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Sample records for pragmatic randomized ethnobotanical

  1. Probability sampling design in ethnobotanical surveys of medicinal plants

    Directory of Open Access Journals (Sweden)

    Mariano Martinez Espinosa

    2012-07-01

    Full Text Available Non-probability sampling design can be used in ethnobotanical surveys of medicinal plants. However, this method does not allow statistical inferences to be made from the data generated. The aim of this paper is to present a probability sampling design that is applicable in ethnobotanical studies of medicinal plants. The sampling design employed in the research titled "Ethnobotanical knowledge of medicinal plants used by traditional communities of Nossa Senhora Aparecida do Chumbo district (NSACD, Poconé, Mato Grosso, Brazil" was used as a case study. Probability sampling methods (simple random and stratified sampling were used in this study. In order to determine the sample size, the following data were considered: population size (N of 1179 families; confidence coefficient, 95%; sample error (d, 0.05; and a proportion (p, 0.5. The application of this sampling method resulted in a sample size (n of at least 290 families in the district. The present study concludes that probability sampling methods necessarily have to be employed in ethnobotanical studies of medicinal plants, particularly where statistical inferences have to be made using data obtained. This can be achieved by applying different existing probability sampling methods, or better still, a combination of such methods.

  2. PRagmatic trial Of Video Education in Nursing homes: The design and rationale for a pragmatic cluster randomized trial in the nursing home setting.

    Science.gov (United States)

    Mor, Vincent; Volandes, Angelo E; Gutman, Roee; Gatsonis, Constantine; Mitchell, Susan L

    2017-04-01

    Background/Aims Nursing homes are complex healthcare systems serving an increasingly sick population. Nursing homes must engage patients in advance care planning, but do so inconsistently. Video decision support tools improved advance care planning in small randomized controlled trials. Pragmatic trials are increasingly employed in health services research, although not commonly in the nursing home setting to which they are well-suited. This report presents the design and rationale for a pragmatic cluster randomized controlled trial that evaluated the "real world" application of an Advance Care Planning Video Program in two large US nursing home healthcare systems. Methods PRagmatic trial Of Video Education in Nursing homes was conducted in 360 nursing homes (N = 119 intervention/N = 241 control) owned by two healthcare systems. Over an 18-month implementation period, intervention facilities were instructed to offer the Advance Care Planning Video Program to all patients. Control facilities employed usual advance care planning practices. Patient characteristics and outcomes were ascertained from Medicare Claims, Minimum Data Set assessments, and facility electronic medical record data. Intervention adherence was measured using a Video Status Report embedded into electronic medical record systems. The primary outcome was the number of hospitalizations/person-day alive among long-stay patients with advanced dementia or cardiopulmonary disease. The rationale for the approaches to facility randomization and recruitment, intervention implementation, population selection, data acquisition, regulatory issues, and statistical analyses are discussed. Results The large number of well-characterized candidate facilities enabled several unique design features including stratification on historical hospitalization rates, randomization prior to recruitment, and 2:1 control to intervention facilities ratio. Strong endorsement from corporate leadership made randomization

  3. Hospital recruitment for a pragmatic cluster-randomized clinical trial: Lessons learned from the COMPASS study.

    Science.gov (United States)

    Johnson, Anna M; Jones, Sara B; Duncan, Pamela W; Bushnell, Cheryl D; Coleman, Sylvia W; Mettam, Laurie H; Kucharska-Newton, Anna M; Sissine, Mysha E; Rosamond, Wayne D

    2018-01-26

    Pragmatic randomized clinical trials are essential to determine the effectiveness of interventions in "real-world" clinical practice. These trials frequently use a cluster-randomized methodology, with randomization at the site level. Despite policymakers' increased interest in supporting pragmatic randomized clinical trials, no studies to date have reported on the unique recruitment challenges faced by cluster-randomized pragmatic trials. We investigated key challenges and successful strategies for hospital recruitment in the Comprehensive Post-Acute Stroke Services (COMPASS) study. The COMPASS study is designed to compare the effectiveness of the COMPASS model versus usual care in improving functional outcomes, reducing the numbers of hospital readmissions, and reducing caregiver strain for patients discharged home after stroke or transient ischemic attack. This model integrates early supported discharge planning with transitional care management, including nurse-led follow-up phone calls after 2, 30, and 60 days and an in-person clinic visit at 7-14 days involving a functional assessment and neurological examination. We present descriptive statistics of the characteristics of successfully recruited hospitals compared with all eligible hospitals, reasons for non-participation, and effective recruitment strategies. We successfully recruited 41 (43%) of 95 eligible North Carolina hospitals. Leading, non-exclusive reasons for non-participation included: insufficient staff or financial resources (n = 33, 61%), lack of health system support (n = 16, 30%), and lack of support of individual decision-makers (n = 11, 20%). Successful recruitment strategies included: building and nurturing relationships, engaging team members and community partners with a diverse skill mix, identifying gatekeepers, finding mutually beneficial solutions, having a central institutional review board, sharing published pilot data, and integrating contracts and review board

  4. Ethical issues in pragmatic randomized controlled trials: a review of the recent literature identifies gaps in ethical argumentation.

    Science.gov (United States)

    Goldstein, Cory E; Weijer, Charles; Brehaut, Jamie C; Fergusson, Dean A; Grimshaw, Jeremy M; Horn, Austin R; Taljaard, Monica

    2018-02-27

    Pragmatic randomized controlled trials (RCTs) are designed to evaluate the effectiveness of interventions in real-world clinical conditions. However, these studies raise ethical issues for researchers and regulators. Our objective is to identify a list of key ethical issues in pragmatic RCTs and highlight gaps in the ethics literature. We conducted a scoping review of articles addressing ethical aspects of pragmatic RCTs. After applying the search strategy and eligibility criteria, 36 articles were included and reviewed using content analysis. Our review identified four major themes: 1) the research-practice distinction; 2) the need for consent; 3) elements that must be disclosed in the consent process; and 4) appropriate oversight by research ethics committees. 1) Most authors reject the need for a research-practice distinction in pragmatic RCTs. They argue that the distinction rests on the presumptions that research participation offers patients less benefit and greater risk than clinical practice, but neither is true in the case of pragmatic RCTs. 2) Most authors further conclude that pragmatic RCTs may proceed without informed consent or with simplified consent procedures when risks are low and consent is infeasible. 3) Authors who endorse the need for consent assert that information need only be disclosed when research participation poses incremental risks compared to clinical practice. Authors disagree as to whether randomization must be disclosed. 4) Finally, all authors view regulatory oversight as burdensome and a practical impediment to the conduct of pragmatic RCTs, and argue that oversight procedures ought to be streamlined when risks to participants are low. The current ethical discussion is framed by the assumption that the function of research oversight is to protect participants from risk. As pragmatic RCTs commonly involve usual care interventions, the risks may be minimal. This leads many to reject the research-practice distinction and question

  5. Ethnobotanical and biological activities of Leptadenia pyrotechnica ...

    African Journals Online (AJOL)

    Conclusion: This review includes the substance of different ethnobotanical uses, phytochemistry and exclusive capability of this plant in the field of anti-microbial and human disease activities. Key words: Leptadenia pyrotechnica, Biological activities, Desert plant, Ethnobotanical, Phytochemical activity, phytochemistry.

  6. Ethnobotanical knowledge and practices of traditional healers in ...

    African Journals Online (AJOL)

    The study was conducted to reveal and document ethnobotanical knowledge and practices of traditional healers in selected sites of Eastern Hararghie. Ethnobotanical data were collected using semi-structured interviews and field observation from 9 traditional healers in 4 study sites of Eastern Hararghie. Data were ...

  7. Ethnobotanical Knowledge Is Vastly Under-Documented in Northwestern South America

    Science.gov (United States)

    Cámara-Leret, Rodrigo; Paniagua-Zambrana, Narel; Balslev, Henrik; Macía, Manuel J.

    2014-01-01

    A main objective of ethnobotany is to document traditional knowledge about plants before it disappears. However, little is known about the coverage of past ethnobotanical studies and thus about how well the existing literature covers the overall traditional knowledge of different human groups. To bridge this gap, we investigated ethnobotanical data-collecting efforts across four countries (Colombia, Ecuador, Peru, Bolivia), three ecoregions (Amazon, Andes, Chocó), and several human groups (including Amerindians, mestizos, and Afro-Americans). We used palms (Arecaceae) as our model group because of their usefulness and pervasiveness in the ethnobotanical literature. We carried out a large number of field interviews (n = 2201) to determine the coverage and quality of palm ethnobotanical data in the existing ethnobotanical literature (n = 255) published over the past 60 years. In our fieldwork in 68 communities, we collected 87,886 use reports and documented 2262 different palm uses and 140 useful palm species. We demonstrate that traditional knowledge on palm uses is vastly under-documented across ecoregions, countries, and human groups. We suggest that the use of standardized data-collecting protocols in wide-ranging ethnobotanical fieldwork is a promising approach for filling critical information gaps. Our work contributes to the Aichi Biodiversity Targets and emphasizes the need for signatory nations to the Convention on Biological Diversity to respond to these information gaps. Given our findings, we hope to stimulate the formulation of clear plans to systematically document ethnobotanical knowledge in northwestern South America and elsewhere before it vanishes. PMID:24416449

  8. An ethnobotanical survey on hormozgan province, Iran

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    Omid Safa

    2012-12-01

    Full Text Available Objective: The present study is based on an ethnobotanical research project conducted in Hormozgan province that is located in south of Iran, bordering waters of the Persian Gulf and Oman Sea. This survey was carried out in order to recover the ethnobotanical and ethnomedicinal knowledge of the residents of this province. They are using medicinal and functional plants for treating or preventing several diseases. Materials and Methods: Ethnobotanical data sheets were run with the native inhabitants and people of the province by arranging frequent field trips to different parts of the province and direct interviews with them especially those who were more familiar with the plants and their usage.Results: A total of 150 plant species belonging to 53 families were recorded for their ethnobotanical and ethnomedicinal uses among the people of province. The records were developed by scientific names, family names, local names, medicinal parts used, different ways of their application, and traditional uses of the plants. There was high compliance in the use of plants in painful disorders, gastrointestinal, and dermatological diseases.Conclusion: This study revealed that the people of Hormozgan province have a rich knowledge of natural resources. The use and consumption of medicinal plants are still important parts of their life. Rational use of native medicinal plants may benefit and improve their living standards and quality of life. The results of this study can be used as a basis for selecting herbs for further pharmacological, phytochemical, and pharmacognostical studies.

  9. Ethnobotanical study of medicinal plants used by people in Zegie Peninsula, Northwestern Ethiopia

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    Giday Mirutse; Teklehaymanot Tilahun

    2007-01-01

    Abstract An ethnobotanical study was conducted from October 2005 to June 2006 to investigate the uses of medicinal plants by people in Zegie Peninsula, northwestern Ethiopia. Information was gathered from 200 people: 70 female and 130 males, using semistructured questionnaire. Of which, six were male local healers. The informants, except the healers, were selected randomly and no appointment was made prior to the visits. Informant consensus factor (ICF) for category of aliments and the fideli...

  10. Ethnobotanical magnitude towards sustainable utilization of wild foliage in Arabian Desert

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    Prakash C. Phondani

    2016-07-01

    Full Text Available The present investigation was deals with identifying traditional uses of medicinal plants for curing a variety of ailments and degree of religious conservation for retention of ethnobotanical knowledge. The study was carried out in the State of Qatar to document the ethnobotanical uses of 58 medicinally important plant species including identification, botanical name, Arabic name, family, habit, habitat, distribution pattern, and the plant parts used for curing variety of ailments. The documented species belong to 54 plant genera and 30 botanical families. They have been used to cure more than 38 different kinds of human ailments. A majority of ethnobotanical plant species belonging to shrubs (41.38% followed by perennial herbs (31.04%, annual herbs (18.96% and trees (8.62% respectively. The frequency of ethnobotanical plant species were recorded maximum in fabaceae (13.79%, followed by lamiaceae, chenopodiaceae (6.89% each, asteraceae, capparaceae, polygonaceae, boraginaceae, aizooaceae (5.17% each, brassicaceae, asclepiadaceae, convolvulaceae, zygophyllaceae, solanaceae (3.44% each while, remaining 17 families had one (1.72% species each. Perception of stakeholders concerning prioritization and categorization of potential native plants and 25 ethnobotanical species were prioritized and ranked on the basis of their multipurpose use value, feasibility climatic conditions and Global Sustainability Assessment System (GSAS criteria measures i.e. drought resistant, low water requirement, growth performance, survival rate, canopy size, adaptation potential, low maintenance and use value for sustainability and landscaping. The analysis emphasized the potentials of ethnomedicinal research, sustainable utilization, conservation initiatives, and urgent need to document ethnobotanical knowledge for sustainability and scientific validation to prevent their losses.

  11. Why Philosophical Pragmatics Needs Clinical Pragmatics

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    Ines Adornetti

    2012-12-01

    Full Text Available This paper aims to show how clinical pragmatics (the study of pragmatic deficits can fruitfully inform the classical theoretical models proposed by philosophical pragmatics. In the first part of the paper I argue that theories proposed in the domain of philosophical pragmatics, as those elaborated by Austin and Grice, are not plausible from a cognitive point of view and that for this reason they cannot be useful to understand pragmatic deficits. In the second part, I show that Relevance Theory overcomes this limitation (being consistent with the data about actual mind’s functioning, but I also argue that it offers a restricted view of human communication which has to be integrated with a model of language use that takes into account a central pragmatic property: coherence of discourse.

  12. Relay model for recruiting alcohol dependent patients in general hospitals--a single-blind pragmatic randomized trial

    DEFF Research Database (Denmark)

    Schwarz, Anne-Sophie; Bilberg, Randi; Bjerregaard, Lene Berit Skov

    2016-01-01

    - The Relay Model. METHOD/DESIGN: The study is a single-blind pragmatic randomized controlled trial including patients admitted to the hospital. The study group (n = 500) will receive an intervention, and the control group (n = 500) will be referred to treatment by usual procedures. All patients complete......://register.clinicaltrials.gov/by identifier: RESCueH_Relay NCT02188043 Project Relay Model for Recruiting Alcohol Dependent Patients in General Hospitals (TRN Registration: 07/09/2014)....

  13. Contradictory effects for prevention of depression and anxiety in residents in home for the elderly: a pragmatic randomized controlled trial

    NARCIS (Netherlands)

    Dozeman, Els; van Marwijk, Harm; van Schaik, Digna J.F.; Smit, Filip; Stek, Max; van der Horst, Henriëtte E.; Bohlmeijer, Ernst Thomas; Beekman, Aartjan T.F.

    2012-01-01

    Background: The aim of this study was to evaluate the effectiveness of a stepped-care program to prevent the onset of depression and anxiety disorders in elderly people living in residential homes. Methods: A pragmatic randomized controlled trial was conducted to compare the intervention with usual

  14. Aboriginal uses and management of ethnobotanical species in deciduous forests of Chhattisgarh state in India

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    Kala Chandra

    2009-08-01

    Full Text Available Abstract A study on the native uses of ethnobotanical species was carried out in the south Surguja district of Chhattisgarh state in India with the major objective of identifying different food and medicinal plant species and also to understand their ongoing management and conservation. Through questionnaire and personal interviews, a total of 73 ethnobotanical species used by tribal and non-tribal communities were documented, of these 36 species were used in curing different types of diseases and 22 were used as edible food plants. This rich traditional knowledge of local people has an immense potential for pharmacological studies. The outside forces, at present, were mainly blamed to change the traditional system of harvesting and management of ethnobotanical species. The destructive harvesting practices have damaged the existing populations of many ethnobotanical species viz., Asparagus racemosus, Dioscorea bulbifera, Boswellia serrata, Buchnania lanzan, Sterculia urens and Anogeissus latifolia. The sustainable harvesting and management issues of ethnobotanical species are discussed in view of their conservation and management.

  15. Ethnobotanical knowledge of Apiaceae family in Iran: A review

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    Mohammad Sadegh Amiri

    2016-11-01

    Full Text Available Objective: Apiaceae (Umbelliferae family is one of the biggest plant families on the earth. Iran has  a huge diversity of Apiaceae members . This family possesses a range of compounds that have many biological activities. The members of this family are well known as vegetables, culinary and medicinal plants. Here, we present a review of ethnobotanical uses of Apiaceae plants by the Iranian people in order to provide a comprehensive documentation for future investigations. Materials and Methods: We checked scientific studies published in books and journals in various electronic databases (Medline, PubMed, Science Direct, Scopus and Google Scholar websites from 1937 to 2015 and reviewed a total of 52 publications that provided information about different applications of these plant species in human and livestock. Results: As a result of this review, several ethnobotanical usages of 70 taxa, 17 of which were endemic, have been determined. These plants were used for medicinal and non-medicinal purposes. The most commonly used parts were fruits, leaves, aerial parts and gums. The most common methods of preparation were decoction, infusion and poultice. Conclusion: To our knowledge, this paper represents a comprehensive literature search of ethnobotanical uses of Apiaceae reported from Iran. This study highlights the rich traditional knowledge of this family that has remained in Iran. However, most of this knowledge survive only as memories from the past in the minds of the elderly, and will probably vanish in a few decades. Thus, we compiled these scattered data together in a single document for the next scientific works with ethnobotanical interests.

  16. Phytochemical And Ethnobotanical Evaluation Of The Leaves Of ...

    African Journals Online (AJOL)

    BSN

    University of Science and Technology, Enugu, Nigeria. Abstract ... estimation of each phytochemical present showed that the leaf extract contained ... saponins. Ethnobotanical survey showed that Talinum triangulare has a number of.

  17. Effectiveness of conventional treatment using bulk-fill composite resin versus Atraumatic Restorative Treatments in primary and permanent dentition : a pragmatic randomized clinical trial

    NARCIS (Netherlands)

    Olegário, I.C.; Hesse, D.; Bönecker, M.; Pettorossi Imparato, J.C.; Minatel Braga, M.; Medeiros Mendes, F.; Prócida Raggio, D.

    2016-01-01

    Background: Clinical studies are being conducted in less strict conditions in order to establish an adequate scientific basis for decision making. The aim of this pragmatic randomized clinical trial is to evaluate the effectiveness of single and multiple-surfaces restorations performed following the

  18. Ethno-botanical studies from northern Pakistan

    International Nuclear Information System (INIS)

    Afzal, S.; Afzal, N.

    2009-01-01

    In this research paper efforts have been made to document the ethno-botanical knowledge of important plant species found in Northern Pakistan. It includes Thandiani, Galiat, Kaghan, Swat, Buner, Dir, Chitral and Northern Areas of Pakistan. The area has many climatic and vegetation zones or biomes. Locals residing in mountainous areas belonging to various ethnic groups are traditionally utilizing plants over many generations; these ethnic groups have their distinct life style, belief, traditions and cultural heritage. Plant collection and data regarding traditional uses in various areas of Northern Pakistan has been done periodically in different flowering /fruiting seasons. Locals of old age belonging to various ethnic groups were personally interviewed for establishing uses of plants. Photography is done for easy identification and habitat recognition. Collected plant specimens and seeds were preserved. Plant species were dried, mounted, identified and authenticated. Seventy six species were known to have traditional and ethno botanical uses. Plants have been utilized for many generations. Ethnic groups have distinct life style and have different economic uses for these plants. Due to unsustainable exploitation of natural habitats scarcity of drug plants has occurred. As consequence some species are depleting and may become extinct in near future, e. g. Morchella esculenta, Colchicum lueteum and Viola serpens are just a few of these. Although some sporadic information is available about the flora of this region but very little documented record of the ethno-botanically important plants has been established. It is expected that this research paper will be beneficial for students, researchers, farmers, foresters and general public. On the basis of data obtained it is concluded that ethno-botanical Flora of Northern Pakistan is quite rich and is diverse, due to the difference in altitude, climate and other topographic conditions. (author)

  19. Ethnobotanical approaches of traditional medicine studies: some experiences from Asia.

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    Sheng-Ji, P

    2001-01-01

    Ethnobotany, as a research field of science, has been widely used for the documentation of indigenous knowledge on the use of plants and for providing an inventory of useful plants from local flora in Asian countries. Plants that are used for traditional herbal medicine in different countries are an important part of these studies. However, in some countries in recent years, ethnobotanical studies have been used for the discovery of new drugs and new drug development. In general, experiences gained from ethnobotanical approaches of traditional medicinal studies in China and Himalayan countries have helped drug production and new drug development. At the same time, in many cases, over-harvesting, degradation of medical plants, and loss of traditional medical knowledge in local communities are common problems in these resource areas. Issues of indigenous knowledge, intellectual property rights, and uncontrolled transboundary trade in medicinal plants occur frequently in the region. This paper discusses ethnobotanical approaches of traditional medicinal studies, in reference to experiences from China and Himalayan countries, with an emphasis on the conservation of traditional medical knowledge and medical plant resources.

  20. Quantitative ethnobotanical study of common herbal remedies used ...

    African Journals Online (AJOL)

    standing use of herbal remedies. The present ethnobotanical survey was geared towards documenting and preserving local knowledge pertaining to common medicinal plants (MP) used as therapeutic agents in Mauritius. Methods: Interviews were ...

  1. Optimality-theoretic pragmatics meets experimental pragmatics

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    Blutner, R.; Benz, A.; Blutner, R.

    2009-01-01

    The main concern of this article is to discuss some recent findings concerning the psychological reality of optimality-theoretic pragmatics and its central part - bidirectional optimization. A present challenge is to close the gap between experimental pragmatics and neo-Gricean theories of

  2. A pragmatic randomized controlled trial of thiopurine methyltransferase genotyping prior to azathioprine treatment: the TARGET study.

    Science.gov (United States)

    Newman, William G; Payne, Katherine; Tricker, Karen; Roberts, Stephen A; Fargher, Emily; Pushpakom, Sudeep; Alder, Jane E; Sidgwick, Gary P; Payne, Debbie; Elliott, Rachel A; Heise, Marco; Elles, Robert; Ramsden, Simon C; Andrews, Julie; Houston, J Brian; Qasim, Faeiza; Shaffer, Jon; Griffiths, Christopher E M; Ray, David W; Bruce, Ian; Ollier, William E R

    2011-06-01

    To conduct a pragmatic, randomized controlled trial to assess whether thiopurine methyltransferase (TPMT) genotyping prior to azathioprine reduces adverse drug reactions (ADRs). A total of 333 participants were randomized 1:1 to undergo TPMT genotyping prior to azathioprine or to commence treatment without genotyping. There was no difference in the primary outcome of stopping azathioprine due to an adverse reaction (ADR, p = 0.59) between the two study arms. ADRs were more common in older patients (p = 0.01). There was no increase in stopping azathioprine due to ADRs in TPMT heterozygotes compared with wild-type individuals. The single individual with TPMT variant homozygosity experienced severe neutropenia. Our work supports the strong evidence that individuals with TPMT variant homozygosity are at high risk of severe neutropenia, whereas TPMT heterozygotes are not at increased risk of ADRs at standard doses of azathioprine.

  3. Structural and ethnobotanical characterization of velvet tamarind ...

    African Journals Online (AJOL)

    The velvet tamarind (Dialium guineense Willd) is one of the key species for domestication in Sub-Saharan Africa. In order to help the sustainable management and conservation of this species, its structural characteristics and ethnobotanical traits were studied in the 4 vegetation types (typical dense forest, degraded dense ...

  4. Ethnobotanical study in the highland of Alvand and Tuyserkan, Iran

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    M. Mosaddegh

    2016-01-01

    Full Text Available Background and objectives: Medicinal plants are widely used by people in the treatment of various diseases. These resources are usually regarded as part of cultural traditional knowledge. The aim of this study was to identify the information about the medicinal plants used by indigenous people of some regions of Hamedan province, Iran. Methods: The present ethnobotanical study was conducted in the Alvand mountainous area of Hamedan and Tuyserkan. Interviews were done in 27 villages and totally 53 informants were interviewed. Ethnobotanical indices like relative frequency of citation (RFC and cultural importance index (CI were calculated. Results: Our study reports 80 traditionally used plant species, belonging to 31 plant families. Asteraceae with 12 species was the most used family in this area. The most used parts were aerial parts (18.57%, leaves (21.42%, and flowers (17.14%, respectively. The most treated ailments were digestive problems. The highest number of ethnobotanical indices RFC and CI were observed in Stachys lavandulifolia   Vahl. and Thymus lancifolius  Celak., respectively. Conclusions: Hamedan provincepossesses considerable knowledge about medicinal plants for treating common health problems.

  5. Phytochemical And Ethnobotanical Evaluation Of The Leaves Of ...

    African Journals Online (AJOL)

    Phytochemical analysis and ethnobotanical survey of the leaves of Talinum triangulare (Jacq) Wild were investigated. Qualitative phytochemical screening revealed the presence of alkaloids, tannins, phenols, flavonoids and saponins while the leaf extract was devoid of glycosides, steroids and carbohydrates. Quantitative ...

  6. Series: Pragmatic trials and real world evidence: Paper 1. Introduction.

    Science.gov (United States)

    Zuidgeest, Mira G P; Goetz, Iris; Groenwold, Rolf H H; Irving, Elaine; van Thiel, Ghislaine J M W; Grobbee, Diederick E

    2017-08-01

    This is the introductory paper in a series of eight papers. In this series, we integrate the theoretical design options with the practice of conducting pragmatic trials. For most new market-approved treatments, the clinical evidence is insufficient to fully guide physicians and policy makers in choosing the optimal treatment for their patients. Pragmatic trials can fill this gap, by providing evidence on the relative effectiveness of a treatment strategy in routine clinical practice, already in an early phase of development, while maintaining the strength of randomized controlled trials. Selecting the setting, study population, mode of intervention, comparator, and outcome are crucial in designing pragmatic trials. In combination with monitoring and data collection that does not change routine care, this will enable appropriate generalization to the target patient group in clinical practice. To benefit from the full potential of pragmatic trials, there is a need for guidance and tools in designing these studies while ensuring operational feasibility. This paper introduces the concept of pragmatic trial design. The complex interplay between pragmatic design options, feasibility, stakeholder acceptability, validity, precision, and generalizability will be clarified. In this way, balanced design choices can be made in pragmatic trials with an optimal chance of success in practice. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  7. Evidence of the shifting baseline syndrome in ethnobotanical research.

    Science.gov (United States)

    Hanazaki, Natalia; Herbst, Dannieli Firme; Marques, Mel Simionato; Vandebroek, Ina

    2013-11-14

    The shifting baseline syndrome is a concept from ecology that can be analyzed in the context of ethnobotanical research. Evidence of shifting baseline syndrome can be found in studies dealing with intracultural variation of knowledge, when knowledge from different generations is compared and combined with information about changes in the environment and/or natural resources. We reviewed 84 studies published between 1993 and 2012 that made comparisons of ethnobotanical knowledge according to different age classes. After analyzing these studies for evidence of the shifting baseline syndrome (lower knowledge levels in younger generations and mention of declining abundance of local natural resources), we searched within these studies for the use of the expressions "cultural erosion", "loss of knowledge", or "acculturation". The studies focused on different groups of plants (e.g. medicinal plants, foods, plants used for general purposes, or the uses of specific important species). More than half of all 84 studies (57%) mentioned a concern towards cultural erosion or knowledge loss; 54% of the studies showed evidence of the shifting baseline syndrome; and 37% of the studies did not provide any evidence of shifting baselines (intergenerational knowledge differences but no information available about the abundance of natural resources). The general perception of knowledge loss among young people when comparing ethnobotanical repertoires among different age groups should be analyzed with caution. Changes in the landscape or in the abundance of plant resources may be associated with changes in ethnobotanical repertoires held by people of different age groups. Also, the relationship between the availability of resources and current plant use practices rely on a complexity of factors. Fluctuations in these variables can cause changes in the reference (baseline) of different generations and consequently be responsible for differences in intergenerational knowledge. Unraveling

  8. Ethnobotanical survey of medicinal plants used in the management ...

    African Journals Online (AJOL)

    Ethnobotanical survey of medicinal plants used in the management of hypertension in the Maritime region of Togo. Holaly E. Gbekley, Simplice D. Karou, Gnatoulma Katawa, Tchadjobo Tchacondo, Komlan Batawila, Yaovi Ameyapoh, Jacques Simpore ...

  9. Splinting after contracture release for Dupuytren's contracture (SCoRD: protocol of a pragmatic, multi-centre, randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Chojnowski Adrian J

    2008-04-01

    Full Text Available Abstract Background Splinting as part of the overall post-surgical management of patients after release of Dupuytren's contracture has been widely reported, though there is variation in practice and criteria for using it. The evidence on its effectiveness is sparse, of poor quality and contradictory with studies reporting negative and positive effects. Methods/Design A multi-centre, pragmatic, randomized, controlled trial is being conducted to evaluate the effect of static night splinting for six months on hand function, range of movement, patient satisfaction and recurrence at 1 year after fasciectomy or dermofasciectomy. Using a centrally administered computer randomization system consented patients will be allocated to one of two groups: i splint group who will be given a static splint at approximately 10 to 14 days after surgery to be worn for 6 months at night time only as well as hand therapy; ii non-splint group, who will receive hand therapy only. The primary outcome measure is the patient-reported Disabilities of the Arm, Hand and Shoulder Questionnaire (DASH. Secondary outcomes are total active flexion and extension of fingers, patient satisfaction and recurrence of contracture. Outcome measures will be collected prior to surgery, 3 months, 6 months and 1 year after surgery. Using the DASH as the primary outcome measure, where a difference of 15 points is considered to be a clinically important difference a total of 51 patients will be needed in each group for a power of 90%. An intention-to-treat analysis will be used. Discussion This pragmatic randomized controlled trial will provide much needed evidence on the clinical effectiveness of post-operative night splinting in patients who have undergone fasciectomy or dermofasciectomy for Dupuytren's contracture of the hand. Trial Registration Current Controlled Trials ISRCTN 57079614

  10. An ethnobotanical survey of indigenous flora for treating ...

    African Journals Online (AJOL)

    An ethnobotanical survey of medicinal plants used locally for treating tuberculosis (TB) and other respiratory diseases was conducted from November 2004 to March 2005 in Niger State-Nigeria. The survey was aimed at identifying plants used in traditional medicine for treating TB and other pulmonary ailments in Niger ...

  11. Hockey Fans in Training: A Pilot Pragmatic Randomized Controlled Trial.

    Science.gov (United States)

    Petrella, Robert J; Gill, Dawn P; Zou, Guangyong; DE Cruz, Ashleigh; Riggin, Brendan; Bartol, Cassandra; Danylchuk, Karen; Hunt, Kate; Wyke, Sally; Gray, Cindy M; Bunn, Christopher; Zwarenstein, Merrick

    2017-12-01

    Hockey Fans in Training (Hockey FIT) is a gender-sensitized weight loss and healthy lifestyle program. We investigated 1) feasibility of recruiting and retaining overweight and obese men into a pilot pragmatic randomized controlled trial and 2) potential for Hockey FIT to lead to weight loss and improvements in other outcomes at 12 wk and 12 months. Male fans of two ice hockey teams (35-65 yr; body mass index ≥28 kg·m) located in Ontario (Canada) were randomized to intervention (Hockey FIT) or comparator (wait-list control). Hockey FIT includes a 12-wk active phase (weekly, coach-led group meetings including provision of dietary information, practice of behavior change techniques, and safe exercise sessions plus incremental pedometer walking) and a 40-wk minimally supported phase (smartphone app for sustaining physical activity, private online social network, standardized e-mails, booster session/reunion). Measurement at baseline and 12 wk (both groups) and 12 months (intervention group only) included clinical outcomes (e.g., weight) and self-reported physical activity, diet, and self-rated health. Eighty men were recruited in 4 wk; trial retention was >80% at 12 wk and >75% at 12 months. At 12 wk, the intervention group lost 3.6 kg (95% confidence interval, -5.26 to -1.90 kg) more than the comparator group (P < 0.001) and maintained this weight loss to 12 months. The intervention group also demonstrated greater improvements in other clinical measures, physical activity, diet, and self-rated health at 12 wk; most sustained to 12 months. Results suggest feasible recruitment/retention of overweight and obese men in the Hockey FIT program. Results provide evidence for the potential effectiveness of Hockey FIT for weight loss and improved health in at-risk men and, thus, evidence to proceed with a definitive trial.

  12. Evaluating a community-based early childhood education and development program in Indonesia: study protocol for a pragmatic cluster randomized controlled trial with supplementary matched control group

    NARCIS (Netherlands)

    Pradhan, M.; Brinkman, S.A.; Beatty, A.; Maika, A.; Satriawan, E.; de Ree, J.; Hasan, A.

    2013-01-01

    Background This paper presents the study protocol for a pragmatic cluster randomized controlled trial (RCT) with a supplementary matched control group. The aim of the trial is to evaluate a community-based early education and development program launched by the Government of Indonesia. The program

  13. Evaluating a community-based early childhood education and development program in Indonesia: study protocol for a pragmatic cluster randomized controlled trial with supplementary matched control group

    NARCIS (Netherlands)

    Pradhan, M.P.; Brinkman, S.A.; Beatty, A.; Maika, A.; Satriawan, E.; de Ree, J.; Hasan, A.

    2013-01-01

    Background: This paper presents the study protocol for a pragmatic cluster randomized controlled trial (RCT) with a supplementary matched control group. The aim of the trial is to evaluate a community-based early education and development program launched by the Government of Indonesia. The program

  14. A bioactivity versus ethnobotanical survey of medicinal plants from Nigeria, west Africa.

    Science.gov (United States)

    Lifongo, Lydia L; Simoben, Conrad V; Ntie-Kang, Fidele; Babiaka, Smith B; Judson, Philip N

    2014-02-01

    Traditional medicinal practices play a key role in health care systems in countries with developing economies. The aim of this survey was to validate the use of traditional medicine within local Nigerian communities. In this review, we examine the ethnobotanical uses of selected plant species from the Nigerian flora and attempt to correlate the activities of the isolated bioactive principles with known uses of the plant species in African traditional medicine. Thirty-three (33) plant species were identified and about 100 out of the 120 compounds identified with these plants matched with the ethnobotanical uses of the plants.

  15. Pragmatic controlled clinical trials in primary care: the struggle between external and internal validity

    Directory of Open Access Journals (Sweden)

    Birtwhistle Richard

    2003-12-01

    Full Text Available Abstract Background Controlled clinical trials of health care interventions are either explanatory or pragmatic. Explanatory trials test whether an intervention is efficacious; that is, whether it can have a beneficial effect in an ideal situation. Pragmatic trials measure effectiveness; they measure the degree of beneficial effect in real clinical practice. In pragmatic trials, a balance between external validity (generalizability of the results and internal validity (reliability or accuracy of the results needs to be achieved. The explanatory trial seeks to maximize the internal validity by assuring rigorous control of all variables other than the intervention. The pragmatic trial seeks to maximize external validity to ensure that the results can be generalized. However the danger of pragmatic trials is that internal validity may be overly compromised in the effort to ensure generalizability. We are conducting two pragmatic randomized controlled trials on interventions in the management of hypertension in primary care. We describe the design of the trials and the steps taken to deal with the competing demands of external and internal validity. Discussion External validity is maximized by having few exclusion criteria and by allowing flexibility in the interpretation of the intervention and in management decisions. Internal validity is maximized by decreasing contamination bias through cluster randomization, and decreasing observer and assessment bias, in these non-blinded trials, through baseline data collection prior to randomization, automating the outcomes assessment with 24 hour ambulatory blood pressure monitors, and blinding the data analysis. Summary Clinical trials conducted in community practices present investigators with difficult methodological choices related to maintaining a balance between internal validity (reliability of the results and external validity (generalizability. The attempt to achieve methodological purity can

  16. Ethnobotanical survey of plants used for the treatment of ...

    African Journals Online (AJOL)

    Constipation is the commonest gastrointestinal complaint in most developed and poor countries including South Africa. An ethnobotanical survey of plants used by herbalists, traditional healers and rural dwellers for the treatment of constipation was conducted in the Nkonkobe Municipality, Eastern Cape Province of South ...

  17. Tai Chi for osteopenic women: design and rationale of a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Fischer Mary

    2010-03-01

    Full Text Available Abstract Background Post-menopausal osteopenic women are at increased risk for skeletal fractures. Current osteopenia treatment guidelines include exercise, however, optimal exercise regimens for attenuating bone mineral density (BMD loss, or for addressing other fracture-related risk factors (e.g. poor balance, decreased muscle strength are not well-defined. Tai Chi is an increasingly popular weight bearing mind-body exercise that has been reported to positively impact BMD dynamics and improve postural control, however, current evidence is inconclusive. This study will determine the effectiveness of Tai Chi in reducing rates of bone turnover in post-menopausal osteopenic women, compared with standard care, and will preliminarily explore biomechanical processes that might inform how Tai Chi impacts BMD and associated fracture risks. Methods/Design A total of 86 post-menopausal women, aged 45-70y, T-score of the hip and/or spine -1.0 and -2.5, have been recruited from primary care clinics of a large healthcare system based in Boston. They have been randomized to a group-based 9-month Tai Chi program plus standard care or to standard care only. A unique aspect of this trial is its pragmatic design, which allows participants randomized to Tai Chi to choose from a pre-screened list of community-based Tai Chi programs. Interviewers masked to participants' treatment group assess outcomes at baseline and 3 and 9 months after randomization. Primary outcomes are serum markers of bone resorption (C-terminal cross linking telopeptide of type I collagen, bone formation (osteocalcin, and BMD of the lumbar spine and proximal femur (dual-energy X-ray absorptiometry. Secondary outcomes include health-related quality-of-life, exercise behavior, and psychological well-being. In addition, kinetic and kinematic characterization of gait, standing, and rising from a chair are assessed in subset of participants (n = 16 to explore the feasibility of modeling skeletal

  18. 105-114, 2014 105 Ethnobotanical study of nedicinal plants

    African Journals Online (AJOL)

    from November, 2011 to May, 2012 using Ethnobotanical study approach. A total of 165 ... approach. Awareness creation, motivating tradition- ... used, methods of preparation, route of administration, human and /or ..... knowledge on medicinal plants and Dakon Abiy Ti- lahun for ... In: RELMA in ICRAF Project World Agro.

  19. An ethnobotanical study of medicinal plants used by tribal and native people of Madhupur forest area, Bangladesh.

    Science.gov (United States)

    Islam, Md Khirul; Saha, Sanjib; Mahmud, Imran; Mohamad, Khalit; Awang, Khalijah; Jamal Uddin, Shaikh; Rahman, Md Mustafizur; Shilpi, Jamil A

    2014-02-03

    Madhupur forest area, Tangail is one of early human settlements in Bangladesh. Having abode in the vicinity of the forest, a strong ethnobotanical practice has prevailed in this area since ancient time. Due to the rapid deforestation during the last few decades, many plants have already disappeared or are facing extinction. Thus we attempted to document the medicinal plant use of Madhupur forest area with a view to preserve the ethnobotanical knowledge and in order to protect the biodiversity of this area. The fieldwork was conducted during a period of 1 year. Data was collected by interview, questionnaire, and group discussion with randomly selected informants including indigenous, tribal people, and Traditional Health Practitioners (THPs) living in the study area. Recorded plants are listed along with their indication, part used, form of preparation and use value (UV). Results were also analysed to determine informant consensus factor (ICF) and fidelity level (FL) of the plants on the basis of their use under various ailment categories. The present study has documented 78 medicinal plant species from 45 families used for the treatment of at least 77 different major and minor ailments and conditions. Medicinal plant species were categorised as tree, shrub, tuber, herb, and climber. Leaves were found to be the most frequently used plant part while decoction is the major form of preparation. In most cases preparations are either administered orally or applied topically. The present study revealed that some of the well-known medicinal plants are used extensively demonstrating an effective ethnobotanical practice in the study area. Plants with high ICF and FL values can be subjected to bioassay guided investigation while plants which scored low UVs require bioactivity screening to justify their use for the reported ailment. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. Effectiveness of a mood management component as an adjunct to a telephone counselling smoking cessation intervention for smokers with a past major depression: a pragmatic randomized controlled trial

    NARCIS (Netherlands)

    van der Meer, Regina M.; Willemsen, Marc C.; Smit, Filip; Cuijpers, Pim; Schippers, Gerard M.

