Sample records for integrate democratic practice

  1. Preservice Teachers' Attitudes and Beliefs about Democratic Classroom Practice: Influences on Intentions for Pedagogical Integration (United States)

    Pryor, Caroline R.; Pryor, Brandt W.


    This study investigated preservice teachers' intentions to integrate democratic practice into their teaching and the influence of attitudes and beliefs on intentions. Participants were 76 undergraduates from 3 social studies methods classes. A theory of reasoned action (Fishbein & Ajzen, 1975) guided instrument development. Intention was…

  2. Democratic Deliberation Procedures : Theoretical and Practical Issues

    Directory of Open Access Journals (Sweden)

    Tutui Viorel


    Full Text Available Abstract : In contemporary political philosophy, the focus of the most important controversies is on the deliberative model of democracy. These controversies concern not only the theoretical problem of providing the best justification for a deliberative model of democratic legitimacy, but also the practical problem of designing the best deliberative procedure that will secure the implementation of deliberative democracy. In this paper I will present and analyze some of the most important deliberative designs: deliberative polls, citizens’ juries, consensus conferences and planning cells. I argue that these deliberative events can have a significant impact on the political behavior of a democratic community. However, I explain that all of them have only a limited influence on the policy-making activities in local and central governing structures. This is the reason why I believe we could only supplement and never fully replace the traditional aggregative procedures of democracy (voting and bargaining with a deliberative design.

  3. Democratic Schooling in Norway: Implications for Leadership in Practice (United States)

    Moller, Jorunn


    This article explores the meaning of an education based on democratic values and the implications for school leadership in practice. Based on findings from a case study in a Norwegian upper secondary school, the study describes democratic school leadership in practice, with particular attention to the distribution of power and leadership in the…

  4. Is evidence-based medicine about democratizing medical practice?

    DEFF Research Database (Denmark)

    Thorgård, Keld


    The authoritarian standpoint in medicine has been under challenge by various groups and researchers since the 1980s. The challenges have been ethical, political and medical, with patient movements at the forefront. Over the past decade, however, a deep challenge has been posed by evidence......-based medicine (EBM), which has challenged the entire strategy of medical treatment from the point of view of a self-critical, anti-authoritarian and hereby also (it has been claimed) a more democratic medical practice. Previously, the challenges arose out of the patient rights perspective. EBM, by contrast......, was taken to challenge the way doctors consider their medical practice as a whole. The present paper puts this claim of democratization into a historical context. Two dimensions of the democratization hypothesis are discussed and it is argued that they are insufficient to capture the substantial changes...

  5. Strengthening the integrity of local leadership and its relevance to run democratic governance


    Maulana Mukhlis; Idil Akbar


    Abstract   Even though many aspects that shows how to run a democratic government, but the most important aspect is related to the leadership of integrity. The leadership of integrity put the perspective of power in the orientation of partisanship on the people. In addition, democratic governance at the local level can be run effectively and constructively if in his leadership held with integrity. In other words the leadership of integrity is a requirement to run a democratic governme...

  6. Theoretical concepts about "Intelligence" - practices and standards in democratic societies

    Directory of Open Access Journals (Sweden)

    Mr.Sc. Bahri Gashi


    Full Text Available My thesis consists of theoretical analysis on the need for recognition of academic concepts to shape and design research field intelligence community activity, careful analysis of the terms and concepts that are strongly linked to intelligence work methodology, theoretical aspects description given practice best to regulate this specific area in our academic studies, has made the study to take proper shape with bold shades of comparative empirical analysis. My study aims to summarize, to analyze existing approaches and break the "taboo theories," floats mysteriously present new knowledge, summed up in this multidisciplinary field study, now theories only considering the nature of scientific thought for recognition theoretical concepts and legal regulation best practice intelligence services in democratic societies. emocratic societies. Treatment of this complex matter such as "intelligent services submission principle" of democracy is very difficult. Is between the concept of democracy is to be open and transparent, and intelligent service logic in the concept is to be closed and secret. Generally in "strategic studies and Peace” security for the creation of "security system" argued by the authors Buzan and Herring. Concept Intelligent based on the theory: "The essence of intelligence is the adequate response to a stimulus." Is the essence of this analysis?

  7. Education in the new practice of democratic citizenship: databases of John Dewey

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    Giannina Burlando


    Full Text Available The bases of the political art of John Dewey or his new practice of democratic citizenship are reviewed. Dewey is acknowledged as one of the most prominent of the American philosophers in the first half of the twentieth century. He is also the most influential due to endowing philosophy a public task, namely, political and educational concern. From the instrumentalist method applied to the political area, crucial postulates in the major writings of Dewey are selected to revitalize the meaning and draw up the practical impacts of the central element of his political philosophy: ‘the collective power of democratic community’.

  8. Electronic Government In Democratic Public Service In One Door Integrated Permit Handling Services Agency In The City Of Samarinda

    Directory of Open Access Journals (Sweden)

    Iman Surya


    Full Text Available ABSTRACT Electronic government needs to carry out in a fundamental public services of democracy. But in practice BPPTSP one door integrated permit service board of Samarinda not able to perform the activities. The aim of this research described analyzing electronic government and public services in a democracy. The methodology used in this research using descriptive qualitative approach the study was on the one door integrated permit service of Samarinda respondents in Samarinda the mayor head of Samarinda the citizen private group of government agencies and interests. Then variable measured in electronic government includes support capacity value and public services including democratic information consultancy and participation. The results of research shows that the variables measured having a deficiency and inability in accommodate aspirations built between citizens and the government in developing electronic democratic government. It is influenced by the absence of elements of liaison which is justice diversity and access electronic between government and public services that make democratic BPPTSP the inability of the city of Samarinda to make changes in depth in an effort to build and create a public being communicative with citizens.

  9. Under what conditions can local government nurture indigenous people’s democratic practice?

    DEFF Research Database (Denmark)

    Sareen, Siddharth; Nathan, Iben


    This paper asks whether and under what conditions participatory local government can best nurture indigenous peoples’ democratic practice. Based on fieldwork in two similar Ho communities in the Indian state Jharkhand, we show that their village assemblies function differently with regard...

  10. The Transformative Power of Communication: Democratizing Practices for the General Education Classroom (United States)

    Haynal, Kaitlyn


    This article examines the common communication practices of deliberation, discussion, delivery, and debate, for their democratizing potential through their greater inclusion in all general education classrooms. It argues that these tools are underutilized outside of communication classrooms but offer numerous benefits to teachers and students…

  11. Social Networking and Democratic Practices as Spheres for Innovative Musical Learning (United States)

    Thorgersen, Cecilia Ferm; Georgii-Hemming, Eva


    This chapter takes into account and discusses innovative learning in the 21st digital and communicative century based on life-world-phenomenology and Hannah Arendt's view of democracy. From this point of view, the authors address and discuss how democratic practices can offer innovative musical learning in relation to what is taking place in…

  12. Theoretical concepts about "Intelligence" - practices and standards in democratic societies


    Mr.Sc. Bahri Gashi


    My thesis consists of theoretical analysis on the need for recognition of academic concepts to shape and design research field intelligence community activity, careful analysis of the terms and concepts that are strongly linked to intelligence work methodology, theoretical aspects description given practice best to regulate this specific area in our academic studies, has made the study to take proper shape with bold shades of comparative empirical analysis. My study aims to summarize, to ...

  13. Integrating critical pedagogy, feminist pedagogy, and standpoint theory;connecting classroom learning with democratic citizenship


    Ganote, Cynthia


    In this paper, I argue that processes stemming from feminist pedagogy and feminist standpoint theory can be used to enact two central goals of critical pedagogy in the classroom, those of creating a co-intentional educational space and of pursuing conscientização. Further, this integration of critical and feminist pedagogies and standpoint theory allows educators to model multicultural democracy and hone the tools of democratic citizenry with students in an emergent process that connects poli...

  14. Pedagogical contract: social imaginary in democratic evaluative practice

    Directory of Open Access Journals (Sweden)

    Nellys Marisol Castillo


    Full Text Available This research focused on generating reflection processes that should lead to a collective construction of a peda­gogical contract as a participative tool for the assessment practice in our institute. Participant co-researchers are: eighteen Departmental Representatives at the Assessment Unit, Assessment Unit Chairwoman, Students Support Manager, and Curriculum Manager. The participative action research led the approach of the present investigation. Five discussion and co-construction meetings were carried out where assessment criteria were discussed, also the appropriation of theoretical and legal epistemic referents that frame negotiation and partici­pation in the design and implementation of the pedagogical contract at UPEL-IPB were reviewed. As data collec­tion methods, pear observation and discussion teams were used, and as methodological resources, field diaries and audiovisual registers were implemented. Findings are organized in three different aspects: I. Assessment focus, uncertainty and fascination; II. Construction lead way, voice polyphony; III. Pedagogical contract, shared construction. These aspects are framed under the emergence of several categories generally related to models, conceptions, instruction, consequences and assessment performance. A proposal of pedagogical contract was agreed on -including its main elements and its respective implementation policies-. We hope to contribute to the consolidation of a more objective assessment approach -focused on reflective, consensus and negotiation processes- which should guarantee our teachers and students’ participation.

  15. Democratic Schools. (United States)

    Apple, Michael W., Ed.; Beane, James A., Ed.

    This book illustrates how educators in four U.S. communities committed themselves to preparing students for the democratic way of life. In four narratives, educators directly involved in four different school-reform efforts describe how they initiated demographic practices in their educational settings. The four schools serve as reminders that…

  16. Chronicling Educator Practices and Experiences in the Context of Democratic Schooling and Quality Education in South Africa (United States)

    Mncube, Vusi; Harber, Clive


    An interview-based qualitative study was undertaken to explore the experiences and practices of educators in providing democratic schooling as a way of delivering quality education for learners in schools. The exploration looked at educators' understandings of the concept of democracy in schools, their understanding of the concept quality…

  17. Integrated care: theory to practice. (United States)

    Stokes, Jonathan; Checkland, Kath; Kristensen, Søren Rud


    'Integrated care' is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team case management is frequently the primary focus of integrated care when implemented internationally. We examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. We look at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. We suggest realistic expectations of what integration of care alone can achieve and additional research questions. © The Author(s) 2016.

  18. Intelligence Reform in Albania: Its Relation to Democratization and Integration into the EU and NATO

    National Research Council Canada - National Science Library

    Bala, Eduart


    ...) that are now part of the European Union (EU) and NATO. For most of the CEECs, the need to satisfy the challenging conditions for membership in the EU and NATO has acted as an "anchor" of democratization and other reforms...

  19. Democratically Binding

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    Robert E. Goodin


    Full Text Available The 'democracy unbound' project aspires to extend democracy in two dimensions: range and scope. The former would give a wider range of people the vote. The latter would give people a wider scope of things to vote on. In practice, no doubt there is room to do much more of both. But whereas it would be democratically justifiable in an ideal world for democracy to be completely unbounded as regards range, even in an ideal world democracy ought be subject to some limits internal to the logic of democracy itself as regards its scope. DOWNLOAD THIS PAPER FROM SSRN:

  20. The democratic role orientation by journalists

    DEFF Research Database (Denmark)

    Svith, Flemming

    This paper investigates the democratic role orientation in news media and the perception and preference in the population towards the democratic practice of these news media.......This paper investigates the democratic role orientation in news media and the perception and preference in the population towards the democratic practice of these news media....

  1. The Practice of Equality: A Critical Understanding of Democratic Citizenship Education (United States)

    Ruitenberg, Claudia W.


    This essay proposes a conception of citizenship that highlights its political aspects. Based on the work of Balibar, Rancière, and Biesta, it is argued that democratic citizenship education must include the education of equality. This means that students must have the opportunity to experience not only the membership aspect of citizenship that…

  2. Bringing Democratic Governance into Practice: Policy Enactments Responding to Neoliberal Governance in Spanish Public Schools (United States)

    Prieto-Flores, Òscar; Feu, Jordi; Serra, Carles; Lázaro, Laura


    This article explores different ways in which public primary schools sustain democratic governance structures created beyond those mandated by law in Spain. These new institutional designs, while not opposed to policy text requirements of having a governing body with representatives of parents, teachers and public administration, are being carried…

  3. Integrated reporting with CSR practices

    DEFF Research Database (Denmark)

    Lueg, Klarissa; Lueg, Rainer; Andersen, Karina


    : We find that the family-owned EGE follows a strategy of “enlightened shareholder value”, in which CSR is an essential value driver. This strategy fostered IR with guidelines and standards for CSR. The CSR practices appeared to be helpful for integrating measureable plans to the strategy...

  4. Leading Democratically (United States)

    Brookfield, Stephen


    Democracy is the most venerated of American ideas, the one for which wars are fought and people die. So most people would probably agree that leaders should be able to lead well in a democratic society. Yet, genuinely democratic leadership is a relative rarity. Leading democratically means viewing leadership as a function or process, rather than…


    Gentile, Jill


    This essay explores the mostly unexamined analogy of psychoanalytic free association to democratic free speech. The author turns back to a time when free speech was a matter of considerable discussion: the classical period of the Athenian constitution and its experiment with parrhesia. Ordinarily translated into English as "free speech," parrhesia is startlingly relevant to psychoanalysis. The Athenian stage-in particular, Hippolytus (Euripides, 5th century BCE)-illustrates this point. Euripides's tragic tale anticipates Freud's inquiries, exploring the fundamental link between free speech and female embodiment. The author suggests that psychoanalysis should claim its own conception of a polis as a mediated and ethical space between private and public spheres, between body and mind, and between speaking and listening communities. © 2015 The Psychoanalytic Quarterly, Inc.

  6. Results of growing relatively smoke resistant types of trees and their practical use. [German Democratic Republic

    Energy Technology Data Exchange (ETDEWEB)

    Tzschacksch, O.


    Achievements in cultivating sulfur dioxide resistant conifers in the German Democratic Republic are summarized. These conifers will be planted in afforestation programs in smoke damage zones I, i.e. in conifer forests at high elevations with maximum pollution damage. Nurseries with the most promising tree types have been established for harvesting seeds for propagation. Cultivation of cuttings and tree grafting is carried out in experimental nurseries along with laboratory gas treatment tests. Smoke resistant varieties of the common spruce Picae abies (L.) show vigorous growth in smoke damage zone I. Other spruce types suitable for cultivation are Picea pungens Engelm., Picea omorica (Panc.) Purk. with the highest vitality in 15 to 20 year old trial plantings in smoke damage zone I extreme, and Picea glanca, rubens and orientalis. Suitable pines are Pinus contorta Dougl. ex Loud. (Murray pine), Pinus mugo Turra, and others; resistant larches are Larix decidua and Larix leptolepis. Deciduous trees being cultivated for afforestation are aspens (Populus tremula L.) and mountain ash (Sorbus aucuparia L.). 11 references.

  7. Best Practice: Integrated Marketing Communications


    Schultz, Don; Macdonald, Emma K.; Baines, Paul R.


    Integrated marketing communications can substantially improve target audience reception, message resonance, and positive behavioural response but, to reach its true potential, the process requires a strong focus on data integration/customer insight.

  8. Integrating Education: Parekhian Multiculturalism and Good Practice (United States)

    McGlynn, Claire


    This paper explores the concept of good practice in integrating education in divided societies. Using Northern Ireland as a case study, the paper draws on data from eight schools (both integrated Catholic and Protestant, and separate) that are identified as exemplifying good practice in response to cultural diversity. Analysis is provided through…

  9. Leading practices in Integrated Reporting


    Quattrone, Paolo; Busco, Cristiano; Frigo, Mark L; Riccaboni, Angelo


    Integrated Reporting (IR) is making the leap from promising concept to powerfulpractice. Released at the end of 2013 by the International IntegratedReporting Council (IIRC), a global coalition of regulators, investors, companies,standards setters, the accounting profession, and nongovernmental organizations(NGOs), the IR Framework has been robustly tested and piloted in25 countries. As we described in the article “Redefining Corporate Accountabilitythrough Integrated Reporting” (Strategic Fin...

  10. Regulatory practice for safety of nuclear energy in the German Democratic Republic

    International Nuclear Information System (INIS)

    Krueger, F.W.; Arndt, H.; Nessau, L.; Rabold, H.; Roehnsch, W.; Scheel, H.


    An outline of the regulatory practice applied in the GDR to ensure the safe use of nuclear energy is given in the form of answers to a questionnaire issued by the IAEA with the objective of giving the international community confidence in the safety of nuclear power programmes. (author)

  11. Comunidades de práctica: una estrategia para la democratización del conocimiento en las organizaciones, una reflexión Communities of practice: a strategy for democratization of knowledge in organizations

    Directory of Open Access Journals (Sweden)

    Lillyana María Giraldo Marín


    Full Text Available Desde un análisis de integración y correlación de lo general a lo particular y partiendo de las organizaciones como contexto propio en las actuales circunstancias de generación de conocimiento y estimulación del aprendizaje organizacional e individual, se exploran los conceptos de comunidad de práctica y democratización, como estrategia para compartir y orientar el uso del conocimiento en las organizaciones. El presente artículo tiene como objetivo aportar a la construcción del concepto de democratización del conocimiento en las organizaciones, analizando las particularidades, las características y algunos aspectos propios de las comunidades de práctica (CoP, como una estrategia de gestión del conocimiento en las organizaciones que puede favorecer dicho objetivo. Este artículo se inicia con la presentación de conceptos como comunidad de práctica, estrategia de gestión de conocimiento, democratización. Por último, se hace un análisis que pretende relacionar los conceptos de democratización y comunidad de práctica, de tal forma, que desde ahí se pueda dar respuesta a la pregunta: ¿son las CoP una estrategia para la democratización del conocimiento en las organizaciones? En la parte final se formulan conclusiones sobre la reflexión producto del objeto de estudio de este documentoFrom an analysis of integration and correlation from general to particular and based on the specific context in organizations such as the present circumstances of generating knowledge and stimulating individual and organizational learning, this research have explored the concepts of community practice and democratization, as sharing strategy and to guide the use of knowledge in organizations. It aims to contribute to the construction of the concept of democratization of knowledge in organizations, analyzing the specific characteristics, features, and aspects of the communities of practice, as a knowledge management strategy in organizations, which

  12. Democratic cultural policy : democratic forms and policy consequences


    Gray, Clive


    The forms that are adopted to give practical meaning to democracy are assessed to identify what their implications are for the production of public policies in general and cultural policies in particular. A comparison of direct, representative, democratic elitist and deliberative versions of democracy identifies clear differences between them in terms of policy form and democratic practice. Further elaboration of these differences and their consequences are identified as areas for further res...

  13. Infant feeding practices and determinants of poor breastfeeding behavior in Kinshasa, Democratic Republic of Congo: a descriptive study. (United States)

    Yotebieng, Marcel; Chalachala, Jean Lambert; Labbok, Miriam; Behets, Frieda


    Although breastfeeding is almost universally accepted in the Democratic Republic (DR) of Congo, by the age of 2 to 3 months 65% of children are receiving something other than human milk. We sought to describe the infant feeding practices and determinants of suboptimal breastfeeding behaviors in DR Congo. Survey questionnaire administered to mothers of infants aged ≤ 6 months and healthcare providers who were recruited consecutively at six selected primary health care facilities in Kinshasa, the capital. All 66 mothers interviewed were breastfeeding. Before initiating breastfeeding, 23 gave their infants something other than their milk, including: sugar water (16) or water (2). During the twenty-four hours prior to interview, 26 (39%) infants were exclusively breastfed (EBF), whereas 18 (27%), 12 (18%), and 10 (15%) received water, tea, formula, or porridge, respectively, in addition to human milk. The main reasons for water supplementation included "heat" and cultural beliefs that water is needed for proper digestion of human milk. The main reason for formula supplementation was the impression that the baby was not getting enough milk; and for porridge supplementation, the belief that the child was old enough to start complementary food. Virtually all mothers reported that breastfeeding was discussed during antenatal clinic visit and half reported receiving help regarding breastfeeding from a health provider either after birth or during well-child clinic visit. Despite a median of at least 14 years of experience in these facilities, healthcare workers surveyed had little to no formal training on how to support breastfeeding and inadequate breastfeeding-related knowledge and skills. The facilities lacked any written policy about breastfeeding. Addressing cultural beliefs, training healthcare providers adequately on breastfeeding support skills, and providing structured breastfeeding support after maternity discharge is needed to promote EBF in the DR Congo.

  14. Integration of energy analytics and smart energy microgrid into mobile medicine operations for the 2012 Democratic National Convention. (United States)

    McCahill, Peter W; Noste, Erin E; Rossman, A J; Callaway, David W


    Disasters create major strain on energy infrastructure in affected communities. Advances in microgrid technology offer the potential to improve "off-grid" mobile disaster medical response capabilities beyond traditional diesel generation. The Carolinas Medical Center's mobile emergency medical unit (MED-1) Green Project (M1G) is a multi-phase project designed to demonstrate the benefits of integrating distributive generation (DG), high-efficiency batteries, and "smart" energy utilization in support of major out-of-hospital medical response operations. Carolinas MED-1 is a mobile medical facility composed of a fleet of vehicles and trailers that provides comprehensive medical care capacities to support disaster response and special-event operations. The M1G project partnered with local energy companies to deploy energy analytics and an energy microgrid in support of mobile clinical operations for the 2012 Democratic National Convention (DNC) in Charlotte, North Carolina (USA). Energy use data recorded throughout the DNC were analyzed to create energy utilization models that integrate advanced battery technology, solar photovoltaic (PV), and energy conservation measures (ECM) to improve future disaster response operations. The generators that supply power for MED-1 have a minimum loading ratio (MLR) of 30 kVA. This means that loads below 30 kW lead to diesel fuel consumption at the same rate as a 30 kW load. Data gathered from the two DNC training and support deployments showed the maximum load of MED-1 to be around 20 kW. This discrepancy in MLR versus actual load leads to significant energy waste. The lack of an energy storage system reduces generator efficiency and limits integration of alternative energy generation strategies. A storage system would also allow for alternative generation sources, such as PV, to be incorporated. Modeling with a 450 kWh battery bank and 13.5 kW PV array showed a 2-fold increase in potential deployment times using the same amount of

  15. Strategic Integration: The Practical Politics of Integrated Research in Context

    Directory of Open Access Journals (Sweden)

    Lorrae van Kerkhoff


    Full Text Available Designing an integrative research program requires that research leaders negotiate a balance between the scientific interest of research and the practical interests of non-scientific partners. This paper examines the ways integrated research is formally categorised, and analyses the tangible expressions of the practical politics involved in reconciling scientific and practical interests. Drawing on a comparative study of two Australian Cooperative Research Centres, I argue that categories used by the research leaders to describe the research programs embody three different strategies for structuring the relationships between researchers and their partners. These include matching research program categories to partners’ implementation program categories, reproducing existing integrative partnership models, and filling gaps in understanding with new technical approaches. These strategies offer different advantages and disadvantages. The cases suggest that the integrative approach favoured by each Centre depended on issues such as the geographic scope of policy arenas, sources of scientific credibility, and the political risks facing partners. The practical politics of research organisation offers a new lens for understanding both the practice and theory of integrated research.

  16. Governmental Control on Jurnalistic Practice in 'Pseudo-democratic' Malaysia and Singapore or Big Company Control on Journalistic Practice in 'Established-democratic' Australia: Which is Worse and Where Are the Parallesl


    Sinclair, Elizabeth


    Amanda Whiting and Timothy Marjoribanks argued in their chapter Media professional’s perceptions of defamation and other constraints upon news reporting in Malaysia and Singapore[1]that Malaysia and Singapore experience, due to a number of factors, restricted media freedom - many of these factors relating to the semi-democratic nature of Malaysian and Singaporean government. [1]Amanda Whiting and Timothy Marjoribanks, ‘Media Professionals' Perceptions of Defamation and other Constraints u...

  17. Practice of the integrated endocrine system course

    Institute of Scientific and Technical Information of China (English)

    Wen-han MEI; Rong CAI


    The integrated curriculum is an important direction of the medical medical education reform under new situation and challenges of medical development.Shanghai Jiao Tong University School of Medicine has implemented the integrated curriculum reform in recent years.The endocrine system course is one of important intergrated courses and integrates relevant contents of multiple disciplines of basic medicine,diagnostics and medical imaging.Various teaching methods are adopted,such as classroom lecture,discussion,problembased learning,experimental lesson and clinical clerkship,etc.The teaching practice is carried on in several aspects:course arrangement,teaching methods,course website construction,teaching team construction and so on.

  18. Teaching Civic Journalism: Integrating Theory and Practice. (United States)

    McDevitt, Michael


    Describes a journalism course that used an integrative approach to teaching about the principles, practice, and effects of civic journalism, combining theory, news writing, and evaluation. Describes the class project on the controversial issue of panhandling. Discusses goals of civic journalism and of the project, journalistic methods used,…


    Directory of Open Access Journals (Sweden)

    Elizabeth Sinclair


    Full Text Available Amanda Whiting and Timothy Marjoribanks argued in their chapter Media professional’s perceptions of defamation and other constraints upon news reporting in Malaysia and Singapore[1]that Malaysia and Singapore experience, due to a number of factors, restricted media freedom - many of these factors relating to the semi-democratic nature of Malaysian and Singaporean government. [1]Amanda Whiting and Timothy Marjoribanks, ‘Media Professionals' Perceptions of Defamation and other Constraints upon News Reporting in Malaysia and Singapore’ in Andrew Kenyon, Tim Marjoribanks, Amanda Whiting (eds. Democracy, Media and Law in Malaysia and Singapore (Routledge, London, 2013, 129-156.

  20. Democratic parenting: paradoxical messages in democratic parent education theories (United States)

    Oryan, Shlomit; Gastil, John


    Some prominent parent education theories in the United States and other Western countries base their educational viewpoint explicitly on democratic values, such as mutual respect, equality and personal freedom. These democratic parenting theories advocate sharing power with children and including them in family decision making. This study presents a textual analysis of two such theories, the Adlerian model of parent education and the Parent Effectiveness Training (PET) model, as they are embodied in two original bestselling textbooks. Through content and argumentation analysis of these influential texts, this study examines the paradoxes inherent in these two theories when they articulate how to implement fully democratic principles within the parent-child relationship. We discover that in spite of their democratic rationale, both books offer communication practices that guide the child to modify misbehaviour, enforce parental power, and manipulate the child to make decisions that follow parental judgment, and thus do not endorse the use of a truly democratic parenting style. We suggest, as an alternative to the democratic parenting style, that parents be introduced to a guardianship management style, in which they do not share authority with children, but seek opportunities for enabling children to make more autonomous decisions and participate in more family decision making.

  1. Practical education in family planning: integrative review

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    Creusa Ferreira da Silva


    Full Text Available Objectives: To identify educational practices in family planning, facilitating factors, difficulties and resulting impacts. Method: This is an integrative literature review, using the three descriptors: "family planning", "health education" and "contraception"; In the databases of the Scientific Electronic Library Online (SciELO, Latin American and Caribbean Literature in Health Sciences (LILACS and Nursing Database (BDENF, were searched in January and February 2016. Results: Regarding the accomplishment of educational practices, most of the studies pointed out its accomplishment. The difficulties and facilitators aspects were related to the management of the health service, professional competence and users. Guarantee of family rights and autonomy were the impacts pointed out. Conclusion: The study showed that educational practices in family planning are tools to be encouraged as a guarantee and respect for sexual and reproductive rights. Descriptors: family planning; education in health; contraception.

  2. Civic Education in Ethiopian Schools: Adopted Paradigms, Instructional Technology, and Democratic Citizenship in a Multicultural Context (United States)

    Semela, Tesfaye; Bohl, Thorsten; Kleinknecht, Marc


    After nearly two decades of military dictatorship, democratic civic education has been integrated into the Ethiopian school curriculum. This paper examines the policy-practice concordance in implementing the civic education curriculum based on empirical evidence generated on the philosophical underpinnings, curricular contents, pedagogical…

  3. Farmers′ perceptions, believes, knowledge and management practices of potato pests in South-Kivu Province, eastern of Democratic Republic of Congo

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    Munyuli Théodore


    Full Text Available Based on previous complaints and reports from farmers to researchers about potato (Solanum tuberosum L. problems in South-Kivu Province, eastern Democratic Republic of Congo (RDCongo, there was a need to understand farmers′ knowledge of existing insect pest problems and current management practice challenges. Such information is important for designing a suitable intervention and successful integrated pest management (IPM strategy for the Province. Hence, using a semi-structured questionnaire, a farm household survey was conducted among 300 potato farmers in six sites belonging to 2 territories (Kabare, Kalehe of South- Kivu Province from June to August 2015. Insect pests, diseases and price fluctuations were among the highest ranked constraints in potato production by farmers. Cutworms (Agrotis spp., aphids (Myzus persicae Sulzer, and potato tuber moth (Phthorimaea operculella Zeller were the most severe insect pests in medium altitude zones (1600-1950m. Ants (Dorylis orantalis Westwood, whiteflies (Bemisia tabaci Gennadius, and leafminer flies (Liriomyza huidobrensis Blanchard were the pests of high importance reported from sites of very high altitude (2000-2600m. Major yield losses were mostly attributed to late blight (Phytophthora infestans Mont. de Bary and or insect pests and reached 65-90% without chemical control in most study sites. On average, farmers had little knowledge about pest characteristics (bio-ecology, behavior,…. Most (71.5% farmers were not able to correctly identify insect pest species names. Sometimes, two or more species had the same local name. There was a great confusion between damages (attacks due to pests, diseases and environmental stresses (rains, soil nutrient deficiency among farmers. Very few (18.5% farmers interviewed knew with precision some insect pests. Most (80% farmers did not know what natural enemies of insect pests and IPM were. Seasonal pest outbreak and emerging new pests were phenomenon related


    Directory of Open Access Journals (Sweden)

    João Ricardo Silva


    Full Text Available In this article we discuss the idea of Education as a Freedom Practice, taking into account an emancipatory perspective of Integral Education for Higher Education. Thus, we reflect on an integral education in opposition to the hegemonic and simplistic version of an education for the market and even in opposition to that which means absorption of superior objective knowledge. The methodology used was the bibliographical research, where we sought a dynamic synthesis between Marxist authors and the colonial / postcolonial discussion. The theoretical horizon was a dialectical historical materialism, but without neglecting that knowledge is beyond the Western gaze and that science is not the only logic of valid knowledge. Given that knowledge is not only a reflection of reality, but the interpretation of this, the search for an integral education is also the search for inter-knowledge. This leads us to deacralize the university and to transform it into a place of building democratic relations. Keywords: Integral Education. Practices of freedom. Higher Education.

  5. BRICS Countries and Democratic Contagion

    Directory of Open Access Journals (Sweden)

    Anna Bruno


    Full Text Available The article explores whether the interstate dynamics of the BRICS can activate those processes of convergence of politicalregimes and practices known as “democratic contagion.” As this contagion was experienced during the “third wave” ofdemocratization, mainly because of homogeneity among states and structural conditions for democratic attraction, theBRICS are not likely to repeat these dynamics. On the contrary, the only real constitutional homogeneity among the BRICScountries is the standard of non-interference in the internal affairs of each member. Non-interference also means abstainingfrom any initiative to condition the transformation of political regimes in consideration of the same interstate cooperation. Thedynamics of the BRICS shows that different political regimes can promote institutionalized forms of interstate cooperationwithout any mutual contamination at the constitutional level. The theories of “transition” and “democratic contagion” areinsufficient to understand these dynamics in the context of the BRICS; for this reason, the theory of democratic transitioncannot provide an adequate analysis of BRICS. With its members “split in unity,” as an institution the BRICS suggests anevolution toward a model of “not eurocentric dependence” that can overcome the “peripheral realism” of the role of eachstate in its own foreign policy.

  6. Oswer integrated health and safety standard operating practices. Directive

    International Nuclear Information System (INIS)


    The directive implements the OSWER (Office of Solid Waste and Emergency Response) Integrated Health and Safety Standards Operating Practices in conjunction with the OSHA (Occupational Safety and Health Act) Worker Protection Standards, replacing the OSWER Integrated Health and Safety Policy

  7. Case study on Integral Life Practice intervention for physical ...

    African Journals Online (AJOL)

    Findings indicated significant improvements in physical exercise, psychophysiological coherence, general health, psychological well-being, mental skills, mindfulness, mood, resilience, sense of coherence and spirituality. Findings endorse Integral Life Practice theoretical principles and practical guidelines for implementing ...

  8. Stigma modifies the association between social support and mental health among sexual violence survivors in the Democratic Republic of Congo: implications for practice. (United States)

    Wachter, Karin; Murray, Sarah M; Hall, Brian J; Annan, Jeannie; Bolton, Paul; Bass, Judy


    The aim of this study was to further understanding of the relationship between social support, internalized and perceived stigma, and mental health among women who experienced sexual violence in the eastern Democratic Republic of Congo (DRC). Drawing from baseline survey data collected in eastern DRC, researchers conducted a secondary cross-sectional analysis using data from 744 participants. Regression and moderation analyses were conducted to examine associations between social support variables, felt stigma, and depression, anxiety and posttraumatic stress disorder (PTSD). Emotional support seeking and felt stigma were positively associated with increased symptom severity across all three mental health variables. Stigma modified associations between emotional support seeking and depression (t = -2.49, p = .013), anxiety (t = -3.08, p = .002), and PTSD (t = -2.94, p = .003). Increased frequency of emotional support seeking was associated with higher mental health symptoms of anxiety and PTSD among women experiencing all levels of stigma. Enhancing understanding of social support and stigma may inform research and intervention among Congolese forced migrant populations across circumstances and geographic locations. Implications for practice and research are discussed.

  9. Integrating postgraduate and undergraduate general practice education: qualitative study. (United States)

    O'Regan, Andrew; Culhane, Aidan; Dunne, Colum; Griffin, Michael; McGrath, Deirdre; Meagher, David; O'Dwyer, Pat; Cullen, Walter


    Educational activity in general practice has increased considerably in the past 20 years. Vertical integration, whereby practices support students and trainees at different stages, may enhance general practices' capacity to fulfil this role. To explore the potential for vertical integration in undergraduate and postgraduate education in general practice, by describing the experience of (and attitudes towards) 'vertical integration in general practice education' among key stakeholder groups. Qualitative study of GPs, practice staff, GPs-in-training and medical students involving focus groups which were thematically analysed. We identified four overarching themes: (1) Important practical features of vertical integration are interaction between learners at different stages, active involvement in clinical teams and interagency collaboration; (2) Vertical integration may benefit GPs/practices, students and patients through improved practice systems, exposure to team-working and multi-morbidity and opportunistic health promotion, respectively; (3) Capacity issues may challenge its implementation; (4) Strategies such as recognising and addressing diverse learner needs and inter-agency collaboration can promote vertical integration. Vertical integration, whereby practices support students and trainees at different stages, may enhance general practices' teaching capacity. Recognising the diverse educational needs of learners at different stages and collaboration between agencies responsible for the planning and delivery of specialist training and medical degree programmes would appear to be important.

  10. Using Action Research Projects to Examine Teacher Technology Integration Practices (United States)

    Dawson, Kara


    This study examined the technology integration practices of teachers involved in a statewide initiative via one cycle of action research. It differs from other studies of teacher technology integration practices because it simultaneously involved and provided direct benefits to teachers and researchers. The study used thematic analysis to provide…

  11. Democratic Leadership in Education (United States)

    Woods, Philip A.


    In this book Philip Woods turns his attention to issues of democracy and leadership. He has provided an eloquent, intellectually compelling and sophisticated account of a new leadership label--democratic leadership. He argues that the purpose of "democratic" leadership is to create and help sustain an environment that enables everyone…

  12. Authentic Leadership: Practices to Promote Integrity. (United States)

    Hughes, Vickie

    Integrity is a highly desired leadership trait. Authentic leaders reflect on their behavior and seek feedback about how their actions affect others. How can a nurse develop as an authentic leader who consistently demonstrates integrity? The following are discussed: Reflection; Connection to Christ and others; Social and Emotional Intelligence providing perceptive competency and social awareness; Aesthetic Qualities whereby leaders apply experiential knowing in leadership situations; and effective expression of Gratitude as a meaningful act of valuing others.

  13. Cultivating Practitioners of Democratic Civic Engagement (United States)

    Keith, Novella Zett


    How can we support campus-based practitioners of civic and community engagement in moving from normalized engagement toward practices that engage others democratically and respectfully across borders created by social race, class, gender, status, and other markers of difference? The article presents a framework derived from practice theory, a…

  14. Mind-Body Practices in Integrative Medicine

    Directory of Open Access Journals (Sweden)

    Niko Kohls


    Full Text Available Mind-Body practices have become increasingly popular as components of psychotherapeutic and behavior medicine interventions. They comprise an array of different methods and techniques that use some sort of mental-behavioral training and involve the modulation of states of consciousness in order to influence bodily processes towards greater health, well-being and better functioning. Mind-body practices may thus be interpreted as the salutogenetic mirror image of psychosomatic medicine, where psychophysiological and health consequences of specific psychological states are studied, such as stress arousal, psychological trauma or depression. This contribution examines the empirical evidence of the most common mind-body techniques with regard to their salutogenetic potential. We concisely discuss some aspects of the mind-body problem, before we consider some historical aspects and achievements of psychosomatic medicine. We then turn to some prominent mind-body practices and their application, as well as the empirical database for them.

  15. Toward an Integrative Model of Professional Practice. (United States)

    Newman, Margaret A.


    The cycles of growth of the nursing profession depict subordination of nursing to hospital administration and medicine. Nursing is ready to move into an integrative, collaborative stage of development that places nurses directly responsible to patients, and this would facilitate nursing's response to clients' health concerns wherever they occur.…

  16. EMBA Integration: From Rhetoric to Practice (United States)

    Scott, Charles; Derrick, Frederick; Hoadley, Ellen


    For the modern business world, business education needs to molt from the cocoon of discipline silos to the integrated business education model to train the next generation of managers. Upper management problems are rarely silo specific. Managers do things right, but leaders do the right things; and executive programs exist to build business…

  17. A Translational Model of Research-Practice Integration (United States)

    Vivian, Dina; Hershenberg, Rachel; Teachman, Bethany A.; Drabick, Deborah A. G.; Goldfried, Marvin R.; Wolfe, Barry


    We propose a four-level, recursive Research-Practice Integration framework as a heuristic to (a) integrate and reflect on the articles in this Special Section as contributing to a bidirectional bridge between research and practice, and (b) consider additional opportunities to address the research–practice gap. Level 1 addresses Treatment Validation studies and includes an article by Lochman and colleagues concerning the programmatic adaptation, implementation, and dissemination of the empirically supported Coping Power treatment program for youth aggression. Level 2 translation, Training in Evidence-Based Practice, includes a paper by Hershenberg, Drabick, and Vivian, which focuses on the critical role that predoctoral training plays in bridging the research–practice gap. Level 3 addresses the Assessment of Clinical Utility and Feedback to Research aspects of translation. The articles by Lambert and Youn, Kraus, and Castonguay illustrate the use of commercial outcome packages that enable psychotherapists to integrate ongoing client assessment, thus enhancing the effectiveness of treatment implementation and providing data that can be fed back to researchers. Lastly, Level 4 translation, the Cross-Level Integrative Research and Communication, concerns research efforts that integrate data from clinical practice and all other levels of translation, as well as communication efforts among all stakeholders, such as researchers, psychotherapists, and clients. Using a two-chair technique as a framework for his discussion, Wolfe's article depicts the struggle inherent in research–practice integration efforts and proposes a rapprochement that highlights advancements in the field. PMID:22642522

  18. Development and Integration of Professional Core Values Among Practicing Clinicians. (United States)

    McGinnis, Patricia Quinn; Guenther, Lee Ann; Wainwright, Susan F


    The physical therapy profession has adopted professional core values, which define expected values for its members, and developed a self-assessment tool with sample behaviors for each of the 7 core values. However, evidence related to the integration of these core values into practice is limited. The aims of this study were: (1) to gain insight into physical therapists' development of professional core values and (2) to gain insight into participants' integration of professional core values into clinical practice. A qualitative design permitted in-depth exploration of the development and integration of the American Physical Therapy Association's professional core values into physical therapist practice. Twenty practicing physical therapists were purposefully selected to explore the role of varied professional, postprofessional, and continuing education experiences related to exposure to professional values. The Core Values Self-Assessment and résumé sort served as prompts for reflection via semistructured interviews. Three themes were identified: (1) personal values were the foundation for developing professional values, which were further shaped by academic and clinical experiences, (2) core values were integrated into practice independent of practice setting and varied career paths, and (3) participants described the following professional core values as well integrated into their practice: integrity, compassion/caring, and accountability. Social responsibility was an area consistently identified as not being integrated into their practice. The Core Values Self-Assessment tool is a consensus-based document developed through a Delphi process. Future studies to establish reliability and construct validity of the tool may be warranted. Gaining an in-depth understanding of how practicing clinicians incorporate professional core values into clinical practice may shed light on the relationship between core values mastery and its impact on patient care. Findings may

  19. Ethiopia: A Democratic Developmental State?

    Directory of Open Access Journals (Sweden)

    Fesseha Mulu Gebremariam


    Full Text Available The ruling Ethiopia People’s Revolutionary Democratic Front (EPRDF in its notable second reform appraisal held in the aftermath of the 2005 national election concluded that the utmost priority of the government should be realizing fastest and sustainable economic growth that fairly benefits its citizens’ unless the very existence of the country wouldn’t be guaranteed. Given the history of poverty reduction in developing countries, particularly in Africa, EPRDF realized that it is unthinkable to eradicate poverty from Ethiopia adopting neo-liberalism. Above all, the miraculous economic transformation of the South East Asian countries like South Korea, Taiwan, Singapore and Hong Kong has proved that there is another way to development, not just neo-liberalism. Accordingly, EPRDF, after examining South Korea’s and Taiwan’s history of economic development in particular where both countries have had a large section of rural population unlike Hong Kong and Singapore where both are urban, found ‘developmental state’ relevant to Ethiopia. However, unlike these countries which were originally under non-democratic regimes where their leaders fear the rural peasant and external aggression from their communist rivals, EPRDF has had a great support of rural and urban population with no imminent foreign threat(s, and decided to execute the ideology rather under the umbrella of democracy. Therefore, employing secondary sources, this desk study aims to analyze whether Ethiopia is a ‘democratic developmental state?’ And, concludes that given the practices of the government vis-a-vis the principles of democracy and developmental state, Ethiopia couldn’t be taken as best model for democratic developmental state, rather emerging developmental state.


    Through a wide range of information and topics, Integrated Watershed Management Principles and Practice shows how involved the watershed management planning process can be. The book is informative, and the author obviously has researched the subject thoroughly. The book's case...

  1. Signal integrity applied electromagnetics and professional practice

    CERN Document Server

    Russ, Samuel H


    This textbook teaches how to design working systems at very high frequencies. It is designed to introduce computer engineers to the design of extremely high speed digital systems. Combining an intuitive, physics-based approach to electromagnetics with a focus on solving realistic problems, the author presents concepts that are essential for computer and electrical engineers today. The book emphasizes an intuitive approach to electromagnetics, and then uses this foundation to show the reader how both physical phenomena can cause signals to propagate incorrectly; and how to solve commonly encountered issues. Emphasis is placed on real problems that the author has encountered in his professional career, integrating problem-solving strategies and real signal-integrity case studies throughout the presentation. Students are challenged to think about managing complex design projects and implementing successful engineering and manufacturing processes. Each chapter includes exercises to test concepts introduced.

  2. Democratic design experiments

    DEFF Research Database (Denmark)

    Ehn, Pelle; Brandt, Eva; Halse, Joachim


    Designers and design researchers are increasingly exploring societal challenges through engagements with issues that call forward new publics and new modes of democratic citizenship. Whatever this is called design activism, social design, adversarial design, participatory design or something else...

  3. The integration of lean, green and best practice business principles


    Annelize Wiese; Rose Luke; Gert J. Heyns; Noleen M. Pisa


    Background: Whilst there are separate streams of established research on lean, green and best practice initiatives, the intersection of these three strategic principles has not been addressed extensively in the past. Objectives: In this study a framework to integrate lean, green and best practice principles into an integrated business model was developed as a strategy for businesses to develop sustainable competitive advantages. Method: A descriptive case study was conducted on Toyota...

  4. Thinking Differently about Guidance: Power, Children's Autonomy and Democratic Environments (United States)

    Millei, Zsuzsa


    This article critiques guidance approaches to discipline, that are employed in early childhood environments with an aim to create democratic environments for children, and as part of "good" practices. Advocates of guidance claim that this is a more humane or democratic approach to discipline that empowers children, and therefore, power…

  5. Aspects regarding the adoption and development of integrated reporting practices

    Directory of Open Access Journals (Sweden)

    Lapteș Ramona


    Full Text Available The current economic context brings about new challenges and responsibilities that companies have to face in the communication area based on the principle of sustainable development. This refers to both- protecting the interests of all economic agents involved and minimizing the aggression on natural resources. Hence, entities’ communication process was reconsidered in the form of integrated reporting. This relatively new type of reporting is continuously under evelopment at an international level and it was better understood in practice through the Integrated Reporting Pilot Programme . This paper aims to present the integrated reporting practices of Danone, one of the members of the Pilot Programme through a case study approach. Notwithstanding the experience it should have in the integrated reporting area, o ur findings show that Danone issued a document entitled “Integrated report” only in 2016. Until this year, the firm cho se to publish two reports related to economic and social issues and sustainability, rather combined than integrated.

  6. Best Practices: Power Quality and Integrated Testing at JSC (United States)

    Davis, Lydia


    This presentation discusses Best Practices for Power Quality and Integrated Testing at JSC in regards to electrical systems. These high-level charts include mostly generic information; however, a specific issue is discussed involving flight hardware that could have been discovered prior to flight with an integrated test.

  7. Influence of an integral life practice workshop on health and ...

    African Journals Online (AJOL)

    The aim of the present investigation was to evaluate the effect of an Integral Life Practice workshop on perceptions of health and spirituality. An integral psychological approach using mixed quantitative and qualitative methods in a pre- and post-test, quasi experimental and control group design was used to assess changes ...

  8. Public Policies – Embodiments of Democratization Processes

    Directory of Open Access Journals (Sweden)

    Dorina Ţicu


    Full Text Available Public policies are the most practical part of the triad polity-politics-policy. Public policies are related to the practical areas of planning, implementation and evaluation of the governmental activities. From this perspective, to talk about a perfect public policy (or which aspires to perfection means to speak about an efficient institutional system of a state as a sign of its degree of democratization. This article aims to explore “the cuisine” of democratic systems taking into account the applied perspective of public policy functionality, a type of functionality which is determined by a particular decision, by a kind of rationality or motivation of the actors involved or by a type of an organizational culture. Thus, the study of democracies involves an analytical approach developed at a micro level (the types of parties, institutional designs, election systems, public policies becoming indices of democratization for every state system.

  9. Integrative learning for practicing adaptive resource management

    Directory of Open Access Journals (Sweden)

    Craig A. McLoughlin


    Full Text Available Adaptive resource management is a learning-by-doing approach to natural resource management. Its effective practice involves the activation, completion, and regeneration of the "adaptive management cycle" while working toward achieving a flexible set of collaboratively identified objectives. This iterative process requires application of single-, double-, and triple-loop learning, to strategically modify inputs, outputs, assumptions, and hypotheses linked to improving policies, management strategies, and actions, along with transforming governance. Obtaining an appropriate balance between these three modes of learning has been difficult to achieve in practice and building capacity in this area can be achieved through an emphasis on reflexive learning, by employing adaptive feedback systems. A heuristic reflexive learning framework for adaptive resource management is presented in this manuscript. It is built on the conceptual pillars of the following: stakeholder driven adaptive feedback systems; strategic adaptive management (SAM; and hierarchy theory. The SAM Reflexive Learning Framework (SRLF emphasizes the types, roles, and transfer of information within a reflexive learning context. Its adaptive feedback systems enhance the facilitation of single-, double-, and triple-loop learning. Focus on the reflexive learning process is further fostered by streamlining objectives within and across all governance levels; incorporating multiple interlinked adaptive management cycles; having learning as an ongoing, nested process; recognizing when and where to employ the three-modes of learning; distinguishing initiating conditions for this learning; and contemplating practitioner mandates for this learning across governance levels. The SRLF is a key enabler for implementing the "adaptive management cycle," and thereby translating the theory of adaptive resource management into practice. It promotes the heuristics of adaptive management within a cohesive

  10. Integration of Learning and Practice for Job Sharing Partnerships (United States)

    Dixon-Krausse, Pamela Marie


    This paper explores the forces that support the proliferation of the flexible work arrangement called job sharing. Moreover, the paper will illuminate the need for integrating learning and practice as a way to develop and support job sharing partners, or "Partners in Practice" (PiPs). The author puts forth a model derived from learning in…

  11. Connecting Practice and Research: Integrated Reading and Writing Instruction Assessment (United States)

    Caverly, David C.; Taylor, Judi Salsburg; Dimino, Renee K.; Lampi, Jodi P.


    The first "Connecting Practice and Research" column (Lampi, Dimino, & Salsburg Taylor, 2015), introduced a Research-to-Practice partnership (Coburn & Penuel, 2016) between two faculty from a community college and a university professor who were aiming to develop effective integrated reading and writing (IRW) instruction through a…

  12. Psychotherapy, psychopathology, research and practice: pathways of connections and integration. (United States)

    Castonguay, Louis G


    This paper describes three pathways of connections between different communities of knowledge seekers: integration of psychotherapeutic approaches, integration of psychotherapy and psychopathology, and integration of science and practice. Some of the issues discussed involve the delineation and investigation of common factors (e.g., principles of change), improvement of major forms of psychotherapy, clinical implications of psychopathology research, as well as current and future directions related to practice-research networks. The aim of this paper is to suggest that building bridges across theoretical orientations, scientific fields, professional experiences, and epistemological views may be a fruitful strategy to improve our understanding and the impact of psychotherapy.

  13. From parallel practice to integrative health care: a conceptual framework

    Directory of Open Access Journals (Sweden)

    O'Hara Dennis


    Full Text Available Abstract Background "Integrative health care" has become a common term to describe teams of health care providers working together to provide patient care. However this term has not been well-defined and likely means many different things to different people. The purpose of this paper is to develop a conceptual framework for describing, comparing and evaluating different forms of team-oriented health care practices that have evolved in Western health care systems. Discussion Seven different models of team-oriented health care practice are illustrated in this paper: parallel, consultative, collaborative, coordinated, multidisciplinary, interdisciplinary and integrative. Each of these models occupies a position along the proposed continuum from the non-integrative to fully integrative approach they take to patient care. The framework is developed around four key components of integrative health care practice: philosophy/values; structure, process and outcomes. Summary This framework can be used by patients and health care practitioners to determine what styles of practice meet their needs and by policy makers, healthcare managers and researchers to document the evolution of team practices over time. This framework may also facilitate exploration of the relationship between different practice models and health outcomes.

  14. Kant's categorical imperative: a foundation for democratic ...

    African Journals Online (AJOL)

    ... to the prevalence of a monstrous anti-democratic vice such as corruption. Rocked by a decline in morality and national consciousness in both public and private life, the practice of democracy in Africa and Nigeria in particular since ... a cardinal moral theory in Immanuel Kant.s ethical philosophy presented in his work ...

