International Climate Efforts Beyond 2012: A Survey of Approaches

Provides an overview of key issues in the design and negotiation of future international climate efforts and describes how various proposals seek to address them. Outlines criteria for assessing different options from a policy and a political perspective

Romantic regressions : an analysis of behavior in online dating systems

Thesis (S.M.)--Massachusetts Institute of Technology, School of Architecture and Planning, Program in Media Arts and Sciences, 2004.Includes bibliographical references (p. 65-68).Online personal advertisements have shed their stigma as matchmakers for the awkward to claim a prominent role in the social lives of millions of people. Web sites for online dating allow users to post lengthy personal ads, including text and photos; search the database of users for potential romantic partners; and contact other users through a private messaging system. This work begins with psychological and sociological perspectives on online dating and discusses the various types of online dating Web sites. Next, it presents an analysis of user behavior on one site in particular, which has more than 57,000 active users from the United States and Canada. A demographic description of the population is given, and then 250,000 messages exchanged by the active users over an eight-month period are analyzed. An examination of which characteristics are "bounding" finds that life course attributes such as marital status and whether one wants children are most likely to be the same across the two users in a dyadic interaction. To understand which characteristics are important to users in deciding whom to contact, regression models show the relative strength of a variety of attributes in predicting how many messages a user with those attributes will receive. By far the strongest predictor of messages received is the number of messages sent. For men, age, educational level, and self-rated physical attractiveness are the next most important qualities. For women, they are not being overweight, self-rated physical attractiveness, and having a photo. Finally, a discussion of the design implications of these findings and other design issues follow the results.Andrew Rocco Tresolini Fiore.S.M

Self-efficacy beliefs of medical students : A review of the research

Self-efficacy is a theoretically and empirically robust motivation belief that has been shown to play an important role in the learning and development of new skills and knowledge. In this article, we critically review research on the self-efficacy beliefs of medical students, with a goal to evaluate the existing research and to strengthen future work. In particular, we sought to describe the state of research on medical student self-efficacy and to critically examine the conceptualization and measurement of the construct. Finally, we aimed to provide directions for future self-efficacy research

A postgraduate curriculum for integrated care : a qualitative exploration of trainee paediatricians and general practitioners' experiences

BACKGROUND: Integrated care unites funding, administrative, organisational, service delivery and clinical levels to create connectivity, alignment and collaboration within and between care delivery and prevention sectors. It aims to improve efficiency by avoiding unnecessary duplication of resources. Consequently, implementing integrated care is increasingly important; however, there are many barriers and how we teach healthcare practitioners to work across systems is under-researched. This paper explores an innovative educational curriculum, the Programme for Integrated Child Health (PICH). METHODS: The PICH involved an experiential learning approach supported by taught sessions on specific issues relevant to integrated care. A qualitative study was conducted by interviewing 23 participants using semi-structured one-to-one interviews. Participants included trainees (general practice, paediatrics) and programme mentors. Data was thematically analysed. RESULTS: Results are coded under three main themes: integrated care curriculum components, perceptions of a curriculum addressing integrated care and organisational change, and personal and professional learning. The data highlights the importance of real-world projects, utilising healthcare data, and considering patient perspectives to understand and develop integrated practices. Trainees received guidance from mentors but, more crucially learnt from, with, and about one another. They learnt about the context in which GPs and paediatricians work and developed a deeper understanding through which integrated services could be meaningfully developed. CONCLUSIONS: This study explored participants' experiences and can be taken forward by educationalists to design curricula to better prepare healthcare practitioners to work collaboratively. The emergence of integrated care brings about challenges for traditional pedagogical approaches as learners have to re-align their discipline-specific approaches with evolving healthcare structures. PICH demonstrated that trainees acquired knowledge through real-word projects and experiential learning; and that this facilitated integration, empowering doctors to become leaders of organisational change. However, there are also many challenges of implementing integrated curricula which need to be addressed, including breaking down professional silos and integrating resourceful healthcare. This study begins to demonstrate the ability of an integrated curriculum to support trainees to work collaboratively, but further work is needed to develop the wider efficacy of the programme incorporating other professional groups, and to assess its longer term impact

Implementation of a Complex Intervention to Support Leadership Development in Nursing Homes: A Multimethod Participatory Study

Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership. Data generation methods included baseline and postintervention questionnaires to describe culture change within the study population, together with more in-depth qualitative data generated from group discussions throughout the leadership support program. Qualitative data analysis was an iterative collaborative process with participants to generate themes about the impact of the program on themselves and their practice. Data showed positive changes in managers’ perceptions of their self-awareness, leadership communication and relationship skills, and development of positive cultures. This model offers lessons for those interested in ways to approach the emotional, educational, and cultural dynamics of change in other human service contexts

American Constitutional Law

xxxiii,781 hal.;27 c