    2010-01-01

    Aims To assess whether the addition of a mood management component to telephone counselling produces higher abstinence rates in smokers with past major depression and helps to prevent recurrence of depressive symptoms. Design Pragmatic randomized controlled trial with two conditions, with follow-up

  1. Effectiveness of a mood management component as an adjunct to a telephone counselling smoking cessation intervention for smokers with a past major depression: A pragmatic randomized controlled trial

    NARCIS (Netherlands)

    van der Meer, R.; Willemsen, M.C.; Smit, H.F.E.; Cuijpers, P.; Schippers, G.M.

    2010-01-01

    Aims To assess whether the addition of a mood management component to telephone counselling produces higher abstinence rates in smokers with past major depression and helps to prevent recurrence of depressive symptoms. Design Pragmatic randomized controlled trial with two conditions, with follow-up

  2. Ethnobotanical survey of \\'wild\\' woody plant resources at Mount ...

    African Journals Online (AJOL)

    This paper focuses on the naming and use of plants by Taita who live at Mount Kasigau in Kenya's Eastern Arc Mountains. Plant vouchers and ethnobotanical data were compiled from transects and within 55 ecological plots, and during participant observations, home surveys, and semi-structured interviews with residents.

  3. Ethnobotanical observations on the tribals of chinnar wildlife sanctuary.

    Science.gov (United States)

    Sajeev, K K; Sasidharan, N

    1997-04-01

    Studies on the flora and ethnobotany of the tribals of chinnar wildlife sanctuary were carried out. Though the sancturary has over 200 species of medicinal plants, the tribals are using 55 species, Ethnobotanical details of 64 species used by the tribals in the sanctuary are presented in this paper.

  4. Ethnobotanical profiling of Asparagus aethiopicus L.

    Directory of Open Access Journals (Sweden)

    Gaddeyya Gandipilli

    2018-04-01

    Full Text Available An ethnobotanical survey was conducted to collect the information and medicinal properties of Asparagus aethiopicus, a perennial monocot herb of Asparagaceae family. The plants were collected from the fields of Visakhapatnam District in the Andhra Pradesh state of India. The live specimens were used for the description of plants and some of the plant material was dried and stored for long term preservation of the species and for further study. The present study aimed to describe botanical aspects and medicinal value of the species.

  5. The effectiveness of using a bath oil to reduce signs of dry skin: A randomized controlled pragmatic study.

    Science.gov (United States)

    Kottner, Jan; Kanti, Varvara; Dobos, Gabor; Hahnel, Elisabeth; Lichterfeld-Kottner, Andrea; Richter, Claudia; Hillmann, Kathrin; Vogt, Annika; Blume-Peytavi, Ulrike

    2017-01-01

    Dry skin (xerosis cutis) is increasingly recognized as a relevant health problem in daily life and in health and nursing care. The use of bath additives such as oils is common to reduce dry skin, but empirical evidence supporting this practice is limited. The aim of this study was to investigate the effectiveness of using a bath oil additive in improving skin barrier function and ameliorating dry skin in comparison to non-oil containing skin cleansers for bathing or showering. Single centre randomized observer blind pragmatic parallel group trial. Outpatient/community care. Volunteers showing clinically mild to moderate dry skin recruited from the city of Berlin. Healthy children and adults were randomly assigned to use either a commercially available bath oil or to continue using their regular non-oil containing skin cleansers every other day over a study period of 28days. Skin barrier parameters and the severity of dry skin were assessed at baseline and at two follow-up visits at the study centre. Transepidermal water loss was the primary outcome. All sixty participants randomized completed the trial. Median age was 32.5 (IQR 8.3 to 69) years. At the end of study the mean transepidermal water loss in the intervention group was statistically significant lower compared to the control group (mean difference -1.9 (95% CI -3.1 to -0.8) g/m 2 /h). Stratum corneum hydration was statistically significantly higher in the intervention group at the end of the study. Skin surface pH and roughness were comparable in both groups and remained unchanged, while both groups showed a trend to improvement in dry skin symptoms CONCLUSIONS: This pragmatic trial provides empirical evidence that the regular use of the investigated bath oil is effective in improving the skin barrier function in children and adults with mild dry skin when used in routine skin care and supports its use as a basic element for the management of a broad spectrum of dry skin conditions. Clinical

  6. Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome.

    Science.gov (United States)

    Wearden, Alison J; Emsley, Richard

    2013-10-01

    To examine potential mediators of the effect of pragmatic rehabilitation on improvements in fatigue following a randomized controlled trial for patients with chronic fatigue syndrome (CFS/ME) in primary care (IRCTN 74156610). Patients fulfilled the Oxford criteria for CFS. Ninety-five patients were randomized to pragmatic rehabilitation and 100 to general practitioner (GP) treatment as usual. The outcome was the Chalder fatigue scale score (0123 scoring) at end of treatment (20 weeks) and 1-year follow up (70 weeks). First, the effect of treatment on potential mediators was assessed. Then fatigue was regressed on significant mediators, treatment allocation, and baseline measures of fatigue and significant mediators. Reduction in limiting activities at 20 weeks mediated the positive effect of pragmatic rehabilitation on fatigue at 70 weeks (mediated effect size = -2.64, SE = 0.81, p = .001, proportion of effect mediated = 82.0%). Reduction in catastrophizing at 20 weeks mediated the positive effect of pragmatic rehabilitation on fatigue at 70 weeks (mediated effect size = -1.39, SE = 0.61, p = .023, proportion of effect mediated = 43.2%). Reductions in 70-week measures of fear avoidance, embarrassment avoidance, limiting activities, and all-or-nothing behavior all mediated improvement in fatigue at 70 weeks, although the causal direction of these cross-sectional effects cannot be determined. There were no between-group differences on measures of exercise capacity (a timed step test). Improvements in fatigue following pragmatic rehabilitation are related to changes in behavioral responses to and beliefs about fatigue.

  7. Ethnobotanical Survey Of Anti-Asthmatic Plants In South Western ...

    African Journals Online (AJOL)

    The paper presents the results of an ethnobotanical survey of plants used in the treatment of asthma in Ogun, Osun and Oyo states. Twenty markets were visited and forty-six plants belonging to thirty-three different families were collected. The plants\\' families represented in the colle ction include,Amaryllidaceae, ...

  8. Pragmatics as Metacognitive Control.

    Science.gov (United States)

    Kissine, Mikhail

    2015-01-01

    The term "pragmatics" is often used to refer without distinction, on one hand, to the contextual selection of interpretation norms and, on the other hand, to the context-sensitive processes guided by these norms. Pragmatics in the first acception depends on language-independent contextual factors that can, but need not, involve Theory of Mind; in the second acception, pragmatics is a language-specific metacognitive process, which may unfold at an unconscious level without involving any mental state (meta-)representation. Distinguishing between these two kinds of ways context drives the interpretation of communicative stimuli helps dissolve the dispute between proponents of an entirely Gricean pragmatics and those who claim that some pragmatic processes do not depend on mind-reading capacities. According to the model defended in this paper, the typology of pragmatic processes is not entirely determined by a hierarchy of meanings, but by contextually set norms of interpretation.

  9. Pragmatic Language Assessment: A Pragmatics-as-Social Practice Model

    Science.gov (United States)

    Hyter, Yvette D.

    2007-01-01

    Pragmatic language skills are important for developing relationships with others, and for communicating with a range of interlocutors in a variety of contexts, including preschool and elementary school classrooms. Pragmatic language difficulties frequently are a primary area of disability for children diagnosed with autism, Asperger's syndrome,…

  10. Ethnobotanical study of plants used to treat asthma in the maritime ...

    African Journals Online (AJOL)

    Ethnobotanical study of plants used to treat asthma in the maritime region in Togo. Holaly E. Gbekley, Gnatoulma Katawa, Simplice D. Karou, Kokou Anani, Tchacondo Tchadjobo, Yaovi Ameyapoh, Komlan Batawila, Jacques Simpore ...

  11. Pragmatics as metacognitive control

    Directory of Open Access Journals (Sweden)

    Mikhail eKissine

    2016-01-01

    Full Text Available The term `pragmatics' is often used to refer without distinction, on the one hand, to the contextual selection of interpretation norms and, on the other hand, to the context-sensitive processes guided by these norms. Pragmatics in the first acception depends on language-independent contextual factors that can, but need not, involve Theory of Mind; in the second acception, pragmatics is a language-specific metacognitive process, which may unfold at an unconscious level without involving any mental state (meta-representation. Distinguishing between these two kinds of ways context drives the interpretation of communicative stimuli helps dissolve the dispute between proponents of an entirely Gricean pragmatics and those who claim that some pragmatic processes do not depend on mind-reading capacities. According to the model defended in this paper, the typology of pragmatic processes is not entirely determined by a hierarchy of meanings, but by the contextually set norms of interpretation.

  12. Anticipatory pragmatics

    DEFF Research Database (Denmark)

    Mey, J. L.

    2012-01-01

    . But emancipating pragmatics from its linguistic bondage must necessarily include a blueprint for the next steps: in order to be successful, emancipation needs anticipation. Thus, anticipatory pragmatics proactively promotes use of language in non-oppressive ways; it foresees and prevents abusive language of all...... kinds by enabling the users, both on the domestic and the (inter) national scene....

  13. Social communication impairments: pragmatics.

    Science.gov (United States)

    Russell, Robert L

    2007-06-01

    Social communication or pragmatic impairments are characterized and illustrated as involving inappropriate or ineffective use of language and gesture in social contexts. Three clinical vignettes illustrate different pragmatic impairments and the wealth of diagnostic information that can be garnered from observation of a child's social communication behavior. Definitions of, and developmental milestones in, domains of pragmatic competence are provided. Several screening instruments are suggested for use in assessing pragmatic competence within the time-frame of a pediatric examination. Frequent comorbid psychiatric conditions are described and a sample of current neurobiologic research is briefly summarized.

  14. Contrastive Lexical Pragmatics as an Effective Strategy in Teaching Pragmatics: A Review Article

    Science.gov (United States)

    Ghaemi, Farid; Ziafar, Meisam

    2011-01-01

    Pragmatic aspect of formulaic language must be emphasized and employed in second language acquisition. Translation of formulaic speech can help learners better understand the pragmatic nature of L2 prefabricated language through comparing them with their L1 (first language) equivalents. This study proposes a contrastive lexical pragmatic approach…

  15. Appraisal of ethnobotanical uses of the wetland plants of Punjab ...

    African Journals Online (AJOL)

    Background: Aquatic and semiaquatic plants have a multiplicity of traditional and ethnopharmacological uses ranging from medicinal, famine food to fodder and others. Therefore, the present study was carried out during the years 2008-2011 to document the locally used medicinal, ethnobotanical and traditional data of ...

  16. Ethno-Botanical Survey Of Medicinal Plants In The Plant Genetic ...

    African Journals Online (AJOL)

    The ethno-botanical uses and mode of administration of twenty-nine medicinal plants found in the arboretum of the Plant Genetic Resource Centre located at Bunso in the Eastern region of Ghana against some disease conditions are hereby documented. Key words: Ethnobotany, medicinal plants, arboretum, Ghana. Nig.

  17. Effectiveness of app-based relaxation for patients with chronic low back pain (Relaxback) and chronic neck pain (Relaxneck): study protocol for two randomized pragmatic trials.

    Science.gov (United States)

    Blödt, Susanne; Pach, Daniel; Roll, Stephanie; Witt, Claudia M

    2014-12-15

    Chronic low back pain (LBP) and neck pain (NP) are highly prevalent conditions resulting in high economic costs. Treatment guidelines recommend relaxation techniques, such as progressive muscle relaxation, as adjuvant therapies. Self-care interventions could have the potential to reduce costs in the health care system, but their effectiveness, especially in a usual care setting, is unclear. The aim of these two pragmatic randomized studies is to evaluate whether an additional app-delivered relaxation is more effective in the reduction of chronic LBP or NP than usual care alone. Each pragmatic randomized two-armed study aims to include a total of 220 patients aged 18 to 65 years with chronic (>12 weeks) LBP or NP and an average pain intensity of ≥ 4 on a numeric rating scale (NRS) in the 7 days before recruitment. The participants will be randomized into an intervention and a usual care group. The intervention group will be instructed to practice one of these 3 relaxation techniques on at least 5 days/week for 15 minutes/day over a period of 6 months starting on the day of randomization: autogenic training, mindfulness meditation, or guided imagery. Instructions and exercises will be provided using a smartphone app, baseline information will be collected using paper and pencil. Follow-up information (daily, weekly, and after 3 and 6 months) will be collected using electronic diaries and questionnaires included in the app. The primary outcome measure will be the mean LBP or NP intensity during the first 3 months of intervention based on daily pain intensity measurements on a NRS (0 = no pain, 10 = worst possible pain). The secondary outcome parameters will include the mean pain intensity during the first 6 months after randomization based on daily measurements, the mean pain intensity measured weekly as the average pain intensity of the previous 7 days over 3 and 6 months, pain acceptance, 'LBP- and NP-related' stress, sick leave days, pain medication

  18. Pragmatic Failures in Cross-Cultural Communication

    Institute of Scientific and Technical Information of China (English)

    吴西

    2015-01-01

    Pragmatics was only invented in 1973 and its first major theory,Speech Act Theory,did not take shape until the 50s.G.Leech argues that"we cannot really understand the nature of language itself unless we understand pragmatics:how language is used in communication."Therefore,the most important element in pragmatics is the context.According to Thomas,pragmatic failure can be divided into two levels:pragmalinguistic failure and socio-pragmatic failure.Therefore,communicative competence must include pragmalinguistic competence and sociopragmatic competence,if inter-cultural pragmatic problems are to be avoided.The paper aims to analyze the causes of pragmatic failures and solutions to this problem will be presented.

  19. Pragmatic Failures in Cross-Cultural Communication

    Institute of Scientific and Technical Information of China (English)

    吴西

    2015-01-01

    Pragmatics was only invented in 1973 and its first major theory,Speech Act Theory,did not take shape until the 50s. G.Leech argues that“we cannot really understand the nature of language itself unless we understand pragmatics:how language is used in communication.” Therefore,the most important element in pragmatics is the context.According to Thomas,pragmatic failure can be divided into two levels:pragmalinguistic failure and socio-pragmatic failure.Therefore,communicative competence must include pragmalinguistic competence and sociopragmatic competence,if inter-cultural pragmatic problems are to be avoided.The paper aims to analyze the causes of pragmatic failures and solutions to this problem will be presented.

  20. Court interpreting and pragmatic meaning

    DEFF Research Database (Denmark)

    Jacobsen, Bente

    In Denmark, court interpreters are required to deliver verbatim translations of speakers' originals and to refrain from transferring pragmatic meaning. Yet, as this paper demonstrates, pragmatic meaning is central to courtroom interaction.......In Denmark, court interpreters are required to deliver verbatim translations of speakers' originals and to refrain from transferring pragmatic meaning. Yet, as this paper demonstrates, pragmatic meaning is central to courtroom interaction....

  1. Effect of an educational toolkit on quality of care: a pragmatic cluster randomized trial.

    Science.gov (United States)

    Shah, Baiju R; Bhattacharyya, Onil; Yu, Catherine H Y; Mamdani, Muhammad M; Parsons, Janet A; Straus, Sharon E; Zwarenstein, Merrick

    2014-02-01

    Printed educational materials for clinician education are one of the most commonly used approaches for quality improvement. The objective of this pragmatic cluster randomized trial was to evaluate the effectiveness of an educational toolkit focusing on cardiovascular disease screening and risk reduction in people with diabetes. All 933,789 people aged ≥40 years with diagnosed diabetes in Ontario, Canada were studied using population-level administrative databases, with additional clinical outcome data collected from a random sample of 1,592 high risk patients. Family practices were randomly assigned to receive the educational toolkit in June 2009 (intervention group) or May 2010 (control group). The primary outcome in the administrative data study, death or non-fatal myocardial infarction, occurred in 11,736 (2.5%) patients in the intervention group and 11,536 (2.5%) in the control group (p = 0.77). The primary outcome in the clinical data study, use of a statin, occurred in 700 (88.1%) patients in the intervention group and 725 (90.1%) in the control group (p = 0.26). Pre-specified secondary outcomes, including other clinical events, processes of care, and measures of risk factor control, were also not improved by the intervention. A limitation is the high baseline rate of statin prescribing in this population. The educational toolkit did not improve quality of care or cardiovascular outcomes in a population with diabetes. Despite being relatively easy and inexpensive to implement, printed educational materials were not effective. The study highlights the need for a rigorous and scientifically based approach to the development, dissemination, and evaluation of quality improvement interventions. http://www.ClinicalTrials.gov NCT01411865 and NCT01026688.

  2. Ethnobotanical study of medicinal plants used by Kurd tribe in ...

    African Journals Online (AJOL)

    This paper provides significant ethnobotanical information on pharmaceutical plant uses, where some degree of acculturation exists, so that there is urgency in recording such data. The aim of this work is to catalogue, document, and make known the uses of plants for folk medicine in Dehloran and Abdanan districts, Ilam ...

  3. Toward An Ethics of Reciprocity: Ethnobotanical Knowledge and Medicinal Plants as Cancer Therapies

    Directory of Open Access Journals (Sweden)

    John Charles Ryan

    2014-10-01

    Full Text Available This article develops a reciprocity ethics of the environment through a discussion of ethnobotanical medicines used in the treatment of cancer. The moral virtue of reciprocity, defined as the returning of good when good is received or anticipated, is central to the posthumanist rethinking of human relationships to the plant world. As herbal medicines are used progressively more around the globe and as plant diversity decreases as a result of habitat loss and climate change, an ethics of reciprocity should be a concern for environmental philosophers and conservationists. Aldo Leopold’s land ethic and J. Baird Callicott’s distinction between deontological and prudential environmental ethics provide theoretical contexts for the development of a reciprocity ethics vis-à-vis ethnobotanical species. While this article does not necessarily specify modes or forms of reciprocity, it does outline some of the more prominent ethnobotanical species used in the treatment of cancer, including those from Native American, African, Chinese, and Indian traditions. In the form of a dialogue between the fields of ethnobotany, herbal medicine, and environmental philosophy, this article presents a position from which further articulations of reciprocity can be developed, particularly those involving the rights of indigenous cultures and plants.

  4. Rorty, Pragmatism, and Analytic Philosophy

    Directory of Open Access Journals (Sweden)

    Cheryl Misak

    2013-07-01

    Full Text Available One of Richard Rorty's legacies is to have put a Jamesian version of pragmatism on the contemporary philosophical map. Part of his argument has been that pragmatism and analytic philosophy are set against each other, with pragmatism almost having been killed off by the reigning analytic philosophy. The argument of this paper is that there is a better and more interesting reading of both the history of pragmatism and the history of analytic philosophy.

  5. An ethnobotanical analysis of parasitic plants (Parijibi) in the Nepal Himalaya.

    Science.gov (United States)

    O'Neill, Alexander Robert; Rana, Santosh Kumar

    2016-02-24

    Indigenous biocultural knowledge is a vital part of Nepalese environmental management strategies; however, much of it may soon be lost given Nepal's rapidly changing socio-ecological climate. This is particularly true for knowledge surrounding parasitic and mycoheterotrophic plant species, which are well represented throughout the Central-Eastern Himalayas but lack a collated record. Our study addresses this disparity by analyzing parasitic and mycoheterotrophic plant species diversity in Nepal as well as the ethnobotanical knowledge that surrounds them. Botanical texts, online databases, and herbarium records were reviewed to create an authoritative compendium of parasitic and mycoheterotrophic plant species native or naturalized to the Nepal Central-Eastern Himalaya. Semi-structured interviews were then conducted with 141 informants to better understand the biocultural context of these species, emphasizing ethnobotanical uses, in 12 districts of Central-Eastern Nepal. Nepal is a hotspot of botanical diversity, housing 15 families and 29 genera of plants that exhibit parasitic or mycoheterotrophic habit. Over 150 of the known 4500 parasitic plant species (~3 %) and 28 of the 160 mycoheterotrophic species (~18 %) are native or naturalized to Nepal; 13 of our surveyed parasitic species are endemic. Of all species documented, approximately 17 % of parasitic and 7 % of mycoheterotrophic plants have ethnobotanical uses as medicine (41 %), fodder (23 %), food (17 %), ritual objects (11 %), or material (8 %). Parasitic and mycoheterotrophic plant species exhibit high diversity in the Nepal Central-Eastern Himalaya and are the fodder for biocultural relationships that may help inform future environmental management projects in the region.

  6. Ethnobotanical Knowledge Studied in Pocharam Wildlife Sanctuary, Telangana, India

    Directory of Open Access Journals (Sweden)

    Pendem SAIDULU

    2015-06-01

    Full Text Available A survey was conducted in 31 fringe villages of Pocharam wildlife sanctuary, Telangana, India, during 2010 to 2012, in order to explore and document the ethnobotanical knowledge of Yerukulas and Lambadis communities. There was revealed the use of 173 Angiosperm species. The pattern of the plant use as per habitat (terrestrial/aquatic, habit (growth form, plant part (organ and taxonomic category (families, nativity and occurrence (wild/cultivated were established. Dicots contribute more than Monocots to the medicinal and ethnobotanical use. This might be due to the species strength in the region. When the plant use-data were analyzed, trees contributed with 68 uses, followed by herbs (51, climbers (32 and shrubs (22. Perhaps this was a reflection of the floristic composition and the prevailing Phanero-therophytic climate. Out of the 173 plant taxa that were noted as being utilized by the ethnic people in the sanctuary, the greatest number (154; 89.1% were indigenous and wild. The introduced species were the crops under cultivation and planted. Although the local people use plants for various purposes, they largely serve medicinal scopes (83.24% and for subsistence (21.96%.

  7. Pragmatics and SLA.

    Science.gov (United States)

    Kasper, Gabriele; Rose, Kenneth R.

    1999-01-01

    Reviews interlanguage pragmatics studies with a focus on learning in a liberal sense; in addition to studies with an explicit focus on development, investigations that examine the effect of proficiency as an independent variable on pragmatic performance are also considered. Two lines of inquiry are suggested for further research. (Author/VWL)

  8. Relevance theory: pragmatics and cognition.

    Science.gov (United States)

    Wearing, Catherine J

    2015-01-01

    Relevance Theory is a cognitively oriented theory of pragmatics, i.e., a theory of language use. It builds on the seminal work of H.P. Grice(1) to develop a pragmatic theory which is at once philosophically sensitive and empirically plausible (in both psychological and evolutionary terms). This entry reviews the central commitments and chief contributions of Relevance Theory, including its Gricean commitment to the centrality of intention-reading and inference in communication; the cognitively grounded notion of relevance which provides the mechanism for explaining pragmatic interpretation as an intention-driven, inferential process; and several key applications of the theory (lexical pragmatics, metaphor and irony, procedural meaning). Relevance Theory is an important contribution to our understanding of the pragmatics of communication. © 2014 John Wiley & Sons, Ltd.

  9. An ethnobotanical survey of medicinal plants in Trinidad

    OpenAIRE

    Clement, Y. N.; Baksh-Comeau, Y. S.; Seaforth, C. E.

    2015-01-01

    Background An ethnobotanical survey was conducted on the Caribbean island of Trinidad to identify medicinal plants commonly used in traditional medicine to treat a variety of medical conditions. Methods A pilot survey was conducted to identify the top ten most common ailments where medicinal plants were used. The results of the foregoing study guided a wider national survey conducted between October 2007 and July 2008. A total of 450 households from 50 rural communities were interviewed using...

  10. Strategy-based listening and pragmatic comprehension

    Directory of Open Access Journals (Sweden)

    Corsetti, Cristiane Ruzicki

    2014-01-01

    Full Text Available This article addresses the role of strategy-based listening as an alternative methodological approach to develop pragmatic comprehension in L2 contexts. Pragmatic comprehension refers to the understanding of speech acts and conversational implicatures. Listening comprehension comprises both bottom-up and top-down processes. Strategy-based listening encompasses the activation of pragmatic knowledge through pre-listening activities and the development of specific listening micro-skills. An empirical project which included a classroom project carried out with a group of eight learners preparing for the IELTS examination in 2009 corroborated the following assumptions: in order to achieve listening proficiency, learners need practice in making inferences as semantic and pragmatic inferences are embedded in verbal communication; semantic and pragmatic aspects affecting the meaning of utterances can be highlighted via comprehension activities focusing on specific listening subskills. The results of the classroom project suggested that strategy-based listening is potentially capable of directly enhancing pragmatic comprehension but were inconclusive with regards to pragmatic production

  11. Pragmatic competence and the CEFR: pragmatic profiling as a link between theory and language use

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    Pawel Sickinger

    2014-12-01

    Full Text Available The functional and communicative perspective on language advocated in the Common European Framework of Reference for Languages (CEFR, hides the fact that, while the CEFR programmatically emphasises the role of pragmatic competence in language learning, it provides little guidance in how to transform the domain of language learning, teaching and testing, accordingly. In the present paper, we argue for an extended and more detailed treatment of pragmatic competence in the context of the CEFR, that we think is necessary to enable practitioners to implement this conception of communicative competence in their everyday work. Whereas a gap between the CEFR’s programmatic vision and practical requirements has been noted and addressed, e.g. by the creation of reference level descriptions (RLDs for individual languages, the pragmatic component has thus far not been thoroughly covered by the respective initiatives, such as the English Profile. Based on a review of definitions of pragmatic competence in the linguistic literature, we claim that a customised methodology will be necessary to fully integrate pragmatic competence into CEFR-based descriptions of language competence, especially if these descriptions are to be operationalised in language testing and certification. We then present our own approach to the issue of assessing pragmatic competence, which is part of an ongoing research project called Pragmatic Profiling (PRA.PRO. One of the main goals of this project is to establish pragmatic profiles of different varieties of English based on native speaker communicative behaviour, elicited via a variety of tasks in a standardized questionnaire format (the Questionnaire on English Usage, and other methods. The pragmatic norms derived from this empirical data can be directly compared with learner performance, which will ultimately allow us to assess divergence from native speaker norms and, thereby, evaluate levels of developing pragmatic competence

  12. Traditional medicinal plants used for the treatment of diabetes in rural and urban areas of Dhaka, Bangladesh--an ethnobotanical survey.

    Science.gov (United States)

    Ocvirk, Soeren; Kistler, Martin; Khan, Shusmita; Talukder, Shamim Hayder; Hauner, Hans

    2013-06-24

    The usage of medicinal plants is traditionally rooted in Bangladesh and still an essential part of public healthcare. Recently, a dramatically increasing prevalence brought diabetes mellitus and its therapy to the focus of public health interests in Bangladesh. We conducted an ethnobotanical survey to identify the traditional medicinal plants being used to treat diabetes in Bangladesh and to critically assess their anti-diabetic potentials with focus on evidence-based criteria. In an ethnobotanical survey in defined rural and urban areas 63 randomly chosen individuals (health professionals, diabetic patients), identified to use traditional medicinal plants to treat diabetes, were interviewed in a structured manner about their administration or use of plants for treating diabetes. In total 37 medicinal plants belonging to 25 families were reported as being used for the treatment of diabetes in Bangladesh. The most frequently mentioned plants were Coccinia indica, Azadirachta indica, Trigonella foenum-graecum, Syzygium cumini, Terminalia chebula, Ficus racemosa, Momordica charantia, Swietenia mahagoni. Traditional medicinal plants are commonly used in Bangladesh to treat diabetes. The available data regarding the anti-diabetic activity of the detected plants is not sufficient to adequately evaluate or recommend their use. Clinical intervention studies are required to provide evidence for a safe and effective use of the identified plants in the treatment of diabetes.

  13. Doing Mixed Methods Research Pragmatically: Implications for the Rediscovery of Pragmatism as a Research Paradigm

    Science.gov (United States)

    Feilzer, Martina Yvonne

    2010-01-01

    This article explores the practical relevance of pragmatism as a research paradigm through the example of a piece of pragmatic research that not only used both quantitative and qualitative research methods but also exploited the inherent duality of the data analyzed. Thus, the article aims to make the case that pragmatism as a research paradigm…

  14. The Effect of Peer Scaffolding on Developing L2 Pragmatic Knowledge: A Sociocultural Perspectiv

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    Zahra Fakher Ajabshir

    2017-12-01

    Full Text Available Building upon the sociocultural theory of Vygotsky, the aim of this study was to explore the immediate and delayed effects of peer scaffolding on EFL learners' comprehension and production of requests and apologies. The participants were 86 Iranian EFL learners who, drawing on their scores in the Pragmatic Listening Test (PLT and Oral Discourse Completion Test (ODCT, were homogenized in terms of their L2 pragmatic proficiency. Subsequently, they were randomly assigned to the control and scaffolding groups. Both groups received metapragmatic instruction on requests and apologies; however, the scaffolding group engaged in collaborative problem-solving tasks during which they needed to read the situations with pragmatically problematic items and jointly work out their appropriate alternatives to them. The results of pretest-posttest-delayed posttest comparison revealed the outperformance of the scaffolding group compared with the control group in both measures of comprehension and production of requests and apologies. The pragmatic gains were also found to be maintained over a period of a month. The findings have implications in language teaching and pedagogy and suggest that pragmatic knowledge is likely to emerge from assisted performance.

  15. Pragmatics of Testing

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    İsmail Fırat ALTAY

    2007-10-01

    Full Text Available Teaching of a language is a very complicated issue and testing is anindispensable part of this matter. Thanks to testing teachers can assess efficiency ofteaching and learning atmosphere, and can get feedback about their learners. In order torealize this, a test should have some qualifications. One of these qualifications is aboutpragmatics. This paper aims at explaining what makes a test pragmatic and howpragmatic tests can be formed. So, examples of pragmatic tests of different types arepresented with explanations. Their pragmatic components and nature are focused on bygiving example test items on the problematic area of test questions prepared. Finally,the writer states his last words by making further comments and explanations onpragmatics of testing in the conclusion part.

  16. Ethnobotanical Study of Medicinal Plants in Karangwangi, District of Cianjur, West Java

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    Desak Made Malini

    2017-07-01

    Full Text Available The knowledge and usage of plant as medicinal remedy by current generation are not as extensive as previous; therefore, many rural communities with restricted modern medical access still rely on traditional medicine. This paper provides significant ethnobotanical information on medicinal plants in Karangwangi Village of Cianjur District, West Java Indonesia. This study aimed to identify plants collected for medical purposes by the local people as well as to document the local names, uses, preparation, and location of these plants. Ethno botanical data was recorded by opting people participation and key informant approach involving semi-structured interviews, group discussions and filling of questionnaires. The results showed a total of 114 medicinal plants belonging to 50 families were identified. Zingiberaceae was the most-frequently cited (nine species, followed by Asteraceae, Euphorbiaceae, and Fabaceae (seven species each. The most-used plant parts were leaves (51.8%, followed by stems (22.9% and the most common preparations were decoction, poultice and squeezed. Most of the plants were obtained from the house-yard and total of 30 medicinal uses were recorded. The ethnobotanical result documented in this study showed that this area is rich in medicinal plants and these plants are still commonly used for medicinal purposes among the people in their daily lives. Ethnobotanical heritage should be preserved, however, there is a gradual loss of traditional knowledge about these plants in new generation. Further, the findings can be used as baseline information for further scientific investigation for analyzing phytochemical, pharmaceutical and other biological activities for future drug discovery.

  17. An ethnobotanical study of plants used for the treatment of diabetes ...

    African Journals Online (AJOL)

    Diabetes mellitus is one of the commonest diseases affecting the citizens of both developed and poor countries. In South Africa, the number of people suffering from diabetes is believed to be rising steadily. An ethnobotanical study of plants used by the traditional healers, herbalists and rural dwellers for the treatment of ...

  18. Ethnobotanical Knowledge Studied in Pocharam Wildlife Sanctuary, Telangana, India

    OpenAIRE

    Pendem SAIDULU; Sateesh SUTHARI; Ramesh KANDAGATLA; Ragan AJMEERA; Raju S. VATSAVAYA

    2015-01-01

    A survey was conducted in 31 fringe villages of Pocharam wildlife sanctuary, Telangana, India, during 2010 to 2012, in order to explore and document the ethnobotanical knowledge of Yerukulas and Lambadis communities. There was revealed the use of 173 Angiosperm species. The pattern of the plant use as per habitat (terrestrial/aquatic), habit (growth form), plant part (organ) and taxonomic category (families), nativity and occurrence (wild/cultivated) were established. Dicots contribute more t...

  19. Practitioner review: the assessment of language pragmatics.

    Science.gov (United States)

    Adams, Catherine

    2002-11-01

    The assessment of pragmatics expressed in spoken language is a central issue in the evaluation of children with communication impairments and related disorders. A developmental approach to assessment has remained problematic due to the complex interaction of social, linguistic, cognitive and cultural influences on pragmatics. A selective review and critique of current formal and informal testing methods and pragmatic analytic procedures. Formal testing of pragmatics has limited potential to reveal the typical pragmatic abnormalities in interaction but has a significant role to play in the assessment of comprehension of pragmatic intent. Clinical assessment of pragmatics with the pre-school child should focus on elicitation of communicative intent via naturalistic methods as part of an overall assessment of social communication skills. Assessments for older children should include a comprehensive investigation of speech acts, conversational and narrative abilities, the understanding of implicature and intent as well as the child's ability to employ contextual cues to understanding. Practical recommendations are made regarding the choice of a core set of pragmatic assessments and elicitation techniques. The practitioner's attention is drawn to the lack of the usual safeguards of reliability and validity that have persisted in some language pragmatics assessments. A core set of pragmatic assessment tools can be identified from the proliferation of instruments in current use. Further research is required to establish clearer norms and ranges in the development of pragmatic ability, particularly with respect to the understanding of inference, topic management and coherence.

  20. Pragmatism and practice theory

    DEFF Research Database (Denmark)

    Buch, Anders; Elkjær, Bente

    Proponents of the ‘practice turn’ in the social sciences rarely mention American pragmatism as a source of inspiration or refer to pragmatist philosophy. This strikes us as not only odd, but also a disadvantage since the pragmatist legacy has much to offer practice theory in the study of organiza......Proponents of the ‘practice turn’ in the social sciences rarely mention American pragmatism as a source of inspiration or refer to pragmatist philosophy. This strikes us as not only odd, but also a disadvantage since the pragmatist legacy has much to offer practice theory in the study...... of organizations. In this paper we want to spell out the theoretical similarities and divergences between practice theory and pragmatism to consider whether the two traditions can find common ground when gazing upon organization studies. We suggest that pragmatism should be included in the ‘tool-kit’ of practice...

  1. Pragmatic Liberalism and President Obama

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    Haroon A. Khan

    2014-06-01

    Full Text Available This research seeks to examine the foreign policy of President Obama with special reference to Bangladesh from the point of pragmatic liberalism. Pragmatism means understanding the realities of the situation and making decisions based on thorough research of these realities. Pragmatism opposes strict adherence to ideological beliefs in pursuing foreign policy. President Obama came into power amid one of the most volatile and dangerous times in the history of the United States occupied with two foreign wars, and inherited an economy on the brink of collapse. The key features of Obama’s pragmatic liberalism in foreign policy are to promote liberal ideas as long as it does not threaten the national security interests, emphasize diplomacy in solving the conflicts, foster humanitarian issues, develop alliances and multilateral agreements, uphold the major national interests, and strengthen national security defined in terms of economic well-being. The article will analyze U.S. foreign policy toward Bangladesh based on pragmatic liberalism of President Obama.

  2. Use of altered informed consent in pragmatic clinical research.

    Science.gov (United States)

    McKinney, Ross E; Beskow, Laura M; Ford, Daniel E; Lantos, John D; McCall, Jonathan; Patrick-Lake, Bray; Pletcher, Mark J; Rath, Brian; Schmidt, Hollie; Weinfurt, Kevin

    2015-10-01

    There are situations in which the requirement to obtain conventional written informed consent can impose significant or even insurmountable barriers to conducting pragmatic clinical research, including some comparative effectiveness studies and cluster-randomized trials. Although certain federal regulations governing research in the United States (45 CFR 46) define circumstances in which any of the required elements may be waived, the same standards apply regardless of whether any single element is to be waived or whether consent is to be waived in its entirety. Using the same threshold for a partial or complete waiver limits the options available to institutional review boards as they seek to optimize a consent process. In this article, we argue that new standards are necessary in order to enable important pragmatic clinical research while at the same time protecting patients' rights and interests. © The Author(s) 2015.

  3. Anti-depressive effectiveness of olanzapine, quetiapine, risperidone and ziprasidone: a pragmatic, randomized trial

    Directory of Open Access Journals (Sweden)

    Løberg Else-Marie

    2011-08-01

    Full Text Available Abstract Background Efficacy studies indicate anti-depressive effects of at least some second generation antipsychotics (SGAs. The Bergen Psychosis Project (BPP is a 24-month, pragmatic, industry-independent, randomized, head-to-head comparison of olanzapine, quetiapine, risperidone and ziprasidone in patients acutely admitted with psychosis. The aim of the study is to investigate whether differential anti-depressive effectiveness exists among SGAs in a clinically relevant sample of patients acutely admitted with psychosis. Methods Adult patients acutely admitted to an emergency ward for psychosis were randomized to olanzapine, quetiapine, risperidone or ziprasidone and followed for up to 2 years. Participants were assessed repeatedly using the Positive and Negative Syndrome Scale - Depression factor (PANSS-D and the Calgary Depression Scale for Schizophrenia (CDSS. Results A total of 226 patients were included. A significant time-effect showing a steady decline in depressive symptoms in all medication groups was demonstrated. There were no substantial differences among the SGAs in reducing the PANSS-D score or the CDSS sum score. Separate analyses of groups with CDSS sum scores > 6 or ≤6, respectively, reflecting degree of depressive morbidity, revealed essentially identical results to the primary analyses. There was a high correlation between the PANSS-D and the CDSS sum score (r = 0.77; p Conclusions There was no substantial difference in anti-depressive effectiveness among olanzapine, quetiapine, risperidone or ziprasidone in this clinically relevant sample of patients acutely admitted to hospital for symptoms of psychosis. Based on our findings we can make no recommendations concerning choice of any particular SGA for targeting symptoms of depression in a patient acutely admitted with psychosis. Trial Registration ClinicalTrials.gov ID; URL: http://www.clinicaltrials.gov/: NCT00932529

  4. Explanatory Versus Pragmatic Trials: An Essential Concept in Study Design and Interpretation.

    Science.gov (United States)

    Merali, Zamir; Wilson, Jefferson R

    2017-11-01

    Randomized clinical trials often represent the highest level of clinical evidence available to evaluate the efficacy of an intervention in clinical medicine. Although the process of randomization serves to maximize internal validity, the external validity, or generalizability, of such studies depends on several factors determined at the design phase of the trial including eligibility criteria, study setting, and outcomes of interest. In general, explanatory trials are optimized to demonstrate the efficacy of an intervention in a highly selected patient group; however, findings from these studies may not be generalizable to the larger clinical problem. In contrast, pragmatic trials attempt to understand the real-world benefit of an intervention by incorporating design elements that allow for greater generalizability and clinical applicability of study results. In this article we describe the explanatory-pragmatic continuum for clinical trials in greater detail. Further, a well-accepted tool for grading trials on this continuum is described, and applied, to 2 recently published trials pertaining to the surgical management of lumbar degenerative spondylolisthesis.

  5. Creativity, Pragmatism and the Social Sciences

    DEFF Research Database (Denmark)

    Gimmler, Antje

    2006-01-01

    In this discussion, Richard Sennett and Hans Joas elaborate on the role of both creativity and pragmatism in the social sciences. They pursue these topics from different perspectives: the role creativity played in the history of ideas and in classical pragmatism, what creativity means...... in the practice of the arts and how a creative pragmatist sociology might be possible. Pragmatism, they conclude, may not be a new idea, but the practice of pragmatism offers a new political vision beyond the traditional frontiers of left and right....