  15. Towards Democratic Leadership: Co-principal Initiatives. (United States)

    Court, Marian


    A case study of a New Zealand primary school coprincipalship describes the impact of some intergroup misunderstandings and struggles over power. Concludes that building a democratic school community requires a set of considerations and practices different from those promoted within a market-managerial approach. (Contains 7 notes and 51…

  16. A Code of Ethics for Democratic Leadership (United States)

    Molina, Ricardo; Klinker, JoAnn Franklin


    Democratic leadership rests on sacred values, awareness, judgement, motivation and courage. Four turning points in a 38-year school administrator's career revealed decision-making in problematic moments stemmed from values in a personal and professional code of ethics. Reflection on practice and theory added vocabulary and understanding to make…

  17. 'Democratic Leadership'--A Contradiction in Terms? (United States)

    Riley, Kathryn


    Draws on a range of country contexts to shed light on the ways in which the practice of leadership is shaped by national aspirations. Examines whether there is a set of ideas, arrangements, and activities that appear to sustain new forms of leadership that support democracy, or whether democratic leadership of schools is a chimera. (Contains 29…


    African Journals Online (AJOL)

    Dean SPGS NAU

    governing requires an ability to balance the differing needs and expectations of both local .... subsequently tables place-shaping as solution – using powers and influence ... democratic ideals and local government practices work at cross- purposes. .... values, it must be part of everyday life in localities and their communities.

  19. Democratic design experiments: between parliament and laboratory

    DEFF Research Database (Denmark)

    Binder, Thomas; Brandt, Eva; Ehn, Pelle


    For more than four decades participatory design has provided exemplars and concepts for understanding the democratic potential of design participation. Despite important impacts on design methodology participatory design has however been stuck in a marginal position as it has wrestled with what has...... been performed and accomplished in participatory practices. In this article we discuss how participatory design may be reinvigorated as a design research programme for democratic design experiments in the light of the de-centring of human-centredness and the foregrounding of collaborative...

  20. Democratic Learning Processes: Conceptual and Historical Challenges

    DEFF Research Database (Denmark)

    Christensen, Ann-Dorte; Rasmussen, Palle


    In this article democratic learning is conceptualised with inspiration from two academic traditions, one being the conceptions of citizenship, political identities and deliberative democracy in political sociology; the other theories and research on social and lifelong learning. The first part......'s empowerment and inclusion in the Danish democratic model. On the background of these two analyses the authors finally discuss some current democratic problems with integrating the diversity represented by ethnic minority groups. The discussion emphasizes the learning theory perspective on the initiative...... of the article outlines the authors' understanding of the core concepts involved. In the second part these conceptual discussions are related to two themes: the question of public adaptation of historical experiences in connection with the German reunification and the learning perspectives related to women...

  1. Degrees of democraticity

    Directory of Open Access Journals (Sweden)

    Lars Bergström


    Full Text Available People have tended to load their different conceptions of democracy with their own political ideals; in this paper it is argued that normative and definitional questions should rather be separated, so that political philosophers and political scientists may adopt the same concept of democracy, even if they disagree normatively or politically. Moreover, it is argued that we should replace an absolute notion of democracy by a relativized notion, which allows for different degrees of democraticity. This facilitates the separation of normative and conceptual issues and it is convenient in contexts in which “democratic deficits” are discussed – as e.g. when democracy is to be implemented on a supranational level. Moreover, it has the consequence that democratic deficits are not necessarily bad. DOWNLOAD THIS PAPER FROM SSRN:

  2. Democratic Citizenship: European referents

    Directory of Open Access Journals (Sweden)



    Full Text Available Let’s sense beforehand in this article a tour concerning the educational European policies that favors the development of a democratic citizenship. The aim that we chase is to understand the way in which nowadays it is being interpreted and stimulated the Citizenship education from European Union. for it we offer a conceptual delimiting of «Citizenship education» and later, we show an analysis of the principal documents and materials elaborated principally by the Council of Europe that mark the way followed by European Union as for education for Democratic Citizenship (EDC.

  3. Achieving Integration in Mixed Methods Designs—Principles and Practices


    Fetters, Michael D; Curry, Leslie A; Creswell, John W


    Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designs—exploratory sequential, explanatory sequential, and convergent—and through four advanced frameworks—multistage, intervention, case study, and participato...

  4. Promoting a Strategic Approach to Clinical Nurse Leader Practice Integration. (United States)

    Williams, Marjory; Avolio, Alice E; Ott, Karen M; Miltner, Rebecca S


    The Office of Nursing Services of the Department of Veterans Affairs (VA) piloted implementation of the clinical nurse leader (CNL) into the care delivery model and established a strategic goal in 2011 to implement the CNL role across the VA health care system. The VA Office of Nursing Services CNL Implementation and Evaluation (CNL I&E) Service was created as one mechanism to facilitate that goal in response to a need identified by facility nurse executives for consultative support for CNL practice integration. This article discusses strategies employed by the CNL I&E consultative team to help facility-level nursing leadership integrate CNLs into practice. Measures of success include steady growth in CNL practice capacity as well as positive feedback from nurse executives about the value of consultative engagement. Future steps to better integrate CNL practice into the VA include consolidation of lessons learned, collaboration to strengthen the evidence base for CNL practice, and further exploration of the transformational potential of CNL practice across the care continuum.

  5. Leadership in a Democratic School (United States)

    McCormick, Paul R.


    The purpose of this study is to examine the experiences of a democratic school leader and understand how his conception of leadership is congruent or incongruent with notions of democracy and democratic leadership. This small, participant-observer case study follows a democratic school leader and his staff for a year and examines those challenges…

  6. Building Integrated Design Practice under the Concept of Sustainable Development (United States)

    Liu, Xuexin


    With the continuous development of social economy, people are more demanding for architecture. Some advanced design concepts are gradually applied to the design of buildings. Under the concept of sustainable development, building integration design has also been widely used to promote the rapid development of architectural design. Integrated design concepts and sustainable development concepts play an important role to meet people’s requirements. This article will explore the concept of sustainable development under the concept of integrated architectural design and practice analysis, propose appropriate measures.

  7. Making mathematics and science integration happen: key aspects of practice (United States)

    Ríordáin, Máire Ní; Johnston, Jennifer; Walshe, Gráinne


    The integration of mathematics and science teaching and learning facilitates student learning, engagement, motivation, problem-solving, criticality and real-life application. However, the actual implementation of an integrative approach to the teaching and learning of both subjects at classroom level, with in-service teachers working collaboratively, at second-level education, is under-researched due to the complexities of school-based research. This study reports on a year-long case study on the implementation of an integrated unit of learning on distance, speed and time, within three second-level schools in Ireland. This study employed a qualitative approach and examined the key aspects of practice that impact on the integration of mathematics and science teaching and learning. We argue that teacher perspective, teacher knowledge of the 'other subject' and of technological pedagogical content knowledge (TPACK), and teacher collaboration and support all impact on the implementation of an integrative approach to mathematics and science education.

  8. Democratic contract law

    NARCIS (Netherlands)

    Hesselink, M.W.


    This article discusses the normative relationship between contract law and democracy. In particular, it argues that in order to be legitimate contract law needs to have a democratic basis. Private law is not different in this respect from public law. Thus, the first claim made in this article will

  9. Learning Democratic Global Governance. (United States)

    Haavelsrud, Magnus


    Outlines a model process of developing knowledge from within different groups and cultures to allow more equitable participation of all world societies in the definition of global governance. Reviews concepts relevant to education's contributions toward learning and creating democratic global governance. Discusses the educational utility of…

  10. Democratization in Malawi

    DEFF Research Database (Denmark)

    Emmanuel, Nikolas G.


    a political conditionality approach. Few countries have felt the weight of conditionality as much as Malawi did in the 1990s. Here, donors were able to use aid sanctions to successfully encourage democratization, while strengthening the demands of domestic opposition forces. This paper argues that three...

  11. Evidence-based music therapy practice: an integral understanding. (United States)

    Abrams, Brian


    The American Music Therapy Association has recently put into action a plan called its Research Strategic Priority, with one of its central purposes to advance the music therapy field through research promoting Evidence-Based Practice of music therapy. The extant literature on music therapy practice, theory, and research conveys a range of very different perspectives on what may count as the "evidence" upon which practice is based. There is therefore a need to conceptualize evidence-based music therapy practice in a multifaceted, yet coherent and balanced way. The purpose of this paper is to illustrate a framework based upon four distinct epistemological perspectives on evidence-based music therapy practice that together represent an integral understanding.

  12. Enriching Group Counseling through Integrating Yoga Concepts and Practices (United States)

    Rybak, Christopher; Deuskar, Megha


    Integrating practices from yoga with group counseling offers many creative paths of therapeutic learning. While yoga emphasizes the increased sense of connection with the self, group counseling emphasizes the increased sense of authenticity in relationship with oneself and with others. Common aims of both yoga and counseling are liberation from…

  13. From Knowledge Theory to Management Practice: Towards an Integrated Approach. (United States)

    Shin, Minsoo; Holden, Tony; Schmidt, Ruth A.


    Critically contrasts the three main schools of thought on knowledge and assesses the resulting implications for knowledge management. Presents a conceptual model to integrate theoretical and practical themes to serve as a framework for developing a future research agenda for the development of knowledge management business tools and applications.…

  14. Integrating Social Class into Vocational Psychology: Theory and Practice Implications (United States)

    Diemer, Matthew A.; Ali, Saba Rasheed


    Although social class plays a salient and significant role in career development and occupational attainment, social class is underrepresented in vocational psychology theory, scholarship, and practice. Vocational psychologists are in a unique position to meet the career development needs of persons from all social classes by integrating a fuller…

  15. Integrative practices in hospitals and their impact on patient flow

    NARCIS (Netherlands)

    Drupsteen, J.; van der Vaart, T.; van Donk, D.P.


    Purpose - The aim of this paper is to investigate which integrative planning and control practices are used in hospitals and what their effects are on patient flow. Design/methodology/approach - The study is based on a three-hospital multi-case study carried out in The Netherlands. The main findings

  16. Theory-practice integration in selected clinical situations

    Directory of Open Access Journals (Sweden)

    M Davhana-Maselesele


    Full Text Available The current changes in health care systems challenge knowledgeable, mature and independent practitioners to integrate theoretical content with practice. The aim of this study was to investigate the problems of integrating theory with practice in selected clinical nursing situations. The study focused on rendering of family planning services to clients as a component of Community Nursing Science. Structured observation schedules were used to observe the theoretical content of the curriculum as well as the practical application of what has been taught in the clinical area. The findings of the study revealed that there was a need for an integrated holistic curriculum, which would address the needs of the community. It was concluded that a problem-based and community-based curriculum, intersectoral collaboration between college and hospital managements and student involvement in all processes of teaching and learning would improve the integration of theory and practice. There also appeared to be a need for tutors to be more involved in clinical teaching and accompaniment.

  17. Integrative Mental Health (IMH): paradigm, research, and clinical practice. (United States)

    Lake, James; Helgason, Chanel; Sarris, Jerome


    This paper provides an overview of the rapidly evolving paradigm of "Integrative Mental Health (IMH)." The paradigm of contemporary biomedical psychiatry and its contrast to non-allopathic systems of medicine is initially reviewed, followed by an exploration of the emerging paradigm of IMH, which aims to reconcile the bio-psycho-socio-spiritual model with evidence-based methods from traditional healing practices. IMH is rapidly transforming conventional understandings of mental illness and has significant positive implications for the day-to-day practice of mental health care. IMH incorporates mainstream interventions such as pharmacologic treatments, psychotherapy, and psychosocial interventions, as well as alternative therapies such as acupuncture, herbal and nutritional medicine, dietary modification, meditation, etc. Two recent international conferences in Europe and the United States show that interest in integrative mental health care is growing rapidly. In response, the International Network of Integrative Mental Health (INIMH: was established in 2010 with the objective of creating an international network of clinicians, researchers, and public health advocates to advance a global agenda for research, education, and clinical practice of evidence-based integrative mental health care. The paper concludes with a discussion of emerging opportunities for research in IMH, and an exploration of potential clinical applications of integrative mental health care. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. The integration of lean, green and best practice business principles

    Directory of Open Access Journals (Sweden)

    Annelize Wiese


    Full Text Available Background: Whilst there are separate streams of established research on lean, green and best practice initiatives, the intersection of these three strategic principles has not been addressed extensively in the past. Objectives: In this study a framework to integrate lean, green and best practice principles into an integrated business model was developed as a strategy for businesses to develop sustainable competitive advantages. Method: A descriptive case study was conducted on Toyota South Africa Motors (TSAM to understand whether a clear link between the company’s environmental approach, lean principles and established best practice culture could be determined. In addition, the case study tested the view that the implementation of these three principles concurrently resulted in improved business results. Results: The main findings of the study revealed that TSAM’s commitment to lean, green and best practice business principles contributed and was directly linked to its business success in terms of sales and market position. Conclusion: It is recommended that businesses implement an integrated lean, green and best practice business model as a strategy to reduce costs and sustainably enhance profitably and competitiveness.

  19. Achieving integration in mixed methods designs-principles and practices. (United States)

    Fetters, Michael D; Curry, Leslie A; Creswell, John W


    Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designs-exploratory sequential, explanatory sequential, and convergent-and through four advanced frameworks-multistage, intervention, case study, and participatory. Integration at the methods level occurs through four approaches. In connecting, one database links to the other through sampling. With building, one database informs the data collection approach of the other. When merging, the two databases are brought together for analysis. With embedding, data collection and analysis link at multiple points. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. The fit of integration describes the extent the qualitative and quantitative findings cohere. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods. © Health Research and Educational Trust.

  20. Achieving Integration in Mixed Methods Designs—Principles and Practices (United States)

    Fetters, Michael D; Curry, Leslie A; Creswell, John W


    Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designs—exploratory sequential, explanatory sequential, and convergent—and through four advanced frameworks—multistage, intervention, case study, and participatory. Integration at the methods level occurs through four approaches. In connecting, one database links to the other through sampling. With building, one database informs the data collection approach of the other. When merging, the two databases are brought together for analysis. With embedding, data collection and analysis link at multiple points. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. The fit of integration describes the extent the qualitative and quantitative findings cohere. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods. PMID:24279835

  1. The integration of Information and Communication Technology into medical practice. (United States)

    Lupiáñez-Villanueva, Francisco; Hardey, Michael; Torrent, Joan; Ficapal, Pilar


    To identify doctors' utilization of ICT; to develop and characterise a typology of doctors' utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies within medical practice. An online survey of the 16,531 members of the Physicians Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model were undertaken. Multivariate statistics analysis of the 2199 responses obtained revealed two profiles of adoption of ICT. The first profile (38.61% of respondents) represents those doctors who place high emphasis on ICT within their practice. This group is thus referred to as 'integrated doctors'. The second profile (61.39% of respondents) represents those doctors who make less use of ICT so are consequently labelled 'non-integrated doctors'. From the statistical modelling, it was observed that an emphasis on international information; emphasis on ICT for research and medical practice; emphasis on information systems to consult and prescribe; undertaking teaching/research activities; a belief that the use of the Internet improved communication with patients and practice in both public and private health organizations play a positive and significant role in the probability of being an 'integrated doctor'. The integration of ICT within medical practice cannot be adequately understood and appreciated without examining how doctors are making use of ICT within their own practice, organizational contexts and the opportunities and constraints afforded by institutional, professional and patient expectations and demands. 2010 Elsevier Ireland Ltd. All rights reserved.

  2. Human Systems Integration in Practice: Constellation Lessons Learned (United States)

    Zumbado, Jennifer Rochlis


    NASA's Constellation program provided a unique testbed for Human Systems Integration (HSI) as a fundamental element of the Systems Engineering process. Constellation was the first major program to have HSI mandated by NASA's Human Rating document. Proper HSI is critical to the success of any project that relies on humans to function as operators, maintainers, or controllers of a system. HSI improves mission, system and human performance, significantly reduces lifecycle costs, lowers risk and minimizes re-design. Successful HSI begins with sufficient project schedule dedicated to the generation of human systems requirements, but is by no means solely a requirements management process. A top-down systems engineering process that recognizes throughout the organization, human factors as a technical discipline equal to traditional engineering disciplines with authority for the overall system. This partners with a bottoms-up mechanism for human-centered design and technical issue resolution. The Constellation Human Systems Integration Group (HSIG) was a part of the Systems Engineering and Integration (SE&I) organization within the program office, and existed alongside similar groups such as Flight Performance, Environments & Constraints, and Integrated Loads, Structures and Mechanisms. While the HSIG successfully managed, via influence leadership, a down-and-in Community of Practice to facilitate technical integration and issue resolution, it lacked parallel top-down authority to drive integrated design. This presentation will discuss how HSI was applied to Constellation, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers. This presentation will discuss how Human Systems Integration (HSI) was applied to NASA's Constellation program, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers on how to accomplish this critical function.

  3. Possibilities of consensus: toward democratic moral discourse. (United States)

    Jennings, B


    The concept of consensus is often appealed to in discussions of biomedical ethics and applied ethics, and it plays an important role in many influential ethical theories. Consensus is an especially influential notion among theorists who reject ethical realism and who frame ethics as a practice of discourse rather than a body of objective knowledge. It is also a practically important notion when moral decision making is subject to bureaucratic organization and oversight, as is increasingly becoming the case in medicine. Two models of consensus are examined and criticized: pluralistic consensus and overlapping consensus. As an alternative to these models, the paper argues that consensus refers to the dialogic aspects of a broader normative conception of democratic moral agency. When the preconditions for that dialogic democratic practice are met, consensus has a justificatory role in ethics; when they are not, consensus, as distinct from mere agreement, does not emerge and can have no moral authority.

  4. Distinguishing integrative from eclectic practice in cognitive behavioral therapies. (United States)

    Petrik, Alexandra M; Kazantzis, Nikolaos; Hofmann, Stefan G


    In psychotherapy research, practice, and training, there remains marked controversy about the merits of theoretical purism (i.e., model specific), versus integration, as well as how such principles may be represented in practice. Adding to the confusion is that many attributes of the therapeutic relationship, processes in therapy, and techniques have been popularized in the context of one or two theoretical approaches, but are incorporated into the practice of many approaches. This article demonstrates the various ways in which three core interventions (i.e., activity scheduling, self-monitoring, and identification, evaluation, and modification of thoughts) can be applied within the context of different cognitive and behavioral therapeutic models. It also demonstrates the role of in-session therapist language in describing the theoretical basis and processes underpinning therapeutic interventions. Case examples are presented to illustrate therapy provided by two hypothetical clinicians, Therapist A and Therapist B. Whether or not a practitioner elects to practice integrative psychotherapy, we advocate for consistency in the theoretical approach through the course of a service for a particular patient. Implications are outlined and discussed within the context of the current state of cognitive and behaviorally focused psychotherapies and integrative psychotherapy. 2013 APA, all rights reserved

  5. Integrating Occupational Therapy Specific Assessments in Practice: Exploring Practitioner Experiences

    Directory of Open Access Journals (Sweden)

    Eric Asaba


    Full Text Available Background. Occupational therapists sometimes find it challenging to integrate client-centered and occupational therapy specific assessments in practice. The aim of this study was to explore the use of occupational therapy specific assessments such as the Assessment of Motor and Process Skills (AMPS among occupational therapists in Sweden and Japan. Methods. Interviews and qualitative thematic analyses were utilized. Findings. Four themes are reported: (1 use it or lose it, (2 simply no space until after hours, (3 biggest barriers can be colleagues, and (4 being more specific: communication. Conclusion. In keeping with previous studies, occupational therapists often find it challenging to implement client-centered and occupation-based assessment tools into practice. However, more work is needed to understand how best practices can be incorporated into a changing occupational therapy daily practice.

  6. Integrating mental health and social development in theory and practice. (United States)

    Plagerson, Sophie


    In many low and middle income countries, attention to mental illness remains compartmentalized and consigned as a matter for specialist policy. Despite great advances in global mental health, mental health policy and practice dovetail only to a limited degree with social development efforts. They often lag behind broader approaches to health and development. This gap ignores the small but growing evidence that social development unavoidably impacts the mental health of those affected, and that this influence can be both positive and negative. This article examines the theoretical and practical challenges that need to be overcome for a more effective integration of social development and mental health policy. From a theoretical perspective, this article demonstrates compatibility between social development and mental health paradigms. In particular, the capability approach is shown to provide a strong framework for integrating mental health and development. Yet, capability-oriented critiques on 'happiness' have recently been applied to mental health with potentially detrimental outcomes. With regard to policy and practice, horizontal and vertical integration strategies are suggested. Horizontal strategies require stronger devolution of mental health care to the primary care level, more unified messages regarding mental health care provision and the gradual expansion of mental health packages of care. Vertical integration refers to the alignment of mental health with related policy domains (particularly the social, economic and political domains). Evidence from mental health research reinforces aspects of social development theory in a way that can have tangible implications on practice. First, it encourages a focus on avoiding exclusion of those affected by or at risk of mental illness. Secondly, it underscores the importance of the process of implementation as an integral component of successful policies. Finally, by retaining a focus on the individual, it seeks to

  7. Striving for Scientific Integrity and Ethical Practices in Higher Education (United States)

    Geissman, J. W.


    The need for the highest levels of scientific integrity and ethical principles in higher education, globally, is obvious. This is the setting where faculty scientists practice and future scientists, as entering science majors, those who change course and switch to science, and graduate students, are nurtured and mentored. Institutions of higher education across the globe are devoting increasing attention to scientific integrity and ethical practices, often as mandated by specific (funding) agencies, and this certainly is a step in the right direction. One approach has involved graduate students, particularly PhD students, in formal classes/seminars on the subjects. Another, more institution-specific, is to require freshman science majors to take one or more classes designed to assist students, in many ways, to succeed in whatever science path they choose. For the past five years I have "taught" such a class, which I like to refer to as "Science is the Rest of Your Life 101". My section is very heavy on scientific integrity and ethical practices; most students have never been exposed to nor have considered such subjects. Their interest level is exceedingly keen. So, steps are being taken, but rectifying existing concerns will take time. Here are some (potential/real) problems. One facing all of higher education is the ever decreasing number, certainly in the United States, of tenured/tenure track faculty in all disciplines together with the generational "gap" or "double gap" (some colleagues of mine are in their 80s) between those who never for all intents and purposes received any "formal" exposure to scientific integrity and ethical practices issues and those fresh in the academy for which these subjects are recently and better engrained. At most institutions, those faculty never involved in such formal training because of, well, their age, are required to pass some form of on-line "certification" class in research ethics among other subjects on an annual or bi

  8. Advancing nursing practice: redefining the theoretical and practical integration of knowledge. (United States)

    Christensen, Martin


    The aim of this paper is to offer an alternative knowing-how knowing-that framework of nursing knowledge, which in the past has been accepted as the provenance of advanced practice. The concept of advancing practice is central to the development of nursing practice and has been seen to take on many different forms depending on its use in context. To many it has become synonymous with the work of the advanced or expert practitioner; others have viewed it as a process of continuing professional development and skills acquisition. Moreover, it is becoming closely linked with practice development. However, there is much discussion as to what constitutes the knowledge necessary for advancing and advanced practice, and it has been suggested that theoretical and practical knowledge form the cornerstone of advanced knowledge. The design of this article takes a discursive approach as to the meaning and integration of knowledge within the context of advancing nursing practice. A thematic analysis of the current discourse relating to knowledge integration models in an advancing and advanced practice arena was used to identify concurrent themes relating to the knowing-how knowing-that framework which commonly used to classify the knowledge necessary for advanced nursing practice. There is a dichotomy as to what constitutes knowledge for advanced and advancing practice. Several authors have offered a variety of differing models, yet it is the application and integration of theoretical and practical knowledge that defines and develops the advancement of nursing practice. An alternative framework offered here may allow differences in the way that nursing knowledge important for advancing practice is perceived, developed and coordinated. What has inevitably been neglected is that there are various other variables which when transposed into the existing knowing-how knowing-that framework allows for advanced knowledge to be better defined. One of the more notable variables is

  9. Practice and progress in integrated assessments of climate change

    International Nuclear Information System (INIS)

    Toth, F.L.


    This paper is intended to provide an overview of the state of the art integrated socioeconomic-biophysical assessments of climate change as presented at the IIASA workshop in October 1993. The paper seeks to tally the major improvements facilitated by integrated assessments in understanding the global warming problem and the crucial unresolved problems they currently face. The basic conclusion is that, as a result of a healthy diversity in practice, integrated assessments show significant progress in structuring the economic issues of climate change and providing the first broad insights into policy options. But, as some of the simple and traditional cases seem to be solved, more complex and difficult contingencies come to the fore. This suggests a long way to go to develop skills that will be required to address the numerous open issues. (author)

  10. Integrating advanced practice providers into medical critical care teams. (United States)

    McCarthy, Christine; O'Rourke, Nancy C; Madison, J Mark


    Because there is increasing demand for critical care providers in the United States, many medical ICUs for adults have begun to integrate nurse practitioners and physician assistants into their medical teams. Studies suggest that such advanced practice providers (APPs), when appropriately trained in acute care, can be highly effective in helping to deliver high-quality medical critical care and can be important elements of teams with multiple providers, including those with medical house staff. One aspect of building an integrated team is a practice model that features appropriate coding and billing of services by all providers. Therefore, it is important to understand an APP's scope of practice, when they are qualified for reimbursement, and how they may appropriately coordinate coding and billing with other team providers. In particular, understanding when and how to appropriately code for critical care services (Current Procedural Terminology [CPT] code 99291, critical care, evaluation and management of the critically ill or critically injured patient, first 30-74 min; CPT code 99292, critical care, each additional 30 min) and procedures is vital for creating a sustainable program. Because APPs will likely play a growing role in medical critical care units in the future, more studies are needed to compare different practice models and to determine the best way to deploy this talent in specific ICU settings.

  11. Systems thinking and incivility in nursing practice: An integrative review. (United States)

    Phillips, Janet M; Stalter, Ann M; Winegardner, Sherri; Wiggs, Carol; Jauch, Amy


    There is a critical need for nurses and interprofessional healthcare providers to implement systems thinking (ST) across international borders, addressing incivility and its perilous effects on patient quality and safety. An estimated one million patients die in hospitals worldwide due to avoidable patient-related errors. Establishing safe and civil workplaces using ST is paramount to promoting clear, level-headed thinking from which patient-centered nursing actions can impact health systems. The purpose of the paper is to answer the research question, What ST evidence fosters the effect of workplace civility in practice settings? Whittemore and Knafl's integrative review method guided this study. The quality of articles was determined using Chu et al.'s Mixed Methods Assessment Tool. Thirty-eight studies were reviewed. Themes emerged describing antecedents and consequences of incivility as embedded within complex systems, suggesting improvements for civility and systems/ST in nursing practice. This integrative review provides information about worldwide incivility in nursing practice from a systems perspective. Several models are offered as a means of promoting civility in nursing practice to improve patient quality and safety. Further study is needed regarding incivility and resultant effects on patient quality and safety. © 2018 Wiley Periodicals, Inc.

  12. Integrating pharmacogenomics into pharmacy practice via medication therapy management. (United States)

    Reiss, Susan M


    To explore the application and integration of pharmacogenomics in pharmacy clinical practice via medication therapy management (MTM) to improve patient care. Department of Health & Human Services (HHS) Personalized Health Care Initiative, Food and Drug Administration (FDA) pharmacogenomics activity, and findings from the Utilizing E-Prescribing Technologies to Integrate Pharmacogenomics into Prescribing and Dispensing Practices Stakeholder Workshop, convened by the American Pharmacists Association (APhA) on March 5, 2009. Participants at the Stakeholder Workshop included diverse representatives from pharmacy, medicine, pathology, health information technology (HIT), standards, science, academia, government, and others with a key interest in the clinical application of pharmacogenomics. In 2006, HHS initiated the Personalized Health Care Initiative with the goal of building the foundation for the delivery of gene-based care, which may prove to be more effective for large patient subpopulations. In the years since the initiative was launched, drug manufacturers and FDA have begun to incorporate pharmacogenomic data and applications of this information into the drug development, labeling, and approval processes. New applications and processes for using this emerging pharmacogenomics data are needed to effectively integrate this information into clinical practice. Building from the findings of a stakeholder workshop convened by APhA and the advancement of the pharmacist's collaborative role in patient care through MTM, emerging roles for pharmacists using pharmacogenomic information to improve patient care are taking hold. Realizing the potential role of the pharmacist in pharmacogenomics through MTM will require connectivity of pharmacists into the electronic health record infrastructure to permit the exchange of pertinent health information among all members of a patient's health care team. Addressing current barriers, concerns, and system limitations and developing

  13. Fast thinking: Implications for democratic politics


    Hay, Colin; Stoker, Gerry; Barr, Matthew


    A major programme of research on cognition has been built around the idea that human beings are frequently intuitive thinkers and that human intuition is imperfect. The modern marketing of politics and the time-poor position of many citizens suggests that ‘fast’, intuitive, thinking in many contemporary democracies is ubiquitous. This article explores the consequences that such fast thinking might have for the democratic practice of contemporary politics. Using focus groups with a range of de...

  14. Integration of Formal Job Hazard Analysis and ALARA Work Practice

    International Nuclear Information System (INIS)

    NELSEN, D.P.


    ALARA work practices have traditionally centered on reducing radiological exposure and controlling contamination. As such, ALARA policies and procedures are not well suited to a wide range of chemical and human health issues. Assessing relative risk, identifying appropriate engineering/administrative controls and selecting proper Personal Protective Equipment (PPE) for non nuclear work activities extends beyond the limitations of traditional ALARA programs. Forging a comprehensive safety management program in today's (2002) work environment requires a disciplined dialog between health and safety professionals (e.g. safety, engineering, environmental, quality assurance, industrial hygiene, ALARA, etc.) and personnel working in the field. Integrating organizational priorities, maintaining effective pre-planning of work and supporting a team-based approach to safety management represents today's hallmark of safety excellence. Relying on the mandates of any single safety program does not provide industrial hygiene with the tools necessary to implement an integrated safety program. The establishment of tools and processes capable of sustaining a comprehensive safety program represents a key responsibility of industrial hygiene. Fluor Hanford has built integrated safety management around three programmatic attributes: (1) Integration of radiological, chemical and ergonomic issues under a single program. (2) Continuous improvement in routine communications among work planning/scheduling, job execution and management. (3) Rapid response to changing work conditions, formalized work planning and integrated worker involvement

  15. In Defense of Critical Democratic Pedagogy

    Directory of Open Access Journals (Sweden)

    Tracey Isaacs


    Full Text Available A powerful positivist and neoliberal ideology in education masquerades more or less unharmed as the meritocratic myth promised under the cloak of democracy. Yet some students and teachers are beginning to interrogate the success-only orientations of neoliberalism in the face of crumbling school systems where many students fail. These students and teachers are not oblivious to the stark realities that characterize their daily existence, as they live under a dark cloud of mass unemployment and inequality where many struggle to “succeed”. Additionally, trained consciousness reveals the pockmarked version of democracy that admits only a few and is attendant with an authoritarian, disciplinary practice that breeds resistance towards education rather than the envisioned freedom it is purported to usher in. These inconsistent positions as an experience of education, by especially marginal students, is intensifying within a neoliberal discourse and invites the intense consideration of the place of critical democratic pedagogy as a more appropriate approach toward democratic teaching and learning practices. Within this context, I explore the theoretical and practical dimensions of critical pedagogy to provide an expanded view of teaching and learning in post-democratic South African education.

  16. Clinical Nurse Leader Integration Into Practice: Developing Theory To Guide Best Practice. (United States)

    Bender, Miriam


    Numerous policy bodies have identified the clinical nurse leader (CNL) as an innovative new role for meeting higher health care quality standards. Although there is growing evidence of improved care environment and patient safety and quality outcomes after redesigning care delivery microsystems to integrate CNL practice, significant variation in CNL implementation has been noted across reports, making it difficult to causally link CNL practice to reported outcomes. This variability reflects the overall absence in the literature of a well-defined CNL theoretical framework to help guide standardized application in practice. To address this knowledge gap, an interpretive synthesis with a grounded theory analysis of CNL narratives was conducted to develop a theoretical model for CNL practice. The model clarifies CNL practice domains and proposes mechanisms by which CNL-integrated care delivery microsystems improve health care quality. The model highlights the need for a systematic approach to CNL implementation including a well-thought out strategy for care delivery redesign; a consistent, competency-based CNL workflow; and sustained macro-to-micro system leadership support. CNL practice can be considered an effective approach to organizing nursing care that maximizes the scope of nursing to influence the ways care is delivered by all professions within a clinical microsystem. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Securitization against Democratization

    DEFF Research Database (Denmark)

    Juego, Bonn


    paved the way either to the strengthening or resurgence of the hegemony, both in policy and discourse, of:   [a] “global war on terrorism” over historically sensitive conflict resolution mechanisms; [b] “authoritarian liberalism” over democratization; and [c] neo-liberalism over developmental statism.......   Each of these phenomena is inherently unstable and conflict-ridden. Hence, the securitization of social life in the region is not resulting in the reproduction of security-development agenda patterned after the US, but in the reproduction of social antagonisms that spring from the very contradictions...

  18. Homegrown Democracy, Homegrown Democrats

    Directory of Open Access Journals (Sweden)

    Norman K. Denzin


    Full Text Available Written on the eve of the 2004 American presidential election, this political narrative offers a critical reading of two models of democracy: Instant-Mix imperial democracy (bring to a boil, add oil, then bomb, criticized by Arundhati Roy, and Garrison Keillor’s Homegrown Democrat. Keillor’s pastoral view of democracy is anchored in LakeWobegon, his imaginary utopian community. His homegrown democracy is narrow, provincial, and White. The author concludes that he must look elsewhere for his alternative view of democracy.

  19. Optimising, generalising and integrating educational practice using neuroscience (United States)

    Colvin, Robert


    Practical collaboration at the intersection of education and neuroscience research is difficult because the combined discipline encompasses both the activity of microscopic neurons and the complex social interactions of teachers and students in a classroom. Taking a pragmatic view, this paper discusses three education objectives to which neuroscience can be effectively applied: optimising, generalising and integrating instructional techniques. These objectives are characterised by: (1) being of practical importance; (2) building on existing education and cognitive research; and (3) being infeasible to address based on behavioural experiments alone. The focus of the neuroscientific aspect of collaborative research should be on the activity of the brain before, during and after learning a task, as opposed to performance of a task. The objectives are informed by literature that highlights possible pitfalls with educational neuroscience research, and are described with respect to the static and dynamic aspects of brain physiology that can be measured by current technology.

  20. [Clinical ethics consultation - an integrative model for practice and reflection]. (United States)

    Reiter-Theil, Stella


    Broad evidence exists that health care professionals are facing ethical difficulties in patient care demanding a spectrum of useful ethics support services. Clinical ethics consultation is one of these forms of ethics support being effective in the acute setting. An authentic case is presented as an illustration. We introduce an integrative model covering the activities being characteristic for ethics consultation and going beyond "school"-specific approaches. Finally, we formulate some do's and don'ts of ethics consultation that are considered to be key issues for successful practice.

  1. Nuclear Information Democratization

    International Nuclear Information System (INIS)

    Savić, Dobrica


    Nuclear information (Nl) interests people for many reasons, with energy supply, safety, and security being at the top of the list. Democratizing nuclear information has its roots in the growth of a knowledge-based economy, the knowledge worker as a user of nuclear information, developments in information and communication technologies (ICT), and the impact of internet growth. Results of democratization are apparent in the process of information creation, in how nuclear information is distributed and accessed, and in the conditions for using the information found. The International Nuclear Information System (INIS) both reflects and contributes to these trends. Nuclear information falls under the overall umbrella of scientific and technical information (STI). It is highly specialized, but it follows general principles and trends of STI. The world of STI has its own culture and its own long-established rules of use and existence. These have brought us many inventions and improvements, introduced important technological changes, and made our lives and work much easier and more pleasurable. However, the world is constantly changing, and the traditional closed STI environment, including the world of nuclear information, is not keeping up with today’s changes. (author)

  2. Optical network democratization. (United States)

    Nejabati, Reza; Peng, Shuping; Simeonidou, Dimitra


    The current Internet infrastructure is not able to support independent evolution and innovation at physical and network layer functionalities, protocols and services, while at same time supporting the increasing bandwidth demands of evolving and heterogeneous applications. This paper addresses this problem by proposing a completely democratized optical network infrastructure. It introduces the novel concepts of the optical white box and bare metal optical switch as key technology enablers for democratizing optical networks. These are programmable optical switches whose hardware is loosely connected internally and is completely separated from their control software. To alleviate their complexity, a multi-dimensional abstraction mechanism using software-defined network technology is proposed. It creates a universal model of the proposed switches without exposing their technological details. It also enables a conventional network programmer to develop network applications for control of the optical network without specific technical knowledge of the physical layer. Furthermore, a novel optical network virtualization mechanism is proposed, enabling the composition and operation of multiple coexisting and application-specific virtual optical networks sharing the same physical infrastructure. Finally, the optical white box and the abstraction mechanism are experimentally evaluated, while the virtualization mechanism is evaluated with simulation. © 2016 The Author(s).

  3. The context of oncology nursing practice: an integrative review. (United States)

    Bakker, Debra; Strickland, Judith; Macdonald, Catherine; Butler, Lorna; Fitch, Margaret; Olson, Karin; Cummings, Greta


    In oncology, where the number of patients is increasing, there is a need to sustain a quality oncology nursing workforce. Knowledge of the context of oncology nursing can provide information about how to create practice environments that will attract and retain specialized oncology nurses. The aims of this review were to determine the extent and quality of the literature about the context of oncology nursing, explicate how "context" has been described as the environment where oncology nursing takes place, and delineate forces that shape the oncology practice environment. The integrative review involved identifying the problem, conducting a structured literature search, appraising the quality of data, extracting and analyzing data, and synthesizing and presenting the findings. Themes identified from 29 articles reflected the surroundings or background (structural environment, world of cancer care), and the conditions and circumstances (organizational climate, nature of oncology nurses' work, and interactions and relationships) of oncology nursing practice settings. The context of oncology nursing was similar yet different from other nursing contexts. The uniqueness was attributed to the dynamic and complex world of cancer control and the personal growth that is gained from the intense therapeutic relationships established with cancer patients and their families. The context of healthcare practice has been linked with patient, professional, or system outcomes. To achieve quality cancer care, decision makers need to understand the contextual features and forces that can be modified to improve the oncology work environment for nurses, other providers, and patients.

  4. Social research design: framework for integrating philosophical and practical elements. (United States)

    Cunningham, Kathryn Burns


    To provide and elucidate a comprehensible framework for the design of social research. An abundance of information exists concerning the process of designing social research. The overall message that can be gleaned is that numerable elements - both philosophical (ontological and epistemological assumptions and theoretical perspective) and practical (issue to be addressed, purpose, aims and research questions) - are influential in the process of selecting a research methodology and methods, and that these elements and their inter-relationships must be considered and explicated to ensure a coherent research design that enables well-founded and meaningful conclusions. There is a lack of guidance concerning the integration of practical and philosophical elements, hindering their consideration and explication. The author's PhD research into loneliness and cancer. This is a methodology paper. A guiding framework that incorporates all of the philosophical and practical elements influential in social research design is presented. The chronological and informative relationships between the elements are discussed. The framework presented can be used by social researchers to consider and explicate the practical and philosophical elements influential in the selection of a methodology and methods. It is hoped that the framework presented will aid social researchers with the design and the explication of the design of their research, thereby enhancing the credibility of their projects and enabling their research to establish well-founded and meaningful conclusions.

  5. Human Rights and Democratization of the Media

    Directory of Open Access Journals (Sweden)

    Abner Barrera Rivas


    Full Text Available This article analyzes the relationship between the freedom of the press, conceived and practiced by the big media, and the human right to an independent and truthful information, as understood and proposed by some international treaties, agreement, conventions and declarations concerning freedom of opinion and freedom of expression as human rights. For this reason are taken into account the controversies aroused by media and some progressive governments in South America in the past fifteen years. The article presents and analyzes arguments advanced with respect to human rights that civil society demands when receiving the information, and the rights big media’s owners hold. Given that private media companies’ priority is profit, the information becomes, then, just another consumer product. It is concluded that this situation is a real problem for the education and configuration of a democratic society, and the proposal is to democratize media to protect the human rights of all.

  6. Integrative mental health care: from theory to practice, part 1. (United States)

    Lake, James


    Integrative approaches will lead to more accurate and different understandings of mental illness. Beneficial responses to complementary and alternative therapies provide important clues about the phenomenal nature of the human body in space-time and disparate biological, informational, and energetic factors associated with normal and abnormal psychological functioning. The conceptual framework of contemporary Western psychiatry includes multiple theoretical viewpoints, and there is no single best explanatory model of mental illness. Future theories of mental illness causation will not depend exclusively on empirical verification of strictly biological processes but will take into account both classically described biological processes and non-classical models, including complexity theory, resulting in more complete explanations of the characteristics and causes of symptoms and mechanisms of action that result in beneficial responses to treatments. Part 1 of this article examines the limitations of the theory and contemporary clinical methods employed in Western psychiatry and discusses implications of emerging paradigms in physics and the biological sciences for the future of psychiatry. In part 2, a practical methodology for planning integrative assessment and treatment strategies in mental health care is proposed. Using this methodology the integrative management of moderate and severe psychiatric symptoms is reviewed in detail. As the conceptual framework of Western medicine evolves toward an increasingly integrative perspective, novel understandings of complex relationships between biological, informational, and energetic processes associated with normal psychological functioning and mental illness will lead to more effective integrative assessment and treatment strategies addressing the causes or meanings of symptoms at multiple hierarchic levels of body-brain-mind.

  7. Integrative mental health care: from theory to practice, Part 2. (United States)

    Lake, James


    Integrative approaches will lead to more accurate and different understandings of mental illness. Beneficial responses to complementary and alternative therapies provide important clues about the phenomenal nature of the human body in space-time and disparate biological, informational, and energetic factors associated with normal and abnormal psychological functioning. The conceptual framework of contemporary Western psychiatry includes multiple theoretical viewpoints, and there is no single best explanatory model of mental illness. Future theories of mental illness causation will not depend exclusively on empirical verification of strictly biological processes but will take into account both classically described biological processes and non-classical models, including complexity theory, resulting in more complete explanations of the characteristics and causes of symptoms and mechanisms of action that result in beneficial responses to treatments. Part 1 of this article examined the limitations of the theory and contemporary clinical methods employed in Western psychiatry and discussed implications of emerging paradigms in physics and the biological sciences for the future of psychiatry. In part 2, a practical methodology, for planning integrative assessment and treatment strategies in mental health care is proposed. Using this methodology the integrative management of moderate and severe psychiatric symptoms is reviewed in detail. As the conceptual framework of Western medicine evolves toward an increasingly integrative perspective, novel understanding of complex relationships between biological, informational, and energetic processes associated with normal psychological functioning and mental illness will lead to more effective integrative assessment and treatment strategies addressing the causes or meanings of symptoms at multiple hierarchic levels of body-brain-mind.

  8. XBoard: A Framework for Integrating and Enhancing Collaborative Work Practices (United States)

    Shab, Ted


    Teams typically collaborate in different modes including face-to-face meetings, meetings that are synchronous (i. e. require parties to participate at the same time) but distributed geographically, and meetings involving asynchronously working on common tasks at different times. The XBoard platform was designed to create an integrated environment for creating applications that enhance collaborative work practices. Specifically, it takes large, touch-screen enabled displays as the starting point for enhancing face-to-face meetings by providing common facilities such as whiteboarding/electronic flipcharts, laptop projection, web access, screen capture and content distribution. These capabilities are built upon by making these functions inherently distributed by allowing these sessions to be easily connected between two or more systems at different locations. Finally, an information repository is integrated into the functionality to provide facilities for work practices that involve work being done at different times, such as reports that span different shifts. The Board is designed to be extendible allowing customization of both the general functionality and by adding new functionality to the core facilities by means of a plugin architecture. This, in essence, makes it a collaborative framework for extending or integrating work practices for different mission scenarios. XBoard relies heavily on standards such as Web Services and SVG, and is built using predominately Java and well-known open-source products such as Apache and Postgres. Increasingly, organizations are geographically dispersed, and rely on "virtual teams" that are assembled from a pool of various partner organizations. These organizations often have different infrastructures of applications and workflows. The XBoard has been designed to be a good partner in these situations, providing the flexibility to integrate with typical legacy applications while providing a standards-based infrastructure that is

  9. Integrating policy, disintegrating practice: water resources management in Botswana (United States)

    Swatuk, Larry A.; Rahm, Dianne

    Botswana is generally regarded as an African ‘success story’. Nearly four decades of unabated economic growth, multi-party democracy, conservative decision-making and low-levels of corruption have made Botswana the darling of the international donor community. One consequence of rapid and sustained economic development is that water resources use and demands have risen dramatically in a primarily arid/semi-arid environment. Policy makers recognize that supply is limited and that deliberate steps must be taken to manage demand. To this end, and in line with other members of the Southern African Development Community (SADC), Botswana devised a National Water Master Plan (NWMP) and undertook a series of institutional and legal reforms throughout the 1990s so as to make water resources use more equitable, efficient and sustainable. In other words, the stated goal is to work toward Integrated Water Resources Management (IWRM) in both policy and practice. However, policy measures have had limited impact on de facto practice. This paper reflects our efforts to understand the disjuncture between policy and practice. The information presented here combines a review of primary and secondary literatures with key informant interviews. It is our view that a number of constraints-cultural, power political, managerial-combine to hinder efforts toward sustainable forms of water resources use. If IWRM is to be realized in the country, these constraints must be overcome. This, however, is no small task.

  10. Integrated management system best practices in radioecological laboratories

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Claudia Aparecida Zerbinatti de [Centro Tecnologico da Marinha em Sao Paulo (CTMSP), SP (Brazil). Dept. da Qualidade], e-mail:; Zouain, Desiree Moraes [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)], e-mail:


    This paper presents a Master dissertation advancements with the target of studying the best practices, in order to give support to an IMS conceptual model ?Integrated Management System (quality, environment, work safety and health), applied to radioecological laboratories. The planning of the proposed research comprises the following stages: first stage - the bibliographic and documental survey in IMS; a survey and study of the applied standards (QMS NBR ISO 9000 (2005), NBR ISO 9001 (2008), NBR ISO 9004 (2000), EMS 14001(2004) and OHSMS OHSAS 18001 (2007) and OHSAS 18002 (2008)); identification and characterization in radioecological laboratories processes; a methodological study of better practices and benchmarking is carried out. In the second stage of the research, the development of a case study is forecast (qualitative research, with electronic questionnaires and personal interviews, when possible), preceded by a survey and selection of international and national radioecological laboratories to be studied and, in sequence, these laboratories should be contacted and agree to participate in the research; in a third stage, the construction of a matrix of better practices, which incur in the results able to subside an IMS conceptual model proposition for radioecological laboratories; the fourth and last stage of the research comprises the construction of a conceptual proposal of an IMS structure for radioecological laboratories. The first stage of the research results are presented concisely, as well as a preliminary selection of laboratories to be studied. (author)

  11. Integrated management system best practices in radioecological laboratories

    International Nuclear Information System (INIS)

    Carvalho, Claudia Aparecida Zerbinatti de


    This paper presents a Master dissertation advancements with the target of studying the best practices, in order to give support to an IMS conceptual model ?Integrated Management System (quality, environment, work safety and health), applied to radioecological laboratories. The planning of the proposed research comprises the following stages: first stage - the bibliographic and documental survey in IMS; a survey and study of the applied standards (QMS NBR ISO 9000 (2005), NBR ISO 9001 (2008), NBR ISO 9004 (2000), EMS 14001(2004) and OHSMS OHSAS 18001 (2007) and OHSAS 18002 (2008)); identification and characterization in radioecological laboratories processes; a methodological study of better practices and benchmarking is carried out. In the second stage of the research, the development of a case study is forecast (qualitative research, with electronic questionnaires and personal interviews, when possible), preceded by a survey and selection of international and national radioecological laboratories to be studied and, in sequence, these laboratories should be contacted and agree to participate in the research; in a third stage, the construction of a matrix of better practices, which incur in the results able to subside an IMS conceptual model proposition for radioecological laboratories; the fourth and last stage of the research comprises the construction of a conceptual proposal of an IMS structure for radioecological laboratories. The first stage of the research results are presented concisely, as well as a preliminary selection of laboratories to be studied. (author)

  12. Integrated management system best practices in radioecological laboratories

    International Nuclear Information System (INIS)

    Carvalho, Claudia Aparecida Zerbinatti de


    The research aims to study the best practices to support a conceptual proposal for IMS - Integrated Management System (quality, environment, safety and health) applicable to Radioecology laboratories. The research design is organized into the following steps: in a first step, it was developed the bibliographic and documentary research in IMS, survey and study of standards (QMS ISO 9000 (2005), ISO 9001 (2008), ISO 9004 (2000), EMS ISO 14001 (2004) and OHSMS OHSAS 18001 (2007) and OHSAS 18002 (2008)), identification and characterization of processes in Radioecology Laboratories and study of best practices methodology and benchmarking; in the second stage of the research it was developed a case study (qualitative research, with questionnaires via e-mail and interviews, when possible), preceded by a survey and selection of international and national radioecology laboratories and then these laboratories were contacted and some of them agreed to participate in this research; in the third stage of the research it was built the framework of best practices that showed results that could support the conceptual proposal for the IMS Radioecology Laboratory; the fourth and final stage of research consisted in the construction of the proposed conceptual framework of SGI for Radioecology Laboratory, being then achieved the initial objective of the research. (author)

  13. Practical application of Integrated National Energy Planning (INEP) using microcomputers

    International Nuclear Information System (INIS)

    Munasinghe, M.


    The paper describes the use of a practical microcomputer-based, hierarchical modelling framework for Integrated National Energy Planning (INEP), and policy analysis. The rationale for the concept and the development of the methodology are traced, following the energy crises of the 1970s. Details of the INEP process, which includes analysis at three hierarchical levels (the energy-microeconomic, energy sector and energy subsector) are given. A description of the various models, the scenarios and assumptions used in the analysis, as well as the linkages and interactions, is provided. The Sri Lanka energy situation is summarized, and the principal energy issues and options derived from the modelling are used to synthesize a national energy strategy. (author). 11 refs, 8 figs, 11 tabs

  14. Integration of Formal Job Hazard Analysis and ALARA Work Practice

    CERN Document Server

    Nelsen, D P


    ALARA work practices have traditionally centered on reducing radiological exposure and controlling contamination. As such, ALARA policies and procedures are not well suited to a wide range of chemical and human health issues. Assessing relative risk, identifying appropriate engineering/administrative controls and selecting proper Personal Protective Equipment (PPE) for non nuclear work activities extends beyond the limitations of traditional ALARA programs. Forging a comprehensive safety management program in today's (2002) work environment requires a disciplined dialog between health and safety professionals (e.g. safety, engineering, environmental, quality assurance, industrial hygiene, ALARA, etc.) and personnel working in the field. Integrating organizational priorities, maintaining effective pre-planning of work and supporting a team-based approach to safety management represents today's hallmark of safety excellence. Relying on the mandates of any single safety program does not provide industrial hygien...

