventions, emails, and social media. Significant behavior change was often seen when interventions included education, goal setting, self-monitoring, and parental involvement. None of the publications reported cost-effectiveness. Due to heterogeneity of studies, meta-analysis was not feasible.It is possible to effect significant health behavior change in adolescents through digital interventions that incorporate education, goal setting, self-monitoring, and parental involvement. Most of the evidence relates to Web sites and further research into alternate media is needed, and longer term outcomes should be evaluated. There is a paucity of data on the cost-effectiveness of digital health interventions, and future trials should report these data

    Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others

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    Purpose: The aim of this study was to explore factors that influence stroke survivors’ ability to persevere with home-based upper limb practice. Methods: A qualitative descriptive study embedded within a theoretical framework was conducted. Data were collected through semi-structured focus group, dyadic, and individual interviews. The Theoretical Domains Framework and Capability, Opportunity, Motivation – Behaviour (COM-B) model guided data collection and directed content analysis. Findings: Participants were 31 adult stroke survivors with upper limb impairment, with 13 significant other/s, who were living at home in Queensland, Australia. Three central tenants aligned with the COM-B and six themes were identified. Stroke survivors’ capability to persevere was influenced by being physically able to practice and being able to understand, monitor and modify practice, their opportunity to persevere was influenced by accessing therapy and equipment required for practice and fitting practice into everyday life, and their motivation to persevere was influenced by having goals and experiencing meaningful outcomes and having support and being accountable. Conclusion: Persevering with practice is multifaceted for stroke survivors. All facets need to be addressed in the design of strategies to enhance stroke survivors’ ability to persevere and in turn, enhance their potential for continued upper limb recovery

    Using Neutron Reflectometry to Discern the Structure of Fibrinogen Adsorption at the Stainless Steel/Aqueous Interface.

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    Neutron reflectometry has been successfully used to study adsorption on a stainless steel surface by means of depositing a thin steel film on silicon. The film was characterized using XPS (X-ray photoelectron spectroscopy), TOF-SIMS (time-of-flight secondary ion mass spectrometry), and GIXRD (grazing incidence X-ray diffraction), demonstrating the retention both of the austenitic phase and of the required composition for 316L stainless steel. The adsorption of fibrinogen from a physiologically-relevant solution onto the steel surface was studied using neutron reflectometry and QCM (quartz crystal microbalance) and compared to that on a deposited chromium oxide surface. It was found that the protein forms an irreversibly bound layer at low concentrations, with maximum protein concentration a distance of around 20 Ă… from the surface. Evidence for a further diffuse reversibly-bound layer forming at higher concentrations was also observed. Both the structure of the layer revealed by the neutron reflectometry data and the high water retention predicted by the QCM data suggest that there is a significant extent of protein unfolding upon adsorption. A lower extent of adsorption was seen on the chromium surfaces, although the adsorbed layer structures were similar, suggesting comparable adsorption mechanisms.M.H.W. is grateful to the Oppenheimer Trust for funding.This is the author accepted manuscript. The final version is available from the American Chemical Socitey via http://dx.doi.org/10.1021/acs.jpcb.6b0234

    Perseverance with technology-facilitated home-based upper limb practice after stroke: a systematic mixed studies review

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    Background: Technology is being increasingly investigated as an option to allow stroke survivors to exploit their full potential for recovery by facilitating home-based upper limb practice. This review seeks to explore the factors that influence perseverance with technology-facilitated home-based upper limb practice after stroke. Methods: A systematic mixed studies review with sequential exploratory synthesis was undertaken. Studies investigating adult stroke survivors with upper limb disability undertaking technology-facilitated home-based upper limb practice administered ≥ 3 times/week over a period of ≥ 4 weeks were included. Qualitative outcomes were stroke survivors’ and family members’ perceptions of their experience utilising technology to facilitate home-based upper limb practice. Quantitative outcomes were adherence and dropouts, as surrogate measures of perseverance. The Mixed Methods Appraisal Tool was used to assess quality of included studies. Results: Forty-two studies were included. Six studies were qualitative and of high quality; 28 studies were quantitative and eight were mixed methods studies, all moderate to low quality. A conceptual framework of perseverance with three stages was formed: (1) getting in the game; (2) sticking with it, and; (3) continuing or moving on. Conditions perceived to influence perseverance, and factors mediating these conditions were identified at each stage. Adherence with prescribed dose ranged from 13 to 140%. Participants were found to be less likely to adhere when prescribed sessions were more frequent (6–7 days/week) or of longer duration (≥ 12 weeks). Conclusion: From the mixed methods findings, we propose a framework for perseverance with technology-facilitated home-based upper limb practice. The framework offers opportunities for clinicians and researchers to design strategies targeting factors that influence perseverance with practice, in both the clinical prescription of practice and technology design. To confirm the clinical utility of this framework, further research is required to explore perseverance and the factors influencing perseverance
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