  6. The Difficulties of English as a Foreign Language (EFL Learners in Understanding Pragmatics

    Directory of Open Access Journals (Sweden)

    Fauzia

    2016-02-01

    Full Text Available Pragmatics is the study of the relation of signs to interpreters. For English foreign language (EFL learners, the knowledge and comprehensible input of pragmatics is much needed. This paper is based on research project. The writer did the research survey by giving some respondents questionnaire. The respondent is some students from UAD, which is taken randomly. Besides using open questionnaire, the writer also got the data from in depth interview with some EFL learners, the native speaker who teaches English, and also did literature review from some books. The result of the research then gives some evidences that EFL learners difficulties in understanding the English pragmatics occurs in 1 greeting, 2 apologizing, 3 complimenting, and 4 thanking. The factors that promotes EFL learners’ difficulties in understanding because 1 the different culture and values between native speaker and learners; 2 habit that the usually use in their daily life.

  7. The Effect of Different Types of Instruction and Feedback on the Development of Pragmatic Proficiency: The Case of Pragmatic Markers

    Directory of Open Access Journals (Sweden)

    Saeedeh Shafee Nahrkhalaji

    2013-01-01

    Full Text Available The necessity of conducting more studies addressing the development of pragmatic profciency and strong pragmatic awareness for English language learners has made the role of instruction and feedback in teaching pragmatic knowledge of utmost importance. The present study evaluates the relative effectiveness of four types of instruction for teaching some pragmatic markers including topic change markers, mitigation markers, interjections and hybrid basic markers to 75 advanced Iranian learners of English: explicit instruction only, explicit instruction with metalinguistic feedback, structured input instruction only, and structured in- put instruction with metalinguistic feedback. Treatment group performance was compared with control group performance on pre-tests, post-tests and follow-up tests that contained an open-ended discourse completion test and a multiple-choice pragmatic listening comprehension test. The results of the data analysis revealed that students› ability to comprehend and produce pragmatic markers improved significantly in treatment groups and that pragmatic interlanguage is permeable to instruction in EFL settings. However, there were statistically significant differences among the four treatment groups regarding awareness of different pragmatic markers and their appropriate use. These findings give us some useful insight on the teachability of pragmatic markers and the role of instruction and feedback in the classroom to develop pragmatic competence of EFL learners.

  8. Developing L2 Pragmatics

    Science.gov (United States)

    Bardovi-Harlig, Kathleen

    2013-01-01

    This article positions research on the acquisition of pragmatics as an inquiry in the greater field of second language acquisition research. Viewing pragmatics from this intersection, I consider five areas of research that are of interest in both fields and have the potential to make significant contributions to second language pragmatics…

  9. Evaluating Pragmatic Competence in Nigerian Undergraduates’ Language Errors within Descriptive ESL Writing

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    Anas Sa’idu Muhammad

    2017-01-01

    Full Text Available This study investigates the level of pragmatic competence for ESL writing skills among Nigerian undergraduates. Methodologically, it adopts descriptive research design within the explanatory framework of the QUAN-Qual model. The instruments used are descriptive essay text and focus group interview questions. In writing the descriptive essays, a total of 402 undergraduates’ participated through convenience sampling. Quantitatively, an independent samples t-test was carried out. The results indicated the females required putting more efforts towards improving their pragmatic competence in the ESL writing as they achieved a higher means for language errors, compared to that of the males. Moreover, the ttest value demonstrated that the females lacked skills in the pragmatic skills of mechanical structure, grammatical function, and sentence structures and this made them commit more language errors. Qualitatively, a focus group interview was held randomly with 12 participants out of the 402 undergraduates through purposive sampling. The results of the interview sessions revealed novelties of culture-specific, learning feasibility and the academic discourse as the key elements that constraint most of the Nigerian undergraduates ESL writing skills, particularly the females. Therefore, this study revealed strong implications on how best to develop Nigerian learners’ pragmatic competence in ESL writing skills

  10. The Diabetes Telephone Study: Design and challenges of a pragmatic cluster randomized trial to improve diabetic peripheral neuropathy treatment.

    Science.gov (United States)

    Adams, Alyce S; Bayliss, Elizabeth A; Schmittdiel, Julie A; Altschuler, Andrea; Dyer, Wendy; Neugebauer, Romain; Jaffe, Marc; Young, Joseph D; Kim, Eileen; Grant, Richard W

    2016-06-01

    Challenges to effective pharmacologic management of symptomatic diabetic peripheral neuropathy include the limited effectiveness of available medicines, frequent side effects, and the need for ongoing symptom assessment and treatment titration for maximal effectiveness. We present here the rationale and implementation challenges of the Diabetes Telephone Study, a randomized trial designed to improve medication treatment, titration, and quality of life among patients with symptomatic diabetic peripheral neuropathy. We implemented a pragmatic cluster randomized controlled trial to test the effectiveness of an automated interactive voice response tool designed to provide physicians with real-time patient-reported data about responses to newly prescribed diabetic peripheral neuropathy medicines. A total of 1834 primary care physicians treating patients in the diabetes registry at Kaiser Permanente Northern California were randomized into the intervention or control arm. In September 2014, we began identification and recruitment of patients assigned to physicians in the intervention group who receive three brief interactive calls every 2 months after a medication is prescribed to alleviate diabetic peripheral neuropathy symptoms. These calls provide patients with the opportunity to report on symptoms, side effects, self-titration of medication dose and overall satisfaction with treatment. We plan to compare changes in self-reported quality of life between the intervention group and patients in the control group who receive three non-interactive automated educational phone calls. Successful implementation of this clinical trial required robust stakeholder engagement to help tailor the intervention and to address pragmatic concerns such as provider time constraints. As of 27 October 2015, we had screened 2078 patients, 1447 of whom were eligible for participation. We consented and enrolled 1206 or 83% of those eligible. Among those enrolled, 53% are women and the mean age

  11. Ethnobotanical investigation of traditional medicinal plants commercialized in the markets of Mashhad, Iran

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    Mohammad Sadegh Amiri

    2013-05-01

    Full Text Available Objective: An ethnobotanical survey on the medicinal plant species marketed in Mashhad city, northeastern Iran, was conducted in order to document traditional medicinal knowledge and application of medicinal plants. Materials and Methods: This study was undertaken between 2011 and 2012. The indigenous knowledge of traditional healers used for medicinal purposes were collected through questionnaire and personal interviews during field trips. Ethnobotanical data was arranged alphabetically by family name followed by botanical name, vernacular name, part used, folk use, and recipe. Correct identification was made with the help of the various Floras and different herbal literature at the Ferdowsi University of Mashhad Herbarium (FUMH. Results: The present investigation reported medicinal information for about 269 species, belonging to 87 vascular plant families and one fungus family. The most important family was Lamiaceae with 26 species, followed by Asteraceae with 23, Fabaceae with 20, and Apiaceae with 19. Herbal medicine uses reported by herbalists was classified into 132 different uses which show significant results to treat a wide spectrum of human ailments. Plants sold at the market were mostly used for digestive system disorders, respiratory problems, urological troubles, nervous system disorders, skin problems, and gynecological ailments. Conclusion: This survey showed that although people in study area have access to modern medical facilities,  a lot of them still continue to depend on medicinal plants for the treatment of healthcare problems. The present paper represents significant ethnobotanical information on medical plants which provides baseline data for future pharmacological and phytochemical studies.

  12. Are Learning Organizations Pragmatic?

    Science.gov (United States)

    Cavaleri, Steven A.

    2008-01-01

    Purpose: The purpose of this paper is to evaluate the future prospects of the popular concept known as the learning organization; to trace the influence of philosophical pragmatism on the learning organization and to consider its potential impact on the future; and to emphasize how pragmatic theories have shaped the development of Deming's total…

  13. Migration and Ethnobotanical Practices: The Case of Tifey Among Haitian Immigrants in Cuba

    NARCIS (Netherlands)

    Volpato, G.; Godinez, D.; Beyra, A.

    2009-01-01

    Ethnobotanical knowledge and practices are dynamic and they change as they are transferred and appropriated by people who are adapting to new surroundings and changing environments. Using tifey, a multispecies drink, as a case study, we discuss the changes that emigration brought about related to

  14. An ethnobotanical study of medicinal plants used by the Masaai people of Losho, Kenya

    Directory of Open Access Journals (Sweden)

    Duncan Mutiso Chalo

    2016-02-01

    Full Text Available Objective: An ethnobotanical survey on the medicinal plant species in Losho, Narok County, Kenya was conducted in order to document traditional medicinal knowledge and application of medicinal plants.Materials and Methods: This study was undertaken between 2012. Information was gathered from traditional practitioners who lived and practised in Losho, Narok County, Kenya using semi-structured questionnaires and personal interviews during field trips. Ethnobotanical data was arranged alphabetically by family name followed by botanical name, vernacular name, part used, folk use, and recipe. Correct identification was made with the help of taxonomist and voucher specimens deposited at the University of Nairobi Herbarium.Results: Twenty six (26 herbalists between the ages 20-69 years (10 men and 16 women were purposively selected and interviewed. The present investigation reported medicinal information for 33 species, belonging to 21 plant families. The most represented plant family was Asteraceae followed by Oleaceae and Rhamnaceae. 36 % of the species were used to manage stomach ache and stomach related ailments while 30% of the plant species were used to treat malaria.Conclusion: This survey showed that although people in study area have access to modern medical facility Losho Dispensary but a lot of them still continue to depend on medicinal plants for the treatment of healthcare problems. The present paper represents significant ethnobotanical information on medical plants which provides baseline data for future pharmacological and phytochemical studies.

  15. Action representation: crosstalk between semantics and pragmatics.

    Science.gov (United States)

    Prinz, Wolfgang

    2014-03-01

    Marc Jeannerod pioneered a representational approach to movement and action. In his approach, motor representations provide both, declarative knowledge about action and procedural knowledge for action (action semantics and action pragmatics, respectively). Recent evidence from language comprehension and action simulation supports the claim that action pragmatics and action semantics draw on common representational resources, thus challenging the traditional divide between declarative and procedural action knowledge. To account for these observations, three kinds of theoretical frameworks are discussed: (i) semantics is grounded in pragmatics, (ii) pragmatics is anchored in semantics, and (iii) pragmatics is part and parcel of semantics. © 2013 Elsevier Ltd. All rights reserved.

  16. Behavioral counseling to prevent childhood obesity – study protocol of a pragmatic trial in maternity and child health care

    OpenAIRE

    Mustila, Taina; Keskinen, Päivi; Luoto, Riitta

    2012-01-01

    Abstract Background Prevention is considered effective in combating the obesity epidemic. Prenatal environment may increase offspring's risk for obesity. A child starts to adopt food preferences and other behavioral habits affecting weight gain during preschool years. We report the study protocol of a pragmatic lifestyle intervention aiming at primary prevention of childhood obesity. Methods/Design A non-randomized controlled pragmatic trial in maternity and child health care clinics. The con...

  17. Palikur traditional roundwood construction in eastern French Guiana: ethnobotanical and cultural perspectives.

    Science.gov (United States)

    Ogeron, Clémence; Odonne, Guillaume; Cristinoi, Antonia; Engel, Julien; Grenand, Pierre; Beauchêne, Jacques; Clair, Bruno; Davy, Damien

    2018-04-24

    Palikur Amerindians live in the eastern part of French Guiana which is undergoing deep-seated changes due to the geographical and economic opening of the region. So far, Palikur's traditional ecological knowledge is poorly documented, apart from medicinal plants. The aim of this study was to document ethnobotanical practices related to traditional construction in the region. A combination of qualitative and quantitative methods was used. Thirty-nine Palikur men were interviewed in three localities (Saint-Georges de l'Oyapock, Regina and Trois-Palétuviers) between December 2013 and July 2014. Twenty-four inventories of wood species used in traditional buildings were conducted in the villages, as well as ethnobotanical walks in the neighboring forests, to complete data about usable species and to determine Linnaean names. After an ethnographic description of roundwood Palikur habitat, the in situ wood selection process of Palikur is precisely described. A total of 960 roundwood pieces were inventoried in situ according to Palikur taxonomy, of which 860 were beams and rafters, and 100 posts in 20 permanent and 4 temporary buildings. Twenty-seven folk species were identified. Sixty-three folk species used in construction were recorded during ethnobotanical walks. They correspond to 263 botanical species belonging to 25 families. Posts in permanent buildings were made of yawu (Minquartia guianensis) (51%) and wakap (Vouacapoua americana) (14%). Beams and rafters were made of wood from Annonaceae (79%) and Lecythidaceae (13%) families. The most frequently used species were kuukumwi priye (Oxandra asbeckii), kuukumwi seyne (Pseudoxandra cuspidata), and pukuu (Xylopia nitida and X. cayennensis). Although the Palikur's relationship with their habitat is undergoing significant changes, knowledge about construction wood is still very much alive in the Oyapock basin. Many people continue to construct traditional buildings alongside modern houses, using a wide array of species

  18. The Status of Pragmatics among Iranian EFL Learners

    Science.gov (United States)

    Mohammad-Bagheri, Mehri

    2015-01-01

    The present study attempted to investigate the status of pragmatics among Iranian EFL learners. Status of pragmatics was analyzed in terms of the amount of pragmatic knowledge EFL learners believed to have and the amount of pragmatic knowledge they believed to receive from teachers, classmates, course books, and exams. Additionally, attempts were…

  19. Pragmatic communication is impaired in Parkinson disease.

    Science.gov (United States)

    Hall, Deborah; Ouyang, Bichun; Lonnquist, Eryn; Newcombe, Jill

    2011-05-01

    The purpose of this study was to determine whether severity of disease, cognitive function, age, gender, or amount of social interaction were associated with pragmatic dysfunction in Parkinson disease. No studies have previously been done to investigate variables that may be associated with pragmatic dysfunction in Parkinson disease. A case-control study was conducted with 17 Parkinson disease patients and 17 convenience controls. Each Parkinson disease patient and a control were interviewed, and their pragmatic skills were evaluated using a scale of pragmatic communication skills. Correlation analysis was used to determine what factors were associated with pragmatic dysfunction in the Parkinson disease patients. Cases scored lower on the pragmatic scale with a mean of 29.7 compared with 38.9 in the controls (p communication skills had moderate to strong correlations with the MMSE (r = .81, p = .002), Unified Parkinson's Disease Rating Scale score (r = -.71, p = .002), and duration of disease (r = -.53, p = .03). These results show that Parkinson disease patients have impaired pragmatic function compared with controls on both verbal and nonverbal sections, and this impairment correlates with mental state, duration, and severity of disease.

  20. Ethnobotanicals for management of the brown ear tick Rhipicephalus appendiculatus in western Kenya

    NARCIS (Netherlands)

    Wanzala, W.W.

    2009-01-01

    This thesis describes the results of a study to assess the effect of ethnobotanical products on the behaviour of the brown ear tick Rhipicephalus appendiculatus, the main vector of East Coast fever in sub-Saharan Africa. Ethnoknowledge of the Bukusu people in western Kenya on tick control and

  1. Approaches to the Study of Pragmatism in Today's China

    Science.gov (United States)

    Chengbing, Wang

    2017-01-01

    To explore the key approaches to pragmatism is not only a logical requirement of the development of pragmatism itself, but also necessary for Chinese pragmatism to progress. There are three major necessary and feasible approaches to the study of pragmatism, which will play a very important role in the development of Pragmatism in today's China:…

  2. Learning English Pragmatics in China: An Investigation into Chinese EFL Learners' Perceptions of Pragmatics

    Science.gov (United States)

    Yuan, Yifeng; Tangen, Donna; Mills, Kathy A.; Lidstone, John

    2015-01-01

    This paper reports the findings of a study investigating Chinese English language learners' perceptions of pragmatics in the EFL learning context in China. A total of 237 Chinese EFL first--year university students participated in the study. A questionnaire and focus group interviews were used to collect data about learners' pragmatics insights…

  3. Pragmatics in pre-schoolers with language impairments.

    Science.gov (United States)

    Geurts, Hilde; Embrechts, Mariëtte

    2010-01-01

    Pragmatic assessment methods are very diverse and differ in informant type. Some rely on parents, others on teachers/professionals and some directly test pragmatic abilities in the children themselves. A widely used pragmatic parent questionnaire is the Children's Communication Checklist--2 (CCC-2). However, it is not known how scores on the CCC-2 relate to direct measures of pragmatics. The aim of the current study is determine whether children's language patterns on pragmatics obtained with a parent questionnaire were converging with findings when the children were directly tested with a pragmatic test. The CCC-2 and the Nijmegen Pragmatics Test (NPT) were applied to 24 pre-schoolers (aged 4-7 years) with various language impairments and 33 age-matched typically developing pre-schoolers. Both pragmatic language instruments clearly differentiated between pre-schoolers with language impairments and those without language impairments. However, the obtained correlations between the different measures were low to moderate. The specificity of each of the instruments was sufficient, but the sensitivity was generally poor. The instruments were not always converging, but when the instruments did converge the obtained results were valid. However, the obtained high specificity and relatively low sensitivity values for each of the instruments showed that better cut-off scores are needed. When only one of the instruments indicated the absence or presence of language impairments, one needs to be careful in concluding whether or not there are indeed language impairments.

  4. Pragmatic Comprehension Development through Telecollaboration

    Science.gov (United States)

    Rafieyan, Vahid; Sharafi-Nejad, Maryam; Khavari, Zahra; Eng, Lin Siew; Mohamed, Abdul Rashid

    2014-01-01

    Pragmatic comprehension can be ideally developed through contact with target language speakers. This contact can be provided in English as Foreign Language contexts through telecollaboration. To test the actual effect of telecollaboration on the development of pragmatic comprehension, 30 Iranian undergraduates of English as a Foreign Language…

  5. Forced migration and indigenous knowledge of displaced Emberá and Uitoto populations in Colombia: An ethnobotanical perspective

    Directory of Open Access Journals (Sweden)

    Victor Hugo Gonzalez Betancourt

    2012-09-01

    Full Text Available Relatively little attention has been given to documenting changes in the ethnobotanical knowledge of displaced indigenous groups in Colombia. Such information is highly valuable because it contributes to our understanding of the changes that occur during this process of displacement, cultural transformation and loss, and because it eventually could shed some light in designing social, economic, and educational policies that would facilitate their incorporation into main stream culture, through ways that validate their indigenous identity, knowledge, and traditions. Based on our on-going research, herein we summarize ethnobotanical information of two indigenous groups currently residing in the city of Florencia (capital of the Department of Caquetá in the Northwestern Amazon basin: the Emberá, originally from northwestern Colombia, and Uitoto, originally from the Colombian Amazon. By focusing in the indigenous ethnobotanical knowledge of these two displaced groups, we intend to show the revitalization of ethnobotanical knowledge, resilience, and multiple resources in form of ancestral knowledge that are brought and transmitted by these groups as they struggle for survival, in many times hostile urban environments. We hope to draw more attention to and encourage similar studies on other displaced indigenous populations in Colombia as well as in other areas of Latin America. Normal 0 21 false false false ES-MX X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Calibri","sans-serif"; mso-bidi-font-family:"Times New Roman";}

  6. A protocol for a pragmatic randomized controlled trial evaluating outcomes of emergency nurse practitioner service.

    Science.gov (United States)

    Jennings, Natasha; Gardner, Glenn; O'Reilly, Gerard

    2014-09-01

    To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emergency nurse practitioner. The delivery of high quality patient care in the emergency department is one of the most important service indicators to be measured in health services today. The rapid uptake of emergency nurse practitioner service in Australia has outpaced the capacity to evaluate this model in outcomes related to safety and quality of patient care. Pragmatic randomized controlled trial at one site with 260 participants. This protocol describes a definitive prospective randomized controlled trial, which will examine the impact of emergency nurse practitioner service on key patient care and service indicators. The study control will be standard emergency department care. The intervention will be emergency nurse practitioner service. The primary outcome measure is pain score reduction and time to analgesia. Secondary outcome measures are waiting time, number of patients who did not wait, length of stay in the emergency department and representations within 48 hours. Scant research enquiry evaluating emergency nurse practitioner service on patient effectiveness and service responsiveness exists currently. This study is a unique trial that will test the effectiveness of the emergency nurse practitioner service on patients who present to the emergency department with pain. The research will provide an opportunity to further evaluate emergency nurse practitioner models of care and build research capacity into the workforce. Trial registration details: Australian and New Zealand Clinical Trials Registry dated 18th August 2013, ACTRN12613000933752. © 2014 John Wiley & Sons Ltd.

  7. Ethnobotanical survey and toxicity evaluation of medicinal plants used for fungal remedy in the Southern Highlands of Tanzania.

    Science.gov (United States)

    Mbunde, Mourice Victor Nyangabo; Innocent, Ester; Mabiki, Faith; Andersson, Pher G

    2017-01-01

    Some of the antifungal drugs used in the current treatments regime are responding to antimicrobial resistance. In rural areas of Southern Tanzania, indigenous people use antifungal drugs alone or together with medicinal plants to curb the effects of antibiotic resistance. This study documented ethnobotanical information of medicinal plants used for managing fungal infections in the Southern Highlands of Tanzania and further assess their safety. Ethnobotanical survey was conducted in Makete and Mufindi districts between July 2014 and December 2015 using semi-structured questionnaires followed by two focus group discussions to verify respondents' information. Cytotoxicity study was conducted on extracts of collected plants using brine shrimp lethality test and analyzed by MS Excel 2013 program. During this survey about 46 plant species belonging to 28 families of angiosperms were reported to be traditionally useful in managing fungal and other health conditions. Among these, Terminalia sericea , Aloe nutii , Aloe lateritia , Zanthoxylum chalybeum , Zanthoxylum deremense , and Kigelia africana were frequently mentioned to be used for managing fungal infections. The preparation of these herbals was mostly by boiling plant parts especially the leaves and roots. Cytotoxicity study revealed that most of the plants tested were nontoxic with LC 50 > 100 which implies that most compounds from these plants are safe for therapeutic use. The dichloromethane extract of Croton macrostachyus recorded the highest with LC 50 value 12.94 µg/ml. The ethnobotanical survey correlated well with documented literature from elsewhere about the bioactivity of most plants. The ethnobotanical survey has revealed that traditional healers are rich of knowledge to build on for therapeutic studies. Most of the plants are safe for use; and thus can be considered for further studies on drug discovery.

  8. Traditional Medicine Collection Tracking System (TM-CTS): a database for ethnobotanically driven drug-discovery programs.

    Science.gov (United States)

    Harris, Eric S J; Erickson, Sean D; Tolopko, Andrew N; Cao, Shugeng; Craycroft, Jane A; Scholten, Robert; Fu, Yanling; Wang, Wenquan; Liu, Yong; Zhao, Zhongzhen; Clardy, Jon; Shamu, Caroline E; Eisenberg, David M

    2011-05-17

    Ethnobotanically driven drug-discovery programs include data related to many aspects of the preparation of botanical medicines, from initial plant collection to chemical extraction and fractionation. The Traditional Medicine Collection Tracking System (TM-CTS) was created to organize and store data of this type for an international collaborative project involving the systematic evaluation of commonly used Traditional Chinese Medicinal plants. The system was developed using domain-driven design techniques, and is implemented using Java, Hibernate, PostgreSQL, Business Intelligence and Reporting Tools (BIRT), and Apache Tomcat. The TM-CTS relational database schema contains over 70 data types, comprising over 500 data fields. The system incorporates a number of unique features that are useful in the context of ethnobotanical projects such as support for information about botanical collection, method of processing, quality tests for plants with existing pharmacopoeia standards, chemical extraction and fractionation, and historical uses of the plants. The database also accommodates data provided in multiple languages and integration with a database system built to support high throughput screening based drug discovery efforts. It is accessed via a web-based application that provides extensive, multi-format reporting capabilities. This new database system was designed to support a project evaluating the bioactivity of Chinese medicinal plants. The software used to create the database is open source, freely available, and could potentially be applied to other ethnobotanically driven natural product collection and drug-discovery programs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  9. Traditional Medicine Collection Tracking System (TM-CTS): A Database for Ethnobotanically-Driven Drug-Discovery Programs

    Science.gov (United States)

    Harris, Eric S. J.; Erickson, Sean D.; Tolopko, Andrew N.; Cao, Shugeng; Craycroft, Jane A.; Scholten, Robert; Fu, Yanling; Wang, Wenquan; Liu, Yong; Zhao, Zhongzhen; Clardy, Jon; Shamu, Caroline E.; Eisenberg, David M.

    2011-01-01

    Aim of the study. Ethnobotanically-driven drug-discovery programs include data related to many aspects of the preparation of botanical medicines, from initial plant collection to chemical extraction and fractionation. The Traditional Medicine-Collection Tracking System (TM-CTS) was created to organize and store data of this type for an international collaborative project involving the systematic evaluation of commonly used Traditional Chinese Medicinal plants. Materials and Methods. The system was developed using domain-driven design techniques, and is implemented using Java, Hibernate, PostgreSQL, Business Intelligence and Reporting Tools (BIRT), and Apache Tomcat. Results. The TM-CTS relational database schema contains over 70 data types, comprising over 500 data fields. The system incorporates a number of unique features that are useful in the context of ethnobotanical projects such as support for information about botanical collection, method of processing, quality tests for plants with existing pharmacopoeia standards, chemical extraction and fractionation, and historical uses of the plants. The database also accommodates data provided in multiple languages and integration with a database system built to support high throughput screening based drug discovery efforts. It is accessed via a web-based application that provides extensive, multi-format reporting capabilities. Conclusions. This new database system was designed to support a project evaluating the bioactivity of Chinese medicinal plants. The software used to create the database is open source, freely available, and could potentially be applied to other ethnobotanically-driven natural product collection and drug-discovery programs. PMID:21420479

  10. Ethnobotanical relevance in tribal life: A study on Warli tribe of Thane district, Maharashtra, India

    Digital Repository Service at National Institute of Oceanography (India)

    Pereira, N.

    An ethnobotanical study of Warli tribe belonging to the Thane district of Maharashtra, India was conducted. Plants of social, religious, medicinal as well as domestic uses were studied. Totally 59 species of plants are documented. Of these, 23...

  11. Effectiveness of a group diabetes education programme in underserved communities in South Africa: pragmatic cluster randomized control trial.

    Science.gov (United States)

    Mash, Bob; Levitt, Naomi; Steyn, Krisela; Zwarenstein, Merrick; Rollnick, Stephen

    2012-12-24

    Diabetes is an important contributor to the burden of disease in South Africa and prevalence rates as high as 33% have been recorded in Cape Town. Previous studies show that quality of care and health outcomes are poor. The development of an effective education programme should impact on self-care, lifestyle change and adherence to medication; and lead to better control of diabetes, fewer complications and better quality of life. Pragmatic cluster randomized controlled trialParticipants: Type 2 diabetic patients attending 45 public sector community health centres in Cape TownInterventions: The intervention group will receive 4 sessions of group diabetes education delivered by a health promotion officer in a guiding style. The control group will receive usual care which consists of ad hoc advice during consultations and occasional educational talks in the waiting room. To evaluate the effectiveness of the group diabetes education programmeOutcomes: diabetes self-care activities, 5% weight loss, 1% reduction in HbA1c. self-efficacy, locus of control, mean blood pressure, mean weight loss, mean waist circumference, mean HbA1c, mean total cholesterol, quality of lifeRandomisation: Computer generated random numbersBlinding: Patients, health promoters and research assistants could not be blinded to the health centre's allocationNumbers randomized: Seventeen health centres (34 in total) will be randomly assigned to either control or intervention groups. A sample size of 1360 patients in 34 clusters of 40 patients will give a power of 80% to detect the primary outcomes with 5% precision. Altogether 720 patients were recruited in the intervention arm and 850 in the control arm giving a total of 1570. The study will inform policy makers and managers of the district health system, particularly in low to middle income countries, if this programme can be implemented more widely. Pan African Clinical Trial Registry PACTR201205000380384.

  12. Discourse Issues in Cross-Cultural Pragmatics.

    Science.gov (United States)

    Boxer, Diana

    2002-01-01

    Focuses on recent research in cross-cultural pragmatics as distinct from interlanguage pragmatics. The essential difference between the two lies in the perspective from which each views cross-cultural communication. (Author/VWL)

  13. ETHNOBOTANICAL USES OF LANTANA TRIFOLIA L. AND SIDA CUNEIFOLIA ROXB. IN MUKUNGWE AND WABINYONYI SUB-COUNTIES OF CENTRAL UGANDA

    Directory of Open Access Journals (Sweden)

    Rebecca Nalubega

    2013-06-01

    Full Text Available Aim: This was an ethnobotanical study that was carried out to establish the traditional uses of Lantana trifolia L. and Sida cuneifolia Roxb. plants in selected parts of Central Uganda. Methods: The ethnobotanical study was done in August and September, 2012 in Mukungwe and Wabinyonyi sub-counties in Masaka and Nakasongola Districts respectively located in Central Uganda. Study sites and respondents were purposefully selected and information was obtained through semi-structured interview guides, key informant interview guides as well as observations. Eighty respondents were considered for semi-structured interviews and 15 for key informant interviews. Results: Seven ethnobotanical uses for Lantana trifolia were cited by respondents and majority (46.25% of them used it as a herbal remedy. As a herbal remedy, Lantana trifolia managed 13 human disease conditions and mainly used in the management of cough and common colds by 22.5% of the respondents. Four ethnobotanical uses were cited for Sida cuneifolia and majority of the respondents (62.5% used it as a herbal remedy as well as sweeping brooms. As a herbal remedy, Sida cuneifolia was reported to be useful in management of 12 disease conditions, fractures and sprains (bone setting being mentioned by the majority of the of respondents (36.25 %. Conclusion: In conclusion, Lantana trifolia and Sida cuneifolia were culturally important ethnomedicines. Scientific validation of traditional claims as well as conservation of these plants should be encouraged in order to preserve and promote their use. [J Intercult Ethnopharmacol 2013; 2(3.000: 155-164

  14. Generating natural language under pragmatic constraints

    CERN Document Server

    Hovy, Eduard H

    2013-01-01

    Recognizing that the generation of natural language is a goal- driven process, where many of the goals are pragmatic (i.e., interpersonal and situational) in nature, this book provides an overview of the role of pragmatics in language generation. Each chapter states a problem that arises in generation, develops a pragmatics-based solution, and then describes how the solution is implemented in PAULINE, a language generator that can produce numerous versions of a single underlying message, depending on its setting.

  15. Assessing pragmatic communication in children with Down syndrome.

    Science.gov (United States)

    Smith, Elizabeth; Næss, Kari-Anne B; Jarrold, Christopher

    2017-07-01

    Successful communication depends on language content, language form, and language use (pragmatics). Children with Down syndrome (DS) experience communication difficulties, however little is known about their pragmatic profile, particularly during early school years. The purpose of the present study was to explore the nature of pragmatic communication in children with DS. Twenty-nine six-year-old children with DS were assessed, in the areas of 1) initiation, 2) scripted language, 3) understanding context and 4) nonverbal communication, as reported by children's parents via the Children's Communication Checklist-2 (Bishop, 2003). Additionally, the relationships between pragmatics and measures of vocabulary, nonverbal mental ability and social functioning were explored. Children with DS were impaired relative to norms from typically developing children in all areas of pragmatics. A profile of relative strengths and weaknesses was found in the children with DS; the area of nonverbal communication was significantly stronger, while the area of understanding context was significantly poorer, relative to the other areas of pragmatics assessed in these children. Relationships between areas of pragmatics and other linguistic areas, as well as aspects of vocabulary and social functioning were observed. By the age of six children with DS experience significantly impaired pragmatic communication, with a clear profile of relative strengths and weaknesses. The study highlights the need to teach children with DS pragmatic skills as a component of communication, alongside language content and form. Copyright © 2017. Published by Elsevier Inc.

  16. Factors affecting ethnobotanical knowledge in a mestizo community of the Sierra de Huautla Biosphere Reserve, Mexico.

    Science.gov (United States)

    Beltrán-Rodríguez, Leonardo; Ortiz-Sánchez, Amanda; Mariano, Nestor A; Maldonado-Almanza, Belinda; Reyes-García, Victoria

    2014-01-27

    Worldwide, mestizo communities' ethnobotanical knowledge has been poorly studied. Based on a mestizo group in Mexico, this study assesses a) the use value (UV) of the local flora, b) gendered differences in plant species, and c) the association between socio-economic variables and ethnobotanical knowledge. To assess the degree of knowledge of plant resources, we conducted 41 interviews collecting information on knowledge of local plant resources and the socio-economic situation of the informant. We also collected free listings of useful plants by category of use to identify the UV of each species. With the support of key informants, we photographed and collected the plant material recorded during the interviews and free listings on five different habitats. Paired t-tests and a Wilcoxon signed rank test were used to determine differences in the number of species known by men and women. Differences in distribution were analyzed by means of the Shapiro-Wilk's W normality tests. To determine the association of socio-economic factors and ethnobotanical knowledge, we used a non-metric multidimensional scaling analysis (NMDS). Informants listed 185 species. Medicinal plants constituted the most diverse group (90 species). Tropical deciduous forest is the habitat that concentrates the highest proportion of plant resources (80 species). The use-values were classified into three groups: A (4-6 UV; three species), B (0.35-1.37 UV; 39 species) and C (0-0.29 UV; 143 species). High-quality wood species and those associated to religious ceremonies had the highest UV. Women's and men's knowledge of plant species showed statistically significant differences at the interspecific and the intracategorical levels (Student's test, T15 = 4.8, p economic activities associated with the intracultural distribution of ethnobotanical knowledge among mestizo Mexican communities. It also provides information on plant resources and habitats and how local peasants value them. This information

  17. Ethnobotanic importance of plants used in pigeon-breeding in Eastern Spain

    OpenAIRE

    Belda, Antonio; Cort?s, Carolina; Peir?, Victoriano

    2013-01-01

    Background: The importance that birds of the Columbidae family have had throughout history is visible on the Mediterranean coast. Pigeon fancying is the art of breeding and training carrier pigeons and currently, several breeds exist. The sport of racing pigeons consists in covering a distance at maximum possible speed. However, pigeon breeding has another modality called “sport pigeon”, where several males follow a female. This study focusses on ethnobotanical knowledge of native and exotic ...

  18. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador

    Science.gov (United States)

    Bracco, Francesco; Cerna, Marco; Vita Finzi, Paola; Vidari, Giovanni

    2016-01-01

    This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses. PMID:28074189

  19. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador

    Directory of Open Access Journals (Sweden)

    Jose Luis Ballesteros

    2016-01-01

    Full Text Available This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses.

  20. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador.

    Science.gov (United States)

    Ballesteros, Jose Luis; Bracco, Francesco; Cerna, Marco; Vita Finzi, Paola; Vidari, Giovanni

    2016-01-01

    This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses.

  1. PRAGMATIC DEFICITS OF ASPERGER SYNDROME

    Directory of Open Access Journals (Sweden)

    Silmy Arizatul Humaira’

    2015-08-01

    Full Text Available Human being is social creature who needs other people to interact with. One of the ways to interact with others is communication with language. However, communication could be a complicated problem for those who were born with developmental disorder called Asperger Syndrome (AS. The communication challenge of Asperger’s is the difficulty using language appropriately for social purposes or known as pragmatic deficits. Many excellent books about autism are published whereas knowledge on pragmatic deficits are still very limited. Thus, it is expected to be a beneficial reference to understand the pragmatic deficits and to create strategies for them to communicate effectively. Therefore, this study aimed at exploring the kinds of pragmatic deficits of an individual with AS. The verbal language profiles of autism purposed by MacDonald (2004 is used to analyzed the data in depth. The descriptive qualitative method is applied to develop a comprehensive understanding about the AS case in Temple Grandin movie.The finding shows that all of the five types of communication deficits are appearing and the dominant of which is unresponsive.

  2. Reliability and validity of the Pragmatics Observational Measure (POM): a new observational measure of pragmatic language for children.

    Science.gov (United States)

    Cordier, Reinie; Munro, Natalie; Wilkes-Gillan, Sarah; Speyer, Renée; Pearce, Wendy M

    2014-07-01

    There is a need for a reliable and valid assessment of childhood pragmatic language skills during peer-peer interactions. This study aimed to evaluate the psychometric properties of a newly developed pragmatic assessment, the Pragmatic Observational Measure (POM). The psychometric properties of the POM were investigated from observational data of two studies - study 1 involved 342 children aged 5-11 years (108 children with ADHD; 108 typically developing playmates; 126 children in the control group), and study 2 involved 9 children with ADHD who attended a 7-week play-based intervention. The psychometric properties of the POM were determined based on the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) taxonomy of psychometric properties and definitions for health-related outcomes; the Pragmatic Protocol was used as the reference tool against which the POM was evaluated. The POM demonstrated sound psychometric properties in all the reliability, validity and interpretability criteria against which it was assessed. The findings showed that the POM is a reliable and valid measure of pragmatic language skills of children with ADHD between the age of 5 and 11 years and has clinical utility in identifying children with pragmatic language difficulty. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. [Lower Uterine Segment Trial: A pragmatic open multicenter randomized trial].

    Science.gov (United States)

    Rozenberg, P; Deruelle, P; Sénat, M-V; Desbrière, R; Winer, N; Simon, E; Ville, Y; Kayem, G; Boutron, I

    2018-04-01

    The data from literature show that trial of labor and elective repeat cesarean delivery after a prior cesarean delivery both present significant risks and benefits, and these risks and benefits differ for the woman and her fetus. The benefits to the woman can be at the expense of her fetus and vice-versa. This uncertainty is compounded by the scarcity of high-level evidence that preclude accurate quantification of the risks and benefits that could help provide a fair counseling about a trial of labor and elective repeat cesarean delivery. An interesting way of research is to evaluate the potential benefits of a decision rule associated to the ultrasound measurement of the lower uterine segment (LUS). Indeed, ultrasonography may be helpful in determining a specific risk for a given patient by measuring the thickness of the LUS, i,e, the thickness of the cesarean delivery scar area. Although only small and often methodologically biased data have been published, they look promising as their results are concordant: ultrasonographic measurements of the LUS thickness is highly correlated with the intraoperative findings at cesarean delivery. Furthermore, the thinner the LUS becomes on ultrasound, the higher the likelihood of a defect in the LUS. Finally, ultrasound assessment of LUS has an excellent negative predictive value for the risk of uterine defect. Therefore, this exam associated with a rule of decision could help to reduce the rate of elective repeat cesarean delivery and especially to reduce the fetal and maternal mortality and morbidity related to trial of labor after a prior cesarean delivery. This is a pragmatic open multicenter randomized trial with two parallel arms. Randomization will be centralized and computerized. Since blindness is impossible, an adjudication committee will evaluate the components of the primary composite outcome in order to avoid evaluation bias. An interim analysis will be planned mid-strength of the trial. Ultrasound will be

  4. Pragmatic inquiry and creativity

    DEFF Research Database (Denmark)

    Gimmler, Antje

    ’Don’t block the road of inquiry” was the motto of Peirce and also Dewey situated inquiry in its ideal version in a democratic and cooperative community. Abduction became the key concept for the pragmatic and creative research process where the lonely engineer is substituted with intelligent...... collaborations of the many. Thus, inquiry is from a pragmatic understanding rather a social than a purely cognitive task. The paper will firstly give a sketch of this understanding of inquiry and creativity on the background of the theories of Peirce and Dewey and will draw some parallels to recent...... of Thevenot’s critical pragmatism this understanding might be naïve – not because this is an idealistic rather than a real-life scenario but because the idea of collaborative creativity and self-realization has actually become the driving force in a marked dominated organization of science and production...

  5. Pragmatics & Language Learning. Volume 14

    Science.gov (United States)

    Bardovi-Harlig, Kathleen, Ed.; Félix-Brasdefer, J. César, Ed.