  15. Violence prevention in special education schools - an integrated practice? (United States)

    Pihl, Patricia; Grytnes, Regine; Andersen, Lars Peter S


    Research has shown that employees in special education settings are at high risk for work-related threats and violence. Previous research has not yet been able to identify the essential components of training programs that offer protection from work-related threats and violence. Therefore, the aim of this study was to explore how employees in special education schools deal with prevention of work-related threats and violence. Group interviews were conducted with 14 employees working at 5 special education schools. Results show that employees use a wide range of prevention strategies drawing on specific violence prevention techniques as well as professional pedagogical approaches. We propose that the prevention of threats and violence in special education schools can be understood as an integrated pedagogical practice operating on three interrelated levels. Copyright © 2018 Elsevier Ltd. All rights reserved.

  16. Russian practice of RPV integrity assessment under PTS conditions

    International Nuclear Information System (INIS)

    Piminov, V.; Dragunov, Yu.; Kostyrkin, S.; Akbachev, I.


    In this paper the approach used by Gidopress (main designer of Russian WWER reactors) for RPV integrity assessment is presented. Recently performed calculations for RPVs of Novoronezh NPP, units 3 and 4, are used as an example of practical application of this approach. The calculations have been performed on the base of Russian regulatory requirements, at the same time the recommendations of IAEA Guidelines for PTS assessment was also taken into account. The scope of the work includes: Analysis of real state of NPP systems and PTS selection; analysis of material behavior including results of templets investigation; thermal hydraulic calculations; structural analyses for the leading transients; development of supplementary measures to reduce the risk of RPV fracture. 5 refs, 9 figs, 1 tab

  17. Committee Opinion No. 661: Integrating Immunizations Into Practice. (United States)


    Immunization against vaccine-preventable diseases is an essential component of women's primary and preventive health care. Despite the importance of vaccination and clear guidance from public health agencies, rates of vaccination lag behind national goals. Obstetrician-gynecologists can play a major role in reducing morbidity and mortality from a range of vaccine-preventable diseases, including pertussis, influenza, human papillomavirus, and hepatitis. Given demonstrated vaccine efficacy and safety, and the large potential for prevention of many infectious diseases that affect adults, pregnant women, and newborns, obstetrician-gynecologists should include immunizations as an integral part of their practice. To do so, they must embrace their role as important sources of information and advice on immunization for adults, adolescents, and pregnant women, and advance their patients' well-being with continued efforts to augment immunization services in their offices. Increasing awareness combined with the many suggestions in this document will work to enhance immunization uptake.

  18. Miniaturized Balanced Antenna with Integrated Balun for Practical LTE Applications

    Directory of Open Access Journals (Sweden)

    I. T. E. Elfergani


    Full Text Available A design of dual-band balanced antenna structure operating in the 700 and 2600MHz LTE bands is studied and investigated. The overall dimensions of the radiator are 50 × 18 × 7 mm^3 allowing it to be easily concealed within mobile handsets. A broad-band balun is designed and integrated with the antenna handset in order to provide the feeding network and perform the measurements of the antenna radiation performance. Prototypes of proposed antenna with and without balun are fabricated and verified. The simulated and practical results with and without the handheld effects in terms of reflection coefficient, power gain and radiation pattern, are studied and shown reasonable agreement.

  19. Russian practice of RPV integrity assessment under PTS conditions

    Energy Technology Data Exchange (ETDEWEB)

    Piminov, V; Dragunov, Yu; Kostyrkin, S; Akbachev, I


    In this paper the approach used by Gidopress (main designer of Russian WWER reactors) for RPV integrity assessment is presented. Recently performed calculations for RPVs of Novoronezh NPP, units 3 and 4, are used as an example of practical application of this approach. The calculations have been performed on the base of Russian regulatory requirements, at the same time the recommendations of IAEA Guidelines for PTS assessment was also taken into account. The scope of the work includes: Analysis of real state of NPP systems and PTS selection; analysis of material behavior including results of templets investigation; thermal hydraulic calculations; structural analyses for the leading transients; development of supplementary measures to reduce the risk of RPV fracture. 5 refs, 9 figs, 1 tab.

  20. Shared Decision-Making for Nursing Practice: An Integrative Review. (United States)

    Truglio-Londrigan, Marie; Slyer, Jason T


    Shared decision-making has received national and international interest by providers, educators, researchers, and policy makers. The literature on shared decision-making is extensive, dealing with the individual components of shared decision-making rather than a comprehensive process. This view of shared decision-making leaves healthcare providers to wonder how to integrate shared decision-making into practice. To understand shared decision-making as a comprehensive process from the perspective of the patient and provider in all healthcare settings. An integrative review was conducted applying a systematic approach involving a literature search, data evaluation, and data analysis. The search included articles from PubMed, CINAHL, the Cochrane Central Register of Controlled Trials, and PsycINFO from 1970 through 2016. Articles included quantitative experimental and non-experimental designs, qualitative, and theoretical articles about shared decision-making between all healthcare providers and patients in all healthcare settings. Fifty-two papers were included in this integrative review. Three categories emerged from the synthesis: (a) communication/ relationship building; (b) working towards a shared decision; and (c) action for shared decision-making. Each major theme contained sub-themes represented in the proposed visual representation for shared decision-making. A comprehensive understanding of shared decision-making between the nurse and the patient was identified. A visual representation offers a guide that depicts shared decision-making as a process taking place during a healthcare encounter with implications for the continuation of shared decisions over time offering patients an opportunity to return to the nurse for reconsiderations of past shared decisions.

  1. Emergence of Integrated Urology-Radiation Oncology Practices in the State of Texas

    International Nuclear Information System (INIS)

    Jhaveri, Pavan M.; Sun Zhuyi; Ballas, Leslie; Followill, David S.; Hoffman, Karen E.; Jiang Jing; Smith, Benjamin D.


    Purpose: Integrated urology-radiation oncology (RO) practices have been advocated as a means to improve community-based prostate cancer care by joining urologic and radiation care in a single-practice environment. However, little is known regarding the scope and actual physical integration of such practices. We sought to characterize the emergence of such practices in Texas, their extent of physical integration, and their potential effect on patient travel times for radiation therapy. Methods and Materials: A telephone survey identified integrated urology-RO practices, defined as practices owned by urologists that offer RO services. Geographic information software was used to determine the proximity of integrated urology-RO clinic sites with respect to the state's population. We calculated patient travel time and distance from each integrated urology-RO clinic offering urologic services to the RO treatment facility owned by the integrated practice and to the nearest nonintegrated (independent) RO facility. We compared these times and distances using the Wilcoxon-Mann-Whitney test. Results: Of 229 urology practices identified, 12 (5%) offered integrated RO services, and 182 (28%) of 640 Texas urologists worked in such practices. Approximately 53% of the state population resides within 10 miles of an integrated urology-RO clinic site. Patients with a diagnosis of prostate cancer at an integrated urology-RO clinic site travel a mean of 19.7 miles (26.1 min) from the clinic to reach the RO facility owned by the integrated urology-RO practice vs 5.9 miles (9.2 min) to reach the nearest nonintegrated RO facility (P<.001). Conclusions: Integrated urology-RO practices are common in Texas and are generally clustered in urban areas. In most integrated practices, the urology clinics and the integrated RO facilities are not at the same location, and driving times and distances from the clinic to the integrated RO facility exceed those from the clinic to the nearest

  2. Is John Locke a democrat?

    DEFF Research Database (Denmark)

    Svensson, Palle

      Over recent years there has been a tendency to present John Locke as an equalitarian democrat (Ashcraft) and being close to the political views of the levellers (Waldron). This is not a completely new interpretation (Kendall, 1941), but contrasts with the prevalent view presented in textbooks (......, criteria for a democratic process, and the institutions of polyarchy. The conclusion has implications for the relationship between political liberalism and constitutionalism on the one hand and democracy on the other....

  3. Meritocratic administration and democratic stability

    DEFF Research Database (Denmark)

    Cornell, Agnes; Lapuente, Victor


    , in democracies with meritocratic administrations, incumbents are credibly constrained from undertaking partial policies because their hands are tied in terms of managing the staff policy of the state apparatus. Consequently, countries with meritocratic bureaucracies have greater prospects for democratic...... stability. Empirically, we illustrate the mechanisms with two well-documented cases of democratic transitions that enshrined a politicized administration – Spain (1876–1936) and Venezuela (1958–1998) – and one transition that kept a meritocratic bureaucracy, Spain (1975–)....

  4. Integrated Practice Improvement Solutions-Practical Steps to Operating Room Management. (United States)

    Chernov, Mikhail; Pullockaran, Janet; Vick, Angela; Leyvi, Galina; Delphin, Ellise


    Perioperative productivity is a vital concern for surgeons, anesthesiologists, and administrators as the OR is a major source of hospital elective admissions and revenue. Based on elements of existing Practice Improvement Methodologies (PIMs), "Integrated Practice Improvement Solutions" (IPIS) is a practical and simple solution incorporating aspects of multiple management approaches into a single open source framework to increase OR efficiency and productivity by better utilization of existing resources. OR efficiency was measured both before and after IPIS implementation using the total number of cases versus room utilization, OR/anesthesia revenue and staff overtime (OT) costs. Other parameters of efficiency, such as the first case on-time start and the turnover time (TOT) were measured in parallel. IPIS implementation resulted in increased numbers of surgical procedures performed by an average of 10.7%, and OR and anesthesia revenue increases of 18.5% and 6.9%, respectively, with a simultaneous decrease in TOT (15%) and OT for anesthesia staff (26%). The number of perioperative adverse events was stable during the two-year study period which involved a total of 20,378 patients. IPIS, an effective and flexible practice improvement model, was designed to quickly, significantly, and sustainably improve OR efficiency by better utilization of existing resources. Success of its implementation directly correlates with the involvement of and acceptance by the entire OR team and hospital administration.

  5. The School's Democratic Mission and Conflict Resolution: Voices of Swedish Educators (United States)

    Hakvoort, Ilse; Olsson, Elizabeth


    Swedish educational policy mandates have given schools a double mission: the development of content-based knowledge as well as the promotion of democratic values and competencies. While detailed learning outcomes are specified for content domains, the democratic mission is imprecisely described and unsupported by practical measures. This leaves…

  6. The Perceptions of Prospective Teachers on the Democratic Aspects of the Constructivist Learning Environment (United States)

    Bay, Erdal; Gundogdu, Kerim; Kaya, Halil Ibrahim


    Introduction: The nations which have the aim to create democratic societies should also realize the same ideals in educational practices. Related literature declare that learning environments based on constructivist approach is assumed to be democratic. In line with this frame, the aim of this study is to determine the perceptions of prospective…

  7. A Triangular Approach to Integrate Research, Education and Practice in Higher Engineering Education (United States)

    Heikkinen, Eetu-Pekka; Jaako, Juha; Hiltunen, Jukka


    Separate approaches in engineering education, research and practice are not very useful when preparing students for working life; instead, integration of education, research and industrial practices is needed. A triangular approach (TA) as a method to accomplish this integration and as a method to provide students with integrated expertise is…


    Directory of Open Access Journals (Sweden)

    Smail Oštraković


    Full Text Available The transition requirement for post communism countries, especially the part that is about military forces is to establish those civil-military relation that will have prepared projects for awareness evolving of society and military about necessity of democratic control over military sector of country through development of many different communication forms and shapes. Before everything, it means the entire freedom and independence of media at access to military forces as the topic and subject of its interests and also the organization of public military communication system as integral part of information-communication system in society

  9. Integrating Theory and Practice in Education with Business Games

    Directory of Open Access Journals (Sweden)

    Karen Neville


    Full Text Available The meaningful integration of theoretical knowledge and industrial practice in Masters level programmes is now more than ever vital to ensure that graduates have the required competence in IT and that they are ready to contribute to the organisations that hired them within a short timeframe. It is also crucial in ensuring ongoing industrial support for academia because Information technology (IT is regarded as a fundamental component in the success of organisations. This has led to a growing demand for IT specialists, sometimes with hybrid skills, to design, develop, implement, and support IT infrastures in both the public and private sectors. However, in recent years there has been a shortfall of IT graduates, with essential experience entering the job market. In order to keep up with demand, educational institutions must adopt innovative programmes to increase the skill-set and knowledge base of their IT graduates.One such programme, under the auspices of University College Cork, is a Masters course in Management Information and Managerial Accounting Systems (MIMAS. The programme focuses on IT to suit the needs of industry while also combining IT with other theoretical subjects like managerial accounting and the design of management control systems. One key element of the teaching experience is a business simulation where students create software companies and bid for a large scale development project. As part of this, they experience of broad range of tasks and problems inherent in commercial software development. The business game is designed to encourage students to make use of as much of the theoretical elements taught in the degree as possible and is mediated by the teaching staff through the intermediary of a purpose-designed computer system. Our experience indicates the immense value of such practical components in an IT oriented degree programme. It also shows that the application of new technology in training and education will only

  10. A Look at the Practice of Risk Classification: Integrative Review

    Directory of Open Access Journals (Sweden)

    Luiz Alves Morais Filho


    Full Text Available Introduction: the increase in the number of patients in emergency services / emergency brought the need for screening / risk classification as a way to organize the urgency and emergency care in the health institutions. Objectives: know how to develop the risk classification practice in the Brazilian reality using the scientific production, the insertion of nurses in risk classification using the Brazilian scientific production. Methods: an integrative review was carried out, the data occurred during September 2015 in the following databases: Scientific Electronic Library Online (SciELO, Medical Literature Analysis and Retrieval System Online (Medline, and the Latin American and Caribbean System of Information on Health Sciences (LILACS "GOOGLE SCHOLAR." Results: it found 9,874 articles and selected 33 for analysis. The results were organized in 04 categories: Risk classification as assistance qualifier; risk classification’s organization; operation weaknesses of the risk classification and nurse's role in risk classification. Conclusion: We conclude that the risk classification qualifies the assistance in emergency services; there are many difficulties for the risk classification’s operation and the nurse has been established as a professional with technical and legal competence to perform the risk classification.

  11. Finding Practical Approaches to Integrated Water Resources Management

    Directory of Open Access Journals (Sweden)

    John Butterworth


    Full Text Available Integrated Water Resources Management (IWRM has often been interpreted and implemented in a way that is only really suited to countries with the most developed water infrastructures and management capacities. While sympathetic to many of the criticisms levelled at the IWRM concept and recognising the often disappointing levels of adoption, this paper and the series of papers it introduces identify some alternative ways forward in a developmental context that place more emphasis on the practical in-finding solutions to water scarcity. A range of lighter, more pragmatic and context-adapted approaches, strategies and entry points are illustrated with examples from projects and initiatives in mainly 'developing' countries. The authors argue that a more service-orientated (WASH, irrigation and ecosystem services, locally rooted and balanced approach to IWRM that better matches contexts and capacities should build on such strategies, in addition to the necessary but long-term policy reforms and river basin institution-building at higher levels. Examples in this set of papers not only show that the 'lighter', more opportunistic and incremental approach has potential as well as limitations but also await wider piloting and adoption.

  12. Putting integrated reservoir characterization into practice - in house training

    Energy Technology Data Exchange (ETDEWEB)

    Wright, F.M. Jr.; Best, D.A.; Clarke, R.T. [Mobile Exploration and Producing Technical Center, Dallas, TX (United States)


    The need for even more efficient reservoir characterization and management has forced a change in the way Mobil Oil provides technical support to its production operations. We`ve learned that to be successful, a good understanding of the reservoir is essential. This includes an understanding of the technical and business significance of reservoir heterogeneities at different stages of field development. A multi-disciplinary understanding of the business of integrated reservoir characterization is essential and to facilitate this understanding, Mobil has developed a highly successful {open_quotes}Reservoir Characterization Field Seminar{close_quotes}. Through specific team based case studies that incorporate outcrop examples and data the program provides participants the opportunity to explore historic and alternative approaches to reservoir description, characterization and management. We explore appropriate levels and timing of data gathering, technology applications, risk assessment and management practices at different stages of field development. The case studies presented throughout the course are a unique element of the program which combine real life and hypothetical problem sets that explore how different technical disciplines interact, the approaches to a problem solving they use, the assumptions and uncertainties contained in their contributions and the impact those conclusions may have on other disciplines involved in the overall reservoir management process. The team building aspect of the course was an added bonus.

  13. Practical Strategies for Integrating Final Ecosystem Goods and ... (United States)

    The concept of Final Ecosystem Goods and Services (FEGS) explicitly connects ecosystem services to the people that benefit from them. This report presents a number of practical strategies for incorporating FEGS, and more broadly ecosystem services, into the decision-making process. Whether a decision process is in early or late stages, or whether a process includes informal or formal decision analysis, there are multiple points where ecosystem services concepts can be integrated. This report uses Structured Decision Making (SDM) as an organizing framework to illustrate the role ecosystem services can play in a values-focused decision-process, including: • Clarifying the decision context: Ecosystem services can help clarify the potential impacts of an issue on natural resources together with their spatial and temporal extent based on supply and delivery of those services, and help identify beneficiaries for inclusion as stakeholders in the deliberative process. • Defining objectives and performance measures: Ecosystem services may directly represent stakeholder objectives, or may be means toward achieving other objectives. • Creating alternatives: Ecosystem services can bring to light creative alternatives for achieving other social, economic, health, or general well-being objectives. • Estimating consequences: Ecosystem services assessments can implement ecological production functions (EPFs) and ecological benefits functions (EBFs) to link decision alt

  14. Gender integration in coeducational classrooms: Advancing educational research and practice. (United States)

    Fabes, Richard A; Martin, Carol Lynn; Hanish, Laura D; DeLay, Dawn


    Despite the fact that most boys and girls are in classrooms together, there is considerable variation in the degree to which their classrooms reflect gender integration (GI). In some classrooms, boys' and girls' relationships with each other are generally positive and harmonious. However, in other classes, students tend to only work with classmates of the same gender (i.e., gender segregation, GS), and cross-gender interactions seldom occur or, when they do, they may not be positive. As such, the coeducational context of schools provides no assurance that boys and girls work effectively together to learn, solve academic problems, and support one another in their academic efforts. The purpose of this perspective paper is to call attention to the importance of studying and understanding the role of GI in contemporary U.S. coeducational classrooms. Some of the costs associated with the failure to consider GI also are identified, as are implications for future research and educational practice. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  15. The Ethics of a Democratically-Based Classroom. (United States)

    Harrison, Gale A.


    The elite model of education postulates that only a select few have the intellectual capacity, moral values, and personal commitment to make "good" decisions for society. A democratically based classroom, where students are respected for their intellectual abilities, personal integrity, and commitment to achievement, fosters successful…

  16. Whole School Meetings and the Development of Radical Democratic Community (United States)

    Fielding, Michael


    Serious re-examination of participatory traditions of democracy is long overdue. Iconically central to such traditions of democratic education is the practice of whole School Meetings. More usually associated with radical work within the private sector, School Meetings are here explored in detail through two examples from publicly funded…

  17. Political Microcultures: Linking Civic Life and Democratic Discourse (United States)

    Perrin, Andrew J.


    At the core of democratic citizenship is deliberation: citizens' tendency and capacity for debating issues of common importance. This study considers civic organizations--often found to be political mobilizers--as political microcultures: environments for political discourse that structure participants' understanding of the practice of…

  18. Democratic School Leaders: Defining Ethical Leadership in a Standardized Context (United States)

    Gerstl-Pepin, Cynthia; Aiken, Judith A.


    The purpose of this article is to learn from active educational leaders engaged in the practice of democratic, ethical leadership. In this article, we share findings of a qualitative study that used narrative inquiry to examine the stories of eight educational leaders. We discuss three themes arising from the participants' narratives that define…

  19. The History of the Democratic Adult Education Movement in Spain (United States)

    Oliver, Esther; Tellado, Itxaso; Yuste, Montserrat; Larena-Fernández, Rosa


    Background/Context: Traditional adult education in Spain treated the learner as a mere object that could be shaped by the educator. Although current practices of the democratic adult education movement in Spain reveals a completely opposite standpoint on adult education, there has been little analysis of the several influences converging and…

  20. The Democratic Deficit and School-Based Management in Australia (United States)

    Kimber, Megan; Ehrich, Lisa Catherine


    Purpose: The paper seeks to apply the theory of the democratic deficit to school-based management with an emphasis on Australia. This theory was developed to examine managerial restructuring of the Australian Public Service in the 1990s. Given similarities between the use of managerial practices in the public service and government schools, the…

  1. Ella Flagg Young: Pioneer of Democratic School Administration. (United States)

    Webb, L. Dean; McCarthy, Martha M.


    Ella Flagg Young was the first woman superintendent of a large-city school system (Chicago, 1909-15) and the first woman president of the National Education Association (1910). A colleague of Dewey, Young pioneered democratic administrative practices in a scientific management era and organized school councils to give teachers a greater voice in…

  2. Enabling the democratization of the genomics revolution with a fully integrated web-based bioinformatics platform, Version 1.5 and 1.x.

    Energy Technology Data Exchange (ETDEWEB)


    EDGE bioinformatics was developed to help biologists process Next Generation Sequencing data (in the form of raw FASTQ files), even if they have little to no bioinformatics expertise. EDGE is a highly integrated and interactive web-based platform that is capable of running many of the standard analyses that biologists require for viral, bacterial/archaeal, and metagenomic samples. EDGE provides the following analytical workflows: quality trimming and host removal, assembly and annotation, comparisons against known references, taxonomy classification of reads and contigs, whole genome SNP-based phylogenetic analysis, and PCR analysis. EDGE provides an intuitive web-based interface for user input, allows users to visualize and interact with selected results (e.g. JBrowse genome browser), and generates a final detailed PDF report. Results in the form of tables, text files, graphic files, and PDFs can be downloaded. A user management system allows tracking of an individual’s EDGE runs, along with the ability to share, post publicly, delete, or archive their results.

  3. Publishing integrity and good practices in editing in biomedicine. (United States)

    Polenakovic, Momir; Gucev, Zoran


    The Macedonian Academy of Sciences and Arts (MASA), held a scientific workshop for journal editors in biomedicine: "Publishing integrity and good practices in editing in biomedicine" on April 25, 2014 in MASA, Skopje. The meeting looked into old problems and new situations in editing and publishing, with emphasis on the situation in developing countries. This global knowledge-based society is founded on the results obtained from scientific research. The data from basic research in developed countries contribute in a quite substantial manner to the newly added economic value. One of the main reasons for underdevelopment in South Eastern Europe (SEE) is certainly a low or non-existent contribution of scientific research in the newly added economic value. This has largely to do with the perception of the political elites which simply lack the insight on the crucial importance of science in development. In the long term this leads to societies in which there are distortions in the understanding of the most basic values. Academic publishing has experienced tremendous growth: so far there are at least 50 million scientific articles. Interestingly, publishing in developing countries has experienced a rate of growth higher than in developed countries. However, this is not the case with the Balkan countries. The meeting looked at some old and some newly emerging problems in editing and publishing. First, the high cost for universities and researchers to purchase journals adversely affects both publishing and editing. In developing countries the high cost of purchasing scientific literature is an almost insurmountable problem in spite of the fact that some publishing companies offer discounted fees. Open access journals in South Eastern European (SEE) countries are hardly achievable as this also incurs costs that have to be covered in some way or other. The peer review process has the fundamental difficulty that reviewers are in the situation of a Procrustean bed, tending to

  4. Evaluating the comparative effectiveness of different demand side interventions to increase maternal health service utilization and practice of birth spacing in South Kivu, Democratic Republic of Congo: an innovative, mixed methods approach. (United States)

    Dumbaugh, Mari; Bapolisi, Wyvine; van de Weerd, Jennie; Zabiti, Michel; Mommers, Paula; Balaluka, Ghislain Bisimwa; Merten, Sonja


    In this protocol we describe a mixed methods study in the province of South Kivu, Democratic Republic of Congo evaluating the effectiveness of different demand side strategies to increase maternal health service utilization and the practice of birth spacing. Conditional service subsidization, conditional cash transfers and non-monetary incentives aim to encourage women to use maternal health services and practice birth spacing in two different health districts. Our methodology will comparatively evaluate the effectiveness of different approaches against each other and no intervention. This study comprises four main research activities: 1) Formative qualitative research to determine feasibility of planned activities and inform development of the quantitative survey; 2) A community-based, longitudinal survey; 3) A retrospective review of health facility records; 4) Qualitative exploration of intervention acceptability and emergent themes through in-depth interviews with program participants, non-participants, their partners and health providers. Female community health workers are engaged as core members of the research team, working in tandem with female survey teams to identify women in the community who meet eligibility criteria. Female community health workers also act as key informants and community entry points during methods design and qualitative exploration. Main study outcomes are completion of antenatal care, institutional delivery, practice of birth spacing, family planning uptake and intervention acceptability in the communities. Qualitative methods also explore decision making around maternal health service use, fertility preference and perceptions of family planning. The innovative mixed methods design allows quantitative data to inform the relationships and phenomena to be explored in qualitative collection. In turn, qualitative findings will be triangulated with quantitative findings. Inspired by the principles of grounded theory, qualitative


    African Journals Online (AJOL)


    what actually constitute the fundamental challenges of the Nigerian democratic ... Democratic governance has inherent checks and balance principles that ..... billion on less than $2 a day globally (WDI, 2012), with Africa accounting for a large.

  6. Advancing Democratic Leadership through Critical Theory. (United States)

    Lees, Kimberly A.


    Examines how the concepts advanced by critical theorists exemplify democratic leadership. The concept of democratic leadership is explored as a moral imperative of human issues, and the implications of leadership behavior that emulate the principles of democracy are discussed. (SLD)

  7. The Democratic Party of Córdoba before the November 1931 elections

    Directory of Open Access Journals (Sweden)

    Desiree del Valle Osella


    Full Text Available The paper analyzes the Cordoba Democratic leaders's actions for orchestrating an electoral solution to the uriburista dictatorship, considering the results of the elections; strategy to integrate a national electoral antiyrigoyenista coalition (The National Democratic Party and the reaction that it brought about within the group. How ever the Democrats triumphed comfortably in the provincial and municipal elections; the PDN victory was not very pronounced. Integrating meant to PD coalition the defection of the leaders who saw in it the loss of the progressivism that characterized the Cordoba party

  8. AIM: An Integrated Approach to Organizational Improvement

    Directory of Open Access Journals (Sweden)

    Ronald A. Styron, Jr.


    Full Text Available This concept paper is based on the new problem-solving model of Blended Leadership called Alloy Improvement Model (AIM. This model consists of an integration of change theory, leadership theory, and democratic principles and practices to form a comprehensive problem-solving strategy for organizational leaders. The utilization of AIM will assist leaders in moving from problems to solutions while engaging stakeholders in a comprehensive, efficient, inclusive, informative, integrated and transparent process.

  9. Cultivating Perspectival Acuity: The Value and Cost of Integrating Theory, Craft, Research, and Practice

    Directory of Open Access Journals (Sweden)

    Joe Manganelli


    Full Text Available This paper presents reflections on integrating theory, craft, research, and practice to improve the accuracy and resiliency of each. The reflections build toward a set of statements about the value and the cost of integrating theory, craft, research, and practice. Specifically, the authors offer the Privileged Work / Non-Privileged Work Framework and concept of cultivating Perspectival Acuity.

  10. Investigating Practices in Teacher Education That Promote and Inhibit Technology Integration Transfer in Early Career Teachers (United States)

    Brenner, Aimee M.; Brill, Jennifer M.


    The purpose of this study was to identify instructional technology integration strategies and practices in preservice teacher education that contribute to the transfer of technology integration knowledge and skills to the instructional practices of early career teachers. This study used a two-phase, sequential explanatory strategy. Data were…

  11. democratic approaches to environmental education: dream or ...

    African Journals Online (AJOL)

    processes of democratic pedagogy are often antithetical to the processes of contemporary schooling. Based on a case study of an attempt at democratic pedagogy in an Australian primary school, this paper explores some of the factors that may ... individual citizens for participation in and commit- ment to democratic ...

  12. Democratic management and architecture school

    Directory of Open Access Journals (Sweden)

    Silvana Aparecida de Souza


    Full Text Available It is a conceptual and theoretical research on school organization and its democratization, focusing on one aspect of an objective nature: its architecture. The study was based on the academic literature on democratization and theoretical contribution of Michel Foucault, with regard to the analysis of space as a resourcecontrol, surveillance and training, going through a historical review of the modelconstruction of school buildings in Brazil. It is therefore a sociological analysis of the school environment, in relation to the democratization process of basic education, understood as ensuring that the conditions of access and permanence to a universalquality education, and conceived and gestated from collective interests of its users.We conclude that the architecture of public schools in Brazil do not provides democratic management, either by format controller of buildings constructed in the republican period, either by the current economic priority for the construction of public school buildings, which includes little or no space for collective activities. The character of the buildings remains controller, no more for its architecture, but made possible by technological development, which allows monitoring by video cameras, which is made with the permission and support of community.

  13. Deliberative Democratic Evaluation in Preschools (United States)

    Hreinsdottir, Anna Magnea; Davidsdottir, Sigurlina


    In this study, the merit of using deliberative democratic evaluations is studied in light of ten questions asked by House and Howe, which defined the approach and raise issues of interests, representation, and choice of stakeholders, power balances and procedures for controlling them, participation, reflection and deliberation. Suggestions by…

  14. Introducing Children to Democratic Government (United States)

    Alleman, Janet; Brophy, Jere


    Researchers have been studying children's knowledge, thinking, and attitudes about government for several decades. However, the studies focusing on elementary students, and especially primary students, have little or nothing to say about children's ideas about democracy or democratic government. That is because children at these ages have not yet…

  15. Adult education for democratic citizenship

    DEFF Research Database (Denmark)

    The report presents, in brief, the findings from the study of research literature on Adult Education for Democratic Citizenship, which was carried out in the nine EU member states represented by the project: Austria, Denmark, Germany, Hungary, Poland, Romania, Slovenia, Spain and United Kingdom...

  16. Professional integrity of teachers in Uganda : Practical action strategies

    NARCIS (Netherlands)

    Wabule, Alice


    The study analyses the problem of professional integrity of teachers in Uganda and explores solutions. It analyses the difficult conditions under which Ugandan teachers work, reports on the professional dilemmas that they face, and on the serious issues of failings of professional integrity. The

  17. Institutions and Cultural Diversity: Effects of Democratic and Propaganda Processes on Local Convergence and Global Diversity. (United States)

    Ulloa, Roberto; Kacperski, Celina; Sancho, Fernando


    In a connected world where people influence each other, what can cause a globalized monoculture, and which measures help to preserve the coexistence of cultures? Previous research has shown that factors such as homophily, population size, geography, mass media, and type of social influence play important roles. In the present paper, we investigate for the first time the impact that institutions have on cultural diversity. In our first three studies, we extend existing agent-based models and explore the effects of institutional influence and agent loyalty. We find that higher institutional influence increases cultural diversity, while individuals' loyalty to their institutions has a small, preserving effect. In three further studies, we test how bottom-up and top-down processes of institutional influence impact our model. We find that bottom-up democratic practices, such as referenda, tend to produce convergence towards homogeneity, while top-down information dissemination practices, such as propaganda, further increase diversity. In our last model--an integration of bottom-up and top-down processes into a feedback loop of information--we find that when democratic processes are rare, the effects of propaganda are amplified, i.e., more diversity emerges; however, when democratic processes are common, they are able to neutralize or reverse this propaganda effect. Importantly, our models allow for control over the full spectrum of diversity, so that a manipulation of our parameters can result in preferred levels of diversity, which will be useful for the study of other factors in the future. We discuss possible mechanisms behind our results, applications, and implications for political and social sciences.

  18. The experiences of professional nurses who have migrated to Canada: cosmopolitan citizenship or democratic racism? (United States)

    Turrittin, Jane; Hagey, Rebecca; Guruge, Sepali; Collins, Enid; Mitchell, Mitzi


    This interpretive research analyses the discourse of nurses who migrated to Canada and experienced racism. They also experienced reprisals when they formally complained about racism in a context of denial of the problem of racism by colleagues and employers. The present work focuses on two issues arising from the data: the problem of how to make racism visible among those who have a vested interest in denying its existence and the emotional cool of those filing grievances or complaints in contrast with the hot reaction of those being challenged when racism is named. We introduce two theoretical perspectives to address these phenomena called democratic racism and cosmopolitan citizenship, respectively. The former, as defined by Henry et al. (The Colour of Democracy: Racism in Canadian Society. Harcourt Brace, Canada, Toronto, 1996), describes the coexistence of both democratic values and practices that discount people of colour advertently or inadvertently. We outline the notion of cosmopolitan citizenship that is argued by Turner (Politics of the Global City. Routledge, London, 2000) to be an orientation resulting from global microcosms in cities teeming with diversity. The characteristic orientations of cool and stewardship are useful for describing some of the discourse expressed by each participant in our study all of whom challenged racism practices, not on nationalistic grounds, but rather out of concern for universal human rights. Their characteristics qualify them for cosmopolitan citizenship under Turner's perspective. We suggest that anti-racist activists have been cosmopolitan citizens for decades and argue that while cosmopolitan citizenship may have taken root in neo-liberal movements, it appears to have tactical attributes in the struggle with democratic racism. In conclusion, we advocate for a cosmopolitan citizenship ethic to facilitate a rational move toward racial integration in the profession through the sharing of power and privilege. One goal in

  19. Practical steps toward integrating economic, social and institutional elements in fisheries policy and management

    DEFF Research Database (Denmark)

    Stephenson, Robert L.; Benson, Ashleen J.; Brooks, Kate


    of explicit social, economic and institutional objectives; a general lack of process (frameworks, governance) for routine integration of all four pillars of sustainability; and a bias towards biological considerations. Practical integration requires a ‘systems’ approach with explicit consideration...... of strategic and operational aspects of management; multidisciplinary or transdisciplinary evaluations; practical objectives for the four pillars of sustainability; appropriate participation; and a governance system that is able to integrate these diverse considerations in management. We challenge all involved...... governance....

  20. Integrating Art into Science Education: A Survey of Science Teachers' Practices (United States)

    Turkka, Jaakko; Haatainen, Outi; Aksela, Maija


    Numerous case studies suggest that integrating art and science education could engage students with creative projects and encourage students to express science in multitude of ways. However, little is known about art integration practices in everyday science teaching. With a qualitative e-survey, this study explores the art integration of science…

  1. A practical criterion of irreducibility of multi-loop Feynman integrals

    International Nuclear Information System (INIS)

    Baikov, P.A.


    A practical criterion for the irreducibility (with respect to integration by part identities) of a particular Feynman integral to a given set of integrals is presented. The irreducibility is shown to be related to the existence of stable (with zero gradient) points of a specially constructed polynomial

  2. challenging less democratic school governing body practices

    African Journals Online (AJOL)

    Erna Kinsey

    tional and cultural backgrounds can participate in an investigation of one another's ... Unlike relativism (post-modern racism), the dialogic perspective emphasises ... to build their patterns of social activities in relation to moral values. (Peters in ...

  3. Integrating Practice Guidelines into Professional Training: Implications for Diversity Competence (United States)

    Miville, Marie L.; Duan, Changming; Nutt, Roberta L.; Waehler, Charles A.; Suzuki, Lisa; Pistole, M. Carole; Arredondo, Patricia; Duffy, Michael; Mejia, Brenda X.; Corpus, Melissa


    The authors present the findings of a special task group (STG) organized to explore effective training strategies for the practice guidelines focused on diverse populations. They provide a brief literature review and summarize survey data from academic training directors regarding current use of practice guidelines. The authors then describe the…

  4. Balance, Sustainable Development, and Integration: Innovative Path for BIT Practice


    Zeng Huaqun


    Bilateral investment treaties (BITs) have emerged as one of the most remarkable recent developments in international law and the hot topic of international lawyers. The author indicates that in the history of BIT practice, there is an issue on imbalance and/or un-equality between developed states and developing states due to historical and practical reasons. Under the economic globalization the main clauses of BITs have been further developed to the traditional track elaborately designed by d...

  5. Vertical Integration in Teaching And Learning (VITAL): an approach to medical education in general practice. (United States)

    Dick, Marie-Louise B; King, David B; Mitchell, Geoffrey K; Kelly, Glynn D; Buckley, John F; Garside, Susan J


    There is increasing demand to provide clinical and teaching experiences in the general practice setting. Vertical integration in teaching and learning, whereby teaching and learning roles are shared across all learner stages, has the potential to decrease time demands and stress on general practitioners, to provide teaching skills and experience to GP registrars, and to improve the learning experience for medical students, and may also help meet the increased demand for teaching in general practice. We consider potential advantages and barriers to vertical integration of teaching in general practice, and provide results of focus group discussions with general practice principals and registrars about vertical integration. We recommend further research into the feasibility of using vertical integration to enhance the capacity to teach medical students in general practice.

  6. Integrating virtual reality video games into practice: clinicians' experiences. (United States)

    Levac, Danielle E; Miller, Patricia A


    The Nintendo Wii is a popular virtual reality (VR) video gaming system in rehabilitation practice and research. As evidence emerges related to its effectiveness as a physical therapy training method, clinicians require information about the pragmatics of its use in practice. The purpose of this descriptive qualitative study is to explore observations and insights from a sample of physical therapists (PTs) working with children with acquired brain injury regarding practical implications of using the Wii as a physical therapy intervention. Six PTs employed at a children's rehabilitation center participated in semi-structured interviews, which were transcribed and analyzed using content analysis. Two themes summarize the practical implications of Wii use: 1) technology meets clinical practice; and 2) onus is on the therapist. Therapists described both beneficial and challenging implications arising from the intersection of technology and practice, and reported the personal commitment required to orient oneself to the gaming system and capably implement this intervention. Findings include issues that may be relevant to professional development in a broader rehabilitation context, including suggestions for the content of educational initiatives and the need for institutional support from managers in the form of physical resources for VR implementation.

  7. Integrating renewable energy into general practice : final report

    Energy Technology Data Exchange (ETDEWEB)



    This feasibility study was conducted to determine the viability of integrating solar thermal residential domestic hot water systems and community ground source heating and air conditioning within low-income housing projects in Toronto. The study examined the organizational changes needed to incorporate renewable energy systems for small-scale district and individual homes. The study was conducted on behalf of Habitat for Humanity (HFHT). Results of the study showed that the most significant benefits of integrating renewable energy systems will be the elimination of fossil fuel usage; reductions in home operating costs for partner families; and the potential for leveraging increased sponsorship funds. A geoexchange heating, ventilation and air conditioning (HVAC) system was recommended for the new HFHT headquarters as well as for future housing projects. It was concluded that HFHT should prepare for increased integration of renewable energy technologies as capital costs decrease and greater financial incentives become available. 15 tabs., 3 figs.

  8. Diversified integration of practical teaching resources in ideological and political course in colleges and universities (United States)

    Xu, Jin; Chu, Biao


    To promote diversified integration and integrated use of practical teaching resources in ideological and political education in colleges and universities is helpful to extend the ideological and political teaching activities in colleges and universities, to update and supplement ideological and political knowledge, to build a harmonious learning environment for students and to comprehensively improve their ideological and political accomplishments. This article will analyze of ideological and political practical teaching resources diversified integration and the integration of programs by examples, and put forward personal opinions.

  9. Democratic reinforcement: A principle for brain function

    International Nuclear Information System (INIS)

    Stassinopoulos, D.; Bak, P.


    We introduce a simple ''toy'' brain model. The model consists of a set of randomly connected, or layered integrate-and-fire neurons. Inputs to and outputs from the environment are connected randomly to subsets of neurons. The connections between firing neurons are strengthened or weakened according to whether the action was successful or not. Unlike previous reinforcement learning algorithms, the feedback from the environment is democratic: it affects all neurons in the same way, irrespective of their position in the network and independent of the output signal. Thus no unrealistic back propagation or other external computation is needed. This is accomplished by a global threshold regulation which allows the system to self-organize into a highly susceptible, possibly ''critical'' state with low activity and sparse connections between firing neurons. The low activity permits memory in quiescent areas to be conserved since only firing neurons are modified when new information is being taught

  10. The Ongoing Dynamics of Integrating Sustainability into Business Practice

    DEFF Research Database (Denmark)

    Morsing, Mette; Oswald, Dennis; Stormer, Susanne


    , how can organizations demonstrate that their sustainability declarations are not just “good looks”. Specifically, the study unfolds Novo Nordisk’s long-term commitment to sustainable practices and the company’s validation of these practices by focusing on how issues of sustainability have been......This study raises the question of how managers can adopt appropriate management control systems to communicate to employees and other stakeholders what behavior is desired, and how they can work to ensure that their corporate sustainability claims are implemented at the operational level. That is...

  11. Technology Integration in Elementary Classrooms: Teaching Practices of Student Teachers (United States)

    Liu, Ping


    This study examines how and why student teachers integrated technology to enhance instruction in elementary classrooms. The participants were 31 student teachers who completed an assignment of eight weeks. Multiple data sets including observation notes of 347 lessons were obtained from three key groups for data triangulation. Results reveal that…

  12. Integral methods in science and engineering theoretical and practical aspects

    CERN Document Server

    Constanda, C; Rollins, D


    Presents a series of analytic and numerical methods of solution constructed for important problems arising in science and engineering, based on the powerful operation of integration. This volume is meant for researchers and practitioners in applied mathematics, physics, and mechanical and electrical engineering, as well as graduate students.

  13. Online Learning Integrity Approaches: Current Practices and Future Solutions (United States)

    Lee-Post, Anita; Hapke, Holly


    The primary objective of this paper is to help institutions respond to the stipulation of the Higher Education Opportunity Act of 2008 by adopting cost-effective academic integrity solutions without compromising the convenience and flexibility of online learning. Current user authentication solutions such as user ID and password, security…

  14. Computer integrated manufacturing in the chemical industry : Theory & practice

    NARCIS (Netherlands)

    Ashayeri, J.; Teelen, A.; Selen, W.J.


    This paper addresses the possibilities of implementing Computer Integrated Manufacturing in the process industry, and the chemical industry in particular. After presenting some distinct differences of the process industry in relation to discrete manufacturing, a number of focal points are discussed.

  15. Integration, Language, and Practice: Wittgenstein and Interdisciplinary Communication (United States)

    Piso, Zachary


    The dominant account of interdisciplinary integration mobilizes linguistic metaphors such as bilingualism or the learning of new languages. While there is something right about these linguistic metaphors, I urge caution about philosophical confusions that can arise in the absence of careful scrutiny of how our language relates to the world.…

  16. Driving Performance Improvements by Integrating Competencies with Human Resource Practices (United States)

    Lee, Jin Gu; Park, Yongho; Yang, Gi Hun


    This study explores the issues in the development and application of a competency model and provides implications for more precise integration of competencies into human resource (HR) functions driving performance improvement. This research is based on a case study from a Korean consumer corporation. This study employed document reviews,…

  17. Integrated Sustainability Reporting at HNE Eberswalde--A Practice Report (United States)

    Kräusche, Kerstin; Pilz, Stefanie


    Purpose: The purpose of this paper is to present the development of an integrated sustainability reporting. In this paper success criteria are named and empirical values when dealingwith specific challenges are formulated. The focus is on the development of criteria for reporting, the involvement of university members and quality assurance.…

  18. Laying the Foundations for Democratic Behavior - A Comparison of Two Different Approaches to Democratic Education

    Directory of Open Access Journals (Sweden)

    Viola HUANG


    Full Text Available A democracy is a society in which everyone has equal rights and is able to participate in decision-making processes. Consequently, in a democratic society, democratic behavior is essential. This work investigates the question: In what ways and to what extent can alternative models of education support the development of democratic skills in children? To explore this question, the author analyzes and compares two different approaches to democratic education: The Sudbury approach and the democratic free school approach. The study is based on qualitative research participant observation and open-ended interviews conducted at different Sudbury and democratic free schools in the US.

  19. Democratizing the Multinational Corporation (MNC)

    DEFF Research Database (Denmark)

    Andersen, Torben Juul; Hallin, Carina Antonia


    insights that can be used strategically if management at headquarters is cognizant about its existence and able to collect this information. We introduce the notion of democratizing the strategic engagement of managers and employees at all levels and locations of the multinational corporation (MNC......) as an essential leadership paradigm. The implied interaction between slow central analytical reasoning at headquarters and updated insights from fast decentralized initiatives in local subsidiaries constitutes an effective dynamic responsive mechanism. This dynamic interaction implies that critical strategic...

  20. Democratization of philosophy of technologies


    Arun Kumar Tripathi


    Technology is a form of culture. Technology is shaping the theoretical framework of our social existence. The technological form of life is part and parcel of culture, just as culture in the human sense inescapably implies technologies. There are unfathomable effects of technology on human culture and society. This paper presents the background and the editorial introduction to the special issue: symposium on Education, Technology, & Democracy: Democratization of Technologies.

  1. Integrating new practices: a qualitative study of how hospital innovations become routine. (United States)

    Brewster, Amanda L; Curry, Leslie A; Cherlin, Emily J; Talbert-Slagle, Kristina; Horwitz, Leora I; Bradley, Elizabeth H


    Hospital quality improvement efforts absorb substantial time and resources, but many innovations fail to integrate into organizational routines, undermining the potential to sustain the new practices. Despite a well-developed literature on the initial implementation of new practices, we have limited knowledge about the mechanisms by which integration occurs. We conducted a qualitative study using a purposive sample of hospitals that participated in the State Action on Avoidable Rehospitalizations (STAAR) initiative, a collaborative to reduce hospital readmissions that encouraged members to adopt new practices. We selected hospitals where risk-standardized readmission rates (RSRR) had improved (n = 7) or deteriorated (n = 3) over the course of the first 2 years of the STAAR initiative (2010-2011 to 2011-2012) and interviewed a range of staff at each site (90 total). We recruited hospitals until reaching theoretical saturation. The constant comparative method was used to conduct coding and identification of key themes. When innovations were successfully integrated, participants consistently reported that a small number of key staff held the innovation in place for as long as a year while more permanent integrating mechanisms began to work. Depending on characteristics of the innovation, one of three categories of integrating mechanisms eventually took over the role of holding new practices in place. Innovations that proved intrinsically rewarding to the staff, by making their jobs easier or more gratifying, became integrated through shifts in attitudes and norms over time. Innovations for which the staff did not perceive benefits to themselves were integrated through revised performance standards if the innovation involved complex tasks and through automation if the innovation involved simple tasks. Hospitals have an opportunity to promote the integration of new practices by planning for the extended effort required to hold a new practice in place while

  2. Cognitive Development and Adolescent Contraception: Integrating Theory and Practice. (United States)

    Gruber, Enid; Chambers, Christopher V.


    Asserts that cognitive skills that develop during adolescence are crucial to successful contraceptive practice and that practitioners must understand special developmental setting in which adolescent sexual growth and experimentation occur in order to impact contraceptive use. Demonstrates how health and medical providers can work together to…

  3. Integration of Interactive Whiteboard in Swedish Preschool Practices (United States)

    Bourbour, Maryam; Vigmo, Sylvi; Samuelsson, Ingrid Pramling


    This paper aims at exploring the roles preschool teachers give technologies in mathematics education and the ways they structure their mathematics learning activities using interactive whiteboard (IWB) as a technological artefact. Data collected from observations of three preschool teachers embedding IWB in a preschool practice in Sweden provided…

  4. Integration of Histology Lectures and Practical Teaching in China (United States)

    Lu, Xiaoye; Cheng, Xin; Li, Ke; Lee, Kenneth Ka Ho; Yang, Xuesong


    Objectives: Human histology is a discipline concerning the study of microscopic structures of human tissues and organs--with the aid of light or electron microscopes. Traditional teaching of histology is composed of two separated components, theory and practice. The main disadvantage with traditional histology teaching is the detachment of theory…

  5. Democratic values, emotions and emotivism

    Directory of Open Access Journals (Sweden)

    Vranić Bojan


    Full Text Available The aim of this paper is to explore the relation between democratic values and emotions. The author argues that democratic values and emotional judgments are inter-reducible: political agents use emotional judgments to reflexively evaluate normative paradigms of political life. In the first part of the paper, the author describes the state of emotions in contemporary political philosophy and identifies Charles Stevenson’s ethical conception of emotivism as the first comprehensive attempt to neutrally conceptualize emotions in moral and political thinking. The second part of the paper explores the shortcomings of emotivism and finds an adequate alternative in Martha Nussbaum’s concept of emotional judgment as the one that contains beliefs and values about social objects. In the final part of the paper, the author identifies that moral and political disagreements emerge in democracies from ranking of the importance of political objects. The evaluation criteria for this type of ranking is derived from democratic values which are reducible to agents’ emotional judgments. [Projekat Ministarstva nauke Republike Srbije, br. 179076

  6. Democratizing the world health organization. (United States)

    van de Pas, R; van Schaik, L G


    A progressive erosion of the democratic space appears as one of the emerging challenges in global health today. Such delimitation of the political interplay has a particularly evident impact on the unique public interest function of the World Health Organization (WHO). This paper aims to identify some obstacles for a truly democratic functioning of the UN specialized agency for health. The development of civil society's engagement with the WHO, including in the current reform proposals, is described. The paper also analyses how today's financing of the WHO--primarily through multi-bi financing mechanisms--risks to choke the agency's role in global health. Democratizing the public debate on global health, and therefore the role of the WHO, requires a debate on its future role and engagement at the country level. This desirable process can only be linked to national debates on public health, and the re-definition of health as a primary political and societal concern. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  7. Promoting better integration of health information systems: best practices and challenges

    NARCIS (Netherlands)

    Michelsen, K.; Brand, H.; Achterberg, P.; Wilkinson, J.


    Health Evidence Network Synthesis Report [Promoting better integration of health information systems: best practices and challenges K Michelsen, H Brand, P Achterberg, J Wilkinson - 2015 ... Authors Kai Michelsen Department of International Health, Maastricht University Maastricht,

  8. Exploring a pedagogical approach to integrating research, practice and teaching. (United States)

    Newton, Jennifer M; McKenna, Lisa G; Gilmour, Carole; Fawcett, Jacqueline


    Application of evidence is accepted as an important component of clinical practice. Teaching research to undergraduate students has been reported internationally as a challenge, particularly for nurse educators. In this paper, reported is a strategy designed to enhance research learning for undergraduate midwifery students at one university, which formed part of a larger, international investigation into women's responses to caesarean birth. Following theory classes and briefings, students worked with their clinical educators in practice to interview women using existing tools, and were engaged in qualitative data analysis. A number of challenges were encountered throughout the process, both for the educators and students. However, the teaching approach provided benefits for students in learning about midwifery research. Recommended as essential is for continued development of pedagogical approaches that make research tangible for students. Furthermore, provision of support for clinical staff working with students is important for success of such approaches.

  9. The feminist/emotionally focused therapy practice model: an integrated approach for couple therapy. (United States)

    Vatcher, C A; Bogo, M


    Emotionally focused therapy (EFT) is a well-developed, empirically tested practice model for couple therapy that integrates systems, experiential, and attachment theories. Feminist family therapy theory has provided a critique of biased assumptions about gender at play in traditional family therapy practice and the historical absence of discussions of power in family therapy theory. This article presents an integrated feminist/EFT practice model for use in couple therapy, using a case from practice to illustrate key concepts. Broadly, the integrated model addresses gender roles and individual emotional experience using a systemic framework for understanding couple interaction. The model provides practitioners with a sophisticated, comprehensive, and relevant practice approach for working with the issues and challenges emerging for contemporary heterosexual couples.

  10. Physician organization-practice team integration for the advancement of patient-centered care. (United States)

    Wise, Christopher G; Alexander, Jeffrey A; Green, Lee A; Cohen, Genna R


    The patient-centered medical home is being promoted as a cornerstone for transforming primary care. Physician organizations (POs) are playing a more prominent role by facilitating practices' transformation to the patient-centered medical home. Using a framework of organizational integration, we investigated the changing relationship between POs and practices through qualitative interviews. Through increased integration, POs can support both the big picture and day-to-day activities of practice transformation. Most PO-practice unit connections we identified reflected new areas of engagement-competencies that POs were not developing in the past-that are proving integral to the broad-scale practice change of patient-centered medical home implementation.

  11. Students integrate knowledge acquisition and practical work in the laboratory. (United States)

    Agüera, E I; Sánchez-Hermosín, P; Díz-Pérez, J; Tovar, P; Camacho, R; Escribano, B M


    The aim of the present work was to transfer a wider concept of teamwork and self-learning to the laboratory, encouraging students' capabilities when seeking, acquiring, and processing knowledge. This educational innovation was carried out with a total of 38 students (fourth year of degree in Biology) in the area of physiology (Advances in Reproduction course) at University of Córdoba in Córdoba, Spain. The design of the project's application methodology consisted of establishing a way in which problems would be tackled in the practical classes. For this purpose, the different tasks were set up so that students could relate them to the concepts learned in the theory classes. On the first day of class, the project was presented to the students. Groups of two to three students worked in the laboratory and set up an outline of the protocol of the practical work that they had done. This outline was performed individually and sent to the lecturers through a learning management system (Moodle). The teachers gave feedback and assessed student submissions. Upon finishing the course, students completed a survey. The project-based learning method promotes practical self-learning on the part of students. This methodology demonstrated to us that it stimulates a critical and self-critical capacity in students, both individually and in groups, and that writing didactic practical material helped students to enhance their theory knowledge. The experiment was a success in view of the scores obtained upon finishing the subject. Copyright © 2015 The American Physiological Society.

  12. The Integral Fast Reactor: A practical approach to waste management

    International Nuclear Information System (INIS)

    Laidler, J.J.


    This report discusses development of the method for pyroprocessing of spent fuel from the Integral Fast Reactor (or Advanced Liquid Metal Reactor). The technology demonstration phase, in which recycle will be demonstrated with irradiated fuel from the EBR-II reactor has been reached. Methods for recovering actinides from spent LWR fuel are at an earlier stage of development but appear to be technically feasible at this time, and a large-scale demonstration of this process has begun. The utilization of fully compatible processes for recycling valuable spent fuel materials promises to provide substantial economic incentives for future applications of the pyroprocessing technology

  13. Practical considerations for integrating switch mode audio amplifiers and loudspeakers for a higher power efficiency

    DEFF Research Database (Denmark)

    Poulsen, Søren; Andersen, Michael Andreas E.


    An integration of electrodynamic loudspeakers and switch mode amplifiers has earlier been proposed in [1]. The work presented in this paper is related to the practical aspects of integration of switch mode audio amplifiers and electro dynamic loudspeakers, using the speaker’s voice coil as output...

  14. Issues and Impediments Faced by Canadian Teachers While Integrating ICT in Pedagogical Practice (United States)

    Saxena, Anoop


    Teachers in many schools struggle to integrate Information and Communications Technology (ICT) as part of their teaching practice. Among the issues faced by teachers when attempting to integrate ICT into their classrooms are gaps in ICT knowledge and skills, lack of training and inadequate support and scaffolding. Other issues include inability to…

  15. Integrating 3D Printing into an Early Childhood Teacher Preparation Course: Reflections on Practice (United States)

    Sullivan, Pamela; McCartney, Holly


    This reflection on practice describes a case study integrating 3D printing into a creativity course for preservice teachers. The theoretical rationale is discussed, and the steps for integration are outlined. Student responses and reflections on the experience provide the basis for our analysis. Examples and resources are provided, as well as a…

  16. Meeting the Challenge of Preparing Social Workers for Integrated Health Practice: Evidence from Two MSW Cohorts (United States)

    Rishel, Carrie W.; Hartnett, Helen P.


    Changes in health care policy have led to an expansion of integrated care models that rely on collaboration among interprofessional health teams. Recent federal funding has encouraged the development of innovative training models to prepare social workers for integrated health practice. This article presents evidence from the first two MSW cohorts…

  17. Tech-Savvy Science Education? Understanding Teacher Pedagogical Practices for Integrating Technology in K-12 Classrooms (United States)

    Hechter, Richard; Vermette, Laurie Anne


    This paper examines the technology integration practices of Manitoban K-12 inservice science educators based on the Technological, Pedagogical, and Content knowledge (TPACK) framework. Science teachers (n = 433) completed a 10-item online survey regarding pedagogical beliefs about technology integration, types of technology used, and how often…

  18. Theory and (In) Practice: The Problem of Integration in Art and Design Education (United States)

    Rintoul, Jenny Ruth


    This paper examines the relationship between art "theory" and art "practice" in British art education at post-compulsory level, with a focus on the ways in which theory is framed and delivered and what this means for its integration. Drawing upon constructions of knowledge and approaches to integration as a technique and…

  19. The Integration of New Media in Schools: Comparing Policy with Practice (United States)

    Ismail, Nurzali


    Beyond policy, this paper investigates the actual practice related to the integration of new media in schools. Despite continuous government effort to integrate new media in schools, the use of digital technologies for teaching and learning in the classroom remains limited. This study suggests that, apart from the issue related to the state of…

  20. Decision-making in nursing practice: An integrative literature review. (United States)

    Nibbelink, Christine W; Brewer, Barbara B


    To identify and summarise factors and processes related to registered nurses' patient care decision-making in medical-surgical environments. A secondary goal of this literature review was to determine whether medical-surgical decision-making literature included factors that appeared to be similar to concepts and factors in naturalistic decision making (NDM). Decision-making in acute care nursing requires an evaluation of many complex factors. While decision-making research in acute care nursing is prevalent, errors in decision-making continue to lead to poor patient outcomes. Naturalistic decision making may provide a framework for further exploring decision-making in acute care nursing practice. A better understanding of the literature is needed to guide future research to more effectively support acute care nurse decision-making. PubMed and CINAHL databases were searched, and research meeting criteria was included. Data were identified from all included articles, and themes were developed based on these data. Key findings in this review include nursing experience and associated factors; organisation and unit culture influences on decision-making; education; understanding patient status; situation awareness; and autonomy. Acute care nurses employ a variety of decision-making factors and processes and informally identify experienced nurses to be important resources for decision-making. Incorporation of evidence into acute care nursing practice continues to be a struggle for acute care nurses. This review indicates that naturalistic decision making may be applicable to decision-making nursing research. Experienced nurses bring a broad range of previous patient encounters to their practice influencing their intuitive, unconscious processes which facilitates decision-making. Using naturalistic decision making as a conceptual framework to guide research may help with understanding how to better support less experienced nurses' decision-making for enhanced patient

  1. Teachers as curriculum leaders: towards promoting gender equity as a democratic ideal


    Simmonds, Shan


    Curriculum is a site of political, racial, gendered, and theological dispute. Teachers who acknowledge this and see the implications for democratic living embrace their teaching practice as curriculum leaders and participate in complicated conversations. With the focus on gender equity as a democratic ideal, this article explores the lived experiences of some South African female teachers. From the findings, it became evident that some teachers still experience their school contexts as pervad...

  2. The Teacher Technology Integration Experience: Practice and Reflection in the Classroom (United States)

    Ruggiero, Dana; Mong, Christopher J.


    Previous studies indicated that the technology integration practices of teachers in the classroom often did not match their teaching styles. Researchers concluded that this was due, at least partially, to external barriers that prevented teachers from using technology in ways that matched their practiced teaching style. Many of these barriers,…

  3. How an Integrative STEM Curriculum Can Benefit Students in Engineering Design Practices (United States)

    Fan, Szu-Chun; Yu, Kuang-Chao


    STEM-oriented engineering design practice has become recognized increasingly by technology education professionals in Taiwan. This study sought to examine the effectiveness of the application of an integrative STEM approach within engineering design practices in high school technology education in Taiwan. A quasi-experimental study was conducted…

  4. Learner Behaviour in a MOOC Practice-Oriented Course: In Empirical Study Integrating TAM and TPB (United States)

    Yang, Hsi-Hsun; Su, Chung-Ho


    Few practice-oriented courses are currently integrated into online learning platforms, such as OpenCourseWare, Khan Academy, and Massive Open Online Courses (MOOCs). It is worthwhile to explore how learners respond to information technology and new teaching methods when practice-oriented course are placed online. Therefore, this study probes…

  5. Bridging the gap between theory and practice in integrated assessment

    International Nuclear Information System (INIS)

    Lee, Norman


    There is growing support for the use of integrated assessments (IAs)/sustainability impact assessments (SIAs), at different government levels and geographic scales of policy-making and planning, both nationally and internationally. However, delivering good quality IAs/SIAs, in the near future, could be challenging. This paper mainly focuses upon one area of concern, differences between research and other technical contributions intended to strengthen assessment methodologies and the types of assessment methods considered usable by practitioners. To help in addressing this concern, the development of a common assessment framework is proposed, which is based on a shared, practitioner-researcher-stakeholder understanding of what constitutes a satisfactory integrated/sustainability impact assessment. The paper outlines a possible structure for this framework, which contains three interconnected elements-the planning context in which the assessment is to be carried out; the process by which the assessment is to be undertaken and its findings used; and the methods, technical and consultative, by which impacts are to be assessed. It concludes with suggested 'next steps', addressed to researchers, practitioners and other stakeholders, by which the assessment framework might be tested and improved, and its subsequent use supported

  6. Enriching Practical Knowledge : Exploring Student teachers’ Competences in Integrating Theory and Practice of Mathematics Teaching

    NARCIS (Netherlands)

    Oonk, W.; Verloop, N.; Gravemeijer, K.P.E.


    This study concentrated on the theory–practice problem in mathematics teacher education. We examined 13 student teachers’ use of theory when they reflected on teaching practice in a class specifically designed to optimize the chance for theory use. We developed a Reflection Analysis Instrument with

  7. Laying the Foundations for Democratic Behavior - A Comparison of Two Different Approaches to Democratic Education


    Viola HUANG


    A democracy is a society in which everyone has equal rights and is able to participate in decision-making processes. Consequently, in a democratic society, democratic behavior is essential. This work investigates the question: In what ways and to what extent can alternative models of education support the development of democratic skills in children? To explore this question, the author analyzes and compares two different approaches to democratic education: The Sudbury approach and the democr...

  8. [International relationships in ophthalmology in the German Democratic Republic (GDR)]. (United States)

    Jähne, M


    International relationships in ophthalmology in the former German Democratic Republic (GDR) were directed by the government and predominantly promoted relationships to socialist countries in Eastern Europe. The lack of freedom of travel, restrictions of import for scientific journals and general prevention of contacts by the State security service led to a stagnation in daily practice and in research, mainly from 1961 until 1989.

  9. Integrating water quality responses to best management practices in Portugal. (United States)

    Fonseca, André; Boaventura, Rui A R; Vilar, Vítor J P


    Nutrient nonpoint pollution has a significant impact on water resources worldwide. The main challenge of this work was to assess the application of best management practices in agricultural land to comply with water quality legislation for surface waters. The Hydrological Simulation Program-FORTRAN was used to evaluate water quality of Ave River in Portugal. Best management practices (infiltration basin) (BMP) were applied to agricultural land (for 3, 6, 9, 12, and 15% area) with removal efficiencies of 50% for fecal coliforms and 30% for nitrogen, phosphorus, and biochemical oxygen demand. The inflow of water quality constituents was reduced for all scenarios, with fecal coliforms achieving the highest reduction between 5.8 and 28.9% and nutrients and biochemical oxygen demand between 2 and 13%. Biochemical oxygen demand and orthophosphates concentrations achieved a good water quality status according to the European Legislation for scenarios of BMP applied to 3 and 12% agricultural area, respectively. Fecal coliform levels in Ave River basin require further treatment to fall below the established value in the abovementioned legislation. This study shows that agricultural watersheds such as Ave basins demand special attention in regard to nonpoint pollution sources effects on water quality and nutrient loads.

  10. Teachers' Integration of Scientific and Engineering Practices in Primary Classrooms (United States)

    Merritt, Eileen G.; Chiu, Jennie; Peters-Burton, Erin; Bell, Randy


    The Next-Generation Science Standards (NGSS) challenge primary teachers and students to work and think like scientists and engineers as they strive to understand complex concepts. Teachers and teacher educators can leverage what is already known about inquiry teaching as they plan instruction to help students meet the new standards. This cross-case analysis of a multiple case study examined teacher practices in the context of a semester-long professional development course for elementary teachers. We reviewed lessons and teacher reflections, examining how kindergarten and first grade teachers incorporated NGSS scientific and engineering practices during inquiry-based instruction. We found that most of the teachers worked with their students on asking questions; planning and carrying out investigations; analyzing and interpreting data, using mathematics and computational thinking; and obtaining, evaluating and communicating information. Teachers faced challenges in supporting students in developing their own questions that could be investigated and using data collection strategies that aligned with students' development of number sense concepts. Also, some teachers overemphasized the scientific method and lacked clarity in how they elicited and responded to student predictions. Discussion focuses on teacher supports that will be needed as states transition to NGSS.

  11. Amyloid Imaging: Poised for Integration into Medical Practice. (United States)

    Anand, Keshav; Sabbagh, Marwan


    Amyloid imaging represents a significant advance as an adjunct in the diagnosis of Alzheimer's disease (AD) because it is the first imaging modality that identifies in vivo changes known to be associated with the pathogenesis. Initially, 11 C-PIB was developed, which was the prototype for many 18 F compounds, including florbetapir, florbetaben, and flutemetamol, among others. Despite the high sensitivity and specificity of amyloid imaging, it is not commonly used in clinical practice, mainly because it is not reimbursed under current Center for Medicare and Medicaid Services guidelines in the USA. To guide the field in who would be most appropriate for the utility of amyloid positron emission tomography, current studies are underway [Imaging Dementia Evidence for Amyloid Scanning (IDEAS) Study] that will inform the field on the utilization of amyloid positron emission tomography in clinical practice. With the advent of monoclonal antibodies that specifically target amyloid antibody, there is an interest, possibly a mandate, to screen potential treatment recipients to ensure that they are suitable for treatment. In this review, we summarize progress in the field to date.

  12. Practical integrated simulation systems for coupled numerical simulations in parallel

    Energy Technology Data Exchange (ETDEWEB)

    Osamu, Hazama; Zhihong, Guo [Japan Atomic Energy Research Inst., Centre for Promotion of Computational Science and Engineering, Tokyo (Japan)


    In order for the numerical simulations to reflect 'real-world' phenomena and occurrences, incorporation of multidisciplinary and multi-physics simulations considering various physical models and factors are becoming essential. However, there still exist many obstacles which inhibit such numerical simulations. For example, it is still difficult in many instances to develop satisfactory software packages which allow for such coupled simulations and such simulations will require more computational resources. A precise multi-physics simulation today will require parallel processing which again makes it a complicated process. Under the international cooperative efforts between CCSE/JAERI and Fraunhofer SCAI, a German institute, a library called the MpCCI, or Mesh-based Parallel Code Coupling Interface, has been implemented together with a library called STAMPI to couple two existing codes to develop an 'integrated numerical simulation system' intended for meta-computing environments. (authors)

  13. Project Integration Architecture: A Practical Demonstration of Information Propagation (United States)

    Jones, William Henry


    One of the goals of the Project Integration Architecture (PIA) effort is to provide the ability to propagate information between disparate applications. With this ability, applications may then be formed into an application graph constituting a super-application. Such a super-application would then provide all of the analysis appropriate to a given technical system. This paper reports on a small demonstration of this concept in which a Computer Aided Design (CAD) application was connected to an inlet analysis code and geometry information automatically propagated from one to the other. The majority of the work reported involved not the technology of information propagation, but rather the conversion of propagated information into a form usable by the receiving application.

  14. BC Hydro best practices : energy efficiency and integrated planning

    International Nuclear Information System (INIS)

    Henriques, D.


    The key elements to success in energy efficiency include integrated energy planning, a review of conservation potential, pursuing a target, risk sharing between all parties, and long term planning when making investments in demand side management (DSM). The barriers to cost effective energy efficiency investment were also outlined along with the scope of the conservation potential review which included 95 per cent of electricity end use applications in all market sectors including residential, commercial, institutional and industrial. BC Hydro's Power Smart program focuses on energy efficiency and load displacement to meet 35 per cent of the utility's forecasted growth by 2012. The sources of savings within each of the market sectors were identified. Key recommendations regarding energy efficiency and conservation were also presented with reference to financial incentives offered by BC Hydro to consumers to encourage a switch to more efficient lighting systems. 10 figs

  15. Inclusive Education in Romania: Policies and Practices in Post-Communist Romania (United States)

    Walker, Gabriela


    This paper discusses current inclusive education policies and practices in Romania. There are few accounts of and no systematic study published on this topic. The Romanian special educational policies began to evolve towards integration and inclusion. Today, Romanian special education functions according to democratic principles and Romanian…

  16. Current nuclear industry practices with regard to the integration of surveillances

    International Nuclear Information System (INIS)

    Stewart, M.; Smith, C.


    Commercial nuclear industry practices regarding the integration of technical specification (TS) surveillance and maintenance activities are identified in this report. A questionnaire was developed and used to obtain current industry practices from NRC Regional personnel and INEL engineers with utility experience. Some of these practices indicate that the scheduling of TS surveillance and maintenance items could be more effectively coordinated. Also, must utilities do not formally consider risk implications when they are scheduling maintenance. Methodologies and approaches for proposing and evaluating changes to improve the integration of TS surveillance and maintenance activities have been identified for planned future work

  17. Integrating health care practices with the promotion of breastfeeding

    Directory of Open Access Journals (Sweden)

    Riccardo Davanzo


    Full Text Available Although breastfeeding is the normative standards for infant nutrition, exclusive breastfeeding rates at hospital discharge in the general population of newborns are still suboptimal. Besides many other psychological, social, economical, cultural factors, breastfeeding success is also significantly influenced by maternity practices that have the potential to foster or otherwise to hinder breastfeeding physiology during postpartum hospital stay. On their part, health professionals need to improve their knowledge on lactation, to acquire better skills to manage breastfeeding problems and to commit themselves to prepare evidence based clinical protocols that support breastfeeding and the use of human milk. At the Institute for Maternal and Child Health in Trieste (Italy, we have developed two surveillance protocols related to situations that commonly challenge health professionals to give their qualified advice to the breastfeeding dyad. Particularly, we have documented the feasibility of a protocol on the management of skin to skin contact between mother and his/her newborn infant. This protocol is applied in the delivery room in the context of the prevention of sudden unexpected postnatal collapse. The second protocol refers to the management of early neonatal weight loss. Finally, we believe that combining an effective promotion of breastfeeding with good clinical practice is appropriated and safe and we recognize that both the competence and the attitude of staff have an essential role in the success of the initiation of breastfeeding. Proceedings of the 10th International Workshop on Neonatology · Cagliari (Italy · October 22nd-25th, 2014 · The last ten years, the next ten years in Neonatology Guest Editors: Vassilios Fanos, Michele Mussap, Gavino Faa, Apostolos Papageorgiou

  18. Mind the Gap: Integrating Science and Policy Cultures and Practices (United States)

    Lev, S. M.; Simon, I.


    A 2014 survey conducted by the Pew Research Center asked members of the American Association for the Advancement of Science about their support for active engagement in public policy debates. The survey found that 87% of the respondents supported scientists taking an active role in public policy debates about science and technology (S&T), but most believed that regulations related to areas like land use and clean air and water are not guided by the best science. Despite the demand for actionable scientific information by policy makers, these survey results underscore the gap that exists between the scientific and the public policy communities. There are fundamental differences that exist between the perspectives of these two groups, even within Federal S&T agencies that are required to balance the perspectives of the science and policy communities in order to fulfill their agency mission. In support of an ongoing agency effort to strengthen communication and interaction among staff, we led a Federal S&T agency office through an examination and comparison of goals, processes, external drivers, decision making, and timelines within their organization. This workshop activity provided an opportunity to identify the interdependence of science and policy, as well as the challenges to developing effective science-based policy solutions. The workshop featured strategies for achieving balanced science policy outcomes using examples from a range of Federal S&T agencies. The examples presented during the workshop illustrated best practices for more effective communication and interaction to resolve complex science policy issues. The workshop culminated with a group activity designed to give participants the opportunity to identify the challenges and apply best practices to real world science policy problems. Workshop examples and outcomes will be presented along with lessons learned from this agency engagement activity.

  19. Vertical integration of teaching in Australian general practice--a survey of regional training providers. (United States)

    Stocks, Nigel P; Frank, Oliver; Linn, Andrew M; Anderson, Katrina; Meertens, Sarah


    To examine vertical integration of teaching and clinical training in general practice and describe practical examples being undertaken by Australian general practice regional training providers (RTPs). A qualitative study of all RTPs in Australia, mid 2010. All 17 RTPs in Australia responded. Eleven had developed some vertical integration initiatives. Several encouraged registrars to teach junior doctors and medical students, others encouraged general practitioner supervisors to run multilevel educational sessions, a few coordinated placements, linkages and support across their region. Three RTPs provided case studies of vertical integration. Many RTPs in Australia use vertical integration of teaching in their training programs. RTPs with close associations with universities and rural clinical schools seem to be leading these initiatives.

  20. BOOK REVIEW - Adrian Liviu Ivan, Teorii și practice ale integrării europene [Theories and Practices of European Integration

    Directory of Open Access Journals (Sweden)

    Adrian Daniel STAN


    Full Text Available Teorii și practice ale integrării europene [Theories and Practices of European Integration] is a genuine contribution to understanding how the European Union’s particular character has been adjusted in more than half of century of institutional growth and development. Professor Ivan`s key argument for this book is that the European Union has been shaped as a functional project taking into consideration the diverse heritage and traditions of its Member States. The opening chapter of this book focuses on the particularities of international relations discipline after the Second World War in order to introduce the theme of European Integration Process. This chapter must be analysed in a series of contributions dedicated to the European Integration process and to the theories that made this integration possible because professor Ivan has previously published books such as: Statele Unite ale Europei [The United States of Europe], Sub zodia Statelor Unite ale Europei [Under the Sign of the United States of Europe], in which he debates the origins of the European construction and brings forward arguments to support the importance of each theoretical and functional pillar of this “Common European Project”.

  1. General practice integration in Australia. Primary health services provider and consumer perceptions of barriers and solutions. (United States)

    Appleby, N J; Dunt, D; Southern, D M; Young, D


    To identify practical examples of barriers and possible solutions to improve general practice integration with other health service providers. Twelve focus groups, including one conducted by teleconference, were held across Australia with GPs and non GP primary health service providers between May and September, 1996. Focus groups were embedded within concept mapping sessions, which were used to conceptually explore the meaning of integration in general practice. Data coding, organising and analysis were based on the techniques documented by Huberman and Miles. Barriers to integration were perceived to be principally due to the role and territory disputes between the different levels of government and their services, the manner in which the GP's role is currently defined, and the system of GP remuneration. Suggestions on ways to improve integration involved two types of strategies. The first involves initiatives implemented 'top down' through major government reform to service structures, including the expansion of the role of divisions of general practice, and structural changes to the GP remuneration systems. The second type of strategy suggested involves initiatives implemented from the 'bottom up' involving services such as hospitals (e.g. additional GP liaison positions) and the use of information technology to link services and share appropriate patient data. The findings support the need for further research and evaluation of initiatives aimed at achieving general practice integration at a systems level. There is little evidence to suggest which types of initiatives improve integration. However, general practice has been placed in the centre of the health care debate and is likely to remain central to the success of such initiatives. Clarification of the future role and authority of general practice will therefore be required if such integrative strategies are to be successful at a wider health system level.

  2. Towards vertical integration in general practice education: literature review and discussion paper. (United States)

    O'Regan, A; Culhane, A; Dunne, C; Griffin, M; Meagher, D; McGrath, D; O'Dwyer, P; Cullen, W


    Medical education policy in Ireland has enabled an increase in undergraduate and postgraduate education activity in general practice. Internationally, 'vertical integration in general practice education' is suggested as a key strategy to support the implementation of this policy development. To review the emerging literature on vertical integration in GP education, specifically to define the concept of 'vertical integration' with regard to education in general practice and to describe its benefits and challenges. We searched 'Pubmed', 'Academic Search Complete', 'Google', and 'MEDLINE' databases using multiple terms related to 'vertical integration' and 'general practice education' for relevant articles published since 2001. Discussion papers, reports, policy documents and position statements were identified from reference lists and retrieved through internet searches. The key components of 'vertical integration' in GP education include continuous educational pathway, all stages in GP education, supporting the continuing educational/professional development needs of learners at each stage and effective curriculum planning and delivery. Many benefits (for GPs, learners and the community) and many challenges (for GPs/practices, learners and GPs in training) have been described. Characteristics of successful implementation include role sharing and collaborative organisational structures. Recent developments in medical education in Ireland, such as the increase in medical school clinical placements in general practice and postgraduate GP training and the introduction of new competence assurance requirements offer an important opportunity to further inform how vertical integration can support increased educational activity in general practice. Describing this model, recognising its benefits and challenges and supporting its implementation in practice are priorities for medical education in Ireland.

  3. Implementation of integrated services networks in Quebec and nursing practice transformation: convergence or divergence? (United States)

    Longpré, Caroline; Dubois, Carl-Ardy


    Even though nurses are expected to play a key role in implementing integrated services networks, up to now their practice in this regard has received very little research attention. The aim of this study is to describe the extent to which the evolution of nursing practice in Quebec in recent years has converged with the requirements and efforts involved in services integration. This descriptive study was carried out with 107 nurses working an integrated network of healthcare services in Quebec in four different care pathways: chronic obstructive pulmonary disease, autonomy support for the elderly, palliative oncology care, and mental health. Development model for integrated care (DMIC) was used, first, to examine the prevalence in each pathway of integrative activities, grouped into nine practice dimensions, and then to position each pathway in relation to the four phases of development for any integration process, as defined by the DMIC. Only one pathway had reached Phase 3, which involves expansion and monitoring of integration, whereas the others were still in the preliminary Phases 1 and 2 characterized by initiative and experimentation. Only two dimensions out of nine ('quality of care' and 'interprofessional teamwork') were prevalent in all the pathways; two others ('transparent entrepreneurship' and 'performance management') were in none of the pathways, and the remaining five ('patient-family centered care', 'result-focused learning', 'delivery system', 'commitment', 'roles and tasks') were present to varying degrees. These results suggest that particular efforts should be made to bridge the significant gap between the pace of nursing practice transformation and the objectives of service integration. These efforts should focus, among other things, on the deployment of organizational, clinical, human, and material resources to support practice renewal and continuing education for nurses to prepare them for the requirements of integration.

  4. Practical use of the integrated reporting framework – an analysis of the content of integrated reports of selected companies

    Directory of Open Access Journals (Sweden)

    Monika Raulinajtys-Grzybek


    Full Text Available Practical use of the integrated reporting framework – an analysis of the content of integrated reports of selected companies The purpose of the article is to provide a research tool for an initial assessment of whether a company’s integrated reports meet the objectives set out in the IIRC Integrated Reporting Framework and its empirical verification. In particular, the research addresses whether the reports meet the goal of improving the quality of information available and covering all factors that influence the organization’s ability to create value. The article uses the theoretical output on the principles of preparing integrated reports and analyzes the content of selected integrated reports. Based on the source analysis, a research tool has been developed for an initial assessment of whether an integrated report fulfills its objectives. It consists of 42 questions that verify the coverage of the defined elements and the implementation of the guiding principles set by the IIRC. For empirical verification of the tool, a comparative analysis was carried out for reports prepared by selected companies operating in the utilities sector. Answering questions from the research tool allows a researcher to formulate conclusions about the implementation of the guiding principles and the completeness of the presentation of the content elements. As a result of the analysis of selected integrated reports, it was stated that various elements of the report are presented with different levels of accuracy in different reports. Reports provide the most complete information on performance and strategy. The information about business model and prospective data is in some cases presented without making a link to other parts of the report – e.g. risks and opportunities, financial data or capitals. The absence of such links limits the ability to claim that an integrated report meets its objectives, since a set of individual reports, each presenting

  5. In-Service Teachers’ Learning Through Integrating Theory and Practice

    Directory of Open Access Journals (Sweden)

    Esa Virkkula


    Full Text Available Vocational education aims to prepare competent workforce for the needs of continuously changing work life. A competent employee does not only carry out routine tasks but is also required to have the ability to act in the communities of practice in his field and develop his way of working. The challenge of Finnish school-based vocational education has been in creating such learning environments that promote learning professional knowledge demanded by work life. The challenge has required vocational teachers to develop their competences in collaboration with employers. The research covers the role of Finnish vocational teachers’ authentic work placement periods in developing competences from the viewpoint of sociocultural learning. During the work placement period, a teacher furthers his or her competences by working in goal-oriented and planned ways in the work communities of enterprises or in the public sector of their fields. The purpose of the present qualitative case study is to increase the understanding of the role of authentic work placement periods in vocational teachers’ competence. Experiences of teachers representing different subjects were studied during their work placement periods. The results show that work placement period supports the development of teachers’ competences and provides prerequisites for work-based vocational education.

  6. Data Discovery, Exploration, Integration and Delivery - a practical experience (United States)

    Kirsch, Peter; Barnes, Tim; Breen, Paul


    To fully address the questions and issues arising within Earth Systems Science; the discovery, exploration, integration, delivery and sharing of data, metadata and services across potentially many disciplines and areas of expertise is fundamental. British Antarctic Survey (BAS) collects, manages and curates data across many fields of the geophysical and biological sciences (including upper atmospheric physics, atmospheric chemistry, meteorology, glaciology, oceanography, Polar ecology and biology). BAS, through its Polar Data Centre has an interest to construct and deliver a user-friendly, informative, and administratively low overhead interface onto these data holdings. Designing effective interfaces and frameworks onto the heterogeneous datasets described above is non-trivial. We will discuss some of our approaches and implementations; particularly those addressing the following issues: How to aid and guide the user to accurate discovery of data? Many portals do not inform users clearly enough about the datasets they actually hold. As a result the search interface by which a user is meant to discover information is often inadequate and assumes prior knowledge (for example, that the dataset you are looking for actually exists; that a particular event, campaign, research cruise took place; and that you have a specialist knowledge of the terminology in a particular field), assumptions that cannot be made in multi-disciplinary topic areas. How easily is provenance, quality, and metadata information displayed and accessed? Once informed through the portal that data is available it is often extremely difficult to assess its provenance and quality information and broader documentation (including field reports, notebooks and software repositories). We shall demonstrate some simple methodologies. Can the user access summary data or visualizations of the dataset? It may be that the user is interested in some event, feature or threshold within the dataset; mechanisms need

  7. An integrated theoretical and practical approach for teaching hydrogeology (United States)

    Bonomi, Tullia; Fumagalli, Letizia; Cavallin, Angelo


    Hydrogeology as an earth science intersects the broader disciplines of geology, engineering, and environmental studies but it does not overlap fully with any of them. It is focused on its own range of problems and over time has developed a rich variety of methods and approaches. The resolution of many hydrogeological problems requires knowledge of elements of geology, hydraulics, physics and chemistry; moreover in recent years the knowledge of modelling techniques has become a necessary ability. Successful transfer of all this knowledge to the students depends on the breadth of material taught in courses, the natural skills of the students and any practical experience the students can obtain. In the Department of Earth and Environmental Sciences of the University of Milano-Bicocca, the teaching of hydrogeology is developed in three inter-related courses: 1) general hydrogeology, 2) applied hydrogeology, 3) groundwater pollution and remediation. The sequence focuses on both groundwater flux and contaminant transport, supplemented by workshops involving case studies and computer labs, which provide the students with practical translation of the theoretical aspects of the science into the world of work. A second key aspect of the program utilizes the students' skill at learning through online approaches, and this is done through three approaches: A) by developing the courses on a University e-learning platform that allows the students to download lectures, articles, and teacher comments, and to participate in online forums; B) by carring out exercises through computer labs where the student analyze and process hydrogeological data by means of different numerical codes, that in turn enable them to manage databases and to perform aquifer test analysis, geostatistical analysis, and flux and transport modelling both in the unsaturated and saturated zone. These exercises are of course preceded by theoretical lectures on codes and software, highlighting their features and

  8. Integrating Communication Best Practices in the Third National Climate Assessment (United States)

    Hassol, S. J.


    Modern climate science assessments now have a history of nearly a quarter-century. This experience, together with important advances in relevant social sciences, has greatly improved our ability to communicate climate science effectively. As a result, the Third National Climate Assessment (NCA) was designed to be truly accessible and useful to all its intended audiences, while still being comprehensive and scientifically accurate. At a time when meeting the challenge of climate change is increasingly recognized as an urgent national and global priority, the NCA is proving to be valuable to decision-makers, the media, and the public. In producing this latest NCA, a communication perspective was an important part of the process from the beginning, rather than an afterthought as has often been the case with scientific reports. Lessons learned from past projects and science communications research fed into developing the communication strategy for the Third NCA. A team of editors and graphic designers worked closely with the authors on language, graphics, and photographs throughout the development of the report, Highlights document, and other products. A web design team helped bring the report to life online. There were also innovations in outreach, including a network of organizations intended to extend the reach of the assessment by engaging stakeholders throughout the process. Professional slide set development and media training were part of the preparation for the report's release. The launch of the NCA in May 2014 saw widespread and ongoing media coverage, continued references to the NCA by decision-makers, and praise from many quarters for its excellence in making complex science clear and accessible. This NCA is a professionally crafted report that exemplifies best practices in 21st century communications.

  9. From theory to practice: integrating instructional technology into veterinary medical education. (United States)

    Wang, Hong; Rush, Bonnie R; Wilkerson, Melinda; Herman, Cheryl; Miesner, Matt; Renter, David; Gehring, Ronette


    Technology has changed the landscape of teaching and learning. The integration of instructional technology into teaching for meaningful learning is an issue for all educators to consider. In this article, we introduce educational theories including constructivism, information-processing theory, and dual-coding theory, along with the seven principles of good practice in undergraduate education. We also discuss five practical instructional strategies and the relationship of these strategies to the educational theories. From theory to practice, the purpose of the article is to share our application of educational theory and practice to work toward more innovative teaching in veterinary medical education.


    Directory of Open Access Journals (Sweden)

    Miriam Janett Castillo Pinto


    Full Text Available At the present time the practice of the address of the organizations increases to superior planes the necessity to enlarge the participation of the workers in the same one, for the sake of achieving superior results; for what roads and methods should be looked for to develop it, especially the educational ones that have arisen with the authenticity of the new Venezuelan system. The emergence of the Mission Sucre in the Republic of Venezuela like genuine result of the revolutionary process that it is carried out in the country have wakened up many hopes in the society for the access to their formation like professionals, although it is a young organization that has positive results, these they could be bigger. The above-mentioned is possible to guarantee it by means of a truly genuine management, recognized by the collaborators (professors and students that participate jointly in the formative process.

  11. The Democratic Process: Promises and Challenges. (United States)

    Bragaw, Donald, Ed.

    When the Berlin Wall (East Germany) came down, it symbolically foretold the end of the Soviet Union domination of Eastern Europe and Central Asia. This resource guide examines the process toward democratization occurring in those regions. The guide updates the available classroom material on the democratic process. It is divided into three…

  12. Democratic Legitimacy and the European Union

    NARCIS (Netherlands)

    Holzhacker, Ronald


    This is an introduction to a Special Issue that first considers representative and deliberative conceptions of democratic legitimacy in the EU, and then presents empirical research on how the institutions of the EU are attempting to increase the democratic legitimacy of the multi-level political

  13. The Arab Media: Localizing Its Democratic Potential (United States)


    of others’” and therefore could be viewed as a legitimate function of the state. 32 Noam Chomsky , Necessary Illusions: Thought Control in Democratic...Social Movements.” Canadian Journal of Sociology 24, no. 1 (Winter 1999): 1–34. Chomsky , Noam. Necessary Illusions: Thought Control in Democratic

  14. Improving democratic governance through institutional design

    DEFF Research Database (Denmark)

    Torfing, Jacob; Skelcher, Chris


    the democratic governance of regulatory policies in Europe, and highlight the way in which civic participation and democratic ownership is given equal weight to economic competitiveness. We then discuss the potential for institutionalized participatory governance to develop and its prospects for improving...

  15. Conceptualizing Education Policy in Democratic Societies (United States)

    Perry, Laura B.


    Although theorists and policy makers agree that schooling should be democratic, what this exactly means often varies. This article establishes a conceptual model for analyzing education policy in democratic societies, based on the key concepts of equality, diversity, participation, choice, and cohesion. The model facilitates the design,…

  16. The Democratic Vision of Carl Schmitt

    DEFF Research Database (Denmark)

    Pedersen, Søren Hviid


    The main purpose of this paper is to justify two propositions. One, that Schmitt’s political vision is indeed democratic and second, that Schmitt’s democratic vision, plebiscitary or leadership democracy, is better adapted to our modern political condition and the challenges confronting modern...

  17. Peace and Development : Democratization, Poverty Reduction and ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Peace and Development : Democratization, Poverty Reduction and Risk Mitigation in Fragile and Post Conflict States. Both the social science literature and policymakers tend to take for granted that poverty reduction, risk mitigation and democratization are mutually reinforcing. This basic assumption was first challenged ...

  18. A practical description and student perspective of the integration of radiology into lower limb musculoskeletal anatomy. (United States)

    Davy, S; O'Keeffe, G W; Mahony, N; Phelan, N; Barry, D S


    Anatomy educators are increasing their utilisation of radiology in anatomy education in line with growing requirements for undergraduate radiology competency and clinical need. We aimed to evaluate student perceptions of radiology and to outline the technical and academic considerations underlying the integration of radiology into musculoskeletal practical anatomy sessions. The formal integration of radiology into anatomy practical sessions took place over a 5-week period during the lower limb musculoskeletal component of the anatomy course taught to first-year medical students. During practical sessions, students were required to rotate between aligned audio-visual radiology presentations, osteology/anatomical models, and prosection/dissection learning stations. After completing the course, students were invited to complete a survey to establish their opinions on radiology as a mode of learning and their satisfaction with radiological integration in anatomical practical sessions. Most students were not familiar with radiology prior to attending our university. All our students agreed or strongly agreed that learning to read radiographs in anatomy is important and most agreed that radiology is a valid assessment tool. Sixty percent stated that radiology facilitated their understanding of anatomy. The majority believed that radiology was best suited to clinically relevant anatomy and X-rays were their preferred learning tool. The practical approach to integrating radiology into undergraduate musculoskeletal anatomy described here did not place strain on existing academic resources. Most students agreed that radiology should be increased in anatomy education and that learning to understand radiographs in anatomy was important for clinical practice.

  19. Ballet as Somatic Practice: A Case Study Exploring the Integration of Somatic Practices in Ballet Pedagogy (United States)

    Berg, Tanya


    This case study explores one teacher's integration of Alexander Technique and the work of neuromuscular retrainer Irene Dowd in ballet pedagogy to establish a somatic approach to teaching, learning, and performing ballet technique. This case study highlights the teacher's unique teaching method called IMAGE TECH for dancers (ITD) and offers…

  20. The Refugee Crisis as a European Democratic Crisis

    Directory of Open Access Journals (Sweden)

    Chryssoula Kapartziani


    Full Text Available The institutional European Union is facing two types of crisis. On the one hand, it needs to manage the current refugee’s influx efficiently and on the other hand it needs to deal with the democratic deficit that emerged by Europe’s incapacity to make the required decisions and gain the justification of its actions from its own people. This article aims firstly to highlight the legal framework (rule of law that governs the asylum and migration procedures as well as the democratic gap that these provisions created in the different member states, as a crystal clear example of how a national competence became supranational. Furthermore, it illustrates the refugee profile, as a human being with acquired human rights through the theories of H. Arendt and the U. Beck. Lastly, the cosmopolitan approach is suggested in order to overcome the refugee crisis but a well-established integration should be the long term goal of Europe.

  1. Preparing residents for family practice: role of an integrated “Triple C” curriculum

    Directory of Open Access Journals (Sweden)

    Joseph Lee


    Full Text Available Background: There is limited understanding of the impact of Triple C competency-based curriculums on the preparation of residents for family practice. This paper describes a competency-based curriculum within an integrated longitudinal block design and presents preliminary evaluation data on the impact of this curriculum on preparedness for family practice. Methods: First and second year family medicine residents were surveyed as a component of a year-end program evaluation to assess the extent to which the residency program is preparing them to engage in a variety of practice domains, the likelihood that they would engage in these domains, and the extent to which this residency program is comprehensive, relevant to their development as a family physician, and promotes interprofessional practice. Results: Residents perceived themselves as prepared to engage in most practice areas and their intentions to engage in various practice domains were positively correlated to their ratings of preparedness. Ratings reflected that residents perceived this program as comprehensive and relevant to their development as a family physician and they perceived a high degree of encouragement for interprofessional practice. Conclusions: This study provides some preliminary evidence that an integrated competency-based curriculum, with an emphasis on interprofessional practice has the potential to effectively prepare residents for practice in family medicine.

  2. Integrating art into science education: a survey of science teachers' practices (United States)

    Turkka, Jaakko; Haatainen, Outi; Aksela, Maija


    Numerous case studies suggest that integrating art and science education could engage students with creative projects and encourage students to express science in multitude of ways. However, little is known about art integration practices in everyday science teaching. With a qualitative e-survey, this study explores the art integration of science teachers (n = 66). A pedagogical model for science teachers' art integration emerged from a qualitative content analysis conducted on examples of art integration. In the model, art integration is characterised as integration through content and activities. Whilst the links in the content were facilitated either directly between concepts and ideas or indirectly through themes or artefacts, the integration through activity often connected an activity in one domain and a concept, idea or artefact in the other domain with the exception of some activities that could belong to both domains. Moreover, the examples of art integration in everyday classroom did not include expression of emotions often associated with art. In addition, quantitative part of the survey confirmed that integration is infrequent in all mapped areas. The findings of this study have implications for science teacher education that should offer opportunities for more consistent art integration.

  3. Democratic Public Discourse in the Coming Autarchic Communities

    Directory of Open Access Journals (Sweden)

    Gheorghe-Ilie Farte


    Full Text Available The main purpose of this article is to tackle the problem of living together – as dignified human beings – in a certain territory in the field of social philosophy, on the theoretical grounding ensured by some remarkable exponents of the Austrian School − and by means of the praxeologic method. Because political tools diminish the human nature not only of those who use them, but also of those who undergo their effects, people can live a life worthy of a human being only as members of some autarchic or self-governing communities. As a spontaneous order, every autarchic community is inherently democratic, inasmuch as it makes possible free involvement, peaceful coordination, free expression and the free reproduction of ideas. The members of autarchic communities are moral individuals who avoid aggression, practice self-control, seek a dynamical efficiency and establish (together with their fellow human beings a democratic public discourse.

  4. Beyond Democratic Tolerance: Witch Killings in Timor-Leste

    Directory of Open Access Journals (Sweden)

    Rebecca Strating


    Full Text Available Newly democratising states experience challenges in reconciling “traditional” or “customary” dispute resolution practices with newly established state-based legal systems based on the rule of law. For Timor-Leste, these tensions are pronounced in continuing debates concerning the killing or injuring of women accused of witchcraft. Defences of extrajudicial punishments tend to conflate democracy with local support and fail to deal with the key institutions of democratic systems, including the rule of law, political equality, and civil rights. In Timor-Leste’s case, where equality and social rights were incorporated into the Constitution as fundamental governmental obligations, localised extrajudicial punishments threaten internal and external state legitimacy and highlight the difficulties of ensuring the primacy of state-based institutions. Extrajudicial punishments challenge Timor-Leste’s capacity to consolidate new liberal democratic political institutions.

  5. Self-transcendence: Lonergan's key to integration of nursing theory, research, and practice. (United States)

    Perry, Donna J


    This paper proposes that the philosophy of Bernard Lonergan can provide insight into the challenge of integrating nursing theory, research and practice. The author discusses Lonergan's work in regard to reflective understanding, authenticity and the human person as a subject of consciously developing unity. This is followed by a discussion of two key elements in Lonergan's work that relate to nursing: the subject-object challenge of nursing inquiry and common sense vs. scientific knowledge. The author suggests that integration of nursing theory, science and practice may be achieved through self-transcendence.

  6. Review of The Behavioral Health Specialist in Primary Care: Skills for Integrated Practice. (United States)

    Harsh, Jennifer


    Reviews the book, The Behavioral Health Specialist in Primary Care: Skills for Integrated Practice edited by Mary Ann Burg and Oliver Oyama (see record 2015-46891-000). The editors and the chapter authors of this useful book provide insight into the skills and knowledge needed to do integrated behavioral health in primary care. The most beneficial part of the book is the layout of the chapters, and the authors do a great job of articulating the clinical components of care. Behavioral health and medical providers in practice or in training could greatly benefit from reading this book. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  7. An integrated course in pain management and palliative care bridging the basic sciences and pharmacy practice. (United States)

    Kullgren, Justin; Radhakrishnan, Rajan; Unni, Elizabeth; Hanson, Eric


    To describe the development of an integrated pain and palliative care course and to investigate the long-term effectiveness of the course during doctor of pharmacy (PharmD) students' advanced pharmacy practice experiences (APPEs) and in their practice after graduation. Roseman University College of Pharmacy faculty developed a 3-week elective course in pain and palliative care by integrating relevant clinical and pharmaceutical sciences. Instructional strategies included lectures, team and individual activities, case studies, and student presentations. Students who participated in the course in 2010 and 2011 were surveyed anonymously to gain their perception about the class as well as the utility of the course during their APPEs and in their everyday practice. Traditional and nontraditional assessment of students confirmed that the learning outcomes objectives were achieved. Students taking the integrated course on pain management and palliative care achieved mastery of the learning outcome objectives. Surveys of students and practicing pharmacists who completed the course showed that the learning experience as well as retention was improved with the integrated mode of teaching. Integrating basic and clinical sciences in therapeutic courses is an effective learning strategy.

  8. Integrating Motivational Interviewing and Brief Behavioral Activation Therapy: Theoretical and Practical Considerations


    Balán, Iván C.; Lejuez, C. W.; Hoffer, Marcela; Blanco, Carlos


    Behavioral Activation and specifically the Brief Behavioral Activation Therapy for Depression (BATD) has a strong record of empirical support but its focus on practical out of session activation-based assignments can lead to poor levels of adherence if efforts to enhance motivation are not prioritized. Towards this end, this manuscript describes the assimilative integration of Motivational Interviewing (MI) and BATD to improve clinical outcomes by integrating MI's focus on building and mainta...

  9. Sell your practice to grow and compete--the synergism of vertical integration. (United States)

    Robison, D L


    There are many advantages for selling a group practice to achieve vertical integration with a larger entity, including shared medical and management services, and greater efficiency, which results in greater profits. Health care in the 1990s will have a more formalized, structured system, greatly reducing freedoms enjoyed by both physicians and patients. An attractive option for smaller groups or solo practitioners is vertical integration.

  10. Guiding students towards sensemaking: teacher questions focused on integrating scientific practices with science content (United States)

    Benedict-Chambers, Amanda; Kademian, Sylvie M.; Davis, Elizabeth A.; Palincsar, Annemarie Sullivan


    Science education reforms articulate a vision of ambitious science teaching where teachers engage students in sensemaking discussions and emphasise the integration of scientific practices with science content. Learning to teach in this way is complex, and there are few examples of sensemaking discussions in schools where textbook lessons and teacher-directed discussions are the norm. The purpose of this study was to characterise the questioning practices of an experienced teacher who taught a curricular unit enhanced with educative features that emphasised students' engagement in scientific practices integrated with science content. Analyses indicated the teacher asked four types of questions: explication questions, explanation questions, science concept questions, and scientific practice questions, and she used three questioning patterns including: (1) focusing students on scientific practices, which involved a sequence of questions to turn students back to the scientific practice; (2) supporting students in naming observed phenomena, which involved a sequence of questions to help students use scientific language; and (3) guiding students in sensemaking, which involved a sequence of questions to help students learn about scientific practices, describe evidence, and develop explanations. Although many of the discussions in this study were not yet student-centred, they provide an image of a teacher asking specific questions that move students towards reform-oriented instruction. Implications for classroom practice are discussed and recommendations for future research are provided.

  11. Whose Canon? Culturalization versus Democratization

    Directory of Open Access Journals (Sweden)

    Erling Bjurström


    Full Text Available Current accounts – and particularly the critique – of canon formation are primarily based on some form of identity politics. In the 20th century a representational model of social identities replaced cultivation as the primary means to democratize the canons of the fine arts. In a parallel development, the discourse on canons has shifted its focus from processes of inclusion to those of exclusion. This shift corresponds, on the one hand, to the construction of so-called alternative canons or counter-canons, and, on the other hand, to attempts to restore the authority of canons considered to be in a state of crisis or decaying. Regardless of the democratic stance of these efforts, the construction of alternatives or the reestablishment of decaying canons does not seem to achieve their aims, since they break with the explicit and implicit rules of canon formation. Politically motivated attempts to revise or restore a specific canon make the workings of canon formation too visible, transparent and calculated, thereby breaking the spell of its imaginary character. Retracing the history of the canonization of the fine arts reveals that it was originally tied to the disembedding of artists and artworks from social and worldly affairs, whereas debates about canons of the fine arts since the end of the 20th century are heavily dependent on their social, cultural and historical reembedding. The latter has the character of disenchantment, but has also fettered the canon debate in notions of “our” versus “their” culture. However, by emphasizing the dedifferentiation of contemporary processes of culturalization, the advancing canonization of popular culture seems to be able to break with identity politics that foster notions of “our” culture in the present thinking on canons, and push it in a more transgressive, syncretic or hybrid direction.

  12. Fostering development of nursing practices to support integrated care when implementing integrated care pathways: what levers to use? (United States)

    Longpré, Caroline; Dubois, Carl-Ardy


    Care integration has been the focus of recent health system reforms. Given their functions at all levels of the care continuum, nurses have a substantial and primordial role to play in such integration processes. The aim of this study was to identify levers and strategies that organizations can use to support the development of a nursing practice aligned with the requirements of care integration in a health and social services centre (HSSC) in Quebec. The research design was a cross-sectional descriptive qualitative study based on a single case study with nested levels of analysis. The case was a public, multi-disciplinary HSSC in a semi-urban region of Quebec. Semi-structured interviews with 37 persons (nurses, professionals, managers, administrators) allowed for data saturation and ensured theoretical representation by covering four care pathways constituting different care integration contexts. Analysis involved four steps: preparing a predetermined list of codes based on the reference framework developed by Minkman (2011); coding transcript content; developing general and summary matrices to group observations for each care pathway; and creating a general model showing the overall results for the four pathways. The organization's capacity for response with regard to developing an integrated system of services resulted in two types of complementary interventions. The first involved investing in key resources and renewing organizational structures; the second involved deploying a series of organizational and clinical-administrative processes. In resource terms, integration efforts resulted in setting up new strategic services, re-arranging physical infrastructures, and deploying new technological resources. Organizational and clinical-administrative processes to promote integration involved renewing governance, improving the flow of care pathways, fostering continuous quality improvement, developing new roles, promoting clinician collaboration, and strengthening

  13. Vertical integration: hospital ownership of physician practices is associated with higher prices and spending. (United States)

    Baker, Laurence C; Bundorf, M Kate; Kessler, Daniel P


    We examined the consequences of contractual or ownership relationships between hospitals and physician practices, often described as vertical integration. Such integration can reduce health spending and increase the quality of care by improving communication across care settings, but it can also increase providers' market power and facilitate the payment of what are effectively kickbacks for inappropriate referrals. We investigated the impact of vertical integration on hospital prices, volumes (admissions), and spending for privately insured patients. Using hospital claims from Truven Analytics MarketScan for the nonelderly privately insured in the period 2001-07, we constructed county-level indices of prices, volumes, and spending and adjusted them for enrollees' age and sex. We measured hospital-physician integration using information from the American Hospital Association on the types of relationships hospitals have with physicians. We found that an increase in the market share of hospitals with the tightest vertically integrated relationship with physicians--ownership of physician practices--was associated with higher hospital prices and spending. We found that an increase in contractual integration reduced the frequency of hospital admissions, but this effect was relatively small. Taken together, our results provide a mixed, although somewhat negative, picture of vertical integration from the perspective of the privately insured.