    2016-01-01

    This volume contains a selection of papers presented at the 2014 International Conference of Pragmatics and Language Learning at Indiana University. It includes fourteen papers on a variety of topics, with a diversity of first and second languages, and a wide range of methods used to collect pragmatic data in L2 and FL settings. This volume is…

  6. An ethnobotanical survey of indigenous medicinal plants in Hafizabad district, Punjab-Pakistan

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    Umair, Muhammad; Altaf, Muhammad

    2017-01-01

    Present paper offers considerable information on traditional uses of medicinal plants by the inhabitants of Hafizabad district, Punjab-Pakistan. This is the first quantitative ethnobotanical study from the area comprising popularity level of medicinal plant species intendedby using relative popularity level (RPL) and rank order priority (ROP) indices.Ethnobotanical data were collected by interviewing 166 local informants and 35 traditional health practioners (THPs) from different localities of Hafizabad district. Demographic features of informants; life form, part used, methods of preparation, modes of application and ethnomedicinal uses were documented. Ethnobotanical data were analyzed using quantitative tools, i.e. Relative frequency citation (RFC), use value (UV), informant consensus factor (ICF) fidelity level (FL), RPL and ROP indices. A total of 85 species belonging to 71 genera and 34 families were documented along with ethnomedicinal uses. Solanum surattense, Withania somnifera, Cyperus rotundus, Solanum nigrum and Melia azedarach were the most utilized medicinal plant species with highest used value. The reported ailments were classified into 11 disease categories based on ICF values and highest number of plant species was reported to treat dermatological and gastrointestinal disorders. Withania somnifera and Ranunculus sceleratus with maximum FL (100%), were used against gastrointestinal and urinary disorders, respectively. The RPL and ROP values were calculated to recognize the folk medicinal plant wealth; six out of 32 plant species (19%) were found popular, based on citation by more than half of the maximum number of informant viz. 26. Consequently, the ROP value for these species was more than 75. The comparative assessment with reported literature revealed 15% resemblance and 6% variation to previous data;however79% uses of the reported species were recorded for the first time. The diversity of medicinal plant species and associated traditional

  7. The Effects of Implicit and Explicit Instruction on the Academic Interlanguage Pragmatic Knowledge of Iranian EFL Learners

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    Hamid Reza Iraji

    2018-04-01

    Full Text Available Pragmatic competence, as one of the main components of communicative competence, ought to be given sufficient attention by the foreign language instructors and students. Recently, a surge of interest in interlanguage pragmatics (ILP has been witnessed. The studies on explicit and implicit instruction on Iranian EFL students’ production of two pragmatic aspects of apology and request have been few. Thus, the aim of this study was exploring the potentially facilitative impacts of explicit and implicit instruction on Iranian EFL students’ production of two pragmatic aspects frequently used in daily conversations, namely the speech acts of apology and request. For this purpose, forty homogenized upper-intermediate Iranian EFL learners were randomly divided into one experimental and one control group. They took part in an English-medium conversation course which lasted for eight sessions in which ILP academic situations were presented to the students of the experimental group in the explicit way, while the control group received the same instruction and materials through the implicit method. Following the treatment, the participants received the same validated academic Multiple-Choice Discourse Completion Test (MDCT of ILP. The results indicated that teaching pragmalinguistic features explicitly could improve the interlanguage pragmatic knowledge of the participants in the experimental group.

  8. Ethnobotanical survey and toxicity evaluation of medicinal plants used for fungal remedy in the Southern Highlands of Tanzania

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    Mourice Victor Nyangabo Mbunde

    2017-03-01

    Full Text Available Background/Aim: Some of the antifungal drugs used in current treatments regime are responding to antimicrobial resistance. In rural areas of Southern Tanzania, indigenous people use antifungal drugs alone or together with medicinal plants to curb the effects of antibiotic resistance. This study documented ethnobotanical information of medicinal plants used for managing fungal infections in the Southern highlands of Tanzania and further assess their safety. Methods: Ethnobotanical survey was conducted in Makete and Mufindi districts between July 2014 and December 2015 using semi-structured questionnaires followed by two focus group discussions to verify respondents’ information. Cytotoxicity study was conducted on extracts of collected plants using Brine Shrimp Lethality Test and analyzed by MS Excel 2013 programme. Results: During this survey about 46 plant species belonging to 28 families of angiosperms were reported to be traditionally useful in managing fungal and other health conditions. Among these, Terminalia sericea, Aloe nutii, Aloe lateritia, Zanthoxylum chalybeum, Zanthoxym deremense and Kigelia africana were frequently mentioned to be used for managing fungal infections. The preparation of these herbals was mostly by boiling plant parts especially the leaves and roots. Cytotoxicity study revealed that most of the plants tested were non-toxic with LC¬50¬ >100 which implies that most compounds from these plants are safe for therapeutic use. The dichloromethane extract of Croton macrostachys recorded the highest with LC50 value 12.94 μg/ml. The ethnobotanical survey correlated well with documented literature from elsewhere about the bioactivity of most plants. Conclusions: The ethnobotanical survey has revealed that traditional healers are rich of knowledge to build on for therapeutic studies. Most of the plants are safe for use; and thus can be considered for further studies on drug discovery. [J Complement Med Res 2017; 6(1.000: 84-96

  9. Second language pragmatic ability: Individual differences according to environment

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    Lauren Wyner

    2015-12-01

    Full Text Available The aims of this paper are to review research literature on the role that the second language (L2 and foreign language (FL environments actually play in the development of learners’ target language (TL pragmatic ability, and also to speculate as to the extent to which individual factors can offset the advantages that learners may have by being in the L2 context while they are learning. The paper starts by defining pragmatics and by problematizing this definition. Then, attention is given to research literature dealing with the learning of pragmatics in an L2 context compared to an FL context. Next, studies on the role of pragmatic transfer are considered, with subsequent attention given to the literature on the incidence of pragmatic transfer in FL as opposed to L2 contexts. Finally, selected studies on the role of motivation in the development of pragmatic ability are examined. In the discussion section, a number of pedagogical suggestions are offered: the inclusion of pragmatics in teacher development, the use of authentic pragmatics materials, motivating learners to be more savvy about pragmatics, and supporting learners in accepting or challenging native-speaker norms. Suggestions as to further research in the field are also offered.

  10. From cytokines to pragmatic designs: changing paradigms.

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    Heddle, Nancy M

    2017-10-01

    Emily Cooley was a well-respected medical technologist and morphologist with a remarkable skill set. She was highly regarded both professionally and personally. The "Emily Cooley Lectureship and Award" was established to honor her in particular and medical technologists in general. This article first reviews how a medical laboratory technologist was inspired to become a clinical researcher, then goes on to describe research that led to the discovery of cytokines as the cause of febrile nonhemolytic transfusion and the use of a pragmatic randomized controlled trial design to address evidence of harm when stored red blood cells were transfused. Important lessons for performing quality, meaningful research are highlighted. © 2017 AABB.

  11. Communication and Pragmatic Skills in Foreign Language Classes

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    Olda Xhepa BALLIU

    2015-12-01

    Full Text Available This paper tries to analyze the importance and the relationship between communication and pragmatic skills in foreign language classes. Philosophers and linguists have dealt with language, analyzing it from the psychological viewpoint. Communication in L1 or L2 is related and it depends on the science of pragmatics. While communicating, interlocutors interact impacted by the context, the situation, the receiver, the sender, by using the formal or the informal language according to the circumstances. For this reason, we try, in this paper, to make a thorough description of the relationship between communication and pragmatics. Students need to master pragmatic skills in order to communicate. If Italian students or foreign language students have developed pragmatic skills in the native language, this will help them learning a foreign language. The goal of the foreign language teacher is to help students achieve communication skills. The pragmatic and communication skills can be practiced through communication activities like in L1 for speech acts are practiced in communication.

  12. Ethnobotanical study of Loloh: Traditional herbal drinks from Bali (Indonesia).

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    Sujarwo, Wawan; Keim, Ary Prihardhyanto; Savo, Valentina; Guarrera, Paolo Maria; Caneva, Giulia

    2015-07-01

    Loloh are herbal drinks produced and consumed exclusively in Bali (Indonesia) to prevent and treat different ailments. This is the first study to document plants species used as Loloh, reporting the phytochemical components and pharmacological properties of the most cited plants. Documenting the plants used in herbal drinks in Bali by local communities to treat various ailments (providing some information on phytochemistry and pharmacology of the most interesting plants). Ethnobotanical data were obtained through semi-structured interviews (individual and group discussions) and questionnaires. Plant specimens were collected, identified and made into herbarium vouchers. A total of 51 plants species (belonging to 32 families) have been documented for their use in the various preparation of Loloh. Different plants and plant parts are used to prepare Loloh to treat heartburn, fever, diarrhea, hypertension, aphthous stomatitis (canker sores), and other minor health problems. These plants are mainly prepared as decoctions, are juiced or simply added to the preparation. The most cited plants (>30 informants) are Alstonia scholaris (L.) R. Br., Blumea balsamifera (L.) DC., Cinnamomum burmanni Nees ex Bl., and Piper betle L. These plants are well studied with multiple demonstrated pharmacological activities (e.g., antimicrobial, anticancer, antidiabetic). The Balinese communities still preserve a rich ethnobotanical knowledge. Several species are well known for their pharmacological properties, but some [such as Pneumatopteris callosa (Blume) Nakai and Dendrocnide stimulans (L. f.) Chew] are understudied and could be promising candidates for further research. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  13. [Assessment of pragmatics from verbal spoken data].

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    Gallardo-Paúls, B

    2009-02-27

    Pragmatic assessment is usually complex, long and sophisticated, especially for professionals who lack specific linguistic education and interact with impaired speakers. To design a quick method of assessment that will provide a quick general evaluation of the pragmatic effectiveness of neurologically affected speakers. This first filter will allow us to decide whether a detailed analysis of the altered categories should follow. Our starting point was the PerLA (perception, language and aphasia) profile of pragmatic assessment designed for the comprehensive analysis of conversational data in clinical linguistics; this was then converted into a quick questionnaire. A quick protocol of pragmatic assessment is proposed and the results found in a group of children with attention deficit hyperactivity disorder are discussed.

  14. Pragmatic Randomized, Controlled Trial of Patient Navigators and Enhanced Personal Health Records in CKD.

    Science.gov (United States)

    Navaneethan, Sankar D; Jolly, Stacey E; Schold, Jesse D; Arrigain, Susana; Nakhoul, Georges; Konig, Victoria; Hyland, Jennifer; Burrucker, Yvette K; Dann, Priscilla Davis; Tucky, Barbara H; Sharp, John; Nally, Joseph V

    2017-09-07

    Patient navigators and enhanced personal health records improve the quality of health care delivered in other disease states. We aimed to develop a navigator program for patients with CKD and an electronic health record-based enhanced personal health record to disseminate CKD stage-specific goals of care and education. We also conducted a pragmatic randomized clinical trial to compare the effect of a navigator program for patients with CKD with enhanced personal health record and compare their combination compared with usual care among patients with CKD stage 3b/4. Two hundred and nine patients from six outpatient clinics (in both primary care and nephrology settings) were randomized in a 2×2 factorial design into four-study groups: ( 1 ) enhanced personal health record only, ( 2 ) patient navigator only, ( 3 ) both, and ( 4 ) usual care (control) group. Primary outcome measure was the change in eGFR over a 2-year follow-up period. Secondary outcome measures included acquisition of appropriate CKD-related laboratory measures, specialty referrals, and hospitalization rates. Median age of the study population was 68 years old, and 75% were white. At study entry, 54% of patients were followed by nephrologists, and 88% were on renin-angiotensin system blockers. After a 2-year follow-up, rate of decline in eGFR was similar across the four groups ( P =0.19). Measurements of CKD-related laboratory parameters were not significantly different among the groups. Furthermore, referral for dialysis education and vascular access placement, emergency room visits, and hospitalization rates were not statistically significant different between the groups. We successfully developed a patient navigator program and an enhanced personal health record for the CKD population. However, there were no differences in eGFR decline and other outcomes among the study groups. Larger and long-term studies along with cost-effectiveness analyses are needed to evaluate the role of patient navigators

  15. Cognitive impairment and pragmatics.

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    Gutiérrez-Rexach, Javier; Schatz, Sara

    2016-01-01

    One of the most important ingredients of felicitous conversation exchanges is the adequate expression of illocutionary force and the achievement of perlocutionary effects, which can be considered essential to the functioning of pragmatic competence. The breakdown of illocutionary and perlocutionary functions is one of the most prominent external features of cognitive impairment in Alzheimer's Disease, with devastating psychological and social consequences for patients, their family and caregivers. The study of pragmatic functions is essential for a proper understanding of the linguistic and communicative aspects of Alzheimer's disease.

  16. Pragmatic Challenges to Human Rights

    DEFF Research Database (Denmark)

    Schaumburg-Müller, Sten

    2007-01-01

    Pragmatism offers a platform for posing relevant questions. This article uses a pragmatic point of departure to question a natural law conception of human rights and to take a closer look at three pressing human rights problems: The human rights situation in states with little or no state capacity......; the revision and adaptation of human rights law; and the not straightforward relationship betweemn human rights and democracy....

  17. Where is pragmatics in optimality theory?

    NARCIS (Netherlands)

    Zeevat, H.; Kecskes, I.; Mey, J.

    2008-01-01

    This paper deals with the architectural issues of pragmatics within an overall account of natural language in optimality theory. It is argued that pragmatics can be seen as an optimisation problem described by its own constraint system which lies outside the constraint system that defines grammar

  18. Pragmatism: A lived and living philosophy

    DEFF Research Database (Denmark)

    Elkjær, Bente; Simpson, Barbara

    2011-01-01

    In the past, critics have dismissed American Pragmatism as intellectually naïve and philosophically passé, but in this chapter we argue that it still has much to offer the field of organization studies. Pragmatism is especially relevant to those organizational scholars who are concerned with unde...

  19. Ethnobotanical review of the Mapuche medicinal flora: use patterns on a regional scale.

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    Molares, Soledad; Ladio, Ana

    2009-03-18

    This paper aimed to present a quantitative review of information on Mapuche ethnobotany published for Argentina and Chile in the period 1955-2007. Sixteen ethnobotanical articles were studied quantitatively by utilizing ethnobotanical indices, non-parametric and multivariate tests. A total of 505 medicinal species, 304 native (60%) and 196 exotic (39%) were registered. Ailments were treated with both native and exotic species, although native showed higher values of consensus (between studies) than exotic, and were more frequently used in all cases. The most common ailments were gastro-intestinal pains (26%). Most cures used herbs (56%). Native species were obtained mainly by gathering in forests and ecotones (40%), and exotics by gathering in anthropogenic environments (28%). Our results demonstrate the existence of a common, shared body of knowledge of the medicinal flora at a regional level, integrating ancestral knowledge with foreign knowledge accumulated over time. Finally, reflecting cultural erosion, modern articles cited significantly fewer native plants than older articles; a trend not found with exotic species. The information offered can be used as a guide for future work on promising species for health care, and as background information for the development of bio-cultural conservation strategies.

  20. Pragmatic Computing - A Semiotic Perspective to Web Services

    Science.gov (United States)

    Liu, Kecheng

    The web seems to have evolved from a syntactic web, a semantic web to a pragmatic web. This evolution conforms to the study of information and technology from the theory of semiotics. The pragmatics, concerning with the use of information in relation to the context and intended purposes, is extremely important in web service and applications. Much research in pragmatics has been carried out; but in the same time, attempts and solutions have led to some more questions. After reviewing the current work in pragmatic web, the paper presents a semiotic approach to website services, particularly on request decomposition and service aggregation.

  1. Peirce, pragmatism, and the right way of thinking.

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, Philip LaRoche

    2011-08-01

    This report is a summary of and commentary on (a) the seven lectures that C. S. Peirce presented in 1903 on pragmatism and (b) a commentary by P. A. Turrisi, both of which are included in Pragmatism as a Principle and Method of Right Thinking: The 1903 Harvard Lectures on Pragmatism, edited by Turrisi [13]. Peirce is known as the founder of the philosophy of pragmatism and these lectures, given near the end of his life, represent his mature thoughts on the philosophy. Peirce's decomposition of thinking into abduction, deduction, and induction is among the important points in the lectures.

  2. Pragmatic Elements in EFL Course Books

    Science.gov (United States)

    Ulum, Ömer Gökhan

    2015-01-01

    Pragmatic development or competence has been great concern particularly for the recent decades. Regarding this issue, questioning the existence and delivery of speech acts in EFL course books may be sententious, as learners employ them for pragmatic input. Although much research has been conducted referring to speech acts, comparably little…

  3. Effectiveness of a group diabetes education programme in underserved communities in South Africa: pragmatic cluster randomized control trial

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    Mash Bob

    2012-12-01

    Full Text Available Abstract Background Diabetes is an important contributor to the burden of disease in South Africa and prevalence rates as high as 33% have been recorded in Cape Town. Previous studies show that quality of care and health outcomes are poor. The development of an effective education programme should impact on self-care, lifestyle change and adherence to medication; and lead to better control of diabetes, fewer complications and better quality of life. Methods Trial design: Pragmatic cluster randomized controlled trial Participants: Type 2 diabetic patients attending 45 public sector community health centres in Cape Town Interventions: The intervention group will receive 4 sessions of group diabetes education delivered by a health promotion officer in a guiding style. The control group will receive usual care which consists of ad hoc advice during consultations and occasional educational talks in the waiting room. Objective: To evaluate the effectiveness of the group diabetes education programme Outcomes: Primary outcomes: diabetes self-care activities, 5% weight loss, 1% reduction in HbA1c. Secondary outcomes: self-efficacy, locus of control, mean blood pressure, mean weight loss, mean waist circumference, mean HbA1c, mean total cholesterol, quality of life Randomisation: Computer generated random numbers Blinding: Patients, health promoters and research assistants could not be blinded to the health centre’s allocation Numbers randomized: Seventeen health centres (34 in total will be randomly assigned to either control or intervention groups. A sample size of 1360 patients in 34 clusters of 40 patients will give a power of 80% to detect the primary outcomes with 5% precision. Altogether 720 patients were recruited in the intervention arm and 850 in the control arm giving a total of 1570. Discussion The study will inform policy makers and managers of the district health system, particularly in low to middle income countries, if this programme can

  4. An ethnobotanical survey of medicinal plants used in Loja and Zamora-Chinchipe, Ecuador.

    Science.gov (United States)

    Tene, Vicente; Malagón, Omar; Finzi, Paola Vita; Vidari, Giovanni; Armijos, Chabaco; Zaragoza, Tomás

    2007-04-20

    This paper reports the results of an ethnobotanical survey on the uses of medicinal plants by inhabitants of two southern Ecuadorian provinces, namely, Loja and Zamora-Chinchipe. In this region, two surviving ethnic groups, the Saraguros and the Shuars, and the descendants of a now extinct culture, the Paltas, have been identified. The present study reports a total of 275 plant species, having 68 different therapeutical uses.

  5. Series: Pragmatic trials and real world evidence : Paper 8 Data collection and management Data collection in Pragmatic Trials

    NARCIS (Netherlands)

    Meinecke, Anna Katharina; Welsing, Paco; Kafatos, George; Burke, Des; Trelle, Sven; Kubin, Maria; Nachbaur, Gaelle; Egger, Matthias; Zuidgeest, Mira

    2017-01-01

    Pragmatic trials can improve our understanding of how treatments will perform in routine practice. In a series of eight papers, the GetReal Consortium has evaluated the challenges in designing and conducting pragmatic trials and their specific methodological, operational, regulatory and ethical

  6. Is Principled Pragmatism a Viable Framework for Addressing Complex Problems?

    Science.gov (United States)

    Islam, S.

    2017-12-01

    Complex water problems are connected with many competing and often conflicting values, interests, and tools. These problems can't be addressed through simply applying dogmatic principles or a deal-making pragmatic approach. Because these problems are interconnected and interdependent, a final solution can't be pre-specified. Any intervention to a complex problem requires attention to both principles and pragmatism. Strict adherence to principles without pragmatism is often not actionable; pure pragmatism exercised without guiding principles is not sustainable. In a colloquial sense, pragmatism is often taken to suggest practical, opportunistic, and expedient approaches at the expense of principles. This perception appears to be rooted in the dichotomy between "being pragmatic" and "being ideological". The notion of principled pragmatism attempts to get away from this duality by focusing on how to make ideas clear and actionable. In other words, how to connect our thoughts to action given the context, constraints, and capacity. Principled pragmatism - rooted in equity and sustainability as guiding principles for water management - approach attempts to synthesize symbolic aspirations with realistic assessment to chart a trajectory of actionable subset of implementable solutions. Case studies from the Ganges Basin will show the utility of principled pragmatism for water management in a changing world.

  7. SOA Pragmatism

    Science.gov (United States)

    Shan, Tony C.

    This paper presents a pragmatic approach composed of Methodology, Automation, Patterns, and Strategy (MAPS), to effectively manage the architecture design practices and solution development lifecycle of information systems in a service-oriented paradigm. The key challenges in SOA are discussed, such as architecture complexity, evolving technologies, immature governance, fragmented specification efforts, and disparate visual notations. This comprehensive framework aims to provide a mature integration of appropriate knowledge and capabilities to filter the inessential from the essential. In the Methodology dimension, a hybrid method, SOA philosophy, and a methodical approach are the key components. The Automation dimension covers tools, service lifecycle, and COTS mapping. The prominent elements of the Patterns dimension are data caching patterns, reference model, and open source reference implementation. Finally, the Strategy dimension addresses the strategy metamodel, technology architecture planning, and strategy roadmapping. In addition, a 9-point list of SOA wisdom is articulated, which gives best-practice guidelines to adopt and implement SOA pragmatically in large organizations from a practitioner's perspeoctive.

  8. Pragmatics and adult language disorders: past achievements and future directions.

    Science.gov (United States)

    Cummings, Louise

    2007-05-01

    In this article, the current state of our knowledge of pragmatic disorders in adults with language impairment is assessed. A brief historical background of clinical pragmatics is presented, and the place of adult language pathology within the development of this field is discussed. A comprehensive review is undertaken of pragmatic deficits in adults with language impairments of diverse etiologies. Specifically, pragmatic deficits are examined in adults with left-hemisphere damage, often resulting in aphasia, and in adults with right-hemisphere damage, traumatic brain injury, schizophrenia, and neurodegenerative disorders (principally, Alzheimer's disease). Although many pragmatic phenomena have been examined in these clinical populations, studies have also tended to neglect important areas of pragmatic functioning in adults with these disorders. Several such areas are identified within a wider discussion of how researchers and clinicians can best pursue future investigations of pragmatics in adults with language impairment.

  9. Ethno-botanical study of the African star apple (Chrysophyllum albidum G. Don in the Southern Benin (West Africa

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    Houessou Laurent G

    2012-10-01

    Full Text Available Abstract Background In addition to plant species biology and ecology, understanding the folk knowledge systems related to the use of plant species and how this knowledge system influences the conservation of plant species is an important issue in the implementation of sustainable strategies of biodiversity conservation programs. This study aimed at providing information on the use and local knowledge variation on Chrysophyllum albidum G. Don a multipurpose tree species widely used in southern Benin. Methods Data was collected through 210 structured interviews. Informants were randomly selected from ten villages. The fidelity level and use value of different plant parts of C. albidum were estimated. The variation in ethnobotanical knowledge was assessed by comparing the use value between ethnic, gender and age groups. In order to assess the use pattern of the different plant parts in folk medicine, a correspondence analysis was carried out on the frequency citation of plant parts. Results Four categories of use (food, medicine, firewood and timber were recorded for C. albidum. With respect to the different plant parts, the fleshy pulp of the African star apple fruit showed high consensus degree as food among the informants. Fifteen diseases were reported to be treated by the different parts of C. albidum in the region. Correspondence analysis revealed the specificity of each part in disease treatment. There was no significant difference among ethnic groups regarding the ethno-botanical use value of C. albidum. However, significant difference existed between genders and among age groups regarding the knowledge of the medical properties of this species. Conclusions C. albidum is well integrated in the traditional agroforestry system of the southern Benin. Despite its multipurpose character, this species remains underutilized in the region. Considering the current threat of habitat degradation, action is needed in order to ensure the long term

  10. Pressure ulcer multidisciplinary teams via telemedicine: a pragmatic cluster randomized stepped wedge trial in long term care.

    Science.gov (United States)

    Stern, Anita; Mitsakakis, Nicholas; Paulden, Mike; Alibhai, Shabbir; Wong, Josephine; Tomlinson, George; Brooker, Ann-Sylvia; Krahn, Murray; Zwarenstein, Merrick

    2014-02-24

    The study was conducted to determine the clinical and cost effectiveness of enhanced multi-disciplinary teams (EMDTs) vs. 'usual care' for the treatment of pressure ulcers in long term care (LTC) facilities in Ontario, Canada We conducted a multi-method study: a pragmatic cluster randomized stepped-wedge trial, ethnographic observation and in-depth interviews, and an economic evaluation. Long term care facilities (clusters) were randomly allocated to start dates of the intervention. An advance practice nurse (APN) with expertise in skin and wound care visited intervention facilities to educate staff on pressure ulcer prevention and treatment, supported by an off-site hospital based expert multi-disciplinary wound care team via email, telephone, or video link as needed. The primary outcome was rate of reduction in pressure ulcer surface area (cm2/day) measured on before and after standard photographs by an assessor blinded to facility allocation. Secondary outcomes were time to healing, probability of healing, pressure ulcer incidence, pressure ulcer prevalence, wound pain, hospitalization, emergency department visits, utility, and cost. 12 of 15 eligible LTC facilities were randomly selected to participate and randomized to start date of the intervention following the stepped wedge design. 137 residents with a total of 259 pressure ulcers (stage 2 or greater) were recruited over the 17 month study period. No statistically significant differences were found between control and intervention periods on any of the primary or secondary outcomes. The economic evaluation demonstrated a mean reduction in direct care costs of $650 per resident compared to 'usual care'. The qualitative study suggested that onsite support by APN wound specialists was welcomed, and is responsible for reduced costs through discontinuation of expensive non evidence based treatments. Insufficient allocation of nursing home staff time to wound care may explain the lack of impact on healing

  11. Pragmatic Information as a Unifying Biological Concept

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    Reza Maleeh

    2014-09-01

    Full Text Available This paper aims to introduce a developed reading of Roederer’s interpretation of pragmatic information as a good candidate for a Unifying Information Concept required for an as-yet-unavailable Science of Information. According to pragmatic information, information and information processing are exclusive attributes of biological systems related to the very definition of life. I will apply the notion to give new accounts in the following areas: (1 quantum interpretation: based on a modified version of David Bohm’s interpretation of quantum mechanics, I propose an ontological, information-based interpretation of quantum mechanics which, unlike Roederer’s interpretation, satisfies all conditions of pragmatic information; (2 artificial intelligence: the notion successfully distinguishes natural living systems from artifacts and natural non-living systems, providing a context to pose an information-based argument against the thesis of Strong Artificial Intelligence; (3 phenomenal consciousness: I will use pragmatic information to modify and update Chalmers’s Double-aspect Theory of Information to be explanatorily more powerful regarding the physical aspect of his theory; (4 causation: based on pragmatic information, I pose a new account of causation which differentiates causation in biology from causation in natural abiotic world.

  12. Pragmatic communication deficits in children with epilepsy

    NARCIS (Netherlands)

    Broeders, Mark; Geurts, Hilde; Jennekens-Schinkel, Aag

    2010-01-01

    Background: Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are

  13. Ethnobotanical survey of medicinal plants used as anthelmintic remedies in Gabon.

    Science.gov (United States)

    Bajin Ba Ndob, Idensi; Mengome, Line Edwige; Bourobou Bourobou, Henri-Paul; Lossangoye Banfora, Yvon; Bivigou, Francis

    2016-09-15

    In this article, we report on an ethnobotanical survey realized at the Peyrie market in Libreville on Gabonese medicinal plants used to treat helminthiasis. While several alerts about cases of resistance to conventional anthelmintic treatments are causing to fear a public and animal health issue, the search for new sources of active compounds becomes an urgent issue. In Gabon like in many developing countries, people regularly turn to traditional medicine in case of physical ailments and/or spiritual healing therapies. To determine which medicinal plants are traditionally used by the populations of Libreville to fight against nematodes, medicinal plant traders were interviewed with standardized questionnaires. The surveys were conducted in the main market of Libreville. Ethnobotanical data such as frequency and percentage of families, species, administrations pathways, modes of preparations and parts of plants used were analyzed and summarized. Thirty-four (34) traders were interviewed belonging to five (5) different ethnic groups. Twenty-four 24 plants used to treat intestinal, cutaneous and ocular helminthiasis were listed. The healers mainly turned towards to ligneous species. The parts of the plant used are mostly leaves and trunk bark. Most of the traditional remedies are prepared directly in water and four (4) principal routes were used for administration namely, oral, rectal, ocular and dermal. This study allowed us to list anthelmintic species which will be subjected to a series of chemical and pharmacological assays. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  14. Ethical Considerations in Conducting Pragmatic Trials in Oncology.

    Science.gov (United States)

    Hammer, Marilyn J

    2017-09-01

    Pragmatic trials evaluate interventions in real-life scenarios, which differ from explanatory trials that control for numerous factors and variables to best determine causal associations. Each approach has advantages and disadvantages. Conducting pragmatic research trials while maintaining the tenets of the ethical conduct of research can sometimes be challenging, particularly regarding informed consent. In this column, distinctions between pragmatic and explanatory trials are discussed from an ethical view.

  15. Ethnobotanical Study of Tehsil Kabal, Swat District, KPK, Pakistan

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    Imtiaz Ahmad

    2011-01-01

    Full Text Available A total of 140 plants have been reported ethnobotanically from Tehsil Kabal, Swat District. These include the 133 plants (95% of angiosperms, 3 (2.14% of gymnosperms, and 2 (1.42% each of pteridophytes and fungi. The largest family is Lamiaceae represented by 11 species followed by Rosaceae represented by 9 species. Among angiosperms 76 (55.63% were herbs, 17 (12.78% were shrubs, and 40 (30.07% were trees; 127 plants (95.48% were dicot while 6 plants (4.51% were monocot. Most of the plants were used for more than one purpose. Generally the plants were used for medicinal, fuel, timber wood, food, and fodder for cattle purposes.

  16. Ethnobotanical study of some Ghanaian anti-malarial plants.

    Science.gov (United States)

    Asase, Alex; Oteng-Yeboah, Alfred A; Odamtten, George T; Simmonds, Monique S J

    2005-06-03

    An ethnobotanical study was conducted in the Wechiau Community Hippopotamus Sanctuary area in Ghana, through interviews and quadrate studies, to investigate the range and abundance of species used in the treatment of malaria. Forty-one species belonging to 17 families were encountered during the study. Of the 17 families studied Leguminosae and Anacardiaceae predominated in terms of number of species used to treat malaria. Eight plant species namely, Afraegle paniculata (Rutaceae), Haematostaphis barteri (Anacardiaceae), Indigo era pulchra (Leguminosae), Monanthotaxis sp. (Annonaceae), Ozoroa insignis (Anacardiaceae), Strychnos innocua (Loganiaceae), Strychnos spinosa (Loganiaceae) and Xeroderris stuhlmannii (Leguminosae) have not previously been documented for the treatment of malaria in Ghana. The results are discussed and recommendations made for future research to support the conservation and sustainable harvesting of the species reported to have medicinal properties.

  17. Pragmatic Communication Deficits in Children with Epilepsy

    Science.gov (United States)

    Broeders, Mark; Geurts, Hilde; Jennekens-Schinkel, Aag

    2010-01-01

    Background: Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both…

  18. Teaching L2 Pragmatics: Opportunities for Continuing Professional Development

    Science.gov (United States)

    Vellenga, Heidi

    2011-01-01

    Teaching L2 pragmatics is often not covered in teacher education programs, and is an excellent area for continuing professional development. As part of a larger project on instructed interlanguage pragmatics, volunteer instructor participants were asked to teach a series of lessons on pragmatics to university-aged (19-23) ESL learners in ESL and…

  19. Context-free pragmatism in Danish campus architecture

    DEFF Research Database (Denmark)

    Knudsen, Lars Emmerik Damgaard

    an educational ideal that also seem to lack a sense of context, and hence both the architecture and the educational structuring in Campus Roskilde can be understood as a context free pragmatism. I analyze this tendency with references to Dewey’s own work on the meaning of the educational environment.......The idea of new pragmatism has inspired a new Danish wave in architecture that since 2012 has had enormous influence on the design of campus buildings in the professional education sector in Denmark. In arguing for a no-nonsense approach to architecture representatives of new pragmatism refers...

  20. Pragmatism and Practice Theory: Convergences or collisions

    DEFF Research Database (Denmark)

    Elkjaer, Bente; Buch, Anders

    of organizations. In this paper we want to spell out the theoretical similarities and divergences between practice theory and pragmatism to consider whether the two traditions can find common ground when gazing upon organization studies. We suggest that pragmatism should be included in the ‘tool-kit’ of practice......Proponents of the ‘practice turn’ in the social sciences rarely mention American pragmatism as a source of inspiration or refer to pragmatist philosophy. This strikes us as not only odd, but also a disadvantage since the pragmatist legacy has much to offer practice theory in the study...

  1. Extending the temporal context of ethnobotanical databases: the case study of the Campania region (southern Italy

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    Pollio Antonino

    2009-02-01

    Full Text Available Abstract Background Ethnobotanical studies generally describe the traditional knowledge of a territory according to a "hic et nunc" principle. The need of approaching this field also embedding historical data has been frequently acknowledged. With their long history of civilization some regions of the Mediterranean basin seem to be particularly suited for an historical approach to be adopted. Campania, a region of southern Italy, has been selected for a database implementation containing present and past information on plant uses. Methods A relational database has been built on the basis of information gathered from different historical sources, including diaries, travel accounts, and treatises on medicinal plants, written by explorers, botanists, physicians, who travelled in Campania during the last three centuries. Moreover, ethnobotanical uses described in historical herbal collections and in Ancient and Medieval texts from the Mediterranean Region have been included in the database. Results 1672 different uses, ranging from medicinal, to alimentary, ceremonial, veterinary, have been recorded for 474 species listed in the data base. Information is not uniformly spread over the Campanian territory; Sannio being the most studied geographical area and Cilento the least one. About 50 plants have been continuously used in the last three centuries in the cure of the same affections. A comparison with the uses reported for the same species in Ancient treatises shows that the origin of present ethnomedicine from old learned medical doctrines needs a case-by-case confirmation. Conclusion The database is flexible enough to represent a useful tool for researchers who need to store and compare present and previous ethnobotanical uses from Mediterranean Countries.

  2. Research Directions in Anthropological Pragmatics

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    Piotr P. Chruszczewski

    2011-08-01

    Full Text Available Anthropological linguistics, and by default also anthropological pragmatics, grew as sub-disciplines of both anthropology and linguistics. “The intellectual basis for anthropological linguistics in the United States derives from Boas ([1911] 1966, whose interests and concerns led to the anthropological view of language, which is that language is an integral part of culture (…” (Klein 2006: 296. Pragmatics enters the scene, telling the researcher how to analyse the aforementioned phenomena. Therefore, anthropological pragmatics would be responsible for equipping the researcher with tools, for it is language and language-oriented mechanisms of communication, the study of which provides a much clearer insight into cultural phenomena which often direct the use of language representing culture from both the synchronic and the diachronic point of view. “[O]ne approaches language from an anthropological view, which includes the uses of language and the uses of silence, as well as the cultural problems involved in silence and speech” (ibid..

  3. Pragmatic expressions in cross-linguistic perspective

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    Maryann Overstreet

    2012-09-01

    Full Text Available This paper focuses on some pragmatic expressions that are characteristic of informal spoken English, their possible equivalents in some other languages, and their use by EFL learners from different backgrounds. These expressions, called general extenders (e.g. and stuff, or something, are shown to be different from discourse markers and to exhibit variation in form, function and distribution across varieties of English, as well as in other languages. In EFL contexts, students are reported to use fewer pragmatic expressions and a smaller range of possible forms. They also tend to favor expressions more often associated with writing and formal speaking (e.g. and so on, include literal translation equivalents from their first language that are not used in English (e.g. and, and, and, or used only in restricted contexts (e.g. or so, and often seem not to realize that some forms may carry negative connotations (e.g. and blah, blah, blah. The possibility of fostering better pragmatic awareness among EFL students is discussed in terms of an explicit cross-linguistic focus on the forms and functions of pragmatic expressions.

  4. Signal to act : game theory in pragmatics

    NARCIS (Netherlands)

    Franke, M.

    2009-01-01

    This thesis offers a general game theoretic model of language use and interpretation and applies it to linguistic pragmatics in the vein of Grice (1989). The model presented here —called the ibr model explains pragmatic phenomena, such as conversational implicatures, as arising from a sequence of

  5. Exploring the Validity of a Second Language Intercultural Pragmatics Assessment Tool

    Science.gov (United States)

    Timpe-Laughlin, Veronika; Choi, Ikkyu

    2017-01-01

    Pragmatics has been a key component of language competence frameworks. While the majority of second/foreign language (L2) pragmatics tests have targeted productive skills, the assessment of receptive pragmatic skills remains a developing field. This study explores validation evidence for a test of receptive L2 pragmatic ability called the American…

  6. Ethnobotanical study and nutrient content of indigenous vegetables consumed in Central Kalimantan, Indonesia

    OpenAIRE

    SUSI KRESNATITA; YULA MIRANDA; HASTIN E.N.C. CHOTIMAH

    2013-01-01

    Abstract. Chotimah HENC, Kresnatita S, Miranda Y. 2013. Ethnobotanical study and nutrient content of indigenous vegetables consumed in Central Kalimantan, Indonesia. Biodiversitas 14: 106-111. People in Central Kalimantan consume vegetables that collected from the wild or traditionally cultivated. Documentation effort of them is very important because of the diversity of local vegetable are threatened with extinction due to the conversion of peat land and forest fires. This study aims to dete...

  7. Ethnobotanical study and nutrient content of indigenous vegetables consumed in Central Kalimantan, Indonesia

    Directory of Open Access Journals (Sweden)

    SUSI KRESNATITA

    2013-10-01

    Full Text Available Abstract. Chotimah HENC, Kresnatita S, Miranda Y. 2013. Ethnobotanical study and nutrient content of indigenous vegetables consumed in Central Kalimantan, Indonesia. Biodiversitas 14: 106-111. People in Central Kalimantan consume vegetables that collected from the wild or traditionally cultivated. Documentation effort of them is very important because of the diversity of local vegetable are threatened with extinction due to the conversion of peat land and forest fires. This study aims to determine the diversity of indigenous vegetables in Central Kalimantan, its use as a vegetable and nutrient content some vegetables. The method used was the exploration and interviews. Exploration carried out in three districts namely Palangkaraya, Pulang Pisau, and Seruyan. Sampling of plants was randomly and selectively. Data analysis was performed descriptively. The results showed that we recorded 42 plant species belonging to 30 families. There were many vegetables processing: stir-fry, clear soup, a light coconut milk soup, acidic soup, or just consumed as fresh vegetables. The result of nutritional value analyzed, Helminthostachys zeylanica (L. Hook had a potential to further develop whether as vegetables or medicinal plant. It had the highest protein, carbohydrate and mineral P, Fe, Na and K content among the vegetables analyzed.