    Directory of Open Access Journals (Sweden)

    Müge TAÇMAN


    Full Text Available The primary aim of this study was to determine the democratic attitudes of the classroomteachers. This study is a descriptive research. In this research, democratic attitude scala which was developed by“published for the attitude research labaratory” and adapted to Turkish educational system by Gözütok (1995 wasused. Research group consisted fifty teachers from four private primary schools in Ankara. The data were analyzed byone way ANOVA. According of the results of the research, democratic attitudes of teachers have been discriminated onteachers’ sexuality, seniority and graduate level

  15. Enhanced democratic learning within the Aalborg Model

    DEFF Research Database (Denmark)

    Qvist, Palle


    The Aalborg PBL Model [Kjersdam & Enemark, 1997; Kolmos et al., 2004] is an example of a democratic learning system [Qvist, 2008]. Writing one project each semester in teams is an important element in the model. Medicine with Industrial Specialisation - a study at the Faculties of Engineering......, Science and Medicine at Aalborg University - has combined the Aalborg Model with solving cases as used by other models. A questionnaire survey related to democratic learning indicates that the democratic learning has been enhanced. This paper presents the results....

  16. Knowledge, attitudes and practices of food handlers in food safety: An integrative review. (United States)

    Zanin, Laís Mariano; da Cunha, Diogo Thimoteo; de Rosso, Veridiana Vera; Capriles, Vanessa Dias; Stedefeldt, Elke


    This study presents an overview of the relationship between knowledge, attitudes and practices (KAP) of food handlers with training in food safety, in addition to proposing reflections on the training of food handlers, considering its responsibility for food safety and health of consumers. The review was based on the integrative method. The descriptors used were: (food handler), (knowledge, attitudes and practice) and (training). Six databases were searched, 253 articles were consulted and 36 original articles were included. Fifty per cent of the articles pointed that there was no proper translation of knowledge into attitudes/practices or attitudes into practices after training. Knowledge, attitudes and practices of food handlers are important for identifying how efficient training in food safety is allowing prioritize actions in planning training. The evaluation of KAP is the first step to understand the food handler's point of view. After this evaluation other diagnostic strategies become necessary to enhance this understanding. Copyright © 2017. Published by Elsevier Ltd.

  17. Perceptions of Geography Teachers to Integrating Technology to Teaching and Their Practices (United States)

    Sanli, Cennet; Sezer, Adem; Pinar, Adnan


    In present study the objective has been to manifest perceptions and practices of geography teachers towards integrating technology to teaching geography. In 5 different types of schools within Nevsehir (Turkey) city center, a total of 22 geography teachers volunteering to participate in the research were included in this study in which data were…

  18. Examining Current Beliefs, Practices and Barriers about Technology Integration: A Case Study (United States)

    Hsu, Pi-Sui


    The purpose of this mixed-methods study was to examine the current beliefs, practices and barriers concerning technology integration of Kindergarten through Grade Six teachers in the midwestern United States. The three data collection methods were online surveys with 152 teachers as well as interviews and observations with 8 teachers. The findings…

  19. A Review and Conceptual Framework for Integrating Leadership into Clinical Practice (United States)

    Kutz, Matthew R.


    Context: The purpose of this review is to assess leadership education and practice in athletic training. Leadership is a critical component of athletic training and health care. Leadership research in athletic training is dramatically behind other health care professions. Objective: To develop a model for integrating leadership behavior and…

  20. Developing Integrated Rural Tourism: Actor Practices in the English/Welsh Border (United States)

    Saxena, Gunjan; Ilbery, Brian


    This paper examines community attitudes and distinctive practices that shape local responses to integrated rural tourism (IRT) development in the lagging rural region of the English/Welsh border area. The focus is on how actors acquire attributes as a result of their relations with others and how these assumed identities are performed in, by and…

  1. Parenting Practices and Children's Physical Activity: An Integrative Review (United States)

    Hutchens, Amy; Lee, Rebecca E.


    The purpose of this integrative review was to analyze the state of science concerning the influence of parenting practices on children's physical activity (PA) levels. A total of 38 studies met the inclusion criteria after full-text review. The body of research is limited in experimental designs with only three studies measuring the influence of…

  2. Authentic Science Research Opportunities: How Do Undergraduate Students Begin Integration into a Science Community of Practice? (United States)

    Gardner, Grant E.; Forrester, Jennifer H.; Jeffrey, Penny Shumaker; Ferzli, Miriam; Shea, Damian


    The goal of the study described was to understand the process and degree to which an undergraduate science research program for rising college freshmen achieved its stated objectives to integrate participants into a community of practice and to develop students' research identities.

  3. Social and Occupational Integration of Disadvantaged People. Leonardo da Vinci Good Practices Series. (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document profiles nine European programs that exemplify good practice in social and occupational integration of disadvantaged people. The programs profiled are as follows: (1) Restaurant Venezia (a CD-ROM program to improve the reading and writing skills of young people in Luxembourg who have learning difficulties); (2) an integrated…

  4. Integrating Simulation Scenarios and Clinical Practices Guided by Concepts of Translational Medicine (United States)

    Yang, Jing; Huang, Si-min; Li, Ze-jian; Feng, Lie; Lu, Chun-ting


    Purpose: To develop a novel method for closely and effectively integrating simulation scenarios and clinical practices to improve clinical skills training in the concepts of translational medicine. Methods: Forty-two and 38 third-year medical students in the classes of 2010 and 2009 at Jinan University were selected as an observation group and a…

  5. Content and Language Integrated Learning in the Netherlands: Teachers' Self-Reported Pedagogical Practices (United States)

    van Kampen, Evelyn; Admiraal, Wilfried; Berry, Amanda


    In recent years, a surging uptake of content and language integrated learning (CLIL) has permeated the European context. This article presents the outcomes of a study about the self-reported pedagogical practices of CLIL teachers in the Netherlands. To investigate these teachers' pedagogies, a questionnaire was designed, validated and,…

  6. Integrating Theory, Research, and Practice in Vocational Psychology: Current Status and Future Directions (United States)

    Sampson, James P., Jr., Ed.; Bullock-Yowell, Emily, Ed.; Dozier, V. Casey, Ed.; Osborn, Debra S., Ed.; Lenz, Janet G., Ed.


    This publication is based on the 2016 Society for Vocational Psychology (SVP) Biennial Conference, that was held at the Florida State University on May 16-17, 2016. The conference theme was "Integrating Theory, Research, and Practice in Vocational Psychology." The conference content and the resulting edited book are based on the…

  7. The impact of continuous integration on other software development practices: a large-scale empirical study

    NARCIS (Netherlands)

    Zhao, Y.; Serebrenik, A.; Zhou, Y.; Filkov, V.; Vasilescu, B.N.


    Continuous Integration (CI) has become a disruptive innovation in software development: with proper tool support and adoption, positive effects have been demonstrated for pull request throughput and scaling up of project sizes. As any other innovation, adopting CI implies adapting existing practices

  8. The integration of information and communication technology into community pharmacists practice in Barcelona. (United States)

    Lupiáñez-Villanueva, Francisco; Hardey, Michael; Lluch, Maria


    The study aims to identify community pharmacists' (CPs) utilization of information and communication technology (ICT); to develop and characterize a typology of CPs' utilization of ICT and to identify factors that can enhance or inhibit the use of these technologies. An online survey of the 7649 members of the Pharmacist Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit modelling were undertaken. Multivariate analysis of the CPs' responses to the survey (648) revealed two profiles of adoption of ICT. The first profile (40.75%) represents those CPs who place high emphasis on ICT within their practice. This group is therefore referred to as 'integrated CPs'. The second profile (59.25%) represents those CPs who make less use of ICT and so are consequently labelled 'non-integrated CPs'. Statistical modelling was used to identify variables that were important in predisposing CPs to integrate ICT with their work. From the analysis it is evident that responses to questions relating to 'recommend patients going on line for health information'; 'patients discuss or share their Internet health information findings'; 'emphasis on the Internet for communication and dissemination' and 'Pharmacists Professional Association information' play a positive and significant role in the probability of being an 'integrated CP'. The integration of ICT within CPs' practices cannot be adequately understood and appreciated without examining how CPs are making use of ICT within their own practice, their organizational context and the nature of the pharmacists-client relationship.

  9. On the Future of Thermochemical Databases, the Development of Solution Models and the Practical Use of Computational Thermodynamics in Volcanology, Geochemistry and Petrology: Can Innovations of Modern Data Science Democratize an Oligarchy? (United States)

    Ghiorso, M. S.


    Computational thermodynamics (CT) has now become an essential tool of petrologic and geochemical research. CT is the basis for the construction of phase diagrams, the application of geothermometers and geobarometers, the equilibrium speciation of solutions, the construction of pseudosections, calculations of mass transfer between minerals, melts and fluids, and, it provides a means of estimating materials properties for the evaluation of constitutive relations in fluid dynamical simulations. The practical application of CT to Earth science problems requires data. Data on the thermochemical properties and the equation of state of relevant materials, and data on the relative stability and partitioning of chemical elements between phases as a function of temperature and pressure. These data must be evaluated and synthesized into a self consistent collection of theoretical models and model parameters that is colloquially known as a thermodynamic database. Quantitative outcomes derived from CT reply on the existence, maintenance and integrity of thermodynamic databases. Unfortunately, the community is reliant on too few such databases, developed by a small number of research groups, and mostly under circumstances where refinement and updates to the database lag behind or are unresponsive to need. Given the increasing level of reliance on CT calculations, what is required is a paradigm shift in the way thermodynamic databases are developed, maintained and disseminated. They must become community resources, with flexible and assessable software interfaces that permit easy modification, while at the same time maintaining theoretical integrity and fidelity to the underlying experimental observations. Advances in computational and data science give us the tools and resources to address this problem, allowing CT results to be obtained at the speed of thought, and permitting geochemical and petrological intuition to play a key role in model development and calibration.

  10. Integrating research into clinical internship training bridging the science/practice gap in pediatric psychology. (United States)

    McQuaid, Elizabeth L; Spirito, Anthony


    Existing literature highlights a critical gap between science and practice in clinical psychology. The internship year is a "capstone experience"; training in methods of scientific evaluation should be integrated with the development of advanced clinical competencies. We provide a rationale for continued exposure to research during the clinical internship year, including, (a) critical examination and integration of the literature regarding evidence-based treatment and assessment, (b) participation in faculty-based and independent research, and (c) orientation to the science and strategy of grantsmanship. Participation in research provides exposure to new empirical models and can foster the development of applied research questions. Orientation to grantsmanship can yield an initial sense of the "business of science." Internship provides an important opportunity to examine the challenges to integrating the clinical evidence base into professional practice; for that reason, providing research exposure on internship is an important strategy in training the next generation of pediatric psychologists.

  11. Integrating Research Into Clinical Internship Training Bridging the Science/Practice Gap in Pediatric Psychology (United States)

    Spirito, Anthony


    Existing literature highlights a critical gap between science and practice in clinical psychology. The internship year is a “capstone experience”; training in methods of scientific evaluation should be integrated with the development of advanced clinical competencies. We provide a rationale for continued exposure to research during the clinical internship year, including, (a) critical examination and integration of the literature regarding evidence-based treatment and assessment, (b) participation in faculty-based and independent research, and (c) orientation to the science and strategy of grantsmanship. Participation in research provides exposure to new empirical models and can foster the development of applied research questions. Orientation to grantsmanship can yield an initial sense of the “business of science.” Internship provides an important opportunity to examine the challenges to integrating the clinical evidence base into professional practice; for that reason, providing research exposure on internship is an important strategy in training the next generation of pediatric psychologists. PMID:22286345

  12. Practical steps toward integrating economic, social and institutional elements in fisheries policy and management

    DEFF Research Database (Denmark)

    Stephenson, Robert L.; Benson, Ashleen J.; Brooks, Kate


    While international agreements and legislation call for incorporation of four pillars of sustainability, the social (including cultural), economic and institutional aspects (the ‘human dimension’) have been relatively neglected to date. Three key impediments have been identified: a relative lack...... of explicit social, economic and institutional objectives; a general lack of process (frameworks, governance) for routine integration of all four pillars of sustainability; and a bias towards biological considerations. Practical integration requires a ‘systems’ approach with explicit consideration...... in fisheries to immediately take five practical steps toward integrating ecological, economic, social and institutional aspects: (1) Adopt the perspective of the fishery as a ‘system’ with interacting natural, human and management elements; (2) Be aware of both strategic and operational aspects of fisheries...

  13. An Integrative Professional Theory and Practice Paper: Personal Reflections from the Journey through Clinical Pastoral Education. (United States)

    McLean, Gillian


    CPE is an experience-based approach to learning spiritual care which combines clinical care with qualified supervision, in-class education and group reflection (CASC-- Through didactic seminars, group presentations and personal reading there is opportunity for the student to acquire, apply and integrate relevant theoretical information into their practice. Written for my CPE Specialist application, this paper describes how, through the course of advanced CPE education, I learn to utilize and integrate theory into my clinical work. Beginning with three strands--authenticity, listening and storytelling--I then discuss how the behavioural sciences and theology inform my practice. Focusing on empathy, I speak of the application of disclosure, the use of counter-transference as a diagnostic tool, and the place of therapeutic termination. Group theory, family systems theory, theological reflection, liturgical ministry, and multi-faith practices are considered. © The Author(s) 2015.

  14. Integrating evidence-based practice into RN-to-BSN clinical nursing education. (United States)

    Oh, Eui Geum; Kim, Sunah; Kim, So Sun; Kim, Sue; Cho, Eun Yong; Yoo, Ji-Soo; Kim, Hee Soon; Lee, Ju Hee; You, Mi Ae; Lee, Hyejung


    This study examines the effects of integrating evidence-based practice (EBP) into clinical practicum on EBP efficacy and barriers to research utilization among Korean RN-to-BSN students. A one-group pretest-posttest design was used. Eighty-one students were recruited from a school of nursing in Korea. Evidence-based practice clinical practicum was composed of two consecutive programs during one semester. Lectures, individual mentoring on EBP practicum, small group, and wrap-up conferences were provided. Outcomes of EBP efficacy and barriers to research utilization were analyzed using paired t tests for 74 final participants. Evidence-based practice efficacy scores increased significantly (p effectiveness of EBP education among RN-to-BSN students. These results may help health educators develop effective educational strategies to integrate EBP concepts into a clinical practicum. Copyright 2010, SLACK Incorporated.

  15. Technological Determinism and Permissionless Innovation as Technocratic Governing Mentalities: Psychocultural Barriers to the Democratization of Technology

    Directory of Open Access Journals (Sweden)

    Taylor Dotson


    Full Text Available Despite no shortage of thoughtful analysis concerning how to more democratically develop and assess new technologies, practical progress toward democratized innovation has been paltry. This state of affairs suggests that the barriers to such democratic ends merit more attention. Building upon calls to more seriously examine citizens’ understandings of technology as autonomous or deterministic, this paper characterizes the assumptions, beliefs, and patterns of thought undergirding technological determinism and permissionless innovation as technocratic governing mentalities. That is, they contribute to the biasing of political discourses, practices, and organizations toward non-decision making and adaptation with regards to technological change. Indeed, permissionless innovation is quickly becoming the motto of those aiming to legitimate a “hands-off” approach to the sociotechnical “disruptions” sought by Silicon Valley entrepreneurs. Moreover, this paper explores how STS, as both an academic and political endeavor, might better respond to the challenges these modes of thinking present. Drawing upon relevant work within social psychology and communications, several fruitful avenues for engaged research regarding undermining technocratic governing mentalities become apparent. Not only is there a pressing need for accessible and parsimonious counternarratives to technological determinism and permissionless innovation but also rhetorical strategies for making the democratization of technological appear continuous with aspects of status quo systems. Finally, given that technocratic governing mentalities are likely to have practical and material roots, inquiry should be directed toward understanding how different sociotechnical arrangements impact citizens’ perception of the desirability and feasibility of democratizing technology.

  16. Energy technology and American democratic values

    Energy Technology Data Exchange (ETDEWEB)

    Thompson, G.M.


    Today, the benefits of liberal democracy have increasingly been cast into doubt. The debate over alternative energy policies illustrates the problems associated with liberal democracy. For many, it is the realization that energy choices and the selection of social and political values amount to much the same thing. Simply put, energy policy decisions, and the concomitant energy technologies, carry implications of an ethical, social and political nature. The argument of the social and political effects of energy technology flows from the more general thesis that all forms of technological practice condition social and political relations. That is, technological systems, beyond performing the specific functions for which they were designed, act upon and influence social and political arrangements. Seen in this light, energy technologies are as important to the promotion and preservation of this country's political values as are its institutions and laws. Further, there is evidence to suggest that this country's cherished democratic value of freedom is slowly being eclipsed by the values attendant to corporate capitalism and its singular pursuit of growth. It is this dominance of economic values over political values which provides the environment within which the technological debate is waged. Ultimately, tracing the historic linkage between property and liberty, it is concluded that the preservation of our freedom require new thinking regarding the present configuration of ownership patterns. The questions surrounding energy policy serve to illuminate these concerns.

  17. Towards Integrated Team Practice: A Case of Malaysian Industrialised Building System (IBS Construction Projects

    Directory of Open Access Journals (Sweden)

    Mohd Nawi Mohd Nasrun


    Full Text Available Problems associated with fragmentation in the traditional construction process, such as isolation of professionals, lack of co-ordination between design and construction, and the sequential manner of its processes, has impacted on construction performance leading to a lack of integration, wastage, low productivity and efficiency. Integrated team practice is perceived as paramount. Unfortunately, there has a limitation of study focus on the dimension of fully integrated team especially for Malaysian Industrialised Building System (IBS projects. Accordingly, this research paper explores and identifies the dimension of fully integrated team from the traditional approach and conduct a validation process for implementing it in Malaysian IBS projects. The research presented uses interviews case study to obtain qualitative data. It was found that the dimension of fully integrated team from the traditional construction process could apply to the Malaysian IBS projects. Suggestions on how an integrated team practice in IBS design and construction process in order to minimise the fragmentation gaps will be concluded.

  18. Measuring the democratic anchorage of governance networks

    DEFF Research Database (Denmark)

    Fotel, Trine; Sørensen, Eva; Torfing, Jacob

    There has been a growing debate about the democratic problems and potentials of governance networks among political scientists and public managers. While some claim that governance networks tend to undermine democracy, others argue that they have the potential to improve and strengthen democracy....... This debate is found wanting in two respects. First of all, there has been far too little discussion about what democracy means in relation to pluricentric governance networks. Second, the current debate builds on the assumption that it is possible to give a clear-cut answer to the question of the democratic...... problems and merits of governance networks. This assumption is highly questionable, and prevents a more nuanced assessment of the democratic performance of governance networks. As such, it diverts the focus of attention away from the fact that governance networks may be democratic in some respects...

  19. Democratic innovations: designing institutions for citizen participation

    National Research Council Canada - National Science Library

    Smith, Graham


    At a time when there is growing disillusionment with the institutions of advanced industrial democracies, there is also increasing interest in new ways of involving citizens in the democratic process...

  20. The democratizing impact of governance networks

    DEFF Research Database (Denmark)

    Sørensen, Eva; Torfing, Jacob


    impact of governance networks. It claims that the initial celebration of the pluralization of public governance and the subsequent call for a democratic anchorage of governance networks should give way to a new concern for how governance networks can strengthen and democratize political leadership. Tying......Initially, governance networks were intended as tools for making public governance more effective. Yet, scholars have argued that governance networks also have the potential to democratize public governance. This article provides an overview of theoretical arguments pertaining to the democratizing...... political leadership to networked processes of collaborative governance fosters ‘interactive political leadership’. The article presents theoretical arguments in support of interactive political leadership, and provides an illustrative case study of a recent attempt to strengthen political leadership...

  1. NPPCI - topics in the German Democratic Republic

    International Nuclear Information System (INIS)

    Ziegenbein, D.


    This paper summarizes research and development activities in the field of computerized operator support systems, self-powered detectors, boiling diagnostic and loose part detection systems in the German Democratic Republic

  2. Democratic Leadership Doesn't Just Happen (United States)

    Hartman, Catherine L.


    The research cited and the inservice experiences with teachers described suggest that attitude screening criteria and a training program show promise for producing administrators and teachers with democratic leadership abilities. (Author/IRT)

  3. Strengthening Democratic Governance through ICTs : Post Election ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Strengthening Democratic Governance through ICTs : Post Election ... has had several consequences, culminating in the disputed general elections of December 2007. ... Linking research to urban planning at the ICLEI World Congress 2018.

  4. The role of ICT in nursing practice: an integrative literature review of the Swedish context. (United States)

    Fagerström, Cecilia; Tuvesson, Hanna; Axelsson, Lisa; Nilsson, Lina


    The Swedish healthcare system employs information and communication technologies (ICT) in nursing practice to meet quality-, security- and efficiency-related demands. Although ICT is integrated with nursing practices, nurses do not always feel that they are convenient to use it. We need to improve our knowledge of the role of ICT in healthcare environments and so we decided to complement existing experience of how ICT influences nursing practice. This study aimed to review and synthesise the available literature on the role of ICT in nursing practice in Swedish healthcare settings. To consolidate previous studies based on diverse methodologies, an integrative literature review was carried out. Three databases were used to search for literature, 20 articles met the inclusion criteria. The literature review indicates that ICT integration into nursing practice is a complex process that impacts nurses' communication and relationships in patient care, working conditions, and professional identities and development. Nurses are found to express ambiguous views on ICT as a usable service in their everyday practice since it impacts both positively and negatively. Although ICT cannot replace physical presence, it can be considered a complementary service that gives rise to improved patient care. However, nonverbal communication cues may be missed when ICT is used as mediating tool and ICT can be limiting because it is not always designed to meet nurse and patient needs. The meaning of an encounter appears to change when ICT is used in nursing practice, not only for patient relationships but also for interpersonal communication. © 2016 Nordic College of Caring Science.

  5. EIA practice


    Wärnbäck, Antoienette


    This thesis is about Environmental Impact Assessment (EIA) practice in Sweden. Impact Assessment (IA) is expected to play a crucial role in enabling democratic and enlightened decision making. EIA practice seems however not to be in accordance with best IA practice norms and legislation in many countries. We therefore need a more thorough understanding of IA practice and its outcomes and about what is gained through EIA and thus also be able to suggest, on a more profound basis...

  6. Surgical education and adult learning: Integrating theory into practice [version 1; referees: 3 approved

    Directory of Open Access Journals (Sweden)

    Prem Rashid


    Full Text Available Surgical education continues to evolve from the master-apprentice model. Newer methods of the process need to be used to manage the dual challenges of educating while providing safe surgical care. This requires integrating adult learning concepts into delivery of practical training and education in busy clinical environments. A narrative review aimed at outlining and integrating adult learning and surgical education theory was undertaken. Additionally, this information was used to relate the practical delivery of surgical training and education in day-to-day surgical practice. Concepts were sourced from reference material. Additional material was found using a PubMed search of the words: ‘surgical education theory’ and ‘adult learning theory medical’. This yielded 1351 abstracts, of which 43 articles with a focus on key concepts in adult education theory were used. Key papers were used to formulate structure and additional cross-referenced papers were included where appropriate. Current concepts within adult learning have a lot to offer when considering how to better deliver surgical education and training. Better integration of adult learning theory can be fruitful. Individual teaching surgical units need to rethink their paradigms and consider how each individual can contribute to the education experience. Up skilling courses for trainers can do much to improve the delivery of surgical education. Understanding adult learning concepts and integrating these into day-to-day teaching can be valuable.

  7. From Metacognition to Practice Cognition: The DNP e-Portfolio to Promote Integrated Learning. (United States)

    Anderson, Kelley M; DesLauriers, Patricia; Horvath, Catherine H; Slota, Margaret; Farley, Jean Nelson


    Educating Doctor of Nursing Practice (DNP) students for an increasingly complex health care environment requires novel applications of learning concepts and technology. A deliberate and thoughtful process is required to integrate concepts of the DNP program into practice paradigm changes to subsequently improve students' abilities to innovate solutions to complex practice problems. The authors constructed or participated in electronic portfolio development inspired by theories of metacognition and integrated learning. The objective was to develop DNP student's reflection, integration of concepts, and technological capabilities to foster the deliberative competencies related to the DNP Essentials and the foundations of the DNP program. The pedagogical process demonstrates how e-portfolios adapted into the doctoral-level curriculum for DNP students can address the Essentials and foster the development of metacognitive capabilities, which translates into practice changes. The authors suggest that this pedagogical approach has the potential to optimize reflective and deliberative competencies among DNP students. [J Nurs Educ. 2017;56(8):497-500.]. Copyright 2017, SLACK Incorporated.

  8. Using structural equation modelling to integrate human resources with internal practices for lean manufacturing implementation

    Directory of Open Access Journals (Sweden)

    Protik Basu


    Full Text Available The purpose of this paper is to explore and integrate the role of human resources with the internal practices of the Indian manufacturing industries towards successful implementation of lean manu-facturing (LM. An extensive literature survey is carried out. An attempt is made to build an ex-haustive list of all the input manifests related to human resources and internal practices necessary for LM implementation, coupled with a similar exhaustive list of the benefits accrued from its suc-cessful implementation. A structural model is thus conceptualized, which is empirically validated based on the data from the Indian manufacturing sector. Hardly any survey based empirical study in India has been found to integrate human resources with the internal processes towards success-ful LM implementation. This empirical research is thus carried out in the Indian manufacturing in-dustries. The analysis reveals six key input constructs and three output constructs, indicating that these constructs should act in unison to maximize the benefits of implementing lean. The structural model presented in this paper may be treated as a guide to integrate human resources with internal practices to successfully implement lean, leading to an optimum utilization of resources. This work is one of the very first researches to have a survey-based empirical analysis of the role of human resources and internal practices of the Indian manufacturing sector towards an effective lean im-plementation.

  9. Integration of health technology assessment recommendations into organizational and clinical practice: A case study in Catalonia. (United States)

    Gagnon, Marie-Pierre; Sánchez, Emília; Pons, Joan M V


    Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy makers. This research sought to understand factors affecting the uptake of HTA recommendations to support decision making with respect to the introduction of three health technologies. Using a multidimensional framework, based upon a combination of theoretical models, a case study was conducted. A total of twenty-eight semistructured interviews were done with physicians from fifteen hospitals and other stakeholders in Catalonia. Interview content was analyzed iteratively and classified according to theoretical dimensions and contextual factors. At the sociopolitical level, factors related to the organization and financing of the health system were found to affect the utilization of HTA recommendations. At the healthcare organization level, existing collaborations between the hospital and the HTA agency favored the integration of recommendations into practices. Formalism in the organization also influenced the utilization of HTA recommendations. At the professional level, the high degree of autonomy of specialists, the importance of peers and collegial control, and the definition of professional roles and responsibilities influenced physicians' willingness to integrate HTA recommendations into their practice. This study offers a comprehensive framework to understand the complex dynamics that affect adoption of health technologies in organizational and professional practices. The findings suggest some avenues to promote the integration of HTA recommendations into practices and, thus, increase the utilization of scientific evidence to support decision making in health care.

  10. Integration of professional judgement and decision-making in high-level adventure sports coaching practice. (United States)

    Collins, Loel; Collins, Dave


    This study examined the integration of professional judgement and decision-making processes in adventure sports coaching. The study utilised a thematic analysis approach to investigate the decision-making practices of a sample of high-level adventure sports coaches over a series of sessions. Results revealed that, in order to make judgements and decisions in practice, expert coaches employ a range of practical and pedagogic management strategies to create and opportunistically use time for decision-making. These approaches include span of control and time management strategies to facilitate the decision-making process regarding risk management, venue selection, aims, objectives, session content, and differentiation of the coaching process. The implication for coaches, coach education, and accreditation is the recognition and training of the approaches that "create time" for the judgements in practice, namely "creating space to think". The paper concludes by offering a template for a more expertise-focused progression in adventure sports coaching.

  11. Models for integrating medical acupuncture into practice: an exploratory qualitative study of physicians' experiences. (United States)

    Crumley, Ellen T


    Internationally, physicians are integrating medical acupuncture into their practice. Although there are some informative surveys and reviews, there are few international, exploratory studies detailing how physicians have accommodated medical acupuncture (eg, by modifying schedules, space and processes). To examine how physicians integrate medical acupuncture into their practice. Semi-structured interviews and participant observations of physicians practising medical acupuncture were conducted using convenience and snowball sampling. Data were analysed in NVivo and themes were developed. Despite variation, three principal models were developed to summarise the different ways that physicians integrated medical acupuncture into their practice, using the core concept of 'helping'. Quotes were used to illustrate each model and its corresponding themes. There were 25 participants from 11 countries: 21 agreed to be interviewed and four engaged in participant observations. Seventy-two per cent were general practitioners. The three models were: (1) appointments (44%); (2) clinics (44%); and (3) full-time practice (24%). Some physicians held both appointments and regular clinics (models 1 and 2). Most full-time physicians initially tried appointments and/or clinics. Some physicians charged to offset administration costs or compensate for their time. Despite variation within each category, the three models encapsulated how physicians described their integration of medical acupuncture. Physicians varied in how often they administered medical acupuncture and the amount of time they spent with patients. Although 24% of physicians surveyed administered medical acupuncture full-time, most practised it part-time. Each individual physician incorporated medical acupuncture in the way that worked best for their practice. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  12. Gynecologic oncologists' attitudes and practices relating to integrative medicine: results of a nationwide AGO survey. (United States)

    Klein, Evelyn; Beckmann, Matthias W; Bader, Werner; Brucker, Cosima; Dobos, Gustav; Fischer, Dorothea; Hanf, Volker; Hasenburg, Annette; Jud, Sebastian M; Kalder, Matthias; Kiechle, Marion; Kümmel, Sherko; Müller, Andreas; Müller, Myrjam-Alice T; Paepke, Daniela; Rotmann, Andre-Robert; Schütz, Florian; Scharl, Anton; Voiss, Petra; Wallwiener, Markus; Witt, Claudia; Hack, Carolin C


    The growing popularity and acceptance of integrative medicine is evident both among patients and among the oncologists treating them. As little data are available regarding health-care professionals' knowledge, attitudes, and practices relating to the topic, a nationwide online survey was designed. Over a period of 11 weeks (from July 15 to September 30, 2014) a self-administered, 17-item online survey was sent to all 676 members of the Research Group on Gynecological Oncology (Arbeitsgemeinschaft Gynäkologische Onkologie) in the German Cancer Society. The questionnaire items addressed the use of integrative therapy methods, fields of indications for them, advice services provided, level of specific qualifications, and other topics. Of the 104 respondents (15.4%) using integrative medicine, 93% reported that integrative therapy was offered to breast cancer patients. The second most frequent type of tumor in connection with which integrative therapy methods were recommended was ovarian cancer, at 80% of the participants using integrative medicine. Exercise, nutritional therapy, dietary supplements, herbal medicines, and acupuncture were the methods the patients were most commonly advised to use. There is considerable interest in integrative medicine among gynecological oncologists, but integrative therapy approaches are at present poorly implemented in routine clinical work. Furthermore there is a lack of specific training. Whether future efforts should focus on extending counseling services on integrative medicine approaches in gynecologic oncology or not, have to be discussed. Evidence-based training on integrative medicine should be implemented in order to safely guide patients in their wish to do something by themselves.

  13. The Federal Trade Commission, clinical integration, and the organization of physician practice. (United States)

    Casalino, Lawrence P


    This article examines Federal Trade Commission (FTC) policy--in particular, the agency's controversial 1996 statements on clinical integration--toward joint negotiations for nonrisk contracts with health plans by physicians organized into independent practice associations (IPAs) and (with hospitals) into physician-hospital organizations (PHOs). The article concludes that the policy is consistent with anti-trust principles, consistent with current thinking on the use of organized processes to improve medical care quality, specific enough to provide guidance to physicians wanting to integrate clinically, and general enough to encourage ongoing innovations in physician organization. The FTC should consider stronger sanctions for IPAs and PHOs whose clinical integration is nothing more than a sham intended to provide cover for joint negotiations, should give the benefit of the doubt to organizations whose clinical integration appears to be reasonably consonant with the statements, and should clarify several ambiguities in the statements. Health plans should facilitate IPA and PHO efforts to improve care by rewarding quality and efficiency and by providing clinically integrated organizations with claims information on individual patients. Though creating clinically integrated organizations is difficult and expensive, physicians should recognize that clinical integration can help them both to gain some negotiating leverage with health plans and to improve the quality of care for their patients.

  14. Integrating Technology into Teacher Preparation and Practice: A Two-way Mentoring Model

    Directory of Open Access Journals (Sweden)

    Jim Kerr


    Full Text Available This article reports on a pilot case study exploring the opportunity for authentic professional development in the use of technology. Self-selected pre-service and in- service teachers were paired so as to reinforce and enhance, firstly, their computer skill development and, secondly, their ability to integrate these same skills into classroom teaching practices. It was proposed that both groups of participants would derive benefit from these pairings. Results overwhelming support this and suggest (a a model for better preparing teacher candidates to be able to integrate computer skills into classroom programming and (b a new, perhaps more efficient, method of professional development for busy, dedicated classroom teachers.

  15. Modern tendencies in psychotherapy: The specialisation of practice and knowledge integration

    Directory of Open Access Journals (Sweden)

    Gavrilov-Jerković Vesna


    Full Text Available The paper considers chronological and theoretical development of psychotherapy with the aim of formulating psychotherapeutic paradigm as an expression of scientific improvement in this field, as well as methodological and empirical assumption of integrative models in the psychotherapy. Special attention is paid to the phenomena that have characterised the field of psychotherapy in recent time, such as, on one hand, the emphasis on the increased need for the empirical evaluation of practice and accompanied trend regarding specialisation, and, on the other hand, the strengthening of the trend towards defining and researching general change mechanisms from wider, more integrative and transtheoretical perspective.

  16. Towards integration of health economics into medical education and clinical practice in Saudi Arabia. (United States)

    Da'ar, Omar B; Al Shehri, Ali M


    In an era of expanding health sectors and rising costs, doctors are expected to have a working knowledge of health economics to better use resources and improve outcomes and quality of health care. This article recognizes the dearth of knowledge and application of economic analyses in medical education and clinical practice in Saudi Arabia. In particular, it highlights the desirability of knowledge of health economics in ensuring certain competencies in medical education and the rationale for inviting doctors to apply knowledge of economics in Saudi Arabia. In addition, the article discusses challenges that hinder integrating health economics into clinical practice. Furthermore, the article typifies some of the important economic phenomena that physicians need to discern. Besides, the article provides implications for incorporating economic analysis into medical education and clinical practice in Saudi Arabia. Finally, the article concludes by demonstrating how health economics can enhance doctors' knowledge and recommends the country to move towards integrating health economics into medical education and clinical practice for best practice.

  17. Social Ecology of Asthma: Engaging Stakeholders in Integrating Health Behavior Theories and Practice-Based Evidence through Systems Mapping (United States)

    Gillen, Emily M.; Hassmiller Lich, Kristen; Yeatts, Karin B.; Hernandez, Michelle L.; Smith, Timothy W.; Lewis, Megan A.


    This article describes a process for integrating health behavior and social science theories with practice-based insights using participatory systems thinking and diagramming methods largely inspired by system dynamics methods. This integration can help close the gap between research and practice in health education and health behavior by offering…

  18. Integrating Quality and Safety Competencies to Improve Outcomes: Application in Infusion Therapy Practice. (United States)

    Sherwood, Gwen; Nickel, Barbara

    Despite intense scrutiny and process improvement initiatives, patient harm continues to occur in health care with alarming frequency. The Quality and Safety Education for Nursing (QSEN) project provides a roadmap to transform nursing by integrating 6 competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As front-line caregivers, nurses encounter inherent risks in their daily work. Infusion therapy is high risk with multiple potential risks for patient harm. This study examines individual and system application of the QSEN competencies and the Infusion Nurses Society's 2016 Infusion Therapy Standards of Practice in the improvement of patient outcomes.

  19. Systems and complexity thinking in the general practice literature: an integrative, historical narrative review. (United States)

    Sturmberg, Joachim P; Martin, Carmel M; Katerndahl, David A


    Over the past 7 decades, theories in the systems and complexity sciences have had a major influence on academic thinking and research. We assessed the impact of complexity science on general practice/family medicine. We performed a historical integrative review using the following systematic search strategy: medical subject heading [humans] combined in turn with the terms complex adaptive systems, nonlinear dynamics, systems biology, and systems theory, limited to general practice/family medicine and published before December 2010. A total of 16,242 articles were retrieved, of which 49 were published in general practice/family medicine journals. Hand searches and snowballing retrieved another 35. After a full-text review, we included 56 articles dealing specifically with systems sciences and general/family practice. General practice/family medicine engaged with the emerging systems and complexity theories in 4 stages. Before 1995, articles tended to explore common phenomenologic general practice/family medicine experiences. Between 1995 and 2000, articles described the complex adaptive nature of this discipline. Those published between 2000 and 2005 focused on describing the system dynamics of medical practice. After 2005, articles increasingly applied the breadth of complex science theories to health care, health care reform, and the future of medicine. This historical review describes the development of general practice/family medicine in relation to complex adaptive systems theories, and shows how systems sciences more accurately reflect the discipline's philosophy and identity. Analysis suggests that general practice/family medicine first embraced systems theories through conscious reorganization of its boundaries and scope, before applying empirical tools. Future research should concentrate on applying nonlinear dynamics and empirical modeling to patient care, and to organizing and developing local practices, engaging in community development, and influencing

  20. On the counterintuitive consequences of high-performance work practices in cross-border post-merger human integration

    DEFF Research Database (Denmark)

    Vasilaki, A.; Smith, Pernille; Giangreco, A.


    , such as communication, employee involvement, and team building, may not always produce the expected effects on human integration; rather, it can have the opposite effects if top management does not closely monitor the immediate results of deploying such practices. Implications for managers dealing with post......, this article investigates the impact of systemic and integrated human resource practices [i.e., high-performance work practices (HPWPs)] on human integration and how their implementation affects employees' behaviours and attitudes towards post-merger human integration. We find that the implementation of HPWPs...

  1. Conversation as Academic Practice: Tutors' Strategies in Integrating Student Learning in a Professional Training Degree Programme

    Directory of Open Access Journals (Sweden)

    Matt Bowden


    Full Text Available Tutors are generally considered to be an additional resource in teaching and learning, as a means of augmenting that of the lecturer. This article explores tutors as academic staff with responsibilities for developing practice competencies and integrating student learning in a social care professional training degree programme. The research is small-scale, based upon data from a purposive sample of five interviews; and upon insider-participant observation notes and reflections in one single setting. The author deployed a situated ethnographic methodology alongside a frame analytic approach. The research found that in their academic practice, tutors reveal how their student contact is oriented to developing a reflective practitioner and they discuss how programme inputs impact on the student’s professional self. Simultaneously, tutors seek to create cross programme integration through finding overlaps with academic programme strands.

  2. Best Practices and Provisional Guidelines for Integrating Mobile, Virtual, and Videogame-Based Training and Assessments (United States)


    videogame -based platforms, 2) role of assessments and how they can be implemented within these platforms, or 3) benefits or challenges of the...Technical Report 1334 Best Practices and Provisional Guidelines for Integrating Mobile, Virtual, and Videogame -Based Training and...Virtual, and Videogame -Based Training and Assessments 5a. CONTRACT OR GRANT NUMBER W5J9CQ-11-D-0002 5b. PROGRAM ELEMENT NUMBER 622785

  3. Combined horizontal and vertical integration of care: a goal of practice-based commissioning. (United States)

    Thomas, Paul; Meads, Geoffrey; Moustafa, Ahmet; Nazareth, Irwin; Stange, Kurt C; Donnelly Hess, Gertrude


    Practice-based commissioning (PBC) in the UK is intended to improve both the vertical and horizontal integration of health care, in order to avoid escalating costs and enhance population health. Vertical integration involves patient pathways to treat named medical conditions that transcend organisational boundaries and connect community-based generalists with largely hospital-sited specialists, whereas horizontal integration involves peer-based and cross-sectoral collaboration to improve overall health. Effective mechanisms are now needed to permit ongoing dialogue between the vertical and horizontal dimensions to ensure that medical and nonmedical care are both used to their best advantage. This paper proposes three different models for combining vertical and horizontal integration - each is a hybrid of internationally recognised ideal types of primary care organisation. Leaders of PBC should consider a range of models and apply them in ways that are relevant to the local context. General practitioners, policy makers and others whose job it is to facilitate horizontal and vertical integration must learn to lead such combined approaches to integration if the UK is to avoid the mistakes of the USA in over-medicalising health issues.

  4. The exploration and practice of integrated innovation teaching mode in the Applied Optics course (United States)

    Liu, Dongmei; Zhao, Huifu; Fu, Xiuhua; Zhang, Jing


    In recent years, the Ministry of Education of China attaches great importance to the reform of higher education quality. As an important link in the reform of higher education, curriculum development is bound to promote the development of "quality-centered connotative education". Zhejiang University, Changchun University of Science and Technology, Southern Airlines University and other colleges and universities carried out a full range of close cooperation, proposed integrated innovation teaching mode of the course based on network technology. Based on this model, the course of "Applied Optics" has been practiced for two years. The results show that the integrated innovation teaching mode can fully realize the integration amplification effect among multiple colleges and universities and the depth sharing all types of resources. Based on the principle of co-building and sharing, mutual help, comprehensively improve the teaching quality of domestic related courses and promote the comprehensive development of the curriculum to meet the needs of learning society.

  5. Integration of Multiple Data Sources for predicting the Engagement of Students in Practical Activities

    Directory of Open Access Journals (Sweden)

    Llanos Tobarra


    Full Text Available This work presents the integration of an automatic assessment system for virtual/remote laboratories and the institutional Learning Management System (LMS, in order to analyze the students’ progress and their collaborative learning in virtual/remote laboratories. As a result of this integration, it is feasible to extract useful information for the characterization of the students’ learning process and detecting the students’ engagement with the practical activities of our subjects. From this integration, a dashboard has been created to graphically present to lecturers the analyzed results. Thanks to this, faculty can use the analyzed information in order to guide the learning/teaching process of each student. As an example, a subject focused on the configuration of network services has been chosen to implement our proposal.

  6. Practical integrated design of a condenser-objective lens for transmission electron microscope

    International Nuclear Information System (INIS)

    Li Wenping; Wu Jian; Zhou Zhen; Gui Lijiang; Han Li


    A condenser-objective lens is designed through combination of separating and integrating to consider the effect of the front condenser field on its objective performance. A practical lens model including magnetic pole piece, magnetic circuit and coil windings is built to optimize its rear field. The front field can be integrated into the rear one by simply adjusting the position of the specimen and the excitation on the condenser-objective lens. Optical performance of the integrated lens is researched as both a condenser lens and an imaging one. The total aberrations at the specimen plane are 0.01nm under STEM operation mode and its spherical aberration coefficient is 1.5mm when being an imaging objective lens, which can meet for high resolution microanalysis and TEM imaging.

  7. Combining Community-Based Learning and Catholic Social Teaching in Educating for Democratic Citizenship (United States)

    Sullivan, Susan Crawford; Post, Margaret A.


    College students are in a key developmental stage for cultivating their civic identities. This article draws on a case example to show how courses focused on educating students for democratic citizenship--courses on leadership, community organizing, social movements, or other related topics--prove to be excellent venues for integrating Catholic…

  8. Jodï horticultural belief, knowledge and practice: incipient or integral cultivation?

    Directory of Open Access Journals (Sweden)

    Stanford Zent

    Full Text Available This paper describes the Jodï horticultural system, including belief, knowledge and practice aspects. The horticultural practices of the Jodï were previously characterized as 'incipient cultivation' but such practices were poorly described and documented. The antiquity of cultivation among this group is suggested by the prominence and significance of horticultural products and techniques in myth and ritual. Our field observations uncovered a fairly sophisticated system of plant management in swiddens, house gardens, trail gardens and natural forest gaps. An inventory of 67 cultivated plant species was documented, of which 36 are utilized for food, 20 for magical or medicinal purposes, and 11 for technology. The Jodï prolong the productive phase of their gardens for five years or more through successive planting-harvesting-replanting operations. Jodï swiddens display an elaborate polycultivated appearance and they possess at least five principal crops: plantain/banana, maize, yams, sweet potato, and sweet manioc. Another distinctive feature is the extensive use of natural gaps in the forest canopy as cultivation zones. The results of this study suggest that while Jodï horticultural practice is well integrated with a nomadic, foraging-dependent lifestyle, nevertheless this system does not deserve to be labeled as 'incipient' and instead is more integral than was recognized previously.

  9. Investment practices in Australian coal: the practice and profit of quasi-integration in the Australia-Japan coal trade

    International Nuclear Information System (INIS)

    Colley, Peter


    The Australian coal industry has frequently been described as a perpetual case of 'profitless prosperity'. Industry literature on the subject usually sources this problem to government charges on the industry and to labour costs. However, these alleged problems do not appear to have diminished the enthusiasm for new investment in the industry. This study argues that a more complete explanation must look at who is investing in the Australian coal industry, what the rationale for those investments is, how they are financed and what their specific profitability is. The particular examination made here is of the quasi-integration investment practices of Japanese trading, steel and power companies -easily the largest group of buyers in the international coal trade. The close co-operation between Japanese government and business in this strategic raw materials industry is documented, as are the methods of subsidised investment. An examination of the financial performance of these companies' Australian coal investments shows that the profitability of their investments is significantly below that of most other investors in Australian mining over a recent 5-year period. Taken together, there is significant support for the conclusion that a process of co-ordinated quasi-integration has taken place and that the principal aim of such investments has not been to make profits from coal-mining. (author)

  10. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain

    Directory of Open Access Journals (Sweden)

    Clarke S


    Full Text Available Angela Dunsford1, Saravana Kumar1,2, Sarah Clarke1 1International Centre for Allied Health Evidence, 2School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Abstract: Low back pain (LBP is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiotherapy, there has been a growing movement that recognizes the role of the McKenzie method in treating LBP. Within the McKenzie framework, directional preference (DP exercises are one such intervention, with preliminary data demonstrating its effectiveness in the management of LBP. In this paper, we aim to integrate the evidence from current research, identified using a systematic review, and utilize a practical real-life case scenario to outline how evidence from the literature can be implemented in clinical practice. The findings from the systematic review indicate that DP exercises may have positive effects in the management of LBP. While the body of evidence to support this is limited (only four studies and therefore modest at best, it does provide some emerging evidence to support the use of DP exercises in clinical practice. Despite this, gaps also persist in the literature on DP exercises, and this relates to the exercise parameters and the compliance rates. Recognizing this dichotomy (modest evidence in some areas and evidence gaps in other areas, which is likely to confront health practitioners, using a practical approach with a real-life clinical scenario, we outline how the evidence from the systematic review can be implemented in clinical practice. This approach builds on the philosophy of evidence-based practice of integrating research evidence with clinical expertise and patient values. Keywords: low back pain, McKenzie method, directional

  11. Leveling the Playing Field: Teacher Perception of Integrated STEM, Engineering, and Engineering Practices (United States)

    Fincher, Bridgette Ann

    The purpose of this study was to describe the perceptions and approaches of 14 third-through-fifth grade Arkansan elementary teachers towards integrative engineering and engineering practices during 80 hours of integrated STEM professional development training in the summer and fall of 2014. This training was known as Project Flight. The purpose of the professional development was to learn integrated STEM content related to aviation and to write grade level curriculum units using Wiggins and McTighe's Understanding by Design curriculum framework. The current study builds upon on the original research. Using a mixed method exploratory, embedded QUAL[quan] case study design and a non-experimental convenience sample derived from original 20 participants of Project Flight, this research sought to answer the following question: Does professional development influence elementary teachers' perceptions of the curriculum and instruction of integrated STEM engineering and engineering practices in a 3-to-5 grade level setting? A series of six qualitative and one quantitative sub-questions informed the research of the mixed method question. Hermeneutic content analysis was applied to archival and current qualitative data sets while descriptive statistics, independent t-tests, and repeated measures ANOVA tests were performed on the quantitative data. Broad themes in the teachers' perceptions and understanding of the nature of integrated engineering and engineering practices emerged through triangulation. After the professional development and the teaching of the integrated STEM units, all 14 teachers sustained higher perceptions of personal self-efficacy in their understanding of Next Generation Science Standards (NGSS). The teachers gained understanding of engineering and engineering practices, excluding engineering habits of mind, throughout the professional development training and unit teaching. The research resulted in four major findings specific to elementary engineering

  12. Assessment of schistosomiasis and soil-transmitted helminths prevalence in school-aged children and opportunities for integration of control in local health services in Kwilu Province, the Democratic Republic of the Congo. (United States)

    Inocencio da Luz, R; Linsuke, S; Lutumba, P; Hasker, E; Boelaert, M


    To determine the prevalence of schistosomiasis (SCH) and soil-transmitted helminths (STH) in the Democratic Republic of Congo, and to assess the capacity of the local health centres for diagnosis and treatment. Cross-sectional school-based survey in two health districts in the Province of Kwilu. We collected a stool and a urine sample for parasitological examination. Urine filtration and duplicate Kato-Katz thick smears were used for the diagnosis of SCH. Health centres were evaluated using a structured questionnaire. In total, 526 children participated in the study and the overall prevalence of Schistosoma mansoni infection was 8.9% (95% CI: 3.5-13.2) in both districts. The prevalence was higher in Mosango (11.7%; 95% CI: 8.9-14.8) than Yasa Bonga district (6.2%; 95% CI: 1.1-11.4). Urine filtration showed that Schistosoma haematobium infection was not present. The combined STH infection prevalence was 58.1% in both districts; hookworm infection was the most common STH found in 52.9% (95% CI: 29.3-62.4) of subjects, followed by Ascaris lumbricoides 9.3% (95% CI: 5.8-15.5) and Trichuris trichiura 2.1% (95% CI: 0.9-4.9). Mixed STH infections were observed as well as SCH-STH coinfection. Further mapping of both SCH and STH burden is needed, and coverage of preventive chemotherapy in school-aged children should be increased. © 2017 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  13. Human Rights, Education for Democratic Citizenship and International Organisations: Findings from a Kuwaiti UNESCO ASPnet School (United States)

    Al-Nakib, Rania


    While universal human rights frameworks and democratic models of government have gained global support and even adherence, they often exist in tension with local cultural and religious practices. In Kuwait, tensions arise between its constitution, legal system and Islam, with several groups consequently marginalised. These tensions extend into the…

  14. Charting a Democratic Course for Global Citizenship Education: Research Directions and Current Challenges (United States)

    Myers, John P.


    This article outlines research directions for global citizenship education, by emphasizing the centrality of democratic goals for schools in the 21st century. Despite a significant shift in educational policies and practices towards addressing education that respond to the conditions of globalization, there is not a clear vision regarding its role…

  15. Democratic Purpose and Educational Leadership Policies in Sweden and in Texas (United States)

    Murakami, Elizabeth; Törnsén, Monika


    In this study we analyze the extent to which policy documents that include standards and expectations for the preparation of school principals (i.e., head teachers) influence democratic practices. This comparative research examines educational policies that influence the work of principals both in Sweden and in the U.S., the state of Texas asking:…

  16. Women on board: female board membership as a form of elite democratization

    NARCIS (Netherlands)

    Heemskerk, E.M.; Fennema, M.


    Corporate elites have been all-male bastions until the twenty-first century. The recent inclusion of women in the corporate elite needs explanation because it is an abrupt change in recruitment practices. We consider female presence in corporate boards as a sign of the democratization of elite

  17. Teacher Leadership Capacity-Building: Developing Democratically Accountable Leaders in Schools (United States)

    Mullen, Carol A.; Jones, Rahim J.


    Using a qualitative case study approach, the authors explore social justice implications of inservice principals' practices that affect attitudes and empower teachers. If a primary educational goal of progressive schooling is to create and sustain more democratic schools by enabling the growth of teachers as leaders who are responsible for their…

  18. Democratizing Education: A Case Study of Inclusive Schooling for Students with Special Needs in Poland (United States)

    Baran, Jolanta; Winzer, Margaret


    This paper focuses on the democratization of education in the post-socialist space through an examination of inclusive schooling for students with special needs in Poland. It embeds the inclusive education reform and its attendant policies and practices within the political and social transitions that essentially dated from 1989 and saw Poland…

  19. Media and Democracy. A Response to "The Need for Media Education in Democratic Education" (United States)

    Mason, Lance E.


    This response supports Stoddard's (2014) assertion that media education should be considered a crucial factor of democratic education and offers both extensions and cautions related to that end. Extensions include practical suggestions for studying the non-neutrality of technology. The author also cautions educators that if media education and…

  20. Who are Eduardo Galeano’s “the nobodies” within the Democratic rule of Law?

    Directory of Open Access Journals (Sweden)

    Vanessa Santos de Souza


    Full Text Available The present article aims to run through the dialogism between the poetic prose of “The Nobodies”, by Eduardo Galeano, and the democratic rule of law, so as to analyse their irrelevance for the State and the reason of why they gain priority in the literary discourse. In order to carry out the research, we entered into the area of Law and Literary Studies for a complementary and sociological purpose, in order to introduce the debate about the democratic State and its practical implications. The theoretical foundation of the present work is laid out by the names of Lenio Streck and Antonio Candido.

  1. Cinema and Politics since 9/11: the Democratic Pardox of Media


    Marteau, Aurélie


    The question of whether cinema is democratic is a vast one, which requires research limitations of time and place to actually find an answer for. In this study, the place will be the United States, because nowhere else is the industry of cinema so powerful and generates more elements of popular culture; where also the country is considered to be democratic and practicing freedom of speech. The time will be the period following 11th September 2001: a date after which American politics has been...

  2. Music plus Music Integration: A Model for Music Education Policy Reform That Reflects the Evolution and Success of Arts Integration Practices in 21st Century American Public Schools (United States)

    Scripp, Lawrence; Gilbert, Josh


    This article explores the special case of integrative teaching and learning in music as a model for 21st century music education policy reform based on the principles that have evolved out of arts integration research and practices over the past century and informed by the recent rising tide of evidence of music's impact on brain capacity and…

  3. Mathematical Practices and Arts Integration in an Activity-Based Projective Geometry Course (United States)

    Ernest, Jessica Brooke

    It is a general assumption that the mathematical activity of students in school should, at least to some degree, parallel the practices of professional mathematicians (Brown, Collins, Duguid, 1989; Moschkovich, 2013). This assumption is reflected in the Common Core State Standards (CCSSI, 2010) and National Council of Teachers of Mathematics (NCTM, 2000) standards documents. However, the practices included in these standards documents, while developed to reflect the practices of professional mathematicians, may be idealized versions of what mathematicians actually do (Moschkovich, 2013). This might lead us to question then: "What is it that mathematicians do, and what practices are not being represented in the standards documents?" In general, the creative work of mathematicians is absent from the standards and, in turn, from school mathematics curricula, much to the dismay of some mathematicians and researchers (Lockhart, 2009; Rogers, 1999). As a result, creativity is not typically being fostered in mathematics students. As a response to this lack of focus on fostering creativity (in each of the science, technology, engineering, and mathematics disciplines--the STEM disciplines), a movement to integrate the arts emerged. This movement, called the STEAM movement--introducing the letter A into the acronym STEM to signify incorporating the arts--has been gaining momentum, yet limited research has been carried out on the efficacy of integrating the arts into mathematics courses. My experiences as the co-instructor for an activity-based course focused on projective geometry led me to consider the course as a setting for investigating both mathematical practices and arts integration. In this work, I explored the mathematical practices in which students engaged while working to develop an understanding of projective geometry through group activities. Furthermore, I explored the way in which students' learning experiences were enriched through artistic engagement in the


    Directory of Open Access Journals (Sweden)

    Fokina Zoya Titovna


    Full Text Available This article deals with a topic of interest : studying the expanding and deepening trend of integration of natural, technical, social and humanities fields of scientific knowledge. The point of absolute opposition between the sciences dealing with nature and those dealing with culture is subjected to criticism, the forms of integration of scientific knowledge are identified: mathematization, formalization, computerization of knowledge; philosophization/dialectization and environmentalization of the scientific knowledge. It is noted that such areas of scientific knowledge as synergetics, cybernetics, system theory, information technology, sociosynergetics, historical informatics, cliometrics, informatics for economics, evolutionary economics, human ecology, etc. Many scientific fields appear on the border between the science, technology and mathematics, and social and humanities studies, while the sharp borders between the natural sciences and cultural sciences tend to disappear, although specifics of studying the social reality still exists. Within the context of integration of sciences, comprehensive approach, synergetics, cybernetics, and mathematical model approach are analyzed. The philosophy of technology, and environmental problems, which are caused by the development of technological civilization, are studied. Practical value of integration processes in science is identified. The studied data is addressed to the specialists who are interested in the modern processes of integration of sciences, and modern issues of scientific and technical development of humanity, survival of humanity under the conditions of increasing technological understanding of the nature.

  5. Democratic learning in the Aalborg Model

    DEFF Research Database (Denmark)

    Qvist, Palle

    A democratic learning system can be defined as a system where decisions, processes and behaviour related to learning are established through argumentation (discussion) or negotiation (dialog), voting or consensus (alone or in combination) between those affected by the decision simultaneously...... reaching the learning outcomes, the technical and professional knowledge and insight. In principle the participants must be equal with equal rights and feel committed to the values of rationality and impartiality. The Aalborg Model is an example of a democratic learning system although not 100% democratic......, processes and behaviour related to learning can be established through argumentation (discussion) or negotiation (dialog), voting or consensus (alone or in combination) within the group simultaneously reaching the learning outcomes, the technical and professional knowledge and insight. This article...

  6. A knowledge transfer scheme to bridge the gap between science and practice: an integration of existing research frameworks into a tool for practice. (United States)

    Verhagen, Evert; Voogt, Nelly; Bruinsma, Anja; Finch, Caroline F


    Evidence of effectiveness does not equal successful implementation. To progress the field, practical tools are needed to bridge the gap between research and practice and to truly unite effectiveness and implementation evidence. This paper describes the Knowledge Transfer Scheme integrating existing implementation research frameworks into a tool which has been developed specifically to bridge the gap between knowledge derived from research on the one side and evidence-based usable information and tools for practice on the other.

  7. Gaming science innovations to integrate health systems science into medical education and practice. (United States)

    White, Earla J; Lewis, Joy H; McCoy, Lise


    Health systems science (HSS) is an emerging discipline addressing multiple, complex, interdependent variables that affect providers' abilities to deliver patient care and influence population health. New perspectives and innovations are required as physician leaders and medical educators strive to accelerate changes in medical education and practice to meet the needs of evolving populations and systems. The purpose of this paper is to introduce gaming science as a lens to magnify HSS integration opportunities in the scope of medical education and practice. Evidence supports gaming science innovations as effective teaching and learning tools to promote learner engagement in scientific and systems thinking for decision making in complex scenarios. Valuable insights and lessons gained through the history of war games have resulted in strategic thinking to minimize risk and save lives. In health care, where decisions can affect patient and population outcomes, gaming science innovations have the potential to provide safe learning environments to practice crucial decision-making skills. Research of gaming science limitations, gaps, and strategies to maximize innovations to further advance HSS in medical education and practice is required. Gaming science holds promise to equip health care teams with HSS knowledge and skills required for transformative practice. The ultimate goals are to empower providers to work in complex systems to improve patient and population health outcomes and experiences, and to reduce costs and improve care team well-being.

  8. The Democratic Citizen. A Rational Utopia of Post-Modern Education

    Directory of Open Access Journals (Sweden)

    Miguel de la Torre Gamboa


    Full Text Available The article states that Mexico is currently undergoing a profound social crisis which sprang from the fact that public affairs are managed not taking into account the people's interests. That makes us think about the possibility of a more democratic society. To suggest an alternative to antidemocratic practice implies an effort to design an educational project, a sensible utopia, which is viable because it is not a hopeless criticism, but it gathers those elements from reality aiming to social transformation. A democratic society would be one which keeps a true symmetry among individual's interaction, and whose starting point is the universal principle of mutual respect and personal autonomy. Educators should work towards that sort of society through the image of the democratic citizen.

  9. Nurses' clinical reasoning practices that support safe medication administration: An integrative review of the literature. (United States)

    Rohde, Emily; Domm, Elizabeth


    To review the current literature about nurses' clinical reasoning practices that support safe medication administration. The literature about medication administration frequently focuses on avoiding medication errors. Nurses' clinical reasoning used during medication administration to maintain medication safety receives less attention in the literature. As healthcare professionals, nurses work closely with patients, assessing and intervening to promote mediation safety prior to, during and after medication administration. They also provide discharge teaching about using medication safely. Nurses' clinical reasoning and practices that support medication safety are often invisible when the focus is medication errors avoidance. An integrative literature review was guided by Whittemore and Knafl's (Journal of Advanced Nursing, 5, 2005 and 546) five-stage review of the 11 articles that met review criteria. This review is modelled after Gaffney et al.'s (Journal of Clinical Nursing, 25, 2016 and 906) integrative review on medical error recovery. Health databases were accessed and systematically searched for research reporting nurses' clinical reasoning practices that supported safe medication administration. The level and quality of evidence of the included research articles were assessed using The Johns Hopkins Nursing Evidence-Based Practice Rating Scale©. Nurses have a central role in safe medication administration, including but not limited to risk awareness about the potential for medication errors. Nurses assess patients and their medication and use knowledge and clinical reasoning to administer medication safely. Results indicated nurses' use of clinical reasoning to maintain safe medication administration was inadequately articulated in 10 of 11 studies reviewed. Nurses are primarily responsible for safe medication administration. Nurses draw from their foundational knowledge of patient conditions and organisational processes and use clinical reasoning that

  10. The Teacher Technology Integration Experience: Practice and Reflection in the Classroom

    Directory of Open Access Journals (Sweden)

    Dana Ruggiero


    Full Text Available Previous studies indicated that the technology integration practices of teachers in the classroom often did not match their teaching styles. Researchers concluded that this was due, at least partially, to external barriers that prevented teachers from using technology in ways that matched their practiced teaching style. Many of these barriers, such as professional support and access to hardware and software, have been largely diminished over the last twenty years due to an influx of money and strategies for enhancing technology in primary and secondary schools in the United States. This mixed-methods research study was designed to examine the question, “What technology do teachers use and how do they use that technology to facilitate student learning?” K-12 classroom teachers were purposefully selected based on their full-time employment in a public, private, or religious school in a Midwestern state in the United States, supported by the endorsement of a school official. There were 1048 teachers from over 100 school corporations who completed an online survey consisting of six questions about classroom technology tools and professional development involving technology. Survey results suggest that technology integration is pervasive in the classroom with the most often used technology tool identified as PowerPoint. Moreover, teachers identified that training about technology is most effective when it is contextually based in their own classroom. Follow-up interviews were conducted with ten percent (n=111 of the teachers in order to examine the relationship between teachers’ daily classroom use of technology and their pedagogical practices. Results suggest a close relationship; for example, teachers with student-centric technology activities were supported by student-centric pedagogical practices in other areas. Moreover, teachers with strongly student-centered practices tended to exhibit a more pronounced need to create learning

  11. The Democratic Potential of Theatre Talks

    DEFF Research Database (Denmark)

    Hansen, Louise Ejgod


    approach to a target-oriented approach to audience development in which the content of the performance should be matched with certain audience segments. And fourth, the article points to an outcome of the experience related to the challenging of one own view point and thus expanding ones horizon....... of democratization of culture and the democracy theory by James S. Fishkin. The analysis is based on the empirical material of 31 theatre talks carried through as a part of an audience development project and is focused on four different aspects of the democratic potential of theatre: First, how the theatre talks...

  12. Adult education for democratic citizenship in Europe

    DEFF Research Database (Denmark)

    Milana, Marcella


    In 2001 a new emphasis on learning for democratic citizenship has been championed by the European Commission's Communication on Making a European area of lifelong learning a reality.  The communication recognizes active citizenship as one of the four "broad and mutually supporting objectives....... The article introduces the core principles of a European study aiming at investigating, from a comparative perspective, ways in which adults can achieve competencies relevant for democratic citizenship. Furthermore it presents and discusses selected findings. The findings suggest that, in spite of the shift...

  13. Practical applications approach to design, development and implementation of an integrated management system

    International Nuclear Information System (INIS)

    Holdsworth, Rodger


    The introduction of quality, risk, safety, health and environmental management philosophies has significantly changed industry's view of company organization and controlling processes. Quality, risk, safety, health and environmental programs and systems, such as ISO 9000, ISO 14000, process safety, and risk management are impacting the way industry will meet the challenges of safety and environmental risks and the needs of the customer in the future. A wealth of knowledge has been extracted from practical application case studies, which would otherwise be unobtainable without years of experience related to management systems design, development, implementation and control. This paper discusses a practical applications approach to design, develop and implement an integrated management system encompassing quality (ISO 9000), process safety management (CFR 29 1910.119), risk management programs (CFR 40 part 68), environmental management (ISO 14000), and safety and health. This paper includes a discussion of management systems integration and an overview of management systems standards that apply to the petrochemical and chemical manufacturers industries. The paper also provides an overview on integrating management systems, including issues related to the following topics: - Establishing a management system team and objectives. - Assessing and knowing your organization. - Designing the management system to meet site objectives. - Developing system documentation. - Implementing effective management systems. - Measuring program performance. - Continuous improvement


    Directory of Open Access Journals (Sweden)

    I. I. Brodetskaya


    Full Text Available Purpose. Analysis is focused on the study of theoretical and methodological preconditions of social integrity phenomenon research. Trends in the conceptual base of modern social theory are focused on the research of social phenomenon, the study of the conditions and mechanisms for the development of sociality. This suggests the need to find new interpretive schemes. The methodology of political philosophy in the analysis of sociality was limited. This theory has brought the phenomenon of co-existence to the aspect of political discourse. In this regard, the reference to the existence of human co-beingness, mechanisms and modus of its formation is a necessary methodological step. It allows you to draw a parallel between the phenomenon of social integrity and totality. Existential installation integrity, unity of individual and social order is invested in the social context as a human desire to know the surrounding reality. Cognition is installation on the penetration deep into the object, understanding its nature. Cognition opens up the prospect of being a harmonious personality. Existential knowledge focuses on the identity of the co-existence and serves only the prospect of overcoming the limitations of the totality. The potential of this phenomenon allows penetration of rigid rational scheme of classical political methodology, introducing the community as a spiritual practice, the experience of communitas. Thus, as the research methodology used social integrity existential approach, which actualizes the potential of the spiritual foundations of co-existence. This methodological step allows disclosing sociality at a deep level of analysis as a spiritual practice to others, modus being-cognition of the human reality. Originality of this work is to extend the of heuristic possibilities of social theory in the analysis of the social problems aspect with the purpose construction of integrated research methodology problems. Conclusions. Thus, the

  15. Jodï horticultural belief, knowledge and practice: incipient or integral cultivation?

    Directory of Open Access Journals (Sweden)

    Stanford Zent


    Full Text Available This paper describes the Jodï horticultural system, including belief, knowledge and practice aspects. The horticulturalpractices of the Jodï were previously characterized as ‘incipient cultivation’ but such practices were poorly described anddocumented. The antiquity of cultivation among this group is suggested by the prominence and significance of horticulturalproducts and techniques in myth and ritual. Our field observations uncovered a fairly sophisticated system of plantmanagement in swiddens, house gardens, trail gardens and natural forest gaps. An inventory of 67 cultivated plant specieswas documented, of which 36 are utilized for food, 20 for magical or medicinal purposes, and 11 for technology. The Jodïprolong the productive phase of their gardens for five years or more through successive planting-harvesting-replantingoperations. Jodï swiddens display an elaborate polycultivated appearance and they possess at least five principal crops:plantain/banana, maize, yams, sweet potato, and sweet manioc. Another distinctive feature is the extensive use of naturalgaps in the forest canopy as cultivation zones. The results of this study suggest that while Jodï horticultural practice iswell integrated with a nomadic, foraging-dependent lifestyle, nevertheless this system does not deserve to be labeled as‘incipient’ and instead is more integral than was recognized previously.

  16. Democratic Chaos: How Taiwanese Democracy Destabilized Cross-Strait Relations

    National Research Council Canada - National Science Library

    Newberry, David A


    Since 1988, democracy in Taiwan has evolved and developed a great deal. Experts argue whether this growth constitutes "democratic consolidation" but there is no contention of the idea that the ROC is more democratic now versus pre-1988...

  17. Do democratic institutions and foreign direct investment affect ...

    African Journals Online (AJOL)

    Do democratic institutions and foreign direct investment affect economic growth? Evidence from ... International Journal of Development and Management Review ... The importance of sound democratic institutional structures and foreign direct investment for enhancing economic growth is well documentedin literature.

  18. Consensual Character of Democratic Constitutional Principles and Human Rights

    Czech Academy of Sciences Publication Activity Database

    Blahož, Josef


    Roč. 3, č. 1 (2013), s. 15-28 ISSN 1805-8396 Institutional support: RVO:68378122 Keywords : democratic consensus * fundamental democratic principle * legitimacy of state power Subject RIV: AG - Legal Sciences

  19. Between the Managerial and the Democratic University: Governance Structure and Academic Freedom as Sites of Political Struggle

    Directory of Open Access Journals (Sweden)

    Dalie Giroux


    Full Text Available In this article we argue that the university cannot fully contribute to democratic life without being both an institution whose governance is collegial and based on principles of equality, equity, inclusion, transparency, and accountability, and a vector of critical thinking closely linked to academic freedom. Based on this understanding of the ‘democratic university,’ we seek to highlight some of the key tensions between the ‘managerial university’ and the democratic university, as reflected in institutional structures, regulations, legal frameworks, and principles. In order to achieve this objective, we identify two sites of political struggles from which it is possible to examine the interaction between a managerial and a democratic conception and practice of the university. The first of these sites is the bicameral governing structure, membership, rules, and regulations of the University of Ottawa. The second site is academic freedom in Canada, which we will discuss by comparing the Canadian Association of University Teachers’ (CAUT Statement on Academic Freedom (CAUT, 2011 with the Association of Universities and Colleges of Canada’s (AUCC Statement on Academic Freedom (AUCC, 2011. By stressing the necessary link and positive relationship between democratic governance and academic freedom, the article offers a normative evaluation of the impact the managerial reengineering of Canadian universities has had on the possibility and practice of a more democratic university.

  20. The Mastery Matrix for Integration Praxis: The development of a rubric for integration practice in addressing weight-related public health problems. (United States)

    Berge, Jerica M; Adamek, Margaret; Caspi, Caitlin; Grannon, Katherine Y; Loth, Katie A; Trofholz, Amanda; Nanney, Marilyn S


    In response to the limitations of siloed weight-related intervention approaches, scholars have called for greater integration that is intentional, strategic, and thoughtful between researchers, health care clinicians, community members, and policy makers as a way to more effectively address weight and weight-related (e.g., obesity, diabetes, cardiovascular disease, cancer) public health problems. The Mastery Matrix for Integration Praxis was developed by the Healthy Eating and Activity across the Lifespan (HEAL) team in 2017 to advance the science and praxis of integration across the domains of research, clinical practice, community, and policy to address weight-related public health problems. Integrator functions were identified and developmental stages were created to generate a rubric for measuring mastery of integration. Creating a means to systematically define and evaluate integration praxis and expertise will allow for more individuals and teams to master integration in order to work towards promoting a culture of health. Copyright © 2018 Elsevier Inc. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Ravil’ Kudermetov


    Full Text Available Nowadays multi-core processors are installed almost in each modern workstation, but the question of these computational resources effective utilization is still a topical one. In this paper the four-point block one-step integration method is considered, the parallel algorithm of this method is proposed and the Java programmatic implementation of this algorithm is discussed. The effectiveness of the proposed algorithm is demonstrated by way of spacecraft attitude motion simulation. The results of this work can be used for practical simulation of dynamic systems that are described by ordinary differential equations. The results are also applicable to the development and debugging of computer programs that integrate the dynamic and kinematic equations of the angular motion of a rigid body.

  2. Practical Integration-Free Episomal Methods for Generating Human Induced Pluripotent Stem Cells. (United States)

    Kime, Cody; Rand, Tim A; Ivey, Kathryn N; Srivastava, Deepak; Yamanaka, Shinya; Tomoda, Kiichiro


    The advent of induced pluripotent stem (iPS) cell technology has revolutionized biomedicine and basic research by yielding cells with embryonic stem (ES) cell-like properties. The use of iPS-derived cells for cell-based therapies and modeling of human disease holds great potential. While the initial description of iPS cells involved overexpression of four transcription factors via viral vectors that integrated within genomic DNA, advances in recent years by our group and others have led to safer and higher quality iPS cells with greater efficiency. Here, we describe commonly practiced methods for non-integrating induced pluripotent stem cell generation using nucleofection of episomal reprogramming plasmids. These methods are adapted from recent studies that demonstrate increased hiPS cell reprogramming efficacy with the application of three powerful episomal hiPS cell reprogramming factor vectors and the inclusion of an accessory vector expressing EBNA1. Copyright © 2015 John Wiley & Sons, Inc.

  3. Integrated monitoring: Setting new standards for the next decade of clinical trial practice

    Directory of Open Access Journals (Sweden)

    Kamala Rai


    Full Text Available The new age clinical research professional is now geared toward an "integrated monitoring" approach. A number of critical activities at the site level and at the sponsor′s organization need convergence to harness rich dividends in early study start and quick close of the study. The field monitor needs full integration to ensure standard of care, train the site in protocol, select the right site, ensure regulatory support, ensure excellent project management skills, coach, support the logistics team, manage the vendor, ensure good documentation practices, develop patient recruitment and retention, lean the applicable process, as well as ensure effective site management amongst the myriad activities assigned toward developing the drug in the clinic.

  4. General practice, primary care, and health service psychology: concepts, competencies, and the Combined-Integrated model. (United States)

    Schulte, Timothy J; Isley, Elayne; Link, Nancy; Shealy, Craig N; Winfrey, LaPearl Logan


    The profession of psychology is being impacted profoundly by broader changes within the national system of health care, as mental and behavioral health services are being recognized as essential components of a comprehensive, preventive, and cost-efficient primary care system. To fully define and embrace this role, the discipline of professional psychology must develop a shared disciplinary identity of health service psychology and a generalized competency-based model for doctoral education and training. This very framework has been adopted by Combined-Integrated (C-I) doctoral programs in professional psychology, which train across the practice areas (clinical, counseling, and school psychology) to provide a general and integrative foundation for their students. Because C-I programs produce general practitioners who are competent to function within a variety of health service settings, this innovative training approach has great potential to educate and train psychologists for a changing health care marketplace. Copyright 2004 Wiley Periodicals, Inc.

  5. Baccalaureate Minority Nursing Students Perceived Barriers and Facilitators to Clinical Education Practices: An Integrative Review. (United States)

    Graham, Crystal L; Phillips, Shannon M; Newman, Susan D; Atz, Teresa W


    This integrative review synthesized baccalaureate minority nursing students' perceptions of their clinical experiences. The diversity of the nursing workforce does not mirror the United States population. Attrition rates of minority nursing students remain higher than rates for White students. Literature examining facilitators and barriers to minority student success predominantly focuses on academic factors, excluding those relevant to clinical education. An integrative review using literature from nursing and education. Three common perceived barriers were identified: discrimination from faculty, peers, nursing staff, and patients; bias in faculty grading practices; and isolation. Although little is known about the relationship between clinical failures and overall attrition, this review provides evidence that minority students encounter significant barriers in clinical education. To increase the diversity of the nursing workforce, faculty must address these issues and make modifications to ensure an equal opportunity at a quality education for all students.

  6. Sterile insect technique. Principles and practice in area-wide integrated pest management

    International Nuclear Information System (INIS)

    Dyck, V.A.; Hendrichs, J.; Robinson, A.S.


    For several major insect pests, the environment-friendly sterile insect technique (SIT) is being applied as a component of area-wide integrated pest management (AW-IPM) programmes. This technology, using radiation to sterilize insects, was first developed in the USA, and is currently applied on six continents. For four decades it has been a major subject for research and development in the Joint FAO/IAEA Programme on Nuclear Techniques in Food and Agriculture, involving both research and the transfer of this technology to Member States so that they can benefit from improved plant, animal and human health, cleaner environments, increased production of plants and animals in agricultural systems, and accelerated economic development. The socio-economic impacts of AW-IPM programmes that integrate the SIT have confirmed the usefulness of this technology. Numerous publications related to the integration of the SIT in pest management programmes, arising from research, coordinated research projects, field projects, symposia, meetings, and training activities have already provided much information to researchers, pest-control practitioners, programme managers, plant protection and animal health officers, and policy makers. However, by bringing together and presenting in a generic fashion the principles, practice, and global application of the SIT, this book will be a major reference source for all current and future users of the technology. The book will also serve as a textbook for academic courses on integrated pest management. Fifty subject experts from 19 countries contributed to the chapters, which were all peer reviewed before final editing

  7. A New Era of Science Education: Science Teachers' Perceptions and Classroom Practices of Science, Technology, Engineering, and Mathematics (STEM) Integration (United States)

    Wang, Hui-Hui

    Quality STEM education is the key in helping the United States maintain its lead in global competitiveness and in preparing for new economic and security challenges in the future. Policymakers and professional societies emphasize STEM education by legislating the addition of engineering standards to the existing science standards. On the other hand, the nature of the work of most STEM professionals requires people to actively apply STEM knowledge to make critical decisions. Therefore, using an integrated approach to teaching STEM in K-12 is expected. However, science teachers encounter numerous difficulties in adapting the new STEM integration reforms into their classrooms because of a lack of knowledge and experience. Therefore, high quality STEM integration professional development programs are an urgent necessity. In order to provide these high quality programs, it is important to understand teachers' perceptions and classroom practices regarding STEM integration. A multiple-case study was conducted with five secondary school science teachers in order to gain a better understanding of teachers' perceptions and classroom practices in using STEM integration. This study addresses the following research questions: 1) What are secondary school science teachers' practices of STEM integration? 2) What are secondary science teachers' overall perceptions of STEM integration? and 3) What is the connection between secondary science teachers' perceptions and understanding of STEM integration with their classroom practices? This research aims to explore teachers' perceptions and classroom practices in order to set up the baseline for STEM integration and also to determine STEM integration professional development best practices in science education. Findings from the study provide critical data for making informed decision about the direction for STEM integration in science education in K-12.

  8. Physician practice management companies: implications for hospital-based integrated delivery systems. (United States)

    Burns, L R; Robinson, J C


    Physician practice management companies (PPMCs) are one of the most visible entrants into the industry of managing physician practices, and anywhere from 100-150 are already in operation. Although PPMCs and hospital-based integrated delivery systems (IDSs) differ from each other in many ways, they share a number of common features, including the pursuit of capitation contracts from payors. As a result, PPMCs pose a growing, direct threat to hospital systems in competing for managed care contracts that cover physician service. PPMCs also provide an alternative to hospital-based IDSs at the local market level for physician group consolidation. This article looks at the structure, operation, and strategy of PPMCs and examines what implications their growth will have for hospital-based IDSs.

  9. Integrating social science knowledge into natural resource management public involvement practice

    DEFF Research Database (Denmark)

    Stummann, Cathy Brown

    This PhD study explores the long-recognized challenge of integrating social science knowledge into NRM public involvement practice theoretically and empirically. Theoretically, the study draws on research from adult learning, continuing rofessional education and professional knowledge development...... to better understand how social science knowledge can benefit NRM public involvement practice. Empirically, the study explores the potential of NRM continuing professional education as a means for introducing social science knowledge to public NRM professionals. The study finds social science knowledge can...... be of value to NRM public involvement prospectively and retrospectively; and that continuing professional education can be an effective means to introducing social science knowledge to public NRM professionals. In the design of NRM continuing professional education focused on social science knowledge...

  10. Integrating nurse researchers in clinical practice – a challenging, but necessary task for nurse leaders

    DEFF Research Database (Denmark)

    Hølge-Hazelton, Bibi; Kjerholt, Mette; Berthelsen, Connie Bøttcher


    nursing, including integrating nurse researchers in ANP positions. Methods A collective case study including three ANPs took place at a large regional hospital in Denmark. The cases were first analysed by focusing on the generic features, functions and skills of ANPs, and second by focusing...... on the approaches to evidence-based practice seen in the cases. Results Regardless of same position, formal level of research expertise and overall responsibility, different approaches related to each ANPs professional profile, interest, academic ambitions and personality were seen. Conclusion Nurse leaders must...

  11. Consumer preferences and values as an integral key to evidence-based practice. (United States)

    Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen


    Although evidence-based practice (EBP) integrates the best evidence from well-designed studies with a clinician's expertise and patient preferences and values, most of what is emphasized in books and reports on EBP is the 5-step EBP process. However, the consideration of patient values and preferences in making clinical decisions is essential to deliver the highest quality of care. This article briefly reviews the status of EBP in the United States, described the ARCC mentorship model, and highlights how to engage consumers in the EBP process.

  12. Practical Investigation of End Effect Losses in a Motor Integrated Permanent Magnet Gear

    DEFF Research Database (Denmark)

    Frandsen, Tommy Vestergaard; Rasmussen, Peter Omand


    to reduce 3D eddy currents in the machine. Material is removed and new parts are made in a non-conducting material. After the modifications of the prototype, the rotational losses have been measured and compared to the earlier measurements and the 2D based calculated losses. The rotational losses have been......This paper presents a practical investigation of the eddy current losses caused by 3D effects in a Motor Integrated Permanent Magnet Gear (MIPMG). Two prototypes of a MIPMG have been designed and build to be used as traction units for an electric vehicle. The measured efficiency of the prototype...

  13. Saving Democratic Education from Itself: Why We Need Homeschooling (United States)

    Glanzer, Perry L.


    We need homeschooling to save education in a liberal democracy from taking a religious form--what I call Democratic Education. Democratic Education emerges when the democratic identity and narrative become elevated to the highest priority when thinking about educating human beings. This elevation becomes particularly dangerous when other…

  14. The Promotion of Democratic Behavior and the Role of Media (United States)

    Khan, Muhammad Saqib; Khan, Irfanullah; Khan, Ahmad Ali; Jan, Farooq; Ahmad, Riaz; Rauf, Hamid


    This study is conducted to measure the influence of social media over the democratic behavior of the students. Social media is the main component of political participation in democratic societies and the study of democratic behavior is a highly specialized sub-field in political and social science. The study was concerned with the reasons that to…

  15. Towards Core Modelling Practices in Integrated Water Resource Management: An Interdisciplinary View of the Modelling Process (United States)

    Jakeman, A. J.; Elsawah, S.; Pierce, S. A.; Ames, D. P.


    The National Socio-Environmental Synthesis Center (SESYNC) Core Modelling Practices Pursuit is developing resources to describe core practices for developing and using models to support integrated water resource management. These practices implement specific steps in the modelling process with an interdisciplinary perspective; however, the particular practice that is most appropriate depends on contextual aspects specific to the project. The first task of the pursuit is to identify the various steps for which implementation practices are to be described. This paper reports on those results. The paper draws on knowledge from the modelling process literature for environmental modelling (Jakeman et al., 2006), engaging stakeholders (Voinov and Bousquet, 2010) and general modelling (Banks, 1999), as well as the experience of the consortium members. We organise the steps around the four modelling phases. The planning phase identifies what is to be achieved, how and with what resources. The model is built and tested during the construction phase, and then used in the application phase. Finally, models that become part of the ongoing policy process require a maintenance phase. For each step, the paper focusses on what is to be considered or achieved, rather than how it is performed. This reflects the separation of the steps from the practices that implement them in different contexts. We support description of steps with a wide range of examples. Examples are designed to be generic and do not reflect any one project or context, but instead are drawn from common situations or from extremely different ones so as to highlight some of the issues that may arise at each step. References Banks, J. (1999). Introduction to simulation. In Proceedings of the 1999 Winter Simulation Conference. Jakeman, A. J., R. A. Letcher, and J. P. Norton (2006). Ten iterative steps in development and evaluation of environmental models. Environmental Modelling and Software 21, 602-614. Voinov, A

  16. Integrating relationship- and research-based approaches in Australian health promotion practice. (United States)

    Klinner, Christiane; Carter, Stacy M; Rychetnik, Lucie; Li, Vincy; Daley, Michelle; Zask, Avigdor; Lloyd, Beverly


    We examine the perspectives of health promotion practitioners on their approaches to determining health promotion practice, in particular on the role of research and relationships in this process. Using Grounded Theory methods, we analysed 58 semi-structured interviews with 54 health promotion practitioners in New South Wales, Australia. Practitioners differentiated between relationship-based and research-based approaches as two sources of knowledge to guide health promotion practice. We identify several tensions in seeking to combine these approaches in practice and describe the strategies that participants adopted to manage these tensions. The strategies included working in an evidence-informed rather than evidence-based way, creating new evidence about relationship-based processes and outcomes, adopting 'relationship-based' research and evaluation methods, making research and evaluation useful for communities, building research and evaluation skills and improving collaboration between research and evaluation and programme implementation staff. We conclude by highlighting three systemic factors which could further support the integration of research-based and relationship-based health promotion practices: (i) expanding conceptions of health promotion evidence, (ii) developing 'relationship-based' research methods that enable practitioners to measure complex social processes and outcomes and to facilitate community participation and benefit, and (iii) developing organizational capacity. © The Author (2014). Published by Oxford University Press. All rights reserved. For Permissions, please email:

  17. Practice Innovation for Care Integration, Opioid Management, and Quality Measurement in Family Medicine. (United States)

    Neale, Anne Victoria; Bowman, Marjorie A; Seehusen, Dean A

    Ringing in the new year 2017! This may finally be the year of real practice improvement after many false starts. Research into practice transformation has informed both local work and national policy. Human factors and payment structures are key. And payment structures depend on how quality is measured. Large gaps between practicing physician recommendations for the most important quality measures and those currently imposed externally are exposed in this issue. Also see information on in-practice social work consultations and their outcomes and recommendations from innovators in integrated care, and for chronic opioid therapy management based on visits to many family medicine offices. Visit entropy is negative for hospital readmissions. Another article reaffirms the importance of family physicians in rural obstetrics, including Cesarean deliveries. Two articles address changing Latino health care access. New Mexico's innovative health extension agent implementation now includes research in ways that benefit all. And a glass half-full: the growth in the diversity of family medicine faculty is above average, but is not occurring as quickly as in the general population. © Copyright 2017 by the American Board of Family Medicine.

  18. Book Review of Relational Patterns, Therapeutic Presence: Concepts and practice of Integrative Psychotherapy by Richard G. Erskine

    Directory of Open Access Journals (Sweden)

    Marye O'Reilly-Knapp


    Full Text Available Book Review of Relational Patterns, Therapeutic Presence: Concepts and practice of Integrative Psychotherapy by Richard G. Erskine. Published by Karnac Books: London, 2015 Paperback, Pages 366, ISBN 13: 978-1-78220-190-8

  19. Book Review of Relational Patterns, Therapeutic Presence: Concepts and practice of Integrative Psychotherapy by Richard G. Erskine


    Marye O'Reilly-Knapp


    Book Review of Relational Patterns, Therapeutic Presence: Concepts and practice of Integrative Psychotherapy by Richard G. Erskine. Published by Karnac Books: London, 2015 Paperback, Pages 366, ISBN 13: 978-1-78220-190-8

  20. How democratic are Networks?- A framework for Assessing the Democratic Effects of Networks

    DEFF Research Database (Denmark)

    Agger, Annika; Löfgren, Karl

    : How can we assess the democratic effects of formal network mobilisation?  The article will present a tentative framework deriving criteria from both traditional democratic theory, as well as new theories on democratic governance and collaborative planning, which can be deployed for empirical studies......There has, since the end of the 1980s, been a growing interest in western democracies for formally involving citizens in various local planning activities through network governance. The overarching goal has been to increase efficiency in local planning. Equally, it has also been accompanied...... by an underlying idea of enhancing public participation and mobilising the citizens, thereby strengthening local democracy. Even though much is written about these initiatives, the actual democratic effects of these activities have been notably overlooked in the literature. Both among scholars, as well...

  1. Desert, Liberalism and Justice in Democratic Education (United States)

    Jonsson, Olafur Pall


    Liberal democratic education, as advocated in recent accounts of citizenship education or civic education, is often seen as incompatible with moral education or character education rooted in specific views regarding the virtues. This contrast relies on well established philosophical differences between liberal views of justice and democracy, on…

  2. Democratic Republic of Congo Jobs Diagnostic


    Aterido, Reyes; Gonzalez, Alvaro; Merotto, Dino; Petracco, Carly; Sanchez-Reaza, Javier


    The economy of the Democratic Republic of Congo is not creating sufficient jobs for its young and rapidly growing workforce. Although the Congolese economy has experienced fast growth and poverty has declined, further reducing poverty will require more dynamic job creation and continued reductions in fertility rates. The current youth bulge and potential demographic dividend will open a un...

  3. A Critical Ethnography of Democratic Music Listening (United States)

    Silverman, Marissa


    The purpose of this critical ethnography was to investigate how music educators can approach the development of students' music listening abilities democratically in order to deepen students' musical understandings and, by teaching through music, create pathways for student-teacher transactions that are inclusive, educative, ethical and…

  4. Theorizing Democratic Education from a Senian Perspective (United States)

    DeCesare, Tony


    Despite the growing body of literature and general interest in the intersection between the capabilities approach (CA) and education, little work has been done so far to theorize democratic education from a CA perspective. This essay attempts to do so by, first, getting clear about the theory of democracy that has emerged from Amartya Sen's…

  5. Creating Better Schools through Democratic School Leadership (United States)

    San Antonio, Diosdado M.


    This paper examines the impact of implementing democratic school leadership via advisory school councils in Philippine public secondary schools. Through an experiment with empirical surveys and interviews, this study reveals that the experimental group had higher levels of commitment, empowerment and trust compared with the control group after one…

  6. Leadership Education Priorities for a Democratic Society (United States)

    Jenlink, Patrick M.


    Determining the priorities for leadership education in a democratic society is a complex, challenging responsibility, not a task to be taken lightly. It is complex on one level in that to be a leader in schools "today is to understand a profoundly human as well as a professional responsibility." It is challenging on another level in that preparing…

  7. Leadership Education Priorities in a Democratic Society (United States)

    Page, William Tyler


    Is there still an effort to include democratic ideals in public education? Some claim that it is no longer a priority, the result of a lack of common definition or perceived benefits. In today's policy driven climate, school leaders must transition to new and more effective approaches to enhancing learning and teaching. Aspiring principals/leaders…

  8. Private Sector Contracting and Democratic Accountability (United States)

    DiMartino, Catherine; Scott, Janelle


    Public officials are increasingly contracting with the private sector for a range of educational services. With much of the focus on private sector accountability on cost-effectiveness and student performance, less attention has been given to shifts in democratic accountability. Drawing on data from the state of New York, one of the most active…

  9. Religion, Democratic Community, and Education: Two Questions (United States)

    D'Souza, Mario Osbert


    This paper examines the mediating role that education plays between religion and democratic community. The paper is situated in the Canadian context and examines this mediation through two questions: First, what is the relationship between religion and education and what is the contribution of this relationship to and within a pluralist society?…

  10. Journal Editorship: Mentoring, Democratic, and International Perspectives (United States)

    Mullen, Carol A.


    This essay builds on a review of studies in education. Journal editorship is explored from the mentoring, democratic, and international perspectives. Trends are examined within the publishing culture around these three editorial functions. Theoretical groundwork is provided for exploring contemporary journal editorship and its challenges and…

  11. The Complicated Pursuit of Democratic Teaching (United States)

    Gibbs, Brian


    This article describes one secondary social studies teacher's attempts to build a pedagogically democratic classroom. The teacher designs curriculum around large essential questions, connects content to the present lives of students, and creates space for students to make their own decisions and choices. The teacher is convinced that she has…

  12. Global human rights awareness, education and democratization

    NARCIS (Netherlands)

    Mihr, A.

    The 1990s was the era of human rights awareness, democratic transitions, and growing involvement of international organizations and the nongovernmental sector in human rights education (HRE). The UN Decade for HRE from 1995–2004 was not only born out of the initiatives and pressures of

  13. The Third Wave of Democratization in Indonesia

    National Research Council Canada - National Science Library

    Delin, Azizan


    .... For half a century, authoritarianism was dominant in Indonesia, but like all dictatorships, Indonesia subsequently had to return to democracy. Pressures from within the authoritarian government and Indonesian society dictated the democratization process. However, the long term prospects for unstable democracy remain unclear.

  14. Phenomenological mass matrices with a democratic warp

    International Nuclear Information System (INIS)

    Kleppe, A.


    Taking into account all available data on the mass sector, we obtain unitary rotation matrices that diagonalize the quark matrices by using a specific parametrization of the Cabibbo-Kobayashi-Maskawa mixing matrix. In this way, we find mass matrices for the up- and down-quark sectors of a specific, symmetric form, with traces of a democratic texture.

  15. Implementing Democratic Equality in Political Parties

    DEFF Research Database (Denmark)

    Bolleyer, Nicole; von Nostitz, Felix-Christopher; Little, Conor


    This article theorises and empirically assesses some important intra-organisational implications of maximising democratic equality in political parties both between followers and members and between members and elites. They include weak member commitment, passivity of the rank-and-file membership...

  16. Democratic Leadership: Guidelines for School Administrators. (United States)

    Devlin, Barbara Seeley


    Democratic leadership is not always desirable and should be employed only in certain situations. A 1977 study of 315 teachers suggests that when teachers perceive the subject matter under consideration to be important to them, participatory decision making is significantly related to favorable job attitudes. (Author/JM)

  17. A Democratic Framework for Educational Rights (United States)

    Newman, Anne


    Educational theorists frequently invoke rights claims to express their views about educational justice and authority. But the unyielding nature of rights claims presents a significant quandary in democratic contexts, given the tension between rights claims and majoritarian democracy. Educational theorists have given limited attention to this…

  18. Democratizing English as an International Language. (United States)

    Deneire, Marc

    The aim of this paper is threefold. The first section shows how the political uses of language engendered by both western-style liberalism on the one hand and various forms of nationalism on the other lead to the negation of democratic ideals. Because of the current international situation, political aspects of language are receiving more and more…

  19. Democratic Governance in Sub-Saharan Africa

    African Journals Online (AJOL)

    there was general consensus that the “democratic experiment” had taken root in Africa ... African Charter on Democracy, Elections and Governance is of particular importance in this context. The .... of governmental work through results in the interests of citizens. ... declarations impact on the reality of political rule in Africa?

  20. Integration of Information Literacy into the Curriculum: Constructive Alignment from Theory into Practice

    Directory of Open Access Journals (Sweden)

    Claes Dahlqvist


    Full Text Available Librarian-teacher cooperation is essential for the integration of information literacy into course syllabi. Therefore, a common theoretical and methodological platform is needed. As librarians at Kristianstad University we have had the opportunity to develop such a platform when teaching information literacy in a basic course for teachers in higher education pedagogy. Information literacy is taught in context with academic writing, distance learning and teaching, and development of course syllabi. Constructive Alignment in Theory: We used constructive alignment in designing our part of the course. John Biggs’ ideas tell us that assessment tasks (ATs should be aligned to what is intended to be learned. Intended learning outcomes (ILOs specify teaching/learning activities (TLAs based on the content of learning. TLAs should be designed in ways that enable students to construct knowledge from their own experience. The ILOs for the course are to have arguments for the role of information literacy in higher education and ideas of implementing them in TLAs. The content of learning is for example the concept of information literacy, theoretical perspectives and constructive alignment for integration in course syllabi. TLAs are written pre-lecture reflections on the concept of information literacy, used as a starting point for the three-hour seminar. Learning reflections are written afterwards. The AT is to revise a syllabus (preferably using constructive alignment for a course the teacher is responsible for, where information literacy must be integrated with the other parts and topics of the course. Constructive Alignment in Practice: Using constructive alignment has taught us that this model serves well as the foundation of the theoretical and methodological platform for librarian-teacher cooperation when integrating information literacy in course syllabi. It contains all important aspects of the integration of information literacy in course

  1. The behaviours of nurses that increase student accountability for learning in clinical practice: An integrative review. (United States)

    Perry, Christina; Henderson, Amanda; Grealish, Laurie


    To identify nurses' behaviours that promote student accountability for learning in clinical practice. Health care services are experiencing significant strain in meeting clinical education requirements of increasing numbers of nursing students enrolled in undergraduate nursing programs. Internationally, the transition to university based education for nurses has seen the emergence of issues for busy clinicians trying to manage increasing workloads with responsibility for student learning. An understanding of what types of supervisor behaviours promote student accountability for learning, may support clinicians to more effectively manage their dual roles of clinical care and student support. An integrative approach was adopted for this review. A search of the Cumulative Index of Nursing and Allied Health Literature, Pubmed, Scopus and Embase was undertaken, limited to articles published between 2000 and March 2017. Whittemore and Knafls' (2005) framework for conducting integrative reviews was used to ensure a methodological and rigorous approach. Nine studies were considered. Behaviours emerged in relation to four themes including: belongingness associated with a genuine partnership; empowerment and increasing student self-efficacy; trust linked to increasing and staged independence; and balancing clinical and educational requirements. Behaviours of nurses significantly influence students' accountability for learning and accordingly, their ability to be adequately prepared for professional nursing practice. Understanding behaviours that impact on students' approach to clinical placement can guide nurses in their approach to facilitating student learning, in particular, behaviours that increase student responsibility and independence over the continuum of clinical education. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Integration of evidence-based practice in bedside teaching paediatrics supported by e-learning. (United States)

    Potomkova, Jarmila; Mihal, Vladimir; Zapletalova, Jirina; Subova, Dana


    Bedside teaching with evidence-based practice elements, supported by e-learning activities, can play an important role in modern medical education. Teachers have to incorporate evidence from the medical literature to increase student motivation and interactivity. An integral part of the medical curricula at Palacky University Olomouc (Czech Republic) are real paediatric scenarios supplemented with a review of current literature to enhance evidence-based bedside teaching & learning. Searching for evidence is taught through librarian-guided interactive hands-on sessions and/or web-based tutorials followed by clinical case presentations and feedback. Innovated EBM paediatric clerkship demonstrated students' preferences towards web-based interactive bedside teaching & learning. In two academic years (2007/2008, 2008/2009), learning-focused feedback from 106 and 131 students, resp. was obtained about their attitudes towards evidence-based bedside teaching. The assessment included among others the overall level of instruction, quality of practical evidence-based training, teacher willingness and impact of instruction on increased interest in the specialty. There was some criticism about excessive workload. A parallel survey was carried out on the perceived values of different forms of information skills training (i.e. demonstration, online tutorials, and librarian-guided interactive search sessions) and post-training self-reported level of search skills. The new teaching/learning paediatric portfolio is a challenge for further activities, including effective knowledge translation, continuing medical & professional development of teachers, and didactic, clinically integrated teaching approaches.

  3. Integrated crop management practices for maximizing grain yield of double-season rice crop (United States)

    Wang, Depeng; Huang, Jianliang; Nie, Lixiao; Wang, Fei; Ling, Xiaoxia; Cui, Kehui; Li, Yong; Peng, Shaobing


    Information on maximum grain yield and its attributes are limited for double-season rice crop grown under the subtropical environment. This study was conducted to examine key characteristics associated with high yielding double-season rice crop through a comparison between an integrated crop management (ICM) and farmers’ practice (FP). Field experiments were conducted in the early and late seasons in the subtropical environment of Wuxue County, Hubei Province, China in 2013 and 2014. On average, grain yield in ICM was 13.5% higher than that in FP. A maximum grain yield of 9.40 and 10.53 t ha-1 was achieved under ICM in the early- and late-season rice, respectively. Yield improvement of double-season rice with ICM was achieved with the combined effects of increased plant density and optimized nutrient management. Yield gain of ICM resulted from a combination of increases in sink size due to more panicle number per unit area and biomass production, further supported by the increased leaf area index, leaf area duration, radiation use efficiency, crop growth rate, and total nitrogen uptake compared with FP. Further enhancement in the yield potential of double-season rice should focus on increasing crop growth rate and biomass production through improved and integrated crop management practices.

  4. Interdisciplinary methods and practices for integrating social sciences into studies on catchment evolution (United States)

    Carr, G.


    Real world problems rarely regard disciplinary boundaries. This is particularly apparent in catchments, where knowledge and understanding from many different research disciplines is essential to address the water resource challenges facing society. People are an integral part of any catchment. Therefore a comprehensive understanding of catchment evolution needs to include the social system. Socio-hydrological models that can simulate the co-evolution of human-water systems, for example, with regards to floods and droughts, show great promise in their capacity to capture and understand such systems. Yet, to develop socio-hydrological models into more comprehensive analysis tools that adequately capture the social components of the system, researchers need to embrace interdisciplinary working and multi-disciplinary research teams. By exploring the development of interdisciplinary research in a water programme, several key practices have been identified that support interdisciplinary collaboration. These include clarification where researchers discuss and re-explain their research or position to expose all the assumptions being made until all involved understand it; harnessing differences where different opinions and types of knowledge are treated respectfully to minimise tensions and disputes; and boundary setting where defensible limits to the research enquiry are set with consideration for the restrictions (funds, skills, resources) through negotiation and discussion between the research team members. Focussing on these research practices while conducting interdisciplinary collaborative research into the human-water system, is anticipated to support the development of more integrated approaches and models.