  8. An ethnobotanical study of medicinal plants in Wayu Tuka District, East Welega Zone of Oromia Regional State, West Ethiopia

    Science.gov (United States)

    2013-01-01

    Background This paper reports an ethnobotanical study that focused on the traditional medicinal plants used by local communities to treat human and livestock ailments. A cross-sectional study was undertaken from September 2009 to June 2010 in Wayu Tuka District of Oromia Region, Ethiopia. The aim of the study is to document medicinal plants used by local people of the study area and the threats currently affecting medicinal plants. Methods Ethnobotanical data were collected using semi-structured interviews, field observations and group discussion in which 63 (41 men & 22 women) randomly selected informants participated. Of which, 11 (10 male and 1 female) were local healers. Paired comparison method, direct matrix ranking and Informant consensus factors (ICF) were used to analyze the importance of some plant species. Results A total of 126 medicinal plant species, distributed in 108 genera and 56 families, were collected together with their medicinal uses. Of the 126 species of medicinal plants collected from the study area, eighty six (68%) were obtained from the wild whereas thirty three (26%) were from homegardens. The Fabaceae came out as a leading family with 15 medicinal species while the Solanaceae followed with eight species. Seventy eight (62%) of the medicinal plants were reported as being used for treating human ailments, 23 (18.2%) for the treatment of livestock ailments and 25 (20%) for both. The most frequently used plant parts were leaves (43%), followed by roots (18.5%) while crushing, which accounted for (29%) and powdering (28%) were the widely used methods of preparation of traditional herbal medicines. Conclusion The number of reported medicinal plants and their uses by the local people of the District indicate the depth of the local indigenous knowledge on medicinal plants and their application. The documented medicinal plants can serve as a basis for future investigation of modern drug. PMID:24295044

  9. Behavioral pragmatism: No place for reality and truth

    Science.gov (United States)

    Barnes-Holmes, Dermot

    2000-01-01

    The current article begins by reviewing L. J. Hayes's claim that pragmatism relies on a correspondence-based truth criterion. To evaluate her claim, the concept of the observation sentence, proposed by the pragmatist philosopher W. V. Quine, is examined. The observation sentence appears to remove the issue of correspondence from Quine's pragmatist philosophy. Nevertheless, the issue of correspondence reemerges, as the problem of homology, when Quine appeals to agreement between or among observation sentences as the basis for truth. Quine also argues, however, that the problem of homology (i.e., correspondence) should be ignored on pragmatic grounds. Because the problem is simply ignored, but not resolved, there appears to be some substance to Hayes's claim that pragmatism relies ultimately on correspondence as a truth criterion. Behavioral pragmatism is then introduced to circumvent both Hayes's claim and Quine's implicit appeal to correspondence. Behavioral pragmatism avoids correspondence by appealing to the personal goals (i.e., the behavior) of the scientist or philosopher as the basis for establishing truth. One consequence of this approach, however, is that science and philosophy are robbed of any final or absolute objectives and thus may not be a satisfactory solution to philosophers. On balance, behavioral pragmatism avoids any appeal to correspondence-based truth, and thus it cannot be criticized for generating the same philosophical problems that have come to be associated with this truth criterion. PMID:22478346

  10. Pragmatics in acquisition.

    Science.gov (United States)

    Clark, Eve V

    2014-07-01

    Recent research has highlighted several areas where pragmatics plays a central role in the process of acquiring a first language. In talking with their children, adults display their uses of language in each context, and offer extensive feedback on form, meaning, and usage, within their conversational exchanges. These interactions depend critically on joint attention, physical co-presence, and conversational co-presence - essential factors that help children assign meanings, establish reference, and add to common ground. For young children, getting their meaning across also depends on realizing language is conventional, that words contrast in meaning, and that they need to observe Grice's cooperative principle in conversation. Adults make use of the same pragmatic principles as they solicit repairs to what children say, and thereby offer feedback on both what the language is and how to use it.

  11. Assessing Pragmatics: DCTS and Retrospective Verbal Reports

    Science.gov (United States)

    Beltrán-Palanques, Vicente

    2016-01-01

    Assessing pragmatic knowledge in the instructed setting is seen as a complex but necessary task, which requires the design of appropriate research methodologies to examine pragmatic performance. This study discusses the use of two different research methodologies, namely those of Discourse Completion Tests/Tasks (DCTs) and verbal reports. Research…

  12. Forms of encoded pragmatic meaning: semantic prosody. A lexicographic perspective.

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    Mojca Šorli

    2014-03-01

    Full Text Available Abstract – The present paper focuses on ways in which the pragmatic (functional meaning that arises from various contextual features, known in corpus linguistics as semantic prosody (Sinclair 1996, 2004; Louw 1993, etc. can become an integral part of lexicographic descriptions. This is especially important for the treatment of phraseology and idiomatics. The workings of semantic prosody are a good example of the ways pragmatic meaning exploits linguistic means to be codified in the text. We thus investigate the meaning that can only be studied in context, as it is completely dependent on collocation, i.e., syntagmatic relations, and therefore cannot be attributed solely to a concrete word form. Corpus analysis has yielded significant results in areas such as the lexicographic treatment of semantic prosody. We believe that in order to improve teaching pragmatics in all its complexity, it is necessary to recognise and assess various aspects of pragmatic meaning both in written and spoken language. Second/foreign language teaching/learning in particular has been strongly dependent on the inclusion of relevant information in dictionaries, in which, traditionally, pragmatic aspects of meaning have been largely neglected. Language technologies have enabled us both to study the subtleties of pragmatic meaning and to design accurate and more user-friendly (pedagogical dictionaries. We will attempt to demonstrate the value of explicit description of functional pragmatic meaning, i.e. semantic prosody, as implemented in the Slovene Lexical Database (2008-2012. A brief overview of the theoretical background is first provided, after which we describe the definition strategies employed to include pragmatics, as well as presenting a case study and arguing that explicating semantic prosody is crucial in developing pragmatic competence in (young/foreign language learners. Keywords: semantic prosody; pragmatics; lexicographic description; dictionary; lexical

  13. Cognitive pragmatics of language disorders in adults.

    Science.gov (United States)

    Davis, G Albyn

    2007-05-01

    Cognitive pragmatics is the study of the mental structures and processes involved in the use of language in communicative contexts. Paradigms of cognitive psychology (off-line and on-line) have been applied to the study of the abilities to go beyond the literal (inference) and derive meaning in relation to context (e.g., metaphor and sarcasm). These pragmatic functions have been examined for the involvement of processes of meaning activation, embellishment, and revision. Clinical investigators have explored abilities and deficits in acquired aphasia, right hemisphere dysfunction, and closed head injury. This article reviews and provides some analysis of clinical studies that are consistent with the themes constituting cognitive pragmatics.

  14. Pragmatics and the aims of language evolution.

    Science.gov (United States)

    Scott-Phillips, Thomas C

    2017-02-01

    Pragmatics has historically played a relatively peripheral role in language evolution research. This is a profound mistake. Here I describe how a pragmatic perspective can inform language evolution in the most fundamental way: by making clear what the natural objects of study are, and hence what the aims of the field should be.

  15. Semantics vs Pragmatics of a Compound Word

    Science.gov (United States)

    Smirnova, Elena A.; Biktemirova, Ella I.; Davletbaeva, Diana N.

    2016-01-01

    This paper is devoted to the study of correlation between semantic and pragmatic potential of a compound word, which functions in informal speech, and the mechanisms of secondary nomination, which realizes the potential of semantic-pragmatic features of colloquial compounds. The relevance and the choice of the research question is based on the…

  16. Financial Incentives to Increase Advance Care Planning Among Medicaid Beneficiaries: Lessons Learned From Two Pragmatic Randomized Trials.

    Science.gov (United States)

    Barnato, Amber E; Moore, Robert; Moore, Charity G; Kohatsu, Neal D; Sudore, Rebecca L

    2017-07-01

    Medicaid populations have low rates of advance care planning (ACP). Potential policy interventions include financial incentives. To test the effectiveness of patient plus provider financial incentive compared with provider financial incentive alone for increasing ACP discussions among Medicaid patients. Between April 2014 and July 2015, we conducted two sequential assessor-blinded pragmatic randomized trials in a health plan that pays primary care providers (PCPs) $100 to discuss ACP: 1) a parallel cluster trial (provider-delivered patient incentive) and 2) an individual-level trial (mail-delivered patient incentive). Control and intervention arms included encouragement to complete ACP, instructions for using an online ACP tool, and (in the intervention arm) $50 for completing the online ACP tool and a small probability of $1000 (i.e., lottery) for discussing ACP with their PCP. The primary outcome was provider-reported ACP discussion within three months. In the provider-delivered patient incentive study, 38 PCPs were randomized to the intervention (n = 18) or control (n = 20) and given 10 patient packets each to distribute. Using an intention-to-treat analysis, there were 27 of 180 ACP discussions (15%) in the intervention group and 5 of 200 (2.5%) in the control group (P = .0391). In the mail-delivered patient incentive study, there were 5 of 187 ACP discussions (2.7%) in the intervention group and 5 of 189 (2.6%) in the control group (P = .99). ACP rates were low despite an existing provider financial incentive. Adding a provider-delivered patient financial incentive, but not a mail-delivered patient incentive, modestly increased ACP discussions. PCP encouragement combined with a patient incentive may be more powerful than either encouragement or incentive alone. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  17. Praxis and Pragmatism

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    Hugues Dusausoit

    2012-12-01

    Full Text Available A constructive dialogue between Henry’s phenomenology and Rorty’s pragmatism does not seem very likely: each would probably consider that the other has not been faithful to his claim of breaking with philosophical tradition and thus ultimately reproduces its limits. Nevertheless, one can also note that Henry and Rorty are not at the same level of analysis: while Henry focuses on giving coherent grounds for any philosophical critique of representation, Rorty is occupied with the consequences of such critique on philosophy itself. If one considers this difference, there emerge new results: Henry’s phenomenology is fundamental for the recognition of what Rorty calls the “human being’s sense of self-identity”, while it falls to Rorty’s pragmatism to ensure that, as hoped by Henry, there is “a mode of philosophy that does not harm essence”.  

  18. An ethnobotanical survey of galactogenic plants of Berhoum district (M'sila, Algeria

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    Sarri Madani

    2017-09-01

    Full Text Available Background/Aim: This work aimed an ethnobatanical study on the galactogenic plants used in the Berhoum region (East of M’sila, Algeria; as a part of different studies on the medicinal plants related to M’sila region. Methods: The fieldwork was undertaken as an ethnobotanical survey involving 76 informants (mean age: 50; 64% women, 36% men. Used the medicinal plants were identified and the results were analyzed according to literature investigation dealing with ethnobotany. Use value (UV, fidelity level (FL, and informant consensus factor (FIC were used to analyze the obtained data. Results: A total of 29 plant species belonging to 29 genera and 12 families (mainly Apiaceae and Fabaceae has been registered. Fruits and seeds were the most commonly used plant part (80%. The used plants are mainly prepared as an infusion and decoction (69%. Trigonella foenum-graecum L. (UV = 0.58 was the species most commonly used by local healers. The FIC factors ranging from 0.45 to 0.89 for the six uses categories retained for this study. The ICF (0.65 was registered for the use galactogenic category with 29 species. Conclusion: This work showed that the population of Berhoum district uses various medicinal plants for galactogenic purposes. Furthermore, ethnobotanical analysis will provide data on sustainable use and valorization of this plant heritage for ethnopharmacological and phytochemical studies. [J Complement Med Res 2017; 6(3.000: 311-315

  19. Ethnobotanical study of medicinal plants used by Sabaots of Mt. Elgon Kenya.

    Science.gov (United States)

    Okello, S V; Nyunja, R O; Netondo, G W; Onyango, J C

    2009-10-15

    Though the majority of people in Kenya and at Kopsiro Division in particular, rely on ethnomedicinal plant species to manage human ailments, the indigenous knowledge largely remains undocumented. Therefore, an ethnobotanical study was conducted on medicinal plant species used to manage human ailments at Kopsiro Division Mt. Elgon District Kenya. The objectives were to identify and document plants traditionally used for medicinal therapy by the Sabaots, to find out the method used for preparing and administering the drugs and to find out the conservation practices for the medicinal plants. Observations and semi-structured interviews were used to gather ethnobotanical data. 107 plants belonging to 56 families were identified and reported to be of medicinal value to the locals. Roots (47.3%) were the most frequently used parts of the plant followed by the bark (23.35%) then leaves (22.75%). The whole plant (1.8%), seed (1.2%), fruit (1.2%), sap (1.2%), flower (0.6%) and wood (0.6%) are least used in that order. The study revealed other hitherto undocumented medicinal plant species that may be new records for treating various ailments. Traditional medicine in Kopsiro division offers cheap, accessible and convenient remedy that suits the traditional lifestyle of the local community in comparison to the conventional medicine. Most medicinal plant species reported in this study were found to be under threat and this calls for urgent conservation measures so as to maximize the sustainable use of these vital resources in the study area.

  20. Pragmatics in ESL classroom: its importance in listening skills

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    Presotto, Leticia

    2014-01-01

    Full Text Available This article aims at discussing the importance of Pragmatics in ESL classroom, more specifically in listening tasks. In order to base our study, we present an overview of some pragmatic theories which relies on the notion of inference, like Grice (1975 and Sperber and Wilson (1995. Then, we discuss about the importance of Pragmatics among language teaching and listening skill. In this section, we highlight some important aspects that have to be considered in teaching a second language focusing in listening activities. Finally, we analyze the listening section of TOEFL exam. Here, we show how Pragmatics is present and its importance to the students who take this specific test

  1. Analysis on 9 Elements in English Pragmatics

    Institute of Scientific and Technical Information of China (English)

    李霞

    2014-01-01

    College Students may have no troubles to compose grammatically correct sentences to express themselves,but sometimes the sentences just seem not pragmatically proper.Through analyzing and comprehending the 9 Elements in English Pragmatics to avoid the misunderstanding and misusing in the communication is significant for English learners,special to one who intends to use English as a communicating medium.

  2. Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial.

    Science.gov (United States)

    Burton, Elissa; Lewin, Gill; Clemson, Lindy; Boldy, Duncan

    2013-01-01

    Restorative home care services are short-term and aimed at maximizing a person's ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults. A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention) or the structured exercise program currently being used in the service (control). Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability. There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program. Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes.

  3. UNIVERSAL PRAGMATICS: MEMPERTIMBANGKAN HABERMAS DALAM PENELITIAN LINGUISTIK

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    Makyun Subuki

    2016-09-01

    Full Text Available Abstract: The aim of this writing was to describe the Habermas theoretical dimension named the universal pragmatics and its contribution in linguistic-especially, critical linguistic-research. In this research, this writer used the library research concerning to the Habermas philosophical and critical ideas. The result showed that, firstly, the universal pragmatics was part of Frankfurt School critical theory which influenced almost all of Habermas social and philosophical thinking. Secondly, the universal pragmatics was the new epistemological basis of pragmatics as science. And thirdly, Habermas tried to enlarging the pragmatics as not the only historical-hermeneutics, but also critical-reflective science.   Abstrak: Tulisan ini bertujuan mendeskripsikan dimensi teoretis teori Pragmatik Universal yang dikembangkan oleh Habermas dan sumbangan yang diberikannya bagi penelitian linguistik terutama linguistik kritis. Dalam mewujudkan tujuan tersebut, penulis mengkaji sejumlah literatur yang terkait dengan ide pemikiran filosofis dan pemikiran kritis dari Habermas. Hasil penelitian ini menunjukkan tiga hal. Pertama, teori pragmatik universal merupakan bagian dari Teori Kritis yang dikembangkan Mazhab Frankfurt yang mempengaruhi hampir seluruh pemikiran sosial dan filsafat dari Habermas. Kedua, teori pragmatik universal merupakan usaha Habermas untuk memberikan dasar epistemologis dari disiplin pragmatik sebagai sebuah ilmu. Ketiga, melalui teori pragmatik universal ini, Habermas mencoba mengembangkan pragmatik tidak lagi sebagai ilmu yang semata-mata bersifat historis-hermeneutis, melainkan juga bersifat kritis-emansipatoris.   Permalink/DOI: http://dx.doi.org/10.15408/dialektika.v2i2.3623 

  4. PRAGMATICS DRIVEN LAND COVER SERVICE COMPOSITION UTILIZING BEHAVIOR-INTENTION MODEL

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    H. Wu

    2016-06-01

    Full Text Available Web service composition is one of the key issues to develop a global land cover (GLC information service portal. Aiming at the defect that traditional syntax and semantic service compositionare difficult to take pragmatic information into account, the paper firstly analyses three tiers of web service language and their succession relations, discusses the conceptual model of pragmatic web service, and proposes the idea of pragmatics-oriented adaptive composition method based on the analysis of some examples. On this basis it puts forward the pragmatic web service model based on Behavior-Intention through presetting and expression of service usability, users' intention, and other pragmatic information, develops the on-demand assembly method based on the agent theory and matching and reconstruction method on heterogeneous message, solves the key technological issue of algorithm applicability and heterogeneous message transformation in the process of covering web service composition on the ground, applies these methods into service combination, puts forward the pragmatic driven service composition method based on behavior-intention model, and effectively settles the issue of coordination and interaction of composite service invocation.

  5. Bayesian natural language semantics and pragmatics

    CERN Document Server

    Zeevat, Henk

    2015-01-01

    The contributions in this volume focus on the Bayesian interpretation of natural languages, which is widely used in areas of artificial intelligence, cognitive science, and computational linguistics. This is the first volume to take up topics in Bayesian Natural Language Interpretation and make proposals based on information theory, probability theory, and related fields. The methodologies offered here extend to the target semantic and pragmatic analyses of computational natural language interpretation. Bayesian approaches to natural language semantics and pragmatics are based on methods from signal processing and the causal Bayesian models pioneered by especially Pearl. In signal processing, the Bayesian method finds the most probable interpretation by finding the one that maximizes the product of the prior probability and the likelihood of the interpretation. It thus stresses the importance of a production model for interpretation as in Grice's contributions to pragmatics or in interpretation by abduction.

  6. Pragmatics fragmented: the factor structure of the Dutch Children's Communication Checklist

    NARCIS (Netherlands)

    Geurts, H.M.; Hartman, C.; Verté, S.; Oosterlaan, J.; Roeyers, H.; Sergeant, J.A.

    2009-01-01

    Background: A number of disorders are associated with pragmatic difficulties. Instruments that can make subdivisions within the larger construct of pragmatics could be important tools for disentangling profiles of pragmatic difficulty in different disorders. The deficits underlying the observed

  7. Outcomes of the Smoker's Health Project: A Pragmatic Comparative Effectiveness Trial of Tobacco-Dependence Interventions Based on Self-Determination Theory

    Science.gov (United States)

    Williams, Geoffrey C.; Niemiec, Christopher P.; Patrick, Heather; Ryan, Richard M.; Deci, Edward L.

    2016-01-01

    A pragmatic comparative effectiveness trial examined whether extending the duration of a cost-effective, intensive tobacco-dependence intervention designed to support autonomy will facilitate long-term tobacco abstinence. Participants were randomly assigned to one of three tobacco-dependence interventions based on self-determination theory,…

  8. PRAGMATIC ABILITIES OF PUPILS WITH MILD INTELLECTUAL DISABILITIES

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    Mateja SHILC

    2017-03-01

    Full Text Available The research analyses characteristics of pragmatic abilities of storytelling of pupils with mild intellectual disabilities (MID, in the light of vocabulary characteristics, grammar structure and substantive structure of a story, considering their age and gender. The sample consists of 60 pupils with MID, aged 7 to 9, who attend special school. Child’s pragmatic abilities are assessed with The Storytelling Test. The research results reveal considerable progress of the older group in vocabulary, whereas the progress in grammatical and substantive structure was less substantial. When comparing achievements of pupils with MID according to the vocabulary, grammatical and substantive story structure, no gender differences are determined. A comparison of pragmatic abilities of younger and older groups of pupils with MID with the norms for peers with typical development shows minor deviation of the younger group. The research results reveal characteristics of pragmatic abilities of pupils with MID and can provide insights to speech therapists, teachers, special education teachers and counsellors when considering profiles of individuals that are taken as a basis for designing intervention programs. By implementing such program, we would encourage development of pragmatic abilities of pupils, thus affecting their academic achievements, communication competency and social skills.

  9. Ethnobotanical study of plants used for therapeutic purposes in the Atlantic Forest region, Southern Brazil.

    Science.gov (United States)

    Tribess, Bianca; Pintarelli, Gabrielli Melatto; Bini, Larissa Alida; Camargo, Anderson; Funez, Luís Adriano; de Gasper, André Luís; Zeni, Ana Lúcia Bertarello

    2015-04-22

    Atlantic Forest is a biome in dangerous situation and it lacks wider information on species with medicinal purposes used by people in this area. In this study an ethnobotanical survey was conducted in Apiúna district, Brazil with the goal of assessing traditional knowledge of medicinal plants used by rural communities in a region covered by Atlantic Forest. The ethnobotanical data were collected through semi-structured interviews and a free list of plants used for medicinal purposes. The respondents were selected by snow ball method. Therefore, the therapeutic use of plants was investigated and the species cited was collected and identified. Local plant uses were evaluated using ethnobotanical indices of diversity and equitability, and then compared with those obtained in other regions of Atlantic Forest in Brazil. Besides, the informant consensus factor (ICF) was calculated. A total of 162 species belonging to 61 families were recorded, mainly Asteraceae and Lamiaceae. Furthermore, the species cited, 45.06% were native and 54.94% were considered exotic. The most frequently reported medicinal uses were the symptoms and signs (17.42%), digestive system (15.33%) and, infectious and parasitic diseases (12.73%). Although, the ICF calculation showed that mental and behavioral (0.85), respiratory system (0.79) and, digestive and genitourinary system diseases (0.78 for both) were the categories with higher values reached. Usually, the administration is oral from leaves preparations. Folk medicine in rural communities in this region of Atlantic Forest is an important source of primary health care. The results indicate an available knowledge of medicinal plants uses in this area, when compared to other regions previously studied. The fact that this research was conducted next to a conservation area makes it possible to dispose the knowledge organized here into a tool for environmental education as well as preservation. Moreover, the pharmacological information will further

  10. PRAGMATIC

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    Jurgen Herzog

    2008-11-01

    Full Text Available The subsequent papers are based on results obtained during or in the sequel of the Pragmatic School 2008. The school was held from July 14 till August 1, 2009 on the campus of the University of Catania. It was devoted to combinatorial aspects of commutative algebra under the title:                    Free resolutions and Hilbert series:                    algebraic, combinatorial and geometric aspects

  11. Learning Pragmatics through Computer-Mediated Communication in Taiwan

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    Zohreh R. Eslami

    2013-05-01

    Full Text Available This study investigated the effectiveness of explicit pragmaticinstruction on the acquisition of requests by college-levelEnglish as Foreign Language (EFL learners in Taiwan. Thegoal was to determine first whether the use of explicitpragmatic instruction had a positive effect on EFL learners’pragmatic competence. Second, the relative effectiveness ofpresenting pragmatics through two delivery systems—faceto-face, in-class activities and computer-mediatedcommunication (CMC via e-mail and WebCT—was compared.One hundred and eighteen Taiwanese undergraduate studentscompleted the entire study. There were 40 students in thecontrol group, 36 students in the experimental/ TeacherInstruction group and 42 students in the experimental/CMCgroup. The results showed that explicit pragmatic instructionhad a positive impact on the EFL learners in both the TeacherInstruction and CMC groups. Learners who received explicitpragmatic instruction performed better on the DiscourseCompletion Task posttest than those who did not. Thefindings also indicated that technology can be a valuable toolfor delivering pragmatics instruction.

  12. The assessment of pragmatics in Iranian patients with right brain damage.

    Science.gov (United States)

    Sobhani-Rad, Davood; Ghorbani, Askar; Ashayeri, Hassan; Jalaei, Shohereh; Mahmoodi-Bakhtiari, Behrooz

    2014-04-03

    Pragmatics is appropriate use of language across a variety of social contexts that provides accurate interpretation of intentions. The occurrence of the right hemisphere lesions can interfere with pragmatic abilities, and particularly with the processing of nonliteral speech acts. Since the objective of this study was to assess different aspects of pragmatic competence in the right hemisphere damage (RHD) patients, 20 Iranian patients with right hemisphere lesions were examined by adult pragmatic profile (APP) and a novel checklist was introduced for Persian language speaking individuals. Meanwhile, 40 healthy adult individuals, who were age and gender matched with RHD patients, were considered as the control group. After obtaining video records, all subjects were evaluated for 35 pragmatic skills, including 24 verbal, 5 paralinguistic, and 6 nonverbal aspects, by a two-point scale system. Studying RHD patients and their healthy counterparts revealed that the performance by participants with right hemisphere lesions exhibited a high degree of inappropriate pragmatic abilities compared with controls in all domains. Furthermore, RHD patients showed a trend of increasing difficulty in understanding and producing different pragmatic phenomena, including standard communication acts. Present results indicated that the right hemisphere lesions significantly affected pragmatic abilities in verbal, paralinguistic and nonverbal aspects. Such a pattern of performance, which is in line with deficits previously reported for RHD, proved the unquestioned role of the right hemisphere in processing nonliteral language.

  13. Communicative-Pragmatic Assessment Is Sensitive and Time-Effective in Measuring the Outcome of Aphasia Therapy

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    Benjamin Stahl

    2017-05-01

    Full Text Available A range of methods in clinical research aim to assess treatment-induced progress in aphasia therapy. Here, we used a crossover randomized controlled design to compare the suitability of utterance-centered and dialogue-sensitive outcome measures in speech-language testing. Fourteen individuals with post-stroke chronic non-fluent aphasia each received two types of intensive training in counterbalanced order: conventional confrontation naming, and communicative-pragmatic speech-language therapy (Intensive Language-Action Therapy, an expanded version of Constraint-Induced Aphasia Therapy. Motivated by linguistic-pragmatic theory and neuroscience data, our dependent variables included a newly created diagnostic instrument, the Action Communication Test (ACT. This diagnostic instrument requires patients to produce target words in two conditions: (i utterance-centered object naming, and (ii communicative-pragmatic social interaction based on verbal requests. In addition, we administered a standardized aphasia test battery, the Aachen Aphasia Test (AAT. Composite scores on the ACT and the AAT revealed similar patterns of changes in language performance over time, irrespective of the treatment applied. Changes in language performance were relatively consistent with the AAT results also when considering both ACT subscales separately from each other. However, only the ACT subscale evaluating verbal requests proved to be successful in distinguishing between different types of training in our patient sample. Critically, testing duration was substantially shorter for the entire ACT (10–20 min than for the AAT (60–90 min. Taken together, the current findings suggest that communicative-pragmatic methods in speech-language testing provide a sensitive and time-effective measure to determine the outcome of aphasia therapy.

  14. Ethnobotanical and phytomedicinal knowledge in a long-history protected area, the Abruzzo, Lazio and Molise National Park (Italian Apennines).

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    Idolo, Marisa; Motti, Riccardo; Mazzoleni, Stefano

    2010-02-03

    This study reports on the ethnobotanical and phytomedical knowledge in one of the oldest European Parks, the Abruzzo, Lazio and Molise National Park (Central Italy). We selected this area because we judged the long history of nature preservation as an added value potentially encouraging the survival of uses possibly lost elsewhere. In all, we interviewed 60 key informants (30 men and 30 women) selected among those who, for their current or past occupation or specific interests, were most likely to report accurately on traditional use of plants. The average age of informants was 65 years (range 27-102 years). The ethnobotanical inventory we obtained included 145 taxa from 57 families, corresponding to 435 use-reports: 257 referred to medical applications, 112 to food, 29 to craft plants for domestic uses, 25 to veterinary applications, 6 to harvesting for trade and another 6 to animal food. The most common therapeutic uses in the folk tradition are those that are more easily prepared and/or administered such as external applications of fresh or dried plants, and decoctions. Of 90 species used for medical applications, key informants reported on 181 different uses, 136 of which known to have actual pharmacological properties. Of the uses recorded, 76 (42%) concern external applications, especially to treat wounds. Medical applications accounted for most current uses. Only 24% of the uses we recorded still occur in people's everyday life. Species no longer used include dye plants (Fraxinus ornus, Rubia tinctorum, Scabiosa purpurea, Rhus coriaria and Isatis tinctoria) and plants once employed during pregnancy, for parturition, nursing, abortion (Asplenium trichomanes, Ecballium elaterium, Juniperus sabina and Taxus baccata) or old magical practices (Rosa canina). Our study remarked the relationship existing between the high plant diversity recorded in this biodiversity hotspot of central Apennines and the rich ethnobotanical knowledge. The presence of some very

  15. Negative pragmatic transfer in Chinese students' complimentary speech acts.

    Science.gov (United States)

    Ren, Juanjuan; Gao, Xiaofang

    2012-02-01

    Summary.-This study was designed to examine negative pragmatic transfer of the speech act of English compliments by Chinese who learn English as a foreign language and to estimate the correlation between the amount of negative pragmatic transfer and English proficiency of the Chinese learners. Frequencies of students' performance showed that both in the favored compliments and the response strategies, differences were evident between Chinese English learners and native English speakers. This indicated that Chinese learners had trouble with the "slang" or "idioms" of the target language and tended to transfer negatively their L1 pragmatic norms to their L2 communication. Moreover, the favored compliment response strategies used by two groups of Chinese learners--who had different levels of English proficiency--differed, and negative pragmatic transfer decreased as proficiency in English increased.

  16. Pragmatism, metaphysics, and bioethics: beyond a theory of moral deliberation.

    Science.gov (United States)

    Pamental, Matthew

    2013-12-01

    Pragmatism has been understood by bioethicists as yet another rival in the "methods wars," as yet another theory of moral deliberation. This has led to criticism of pragmatic bioethics as both theoretically and practically inadequate. Pragmatists' responses to these objections have focused mainly on misunderstandings of pragmatism's epistemology. These responses are insufficient. Pragmatism's commitment to radical empiricism gives it theoretical resources unappreciated by critics and defenders alike. Radical empiricism, unlike its more traditional ancestors, undercuts the gaps between theory and practice, and subjective and objective accounts of experience, and in so doing provides the metaphysical and epistemological basis for a thoroughgoing empirical naturalism in ethics. Pragmatism's strength as an approach to moral problems thus emerges as a result of a much wider array of resources than contemporary interpreters have acknowledged, which makes it a richer, deeper framework for understanding moral deliberation in general and bioethical decision making in particular.

  17. Evaluating the design and reporting of pragmatic trials in osteoarthritis research.

    Science.gov (United States)

    Ali, Shabana Amanda; Kloseck, Marita; Lee, Karen; Walsh, Kathleen Ellen; MacDermid, Joy C; Fitzsimmons, Deborah

    2018-01-01

    Among the challenges in health research is translating interventions from controlled experimental settings to clinical and community settings where chronic disease is managed daily. Pragmatic trials offer a method for testing interventions in real-world settings but are seldom used in OA research. The aim of this study was to evaluate the literature on pragmatic trials in OA research up to August 2016 in order to identify strengths and weaknesses in the design and reporting of these trials. We used established guidelines to assess the degree to which 61 OA studies complied with pragmatic trial design and reporting. We assessed design according to the pragmatic-explanatory continuum indicator summary and reporting according to the pragmatic trials extension of the CONsolidated Standards of Reporting Trials guidelines. None of the pragmatic trials met all 11 criteria evaluated and most of the trials met between 5 and 8 of the criteria. Criteria most often unmet pertained to practitioner expertise (by requiring specialists) and criteria most often met pertained to primary outcome analysis (by using intention-to-treat analysis). Our results suggest a lack of highly pragmatic trials in OA research. We identify this as a point of opportunity to improve research translation, since optimizing the design and reporting of pragmatic trials can facilitate implementation of evidence-based interventions for OA care. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  18. Ethnobotanical survey of medicinal plants used by nomadic peoples in the Algerian steppe.

    Science.gov (United States)

    Miara, Mohamed Djamel; Bendif, Hamdi; Ait Hammou, Mohammed; Teixidor-Toneu, Irene

    2018-06-12

    This study is the first ethnobotanical survey focusing on the herbal medicines traditionally used by the nomadic community of the Algerian steppe, identifying new medicinal plants and uses from one of the most characteristic indigenous populations in Algeria. Moreover, the study contributes to the understanding of transmission of medicinal plant knowledge in the Mediterranean basin. This work aims to document the phytotherapeutical knowledge and practice of the nomadic community of the Algerian steppe, and compare it with neighbouring sedentary populations and Mediterranean historical texts. Through this, the study strives to evaluate processes of transmission of knowledge among this population, for whom written sources have been largely unavailable. Ethnobotanical surveys were carried out during two years (2015-2017). In total, 73 informants from nomadic populations were interviewed in several steppe regions including areas in the administrative departments of Tiaret, Saida, Naama, Djelfa and M'sila. Structured interviews about medicinal plant knowledge were combined with guided tours with the informants. Prior informed consent was always obtained. The surveys allowed for the collection of sociodemographic data and traditional knowledge about medicinal plants and their uses. Informant Consensus Factor (F IC ) was calculated to evaluate agreement among informants. Results were compared to existing literature to evaluate similarities between this nomadic medicinal flora, that of neighbouring communities and historical texts and identify new plant citations and uses. Among Algerian nomadic communities, herbal remedies are used mostly by women and elders, who are often illiterate. We identified 97 taxa of medicinal plants belonging to 42 botanical families, importantly Lamiaceae, Asteraceae and Apiaceae, like in neighbouring communities. The most common plant parts and method of preparation are also shared with neighbouring populations. New uses are described for 25

  19. Pragmatic Language Assessment in Williams Syndrome: A Comparison of the Test of Pragmatic Language--2 and the Children's Communication Checklist--2

    Science.gov (United States)

    Hoffmann, Anne; Martens, Marilee A.; Fox, Robert; Rabidoux, Paula; Andridge, Rebecca

    2013-01-01

    Purpose: Individuals with Williams syndrome (WS) are recognized as having a strong desire for social relationships, yet many of them have difficulty forming and maintaining peer relationships. One cause may be impairments in pragmatic language. The current study compared the assessment of pragmatic language skills in individuals with WS using the…

  20. Ethnobotanical studies in the Ripollès district (Pyrenees, Catalonia, Iberian Peninsula

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    M. Rigat

    2017-12-01

    Full Text Available This paper presents a synthesis of the ethnobotanical prospection performed in the Ripollès district between 2004 and 2013. Through semistructured interviews with 163 informants born between 1915 and 1988, we obtained information on popular names and uses of 457 taxa (including species, subspecies and varieties, 15 of which have only been determined at the genus level. About these plants, the informants have produced 7192 use reports. In this article we provide general comments on the different uses (medicinal, food and others and we present, in two appendices, the complete catalogue of the district’s ethnoflora.

  1. “The principle features of English Pragmatics in applied linguistics”

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    Ali Siddiqui

    2018-04-01

    Full Text Available Pragmatics is a major study of linguistics that defines the hidden meanings of a writer and speaker towards the conjoining effort of linguistic form. It is stated along with its user. Within pragmatics the importance is usually given to a contextual meaning, where every other meaning of given context is referred to speaker as well as writer that wishes to state something. Therefore, the field of Pragmatics helps to deal with speaker’s intended meaning. It is the scope of pragmatics that shows some of linguistic relating terms. They are often stated as utterances, which are informative contribution through physical or real utterance of the meaning, uses of word, structure and setting of the conversations. The second is a speech act that focuses on what the writer and the speaker wants to say to someone. So in this way, the major purpose of pragmatics is engaged with addressor’s intended words to communicate with the addressee.

  2. Socially responsible ethnobotanical surveys in the Cape Floristic Region: ethical principles, methodology and quantification of data

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    Ben-Erik Van Wyk

    2012-03-01

    Full Text Available A broad overview of published and unpublished ethnobotanical surveys in the Cape Floristic Region (the traditional home of the San and Khoi communities shows that the data is incomplete. There is an urgent need to record the rich indigenous knowledge about plants in a systematic and social responsible manner in order to preserve this cultural and scientific heritage for future generations. Improved methods for quantifying data are introduced, with special reference to the simplicity and benefits of the new Matrix Method. This methodology prevents or reduces the number of false negatives, and also ensures the participation of elderly people who might be immobile. It also makes it possible to compare plant uses in different local communities. This method enables the researcher to quantify the knowledge on plant use that was preserved in a community, and to determine the relative importance of a specific plant in a more objective way. Ethical considerations for such ethnobotanical surveys are discussed, through the lens of current ethical codes and international conventions. This is an accessible approach, which can also be used in the life sciences classroom.

  3. The application of pragmatic principles in competitive business writing

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    Wu Haihong

    2016-01-01

    Full Text Available Business English writing, as an important means of communication, plays a vital role in international business communication. And pragmatic principle, as the universal principle, exists in all communication situations. This paper gives a brief introduction to the pragmatic principles and business English writing principles and illustrates the high consistency between these principles. By analyzing samples, it also points out the instructive significance of pragmatic principles in competitive business English writing. To a certain extent, this provides a theoretical support for the research of business English writing.

  4. Generating Protocol Software from CPN Models Annotated with Pragmatics

    DEFF Research Database (Denmark)

    Simonsen, Kent Inge; Kristensen, Lars M.; Kindler, Ekkart

    2013-01-01

    and verify protocol software, but limited work exists on using CPN models of protocols as a basis for automated code generation. The contribution of this paper is a method for generating protocol software from a class of CPN models annotated with code generation pragmatics. Our code generation method...... consists of three main steps: automatically adding so-called derived pragmatics to the CPN model, computing an abstract template tree, which associates pragmatics with code templates, and applying the templates to generate code which can then be compiled. We illustrate our method using a unidirectional...

  5. Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics.

    Science.gov (United States)

    Coury, Jennifer; Schneider, Jennifer L; Rivelli, Jennifer S; Petrik, Amanda F; Seibel, Evelyn; D'Agostini, Brieshon; Taplin, Stephen H; Green, Beverly B; Coronado, Gloria D

    2017-06-19

    The Plan-Do-Study-Act (PDSA) cycle is a commonly used improvement process in health care settings, although its documented use in pragmatic clinical research is rare. A recent pragmatic clinical research study, called the Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC), used this process to optimize the research implementation of an automated colon cancer screening outreach program in intervention clinics. We describe the process of using this PDSA approach, the selection of PDSA topics by clinic leaders, and project leaders' reactions to using PDSA in pragmatic research. STOP CRC is a cluster-randomized pragmatic study that aims to test the effectiveness of a direct-mail fecal immunochemical testing (FIT) program involving eight Federally Qualified Health Centers in Oregon and California. We and a practice improvement specialist trained in the PDSA process delivered structured presentations to leaders of these centers; the presentations addressed how to apply the PDSA process to improve implementation of a mailed outreach program offering colorectal cancer screening through FIT tests. Center leaders submitted PDSA plans and delivered reports via webinar at quarterly meetings of the project's advisory board. Project staff conducted one-on-one, 45-min interviews with project leads from each health center to assess the reaction to and value of the PDSA process in supporting the implementation of STOP CRC. Clinic-selected PDSA activities included refining the intervention staffing model, improving outreach materials, and changing workflow steps. Common benefits of using PDSA cycles in pragmatic research were that it provided a structure for staff to focus on improving the program and it allowed staff to test the change they wanted to see. A commonly reported challenge was measuring the success of the PDSA process with the available electronic medical record tools. Understanding how the PDSA process can be applied to pragmatic

  6. Stop or go? Preventive cognitive therapy with guided tapering of antidepressants during pregnancy: study protocol of a pragmatic multicentre non-inferiority randomized controlled trial.

    Science.gov (United States)

    Molenaar, Nina M; Brouwer, Marlies E; Bockting, Claudi L H; Bonsel, Gouke J; van der Veere, Christine N; Torij, Hanneke W; Hoogendijk, Witte J G; Duvekot, Johannes J; Burger, Huibert; Lambregtse-van den Berg, Mijke P

    2016-03-18

    Approximately 6.2 % of women in the USA and 3.7 % of women in the UK, use Selective Serotonin Reuptake Inhibitors (SSRIs) during their pregnancies because of depression and/or anxiety. In the Netherlands, this prevalence is around 2 %. Nonetheless, SSRI use during pregnancy is still controversial. On the one hand SSRIs may be toxic to the intrauterine developing child, while on the other hand relapse or recurrence of depression during pregnancy poses risks for both mother and child. Among patients and professionals there is an urgent need for evidence from randomized studies to make rational decisions regarding continuation or tapering of SSRIs during pregnancy. At present, no such studies exist. 'Stop or Go' is a pragmatic multicentre randomized non-inferiority trial among 200 pregnant women with a gestational age of less than 16 weeks who use SSRIs without clinically relevant depressive symptoms. Women allocated to the intervention group will receive preventive cognitive therapy with gradual, guided discontinuation of SSRIs under medical management (STOP). Women in the control group will continue the use of SSRIs (GO). Primary outcome will be the (cumulative) incidence of relapse or recurrence of maternal depressive disorder (as assessed by the Structured Clinical Interview for DSM disorders) during pregnancy and up to three months postpartum. Secondary outcomes will be child outcome (neonatal outcomes and psychomotor and behavioural outcomes up to 24 months postpartum), and health-care costs. Total study duration for participants will be therefore be 30 months. We specified a non-inferiority margin of 15 % difference in relapse risk. This study is the first to investigate the effect of guided tapering of SSRIs with preventive cognitive therapy from early pregnancy onwards as compared to continuation of SSRIs during pregnancy. We will study the effects on both mother and child with a pragmatic approach. Additionally, the study examines cost effectiveness. If non

  7. Pragmatic Acts In HIV/AIDS Social Management Advertisements

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    Toyin Makinde

    2014-09-01

    Full Text Available Studies on the social management of HIV and AIDS have focused on how awareness about HIV and AIDS has been created through organised and interpersonal communication. These studies have not investigated context-constrained language use in the advertisements on the disease despite the wide coverage and potential effectiveness of the public sensitisation about HIV and AIDS. This study, therefore, investigated the pragmatic features of language in selected HIV and AIDS management advertisements with a view to identifying the pragmatic acts of the language. Aspects of pragmatic act theory, noted for negotiability of meaning context based interactional situations was adopted for the research. All the 25 advertisements broadcast between December 2006 and June 2009, to all African countries on both private and government-owned television stations in Nigeria by an International non-governmental agency known as 'it begins with you' (YOU constituted the data. Fifty–four utterances were generated from the adverts and were subjected to qualitative analysis and reported in simple percentages. Six pragmatic functions manifested in the advertisements: Co-opting and Projecting were realised through inference (INF, shared situational knowledge (SSK and relevance (REL to bring the audience into the war against HIV/AIDS. Encouraging and Emboldening were projected through SSK and INF to motivate the audience to go for HIV test and speak openly about the virus. Instigating was done using indirect speech act to empower the female against discrimination and stigmatisation. Advising was achieved through SSK and INF to promote fidelity and safe sexual behaviour. The analysis of YOU advertisements through pragmatic act theory presupposes that pragmatic functions were exploited by the advertisers to sensitise the audience, promote social ties and project into an HIV free generation.

  8. The role of pragmatism in explaining heterogeneity in meta-analyses of randomised trials: a protocol for a cross-sectional methodological review

    Science.gov (United States)

    Aves, Theresa; Lawson, Daeria; Nieuwlaat, Robby; Beyene, Joseph; Mbuagbaw, Lawrence

    2017-01-01

    Introduction There has been increasing interest in pragmatic trials methodology. As a result, tools such as the Pragmatic-Explanatory Continuum Indicator Summary-2 (PRECIS-2) are being used prospectively to help researchers design randomised controlled trials (RCTs) within the pragmatic-explanatory continuum. There may be value in applying the PRECIS-2 tool retrospectively in a systematic review setting as it could provide important information about how to pool data based on the degree of pragmatism. Objectives To investigate the role of pragmatism as a source of heterogeneity in systematic reviews by (1) identifying systematic reviews with meta-analyses of RCTs that have moderate to high heterogeneity, (2) applying PRECIS-2 to RCTs of systematic reviews, (3) evaluating the inter-rater reliability of PRECIS-2, (4) determining how much of this heterogeneity may be explained by pragmatism. Methods A cross-sectional methodological review will be conducted on systematic reviews of RCTs published in the Cochrane Library from 1 January 2014 to 1 January 2017. Included systematic reviews will have a minimum of 10 RCTs in the meta-analysis of the primary outcome and moderate to substantial heterogeneity (I2≥50%). Of the eligible systematic reviews, a random selection of 10 will be included for quantitative evaluation. In each systematic review, RCTs will be scored using the PRECIS-2 tool, in duplicate. Agreement between raters will be measured using the intraclass correlation coefficient. Subgroup analyses and meta-regression will be used to evaluate how much variability in the primary outcome may be due to pragmatism. Dissemination This review will be among the first to evaluate the PRECIS-2 tool in a systematic review setting. Results from this research will provide inter-rater reliability information about PRECIS-2 and may be used to provide methodological guidance when dealing with pragmatism in systematic reviews and subgroup considerations. On completion, this

  9. Influence of adjunctive classical homeopathy on global health status and subjective wellbeing in cancer patients - A pragmatic randomized controlled trial.

    Science.gov (United States)

    Frass, Michael; Friehs, Helmut; Thallinger, Christiane; Sohal, Narinderjit Kaur; Marosi, Christine; Muchitsch, Ilse; Gaertner, Katharina; Gleiss, Andreas; Schuster, Ernst; Oberbaum, Menachem

    2015-06-01

    The use of complementary and alternative medicine has increased over the past decade. The aim of this study was to evaluate whether homeopathy influenced global health status and subjective wellbeing when used as an adjunct to conventional cancer therapy. In this pragmatic randomized controlled trial, 410 patients, who were treated by standard anti-neoplastic therapy, were randomized to receive or not receive classical homeopathic adjunctive therapy in addition to standard therapy. The study took place at the Medical University Vienna, Department of Medicine I, Clinical Division of Oncology. The main outcome measures were global health status and subjective wellbeing as assessed by the patients. At each of three visits (one baseline, two follow-up visits), patients filled in two different questionnaires. 373 patients yielded at least one of three measurements. The improvement of global health status between visits 1 and 3 was significantly stronger in the homeopathy group by 7.7 (95% CI 2.3-13.0, p=0.005) when compared with the control group. A significant group difference was also observed with respect to subjective wellbeing by 14.7 (95% CI 8.5-21.0, p<0.001) in favor of the homeopathic as compared with the control group. Control patients showed a significant improvement only in subjective wellbeing between their first and third visits. Results suggest that the global health status and subjective wellbeing of cancer patients improve significantly when adjunct classical homeopathic treatment is administered in addition to conventional therapy. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Pragmatics as a Component vs. Pragmatics as a Perspective of Linguistics

    DEFF Research Database (Denmark)

    Haberland, Hartmut

    2010-01-01

    The discussion of pragmatics as a component or a perspective of linguistics was started in the 1970’es in Haberland and Mey (1977). I am not going to claim that “Continental Pragmatics” (as Stephen Levinson called the perspective school in 1982) has the correct approach and that some other (should...

  11. Pragmatic skills of children and youth with mild intellectual disability

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    Brojčin Branislav

    2016-01-01

    Full Text Available Pragmatic competence means the use of language in social context. Persons with intellectual disability experience numerous problems in this aspect of communication, but they are relatively pragmatically skilled in well-known situations, in which they are not subjected to significant cognitive and social requirements. The aim of this paper is to determine the level of pragmatic abilities of children and youth with mild intellectual disability and to perceive its relation to chronological age, speech comprehension, speech production, the level of intellectual functioning, gender and bilingualism of the participants. The level of pragmatic competence was tested in the sample of 120 children with mild intellectual disability, aged between 8 and 16, by using the Test of pragmatic language competence. The Clinical scales of Luria-Nebraska neuropsychological battery for children were also used. The results obtained in this research suggest that general level of achievement of children with mild intellectual disability in this domain of development is far below the expectations based on their chronological age. Significant progress appears between 12 and 14 years of age, but there are also two critical periods in their development. Important relations of pragmatic skills with speech comprehension, speech production, chronological age and intellectual level were established.

  12. Pragmatics in discourse performance: insights from aphasiology.

    Science.gov (United States)

    Ulatowska, Hanna K; Olness, Gloria Streit

    2007-05-01

    This article examines the preservation of pragmatic abilities of individuals with aphasia, as manifested in the discourse they produce. The construct of coherence is used as a framework for understanding this pragmatic preservation. Discourse coherence is largely derived from the structure, selection, and highlighting of information expressed in a discourse. Personal narratives, as one type of discourse, represent an extended turn-in-conversation on a topic of personal relevance to the speaker, common in everyday life. As such, they provide a valuable source of information about a speaker's pragmatic ability. Examples of personal narratives told by individuals with aphasia are used to illustrate and discuss the means by which discourse coherence is achieved. These include a tightly structured temporal-causal event line, development of theme, and evaluation of information. Possible approaches to clinical assessment are considered, including use of global rating systems.

  13. Pragmatics fragmented: The factor structure of the Dutch Children’s Communication Checklist

    NARCIS (Netherlands)

    Geurts, H.M.; Hartman, C.; Verte, S; Oosterlaan, J.; Roeyers, H.; Sergeant, J.A.

    2009-01-01

    Background A number of disorders are associated with pragmatic difficulties. Instruments that can make subdivisions within the larger construct of pragmatics could be important tools for disentangling profiles of pragmatic difficulty in different disorders. The deficits underlying the observed

  14. PRAGMATIC TRANSFER IN REQUEST REALIZATIONS

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    Indawan Syahri

    2007-01-01

    Full Text Available This study investigates the pragmatic transfer in English request realizations made by EFL learners, i.e. the proficient learners. The subjects were students of an English Study Program who obtained TOEFL-like scores of at least 450. The data were collected by means of DCT-questionnaires and Role-plays. The results show that the subjects realize requests in the form of external modifications more frequently. Most of them embed their requests with supportive moves dominantly. They enfold the acts with the moves before, after or in both positions. Of the three positions, they mostly insert the moves initial position, i.e., through inductive patterns. This is due to pragmatic transfer.

  15. Inconsistency prevents the valuable synergism of explanatory and pragmatic trails.

    Science.gov (United States)

    Correia, Luis C L; Correia, Vitor C A; Souza, Thiago M B; Cerqueira, Antonio Maurício S; Alexandre, Felipe K B; Garcia, Guilherme; Ferreira, Felipe R M; Lopes, Fernanda O A

    2018-05-01

    To assess review articles on pragmatic trials in order to describe how authors define the aim of this type of study, how comprehensive methodological topics are covered, and which topics are most valued by authors. Review articles were selected from Medline Database, based on the expression "pragmatic trial" in the titles. Five trained medical students evaluated the articles, based on a list of 15 self-explanatory methodological topics. Each article was evaluated regarding topics covered. Baseline statements on the aim of pragmatic trials were derived. Among 22 articles identified, there was general agreement that the aim of a pragmatic trial is to evaluate if the intervention works under real-world conditions. The mean number of methodological topics addressed by each article was 7.6 ± 3.1. Only one article covered all 15 topics, three articles (14%) responded to at least 75% of topics and 13 articles (59%) mentioned at least 50% of the topics. The relative frequency each of the 15 topics was cited by articles had a mean of 50% ± 25%. No topic was addressed by all articles, only three (20%) were addressed by more than 75% of articles. There is agreement on the different aims of explanatory and pragmatic trials. But there is a large variation on methodological topics used to define a pragmatic trial, which led to inconsistency in defining the typical methodology of a pragmatic trial. © 2018 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

  16. The Influence of Maternal Pragmatics on the Language Skills of Children with Autism.

    Science.gov (United States)

    Stern, Yael S; Maltman, Nell; Roberts, Megan Y

    2017-06-01

    This study examined the relationship between mothers' pragmatics and child language in autism spectrum disorder (ASD) and non-ASD language delay (LD) mother-child dyads. Participants consisted of 20 dyads of mothers and their toddlers aged 24 to 48 months, with ASD (n = 10) or non-ASD LD (n = 10). Groups were matched on child chronological age, language, and cognition. Maternal pragmatic language was qualified based on the degree of pragmatic violations during a semistructured interview, and was examined in relation to both child language, as measured by the Preschool Language Scale-4 and maternal use of language facilitation strategies during play. Lower rates of maternal pragmatic violations were associated with higher expressive language scores in children with ASD, and with higher receptive language scores for children with non-ASD LD. Within ASD dyads, maternal pragmatic violations were negatively related to mothers' use of linguistic expansions. These findings indicate that parental pragmatics likely contribute to early language learning, and that the effects of maternal pragmatics on early language in ASD may be indirect (e.g., through parents' use of facilitative strategies). Parent-mediated language interventions for ASD should therefore consider parent pragmatics, especially given that pragmatic differences have been identified in unaffected family members of individuals with ASD.

  17. Towards a pragmatic science in schools

    Science.gov (United States)

    Segal, Gilda

    1997-06-01

    This paper contrasts naive beliefs about the nature of science, with science as it appears from sociological and philosophical study, feminist critique and insights from multicultural education. I draw implications from these informed views to suggest how school science might be modified to project a pragmatic view of science to its students that allows students to know science and its relationships to themselves and society in multi-faceted ways. From these perspectives, pragmatic school science is situated within a values framework that questions how we know. Pragmatic school science also requires that the naive inductivist views that permeate school science inquiry methods at present be modified to recognise that observations and inquiry are guided by prior knowledge and values; that new knowledge is tentative; that some knowledge has high status, as it has been constructed consensually over a long period; but that even high status knowledge can be challenged. For implementation of these reforms, yet still to embrace the need for some students to appropriate understanding of discipline knowledge required for advanced science education, a broad set of aims is required.

  18. The value of pragmatic and observational studies in health care and public health.

    Science.gov (United States)

    Barnish, Maxwell S; Turner, Steve

    2017-01-01

    Evidence-based practice is an important component of health care service delivery. However, there is a tendency, embodied in tools such as Grades of Recommendation, Assessment, Development, and Evaluation, to focus principally on the classification of study design, at the expense of a detailed assessment of the strengths and limitations of the individual study. Randomized controlled trials (RCTs), and in particular the classical "explanatory" RCT, have a privileged place in the hierarchy of evidence. However, classical RCTs have substantial limitations, most notably a lack of generalizability, which limit their direct applicability to clinical practice implementation. Pragmatic and observational studies can provide an invaluable perspective into real-world applicability. This evidence could be used more widely to complement ideal-condition results from classical RCTs, following the principle of triangulation. In this review article, we discuss several types of pragmatic and observational studies that could be used in this capacity. We discuss their particular strengths and how their limitations may be overcome and provide real-life examples by means of illustration.

  19. Prospecting for bioactive constituents from traditional medicinal plants through ethnobotanical approaches.

    Science.gov (United States)

    Gu, Ronghui; Wang, Yuehu; Long, Bo; Kennelly, Edward; Wu, Shibiao; Liu, Bo; Li, Ping; Long, Chunlin

    2014-01-01

    Pharmacologically active constituents from traditional medicinal plants have received great attention as sources of novel agents, pharmaceutical intermediates, and chemical entities for synthetic or semisynthetic drugs due to their potent pharmacological activities, low toxicity, and economic viability. Numerous components have been isolated from traditional medicinal plants, including alkaloids, flavonoids, and terpenoids, and clinical and experimental studies suggested that these components have useful pharmacological properties such as antiinfectious, antioxidative, and antiinflammatory effects. In this review, modern ethnobotanical approaches to explore folk medicinal plants as candidates for drug discovery with the greatest possibility of success are discussed. Determining the bioactive mechanisms and tracing structure-activity relationships will promote the discovery of new drugs and pharmacological agents.

  20. The effectiveness of a Housing First adaptation for ethnic minority groups: findings of a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Vicky Stergiopoulos

    2016-10-01

    Full Text Available Abstract Background Little is known about the effectiveness of Housing First (HF among ethnic minority groups, despite its growing popularity for homeless adults experiencing mental illness. This randomized controlled trial tests the effectiveness of a HF program using rent supplements and intensive case management, enhanced by anti-racism and anti-oppression practices for homeless adults with mental illness from diverse ethnic minority backgrounds. Methods This unblinded pragmatic field trial was carried out in community settings in Toronto, Canada. Participants were 237 adults from ethnic minority groups experiencing mental illness and homelessness, who met study criteria for moderate needs for mental health services. Participants were randomized to either adapted HF (n = 135 or usual care (n = 102 and followed every 3 months for 24 months. The primary study outcome was housing stability; secondary outcomes included physical and mental health, social functioning, quality of life, arrests and health service use. Intention to treat statistical analyses examined the effectiveness of the intervention compared to usual care. Results During the 24-month study period, HF participants were stably housed a significantly greater proportion of time compared to usual care participants, 75 % (95 % CI 70 to 81 vs. 41 % (95 % CI 35 to 48, respectively, for a difference of 34 %, 95 % CI 25 to 43. HF also led to improvements in community integration over the course of the study: the change in the mean difference between treatment groups from baseline to 24-months was significantly greater among HF participants compared to those in usual care (change in mean difference = 2.2, 95 % CI 0.06 to 4.3. Baseline diagnosis of psychosis was associated with reduced likelihood of being housed ≥ 50 % of the study period (OR = 0.37, 95 % CI 0.18 to 0.72. Conclusion Housing First enhanced with anti-racism and anti-oppression practices can

  1. Methods guiding stakeholder engagement in planning a pragmatic study on changing stroke systems of care.

    Science.gov (United States)

    Gesell, Sabina B; Klein, Karen Potvin; Halladay, Jacqueline; Bettger, Janet Prvu; Freburger, Janet; Cummings, Doyle M; Lutz, Barbara J; Coleman, Sylvia; Bushnell, Cheryl; Rosamond, Wayne; Duncan, Pamela W

    2017-04-01

    The Comprehensive Post-Acute Stroke Services (COMPASS) Study is one of the first large pragmatic randomized-controlled clinical trials using comparative effectiveness research methods, funded by the Patient-Centered Outcomes Research Institute. In the COMPASS Study, we compare the effectiveness of a patient-centered, transitional care intervention versus usual care for stroke patients discharged home from acute care. Outcomes include stroke patient post-discharge functional status and caregiver strain 90 days after discharge, and hospital readmissions. A central tenet of Patient-Centered Outcomes Research Institute-funded research is stakeholder engagement throughout the research process. However, evidence on how to successfully implement a pragmatic trial that changes systems of care in combination with robust stakeholder engagement is limited. This combination is not without challenges. We present our approach for broad-based stakeholder engagement in the context of a pragmatic trial with the participation of patients, caregivers, community stakeholders, including the North Carolina Stroke Care Collaborative hospital network, and policy makers. To maximize stakeholder engagement throughout the COMPASS Study, we employed a conceptual model with the following components: (1) Patient and Other Stakeholder Identification and Selection; (2) Patient and Other Stakeholder Involvement Across the Spectrum of Research Activities; (3) Dedicated Resources for Patient and Other Stakeholder Involvement; (4) Support for Patient and Other Stakeholder Engagement Through Organizational Processes; (5) Communication with Patients and Other Stakeholders; (6) Transparent Involvement Processes; (7) Tracking of Engagement; and (8) Evaluation of Engagement. In this paper, we describe how each component of the model is being implemented and how this approach addresses existing gaps in the literature on strategies for engaging stakeholders in meaningful and useful ways when conducting

  2. Mindful Storytellers: Emerging Pragmatics and Theory of Mind Development

    Science.gov (United States)

    Fernández, Camila

    2013-01-01

    Emerging pragmatic language skills involve social, cognitive and linguistic abilities, including children's awareness of the conversational partner's mental states. The present study investigated the relation between children's theory of mind (ToM) and features of pragmatic language skills assessed through narrative discourse. One hundred and…

  3. Refining Pragmatically-Appropriate Oral Communication via Computer-Simulated Conversations

    Science.gov (United States)

    Sydorenko, Tetyana; Daurio, Phoebe; Thorne, Steven L.

    2018-01-01

    To address the problem of limited opportunities for practicing second language speaking in interaction, especially delicate interactions requiring pragmatic competence, we describe computer simulations designed for the oral practice of extended pragmatic routines and report on the affordances of such simulations for learning pragmatically…

  4. Pragmatism: A bridge between Anglo-American and Contintental Philosophy?

    NARCIS (Netherlands)

    Grube, D.M.

    2003-01-01

    In this paper, I will restrict myself to interpreting certain features of Margolis’ rich argument. I will discuss only those features that have a direct bearing on his thesis that pragmatism wins the three-sided contest between Anglo-American Philosophy, continental philosophy and pragmatism and, as

  5. Relationship between Language Learners’ Attitudes toward Cultural Instruction and Pragmatic Comprehension and Production

    Directory of Open Access Journals (Sweden)

    Vahid Rafieyan

    2016-08-01

    Full Text Available Development of target language pragmatic competence in language learners requires not only provision of cultural features of target language community in language classes but also language learner’s willingness to learn and use those cultural features. To investigate the relationship between language learners’ attitudes toward cultural instruction and their gains in comprehension and production aspects of pragmatic competence, the current study was conducted on 50 undergraduate Japanese students of English education at a university in Japan. The adapted version of the attitude questionnaire developed by Albirini (2009 was used to measure language learners’ attitudes toward cultural instruction. A 24-item pragmatic comprehension test developed by Taguchi (2007, 2008 was used to measure language learners’ pragmatic comprehension ability. Finally, a 32-item discourse completion task developed by Bardovi-Harlig (2009 was used to measure language learners’ pragmatic production ability. The analysis of Pearson product–moment correlation coefficient (r revealed a strong positive relationship between attitude toward cultural instruction and pragmatic comprehension ability as well as attitude toward cultural instruction and pragmatic production ability. The pedagogical implications of the findings suggested incorporation of interesting cultural features of the target language community in language classes and presenting them in interesting ways to attract language learners’ attention and interest. Keywords: Attitude, Cultural Instruction, Pragmatic Comprehension, Pragmatic Production

  6. A REVIEW ON “UNDERSTANDING PRAGMATICS BY JEF VERSCHUEREN”

    Directory of Open Access Journals (Sweden)

    Yasin KHOSHHAL

    2016-04-01

    Full Text Available Examining the mental and social processes involved in communication through language, Understanding Pragmatic is a comprehensive introduction to the subject. This book provides an overview of the theoretical basis of pragmatic, examines the main theoretical perspectives and explores its methodological aspects. As for the pragmatic in its broadest sense, covering the whole range of social, cultural and cognitive construction of meaning through the use of language aspects. Assuming no background in the pragmatic, the text provides helpful summaries, chapter by chapter for suggestions of reading and research topics for further study. The book tries to ad-dress questions such as what do people do when language is used? How exactly the meaning is generated when we communicate? And why do we say when we say something else? This review gives an overall review of the book and seeks to cover the whole concepts that are mentioned, eventually the reviewers have given their comment and conclusion of the book.

  7. A Dialogic Approach to Pragmatics

    Directory of Open Access Journals (Sweden)

    Иштван Кечкеш

    2016-12-01

    Full Text Available This paper focuses on how the limits of pragmatics - as long as it is restricted to the analysis of one utterance at a time - are overcome by including the hearer not only as interpreter who tries to understand the speaker’s utterance but as an interlocutor who tries to come to an understanding with the speaker. The goal of the paper is not to describe and analyze the dialogue approach rather explain what inner developments in the pragmatics paradigm have made it necessary to move in a dialogic direction, specifically emphasizing the importance of evaluating speaker meaning from the perspective of the speaker rather than from the perspective of the hearer and the double role of the interlocutor (speaker-hearer.

  8. Ethnobotanical, phytochemical and toxicological studies of Xanthium strumarium L.

    Science.gov (United States)

    Islam, Mohammad Rashedul; Uddin, Mohammad Zashim; Rahman, Mohammad Sharifur; Tutul, Ershad; Rahman, Mohammed Zakiur; Hassan, Md Abul; Faiz, M A; Hossain, Moazzem; Hussain, Maleeha; Rashid, Mohammad Abdur

    2009-12-01

    The present study describes the ethnobotanical, phytochemical, and toxicological evaluations of Xanthium strumarium L. growing in Bangladesh. In toxicity evaluation on rats, the methanol extract of seedlings showed mortality, while both seedling and mature plant extracts raised the serum alanine transaminase and aspartate transaminase values and produced significant abnormalities in the histopathology of liver and kidney of rats. On the other hand, the aqueous soluble fraction of methanol extract of mature plant (LC50 = 0.352 microg/mL) and methanol crude extract of seedlings (LC50 = 0.656 microg/mL) demonstrated significant toxicity in the brine shrimp lethality bioassay. A total of four compounds were purified and characterized as stigmasterol (1), 11-hydroxy-11-carboxy-4-oxo-1(5),2(Z)-xanthadien-12,8-olide (2), daucosterol (3) and lasidiol-10-anisate (4). The present study suggests that X. strumarium is toxic to animal.

  9. Pragmatics of Contemporary Teaching and Learning Methods

    Directory of Open Access Journals (Sweden)

    Ryszard Józef Panfil

    2013-09-01

    Full Text Available The dynamics of the environment in which educational institutions operate have a significant influence on the basic activity of these institutions, i.e. the process of educating, and particularly teaching and learning methods used during that process: traditional teaching, tutoring, mentoring and coaching. The identity of an educational institution and the appeal of its services depend on how flexible, diverse and adaptable is the educational process it offers as a core element of its services. Such a process is determined by how its pragmatism is displayed in the operational relativism of methods, their applicability, as well as practical dimension of achieved results and values. Based on the above premises, this publication offers a pragmatic-systemic identification of contemporary teaching and learning methods, while taking into account the differences between them and the scope of their compatibility. Secondly, using the case of sport coaches’ education, the author exemplifies the pragmatic theory of perception of contemporary teaching and learning methods.

  10. Effectiveness of Liposomal Bupivacaine in Colorectal Surgery: A Pragmatic Nonsponsored Prospective Randomized Double Blinded Trial in a Community Hospital.

    Science.gov (United States)

    Knudson, Rachel A; Dunlavy, Paul W; Franko, Jan; Raman, Shankar R; Kraemer, Soren R

    2016-09-01

    Prior industry conducted studies have shown that long acting liposomal bupivacaine injection improves pain control postoperatively. To evaluate whether liposomal bupivacaine reduced the use of postoperative opioid (http://links.lww.com/DCR/A253) pain medication as compared to standard bupivacaine following colorectal surgery. A double blinded, prospective, randomized controlled trial comparing liposomal bupivacaine versus standard bupivacaine in patients undergoing elective colon resection. Community hospital with general surgery residency program with all cases performed by colorectal surgeons. Fifty-seven patients were randomized and reported as intention-to-treat analysis with 6 protocol violations. Sensitivity analysis excluding these 6 patients demonstrated no change in study results or conclusion. Mean age was 67 ± 2 years and 56% were male. There were 36 patients who underwent minimally invasive surgery, and 21 patients had an open colon resection. Experimental arm received liposomal bupivacaine while control arm received standard bupivacaine. Primary outcome measure was intravenous hydromorphone equivalent used via PCA during first 48 hours after operation. There was no significant difference between the two groups in the amount of opioid used orally or intravenously in the postoperative period. The primary outcome measure was PCA hydromorphone consumption during first two postoperative days after operation (hydromorphone equivalent use in standard bupivacaine group 11.3 ± 8.9 mg versus 13.3 ± 11.9 mg in liposomal bupivacaine group, p = 0.58 Mann-Whitney test). Small pragmatic trials typically remain underpowered for secondary analyses. A larger study could help to further delineate other outcomes that are impacted by postoperative pain. Liposomal bupivacaine did not change the amount of opioid used postoperatively. Based on our study, liposomal bupivacaine does not provide any added benefit over conventional bupivacaine after colon

  11. Efficacy and Safety of Individualized Coaching After Stroke: the LAST Study (Life After Stroke): A Pragmatic Randomized Controlled Trial.

    Science.gov (United States)

    Askim, Torunn; Langhammer, Birgitta; Ihle-Hansen, Hege; Gunnes, Mari; Lydersen, Stian; Indredavik, Bent

    2018-02-01

    The evidence for interventions to prevent functional decline in the long term after stroke is lacking. The aim of this trial was to evaluate the efficacy and safety of an 18-month follow-up program of individualized regular coaching on physical activity and exercise. This was a multicentre, pragmatic, single-blinded, randomized controlled trial. Adults (age ≥18 years) with first-ever or recurrent stroke, community dwelling, with modified Rankin Scale coaching on physical activity and exercise every month for 18 consecutive months. The control group received standard care. Primary outcome was the Motor Assessment Scale at end of intervention (18-month follow-up). Secondary measures were Barthel index, modified Rankin Scale, item 14 from Berg Balance Scale, Timed Up and Go test, gait speed, 6-minute walk test, and Stroke Impact Scale. Other outcomes were adverse events and compliance to the intervention assessed by training diaries and the International Physical Activity Questionnaire. Three hundred and eighty consenting participants were randomly assigned to individualized coaching (n=186) or standard care (n=194). The mean estimated difference on Motor Assessment Scale in favor of control group was -0.70 points (95% confidence interval, -2.80, 1.39), P =0.512. There were no differences between the groups on Barthel index, modified Rankin Scale, or Berg Balance Scale. The frequency of adverse events was low in both groups. Results from International Physical Activity Questionnaire and training diaries showed increased activity levels but low intensity of the exercise in the intervention group. The regular individualized coaching did not improve maintenance of motor function or the secondary outcomes compared with standard care. The intervention should be regarded as safe. Despite the neutral results, the health costs related to the intervention should be investigated. URL: https://www.clinicaltrials.gov. Unique identifier: NCT01467206. © 2017 American Heart

  12. Pragmatic inferences in high-functioning adults with autism and Asperger syndrome.

    Science.gov (United States)

    Pijnacker, Judith; Hagoort, Peter; Buitelaar, Jan; Teunisse, Jan-Pieter; Geurts, Bart

    2009-04-01

    Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched controls (n = 28) to investigate whether they are capable of deriving scalar implicatures, which are generally considered to be pragmatic inferences. Participants were presented with underinformative sentences like "Some sparrows are birds". This sentence is logically true, but pragmatically inappropriate if the scalar implicature "Not all sparrows are birds" is derived. The present findings indicate that the combined ASD group was just as likely as controls to derive scalar implicatures, yet there was a difference between participants with autistic disorder and Asperger syndrome, suggesting a potential differentiation between these disorders in pragmatic reasoning. Moreover, our results suggest that verbal intelligence is a constraint for task performance in autistic disorder but not in Asperger syndrome.

  13. Consequences of Pragmatism – on Teaching and Learning

    DEFF Research Database (Denmark)

    Munch, Per

    Using this (badly) concealed reference to the title of a book by Richard Rorty as my starting point in this presentation I am going to pursue a specific perspective in Dewey’s philosophy of education, namely his pragmatism. Dewey’s position within philosophy and epistemology – in particular his...... presentation is Dewey’s pragmatism. I am going to argue that the explorational and experimental approach towards cognition, experience and learning has an effect on teaching – and ultimately on how you learn to teach. The perspective is that there is a correlation between science, epistemology and didactics...... – understood as ‘creation of knowledge’ [viden-skabelse] –that an understanding of teaching and education may be inherent in various epistemological positions. That holds true for Dewey’s pragmatism as well...

  14. An ethnobotanical survey of medicinal and edible plants of Yalo Woreda in Afar regional state, Ethiopia.

    Science.gov (United States)

    Teklehaymanot, Tilahun

    2017-07-05

    The Afar people inhabit the sub-arid and arid part of Ethiopia. Recurrent drought and invasive encroaching plants are taking out plants that have cultural importance, and threaten the biodiversity and the associated traditional knowledge. Thus, the aim of the current study is to conduct an ethnobotanical survey and document medicinal and edible plants in Yalo Woreda in Afar regional state. A cross-sectional ethnobotanical study was carried out in eight kebeles of Yalo Woreda from October 2015 to December 2016. One hundred sixty informants were selected using purposive sampling. The data on diseases, medicinal and edible plants were collected using semi-structure interview and group discussion. The statistical methods, informant consensus factor, fidelity level, and preference ranking were conducted to analyze the data. One hundred and six plants were reported; gender and age differences had implication on the number of plants reported by informants. The knowledge of medicinal plants among informants of each kebele was not different (p medicinal and edible plants affects the traditional use of plants in the Yalo Woreda. The conservation of the plants in the home garden and natural habitat and integration of edible plants into agroforestry development programs in sub-arid and arid regions has to be encouraged to conserve plants of medical and economic importance.

  15. An ethnobotanical study on medicinal plants in Espiye and its surrounding (Giresun-Turkey).

    Science.gov (United States)

    Polat, Rıdvan; Cakilcioglu, Ugur; Kaltalioğlu, Kaan; Ulusan, Musa Denizhan; Türkmen, Zafer

    2015-04-02

    This paper provides significant ethnobotanical information on medicinal plants in Espiye in the Black Sea Region. Recording such data calls for urgency. This is the first ethnobotanical study in which statistical calculations about plants are carried out by means of FIC method in Northern (Espiye-Giresun) part of Turkey. This study aims to identify the wild plants collected for medicinal purposes by locals of Espiye which is located in the Black Sea Region of Turkey, and to identify the uses and local names of these wild plants. A field study had been carried out for a period of approximately 2 years (2012-2014). During this period, information about medicinal use of 55 wild and 15 cultivated plants were collected. Demographic characteristics of participants, names of the local plants, their utilized parts and preparation methods were investigated and recorded. Through face-to-face interviews, we identified and recorded demographic characteristics of the respondents. We interviewed 128 persons who are over the age of 29. The plant taxa were collected within the scope of the study; and herbarium materials were prepared. In addition, the relative significance value of the taxa was determined, and informant consensus factor (FIC) was calculated for the medicinal plants included in the study. We have found out in the literature review of the plants included in our study that 70 plant taxa are already used for medicinal purposes while 3 plants are not available among the records in the literature. The most common families are Asteraceae, Rosaceae, Lamiaceae, Malvaceae, and Ericaceae. We include in our study and report for the first time the medicinal uses of Alchemilla crinita Buser, Stachys sylvatica L., and Thymus leucotrichus Hal. var. leucotrichus Hal. Names of local plants in Turkey vary especially due to vernaculars. The plants that the locals of Espiye use are called with the same or different local names in various parts of Anatolia. We found out that locals

  16. Pragmatics fragmented: the factor structure of the Dutch children's communication checklist (CCC).

    Science.gov (United States)

    Geurts, Hilde M; Hartman, Catharina; Verté, Sylvie; Oosterlaan, Jaap; Roeyers, Herbert; Sergeant, Joseph A

    2009-01-01

    A number of disorders are associated with pragmatic difficulties. Instruments that can make subdivisions within the larger construct of pragmatics could be important tools for disentangling profiles of pragmatic difficulty in different disorders. The deficits underlying the observed pragmatic difficulties may be different for different disorders. To study the construct validity of a pragmatic language questionnaire. The construct of pragmatics is studied by applying exploratory factor analysis (EFA) and confirmatory factor analysis to the parent version of the Dutch Children's Communication Checklist (CCC; Bishop 1998 ). Parent ratings of 1589 typically developing children and 481 children with a clinical diagnosis were collected. Four different factor models derived from the original CCC scales and five different factor models based on EFA were compared with each other. The models were cross-validated. The EFA-derived models were substantively different from the originally proposed CCC factor structure. EFA models gave a slightly better fit than the models based on the original CCC scales, though neither provided a good fit to the parent data. Coherence seemed to be part of language form and not of pragmatics, which is in line with the adaptation of the CCC, the CCC-2 (Bishop 2003 ). Most pragmatic items clustered together in one factor and these pragmatic items also clustered with items related to social relationships and specific interests. The nine scales of the original CCC do not reflect the underlying factor structure. Therefore, scale composition may be improved on and scores on subscale level need to be interpreted cautiously. Therefore, in interpreting the CCC profiles, the overall measure might be more informative than the postulated subscales as more information is needed to determine which constructs the suggested subscales are actually measuring.

  17. Ethnobotanical study on medicinal plants in villages of Çatak (Van-Turkey).

    Science.gov (United States)

    Mükemre, Muzaffer; Behçet, Lütfi; Çakılcıoğlu, Uğur

    2015-05-26

    This paper provides significant ethnobotanical information on medicinal plants in the villages of Çatak in the Eastern Anatolia Region. Recording such data calls for urgency. This is the first ethnobotanical study in which statistical calculations about plants are carried out by means of FIC method in Eastern (Van) part of Turkey. This study aims to identify the wild plants collected for medicinal purposes by locals of Çatak which is located in the Eastern Anatolia Region of Turkey, and to identify the uses and local names of these wild plants. A field study had been carried out for a period of approximately 2 years (2010-2012). During this period, 78 plants taxa were collected. Demographic characteristics of participants, names of the local plants, their utilized parts and preparation methods were investigated and recorded. The plant taxa were collected within the scope of the study; and herbarium materials were prepared. In addition, the relative significance value of the taxa was determined, and informant consensus factor (FIC) was calculated for the medicinal plants included in the study. We have found out in the literature review of the plants included in our study that 78 plant taxa are already used for medicinal purposes while 19 plants are not available among the records in the literature. The most common families are Asteraceae, Apiaceae, Lamiaceae, Rosaceae, Euphorbiaceae, Fabaceae, and Malvaceae. We include in our study and report for the first time the medicinal uses of Alchemilla buseriana Rothm., Astragalus longifolius Lam., Cephalaria microcephala Boiss., Euphorbia grisophylla M.S. Khan, Fritillaria crassifolia Boiss. & Huet. subsp. kurdica (Boiss. & Noe) Rix, Fritillaria pinardii Boiss., Malabaila lasiocarpa Boiss., Nepeta betonicifolia C.A. Mey., Onobrychis altissima Grossh., Onobrychis carduchorum C.C. Townsend, Papaver bracteatum Lindl., Phlomis tuberosa L., Psephellus karduchorum (Boiss.) Wagenitz, Scutellaria orientalis L. subsp. pichleri

  18. Impact of sending email reminders of the legal requirement for posting results on ClinicalTrials.gov: cohort embedded pragmatic randomized controlled trial.

    Science.gov (United States)

    Maruani, Annabel; Boutron, Isabelle; Baron, Gabriel; Ravaud, Philippe

    2014-09-19

    To evaluate the impact of sending an email to responsible parties of completed trials that do not comply with the Food and Drug Administration Amendments Act 801 legislation, to remind them of the legal requirement to post results. Cohort embedded pragmatic randomized controlled trial. Trials registered on ClinicalTrials.gov. 190 out of 379 trials randomly selected by computer generated randomization list to receive the intervention (personalized emails structured as a survey and sent by one of us to responsible parties of the trials, indirectly reminding them of the legal requirement and potential penalties for non-compliance). The primary outcome was the proportion of results posted on ClinicalTrials.gov at three months. The secondary outcome was the proportion posted at six months. In a second step, two assessors blinded to the intervention group collected the date of the first results being received on ClinicalTrials.gov. A post hoc sensitivity analysis excluding trials wrongly included was performed. Among 379 trials included, 190 were randomized to receive the email intervention. The rate of posting of results did not differ at three months between trials with or without the intervention: 36/190 (19%) v 24/189 (13%), respectively (relative risk 1.5, 95% confidence interval 0.9 to 2.4, P=0.096) but did at six months: 46/190 (24%) v 27/189 (14%), 1.7, 1.1 to 2.6, P=0.014. In the sensitivity analysis, which excluded 48/379 trials (13%), 26/190 (14%) and 22/189 (12%), respectively, results were significant at three months (relative risk 5.1, 1.1 to 22.9, P=0.02) and at six months (4.1, 1.3 to 10.6, P=0.001). Sending email reminders about the FDA's legal requirement to post results at ClinicalTrials.gov improved significantly the posting rate at six months but not at three months.Trial registration ClinicalTrials.gov NCT01658254. © Maruani et al 2014.