  5. Education to Thrive in a Heterogeneous and Democratic Society - A Task for Citizenship and Character Education? Results of Case Studies in Three Berlin Schools

    Directory of Open Access Journals (Sweden)

    Ewa Bacia


    Findings: Findings: The results of the case studies provide numerous insights into the issue’s complexity and highlight the need to discuss the goals as well as different models of CCE more broadly. Since the understanding of goals and appropriate means of CCE differs strongly depending on cultural and school context, analyzing CCE in the context of heterogeneity in democratic societies implies multidimensional questions. Practical implications: Future research needs to include more members of the studied school communities in the process of participatory action research: Deeper insight into the field can be achieved by integrating multiple perspectives. At the same time more members of the school community can reflect on the study outcomes, which might facilitate their direct implementation into practice.

  6. Improving drug policy: The potential of broader democratic participation. (United States)

    Ritter, Alison; Lancaster, Kari; Diprose, Rosalyn


    Policies concerned with illicit drugs vex governments. While the 'evidence-based policy' paradigm argues that governments should be informed by 'what works', in practice policy makers rarely operate this way. Moreover the evidence-based policy paradigm fails to account for democratic participatory processes, particularly how community members and people who use drugs might be included. The aim of this paper is to explore the political science thinking about democratic participation and the potential afforded in 'deliberative democracy' approaches, such as Citizens Juries and other mini-publics for improved drug policy processes. Deliberative democracy, through its focus on inclusion, equality and reasoned discussion, shows potential for drug policy reform and shifts the focus from reliance on and privileging of experts and scientific evidence. But the very nature of this kind of 'deliberation' may delimit participation, notably through its insistence on authorised modes of communication. Other forms of participation beyond reasoned deliberation aligned with the ontological view that participatory processes themselves are constitutive of subject positions and policy problems, may generate opportunities for considering how the deleterious effects of authorised modes of communication might be overcome. Copyright © 2018 Elsevier B.V. All rights reserved.

  7. General Education Issues, Distance Education Practices: Building Community and Classroom Interaction through the Integration of Curriculum, Instructional Design, and Technology. (United States)

    Childers, Jeri L.; Berner, R. Thomas


    Examines the issues in a case study surrounding the integration of videoconferencing and Web-based instruction to bring the literature of journalism to life for undergraduate students. Sets forth examples of principles and practices for successful integration of distance education and general education. Also describes the students' reactions in…

  8. Educating Social Workers for Practice in Integrated Health Care: A Model Implemented in a Graduate Social Work Program (United States)

    Mattison, Debra; Weaver, Addie; Zebrack, Brad; Fischer, Dan; Dubin, Leslie


    This article introduces a curricular innovation, the Integrated Health Scholars Program (IHSP), developed to prepare master's-level social work students for practice in integrated health care settings, and presents preliminary findings related to students' self-reported program competencies and perceptions. IHSP, implemented in a…

  9. Integrating Science and Technology: Using Technological Pedagogical Content Knowledge as a Framework to Study the Practices of Science Teachers (United States)

    Pringle, Rose M.; Dawson, Kara; Ritzhaupt, Albert D.


    In this study, we examined how teachers involved in a yearlong technology integration initiative planned to enact technological, pedagogical, and content practices in science lessons. These science teachers, engaged in an initiative to integrate educational technology in inquiry-based science lessons, provided a total of 525 lesson plans for this…

  10. IT-supported integrated care pathways for diabetes: A compilation and review of good practices. (United States)

    Vrijhoef, Hubertus Jm; de Belvis, Antonio Giulio; de la Calle, Matias; de Sabata, Maria Stella; Hauck, Bastian; Montante, Sabrina; Moritz, Annette; Pelizzola, Dario; Saraheimo, Markku; Guldemond, Nick A


    Integrated Care Pathways (ICPs) are a method for the mutual decision-making and organization of care for a well-defined group of patients during a well-defined period. The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. To describe this concept, different names are used, e.g. care pathways and integrated care pathways. Modern information technologies (IT) can support ICPs by enabling patient empowerment, better management, and the monitoring of care provided by multidisciplinary teams. This study analyses ICPs across Europe, identifying commonalities and success factors to establish good practices for IT-supported ICPs in diabetes care. A mixed-method approach was applied, combining desk research on 24 projects from the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) with follow-up interviews of project participants, and a non-systematic literature review. We applied a Delphi technique to select process and outcome indicators, derived from different literature sources which were compiled and applied for the identification of successful good practices. Desk research identified sixteen projects featuring IT-supported ICPs, mostly derived from the EIP on AHA, as good practices based on our criteria. Follow-up interviews were then conducted with representatives from 9 of the 16 projects to gather information not publicly available and understand how these projects were meeting the identified criteria. In parallel, the non-systematic literature review of 434 PubMed search results revealed a total of eight relevant projects. On the basis of the selected EIP on AHA project data and non-systematic literature review, no commonalities with regard to defined process or outcome indicators could be identified through our approach. Conversely, the research produced a heterogeneous picture in all aspects of the projects


    Directory of Open Access Journals (Sweden)

    Yu. Yu. Brodetskaya


    Full Text Available Objective. The interest of the article focuses on the analysis of the social integrity phenomenon and its deformation practices in the modern society. The character’s sociality of the modern era indicates serious problems and contradictions that actualize the possibility of social integrity. The cultural crisis, spiritual vacuum, updated existential problems of the modern humanity forces to turn to the problem of the integrity constructing and maintaining and social reality functioning, as well as to the mechanisms and practices of its deformation. Methodology. Thus, in the analysis of the above mentioned points the problem of desires is getting more relevant, and these desires are actively being invested by the civilization progress in the human life. As simulacra of the natural mechanisms of individual activity (needs desires help to transform the personality harmonious development process (cultural consumption in a destructive civilization strategy – consumerism. Under these conditions consumption is losing its traditional meaning. From the natural processes of meeting the needs and developing the world it is transforming into a total destructive act that implements certain desires. Consumption grows borders of the traditional practice (it has not been already determined only by food, clothes, car, etc.. It is turning into an active mass orientation; practice of the materialization that is aimed to transform the surrounding world into a thing, a symbol of use. Thus, consumption transforms into a practice of total consumerism. The scientific novelty. In this context, the aim of the research is to analyze the destructive potential of consumerism, which nature is getting a real threat to the integrity of both individual world and social reality. This pattern of consumption determines the gap between a real purpose of the things and their contrived sense that gives them the desired effect (prestige, power, material wealth, etc.. In this

  12. The effectiveness of a cardiometabolic prevention program in general practices offering integrated care programs including a patient tailored lifestyle treatment.

    NARCIS (Netherlands)

    Hollander, M.; Eppink, L.; Nielen, M.; Badenbroek, I.; Stol, D.; Schellevis, F.; Wit, N. de


    Background & Aim: Selective cardio-metabolic prevention programs (CMP) may be especially effective in well-organized practices. We studied the effect of a CMP program in the academic primary care practices of the Julius Health Centers (JHC) that offer integrated cardiovascular disease management

  13. A Practice-Based Approach to Student Reflection in the Workplace during a Work-Integrated Learning Placement (United States)

    Sykes, Christopher; Dean, Bonnie Amelia


    In the Work-Integrated Learning (WIL) curriculum, reflection on workplace activities is widely used to support student learning. Recent critiques have demonstrated the limitations of current approaches to support students' reflective learning of workplace practices. By employing a practice-based approach, we seek to refocus WIL reflection on…

  14. The practical implementation of integrated safety management for nuclear safety analysis and fire hazards analysis documentation

    International Nuclear Information System (INIS)



    In 1995 Mr. Joseph DiNunno of the Defense Nuclear Facilities Safety Board issued an approach to describe the concept of an integrated safety management program which incorporates hazard and safety analysis to address a multitude of hazards affecting the public, worker, property, and the environment. Since then the U S . Department of Energy (DOE) has adopted a policy to systematically integrate safety into management and work practices at all levels so that missions can be completed while protecting the public, worker, and the environment. While the DOE and its contractors possessed a variety of processes for analyzing fire hazards at a facility, activity, and job; the outcome and assumptions of these processes have not always been consistent for similar types of hazards within the safety analysis and the fire hazard analysis. Although the safety analysis and the fire hazard analysis are driven by different DOE Orders and requirements, these analyses should not be entirely independent and their preparation should be integrated to ensure consistency of assumptions, consequences, design considerations, and other controls. Under the DOE policy to implement an integrated safety management system, identification of hazards must be evaluated and agreed upon to ensure that the public. the workers. and the environment are protected from adverse consequences. The DOE program and contractor management need a uniform, up-to-date reference with which to plan. budget, and manage nuclear programs. It is crucial that DOE understand the hazards and risks necessarily to authorize the work needed to be performed. If integrated safety management is not incorporated into the preparation of the safety analysis and the fire hazard analysis, inconsistencies between assumptions, consequences, design considerations, and controls may occur that affect safety. Furthermore, confusion created by inconsistencies may occur in the DOE process to grant authorization of the work. In accordance with

  15. Integrating Variable Renewable Energy in Electric Power Markets: Best Practices from International Experience

    Energy Technology Data Exchange (ETDEWEB)

    Cochran, J.; Bird, L.; Heeter, J.; Arent, D. A.


    Many countries -- reflecting very different geographies, markets, and power systems -- are successfully managing high levels of variable renewable energy on the electric grid, including that from wind and solar energy. This study documents the diverse approaches to effective integration of variable renewable energy among six countries -- Australia (South Australia), Denmark, Germany, Ireland, Spain, and the United States (Western region-Colorado and Texas)-- and summarizes policy best practices that energy ministers and other stakeholders can pursue to ensure that electricity markets and power systems can effectively coevolve with increasing penetrations of variable renewable energy. Each country has crafted its own combination of policies, market designs, and system operations to achieve the system reliability and flexibility needed to successfully integrate renewables. Notwithstanding this diversity, the approaches taken by the countries studied all coalesce around five strategic areas: lead public engagement, particularly for new transmission; coordinate and integrate planning; develop rules for market evolution that enable system flexibility; expand access to diverse resources and geographic footprint of operations; and improve system operations. The ability to maintain a broad ecosystem perspective, to organize and make available the wealth of experiences, and to ensure a clear path from analysis to enactment should be the primary focus going forward.

  16. Integrating mobile technology with routine dietetic practice: the case of myPace for weight management. (United States)

    Harricharan, Michelle; Gemen, Raymond; Celemín, Laura Fernández; Fletcher, David; de Looy, Anne E; Wills, Josephine; Barnett, Julie


    The field of Mobile health (mHealth), which includes mobile phone applications (apps), is growing rapidly and has the potential to transform healthcare by increasing its quality and efficiency. The present paper focuses particularly on mobile technology for body weight management, including mobile phone apps for weight loss and the available evidence on their effectiveness. Translation of behaviour change theory into weight management strategies, including integration in mobile technology is also discussed. Moreover, the paper presents and discusses the myPace platform as a case in point. There is little clinical evidence on the effectiveness of currently available mobile phone apps in enabling behaviour change and improving health-related outcomes, including sustained body weight loss. Moreover, it is unclear to what extent these apps have been developed in collaboration with health professionals, such as dietitians, and the extent to which apps draw on and operationalise behaviour change techniques has not been explored. Furthermore, presently weight management apps are not built for use as part of dietetic practice, or indeed healthcare more widely, where face-to-face engagement is fundamental for instituting the building blocks for sustained lifestyle change. myPace is an innovative mobile technology for weight management meant to be embedded into and to enhance dietetic practice. Developed out of systematic, iterative stages of engagement with dietitians and consumers, it is uniquely designed to complement and support the trusted health practitioner-patient relationship. Future mHealth technology would benefit if engagement with health professionals and/or targeted patient groups, and behaviour change theory stood as the basis for technology development. Particularly, integrating technology into routine health care practice, rather than replacing one with the other, could be the way forward.

  17. Quantitative Evaluation of Performance in Interventional Neuroradiology: An Integrated Curriculum Featuring Theoretical and Practical Challenges.

    Directory of Open Access Journals (Sweden)

    Marielle Ernst

    Full Text Available We sought to develop a standardized curriculum capable of assessing key competencies in Interventional Neuroradiology by the use of models and simulators in an objective, quantitative, and efficient way. In this evaluation we analyzed the associations between the practical experience, theoretical knowledge, and the skills lab performance of interventionalists.We evaluated the endovascular skills of 26 participants of the Advanced Course in Endovascular Interventional Neuroradiology of the European Society of Neuroradiology with a set of three tasks (aneurysm coiling and thrombectomy in a virtual simulator and placement of an intra-aneurysmal flow disruptor in a flow model. Practical experience was assessed by a survey. Participants completed a written and oral examination to evaluate theoretical knowledge. Bivariate and multivariate analyses were performed.In multivariate analysis knowledge of materials and techniques in Interventional Neuroradiology was moderately associated with skills in aneurysm coiling and thrombectomy. Experience in mechanical thrombectomy was moderately associated with thrombectomy skills, while age was negatively associated with thrombectomy skills. We found no significant association between age, sex, or work experience and skills in aneurysm coiling.Our study gives an example of how an integrated curriculum for reasonable and cost-effective assessment of key competences of an interventional neuroradiologist could look. In addition to traditional assessment of theoretical knowledge practical skills are measured by the use of endovascular simulators yielding objective, quantitative, and constructive data for the evaluation of the current performance status of participants as well as the evolution of their technical competency over time.

  18. Designing for Engagement: Using the ADDIE Model to Integrate High-Impact Practices into an Online Information Literacy Course


    Amanda Nichols Hess; Katie Greer


    In this article, the authors share how a team of librarians used the ADDIE instructional design model to incorporate best practices in teaching and learning into an online, four-credit information literacy course. In this redesign process, the Association of American Colleges and Universities’ high-impact practices and e-learning best practices were integrated as scaffolds for course content. The authors' experience with this systematic process and the concepts of instructional design suggest...

  19. Value driven classroom management-the congruence between the preferred and the democratic values

    Directory of Open Access Journals (Sweden)

    Fatma Özmen


    Full Text Available The rapid changes in all areas of communities have raised the level of concerns about weakening of the societal values. And many academics and researchers have begun to become interested in the issues for placing especially the democratic values in education more than ever before, in order to constitute more livable social environments. The goal of this study is, on the basis of gender variable, to determine what values have driven the teachers in their classroom management practices, and to find out if these values are congruent with the democratic principles. The research group comprises 68 teachers working in Regional Public Boarding Schools. The teachers were asked to list the most and the least preferred values in classroom management from a predetermined value list. The analysis of the data revealed that the most desired 10 values used by teachers in classroom management practices were generally common between female and male gender groups and both groups’ preferences indicated similar results. ‘Honesty’ and ‘responsibility’ take at the top of the most preferred value list. However, the value of ‘equality’ which is indispensible for maintaining democracyin classroom, was preferred by less than half of the teachers. And the values such as peace, freedom, social recognition and the like were not given place in the most preferred value list. The least preferred ten values were generally the ones which were not directly related to democracy. These results indicate that some essential values related to democracy are not given much importance. It is recommended that teachers should be trained well about creating democratic classroom settings especially in pre-service education. And, school leaders should give utmost importance to constitute a democratic school environment; and school wide practices should be congruent with democratic principles so as to form it as a life style.

  20. Integrating a pharmacist into the general practice environment: opinions of pharmacist’s, general practitioner’s, health care consumer’s, and practice manager’s

    Directory of Open Access Journals (Sweden)

    Freeman Christopher


    Full Text Available Abstract Background Pharmacists are viewed as highly trained yet underutilised and there is growing support to extend the role of the pharmacist within the primary health care sector. The integration of a pharmacist into a general practice medical centre is not a new concept however is a novel approach in Australia and evidence supporting this role is currently limited. This study aimed to describe the opinions of local stakeholders in South-East Queensland on the integration of a pharmacist into the Australian general practice environment. Methods A sample of general practitioners, health care consumers, pharmacists and practice managers in South-East Queensland were invited to participate in focus groups or semi-structured interviews. Seeding questions common to all sessions were used to facilitate discussion. Sessions were audio recorded and transcribed verbatim. Leximancer software was used to qualitatively analyse responses. Results A total of 58 participants took part in five focus groups and eighteen semi-structured interviews. Concepts relating to six themes based on the seeding questions were identified. These included positively viewed roles such as medication reviews and prescribing, negatively viewed roles such as dispensing and diagnosing, barriers to pharmacist integration such as medical culture and remuneration, facilitators to pharmacist integration such as remuneration and training, benefits of integration such as access to the patient’s medical file, and potential funding models. Conclusions These findings and future research may aid the development of a new model of integrated primary health care services involving pharmacist practitioners.

  1. A Clinical Nurse Leader (CNL) practice development model to support integration of the CNL role into microsystem care delivery. (United States)

    Kaack, Lorraine; Bender, Miriam; Finch, Michael; Borns, Linda; Grasham, Katherine; Avolio, Alice; Clausen, Shawna; Terese, Nadine A; Johnstone, Diane; Williams, Marjory

    The Veterans Health Administration (VHA) Office of Nursing Services (ONS) was an early adopter of Clinical Nurse Leader (CNL) practice, generating some of the earliest pilot data of CNL practice effectiveness. In 2011 the VHA ONS CNL Implementation & Evaluation Service (CNL I&E) piloted a curriculum to facilitate CNL transition to effective practice at local VHA settings. In 2015, the CNL I&E and local VHA setting stakeholders collaborated to refine the program, based on lessons learned at the national and local level. The workgroup reviewed the literature to identify theoretical frameworks for CNL practice and practice development. The workgroup selected Benner et al.'s Novice-to-Expert model as the defining framework for CNL practice development, and Bender et al.'s CNL Practice Model as the defining framework for CNL practice integration. The selected frameworks were cross-walked against existing curriculum elements to identify and clarify additional practice development needs. The work generated key insights into: core stages of transition to effective practice; CNL progress and expectations for each stage; and organizational support structures necessary for CNL success at each stage. The refined CNL development model is a robust tool that can be applied to support consistent and effective integration of CNL practice into care delivery. Published by Elsevier Inc.


    Directory of Open Access Journals (Sweden)

    I Made Darma Oka


    Full Text Available Hospitality Study Program, Politeknik Negeri Bali (PNB, hadn’t implemented integrated learning practice optimally. The aim of this research was improving the learning process method as an integrated practice learning model involving three courses (Food Production, FB Service, English for Restaurant in the same topic. This study was conducted on the forth semester of Hotel Study Program as the sample used in this research. After the random sampling was selected two classes as research samples, those were IVA class as an experiment group and IVB class as a control. Thus the samples could be determined according to the number of students in each class as many as 26 people. The application of integrated practice learning had an effect on the achievement of student competency in waiter/s occupation at Hotel Studies Program. The result of statistical test showed that there was a significant difference of competency achievement between integrated learning practices with partial practice learning students groups. It’s suggested to the management Hospitality Study Program to encourage and to facilitate the lecturers especially of core subjects to apply integrated learning practices in order to achieve the competency.

  3. Implementation science approaches for integrating eHealth research into practice and policy. (United States)

    Glasgow, Russell E; Phillips, Siobhan M; Sanchez, Michael A


    To summarize key issues in the eHealth field from an implementation science perspective and to highlight illustrative processes, examples and key directions to help more rapidly integrate research, policy and practice. We present background on implementation science models and emerging principles; discuss implications for eHealth research; provide examples of practical designs, measures and exemplar studies that address key implementation science issues; and make recommendations for ways to more rapidly develop and test eHealth interventions as well as future research, policy and practice. The pace of eHealth research has generally not kept up with technological advances, and many of our designs, methods and funding mechanisms are incapable of providing the types of rapid and relevant information needed. Although there has been substantial eHealth research conducted with positive short-term results, several key implementation and dissemination issues such as representativeness, cost, unintended consequences, impact on health inequities, and sustainability have not been addressed or reported. Examples of studies in several of these areas are summarized to demonstrate this is possible. eHealth research that is intended to translate into policy and practice should be more contextual, report more on setting factors, employ more responsive and pragmatic designs and report results more transparently on issues important to potential adopting patients, clinicians and organizational decision makers. We outline an alternative development and assessment model, summarize implementation science findings that can help focus attention, and call for different types of more rapid and relevant research and funding mechanisms. Published by Elsevier Ireland Ltd.

  4. European radiographers' challenges from mammography education and clinical practice - an integrative review. (United States)

    Metsälä, Eija; Richli Meystre, Nicole; Pires Jorge, José; Henner, Anja; Kukkes, Tiina; Sá Dos Reis, Cláudia


    This study aims to identify European radiographers' challenges in clinical performance in mammography and the main areas of mammography that require more and better training. An extensive search was performed to identify relevant studies focused on clinical practice, education and training in mammography published between January 2010 and December 2015 in the English language. The data were analysed by using deductive thematic analysis. A total of 27 full text articles were read, evaluating their quality. Sixteen articles out of 27 were finally selected for this integrative review. The main challenges of radiographers' mammography education/training can be divided into three groups: training needs, challenges related to radiographers, and challenges related to the organization of education. The most common challenges of clinical performance in mammography among European radiographers involved technical performance, the quality of practices, and patient-centeredness. The introduction of harmonized mammography guidelines across Europe may serve as an evidence-based tool to be implemented in practice and education. However, the variability in human and material resources as well as the different cultural contexts should be considered during this process. • Radiographers' awareness of their professional identity and enhancing multiprofessional cooperation in mammography. • Radiographers' responsibilities regarding image quality (IQ) and optimal breast imaging performance. • Patient-centred mammography services focusing on the psychosocial needs of the patient. • Challenges: positioning, QC-testing, IQ-assessment, optimization of breast compression, communication, teamwork, and patient-centred care. • Introduction of evidence-based guidelines in Europe to harmonize mammography practice and education.


    Directory of Open Access Journals (Sweden)

    Anita Yudkin-Suliveres


    Full Text Available This paper elaborates a proposal for educating in learning to live together in schools based on the principles and practices of peace education. It is based on seven thematic axis that promote educating to live together and learning in coexistence: adopting a human rights framework; generating a climate of safety, respect, and trust; promoting supportive relationships with families and communities; integrating emotional education; prioritizing receptiveness and tolerance for the appreciation of differences; fostering democratic participation; asuming nonviolent conflict resolution.

  6. Evaluation of Integrated Coastal Zone Management Plan Practices in the Turkish Case (United States)

    Doruk Özügül, M.; Yerliyurt, Bora; Seçilmişler, Töre


    In terms of both international and national contexts, mostly coastal zones are the place of complexity, vulnerability and competition, so that they have to be well-planned and managed. Diversity in users, land uses, investments, sectoral plans and policies make coastal areas highly complex and problematic zones where competition also takes place. Unless these dimensions of pressure aren’t balanced with precautionary actions, coastal zones transform into more vulnerable geographies. Within this context “Integrated Coastal Zone Management (ICZM) Plan” appears as a major tool where “integration” becomes a vital keyword for such diversifying environments. This integration challenge covers sectoral, administrative, spatial, interdisciplinary (in terms of scientific research fields) and internationality dimensions. A set of basic principles could also be obtained from the literature in order to reach a better ICZM Plan practice. These could be summarized as; “a broader perspective”, “a long-term perspective”, “adaptive management and monitoring”, “local specificities, specific solutions and flexible measures”, “carrying capacity of ecosystems”, “a participatory process”, “well coordination of policies and partners” and “coherence between sectoral policy objectives, planning and management”. A similar problematic conceptualization is also viable for Turkey, where approximately 76% of the total border length and 27 of 81 provinces are coastal. Naturally, both ICZM and coastal zone planning are within the emerging planning issues of national agenda. The purpose of this paper is to examine the Turkish practices depending on the above-mentioned principles by comparing various official ICZM plans of selected provinces. As a general conclusion it is seen that ICZM -to be an integrative and multi-dimensional tool- is contextually misunderstood. From this perspective “the determination of the plan borders”, “unsuitability of the

  7. A Practical Review of Integrated Urban Water Models: Applications as Decision Support Tools and Beyond (United States)

    Mosleh, L.; Negahban-Azar, M.


    The integrated urban water management has become a necessity due to the high rate of urbanization, water scarcity, and climate variability. Climate and demographic changes, shifting the social attitude toward the water usage, and insufficiencies in system resilience increase the pressure on the water resources. Alongside with the water management, modeling urban water systems have progressed from traditional view to comprise alternatives such as decentralized water and wastewater systems, fit-for-purpose practice, graywater/rainwater reuse, and green infrastructure. While there are review papers available focusing on the technical part of the models, they seem to be more beneficial for model developers. Some of the models analyze a number of scenarios considering factors such as climate change and demography and their future impacts. However, others only focus on quality and quantity of water in a supply/demand approach. For example, optimizing the size of water or waste water store, characterizing the supply and quantity of urban stormwater and waste water, and link source of water to demand. A detailed and practical comparison of such models has become a necessity for the practitioner and policy makers. This research compares more than 7 most commonly used integrated urban water cycle models and critically reviews their capabilities, input requirements, output and their applications. The output of such detailed comparison will help the policy makers for the decision process in the built environment to compare and choose the best models that meet their goals. The results of this research show that we need a transition from developing/using integrated water cycle models to integrated system models which incorporate urban water infrastructures and ecological and economic factors. Such models can help decision makers to reflect other important criteria but with the focus on urban water management. The research also showed that there is a need in exploring

  8. Explaining the democratic anchorage of governance networks

    DEFF Research Database (Denmark)

    Skelcher, Chris; Klijn, Erik-Hans; Kübler, Daniel


    Advances in understanding the democratic anchorage of governance networks require carefully designed and contextually grounded empirical analysis that take into account contextual factors. The article uses a conjectural framework to study the impact of the national democratic milieu...... on the relationship between network governance and representative institutions in four European countries: the United Kingdom, Switzerland, the Netherlands, and Denmark. The article shows that the distinction between majoritarian and consensus democracy as well as the varying strength of voluntary associations...... are important contextual factors that help explain cross-national differences in the relationship between governance networks and representative institutions. We conclude that a context of weak associationalism in majoritarian democracies facilitates the instrumentalization of networks by government actors...

  9. Building a Democratic Model of Science Teaching

    Directory of Open Access Journals (Sweden)

    Suhadi Ibnu


    Full Text Available Earlier in the last century, learning in science, as was learning in other disciplines, was developed according to the philosophy of behaviorism. This did not serve the purposes of learning in science properly, as the students were forced to absorb information transferred from the main and the only source of learning, the teacher. Towards the end of the century a significant shift from behaviorism to constructivism philosophy took place. The shift promoted the development of more democratic models of learning in science which provided greater opportunities to the students to act as real scientist, chattering for the building of knowledge and scientific skills. Considering the characteristics of science and the characteristics of the students as active learners, the shift towards democratic models of learning is unavoidable and is merely a matter of time

  10. The agricultural and the democratic transitions

    DEFF Research Database (Denmark)

    Gundlach, Erich; Paldam, Martin

    Long-run development (in income) causes a large fall in the share of agriculture commonly known as the agricultural transition. We confirm that this conventional wisdom is strongly supported by the data. Long-run development (in income) also causes a large increase in democracy known...... as the democratic transition. Elsewhere we have shown that it is almost as strong as the agricultural transition. Recently, a method has been presented to weed out spuriousness. It makes the democratic transition go away by turning income insignificant, when it is supplemented by a set of formal controls. We show...... that the same method makes the agricultural transition go away as well. Hence, it seems to be a method that kills far too much, as suggested by the subtitle. This suggestion leads to a discussion of the very meaning of long-run causality....

  11. Democratization and Transitional Justice in Brazil

    Directory of Open Access Journals (Sweden)



    Full Text Available Brazil experienced a long process of political transition featured by an intense game of political and social forces, in which different actors with different democratization projects clashed. Despite the leadership of the transition process have been in the hands of conservative elites linked to the military dictatorship, broad sectors of the oposition and of the lefts, as well as representants of social movements, disputed the transitional space and expanded the initial design of the regime. This long transition —marked by negotiations, frustrations and resilience— reflected on the transitional justice model adopted by the country. Almost 30 years after the end of military dictatorship, the Truth Commission established by President Dilma Rousseff in 2012, drew attention to issues related to memory, justice and reparation and showed that the democratization process, in some respects, is still incloncluded. This article aims to restore this historical process highlighting some of its characteristics and specificities.

  12. Social Infrastructure to Integrate Science and Practice: the Experience of the Long Tom Watershed Council

    Directory of Open Access Journals (Sweden)

    Rebecca L. Flitcroft


    Full Text Available Ecological problem solving requires a flexible social infrastructure that can incorporate scientific insights and adapt to changing conditions. As applied to watershed management, social infrastructure includes mechanisms to design, carry out, evaluate, and modify plans for resource protection or restoration. Efforts to apply the best science will not bring anticipated results without the appropriate social infrastructure. For the Long Tom Watershed Council, social infrastructure includes a management structure, membership, vision, priorities, partners, resources, and the acquisition of scientific knowledge, as well as the communication with and education of people associated with and affected by actions to protect and restore the watershed. Key to integrating science and practice is keeping science in the loop, using data collection as an outreach tool, and the Long Tom Watershed Council's subwatershed enhancement program approach. Resulting from these methods are ecological leadership, restoration projects, and partnerships that catalyze landscape-level change.

  13. Integrating DNA barcode data and taxonomic practice: determination, discovery, and description. (United States)

    Goldstein, Paul Z; DeSalle, Rob


    DNA barcodes, like traditional sources of taxonomic information, are potentially powerful heuristics in the identification of described species but require mindful analytical interpretation. The role of DNA barcoding in generating hypotheses of new taxa in need of formal taxonomic treatment is discussed, and it is emphasized that the recursive process of character evaluation is both necessary and best served by understanding the empirical mechanics of the discovery process. These undertakings carry enormous ramifications not only for the translation of DNA sequence data into taxonomic information but also for our comprehension of the magnitude of species diversity and its disappearance. This paper examines the potential strengths and pitfalls of integrating DNA sequence data, specifically in the form of DNA barcodes as they are currently generated and analyzed, with taxonomic practice.

  14. Feminist psychodynamic psychotherapy of eating disorders. Theoretic integration informing clinical practice. (United States)

    Zerbe, K J


    Ideas derived from feminism and psychoanalytic theory can be combined for the integrated treatment of eating disorder patients. For a large subgroup of patients who continue to have a poor quality of life or inadequate symptom control (despite customary psychopharmacologic and cognitive behavioral interventions), feminist psychodynamic psychotherapy may prove lifesaving. This article explores how the patient may come to grasp more deeply the multiple roles her symptom has played in her psychological survival. Practical suggestions to enrich the psychotherapy as the patient traverses the natural struggles of adult life are emphasized. The importance of understanding and working with transference and countertransference issues while helping the patient accept life's paradoxes, ambiguities, and potential avenues for growth are underscored. The author reviews eight specific areas that warrant attention in psychotherapeutic exploration from a feminist psychoanalytic perspective (Culture as Bedrock Issue; Gender as Organizer of Behavior, Ownership of Body; Moral Development; Development of Personal Voice; Emphasis on Adult Development; Sexual Concerns; and Aggressive Conflicts).

  15. Best nursing practices in diabetes education for the hospitalized child: an integrative review

    Directory of Open Access Journals (Sweden)

    Luíza de Oliveira Messias Ortiz


    Full Text Available The incidence of Diabetes Mellitus type 1 (DM1 has increased in the last years, with a consequent growth of child hospitalizations due to diabetic prime decompensation, with growing need of an educational process. Thus, our objective was to identify in the literature the best nursing practices in diabetes education for hospitalized children with DM1 and their families. We conducted an integrative review with the descriptors: Diabetic Ketoacidosis, Diabetes Education, Nursing and Child, Hospitalized, and the free search in reference journals and similar articles. We selected four studies, and we identified three categories: Family Involvement and Empowerment in the Diabetes Educational Process; Performance of the Multi-professional Team; Definition and Content of the Educational Process. We concluded that the educational process should include the family, it should be conducted by a multi-professional team and based on scientific evidence. We identified few studies, showing the need for more studies in the field.

  16. An Integrated Pest Management Intervention Improves Knowledge, Pest Control, and Practices in Family Child Care Homes. (United States)

    Stephens, Michelle; Hazard, Kimberly; Moser, Debra; Cox, Dana; Rose, Roberta; Alkon, Abbey


    To reduce young children's exposure to pesticides when attending family child care homes (FCCHs), we developed an integrated pest management (IPM) intervention for FCCH directors. First, we developed IPM educational materials and resources to provide the foundation for an IPM educational intervention for FCCHs. Next, we conducted and evaluated a six-month nurse child care health consultant (CCHC)-led education and consultation IPM intervention to increase IPM knowledge, IPM practices, IPM policies, and decrease the presence or evidence of pests. The pilot intervention study was conducted by three CCHCs in 20 FCCHs in three counties in California. Pre- and post-intervention measures were completed by the FCCH directors and observation measures were completed by the CCHCs. Results indicated significant increases in IPM knowledge, ( t -statistic (degrees of freedom), ( t (df) = 2.55(10), p child care homes to harmful chemicals.

  17. Wage Setting in Democratic Labour Unions

    DEFF Research Database (Denmark)

    Filges, Trine


    In this paper, we analyse the wage setting of a democratic labour union. The union members differ with respect to their employment probabilities. The union wage only changes if the parameters of the median member change. An exogenous shock to revenue may increase the wage, even if labour demand...... is iso-elastic and unemployment benefits may have only a small effect on wages if the median member differs from the average. These findings are in accordance with empirical results....

  18. The Third Wave of Democratization in Indonesia (United States)


    Dewan Perwakilan Rakyat (House of the Representatives) augmented by delegates from the regional territories and the groups in accordance with...unlimited THE THIRD WAVE OF DEMOCRATIZATION IN INDONESIA Azizan bin Md Delin Lieutenant Colonel, Malaysian Army LL B. (Hons), UiTM, Malaysia , 1996...Article 2(1) of the 1945 Constitution reads: "The Majelis Permusyawaratan Rakyat (People’s Consultative Assembly) shall consist of members of the

  19. Leadership Style Right in the Democratic


    Harlen, Togu


    Each leader has a leadership style that is different tobe adapted to the work environment so as to avoidinternal conflicts between superiors and subordinates.No leadership style that has been attached since theman was still in the womb, but some are derived fromexperience and knowledge about leadership.In an era of democratization takes leaders who have ademocratic leadership style that promotes democraticvalues that exist so that the subordinate was given theopportunity to cooperate and coor...

  20. Characteristics of cancer patients presenting to an integrative medicine practice-based research network. (United States)

    Edman, Joel S; Roberts, Rhonda S; Dusek, Jeffery A; Dolor, Rowena; Wolever, Ruth Q; Abrams, Donald I


    To assess psychosocial characteristics, symptoms and reasons for seeking integrative medicine (IM) care in cancer patients presenting to IM clinical practices. A survey of 3940 patients was conducted at 8 IM sites. Patient reported outcome measures were collected and clinicians provided health status data. This analysis compares 353 participants self-identified as cancer patients with the larger noncancer cohort. Mean age of the cancer cohort was 55.0 years. Participants were predominantly white (85.9%), female (76.4%), and well educated (80.5% completed college). For 15.2% of cancer patients, depression scores were consistent with depressive symptoms, and average scores for perceived stress were higher than normal, but neither were significantly different from noncancer patients. The most prevalent comorbid symptoms were chronic pain (39.8%), fatigue (33.5%), and insomnia (23.3%). In the cancer cohort, perceived stress was significantly associated with depression, fatigue, insomnia, pain, and QOL. Cancer patients who chose an IM clinical practice "seeking healthcare settings that address spirituality as an aspect of care" had significantly higher levels of perceived stress, depression, and pain than those not selecting this reason. Demographic characteristics, depression scores, perceived stress scores, and reasons for seeking integrative cancer care were not significantly different between cancer patients and noncancer patients. Perceived stress may be an important indicator of QOL. The association of perceived stress, depression and pain with seeking spirituality suggests that providing IM interventions, such as effective stress management techniques and pastoral or spiritual counseling, may be helpful to patients living with cancer. © The Author(s) 2014.

  1. Revisiting Liberal Democratic Universalism: A Critical Rhetoric of the Liberal Democratic World Order

    Directory of Open Access Journals (Sweden)

    Rose Joy E. Smith


    Full Text Available Liberal democracy has become the predominant political regime in the 21st century even in countries that have little or no history of ‘democratic structures and practices’. However, it seems as though setting up a functional, stable, and viable democratic state is harder than overthrowing autocratic rulers. This rhetorical criticism explores gridlocks that hamper the development of universal liberal democratic values by emphasizing the Western hegemonic status of defining what liberal democracy is. It is pertinent to look into this dominant role considering that it is through these values that actions, policies, and other values are to be construed and judged. This paper aims to (1 highlight the role of moral cosmopolitanism as the initial step of Western hegemony, (2 identify the paradox of defining liberal democracy as universal but treating it as a particular, and (3 discuss the ironies of democratic imperialism and its hindrance to self-determination. This paper hopes to shed some light in the importance of various interpretations, definitions, and adaptations of liberal democratic values depending on the context of the society incorporating, its culture, its values, and its identity, in order to find a more comprehensive definition of democracy.

  2. Reconceiving barriers for democratic health education in Danish schools

    DEFF Research Database (Denmark)

    Danielsen, Dina; Bruselius-Jensen, Maria; Laitch, Daniel


    Health promotion and education researchers and practitioners advocate for more democratic approaches to school-based health education, including participatory teaching methods and the promotion of a broad and positive concept of health and health knowledge, including aspects of the German...... educational concept of bildung. Although Denmark, from where the data of this article are derived, has instituted policies for such approaches, their implementation in practice faces challenges. Adopting a symbolic interactionist analytical framework this paper explores and defines two powerful institutional...... rationales connected to formal and informal social processes and institutional purposes of schools, namely conservatism and Neoliberalism. It is empirically described and argued how these institutional rationales discourage teachers and students from including a broad and positive concept of health...


    Directory of Open Access Journals (Sweden)

    Roberto Muhájir Rahnemay Rabbani


    Full Text Available This study reports an experience on legal services brought by the Federal University of Rio Grande do Norte, Brazil, Caicó Campus, approaching this institution to the region community. Through real case studies, the students were motivated to conduct a legal and juridical analysis, and had to present the results to the consultants and the professors. The students were entrusted to give legal opinion and explain the procedural stages on the cases presented by the community. The methodology used was the empirical research through qualitative and quantitative methods, by applying questionnaires to users of the legal practice and the students of the Legal Assistance courses on the service and the use of Problem-Based Learning. The results demonstrate a high level of satisfaction by users and students, that ensured that the used methodology enabled their best qualification for the labor market.

  4. Scientific literacy for democratic decision-making (United States)

    Yacoubian, Hagop A.


    Scientifically literate citizens must be able to engage in making decisions on science-based social issues. In this paper, I start by showing examples of science curricula and policy documents that capitalise the importance of engaging future citizens in decision-making processes whether at the personal or at the societal levels. I elucidate the ideological underpinnings behind a number of the statements within those documents that have defined the trajectory of scientific literacy and have shaped what ought to be considered as personal and societal benefits. I argue that science curricula and policy documents can truly endorse scientific literacy when they embed principles of democratic education at their core. The latter entails fostering learning experiences where some of the underlying assumptions and political ideologies are brought to the conscious level and future citizens encouraged to reflect upon them critically and explicitly. Such a proposal empowers the future citizens to engage in critical deliberation on science-based social issues without taking the underlying status quo for granted. I end up the paper by situating the preparation of scientifically literate citizens within a framework of democratic education, discuss conditions through which a curriculum for scientific literacy can serve democratic decision-making processes, and provide modest recommendations.

  5. Political Corruption, Democratic Theory, and Democracy

    Directory of Open Access Journals (Sweden)

    Doron Navot


    Full Text Available According to recent conceptual proposals, institutional corruption should be understood within the boundaries of the institution and its purpose. Political corruption in democracies, prominent scholars suggest, is characterized by the violation of institutional ideals or behaviors that tend to harm democratic processes and institutions. This paper rejects the idea that compromises, preferences, political agreements, or consent can be the baseline of conceptualization of political corruption. In order to improve the identification of abuse of power, the concept of political corruption should not be related directly to democratic institutions and processes; rather, it should be related to ideals whose content is independent of citizens’ preferences, institutions and processes. More specifically, I articulate the relations between political corruption and the notion of subjection, and include powerful citizens in the category of political corruption. Yet, I also suggest redefining under what conditions agents are culpable for their motivations in promoting private gain. By doing this, we better realize how democratic institutions can be the source of corruption and not just its victims. Such a redefinition, I propose finally, is the basis for the distinction between individual and institutional corruption.

  6. The Scientific & Democratic Revolution in Education

    Directory of Open Access Journals (Sweden)

    Ramón Flecha


    Full Text Available The main issue dealt with in this theoretical paper is the explanation of the starting scientific and democratic revolution both in the educative field and in the educative research. In addition, evidence-based arguments are included to provide validity of some affirmations. The first section argues that the social sciences are the daughters and an essential part of democracy. A few historical arguments about the way in which the dominant classes have slowed down the scientific progress and the development of people that make it possible. In the second section, it is analyzed the opposition of feudal universities to this unstoppable beginning of what could be called the scientific and democratic revolution. At the same time, we deal with its ambivalent character requiring to be supported and to be criticized so that it can be improved. In the third section, we expound the way in which this progress has provide some conditions that makes it possible to overcome the strong gender-based violence happening in our institutions of higher education and makes it also possible that women who were persecuted are now transforming our universities. Influences and criticism to our university feudalism, made by social movements such as the named 'Spanish Revolution', appear in the fourth section. In the fifth and last section, we offer a proposal to promote the scientific, democratic, and revolutionary approach of the university.

  7. The process of care in integrative health care settings - a qualitative study of US practices. (United States)

    Grant, Suzanne J; Bensoussan, Alan


    There is a lack of research on the organisational operations of integrative healthcare (IHC) practices. IHC is a therapeutic strategy integrating conventional and complementary medicine in a shared context to administer individualized treatment. To better understand the process of care in IHC - the way in which patients are triaged and treatment plans are constructed, interviews were conducted with integrative health care leaders and practitioners in the US. Semi-structured interviews were conducted with a pragmatic group of fourteen leaders and practitioners from nine different IHC settings. All interviews were conducted face-to-face with the exception of one phone interview. Questions focussed on understanding the "process of care" in an integrative healthcare setting. Deductive categories were formed from the aims of the study, focusing on: organisational structure, processes of care (subcategories: patient intake, treatment and charting, use of guidelines or protocols), prevalent diseases or conditions treated, and the role of research in the organisation. The similarities and differences of the ITH entities emerged from this process. On an organisational level, conventional and CM services and therapies were co-located in all nine settings. For patients, this means there is more opportunity for 'seamless care'. Shared information systems enabled easy communication using internal messaging or email systems, and shared patient intake information. But beyond this infrastructure alignment for integrative health care was less supported. There were no use of protocols or guidelines within any centre, no patient monitoring mechanism beyond that which occurred within one-on-one appointments. Joint planning for a patient treatment was typically ad hoc through informal mechanisms. Additional duties typically come at a direct financial cost to fee-for-service practitioners. In contrast, service delivery and the process of care within hospital inpatient services followed

  8. Nurses' human dignity in education and practice: An integrated literature review. (United States)

    Parandeh, Akram; Khaghanizade, Morteza; Mohammadi, Eesa; Mokhtari-Nouri, Jamileh


    Human dignity, as a fundamental human right and a moral obligation, has been emphasized in different fields of nursing. The aim of the present integrative review was to explore the nature of nurses' human dignity in educational and clinical settings. A literature review was conducted on quantitative and qualitative research papers in English and Persian using the PubMed, ProQuest, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Google Scholar, SID, and Irandoc databases from the year 2000 to 2013. Keywords for the search included dignity, nursing, faculty, nurse clinicians, nursing student, and humanism. In total, 12 research papers met the inclusion criteria for the integrative review. From this review, four key themes emerged. The themes consisted of concept of human dignity (it was as an expression of the professional value in nursing settings), factors affecting human dignity (including respect, communication, autonomy and power, competency and ability, structure of the workplace, and value-based education), dimensions of human dignity (including intrinsic and professional domains), and consequences of human dignity [positive (individual and professional growth and caring professional behavior) and negative (loss of motivation, intention to leave the profession, and non-professional image of nursing in the minds of people)]. The small number of studies found for the review indicates the need for further research in the field of nurses' dignity. Recognizing nurses' dignity can help to improve the nursing practice and provide them a dignified workplace.

  9. Nurses’ human dignity in education and practice: An integrated literature review (United States)

    Parandeh, Akram; Khaghanizade, Morteza; Mohammadi, Eesa; Mokhtari-Nouri, Jamileh


    Background: Human dignity, as a fundamental human right and a moral obligation, has been emphasized in different fields of nursing. The aim of the present integrative review was to explore the nature of nurses’ human dignity in educational and clinical settings. Materials and Methods: A literature review was conducted on quantitative and qualitative research papers in English and Persian using the PubMed, ProQuest, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Google Scholar, SID, and Irandoc databases from the year 2000 to 2013. Keywords for the search included dignity, nursing, faculty, nurse clinicians, nursing student, and humanism. In total, 12 research papers met the inclusion criteria for the integrative review. Results: From this review, four key themes emerged. The themes consisted of concept of human dignity (it was as an expression of the professional value in nursing settings), factors affecting human dignity (including respect, communication, autonomy and power, competency and ability, structure of the workplace, and value-based education), dimensions of human dignity (including intrinsic and professional domains), and consequences of human dignity [positive (individual and professional growth and caring professional behavior) and negative (loss of motivation, intention to leave the profession, and non-professional image of nursing in the minds of people)]. Conclusions: The small number of studies found for the review indicates the need for further research in the field of nurses’ dignity. Recognizing nurses’ dignity can help to improve the nursing practice and provide them a dignified workplace. PMID:26985216

  10. Success Factors in Integrated Natural Resource Management R&D: Lessons from Practice

    Directory of Open Access Journals (Sweden)

    Jürgen Hagmann


    Full Text Available This paper analyzes integrated natural resource management (INRM lessons and success factors based on a practical case study over more than 10 years in Zimbabwe. The work was geared toward enhancing the adaptive management capacity of the stakeholders in their resource-use systems. One main result was the development and institutionalization of an approach for participatory and integrated NRM research and extension. The INRM approach described is grounded in a learning paradigm and a combination of theories: the constructivist perspective to development, systemic intervention, and learning process approaches. Participatory action research and experiential learning, in which researchers engage themselves as actors rather than neutral analysts in an R&D process to explore the livelihood system and develop appropriate solutions together with the resource users, has shown high potential. However, this should be guided by a clear strategy, impact orientation, and high-quality process facilitation at different levels. The case study revealed the importance of a "reflective practitioner" approach by all actors. More effective response to the challenges of increasing complexity in NRM requires a shift in thinking from the linearity of research-extension-farmer to alternative, multiple-actor institutional arrangements and innovation systems. To overcome the weak attribution of research outcomes to actual impact, it also suggests an alternative to conventional impact assessment in INRM R&D interventions.

  11. Conservation Biology and Traditional Ecological Knowledge: Integrating Academic Disciplines for Better Conservation Practice

    Directory of Open Access Journals (Sweden)

    Joshua A. Drew


    Full Text Available Conservation biology and environmental anthropology are disciplines that are both concerned with the identification and preservation of diversity, in one case biological and in the other cultural. Both conservation biology and the study of traditional ecoloigcal knowledge function at the nexus of the social and natural worlds, yet historically there have been major impediments to integrating the two. Here we identify linguistic, cultural, and epistemological barriers between the two disciplines. We argue that the two disciplines are uniquely positioned to inform each other and to provide critical insights and new perspectives on the way these sciences are practiced. We conclude by synthesizing common themes found in conservation success stories, and by making several suggestions on integration. These include cross-disciplinary publication, expanding memberships in professional societies and conducting multidisciplinary research based on similar interests in ecological process, taxonomy, or geography. Finally, we argue that extinction threats, be they biological or cultural/linguistic are imminent, and that by bringing these disciplines together we may be able to forge synergistic conservation programs capable of protecting the vivid splendor of life on Earth.

  12. Information Literacy Education in the UK: Reflections on Perspectives and Practical Approaches of Curricular Integration

    Directory of Open Access Journals (Sweden)

    Susie Andretta


    Full Text Available This paper has two main aims, to present the current position of information literacy education in UK-based academic institutions and to propose a strategy that ensures the integration of this phenomenon in learning and teaching institutional practices. The first part of the paper offers an insight into the perceptions of information literacy by exploring four distinct perspectives, including the institutional angle and the views associated with faculty staff, library staff and students. What transpires from the findings is that information literacy from an institutional perspective is dominated by the need to measure information skills within the context of information as a discipline in its own right. Another issue that is raised by the data points to a great deal of misinformation regarding information literacy, and that, as a result, a clear marketing strategy must be adopted by information professionals to address the misconceptions held by faculty staff and students alike. We aim to address these points by drawing on recent scholarship and research in the field which demonstrates the validity of information literacy as a process for fostering independent learning. The second part of the paper explains how a Fellowship project has placed information literacy on the pedagogical agenda of the University of Staffordshire in the UK by promoting information literacy education as an integrated element of the curriculum.

  13. Integrating Variable Renewable Energy in Electric Power Markets: Best Practices from International Experience, Summary for Policymakers

    Energy Technology Data Exchange (ETDEWEB)

    Cochran, J.; Bird, L.; Heeter, J.; Arent, D. A.


    Many countries -- reflecting very different geographies, markets, and power systems -- are successfully managing high levels of variable renewable energy on the electric grid, including that from wind and solar energy. This document summarizes policy best practices that energy ministers and other stakeholders can pursue to ensure that electricity markets and power systems can effectively coevolve with increasing penetrations of variable renewable energy. There is no one-size-fits-all approach; each country studied has crafted its own combination of policies, market designs, and system operations to achieve the system reliability and flexibility needed to successfully integrate renewables. Notwithstanding this diversity, the approaches taken by the countries studied all coalesce around five strategic areas: lead public engagement, particularly for new transmission; coordinate and integrate planning; develop rules for market evolution that enable system flexibility; expand access to diverse resources and geographic footprint of operations; and improve system operations. This study also emphatically underscores the value of countries sharing their experiences. The more diverse and robust the experience base from which a country can draw, the more likely that it will be able to implement an appropriate, optimized, and system-wide approach.

  14. Integrating Variable Renewable Energy in Electric Power Markets. Best Practices from International Experience, Summary for Policymakers

    Energy Technology Data Exchange (ETDEWEB)

    Cochran, Jaquelin [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heeter, Jenny [National Renewable Energy Lab. (NREL), Golden, CO (United States); Arent, Douglas J. [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    Many countries - reflecting very different geographies, markets, and power systems - are successfully managing high levels of variable renewable energy on the electric grid, including that from wind and solar energy. This document summarizes policy best practices that energy ministers and other stakeholders can pursue to ensure that electricity markets and power systems can effectively coevolve with increasing penetrations of variable renewable energy. There is no one-size-fits-all approach; each country studied has crafted its own combination of policies, market designs, and system operations to achieve the system reliability and flexibility needed to successfully integrate renewables. Notwithstanding this diversity, the approaches taken by the countries studied all coalesce around five strategic areas: lead public engagement, particularly for new transmission; coordinate and integrate planning; develop rules for market evolution that enable system flexibility; expand access to diverse resources and geographic footprint of operations; and improve system operations. This study also emphatically underscores the value of countries sharing their experiences. The more diverse and robust the experience base from which a country can draw, the more likely that it will be able to implement an appropriate, optimized, and system-wide approach.

  15. Integrating Variable Renewable Energy in Electric Power Markets. Best Practices from International Experience

    Energy Technology Data Exchange (ETDEWEB)

    Cochran, Jaquelin [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heeter, Jenny [National Renewable Energy Lab. (NREL), Golden, CO (United States); Arent, Douglas J. [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    Many countries—reflecting very different geographies, markets, and power systems—are successfully managing high levels of variable renewable energy on the electric grid, including that from wind and solar energy. This document summarizes policy best practices that energy ministers and other stakeholders can pursue to ensure that electricity markets and power systems can effectively coevolve with increasing penetrations of variable renewable energy. There is no one-size-fits-all approach; each country studied has crafted its own combination of policies, market designs, and system operations to achieve the system reliability and flexibility needed to successfully integrate renewables. Notwithstanding this diversity, the approaches taken by the countries studied all coalesce around five strategic areas: lead public engagement, particularly for new transmission; coordinate and integrate planning; develop rules for market evolution that enable system flexibility; expand access to diverse resources and geographic footprint of operations; and improve system operations. This study also emphatically underscores the value of countries sharing their experiences. The more diverse and robust the experience base from which a country can draw, the more likely that it will be able to implement an appropriate, optimized, and system-wide approach.


    Directory of Open Access Journals (Sweden)

    Singh Bal Baljinder


    Full Text Available Purpose: The present study was conducted with the objective to determine the short term practice of bhastrika pranayama on Metabolic Fitness and Bone Integrity. Material: 30 university level females between the age group of 21-26 years were selected. The subjects were randomly matched and assigned into two groups: Group-A: Experimental (n 1=15; Group-B: Control (n 2=15. The subjects from Group-A: Experimental were provided to a 4-weeks bhastrika pranayama. Statistical Analysis: Student t test for paired samples was utilized to compare the means of the pre-test and the post-test. Results & Conclusions: Based on the analysis of the results obtained, we conclude that the significant differences were found in Metabolic Fitness (i.e., Maximal Oxygen Consumption (V O2max and blood pressure of University Level Girls. Insignificant between-group differences were noted in Blood Lipid, Blood Sugar and Bone Integrity of University Level Girls.

  17. A Practice Approach of Multi-source Geospatial Data Integration for Web-based Geoinformation Services (United States)

    Huang, W.; Jiang, J.; Zha, Z.; Zhang, H.; Wang, C.; Zhang, J.


    Geospatial data resources are the foundation of the construction of geo portal which is designed to provide online geoinformation services for the government, enterprise and public. It is vital to keep geospatial data fresh, accurate and comprehensive in order to satisfy the requirements of application and development of geographic location, route navigation, geo search and so on. One of the major problems we are facing is data acquisition. For us, integrating multi-sources geospatial data is the mainly means of data acquisition. This paper introduced a practice integration approach of multi-source geospatial data with different data model, structure and format, which provided the construction of National Geospatial Information Service Platform of China (NGISP) with effective technical supports. NGISP is the China's official geo portal which provides online geoinformation services based on internet, e-government network and classified network. Within the NGISP architecture, there are three kinds of nodes: national, provincial and municipal. Therefore, the geospatial data is from these nodes and the different datasets are heterogeneous. According to the results of analysis of the heterogeneous datasets, the first thing we do is to define the basic principles of data fusion, including following aspects: 1. location precision; 2.geometric representation; 3. up-to-date state; 4. attribute values; and 5. spatial relationship. Then the technical procedure is researched and the method that used to process different categories of features such as road, railway, boundary, river, settlement and building is proposed based on the principles. A case study in Jiangsu province demonstrated the applicability of the principle, procedure and method of multi-source geospatial data integration.

  18. Advances in integration of photovoltaic power and energy production in practical systems (United States)

    Fartaria, Tomas Oliveira

    This thesis presents advances in integration of photovoltaic (PV) power and energy in practical systems, such as existing power plants in buildings or directly integrated in the public electrical grid. It starts by providing an analyze of the current state of PV power and some of its limitations. The work done in this thesis begins by providing a model to compute mutual shading in large PV plants, and after provides a study of the integration of a PV plant in a biogas power plant. The remainder sections focus on the work done for project PVCROPS, which consisted on the construction and operation of two prototypes composed of a PV system and a novel battery connected to a building and to the public electrical grid. These prototypes were then used to test energy management strategies and validate the suitability of the two advanced batteries (a lithium-ion battery and a vanadium redox ow battery) for households (BIPV) and PV plants. This thesis is divided in 7 chapters: Chapter 1 provides an introduction to explain and develop the main research questions studied for this thesis; Chapter 2 presents the development of a ray-tracing model to compute shading in large PV elds (with or without trackers); Chapter 3 shows the simulation of hybridizing a biogas plant with a PV plant, using biogas as energy storage; Chapters 4 and 5 present the construction, programming, and initial operation of both prototypes (Chapter 4), EMS testing oriented to BIPV systems (Chapter 5). Finally, Chapters 6 provides some future lines of investigation that can follow this thesis, and Chapter 7 shows a synopsis of the main conclusions of this work.

  19. Towards the integration of mental practice in rehabilitation programs. A critical review

    Directory of Open Access Journals (Sweden)

    Francine eMalouin


    Full Text Available Many clinical studies have investigated the use of mental practice (MP through motor imagery (MI to enhance functional recovery of patients with diverse physical disabilities. Although beneficial effects have been generally reported for training motor functions in persons with chronic stroke (e.g. reaching, writing, walking, attempts to integrate MP within rehabilitation programs have been met with mitigated results. These findings have stirred further questioning about the value of MP in neurological rehabilitation. In fact, despite abundant systematic reviews, which customarily focused on the methodological merits of selected studies, several questions about factors underlying observed effects remain to be addressed. This review discusses these issues in an attempt to identify factors likely to hamper the integration of MP within rehabilitation programs. First, the rationale underlying the use of MP for training motor function is briefly reviewed. Second, three modes of MI delivery are proposed based on the analysis of the research protocols from 27 studies in persons with stroke and Parkinson’s disease. Third, for each mode of MI delivery, a general description of MI training is provided. Fourth, the review discusses factors influencing MI training outcomes such as: the adherence to MI training, the amount of training and the interaction between physical and mental rehearsal; the use of relaxation, the selection of reliable, valid and sensitive outcome measures, the heterogeneity of the patient groups, the selection of patients and the mental rehearsal procedures. To conclude, the review proposes a framework for integrating MP in rehabilitation programs and suggests research targets for steering the implementation of MP in the early stages of the rehabilitation process. The challenge has now shifted towards the demonstration that MI training can enhance the effects of regular therapy in persons with subacute stroke during the period of

  20. International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines

    DEFF Research Database (Denmark)

    Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W


    Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decisio......-of-life, budget impact, cost-effective ratios, net benefits and disparities in access and outcomes. Priority setting remains essential and trade-off decisions between policy criteria can be based on MCDA, both in evidence based clinical medicine and in health planning....... that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability......, logistics, innovation price, price sensitivity, substitutes and complements, WTP, absenteeism and presentism. Supply issues may include economies of scale, efficiency changes, and return on investment. Involved equity and efficiency measures may include cost-of-illness, disease burden, quality...


    Directory of Open Access Journals (Sweden)

    Svetlana A. Firsova


    Full Text Available Introduction: this article explores the pedagogical technology employed to teach medical students foundations of work with MICROSOFT ACCESS databases. The above technology is based on integrative approach to the information modeling in public health practice, drawing upon basic didactic concepts that pertain to objects and tools databases created in MICROSOFT ACCESS. The article examines successive steps in teaching the topic “Queries in MICROSOFT ACCESS” – from simple queries to complex ones. The main attention is paid to such components of methodological system, as the principles and teaching methods classified according to the degree of learners’ active cognitive activity. The most interesting is the diagram of the relationship of learning principles, teaching methods and specific types of requests. Materials and Methods: the authors used comparative analysis of literature, syllabi, curricula in medical informatics taught at leading medical universities in Russia. Results: the original technique of training in putting queries with databases of MICROSOFT ACCESS is presented for analysis of information models in practical health care. Discussion and Conclusions: it is argued that the proposed pedagogical technology will significantly improve the effectiveness of teaching the course “Medical Informatics”, that includes development and application of models to simulate the operation of certain facilities and services of the health system which, in turn, increases the level of information culture of practitioners.

  2. Accessible protocol for practice classroom about physical and chemical factors that affect the biomembranes integrity

    Directory of Open Access Journals (Sweden)

    Thiago Barros Galvão


    Full Text Available The aim of the current work is to review a protocol used in practical classes to demonstrate some factors that affect biomembrane integrity. Sugar-beet fragments were utilized as the experimental model as membrane damage could be visualized by leakage of betacyanins, hydrophilic pigments accumulated in the cell vacuoles. The tests were carried out as discrete experiments utilizing physical agents and chemical products present in the student daily routine. To test the effect of temperature, sugar-beet fragments were submitted to heat, cold or both at different times of exposition. When chemical products were tested, sugar-beet fragments were exposed to organic solvents (common alcohol and acetone or polar and amphipathic substances (disinfectant, detergent, hydrogen peroxide, and sodium hypochlorite. The obtained results were discussed in terms of the capacity of the physical and chemical factors to cause membrane damage. The review of this protocol using reagents that are present in the student daily routine were able to demonstrate clearly the effect of the different tested factors, allowing the utilization of this practical class under limited conditions.

  3. An ethnographic study of nurses' experience with nursing research and its integration in practice. (United States)

    Dupin, Cécile Marie; Borglin, Gunilla; Debout, Christophe; Rothan-Tondeur, Monique


    To report from a study aimed at illuminating how French Registered Nurses experience and engage in nursing research in clinical practice. Nursing research in France is mainly conducted by nurses working at clinical research units rather than by dedicated nurse researchers. Education, i.e. advanced degrees, in the field of nursing research is still in its infancy and not yet consistent with the international context. Outside France, the general perception is that nursing research is a unified part of professional nursing. Consequently, in-depth knowledge about how nurses in a French clinical context might experience and engage in nursing research is still lacking. The design of this study was influenced by an ethnographic approach as described by the French anthropologists Beaud and Weber. Data, participatory observations, field notes and interviews (n = 6) were collected in a teaching hospital between April-August 2012. The field consisted of a wound-care unit and clinical research units. Collected data were analysed based on Beaud and Weber's description of analysis. Three beliefs were identified: being a unified part of a research team, being an integral part of 'crosswise - across' activities and being part of research activities. Commitment to nursing research was strengthened by patient-related issues. Based on this context, nursing research would likely benefit from the support of a naturalized reciprocity between clinical practice and research. © 2014 John Wiley & Sons Ltd.

  4. Integrating Maternal and Children's Oral Health Promotion into Nursing and Midwifery Practice- A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Reham Abou El Fadl

    Full Text Available Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening. We aimed to assess the effectiveness of integrating promotion of oral health of young children and their mothers into nursing and midwifery practice.Seven electronic databases including CENTRAL, EMBASE, MEDLINE, GLOBAL HEALTH, CINHAL, Scopus, and Web of Science were systematically searched whereas conference proceedings and theses were retrieved via PROQUEST. Only randomized, non-randomized trials and observational studies on preventive oral health programs delivered by nurses or midwives in healthcare settings or through home visits were included. Two investigators reviewed full-text articles independently to decide on eligibility for inclusion. Quality assessment was done using Cochrane tool for risk of bias for randomized trials and Downs and Black assessment tool for all other studies. Out of 3162 retrieved records, twenty one trials on oral health interventions incorporated into standard nursing practice were reviewed. Eighteen programs reported significant positive outcomes including reduction in caries experience, better oral hygiene and dietary habits and increased rates of dental visits amongst young children as reported by their caregivers.Incorporating oral health promotion into nursing practice is a promising initiative for reducing oral health disparities by contributing to a downward trend in caries experience and increased access to dental care especially amongst the poor disadvantaged communities.

  5. Integrated double mulching practices optimizes soil temperature and improves soil water utilization in arid environments (United States)

    Yin, Wen; Feng, Fuxue; Zhao, Cai; Yu, Aizhong; Hu, Falong; Chai, Qiang; Gan, Yantai; Guo, Yao


    Water shortage threatens agricultural sustainability in many arid and semiarid areas of the world. It is unknown whether improved water conservation practices can be developed to alleviate this issue while increasing crop productivity. In this study, we developed a "double mulching" system, i.e., plastic film coupled with straw mulch, integrated together with intensified strip intercropping. We determined (i) the responses of soil evaporation and moisture conservation to the integrated double mulching system and (ii) the change of soil temperature during key plant growth stages under the integrated systems. Experiments were carried out in northwest China in 2009 to 2011. Results show that wheat-maize strip intercropping in combination with plastic film and straw covering on the soil surface increased soil moisture (mm) by an average of 3.8 % before sowing, 5.3 % during the wheat and maize co-growth period, 4.4 % after wheat harvest, and 4.9 % after maize harvest, compared to conventional practice (control). The double mulching decreased total evapotranspiration of the two intercrops by an average of 4.6 % ( P < 0.05), compared to control. An added feature was that the double mulching system decreased soil temperature in the top 10-cm depth by 1.26 to 1.31 °C in the strips of the cool-season wheat, and by 1.31 to 1.51 °C in the strips of the warm-season maize through the 2 years. Soil temperature of maize strips higher as 1.25 to 1.94 °C than that of wheat strips in the top 10-cm soil depth under intercropping with the double mulching system; especially higher as 1.58 to 2.11 °C under intercropping with the conventional tillage; this allows the two intercrops to grow in a well "collaborative" status under the double mulching system during their co-growth period. The improvement of soil moisture and the optimization of soil temperature for the two intercrops allow us to conclude that wheat-maize intensification with the double mulching system can be used as an

  6. Ethical implications of democratic theory for U.S. public participation in environmental impact assessment

    Energy Technology Data Exchange (ETDEWEB)

    Hourdequin, Marion, E-mail: [Aldo Leopold Wilderness Research Institute, Rocky Mountain Research Station, USDA Forest Service, 790 East Beckwith, Missoula, MT 59801 (United States); Department of Philosophy, Colorado College, 14 E. Cache La Poudre St., Colorado Springs, CO 80903 (United States); Landres, Peter [Aldo Leopold Wilderness Research Institute, Rocky Mountain Research Station, USDA Forest Service, 790 East Beckwith, Missoula, MT 59801 (United States); Hanson, Mark J. [Department of Philosophy, University of Montana, Missoula, MT 59812 (United States); Craig, David R. [Aldo Leopold Wilderness Research Institute, Rocky Mountain Research Station, USDA Forest Service, 790 East Beckwith, Missoula, MT 59801 (United States)


    Traditional mechanisms for public participation in environmental impact assessment under U.S. federal law have been criticized as ineffective and unable to resolve conflict. As these mechanisms are modified and new approaches developed, we argue that participation should be designed and evaluated not only on practical grounds of cost-effectiveness and efficiency, but also on ethical grounds based on democratic ideals. In this paper, we review and synthesize modern democratic theory to develop and justify four ethical principles for public participation: equal opportunity to participate, equal access to information, genuine deliberation, and shared commitment. We then explore several tensions that are inherent in applying these ethical principles to public participation in EIA. We next examine traditional NEPA processes and newer collaborative approaches in light of these principles. Finally, we explore the circumstances that argue for more in-depth participatory processes. While improved EIA participatory processes do not guarantee improved outcomes in environmental management, processes informed by these four ethical principles derived from democratic theory may lead to increased public engagement and satisfaction with government agency decisions. - Highlights: Black-Right-Pointing-Pointer Four ethical principles based on democratic theory for public participation in EIA. Black-Right-Pointing-Pointer NEPA and collaboration offer different strengths in meeting these principles. Black-Right-Pointing-Pointer We explore tensions inherent in applying these principles. Black-Right-Pointing-Pointer Improved participatory processes may improve public acceptance of agency decisions.

  7. Ethical implications of democratic theory for U.S. public participation in environmental impact assessment

    International Nuclear Information System (INIS)

    Hourdequin, Marion; Landres, Peter; Hanson, Mark J.; Craig, David R.


    Traditional mechanisms for public participation in environmental impact assessment under U.S. federal law have been criticized as ineffective and unable to resolve conflict. As these mechanisms are modified and new approaches developed, we argue that participation should be designed and evaluated not only on practical grounds of cost-effectiveness and efficiency, but also on ethical grounds based on democratic ideals. In this paper, we review and synthesize modern democratic theory to develop and justify four ethical principles for public participation: equal opportunity to participate, equal access to information, genuine deliberation, and shared commitment. We then explore several tensions that are inherent in applying these ethical principles to public participation in EIA. We next examine traditional NEPA processes and newer collaborative approaches in light of these principles. Finally, we explore the circumstances that argue for more in-depth participatory processes. While improved EIA participatory processes do not guarantee improved outcomes in environmental management, processes informed by these four ethical principles derived from democratic theory may lead to increased public engagement and satisfaction with government agency decisions. - Highlights: ► Four ethical principles based on democratic theory for public participation in EIA. ► NEPA and collaboration offer different strengths in meeting these principles. ► We explore tensions inherent in applying these principles. ► Improved participatory processes may improve public acceptance of agency decisions.

  8. Differential Effects of Message Framing on Obesity Policy Support Between Democrats and Republicans. (United States)

    Lee, Tae Kyoung; Kim, Hye Kyung


    This study tests whether gain- and loss-framed messages about establishing obesity-reducing policies have different persuasive effects on Republicans and Democrats. In a randomized between-subject experiment, participants (N = 384) read a message emphasizing either benefits to a society by establishing policies aimed to reduce obesity (i.e., gain-framed message) or costs to a society that fails to establish those policies (i.e., loss-framed message). Results indicated that Democrats perceived the gain-framed message as more persuasive than the loss-framed message and the perceived argument strength fully mediated the framing effect on Democrats' policy support; however, there was no framing effect on perceived argument strength among Republicans. On the other hand, the gain-framed message led Republicans to attribute the cause of obesity less to the individual level compared to the loss-framed message and the no-message condition. We observed no framing difference among Democrats on causal attributions. Theoretical and practical implications of these findings are discussed.

  9. Between Democratic Security and Democratic Legality. Constitutional Politics and Presidential Re-election in Colombia

    Directory of Open Access Journals (Sweden)

    Jan Boesten


    Full Text Available This paper presents an analysis of the political and legal debate of the declaration of unconstitutionality of the referendum that sought the re-election presidential second term in 2010. On the other hand, it exposes the debate between those who spoke of bias and political argument in the court ruling related to the idea of “democratic security”; while others speak of the persistence of “democratic legality” consisting of autonomy guaranteed legal reasoning from deliberative processes. Finally, it is noted that the degree of institutionalization of discourse of the Court is an important factor that speaks in favor of it’s independence.

  10. Capturing the Integration of Practice-Based Learning with Beliefs, Values, and Attitudes using Modified Concept Mapping. (United States)

    Mcnaughton, Susan; Barrow, Mark; Bagg, Warwick; Frielick, Stanley


    Practice-based learning integrates the cognitive, psychomotor, and affective domains and is influenced by students' beliefs, values, and attitudes. Concept mapping has been shown to effectively demonstrate students' changing concepts and knowledge structures. This article discusses how concept mapping was modified to capture students' perceptions of the connections between the domains of thinking and knowing, emotions, behavior, attitudes, values, and beliefs and the specific experiences related to these, over a period of eight months of practice-based clinical learning. The findings demonstrate that while some limitations exist, modified concept mapping is a manageable way to gather rich data about students' perceptions of their clinical practice experiences. These findings also highlight the strong integrating influence of beliefs and values on other areas of practice, suggesting that these need to be attended to as part of a student's educational program.

  11. Right to resistance in the context of democratic processes

    Directory of Open Access Journals (Sweden)

    К. О. Павшук


    Full Text Available Problem setting. Right to resistance and especially right to rebellion should be considered as an element of constitutional order’s ensuring. It means the right of some Ukrainian citizen to realize civil disobedience as a resistance and a rebellion as to one kind of it. Rebellion against the power is the result of absence of stage-by-stage mutual discussion and consensus between power and people. It means that the absence of past democratic practices could be the reason of power usurpation and human rights violations. Recent research and publications analysis. Right of people to resistance and rebellion was considered by numerous scientists in the spheres of constitutional right, of political science and legal theory of past and modern times. Among them it could be named J. Lock, V.V. Rechitskij, S.Pogrebnjak etc. Paper objective. The main aim of the article is to find out the essence of the right to resistance and rebellion as an element of constitutional order’s ensuring, to review reasons of it, its forms and their realizations in a modern democratic state. Paper main body. In the article it is considered the direct and indirect form of the right’s realization. Directly the right to resistance takes is executed in the case of violations by bodies of a state power or in the case of citizen’s disagreement with their activity by means of unarmed meetings, campaigns and demonstrations, strikes for protection of their economic and social interests. One of the most democratic methods of resistance that has indirect character is a nationwide referendum against the solutions of a parliament. The alternative forms of resistance are civil hearings and people’s legislative initiatives, “people’s veto”, which can decrease the probability of a conflict aggravation.   Conclusions. Only participation of each citizen in the process of state rule should to prevent human and civil rights violations, abuses of state authority that can have as

  12. The Democratizing Power of the Internet in Southeast Asia

    National Research Council Canada - National Science Library

    Parker, Kevin


    .... A review of the existing democratization literature, coupled with quantitative analysis of the societal impact of computer networking technologies, suggests that the level of Internet connectivity...

  13. Practices in NASA's EOSDIS to Promote Open Data and Research Integrity (United States)

    Behnke, J.; Ramapriyan, H.


    The purpose of this paper is to highlight the key practices adopted by NASA in its Earth Observing System Data and Information System (EOSDIS) to promote and facilitate open data and research integrity. EOSDIS is the system that manages most of NASA's Earth science data from various sources - satellites, aircraft, field campaigns and some research projects. Since its inception in 1990 as a part of the Earth Observing System (EOS) Program, EOSDIS has been following NASA's free and open data and information policy, whereby data are shared with all users on a non-discriminatory basis and are provided at no cost. To ensure that the data are discoverable and accessible to the user community, NASA follows an evolutionary development approach, whereby the latest technologies that can be practically adopted are infused into EOSDIS. This results in continuous improvements in system capabilities such that technologies that users are accustomed to in other environments are brought to bear in their access to NASA's Earth observation data. Mechanisms have existed for ensuring that the data products offered by EOSDIS are vetted by the community before they are released. Information about data products such as Algorithm Theoretical Basis Documents and quality assessments are openly available with the products. The EOSDIS Distributed Active Archive Centers (DAACs) work with the science teams responsible for product generation to assist with proper use of metadata. The DAACs have knowledgeable staff to answer users' questions and have access to scientific experts as needed. Citation of data products in scientific papers are facilitated by assignment of Digital Object Identifiers (DOIs) - at present, over 50% of data products in EOSDIS have been assigned DOIs. NASA gathers and publishes citation metrics for the datasets offered by the DAACs. Through its Software and Services Citations Working Group, NASA is currently investigating broadening DOI assignments to promote greater

  14. Conceptual analysis of social responsibility of the person and its integration in pharmaceutical practice

    Directory of Open Access Journals (Sweden)

    N. O. Tkachenko


    Full Text Available The modern development of the social policy of pharmaceutical organizations in Ukraine, focused on the needs of society, is characterized by the lag in practical implementation of appropriate social responsibility (SR from the increased interest of pharmaceutical scientists in its various aspects. Issues of personal identity, its role and place in the system of socially responsible behavior of pharmaceutical organizations and the professional activity of pharmacists remain insufficiently studied. The purpose research. Conceptual analysis of the social responsibility of the individual with the integration into pharmacy and the rationale for strategic directions for the formation of social responsibility as a professional competence of pharmacists in the system of continuous pharmaceutical education. Materials and methods. We used the methods of information retrieval, comparison, systematization, analysis, synthesis and modeling. Materials for research were publications of fundamental and applied research of domestic and foreign scientists on issues of social responsibility, international standards. Results. Personality in the process of activity is both the subject and the object of responsibility, since social responsibility is a condition for interaction between the individual and the society. The social responsibility of pharmacy specialists directed to primary and secondary social groups, society and the individual, as well as to oneself. In the latter case, the self-concept is important, that is, the individual's complete self-image and the readiness of the individual to act in a certain way in certain situations, as well as the possible social roles of the pharmacist. The process of forming the social responsibility of pharmacy specialists is a complex level system that continuously educates, develops and improves the skill of social responsibility throughout professional life. Conclusions. On the basis of theoretical generalization of the

  15. International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines. (United States)

    Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W; Vondeling, Hindrik


    Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decision making is hampered by objections from professions, paucity of economic evidence or lack of policy commitment. The use of state-of-art economic methodologies will improve this. Economic evidence can be graded by 'checklists' to establish the best evidence for decision making given methodological rigor. New economic evaluation checklists, Multi-Criteria Decision Analyses (MCDA) and other decision criteria enable health economists to impact on decision making world-wide. We analyse the methodologies for integrating economic evidence into CPG agencies globally, including the Agency of Health Research and Quality (AHRQ) in the USA, National Health and Medical Research Council (NHMRC) and Australian political reforms. The Guidelines and Economists Network International (GENI) Board members from Australia, UK, Canada and Denmark presented the findings at the conference of the International Health Economists Association (IHEA) and we report conclusions and developments since. The Consolidated Guidelines for the Reporting of Economic Evaluations (CHEERS) 24 item check list can be used by AHRQ, NHMRC, other CPG and health organisations, in conjunction with the Drummond ten-point check list and a questionnaire that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability in checklists can be addressed by including more than one assessor to reach a consensus, especially when impacting on treatment decisions. We identify priority areas to generate

  16. An integrated approach to the diagnosis and treatment of anxiety within the practice of cardiology. (United States)

    Janeway, David


    Coronary heart disease (CHD) is the leading cause of death and disability in the United States and in highly industrialized countries. Many modifiable psychosocial risk factors have been identified and can affect the course of cardiac illness. These include the negative emotional states of depression, anxiety, stress, anger/hostility, and social isolation. Anxiety has been found to increase the risk of developing CHD in healthy subjects and can lead to worsening of existing CHD. There is much overlap and confusion throughout the research literature between what authors define as anxiety, stress, Type A behavioral pattern, and anger/hostility.There is a need for better screening within the practice of cardiology for these psychosocial risk factors to ensure better integration of mental health services. Established screening tools such as the Beck Anxiety Inventory, Patient Health Questionnaire-9, Zung Self-Rating Anxiety Scale, and the Hamilton Anxiety Scale are described and compared with the newer Screening Tool for Psychologic Distress as part of the initial work-up of every cardiac patient. Recommendations are made using the author's Anxiety Treatment Algorithm regarding when to refer to a mental health professional along with how to reduce stigma and provide more integrated care. The diagnosis and treatment of anxiety disorders is reviewed, with attention to selective serotonin reuptake inhibitors, benzodiazepines, cognitive-behavioral therapy, stress reduction, and behavioral medicine group programs. These group programs are recommended because they help to overcome social isolation and counsel patients on how to adapt to a healthy lifestyle. Better clinical outcome research is needed that specifically addresses the question of whether the treatment of anxiety and anxiety disorders can affect the course of cardiac illness.

  17. Exploring the Links between Adult Education and Human Resource Development: Learning, Risk-Taking, and Democratic Discourse (United States)

    Reio, Thomas G., Jr.


    Learning is indeed an integral component of adapting successfully to an ever-changing world, one full of intriguing possibilities and insidious barriers. Democratic societies establish educative systems where learning and development is promoted to advance a citizenry of skillful problem solvers, knowledgeable decision makers, incisive risk…

  18. [Growth, development, social integration and parenting practices on children living with their mothers in prison]. (United States)

    Lejarraga, Horacio; Berardi, Clemente; Ortale, Susana; Contreras, María Magdalena; Sanjurjo, Adriana; Lejarraga, Celina; Martínez Cáceres, María José; Rodríguez, Lilian


    Prisons are considered a very high risk environment, but there is very scarce scientific information on the growth and development of children who live there. With the purpose of evaluating growth and development of children living with their mothers in prison, a cross sectional survey was performed in 68 children aged 0-3 years in Unit 31, a prison for mothers with children located at 30 km from Buenos Aires. Weight, supine length, and developmental quotient (Cats Clams) was measured, PRUNAPE, and SQE-SE test were administered (screening tests for detecting developmental and emotional disorders, respectively). Mothers' child rearing practices were assessed with a previously standardized questionnaire. Age range of mothers was 18-46 years, median 23.5 yr. Duration of stay in prison of children was 0.05-35 months. Mean ± standard error of "Z" score for height was -0.30 ± 0.12, weight 0.40 ± 0.12; body mass index 0.91 ± 0.18; head circumference 0.19 ± 0.14; and developmental quotient 92.4 ± 1.7. There were only 7 children out of 67 who failed the PRUNAPE. Mean Cats Clams developmental score was 91.3. ASQ-SE test showed high prevalence (39%) of emotional and social integration problems. Mothers' knowledge about child rearing practices was poorer than that found in a normal urban local population. There were no trends for results to be related to the length of stay in prison. Children are shorter and with higher BMI than reference. Emotional disorders are frequent (39%). Mothers' knowledge about child care was poorer than that found in a near population. A program for longitudinal surveillance for all prisons in the country was proposed to the authorities.

  19. Robust Manipulations of Pest Insect Behavior Using Repellents and Practical Application for Integrated Pest Management. (United States)

    Wallingford, Anna K; Cha, Dong H; Linn, Charles E; Wolfin, Michael S; Loeb, Gregory M


    In agricultural settings, examples of effective control strategies using repellent chemicals in integrated pest management (IPM) are relatively scarce compared to those using attractants. This may be partly due to a poor understanding of how repellents affect insect behavior once they are deployed. Here we attempt to identify potential hallmarks of repellent stimuli that are robust enough for practical use in the field. We explore the literature for success stories using repellents in IPM and we investigate the mechanisms of repellency for two chemical oviposition deterrents for controlling Drosophila suzukii Matsumura, a serious pest of small fruit crops. Drosophila suzukii causes injury by laying her eggs in ripening fruit and resulting larvae make fruit unmarketable. In caged choice tests, reduced oviposition was observed in red raspberry fruit treated with volatile 1-octen-3-ol and geosmin at two initial concentrations (10% and 1%) compared to untreated controls. We used video monitoring to observe fly behavior in these caged choice tests and investigate the mode of action for deterrence through the entire behavioral repertoire leading to oviposition. We observed fewer visitors and more time elapsed before flies first landed on 1-octen-3-ol-treated fruits than control fruits and concluded that this odor primarily inhibits behaviors that occur before D. suzukii comes in contact with a potential oviposition substrate (precontact). We observed some qualitative differences in precontact behavior of flies around geosmin-treated fruits; however, we concluded that this odor primarily inhibits behaviors that occur after D. suzukii comes in contact with treated fruits (postcontact). Field trials found reduced oviposition in red raspberry treated with 1-octen-3-ol and a combination of 1-octen-3-ol and geosmin, but no effect of geosmin alone. Recommendations for further study of repellents for practical use in the field are discussed. © The Authors 2017. Published by

  20. Integration of Health Coaching Concepts and Skills into Clinical Practice Among VHA Providers: A Qualitative Study. (United States)

    Collins, David A; Thompson, Kirsten; Atwood, Katharine A; Abadi, Melissa H; Rychener, David L; Simmons, Leigh Ann


    Although studies of health coaching for behavior change in chronic disease prevention and management are increasing, to date no studies have reported on what concepts and skills providers integrate into their clinical practice following participation in health coaching courses. The purpose of this qualitative study was to assess Veterans Health Administration (VHA) providers' perceptions of the individual-level and system-level changes they observed after participating with colleagues in a 6-day Whole Health Coaching course held in 8 VHA medical centers nationwide. Data for this study were from the follow-up survey conducted with participants 2 to 3 months after completing the training. A total of 142 responses about individual-level changes and 99 responses about system-level changes were analyzed using content analysis. Eight primary themes emerged regarding individual changes, including increased emphasis on Veterans' values, increased use of listening and other specific health coaching skills in their clinical role, and adding health coaching to their clinical practice.Four primary themes emerged regarding system-level changes, including leadership support, increased staff awareness/support/learning and sharing, increased use of health coaching skills or tools within the facility, and organizational changes demonstrating a more engaged workforce, such as new work groups being formed or existing groups becoming more active. Findings suggest that VHA providers who participate in health coaching trainings do perceive positive changes within themselves and their organizations. Health coaching courses that emphasize patient-centered care and promote patient-provider partnerships likely have positive effects beyond the individual participants that can be used to promote desired organizational change.

  1. Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study

    Directory of Open Access Journals (Sweden)

    Sen Ananda


    Full Text Available Abstract Background Regular participation in physical activity can prevent many chronic health conditions. Computerized self-management programs are effective clinical tools to support patient participation in physical activity. This pilot study sought to develop and evaluate an online interface for primary care providers to refer patients to an Internet-mediated walking program called Stepping Up to Health (SUH and to monitor participant progress in the program. Methods In Phase I of the study, we recruited six pairs of physicians and medical assistants from two family practice clinics to assist with the design of a clinical interface. During Phase II, providers used the developed interface to refer patients to a six-week pilot intervention. Provider perspectives were assessed regarding the feasibility of integrating the program into routine care. Assessment tools included quantitative and qualitative data gathered from semi-structured interviews, surveys, and online usage logs. Results In Phase I, 13 providers used SUH and participated in two interviews. Providers emphasized the need for alerts flagging patients who were not doing well and the ability to review participant progress. Additionally, providers asked for summary views of data across all enrolled clinic patients as well as advertising materials for intervention recruitment. In response to this input, an interface was developed containing three pages: 1 a recruitment page, 2 a summary page, and 3 a detailed patient page. In Phase II, providers used the interface to refer 139 patients to SUH and 37 (27% enrolled in the intervention. Providers rarely used the interface to monitor enrolled patients. Barriers to regular use of the intervention included lack of integration with the medical record system, competing priorities, patient disinterest, and physician unease with exercise referrals. Intention-to-treat analyses showed that patients increased walking by an average of 1493 steps

  2. Monumentality on space and cultural democratization

    Directory of Open Access Journals (Sweden)

    Inês Alves


    Full Text Available The article proposes a reflection on the idea of monumentality in political and religious power, and its reconversion of a democratic society. There are 3+1 types of cultural exhibition space that are analyzed: the traditional palace or the church, which contain great works of classical art, inside of the historic centers; the art galleries associated with market economy, tend to stimulate the city centre area, and the autonomy of the architectural object in the vicinity of the traditional city. Lastly it is referred the case study - Silo Cultural Space - inside the Norteshopping, but arranged in a peripheral form, which is distinguished by an apparent proximity to multiple public.

  3. Equal rights as the center of democratization


    Alan Gilbert


    Well-stated modern political or democratic theory is rights-based. Meaningful democracy rests as a precondition on the equal rights of citizens. This idea stems from Rousseau’s distinction between a general will*one which is impersonal and tends toward equality, that is, the equal basic rights of citizens*and a transitory will of all. For instance, absent equal basic rights, one might imagine a possible world in which what I have called a self-undermining series of wills of all, or the ...

  4. The democratic question in Florestan Fernandes


    Tótora, Silvana


    O papel da questão democrática na análise da revolução burguesa na obra de Florestan Fernandes é reconstruído a partir da ênfase no caráter radical que ela assume numa obra que se recusa a separar o problema substantivo da democracia do problema da revolução social.The role played by the democratic question in the analysis of the bourgeois revolution in Brazil by Florestan Fernandes is reconstructed on the basis of the emphasis on the radical character it takes in a work in which no distincti...

  5. The Paradox of Meaning Well while Causing Harm: A Discussion about the Limits of Tolerance within Democratic Societies (United States)

    Edling, Silvia


    Curriculum guidelines in many democratic countries argue for the need to practice tolerance as a means to creating peaceful relations. Through moral education, young people are believed to be able to develop a way of being that respects plurality and decreases interpersonal violence in society. But where do students' personal involvements or the…

  6. Integrated Pest Management Intervention in Child Care Centers Improves Knowledge, Pest Control, and Practices. (United States)

    Alkon, Abbey; Nouredini, Sahar; Swartz, Alicia; Sutherland, Andrew Mason; Stephens, Michelle; Davidson, Nita A; Rose, Roberta

    To reduce young children's exposure to pests and pesticides, an integrated pest management (IPM) intervention was provided for child care center staff. The 7-month IPM education and consultation intervention was conducted by trained nurse child care health consultants in 44 child care centers in California. IPM knowledge surveys were completed by child care staff, objective IPM assessments were completed by research assistants pre- and postintervention, and activity logs were completed by the nurses. There were significant increases in IPM knowledge for the child care staff who attended workshops. There were reductions in the prevalence of pests and increases in IPM practices at the postintervention compared with the preintervention time point. The nurses consulted an average of 5.4 hours per center. A nurse-led IPM intervention in child care centers can reduce exposure to harmful substances for young children attending child care centers. Copyright © 2016 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

  7. Integrated Knowledge Translation and Grant Development: Addressing the Research Practice Gap through Stakeholder-informed Research. (United States)

    Henderson, Joanna; Brownlie, Elizabeth; Rosenkranz, Susan; Chaim, Gloria; Beitchman, Joseph


    We describe our stakeholder engagement process for grant application development that occurred as part of our integrated knowledge translation plan and make recommendations for researchers. In phase 1, a stakeholder consultation group was developed. In phase 2, surveys regarding knowledge gathering, research agenda, and research collaboration preferences were sent to 333 cross-sectoral youth-serving organizations in Ontario, including family and consumer organizations. In phase 1, 28 stakeholders from six sectors participated in the consultation group and provided input on multiple aspects of the proposal. Through this process, 19 stakeholders adopted formal roles within the project. In phase 2, 206 surveys were received (response rate = 62%). Survey responses supported the grant focus (concurrent youth mental health and substance use problems). Respondents also prioritized project goals and provided specific feedback on research and knowledge translation. Finally, although some stakeholders chose greater involvement, most survey respondents indicated a preference for a moderate level of participation in research rather than full team membership. Despite short timelines and feasibility challenges, stakeholders can be meaningfully engaged in and contribute to the grant proposal development process. Consideration is needed for the practical challenges that stakeholder organizations face in supporting and participating in research.

  8. Methodology for Selecting Best Management Practices Integrating Multiple Stakeholders and Criteria. Part 1: Methodology

    Directory of Open Access Journals (Sweden)

    Mauricio Carvallo Aceves


    Full Text Available The implementation of stormwater Best Management Practices (BMPs could help re-establish the natural hydrological cycle of watersheds after urbanization, with each BMP presenting a different performance across a range of criteria (flood prevention, pollutant removal, etc.. Additionally, conflicting views from the relevant stakeholders may arise, resulting in a complex selection process. This paper proposes a methodology for BMP selection based on the application of multi-criteria decision aid (MCDA methods, integrating multiple stakeholder priorities and BMP combinations. First, in the problem definition, the MCDA methods, relevant criteria and design guidelines are selected. Next, information from the preliminary analysis of the watershed is used to obtain a list of relevant BMPs. The third step comprises the watershed modeling and analysis of the BMP alternatives to obtain performance values across purely objective criteria. Afterwards, a stakeholder analysis based on survey applications is carried out to obtain social performance values and criteria priorities. Then, the MCDA methods are applied to obtain the final BMP rankings. The last step considers the sensitivity analysis and rank comparisons in order to draw the final conclusions and recommendations. Future improvements to the methodology could explore inclusion of multiple objective analysis, and alternative means for obtaining social performance values.

  9. First practical and clinical experiences using the IBU (integrated brachytherapy unit): it works

    International Nuclear Information System (INIS)

    Loevey, GL.; Haker, H.; Koch, K


    A large number of modern HDR-AL treatments requires a three dimensional applicator reconstruction and dose optimization. Conventional Xray-film digitalization is time consuming, operation tables and the Xray units limit the possible radiography directions and therefore the optimal catheter reconstruction. The IBU concept and equipments offer new possibilities in applicator reconstruction and 3D isodoses display. Materials and methods: Since January 1994 1095 HDR applications have been performed on Nucletron's 1993 installed IBU. All treatments have been individually planned, in 151 (13, 78%) cases 3D applicator reconstruction were necessary. Total treatment time elapsed, reconstruction time, time interval from the start of the planning phase to the start of the irradiation were measured. Results: Total treatment time was reduced in comparison to treatments with conventional catheter reconstruction because: 1.) no time needed for Xray film processing, 2.) faster identification of catheters due to digital image processing, 3.) faster evaluation of isodoses due to 3D isodoses display. Examples of filmless reconstruction and planning in different gynaecologic and H and N localizations will be demonstrated. Conclusion: the first practical experiences show a good match to the theoretical advantages of the integrated brachytherapy unit: the system reduces total treatment time and thus patient distress

  10. Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. (United States)

    Bonham, Caroline A; Sommerfeld, David; Willging, Cathleen; Aarons, Gregory A


    Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  11. A practical implementation of the higher-order transverse-integrated nodal diffusion method

    International Nuclear Information System (INIS)

    Prinsloo, Rian H.; Tomašević, Djordje I.; Moraal, Harm


    Highlights: • A practical higher-order nodal method is developed for diffusion calculations. • The method resolves the issue of the transverse leakage approximation. • The method achieves much superior accuracy as compared to standard nodal methods. • The calculational cost is only about 50% greater than standard nodal methods. • The method is packaged in a module for connection to existing nodal codes. - Abstract: Transverse-integrated nodal diffusion methods currently represent the standard in full core neutronic simulation. The primary shortcoming of this approach is the utilization of the quadratic transverse leakage approximation. This approach, although proven to work well for typical LWR problems, is not consistent with the formulation of nodal methods and can cause accuracy and convergence problems. In this work, an improved, consistent quadratic leakage approximation is formulated, which derives from the class of higher-order nodal methods developed some years ago. Further, a number of iteration schemes are developed around this consistent quadratic leakage approximation which yields accurate node average results in much improved calculational times. The most promising of these iteration schemes results from utilizing the consistent leakage approximation as a correction method to the standard quadratic leakage approximation. Numerical results are demonstrated on a set of benchmark problems and further applied to a realistic reactor problem, particularly the SAFARI-1 reactor, operating at Necsa, South Africa. The final optimal solution strategy is packaged into a standalone module which may simply be coupled to existing nodal diffusion codes

  12. Formation of a Community of Practice in the Watershed Scale, with Integrated Local Environmental Knowledge

    Directory of Open Access Journals (Sweden)

    Kenji Kitamura


    Full Text Available Rural communities around the world face formidable problems such as resource depletion, environmental degradation and economic decline. While the term ‘community’ is often used without clear definition or context, it can be viewed as a group of people emerging through social interaction. Through a series of collaborative action toward a shared goal, a community of practice can be formed. This paper proposes a hypothetical framework of integrated local environmental knowledge (ILEK, and applies it to analyze the processes of collaborative actions in the case of the Nishibetsu Watershed in Hokkaido, Japan. The case study identified several phases of actions, all initiated by a group of local residents on a grassroots and voluntary basis. These local resident-initiated collaborative actions had a particular confluence of elements to facilitate gradual strengthening of formal and informal institutions in the watershed scale beyond jurisdictional boundaries, making this a worthy case to study. The local residents used diverse types of knowledge, including livelihood-based technologies and skills of working as a group and with local governments, for establishing and strengthening various institutions for collaborative actions, with such knowledge being used in the manner of tools in a box of bricolage for community formation.

  13. Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies

    Directory of Open Access Journals (Sweden)

    Caroline A. Bonham


    Full Text Available Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38 supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  14. Cancer screening promotion among medically underserved Asian American women: integration of research and practice. (United States)

    Yu, Mei-yu; Seetoo, Amy D; Hong, Oi Saeng; Song, Lixin; Raizade, Rekha; Weller, Adelwisa L Agas


    Mammography and Pap smear tests are known to be effective early detection measures for breast and cervical cancers, respectively, but Asian Americans are reluctant to make visits for routine preventive care. Quantitative and qualitative research conducted by the Healthy Asian Americans Project (HAAP) between 1996 and 1999 indicated that Asian residents in southeastern Michigan, like the general Asian population in the US, underutilized early cancer screening programs due to cultural, psychosocial, linguistic, and economic barriers. This article reports how the HAAP's research findings guided the Michigan Breast and Cervical Cancer Control Program (BCCCP) promotion (conducted from 2000 to 2001 among medically underserved Asian women residing in southeastern Michigan), and how evaluation of the HAAP's BCCCP promotion will direct future research and health promotion programs. The article presents strategies used to improve access to cancer screening programs for diverse Asian sub-groups as well as outcomes of the 2-year HAAP's BCCCP promotion among the target population. Discussion regarding lessons and experiences gained from integration of research and practice has implications on design and implementation of the cancer screening promotion for the rapidly increasing Asian American population as well as other medically underserved minority populations in the US.

  15. Integrating Mindfulness Practices into the Elementary Curriculum to Improve Attention-to-Task Behaviors and Social Relations (United States)

    Kanagy-Borofka, Lori


    This study examined effects of integrating mindfulness practices into the 5th grade curriculum to improve attention-to-task, including inattention and executive functioning, hyperactivity/impulsivity, and social relations. As academic requirements become more rigorous, students have been expected to demonstrate increased skills in…

  16. Clinical practice guidelines on the evidence-based use of integrative therapies during and following breast cancer treatment (United States)

    Greenlee, Heather; DuPont-Reyes, Melissa J.; Balneaves, Lynda G.; Carlson, Linda E.; Cohen, Misha R.; Deng, Gary; Johnson, Jillian A.; Mumber, Matthew; Seely, Dugald; Zick, Suzanna; Boyce, Lindsay; Tripathy, Debu


    Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided. PMID:28436999

  17. Care Model Design for E-Health: Integration of Point-of-Care Testing at Dutch General Practices

    Directory of Open Access Journals (Sweden)

    Bart Verhees


    Full Text Available Point-of-care testing (POCT—laboratory tests performed with new mobile devices and online technologies outside of the central laboratory—is rapidly outpacing the traditional laboratory test market, growing at a rate of 12 to 15% each year. POCT impacts the diagnostic process of care providers by yielding high efficiency benefits in terms of turnaround time and related quality improvements in the reduction of errors. However, the implementation of this disruptive eHealth technology requires the integration and transformation of diagnostic services across the boundaries of healthcare organizations. Research has revealed both advantages and barriers of POCT implementations, yet to date, there is no business model for the integration of POCT within general practice. The aim of this article is to contribute with a design for a care model that enables the integration of POCT in primary healthcare. In this research, we used a design modelling toolkit for data collection at five general practices. Through an iterative design process, we modelled the actors and value transactions, and designed an optimized care model for the dynamic integration of POCTs into the GP’s network of care delivery. The care model design will have a direct bearing on improving the integration of POCT through the connectivity and norm guidelines between the general practice, the POC technology, and the diagnostic centre.

  18. Care Model Design for E-Health: Integration of Point-of-Care Testing at Dutch General Practices. (United States)

    Verhees, Bart; van Kuijk, Kees; Simonse, Lianne


    Point-of-care testing (POCT)-laboratory tests performed with new mobile devices and online technologies outside of the central laboratory-is rapidly outpacing the traditional laboratory test market, growing at a rate of 12 to 15% each year. POCT impacts the diagnostic process of care providers by yielding high efficiency benefits in terms of turnaround time and related quality improvements in the reduction of errors. However, the implementation of this disruptive eHealth technology requires the integration and transformation of diagnostic services across the boundaries of healthcare organizations. Research has revealed both advantages and barriers of POCT implementations, yet to date, there is no business model for the integration of POCT within general practice. The aim of this article is to contribute with a design for a care model that enables the integration of POCT in primary healthcare. In this research, we used a design modelling toolkit for data collection at five general practices. Through an iterative design process, we modelled the actors and value transactions, and designed an optimized care model for the dynamic integration of POCTs into the GP's network of care delivery. The care model design will have a direct bearing on improving the integration of POCT through the connectivity and norm guidelines between the general practice, the POC technology, and the diagnostic centre.

  19. Using pedagogical approaches to influence evidence-based practice integration - processes and recommendations: findings from a grounded theory study. (United States)

    Malik, Gulzar; McKenna, Lisa; Griffiths, Debra


    The study aimed to explore the processes undertaken by nurse academics when integrating evidence-based practice (EBP) into their teaching and learning practices. This article focuses on pedagogical approaches employed by academics to influence evidence-based practice integration into undergraduate programs across Australian universities. Nursing academics are challenged to incorporate a variety of teaching and learning strategies to teach evidence-based practice and determine their effectiveness. However, literature suggests that there are limited studies available focusing on pedagogical approaches in evidence-based practice education. A constructivist grounded theory methodology, informed by Charmaz was used for this study. Data were collected during 2014 from 23 nurse academics across Australian universities through semi-structured interviews. Additionally, nine were observed during teaching of undergraduate students. Twenty subject outlines were also analysed following Charmaz's approach of data analysis. 'Influencing EBP integration' describes the pedagogical approaches employed by academics to incorporate EBP knowledge and skills into undergraduate curricula. With the use of various teaching and learning strategies, academics attempted to contextualize EBP by engaging students with activities aiming to link evidence to practice and with the EBP process. Although, some strategies appeared to be engaging, others were traditional and seemed to be disengaging for students due to the challenges experienced by participants that impeded the use of the most effective teaching methods. Study findings offer valuable insights into the teaching practices and identify some key challenges that require the adoption of appropriate strategies to ensure future nurses are well prepared in the paradigm of evidence-based practice. © 2016 John Wiley & Sons Ltd.

  20. Integration of research and practice to improve public health and healthcare delivery through a collaborative 'Health Integration Team' model - a qualitative investigation. (United States)

    Redwood, Sabi; Brangan, Emer; Leach, Verity; Horwood, Jeremy; Donovan, Jenny L


    Economic considerations and the requirement to ensure the quality, safety and integration of research with health and social care provision have given rise to local developments of collaborative organisational forms and strategies to span the translational gaps. One such model - the Health Integration Team (HIT) model in Bristol in the United Kingdom (UK) - brings together National Health Service (NHS) organisations, universities, local authorities, patients and the public to facilitate the systematic application of evidence to promote integration across healthcare pathways. This study aimed to (1) provide empirical evidence documenting the evolution of the model; (2) to identify the social and organisational processes and theory of change underlying healthcare knowledge and practice; and (3) elucidate the key aspects of the HIT model for future development and translation to other localities. Contemporaneous documents were analysed, using procedures associated with Framework Analysis to produce summarised data for descriptive accounts. In-depth interviews were undertaken with key informants and analysed thematically. Comparative methods were applied to further analyse the two data sets. One hundred forty documents were analysed and 10 interviews conducted with individuals in leadership positions in the universities, NHS commissioning and provider organisations involved in the design and implementation of the HIT model. Data coalesced around four overarching themes: 'Whole system' engagement, requiring the active recruitment of all those who have a stake in the area of practice being considered, and 'collaboration' to enable coproduction were identified as 'process' themes. System-level integration and innovation were identified as potential 'outcomes' with far-reaching impacts on population health and service delivery. The HIT model emerged as a particular response to the perceived need for integration of research and practice to improve public health and