  19. Ethnobotanical review of wild edible plants of Slovakia

    Directory of Open Access Journals (Sweden)

    Łukasz Łuczaj

    2012-11-01

    Full Text Available This paper is an ethnobotanical review of wild edible plants gathered for consumption from the 19th century to the present day, within the present borders of Slovakia. Twenty-four sources (mainly ethnographic documenting the culinary use of wild plants were analysed. The use of 106 species (over 3% of the Slovak flora has been recorded. Nowadays most of them are no longer used, or used rarely, apart from a few species of wild fruits. The most frequently used plants include the fruits of Rubus idaeus, Fragaria spp., Rubus subgenus Rubus, Vaccinium myrtillus, V. vitis-idaea, Fagus sylvatica, Corylus avellana, Prunus spinosa, Pyrus spp., Malus spp., Crataegus spp. and the leaves of Urtica dioica, Rumex acetosa, Chenopodiaceae species, Cardamine amara, Glechoma spp., Taraxacum spp. and Oxalis acetosella. The most commonly used wild food taxa are nearly identical to those used in Poland, and the same negative association of wild vegetables with famine exists in Slovakia, resulting in their near complete disappearance from the present-day diet.

  20. Communicative-pragmatic impairment in schizophrenia: Cognitive rehabilitative training

    OpenAIRE

    Francesca Marina Bosco; Francesca Marina Bosco; Ilaria eGabbatore; Luigi eGastaldo; Katiuscia eSacco; Katiuscia eSacco

    2016-01-01

    This paper aims to verify in patients with schizophrenia, the efficacy of Cognitive Pragmatic Treatment (CPT), a new remediation program for improving communicative-pragmatic abilities. The CPT program consists of 20 group sessions, focused on several communication modalities, i.e. linguistic, extralinguistic and paralinguistic, Theory of Mind (ToM) and other cognitive functions that can affect communicative performance, such as awareness and planning. A group of 17 patients with schizophreni...

  1. Social - pragmatic skills of children with Down syndrome

    OpenAIRE

    Svetec, Anamarie

    2016-01-01

    The theoretical grounds have covered discoveries, learned through different literature, about characteristics of communication, speech and language of children with Down syndrome. It describes causes in children with Down syndrome that have an impact on the slower development of these elements. We are clarifying the concepts of pragmatics and socio-pragmatic skill that are in Slovenian-speaking territory much less explained and described. In the following section we describe the characteristi...

  2. Neural correlates of pragmatic language comprehension in autism spectrum disorders

    NARCIS (Netherlands)

    Tesink, C.M.J.Y.; Buitelaar, J.K.; Petersson, K.M.; Gaag, R.J. van der; Kan, C.C.; Tendolkar, I.; Hagoort, P.

    2009-01-01

    Difficulties with pragmatic aspects of communication are universal across individuals with autism spectrum disorders (ASDs). Here we focused on an aspect of pragmatic language comprehension that is relevant to social interaction in daily life: the integration of speaker characteristics inferred from

  3. Neural correlates of pragmatic language comprehension in autism spectrum disorders.

    NARCIS (Netherlands)

    Tesink, C.M.J.Y.; Buitelaar, J.K.; Petersson, K.M.; Gaag, R.J. van der; Kan, C.C.; Tendolkar, I.; Hagoort, P.

    2009-01-01

    Difficulties with pragmatic aspects of communication are universal across individuals with autism spectrum disorders (ASDs). Here we focused on an aspect of pragmatic language comprehension that is relevant to social interaction in daily life: the integration of speaker characteristics inferred from

  4. Pragmatism as a Philosophy of Education in the Hispanic World: A Response

    Science.gov (United States)

    Pappas, Gregario Fernando; Garrison, Jim

    2005-01-01

    We concentrate on four questions among the many posed by this special collection of papers on Pragmatism and the Hispanic world. They are, first, what took pragmatism beyond the borders of the United States and into the Hispanic world? Next, what are the ideas of Dewey (or pragmatism) that have had the greatest impact on Hispanic culture? Third,…

  5. An innovative telemedicine knowledge translation program to improve quality of care in intensive care units: protocol for a cluster randomized pragmatic trial

    Directory of Open Access Journals (Sweden)

    Pinto Ruxandra

    2009-02-01

    Full Text Available Abstract Background There are challenges to timely adoption of, and ongoing adherence to, evidence-based practices known to improve patient care in the intensive care unit (ICU. Quality improvement initiatives using a collaborative network approach may increase the use of such practices. Our objective is to evaluate the effectiveness of a novel knowledge translation program for increasing the proportion of patients who appropriately receive the following six evidence-based care practices: venous thromboembolism prophylaxis; ventilator-associated pneumonia prevention; spontaneous breathing trials; catheter-related bloodstream infection prevention; decubitus ulcer prevention; and early enteral nutrition. Methods and design We will conduct a pragmatic cluster randomized active control trial in 15 community ICUs and one academic ICU in Ontario, Canada. The intervention is a multifaceted videoconferenced educational and problem-solving forum to organize knowledge translation strategies, including comparative audit and feedback, educational sessions from content experts, and dissemination of algorithms. Fifteen individual ICUs (clusters will be randomized to receive quality improvement interventions targeting one of the best practices during each of six study phases. Each phase lasts four months during the first study year and three months during the second. At the end of each study phase, ICUs are assigned to an intervention for a best practice not yet received according to a random schedule. The primary analysis will use patient-level process-of-care data to measure the intervention's effect on rates of adoption and adherence of each best practice in the targeted ICU clusters versus controls. Discussion This study design evaluates a new system for knowledge translation and quality improvement across six common ICU problems. All participating ICUs receive quality improvement initiatives during every study phase, improving buy-in. This study design

  6. Functional discourse grammar: pragmatic aspects

    NARCIS (Netherlands)

    Hannay, M.; Hengeveld, K.; Brisard, F.; Östman, J.O.; Verschueren, J.

    2009-01-01

    This chapter introduces Functional Discourse Grammar, focusing on the way in which this model is capable of accounting for the grammatical encoding of pragmatic distinctions and for the typological variation found in this area of grammar.

  7. Communicative-pragmatic impairment in schizophrenia: Cognitive rehabilitative training

    Directory of Open Access Journals (Sweden)

    Francesca Marina Bosco

    2016-02-01

    Full Text Available This paper aims to verify in patients with schizophrenia, the efficacy of Cognitive Pragmatic Treatment (CPT, a new remediation program for improving communicative-pragmatic abilities. The CPT program consists of 20 group sessions, focused on several communication modalities, i.e. linguistic, extralinguistic and paralinguistic, Theory of Mind (ToM and other cognitive functions that can affect communicative performance, such as awareness and planning. A group of 17 patients with schizophrenia participated in the training. They were tested before and after training, using the equivalent forms of the Assessment Battery for Communication (ABaCo, a tool for evaluating the comprehension and production of a wide range of pragmatic phenomena such as, i.e. direct and indirect speech acts, irony and deceit, and a series of neuropsychological and ToM tests. The results showed a significant improvement in patients’ performance following the program, on both comprehension and production tasks, and in all the communication modalities assessed by the ABaCo, i.e. linguistic, extralinguistic, paralinguistic and social appropriateness. The improvement of patients’ performance persisted after three months from the end of the training, as shown by the follow-up tests. These preliminary findings support the efficacy of the CPT program in improving communicative-pragmatic abilities in the patients.

  8. Alternatives in Pragmatic Reasoning

    Science.gov (United States)

    Degen, Judith

    2013-01-01

    In the face of underspecified utterances, listeners routinely and without much apparent effort make the right kinds of pragmatic inferences about a speaker's intended meaning. This dissertation investigates the processing of scalar implicatures as a way of addressing how listeners perform this remarkable feat. In particular, the role of context in…

  9. On what it means to know someone: a matter of pragmatics.

    Science.gov (United States)

    Gill, Michael J; Swann, William B

    2004-03-01

    Two studies provide support for W. B. Swann's (1984) argument that perceivers achieve substantial pragmatic accuracy--accuracy that facilitates the achievement of relationship-specific interaction goals--in their social relationships. Study 1 assessed the extent to which group members reached consensus regarding the behavior of a member in familiar (as compared with unfamiliar) contexts and found that groups do indeed achieve this form of pragmatic accuracy. Study 2 assessed the degree of insight romantic partners had into the self-views of their partners on relationship-relevant (as compared with less relevant) traits and found that couples do indeed achieve this form of pragmatic accuracy. Furthermore, pragmatic accuracy was uniquely associated with relationship harmony. Implications for a functional approach to person perception are discussed.

  10. Privacy and confidentiality in pragmatic clinical trials.

    Science.gov (United States)

    McGraw, Deven; Greene, Sarah M; Miner, Caroline S; Staman, Karen L; Welch, Mary Jane; Rubel, Alan

    2015-10-01

    With pragmatic clinical trials, an opportunity exists to answer important questions about the relative risks, burdens, and benefits of therapeutic interventions. However, concerns about protecting the privacy of this information are significant and must be balanced with the imperative to learn from the data gathered in routine clinical practice. Traditional privacy protections for research uses of identifiable information rely disproportionately on informed consent or authorizations, based on a presumption that this is necessary to fulfill ethical principles of respect for persons. But frequently, the ideal of informed consent is not realized in its implementation. Moreover, the principle of respect for persons—which encompasses their interests in health information privacy—can be honored through other mechanisms. Data anonymization also plays a role in protecting privacy but is not suitable for all research, particularly pragmatic clinical trials. In this article, we explore both the ethical foundation and regulatory framework intended to protect privacy in pragmatic clinical trials. We then review examples of novel approaches to respecting persons in research that may have the added benefit of honoring patient privacy considerations. © The Author(s) 2015.

  11. Semantics and pragmatics.

    Science.gov (United States)

    McNally, Louise

    2013-05-01

    The fields of semantics and pragmatics are devoted to the study of conventionalized and context- or use-dependent aspects of natural language meaning, respectively. The complexity of human language as a semiotic system has led to considerable debate about how the semantics/pragmatics distinction should be drawn, if at all. This debate largely reflects contrasting views of meaning as a property of linguistic expressions versus something that speakers do. The fact that both views of meaning are essential to a complete understanding of language has led to a variety of efforts over the last 40 years to develop better integrated and more comprehensive theories of language use and interpretation. The most important advances have included the adaptation of propositional analyses of declarative sentences to interrogative, imperative and exclamative forms; the emergence of dynamic, game theoretic, and multi-dimensional theories of meaning; and the development of various techniques for incorporating context-dependent aspects of content into representations of context-invariant content with the goal of handling phenomena such as vagueness resolution, metaphor, and metonymy. WIREs Cogn Sci 2013, 4:285-297. doi: 10.1002/wcs.1227 For further resources related to this article, please visit the WIREs website. The authors declare no conflict of interest. Copyright © 2013 John Wiley & Sons, Ltd.

  12. Ethnobotanical study on medicinal plants used by Maonan people in China.

    Science.gov (United States)

    Hong, Liya; Guo, Zhiyong; Huang, Kunhui; Wei, Shanjun; Liu, Bo; Meng, Shaowu; Long, Chunlin

    2015-04-30

    This paper is based on an ethnobotanical investigation that focused on the traditional medicinal plants used by local Maonan people to treat human diseases in Maonan concentration regions. The Maonan people have relied on traditional medicine since ancient times, especially medicinal plants. The aim of this study is to document medicinal plants used by the Maonans and to report the status of medicinal plants and associated traditional knowledge. Ethnobotanical data were collected from June 2012 to September 2014 in Huanjiang Maonan Autonomous County, northern Guangxi, southwest China. In total, 118 knowledgeable informants were interviewed. Following statistically sampling method, eighteen villages from 5 townships were selected to conduct field investigations. Information was collected through the approache of participatory observation, semi-structured interviews, ranking exercises, key informant interviews, focus group discussions, and participatory rural appraisals. A total of 368 medicinal plant species were investigated and documented together with their medicinal uses by the Maonans, most of which were obtained from the wild ecosystems. The plants were used to treat 95 human diseases. Grinding was a widely used method to prepare traditional herbal medicines. There were significant relationships between gender and age, and between gender and informants' knowledge of medicinal plant use. Deforestation for agricultural purposes was identified as the most destructive factor of medicinal plants, followed by drought and over-harvest. The species diversity of medicinal plants used by the Maonans in the study area was very rich. Medicinal plants played a significant role in healing various human disorders in the Maonan communities. However, the conflicts between traditional inheriting system and recent socio-economic changes (and other factors) resulted in the reduction or loss of both medicinal plants and associated indigenous knowledge. Thus, conservation efforts

  13. Practice Theory and Pragmatism in Science & Technology Studies

    DEFF Research Database (Denmark)

    Buch, Anders

    2015-01-01

    begin by an introduction to some of the proponents of practice theory and of pragmatism. Regarding the latter, I primarily present work by Dewey because this is what I am most familiar with. Although I recognize that practice theory and pragmatism differ on fundamental philosophical issues in relation...... to the normative evaluation of action, I show that the two intellectual traditions have much in common when it comes to what they do to STS studies. After this introduction to practice theory, my paper will proceed in the following steps. Firstly, I will briefly survey practice theoretical and pragmatist......Science & Technology Studies (STS) and social science has made a turn, a ‘practice turn’, and the notion ‘practice theory’ has made its way into the field of STS. But it is notable that proponents of this turn and theory rarely mention American pragmatism as a source of inspiration or refer...

  14. Child shyness and peer likeability: The moderating role of pragmatics and vocabulary.

    Science.gov (United States)

    Cheung, Hoi Shan; Elliott, John M

    2017-11-01

    The association between shyness and children's likeability by peers was examined, with pragmatic difficulty and receptive and expressive vocabularies as moderators. Participants were 164 preschoolers (72 boys, 92 girls) between 52 and 79 months old in Singapore. A cross-informant methodology was used, with peers and teachers contributing to separate peer likeability ratings. The findings highlighted a conceptual distinction between peer- and teacher-rated likeability by peers. For the latter only, a 3-way interaction involving shyness, vocabulary, and pragmatic difficulty was found, indicating that for shy children with low vocabulary scores, those who experienced less pragmatic difficulty tended to be seen by teachers as more well-liked by peers than those with more pragmatic difficulty. This suggests that pragmatic skills may serve a protective function especially for shy children with poor vocabulary skills. Statement of contribution What is already known on this subject? Child shyness is related to poorer peer acceptance and social competence Expressive vocabulary and pragmatic competence each has a buffering effect for shy children What the present study adds? Shyness is related to poorer peer likeability as assessed by teachers Shyness is unrelated to peer likeability as assessed by same- or different-sex peers Pragmatic skills buffer the effects of teacher-rated shyness only for children with poor receptive and expressive vocabularies The buffering effect of language ability is shown in a multilingual educational context. © 2017 The British Psychological Society.

  15. Ethnobotanical and phytomedical knowledge in the North-Western Ligurian Alps.

    Science.gov (United States)

    Cornara, Laura; La Rocca, Arianna; Terrizzano, Luca; Dente, Fulvio; Mariotti, Mauro Giorgio

    2014-08-08

    The ethnobotany of European alpine regions is much diversified and scarcely investigated. These regions retain a well-developed heritage culture and botanical traditional knowledge, favored by the isolated montane location. We carried out a study of therapeutic and traditional uses of native plants of a poorly explored area of the Western Italian Alps in the Ligurian region (NW Italy). The area has been the object of human activities since prehistoric ages, and an obliged crossroad for people moving across Provence, Liguria and Piemonte. The investigation was conducted in the upper Tanarello and Arroscia Valleys by using semi-structured, open interviews. Data were summarized by different indices--Relative Frequency of Citation (RFC), Cultural Value Index (CV), Ethnobotanicity Index (EI) and Informant Consensus Factor (Fic). A group of 65 informants were interviewed, yielding an inventory of 199 botanical taxa from 64 families, and a total of 2661 citations. A total of 13 categories of use were found, of which the most frequent ones were medicinal and food. In addition, 12 main medicinal subcategories were recorded. Botanicals were mainly used to treat digestive system, respiratory system, and the skin. A relevant role was played by plants with digestive and remineralizing properties. On the basis of quantitative analysis (RFC and CV indices) among the 30 most relevant plants are included rare and/or protected species, such as Achillea ligustica, Arnica montana, Gentiana ligustica, Gentiana lutea, and Achillea erba-rotta. An exhaustive prospect of the ethnobotanical knowledge in North-Western Ligurian Alps has been achieved through the recording of a large number of data. About 50% of the recorded uses have survived in the area. A great traditional importance is retained by species such as Artemisia absinthium, Lavandula angustifolia and Arnica montana which were formerly cultivated and marketed for their therapeutic virtues. A substantial role is also attributable

  16. [Pragmatics in autism spectrum disorder: recent developments].

    Science.gov (United States)

    Kissine, Mikhail; Clin, Elise; de Villiers, Jessica

    2016-10-01

    Autism spectrum disorder (ASD) is characterized by primary pragmatic difficulties, out of step with verbal and non-verbal developmental level. This selective survey paper addresses three recent domains of research on pragmatic functions in autism. First, we provide an up-to-date discussion of how lack of sensitivity to social cues impacts early acquisition of words. Second, we review recent findings on the comprehension of non-literal language, pointing to a more refined clinical reality. Third, we describe recent developments in the study of conversation skills in autism. © 2016 médecine/sciences – Inserm.

  17. Semantics, pragmatics, and formal thought disorders in people with schizophrenia.

    Science.gov (United States)

    Salavera, Carlos; Puyuelo, Miguel; Antoñanzas, José L; Teruel, Pilar

    2013-01-01

    The aim of this study was to analyze how formal thought disorders (FTD) affect semantics and pragmatics in patients with schizophrenia. The sample comprised subjects with schizophrenia (n = 102) who met the criteria for the disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Text Revision. In the research process, the following scales were used: Positive and Negative Syndrome Scale (PANSS) for psychopathology measurements; the Scale for the Assessment of Thought, Language, and Communication (TLC) for FTD, Word Accentuation Test (WAT), System for the Behavioral Evaluation of Social Skills (SECHS), the pragmatics section of the Objective Criteria Language Battery (BLOC-SR) and the verbal sections of the Wechsler Adults Intelligence Scale (WAIS) III, for assessment of semantics and pragmatics. The results in the semantics and pragmatics sections were inferior to the average values obtained in the general population. Our data demonstrated that the more serious the FTD, the worse the performances in the Verbal-WAIS tests (particularly in its vocabulary, similarities, and comprehension sections), SECHS, and BLOC-SR, indicating that FTD affects semantics and pragmatics, although the results of the WAT indicated good premorbid language skills. The principal conclusion we can draw from this study is the evidence that in schizophrenia the superior level of language structure seems to be compromised, and that this level is related to semantics and pragmatics; when there is an alteration in this level, symptoms of FTD appear, with a wide-ranging relationship between both language and FTD. The second conclusion is that the subject's language is affected by the disorder and rules out the possibility of a previous verbal impairment.

  18. Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Burton E

    2013-12-01

    Full Text Available Elissa Burton,1,2 Gill Lewin,1,2 Lindy Clemson,3 Duncan Boldy41Faculty of Health Sciences, Curtin University, Perth, WA, Australia; 2Research Department, Silver Chain, Perth, WA, Australia; 3Health and Work Research Unit, The University of Sydney, Sydney, NSW, Australia; 4School of Nursing and Midwifery, Curtin University, Perth, WA, AustraliaBackground: Restorative home care services are short-term and aimed at maximizing a person’s ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current structured exercise program delivered as part of a restorative home care service for older adults.Methods: A pragmatic randomized controlled trial was conducted in an organization with an established restorative home care service. Individuals who were to have an exercise program as part of their service were randomized to receive either a lifestyle and functional exercise program called LiFE (as this was a new program, the intervention or the structured exercise program currently being used in the service (control. Exercise data collected by the individuals throughout and pre and post intervention testing was used to measure balance, strength, mobility, falls efficacy, vitality, function, and disability.Results: There was no difference between the groups in the amounts of exercise undertaken during the 8-week intervention period. Outcome measurement indicated that the LiFE program was as effective, and on 40% of the measures, more effective, than the structured exercise program.Conclusion: Organizations delivering restorative home care services that include an exercise component should consider whether LiFE rather than the exercise program they are currently using could help their clients achieve better outcomes

  19. Linguo-cognitive and pragmatic features of the prosodic organization of English parables

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    Musiienko Yulia

    2017-06-01

    Full Text Available This paper highlights the results of an investigation of the cognitive and pragmatic features of prosodic loading in English parables. The analysis of the prosodic organization of directive intentions in a parable was performed by applying systematization and classification of the pragmatic aspect, structural and semantic, functional and pragmatic specificity in order to examine the process of producing and understanding the texts of English parables.

  20. PRAGMATIC AND RHETORICAL STRATEGIES IN THE ENGLISH-WRITTEN JOKES

    Directory of Open Access Journals (Sweden)

    Dyah Rochmawati

    2017-05-01

    Full Text Available Understanding verbal jokes in English is problematic for English as Foreign Language (EFL readers since understanding the jokes requires understanding their linguistic, cultural and social elements. Since a joke constitutes a complex and paradoxical phenomenon, it needs multiple approaches of analyses—such as pragmatic and rhetorical analyses—in order to investigate the multiple layers of meanings it carries. Recently there has been a shift in humor studies, emphasizing linguistic humors and involving the field of rhetoric. These studies, however, have mostly addressed the connection between rhetoric and spoken jokes in persuasion. The present study therefore applied Austin’s Speech Act Theory (1975 and Grice’s Cooperative Principles (1957, and Berger’s rhetorical techniques (1993 to crack the funniness of the written jokes. Specifically, the study aims at describing: how the (1 rhetorical and (2 pragmatic strategies are used in the jokes, and (3 how the pragmatic and rhetorical strategies complement to create humor. The study employed a qualitative research method. Some jokes were purposively selected from the Reader’s Digest and two online sources: http://jokes.cc.com/, and http://www.ajokeaday.com/. Document studies were the means of data collection. The collected data were then analyzed using a qualitative content analysis. The results showed that that there was a relationship between the two pragmatic theories, i.e., Speech Act Theory and Cooperative Principles, and Berger’s rhetorical techniques. The results offered an alternative reading and richer understanding of how written jokes employed pragmatic and rhetorical strategies to advance their rhetorical objectives and humor functions.

  1. Pragmatic power

    CERN Document Server

    Eccles, William

    2008-01-01

    Pragmatic Power is focused on just three aspects of the AC electrical power system that supplies and moves the vast majority of electrical energy nearly everywhere in the world: three-phase power systems, transformers, and induction motors. The reader needs to have had an introduction to electrical circuits and AC power, although the text begins with a review of the basics of AC power. Balanced three-phase systems are studied by developing their single-phase equivalents. The study includes a look at how the cost of ""power"" is affected by reactive power and power factor. Transformers are cons

  2. Pragmatic Content in Global and Local ELT Textbooks

    Directory of Open Access Journals (Sweden)

    Hussein Meihami

    2015-11-01

    Full Text Available This study is an attempt to explore the frequency of pragmatic content occurrence represented as three speech acts of requesting, refusing, and apologizing in global and local English Language Teaching (ELT textbooks. Three global elementary ELT textbooks, namely Interchange, Top Notch, and American English File along with the local elementary textbooks of Iran Language Institute (ILI Series, were examined for their pragmatic content. To analyze the pragmatic content of these textbooks, the researchers used three different frameworks. The results indicated that while both global and local ELT textbooks shared a sufficient number of speech acts of request and refusal, they failed to pay enough attention to the speech act of apology regarding its frequency and the strategies through which it is performed. To sum, the findings of this study highlight the differences in the frequency of different speech acts and the strategies used to perform them in global and local elementary ELT textbooks, which bear some implications for ELT textbook developers and language instructors.

  3. Pragmatic Abilities of Children with Williams Syndrome: A Longitudinal Examination

    Directory of Open Access Journals (Sweden)

    Angela E. John

    2012-06-01

    Full Text Available Although prior research has indicated that pragmatics is an area of particular weakness for individuals with Williams syndrome (WS, the relations among different pragmatic abilities and the relations between pragmatic ability and expressive vocabulary ability have yet to be addressed. In addition, analyses of the relations between the same type of pragmatic ability over time have not been reported. The present study was designed to address these questions. We considered the pragmatic language abilities of 14 children with WS at two time points: as 4-year-olds during a 30-minute play-session with their mothers (Time 1 and an average of 5.87 years later during a one-on-one conversation with a familiar researcher (Time 2. Children’s intellectual and expressive vocabulary abilities were assessed at both time points. Results indicated that the ability to verbally contribute information beyond what was required in response to a question was significantly related to the ability to verbally contribute new information in the absence of a question both at age 4 years and during primary school. At age 4, both the ability to pair verbalizations with eye contact (intersubjectivity and expressive vocabulary ability were related to the ability to verbally contribute information beyond what was expected within a social interaction. Finally, the ability to verbally contribute new information to a social interaction beyond what was required to answer a question and the ability to pair verbalizations with eye contact (intersubjectivity at age 4 years predicted the ability to verbally contribute new information beyond what was required to answer a question at age 9 – 12 years. The theoretical implications of our findings and the importance of early pragmatic language intervention for children who have WS are discussed.

  4. Ethnobotanical value of dry, fallen ovaries of Bombax ceiba L. (Bombacaceae: Malvales

    Directory of Open Access Journals (Sweden)

    S. Gopakumar

    2012-12-01

    Full Text Available In the tropics, the traditional ecological knowledge regarding utilization of diverse Non Timber Forest Products (NTFPs available with different human communities remains under-explored. Though not on an organized scale, the collection and sale of various NTFPs, help the members of tropical rural communities to sustain themselves. Bombax ceiba, a tropical moist deciduous tree has various ethnobotanical values. Semul gum is edible and possesses medicinal value. Immature fruits of this tree have value as an expectorant, stimulant and diuretic. Extracts of young roots are used for treating dysentery. Now the dry, fallen ovaries of this tree species have a new commercial value, and are being widely collected and traded by some local herbalists in Thrissur District of Kerala.

  5. Instructed Pragmatics at a Glance: Where Instructional Studies Were, Are, and Should Be Going

    Science.gov (United States)

    Taguchi, Naoko

    2015-01-01

    This paper brings together the research and developments of instructed pragmatics over the past three decades by reporting the synthesis findings of instructional intervention studies in interlanguage pragmatics. Two questions have guided this investigation: (1) is instruction effective in learning pragmatics?; and (2) what methods are most…

  6. Pragmatic information in biology and physics.

    Science.gov (United States)

    Roederer, Juan G

    2016-03-13

    I will show how an objective definition of the concept of information and the consideration of recent results about information processing in the human brain help clarify some fundamental aspects of physics and biology. Rather than attempting to define information ab initio, I introduce the concept of interaction between material bodies as a primary concept. Two distinct categories can be identified: (i) interactions which can always be reduced to a superposition of physical interactions (forces) between elementary constituents; and (ii) interactions between complex bodies which cannot be expressed as a superposition of interactions between parts, and in which patterns and forms (in space and/or time) play the determining role. Pragmatic information is then defined as the link between a given pattern and the ensuing pattern-specific change. I will show that pragmatic information is a biological concept; it plays no active role in the purely physical domain-it only does so when a living organism intervenes. The consequences for physics (including foundations of quantum mechanics) and biology (including brain function) will be discussed. This will include speculations about three fundamental transitions, from the quantum to the classical domain, from natural inanimate to living systems, and from subhuman to human brain information-processing operations, introduced here in their direct connection with the concept of pragmatic information. © 2016 The Author(s).

  7. Narrative competence in children with pragmatic language impairment: A longitudinal study

    NARCIS (Netherlands)

    Ketelaars, M.P.; Jansonius, K.; Cuperus, J.M.; Verhoeven, L.T.W.

    2016-01-01

    Background: Children with pragmatic language impairment (PLI) show impairments in the use of language in social contexts. Although the issue has been gaining attention in recent literature, not much is known about the developmental trajectories of children who experience pragmatic language problems.

  8. Experimental pragmatics: a Gricean turn in the study of language.

    Science.gov (United States)

    Noveck, Ira A; Reboul, Anne

    2008-11-01

    Discerning the meaning of an utterance requires not only mastering grammar and knowing the meanings of words but also understanding the communicative (i.e., pragmatic) features of language. Although it has been an ever present aspect of linguistic analyses and discussions, it is only over the last ten years or so that cognitive scientists have been investigating--in a concerted fashion--the pragmatic features of language experimentally. We begin by highlighting Paul Grice's contributions to ordinary language philosophy and show how it has led to this active area of experimental investigation. We then focus on two exemplary phenomena--'scalar inference' and 'reference resolution'--before considering other topics that fit into the paradigm known as 'experimental pragmatics'.

  9. A National Strategy to Develop Pragmatic Clinical Trials Infrastructure

    Science.gov (United States)

    Guise, Jeanne‐Marie; Dolor, Rowena J.; Meissner, Paul; Tunis, Sean; Krishnan, Jerry A.; Pace, Wilson D.; Saltz, Joel; Hersh, William R.; Michener, Lloyd; Carey, Timothy S.

    2014-01-01

    Abstract An important challenge in comparative effectiveness research is the lack of infrastructure to support pragmatic clinical trials, which compare interventions in usual practice settings and subjects. These trials present challenges that differ from those of classical efficacy trials, which are conducted under ideal circumstances, in patients selected for their suitability, and with highly controlled protocols. In 2012, we launched a 1‐year learning network to identify high‐priority pragmatic clinical trials and to deploy research infrastructure through the NIH Clinical and Translational Science Awards Consortium that could be used to launch and sustain them. The network and infrastructure were initiated as a learning ground and shared resource for investigators and communities interested in developing pragmatic clinical trials. We followed a three‐stage process of developing the network, prioritizing proposed trials, and implementing learning exercises that culminated in a 1‐day network meeting at the end of the year. The year‐long project resulted in five recommendations related to developing the network, enhancing community engagement, addressing regulatory challenges, advancing information technology, and developing research methods. The recommendations can be implemented within 24 months and are designed to lead toward a sustained national infrastructure for pragmatic trials. PMID:24472114

  10. Pragmatic Inferences in High-Functioning Adults with Autism and Asperger Syndrome

    NARCIS (Netherlands)

    Pijnacker, J.; Hagoort, P.; Buitelaar, J.K.; Teunisse, J.P.W.M.; Geurts, L.B.W.

    2009-01-01

    Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched

  11. Pragmatic inferences in high-functioning adults with autism and Asperger syndrome.

    NARCIS (Netherlands)

    Pijnacker, J.; Hagoort, P.; Buitelaar, J.K.; Teunisse, J.P.W.M.; Geurts, B.

    2009-01-01

    Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched

  12. Evidence of Pragmatic Impairments in Speech and Proverb Interpretation in Schizophrenia

    Science.gov (United States)

    Haas, Marc H.; Chance, Steven A.; Cram, David F.; Crow, Tim J.; Luc, Aslan; Hage, Sarah

    2015-01-01

    Schizophrenia has been suggested to involve linguistic pragmatic deficits. In this study, two aspects of pragmatic ability were assessed; comprehension and production. Drawing on relevance theory and Gricean implicatures to assess shared attention and interpretation in a linguistic context, discourse samples and proverb interpretation were…

  13. Pragmatics in Teacher Education for Nonnative-Speaking Teachers: A Consciousness-Raising Approach.

    Science.gov (United States)

    Rose, Kenneth R.

    1997-01-01

    Reviews some of the problems relevant to the teaching of language use and discusses pragmatic consciousness raising (PCR) as one alternative in teacher education for dealing with pragmatics in the classroom. (Author/JL)

  14. Recruiting community health centers into pragmatic research: Findings from STOP CRC.

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    Coronado, Gloria D; Retecki, Sally; Schneider, Jennifer; Taplin, Stephen H; Burdick, Tim; Green, Beverly B

    2016-04-01

    uninsured patients, limited clinic capacity to prepare mailings required by the study protocol, discomfort with randomization, and concerns about delaying program implementation at some clinics due to the research requirements. Our findings address an important research gap and may inform future efforts to recruit community health centers into pragmatic research. © The Author(s) 2015.

  15. On Musical and Educational Habit-Taking: Pragmatism, Sociology, and Music Education

    Science.gov (United States)

    Goble, J. Scott

    2005-01-01

    In his recent historical-philosophical offering, "The Enormous Flywheel of Society: Pragmatism's Habitual Conception of Action and Social Theory," Finnish scholar Erkki Kilpinen explores the historical development of pragmatism as a philosophy and describes its varying influence on the development of the social sciences in the United States.…

  16. Memory for the Pragmatic Implications of Sentences. Technical Report No. 65.

    Science.gov (United States)

    Brewer, William F.

    A sentence "pragmatically implies" another sentence when information in the first sentence leads the hearer to expect something that is neither explicitly stated nor necessarily implied by the original sentence. Thus, the sentence "The safe-cracker put the match to the fuse" pragmatically implies that "the safe-cracker lit…

  17. Pragmatically Applied Cervical and Thoracic Nonthrust Manipulation Versus Thrust Manipulation for Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial.

    Science.gov (United States)

    Griswold, David; Learman, Ken; Kolber, Morey J; O'Halloran, Bryan; Cleland, Joshua A

    2018-03-01

    Study Design Randomized clinical trial. Background The comparative effectiveness between nonthrust manipulation (NTM) and thrust manipulation (TM) for mechanical neck pain has been investigated, with inconsistent results. Objective To compare the clinical effectiveness of concordant cervical and thoracic NTM and TM for patients with mechanical neck pain. Methods The Neck Disability Index (NDI) was the primary outcome. Secondary outcomes included the Patient-Specific Functional Scale (PSFS), numeric pain-rating scale (NPRS), deep cervical flexion endurance (DCF), global rating of change (GROC), number of visits, and duration of care. The covariate was clinical equipoise for intervention. Outcomes were collected at baseline, visit 2, and discharge. Patients were randomly assigned to receive either NTM or TM directed at the cervical and thoracic spines. Techniques and dosages were selected pragmatically and applied to the most symptomatic level. Two-way mixed-model analyses of covariance were used to assess clinical outcomes at 3 time points. Analyses of covariance were used to assess between-group differences for the GROC, number of visits, and duration of care at discharge. Results One hundred three patients were included in the analyses (NTM, n = 55 and TM, n = 48). The between-group analyses revealed no differences in outcomes on the NDI (P = .67), PSFS (P = .26), NPRS (P = .25), DCF (P = .98), GROC (P = .77), number of visits (P = .21), and duration of care (P = .61) for patients with mechanical neck pain who received either NTM or TM. Conclusion NTM and TM produce equivalent outcomes for patients with mechanical neck pain. The trial was registered with ClinicalTrials.gov (NCT02619500). Level of Evidence Therapy, level 1b. J Orthop Sports Phys Ther 2018;48(3):137-145. Epub 6 Feb 2018. doi:10.2519/jospt.2018.7738.

  18. Realism and Pragmatism in a mixed methods study.

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    Allmark, Peter; Machaczek, Katarzyna

    2018-06-01

    A discussion of how adopting a Realist rather than Pragmatist methodology affects the conduct of mixed methods research. Mixed methods approaches are now extensively employed in nursing and other healthcare research. At the same time, realist methodology is increasingly used as philosophical underpinning of research in these areas. However, the standard philosophical underpinning of mixed methods research is Pragmatism, which is generally considered incompatible or at least at odds with Realism. This paper argues that Realism can be used as the basis of mixed methods research and that doing so carries advantages over using Pragmatism. A mixed method study into patient handover reports is used to illustrate how Realism affected its design and how it would have differed had a Pragmatist approach been taken. Discussion Paper. Philosophers Index; Google Scholar. Those undertaking mixed methods research should consider the use of Realist methodology with the addition of some insights from Pragmatism to do with the start and end points of enquiry. Realism is a plausible alternative methodology for those undertaking mixed methods studies. © 2018 John Wiley & Sons Ltd.

  19. Evaluating Social (Pragmatic) Communication Disorder

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    Mandy, William; Wang, Adele; Lee, Irene; Skuse, David

    2017-01-01

    Background: Social (pragmatic) communication disorder (SPCD) is a new diagnosis introduced by DSM-5, characterised by problems with verbal and nonverbal social communication. It is currently unclear whether SPCD is a valid diagnostic category, because little is known about the characteristics of those who meet its criteria. We sought to identify…

  20. Programming Language Pragmatics

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    Scott, Michael L

    2009-01-01

    Programming Language Pragmatics is the most comprehensive programming language textbook available today. Taking the perspective that language design and language implementation are tightly interconnected, and that neither can be fully understood in isolation, this critically acclaimed and bestselling book has been thoroughly updated to cover the most recent developments in programming language design. With a new chapter on run-time program management and expanded coverage of concurrency, this new edition provides both students and professionals alike with a solid understanding of the most impo

  1. Teaching the Pragmatics of Russian Conversation Using a Corpus-Referred Website

    Science.gov (United States)

    Furniss, Eddie A.

    2016-01-01

    Pragmatic competence is essential for oral fluency and listening comprehension, allowing speakers to use and interpret language appropriately in varied contexts. The use of technological applications for teaching pragmatics is on the rise (Taguchi & Sykes, 2013), in part because they are well-suited to the types of awareness-raising tasks…

  2. Pragmatics of Emotions in Modern French Advertising

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    Анна Степановна Борисова

    2015-12-01

    Full Text Available Due to its communicative specifics studying of modern printed discourse of advertising basing on the theory of emotivity is of special interest to the scientists. The manifestation and expression of emotions in the context of advertising communication is an intention of the author of the advertisement message to cause a specific emotional reaction from the recipient (target audience, to influence her/him in a sought way. The aim of this article is to elicit forms of verbal explications of emotional dominants, actualized in modern french advertising discourse and to determine their roles in the realization of its pragmatic orientation. Basing on methodology of linguistics of emotion, linguoecology, communicative linguistics and methods of pragmatic, discursive, comparative, cross-cultural analysis we have allocated emotional/ emotive representations pragmatic orientation of which correlates with the extent of emotional openness or restraint of the participants of the discourse of advertising, touches upon the field of social norms of emotional behavior and is determined by national cultural specifics. Particular attention is given to appellative models/strategies, relevant to this specific type of discourse. The peculiarities of emotional argumentation are analyzed in comparison with rational ones on the basis of modern printed advertising texts.

  3. Iranian Political Strategy: Ideology or Pragmatism

    International Nuclear Information System (INIS)

    Saada, Julien

    2008-01-01

    Iranian political strategy wants to be presented as a political break, with a Pan-Islamic vocation. Brought about by Ayatollah Khomeyni, this political philosophy has produced the intended effects, as seen with the return of more moderate policies. Khomeyni's death confronted the Islamic Republic with a choice: Hachemi Rasfandjani put Iran back into the international scene by conciliating pragmatism with ideological values. In 2005, M. Ahmadinejad came to power. His declarations concerning the Hebrew State and his position on nuclear weapons pose the question as to whether or not Iran is reverting to an export policy of revolution. It is important to place these elements in the historical context of the Islamic Republic so as to see if Iranian foreign policy is again taking an ideological turn or if it is continuing down the lane of pragmatism

  4. Pragmatic Inferences in High-Functioning Adults with Autism and Asperger Syndrome

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    Pijnacker, Judith; Hagoort, Peter; Buitelaar, Jan; Teunisse, Jan-Pieter; Geurts, Bart

    2009-01-01

    Although people with autism spectrum disorders (ASD) often have severe problems with pragmatic aspects of language, little is known about their pragmatic reasoning. We carried out a behavioral study on high-functioning adults with autistic disorder (n = 11) and Asperger syndrome (n = 17) and matched controls (n = 28) to investigate whether they…

  5. An avatar based education application to improve patients' knowledge of and response to heart attack symptoms: a pragmatic randomized controlled trial protocol.

    Science.gov (United States)

    Tongpeth, Jintana; Du, Huiyun; Clark, Robyn

    2018-06-19

    To evaluate the effectiveness of an interactive, avatar based education application to improve knowledge of and response to heart attack symptoms in people who are at risk of a heart attack. Poor knowledge of heart attack symptoms is recognised as a significant barrier to timely medical treatment. Numerous studies have demonstrated that technology can assist in patient education to improve knowledge and self-care. A single-center, non-blinded, two parallel groups, pragmatic randomized controlled trial. Seventy patients will be recruited from the coronary care unit of a public hospital. Eligible participants will be randomised to either the usual care or the intervention group (usual care plus avatar-based heart attack education app). The primary outcome of this study is knowledge. Secondary outcomes include response to heart attack symptoms, health service use and satisfaction. Study participants will be followed-up for six months. This study will evaluate the avatar based education app as a method to deliver vital information to patients. Participants' knowledge of and response to heart attack symptoms, as well as their health service use, will be assessed to evaluate the intervention effectiveness. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  6. Ethnobotanical study of medicinal plants used by people in Zegie Peninsula, Northwestern Ethiopia.

    Science.gov (United States)

    Teklehaymanot, Tilahun; Giday, Mirutse

    2007-03-14

    An ethnobotanical study was conducted from October 2005 to June 2006 to investigate the uses of medicinal plants by people in Zegie Peninsula, northwestern Ethiopia. Information was gathered from 200 people: 70 female and 130 males, using semistructured questionnaire. Of which, six were male local healers. The informants, except the healers, were selected randomly and no appointment was made prior to the visits. Informant consensus factor (ICF) for category of ailments and the fidelity level (FL) of the medicinal plants were determined. Sixty-seven medicinal plants used as a cure for 52 ailments were documented. They are distributed across 42 families and 64 genera. The most frequently utilized plant part was the underground part (root/rhizome/bulb) (42%). The largest number of remedies was used to treat gastrointestinal disorder and parasites infections (22.8%) followed by external injuries and parasites infections (22.1%). The administration routes are oral (51.4%), external (38.6%), nasal (7.9%), and ear (2.1%). The medicinal plants that were presumed to be effective in treating a certain category of disease, such as 'mich' and febrile diseases (0.80) had higher ICF values. This probably indicates a high incidence of these types of diseases in the region, possibly due to the poor socio-economic and sanitary conditions of this people. The medicinal plants that are widely used by the local people or used as a remedy for a specific ailment have higher FL values (Carissa spinarum, Clausena anisata, Acokanthera schimperi, Calpurnia aurea, Ficus thonningii, and Cyphostemma junceum) than those that are less popular or used to treat more than one type of ailments (Plumbago zeylanicum, Dorstenia barnimiana).

  7. Ethnobotanical study of medicinal plants used by people in Zegie Peninsula, Northwestern Ethiopia

    Directory of Open Access Journals (Sweden)

    Giday Mirutse

    2007-03-01

    Full Text Available Abstract An ethnobotanical study was conducted from October 2005 to June 2006 to investigate the uses of medicinal plants by people in Zegie Peninsula, northwestern Ethiopia. Information was gathered from 200 people: 70 female and 130 males, using semistructured questionnaire. Of which, six were male local healers. The informants, except the healers, were selected randomly and no appointment was made prior to the visits. Informant consensus factor (ICF for category of aliments and the fidelity level (FL of the medicinal plants were determined. Sixty-seven medicinal plants used as a cure for 52 aliments were documented. They are distributed across 42 families and 64 genera. The most frequently utilized plant part was the underground part (root/rhizome/bulb (42%. The largest number of remedies was used to treat gastrointestinal disorder and parasites infections (22.8% followed by external injuries and parasites infections (22.1%. The administration routes are oral (51.4%, external (38.6%, nasal (7.9%, and ear (2.1%. The medicinal plants that were presumed to be effective in treating a certain category of disease, such as 'mich' and febrile diseases (0.80 had higher ICF values. This probably indicates a high incidence of these types of diseases in the region, possibly due to the poor socio-economic and sanitary conditions of this people. The medicinal plants that are widely used by the local people or used as a remedy for a specific aliment have higher FL values (Carissa spinarum, Clausena anisata, Acokanthera schimperi, Calpurnia aurea, Ficus thonningii, and Cyphostemma junceum than those that are less popular or used to treat more than one type of aliments (Plumbago zeylanicum, Dorstenia barnimiana.

  8. Modelling and approaching pragmatic interoperability of distributed geoscience data

    Science.gov (United States)

    Ma, Xiaogang

    2010-05-01

    Interoperability of geodata, which is essential for sharing information and discovering insights within a cyberinfrastructure, is receiving increasing attention. A key requirement of interoperability in the context of geodata sharing is that data provided by local sources can be accessed, decoded, understood and appropriately used by external users. Various researchers have discussed that there are four levels in data interoperability issues: system, syntax, schematics and semantics, which respectively relate to the platform, encoding, structure and meaning of geodata. Ontology-driven approaches have been significantly studied addressing schematic and semantic interoperability issues of geodata in the last decade. There are different types, e.g. top-level ontologies, domain ontologies and application ontologies and display forms, e.g. glossaries, thesauri, conceptual schemas and logical theories. Many geodata providers are maintaining their identified local application ontologies in order to drive standardization in local databases. However, semantic heterogeneities often exist between these local ontologies, even though they are derived from equivalent disciplines. In contrast, common ontologies are being studied in different geoscience disciplines (e.g., NAMD, SWEET, etc.) as a standardization procedure to coordinate diverse local ontologies. Semantic mediation, e.g. mapping between local ontologies, or mapping local ontologies to common ontologies, has been studied as an effective way of achieving semantic interoperability between local ontologies thus reconciling semantic heterogeneities in multi-source geodata. Nevertheless, confusion still exists in the research field of semantic interoperability. One problem is caused by eliminating elements of local pragmatic contexts in semantic mediation. Comparing to the context-independent feature of a common domain ontology, local application ontologies are closely related to elements (e.g., people, time, location

  9. Rationale and design of the HOME trial: A pragmatic randomized controlled trial of home-based human papillomavirus (HPV) self-sampling for increasing cervical cancer screening uptake and effectiveness in a U.S. healthcare system.

    Science.gov (United States)

    Winer, Rachel L; Tiro, Jasmin A; Miglioretti, Diana L; Thayer, Chris; Beatty, Tara; Lin, John; Gao, Hongyuan; Kimbel, Kilian; Buist, Diana S M

    2018-01-01

    Women who delay or do not attend Papanicolaou (Pap) screening are at increased risk for cervical cancer. Trials in countries with organized screening programs have demonstrated that mailing high-risk (hr) human papillomavirus (HPV) self-sampling kits to under-screened women increases participation, but U.S. data are lacking. HOME is a pragmatic randomized controlled trial set within a U.S. integrated healthcare delivery system to compare two programmatic approaches for increasing cervical cancer screening uptake and effectiveness in under-screened women (≥3.4years since last Pap) aged 30-64years: 1) usual care (annual patient reminders and ad hoc outreach by clinics) and 2) usual care plus mailed hrHPV self-screening kits. Over 2.5years, eligible women were identified through electronic medical record (EMR) data and randomized 1:1 to the intervention or control arm. Women in the intervention arm were mailed kits with pre-paid envelopes to return samples to the central clinical laboratory for hrHPV testing. Results were documented in the EMR to notify women's primary care providers of appropriate follow-up. Primary outcomes are detection and treatment of cervical neoplasia. Secondary outcomes are cervical cancer screening uptake, abnormal screening results, and women's experiences and attitudes towards hrHPV self-sampling and follow-up of hrHPV-positive results (measured through surveys and interviews). The trial was designed to evaluate whether a programmatic strategy incorporating hrHPV self-sampling is effective in promoting adherence to the complete screening process (including follow-up of abnormal screening results and treatment). The objective of this report is to describe the rationale and design of this pragmatic trial. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Gatekeepers for pragmatic clinical trials.

    Science.gov (United States)

    Whicher, Danielle M; Miller, Jennifer E; Dunham, Kelly M; Joffe, Steven

    2015-10-01

    To successfully implement a pragmatic clinical trial, investigators need access to numerous resources, including financial support, institutional infrastructure (e.g. clinics, facilities, staff), eligible patients, and patient data. Gatekeepers are people or entities who have the ability to allow or deny access to the resources required to support the conduct of clinical research. Based on this definition, gatekeepers relevant to the US clinical research enterprise include research sponsors, regulatory agencies, payers, health system and other organizational leadership, research team leadership, human research protections programs, advocacy and community groups, and clinicians. This article provides a framework to help guide gatekeepers' decision-making related to the use of resources for pragmatic clinical trials. Relevant ethical considerations for gatekeepers include (1) concern for the interests of individuals, groups, and communities affected by the gatekeepers' decisions, including protection from harm and maximization of benefits; (2) advancement of organizational mission and values; and (3) stewardship of financial, human, and other organizational resources. Separate from these ethical considerations, gatekeepers' actions will be guided by relevant federal, state, and local regulations. This framework also suggests that to further enhance the legitimacy of their decision-making, gatekeepers should adopt transparent processes that engage relevant stakeholders when feasible and appropriate. We apply this framework to the set of gatekeepers responsible for making decisions about resources necessary for pragmatic clinical trials in the United States, describing the relevance of the criteria in different situations and pointing out where conflicts among the criteria and relevant regulations may affect decision-making. Recognition of the complex set of considerations that should inform decision-making will guide gatekeepers in making justifiable choices regarding

  11. The Nigerian System of Education and the Need for Pragmatic Approach

    Science.gov (United States)

    Oyebamiji, M. A.

    2011-01-01

    This paper attempted to reveal some inadequacies inherent in the Nigerian system of education and, how the pragmatic approach to education can help solve the problems of disfunctionality of the system. It does this by explaining the aims and features of the pragmatic philosophy of education. Furthermore, the paper gave answers to two basic…

  12. Critical Pragmatism and the Appropriation of Ethnography by Philosophy of Education

    Science.gov (United States)

    Feinberg, Walter

    2015-01-01

    In this essay I explore the potential that ethnographic methods hold for philosophy of education as a form of critical pragmatism. An aim of critical pragmatism is to help to analyze the roadblocks to fruitful communication, coordination and liberation. It does so by identifying their sources and opportunities for repair. As I have argued…

  13. ETHNOBOTANICAL CHARACTERIZATION OF FOREST ESSENCES WITH MEDICINAL PROPERTIES USED BY THE XIPAYA ETHNICITY IN THE CITY OF ALTAMIRA-PA

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    Joielan Xipaia dos Santos

    2016-06-01

    Full Text Available The aim of this study was to carry out an ethnobotanical characterization of forest essences with medicinal properties used by the Xipaya ethnicity from Tukamã village in PA. For this, traditional methods for ethnobotanical surveys were used, such as the application of descriptive and qualitative questionnaires, Shannon-Wiener and Simpson diversity indexes, and Pielou’s evenness and agreement of main use (AMU indexes. The most cited botanical families were Fabaceae, Moraceae, Lecythidaceae, Euphorbiaceae, and Lauraceae. It was observed that the preparation methods weredifferent, and the parts of the plant that were used were also different. The Shannon-Wiener diversity index was 3.24. The Pielou’s evenness index was 0.97, and the Simpson diversity index was 0.04. All were considered significant. The species with precious bark (Aniba canelilla, red cedar (Cedrela odorata, Genipa (Genipa Americana, Pink Ipê (Tabebuia impetiginosa, Mulungu (Erythrina mulungu, Quassia (Quassia amara, and dragon's blood (Croton urucurana were unanimous regarding AMU. Therefore, we observed that the Xipaya community, from the Tukamã village, still hold enough information on medicinal forest essences, the women being the main key holders of these practices and thus contributing to the education, culture, and lifestyle of this community. Keywords: Indigenous women, biodiversity of species, medicinal plants.

  14. Rationale and design of the Study of a Tele-pharmacy Intervention for Chronic diseases to Improve Treatment adherence (STIC2IT): A cluster randomized pragmatic trial

    Science.gov (United States)

    Choudhry, Niteesh K.; Isaac, Thomas; Lauffenburger, Julie C.; Gopalakrishnan, Chandrasekar; Khan, Nazleen F.; Lee, Marianne; Vachon, Amy; Iliadis, Tanya L.; Hollands, Whitney; Doheny, Scott; Elman, Sandra; Kraft, Jacqueline M.; Naseem, Samrah; Gagne, Joshua J.; Jackevicius, Cynthia A.; Fischer, Michael A.; Solomon, Daniel H.; Sequist, Thomas D.

    2016-01-01

    Background Approximately half of patients with chronic cardiometabolic conditions are non-adherent with their prescribed medications. Interventions to improve adherence have been only modestly effective because they often address single barriers to adherence, intervene at single points in time, or are imprecisely targeted to patients who may or may not need adherence assistance. Objective To evaluate the effect of a multi-component, behaviorally-tailored pharmacist-based intervention to improve adherence to medications for diabetes, hypertension, and hyperlipidemia. Trial design The STIC2IT (Study of a Tele-pharmacy Intervention for Chronic diseases To Improve Treatment adherence) trial is a cluster-randomized pragmatic trial testing the impact of a pharmacist-led multi-component intervention that uses behavioral interviewing, text messaging, mailed progress reports and video visits. Targeted patients are those who are non-adherent to glucose-lowering, anti-hypertensive, or statin medications and who also have evidence of poor disease control. The intervention is tailored to patients’ individual health barriers and their level of health activation. We cluster randomized 14 practice sites of a large multi-specialty group practice to receive either the pharmacist-based intervention or usual care. STIC2IT has enrolled 4,076 patients to be followed for 12 months after randomization. The trial’s primary outcome is medication adherence, assessed using pharmacy claims data. Secondary outcomes are disease control and healthcare resource utilization. Conclusion This trial will determine whether a technologically-enabled, behaviorally-targeted pharmacist-based intervention results in improved adherence and disease control. If effective, this strategy could be a scalable method of offering tailored adherence support to those with the greatest clinical need. PMID:27659887

  15. Emotions as pragmatic and epistemic actions

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    Wilutzky, Wendy

    2015-01-01

    This paper explores the idea that emotions in social contexts and their intentionality may be conceived of as pragmatic or epistemic actions. That is, emotions are often aimed at achieving certain goals within a social context, so that they resemble pragmatic actions; and in other cases emotions can be plausibly construed as acts of probing the social environment so as to extract or uncover important information, thus complying with the functions of epistemic actions (cf. Kirsh and Maglio, 1994). This view of emotions stands at odds with the wide-held conception that emotions' intentionality can be cashed out in terms of representations of value. On such a position, emotions' intentionality has only a mind-to-world direction of fit while any world-to-mind direction of fit is deemed secondary or is even outrightly denied. However, acknowledging that emotions (qua actions) also have a world-to-mind direction fit has several advantages over the typical rendition of emotions as representations of value, such as accounting for emotions' sensitivity to contextual factors, variations in emotion expression and, importantly, assessing the appropriateness of emotional reactions. To substantiate this claim, several cases of emotions in social contexts are discussed, as the social dimension of emotions highlights that emotions are inherently ways of interacting with one's social environment. In sum, the construal of emotions in social contexts as pragmatic or epistemic actions yields a more fine-grained and accurate understanding of emotions' intentionality and their roles in social contexts than the insistence on a purely mind-to-world direction of fit. PMID:26578999

  16. An Investigation into Pragmatic Knowledge in the Reading Section of TOLIMO, TOEFL, and IELTS Examinations

    Science.gov (United States)

    Karbalaei, Alireza; Rahmanzade, Mehrnaz Kashkooli

    2015-01-01

    The present study focused on the analysis of listening sections of two international English proficiency tests, i.e. IELTS and TOEFL tests, and one local English proficiency test, i.e. TOLIMO from pragmatic perspective. An attempt was made to explore the areas of pragmatic knowledge presented, and to assess test takers' pragmatic knowledge. For…

  17. Improving Care for Patients With or at Risk for Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster-Randomized Trial Protocol

    Science.gov (United States)

    Nash, Danielle M.; Ivers, Noah M.; Young, Jacqueline; Jaakkimainen, R. Liisa; Garg, Amit X.; Tu, Karen

    2017-01-01

    Background: Many patients with or at risk for chronic kidney disease (CKD) in the primary care setting are not receiving recommended care. Objective: The objective of this study is to determine whether a multifaceted, low-cost intervention compared with usual care improves the care of patients with or at risk for CKD in the primary care setting. Design: A pragmatic cluster-randomized trial, with an embedded qualitative process evaluation, will be conducted. Setting: The study population comes from the Electronic Medical Record Administrative data Linked Database®, which includes clinical data for more than 140 000 rostered adults cared for by 194 family physicians in 34 clinics across Ontario, Canada. The 34 primary care clinics will be randomized to the intervention or control group. Intervention: The intervention group will receive resources from the “CKD toolkit” to help improve care including practice audit and feedback, printed educational materials for physicians and patients, electronic decision support and reminders, and implementation support. Measurements: Patients with or at risk for CKD within participating clinics will be identified using laboratory data in the electronic medical records. Outcomes will be assessed after dissemination of the CKD tools and after 2 rounds of feedback on performance on quality indicators have been sent to the physicians using information from the electronic medical records. The primary outcome is the proportion of patients aged 50 to 80 years with nondialysis-dependent CKD who are on a statin. Secondary outcomes include process of care measures such as screening tests, CKD recognition, monitoring tests, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker prescriptions, blood pressure targets met, and nephrologist referral. Hierarchical analytic modeling will be performed to account for clustering. Semistructured interviews will be conducted with a random purposeful sample of physicians in the

  18. Preserving Traditional Botanical Knowledge: The Importance of Phytogeographic and Ethnobotanical Inventory of Peruvian Dye Plants

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    José Mostacero León

    2017-12-01

    Full Text Available Peru is a megadiverse country with native species of all kinds, including dye plants, which have been used for hundreds of years by the local population. Despite the fact that many of these natural dyes are of a superior quality compared to synthetic ones and do not have the harmful effects that the latter may cause to human health, due to the lack of documentation and dissemination, ethnobotanical knowledge is unfortunately being lost with the passing of generations. In order to preserve and spread such valuable knowledge, this study conducted a comprehensive taxonomic, phytogeographic, and ethnobotanical inventory of dye plants based on periodical botanical explorations in selected locations of Northern Peru during the span of two decades. A critical review of the specialized bibliography was then carried out and the findings were verified with the personal knowledge and experience of both the researchers and the local and regional people. The results of the inventory record 32 species of dye plants from Northern Peru distributed in 22 families, of which the following stand out due to the number of species: Fabaceae (5, Anacardiaceae (2, Annonaceae (2, Asteraceae (2, Berberidaceae (2, Rosaceae (2, and Solanaceae (2. Of the 32 dye species identified, four are considered endemic from Peru: Berberis buceronis J.F. Macbr., Caesalpinia paipai Ruiz & Pav., Coreopsis senaria S.F. Blake & Sherf., and Lomatia hirsuta (Lam. Diels. The study also found that species such as Bixa orellana L., Indigofera suffruticosa Mill., Sambucus peruviana, and the lichen Usnea baileyi (Stirton Zahlbr have not been commercially exploited in Peru despite the fact that they already constitute a great economic source for several countries.

  19. Preserving Traditional Botanical Knowledge: The Importance of Phytogeographic and Ethnobotanical Inventory of Peruvian Dye Plants.

    Science.gov (United States)

    Mostacero León, José; López Medina, Segundo E; Yabar, Helmut; De La Cruz Castillo, Jordan

    2017-12-18

    Abstract : Peru is a megadiverse country with native species of all kinds, including dye plants, which have been used for hundreds of years by the local population. Despite the fact that many of these natural dyes are of a superior quality compared to synthetic ones and do not have the harmful effects that the latter may cause to human health, due to the lack of documentation and dissemination, ethnobotanical knowledge is unfortunately being lost with the passing of generations. In order to preserve and spread such valuable knowledge, this study conducted a comprehensive taxonomic, phytogeographic, and ethnobotanical inventory of dye plants based on periodical botanical explorations in selected locations of Northern Peru during the span of two decades. A critical review of the specialized bibliography was then carried out and the findings were verified with the personal knowledge and experience of both the researchers and the local and regional people. The results of the inventory record 32 species of dye plants from Northern Peru distributed in 22 families, of which the following stand out due to the number of species : Fabaceae (5), Anacardiaceae (2), Annonaceae (2), Asteraceae (2), Berberidaceae (2), Rosaceae (2), and Solanaceae (2). Of the 32 dye species identified, four are considered endemic from Peru: Berberis buceronis J.F. Macbr., Caesalpinia paipai Ruiz & Pav., Coreopsis senaria S.F. Blake & Sherf., and Lomatia hirsuta (Lam.) Diels. The study also found that species such as Bixa orellana L., Indigofera suffruticosa Mill., Sambucus peruviana , and the lichen Usnea baileyi (Stirton) Zahlbr have not been commercially exploited in Peru despite the fact that they already constitute a great economic source for several countries.

  20. Preserving Traditional Botanical Knowledge: The Importance of Phytogeographic and Ethnobotanical Inventory of Peruvian Dye Plants

    Science.gov (United States)

    Mostacero León, José; López Medina, Segundo E.; Yabar, Helmut; De La Cruz Castillo, Jordan

    2017-01-01

    Peru is a megadiverse country with native species of all kinds, including dye plants, which have been used for hundreds of years by the local population. Despite the fact that many of these natural dyes are of a superior quality compared to synthetic ones and do not have the harmful effects that the latter may cause to human health, due to the lack of documentation and dissemination, ethnobotanical knowledge is unfortunately being lost with the passing of generations. In order to preserve and spread such valuable knowledge, this study conducted a comprehensive taxonomic, phytogeographic, and ethnobotanical inventory of dye plants based on periodical botanical explorations in selected locations of Northern Peru during the span of two decades. A critical review of the specialized bibliography was then carried out and the findings were verified with the personal knowledge and experience of both the researchers and the local and regional people. The results of the inventory record 32 species of dye plants from Northern Peru distributed in 22 families, of which the following stand out due to the number of species: Fabaceae (5), Anacardiaceae (2), Annonaceae (2), Asteraceae (2), Berberidaceae (2), Rosaceae (2), and Solanaceae (2). Of the 32 dye species identified, four are considered endemic from Peru: Berberis buceronis J.F. Macbr., Caesalpinia paipai Ruiz & Pav., Coreopsis senaria S.F. Blake & Sherf., and Lomatia hirsuta (Lam.) Diels. The study also found that species such as Bixa orellana L., Indigofera suffruticosa Mill., Sambucus peruviana, and the lichen Usnea baileyi (Stirton) Zahlbr have not been commercially exploited in Peru despite the fact that they already constitute a great economic source for several countries. PMID:29258279

  1. Connecting Smartphone and Wearable Fitness Tracker Data with a Nationally Used Electronic Health Record System for Diabetes Education to Facilitate Behavioral Goal Monitoring in Diabetes Care: Protocol for a Pragmatic Multi-Site Randomized Trial.

    Science.gov (United States)

    Wang, Jing; Coleman, Deidra Carroll; Kanter, Justin; Ummer, Brad; Siminerio, Linda

    2018-04-02

    Mobile and wearable technology have been shown to be effective in improving diabetes self-management; however, integrating data from these technologies into clinical diabetes care to facilitate behavioral goal monitoring has not been explored. The objective of this paper is to report on a study protocol for a pragmatic multi-site trial along with the intervention components, including the detailed connected health interface. This interface was developed to integrate patient self-monitoring data collected from a wearable fitness tracker and its companion smartphone app to an electronic health record system for diabetes self-management education and support (DSMES) to facilitate behavioral goal monitoring. A 3-month multi-site pragmatic clinical trial was conducted with eligible patients with diabetes mellitus from DSMES programs. The Chronicle Diabetes system is currently freely available to diabetes educators through American Diabetes Association-recognized DSMES programs to set patient nutrition and physical activity goals. To integrate the goal-setting and self-monitoring intervention into the DSMES process, a connected interface in the Chronicle Diabetes system was developed. With the connected interface, patient self-monitoring information collected from smartphones and wearable fitness trackers can facilitate educators' monitoring of patients' adherence to their goals. Feasibility outcomes of the 3-month trial included hemoglobin A 1c levels, weight, and the usability of the connected system. An interface designed to connect data from a wearable fitness tracker with a companion smartphone app for nutrition and physical activity self-monitoring into a diabetes education electronic health record system was successfully developed to enable diabetes educators to facilitate goal setting and monitoring. A total of 60 eligible patients with type 2 diabetes mellitus were randomized into either group 1) standard diabetes education or 2) standard education enhanced with

  2. Pragmatic Instruction May Not Be Necessary among Heritage Speakers of Spanish: A Study on Requests

    Science.gov (United States)

    Barros García, María J.; Bachelor, Jeremy W.

    2018-01-01

    This paper studies the pragmatic competence of U.S. heritage speakers of Spanish in an attempt to determine (a) the degree of pragmatic transfer from English to Spanish experienced by heritage speakers when producing different types of requests in Spanish; and (b) how to best teach pragmatics to students of Spanish as a Heritage Language (SHL).…

  3. Comparison of Herbarium Label Data and Published Medicinal Use: Herbaria as an Underutilized Source of Ethnobotanical Information.

    Science.gov (United States)

    Souza, E N F; Hawkins, J A

    2017-01-01

    The use of herbarium specimens as vouchers to support ethnobotanical surveys is well established. However, herbaria may be underutilized resources for ethnobotanical research that depends on the analysis of large datasets compiled across multiple sites. Here, we compare two medicinal use datasets, one sourced from published papers and the other from online herbaria to determine whether herbarium and published data are comparable and to what extent herbarium specimens add new data and fill gaps in our knowledge of geographical extent of plant use. Using Brazilian legumes as a case study, we compiled 1400 use reports from 105 publications and 15 Brazilian herbaria. Of the 319 species in 107 genera with cited medicinal uses, 165 (51%) were recorded only in the literature and 55 (17%) only on herbarium labels. Mode of application, plant part used, or therapeutic use was less often documented by herbarium specimen labels (17% with information) than publications (70%). However, medicinal use of 21 of the 128 species known from only one report in the literature was substantiated from independently collected herbarium specimens, and 58 new therapeutic applications, 25 new plant parts, and 16 new modes of application were added for species known from the literature. Thus, when literature reports are few or information-poor, herbarium data can both validate and augment these reports. Herbarium data can also provide insights into the history and geographical extent of use that are not captured in publications.

  4. Is a new version of philosophical pragmatism necessary? A reply to Barnes-Holmes

    Science.gov (United States)

    Leigland, Sam

    2003-01-01

    Barnes-Holmes (2000) discussed certain issues regarding philosophy, pragmatism, and behavior analysis, and offered a “behavioral pragmatism” based on or derived from behavior-analytic perspectives. In a comparison of certain philosophical views, Quine's concept of observation sentences was employed for representing pragmatism, but this concept is not sufficiently representative of the literature of philosophical pragmatism to warrant the broad conclusions drawn by Barnes-Holmes. Further, although the extensive and diverse literature of philosophical pragmatism has been shown by a number of writers to have various themes and perspectives in common with Skinner's radical behaviorism, it is unnecessary to extract a limited, generic version of pragmatism because (a) the latter cannot match the range and depth of the various extant versions and (b) the problems raised by Barnes-Holmes in justification for the new version yield readily to the current versions in philosophy. A set of philosophical views may provide additional verbal support for a given system of science, and the science of behavior analysis may eventually contribute to philosophical discourse. The latter, however, will not be achieved by proposing new versions of old philosophy, but rather by approaching established philosophical issues in new ways. PMID:22478409

  5. Teaching Pragmatics and Intercultural Communication Online

    Science.gov (United States)

    Waugh, Erin

    2013-01-01

    English in the Workplace (EWP) programs are increasingly surfacing across Canada to assist internationally educated professionals (IEPs) with the challenges of integrating into the Canadian workplace. One critical topic of these courses is targeted pragmatics (soft skills) instruction. By learning these skills, IEPs gain valuable tools for…

  6. The Pragmatic University: A Feasible Utopia?

    Science.gov (United States)

    Badley, Graham

    2016-01-01

    "Imaginings" of the modern university include such ideas as "the ecological university" and "the pragmatic university". In his attempt to separate utopian from dystopian visions of the university, Ronald Barnett concentrates on an analysis of the ecological university and ignores, for example, the case of the…

  7. Rational speech act models of pragmatic reasoning in reference games

    OpenAIRE

    Frank, Michael

    2016-01-01

    Human communication is almost always ambiguous, but it typically takes place in a context where this ambiguity can be resolved. A key part of this process of disambiguation comes from pragmatic reasoning about alternative messages that a speaker could have said in that context. Following previous work, we describe pragmatic inference as recursive reasoning – in which listeners reason about speakers and vice versa – using a “rational speech act” (RSA) model. We then systematically test the par...

  8. Online interpretation of scalar quantifiers: insight into the semantics-pragmatics interface.

    Science.gov (United States)

    Huang, Yi Ting; Snedeker, Jesse

    2009-05-01

    Scalar implicature has served as a test case for exploring the relations between semantic and pragmatic processes during language comprehension. Most studies have used reaction time methods and the results have been variable. In these studies, we use the visual-world paradigm to investigate implicature. We recorded participants' eye movements during commands like "Point to the girl that has some of the socks" in the presence of a display in which one girl had two of four socks and another had three of three soccer balls. These utterances contained an initial period of ambiguity in which the semantics of some was compatible with both characters. This ambiguity could be immediately resolved by a pragmatic implicature which would restrict some to a proper subset. Instead in Experiments 1 and 2, we found that participants were substantially delayed, suggesting a lag between semantic and pragmatic processing. In Experiment 3, we examined interpretations of some when competitors were inconsistent with the semantics (girl with socks vs. girl with no socks). We found quick resolution of the target, suggesting that previous delays were specifically linked to pragmatic analysis.

  9. The genus Lycium as food and medicine: A botanical, ethnobotanical and historical review.

    Science.gov (United States)

    Yao, Ruyu; Heinrich, Michael; Weckerle, Caroline S

    2018-02-15

    Lycium is widely distributed in the arid to semi-arid environments of North and South America, Africa, and Eurasia. In recent years, Lycium barbarum and L. chinense have been advertised as "superfood" with healthy properties. Despite of its popularity, there is a lack of an integrated and critical appraisal of the existing evidence for the use of Lycium. There is a need to understand: 1) Which species were used and how the uses of Lycium developed spatially and over time, 2) how uses differ among regions with different culture backgrounds, and 3) how traditional and current therapeutic and preventive health claims correlate with pharmacological findings. Information was retrieved from floras, taxonomic, botanical, and ethnobotanical databases, research articles, recent editions of historical Chinese herbals over the last 2000 years, and pharmacopoeias. Of totally 97 species, 31 have recorded uses as food and/or medicine worldwide. Usually the fruits are used. While 85% of the Lycium species occur in the Americas and Africa, 26% of them are used, but 9 out of 14 species in Eurasia. In China, seven species and two varieties of the genus Lycium occur, of which four species have been used by different ethnic groups. Only L. barbarum and L. chinense have been transformed into globally traded commodities. In China, based on the name ", their use can be traced back over the last two millennia. Lycium fruits for anti-aging, improving eyesight and nourishment were documented already in 500C.E. (Mingyi Bielu). Recent findings explain the pharmacological foundations of the traditional uses. Especially polysaccharides, zeaxanthin dipalmitate, vitamins, betaine, and mixed extracts were reported to be responsible for anti-aging, improving eyesight, and anti-fatigue effects. The integration of historical, ethnobotanical, botanical, phytochemical and pharmacological data has enabled a detailed understanding of Lycium and its wider potential. It highlights that the focus so far has

  10. The teaching of pragmatics by native and nonnative language teachers: What they know and what they report doing

    Directory of Open Access Journals (Sweden)

    Andrew D. Cohen

    2016-12-01

    Full Text Available The paper focuses on how nonnative teachers of a target language (NNTs deal with pragmatics in their classes. It starts with a discussion of what pragmatics entails. Next, issues relating to the teaching of pragmatics are identified, such as the language background of the teacher, comparisons between second- (L2 and foreign-language (FL instruction, and the potential role of digital media and other means in providing models for pragmatic behavior. Then, an international survey is presented which probed into the experiences of NNTs of various languages while teaching the pragmatics of their language of instruction. A total of 113 teachers were asked to indicate what they taught with regard to pragmatics, 30 native-language teachers (NTs and 83 NNTs. They were also asked to report on their experience as teachers of L2 and FL pragmatics (e.g., if they encountered classroom moments when they did not feel like an authority on some aspect of pragmatics, what they did about it. Since pragmatics is a meeting of language and culture, the teacher respondents were asked to assess their knowledge regarding pragmalinguistics (i.e., the language forms and sociopragmatics (sociocultural knowledge. In addition, they were asked to give their opinion regarding similarities and differences between the teaching of FL as opposed to L2 pragmatics, as this traditional dichotomy gives way to a more hybrid reality in an increasingly globalized world. Similarly, they were asked about their methods for teaching pragmatics (e.g., their use of digital media and their handling of dialect differences. Finally, they were asked to suggest areas in which they would like to see research conducted that would inform the teaching of pragmatics. The paper reports the findings from the study, including statistical differences in reported teaching of criticism, sarcasm, and cursing, as well as in the use of digital media and in having students gather data on pragmatics.

  11. Team-based care for improving hypertension management among outpatients (TBC-HTA): study protocol for a pragmatic randomized controlled trial.

    Science.gov (United States)

    Santschi, Valérie; Wuerzner, Grégoire; Chiolero, Arnaud; Burnand, Bernard; Schaller, Philippe; Cloutier, Lyne; Paradis, Gilles; Burnier, Michel

    2017-01-21

    Blood pressure (BP) is poorly controlled among a large proportion of hypertensive outpatients. Innovative models of care are therefore needed to improve BP control. The Team-Based Care for improving Hypertension management (TBC-HTA) study aims to evaluate the effect of a team-based care (TBC) interprofessional intervention, involving nurses, community pharmacists and physicians, on BP control of hypertensive outpatients compared to usual care in routine clinical practice. The TBC-HTA study is a pragmatic randomized controlled study with a 6-month follow-up which tests a TBC interprofessionnal intervention conducted among uncontrolled treated hypertensive outpatients in two ambulatory clinics and among seven nearby community pharmacies in Lausanne and Geneva, Switzerland. A total of 110 patients are being recruited and randomized to TBC (TBC: N = 55) or usual care group (UC: N = 55). Patients allocated to the TBC group receive the TBC intervention conducted by an interprofessional team, involving an ambulatory clinic nurse, a community pharmacist and a physician. A nurse and a community pharmacist meet patients every 6 weeks to measure BP, to assess lifestyle, to estimate medication adherence, and to provide education to the patient about disease, treatment and lifestyle. After each visit, the nurse and pharmacist write a summary report with recommendations related to medication adherence, lifestyle, and changes in therapy. The physician then adjusts antihypertensive therapy accordingly. Patients in the UC group receive usual routine care without sessions with a nurse and a pharmacist. The primary outcome is the difference in daytime ambulatory BP between TBC and UC patients at 6-month of follow-up. Secondary outcomes include patients' and healthcare professionals' satisfaction with the TBC intervention and BP control at 12 months (6 months after the end of the intervention). This ongoing study aims to evaluate the effect of a newly developed team

  12. The nature of pragmatic language impairment

    NARCIS (Netherlands)

    Ketelaars, M.P.

    2010-01-01

    The present dissertation reports on research into the nature of Pragmatic Language Impairment (PLI) in children aged 4 to 7 in the Netherlands. First, the possibility of screening for PLI in the general population is examined. Results show that this is indeed possible as well as feasible. Second, an

  13. Beyond Pragmatics: Morphosyntactic Development in Autism

    Science.gov (United States)

    Eigsti, Inge-Marie; Bennetto, Loisa; Dadlani, Mamta B.

    2007-01-01

    Language acquisition research in autism has traditionally focused on high-level pragmatic deficits. Few studies have examined grammatical abilities in autism, with mixed findings. The present study addresses this gap in the literature by providing a detailed investigation of syntactic and higher-level discourse abilities in verbal children with…

  14. Applying Pragmatics Principles for Interaction with Visual Analytics.

    Science.gov (United States)

    Hoque, Enamul; Setlur, Vidya; Tory, Melanie; Dykeman, Isaac

    2018-01-01

    Interactive visual data analysis is most productive when users can focus on answering the questions they have about their data, rather than focusing on how to operate the interface to the analysis tool. One viable approach to engaging users in interactive conversations with their data is a natural language interface to visualizations. These interfaces have the potential to be both more expressive and more accessible than other interaction paradigms. We explore how principles from language pragmatics can be applied to the flow of visual analytical conversations, using natural language as an input modality. We evaluate the effectiveness of pragmatics support in our system Evizeon, and present design considerations for conversation interfaces to visual analytics tools.

  15. THE ROLE OF PRAGMATICS IN UNDERSTANDING HUMAN COMMUNICATION IN AN INSTITUTIONAL SETTING

    Directory of Open Access Journals (Sweden)

    Hussain AL SHAROUFI

    2013-10-01

    Full Text Available This study tries to show the importance of pragmatics in understanding human communication in an institutional setting. Speakers and listeners are actively involved in a negotiating process that leads to creating a cycle of actively changing contexts in which speech acts win their legitimacy of being real doers of action in real-time situations. Particular cultural repertoires in human societies facilitate language with a wealth of contextual resources that can help anchor meaning by favouring particular speech acts to other ones. In investigating some dialogical tactics practiced by some Kuwaiti customer service employees in Kuwait, I found that Mey’s pragmeme is the ideal outcome of these dialogic encounters. In Mey’s viewpoint, no speech act means anything without the cultural context in which it originates, a stance which casts a serious doubt on the semantico-syntactic analysis of speech acts in a Searlean sense. The communicative value of ethos in institutional encounters relies primarily on looking at meaning from a pragmatic perspective, to be more precise here from a pragmemic perspective. In order to assess the level of their socio-pragmatic awareness and their ability to depend on their socio-pragmatic resources to persuade their customers, I interviewed a group of customer service employees at some Kuwaiti banks. The results of the study showed cogently that bank employees in Kuwait have high socio-pragmatic awareness, which helped them significantly in attracting more customers to their banks. Those employees showed clear awareness of strategic positive politeness and effective usage of appropriate pragmemes, contextualized speech acts (Mey 2001, Capone 2005. Making promises, guaranteeing exceptional services, and pampering clients with versatile banking products are some of the socio-pragmatic strategies used by the aforementioned employees.

  16. Factors influencing local ecological knowledge of forage resources: Ethnobotanical evidence from West Africa's savannas.

    Science.gov (United States)

    Naah, John-Baptist S N; Guuroh, Reginald T

    2017-03-01

    Recording local ecological knowledge (LEK) is a useful approach to understanding interactions of the complex social-ecological systems. In spite of the recent growing interest in LEK studies on the effects of climate and land use changes, livestock mobility decisions and other aspects of agro-pastoral systems, LEK on forage plants has still been vastly under-documented in the West African savannas. Using a study area ranging from northern Ghana to central Burkina Faso, we thus aimed at exploring how aridity and socio-demographic factors drive the distributional patterns of forage-related LEK among its holders. With stratified random sampling, we elicited LEK among 450 informants in 15 villages (seven in Ghana and eight in Burkina Faso) via free list tasks coupled with ethnobotanical walks and direct field observations. We performed generalized linear mixed-effects models (aridity- and ethnicity-based models) and robust model selection procedures. Our findings revealed that LEK for woody and herbaceous forage plants was strongly influenced by the ethnicity-based model, while aridity-based model performed better for LEK on overall forage resources and crop-related forage plants. We also found that climatic aridity had negative effect on the forage-related LEK across gender and age groups, while agro- and floristic diversity had positive effect on the body of LEK. About 135 species belonging to 95 genera and 52 families were cited. Our findings shed more light on how ethnicity and environmental harshness can markedly shape the body of LEK in the face of global climate change. Better understanding of such a place-based knowledge system is relevant for sustainable forage plants utilization and livestock production. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Pragmatism and Existential Philosophy

    Directory of Open Access Journals (Sweden)

    Hans Lipps

    2010-01-01

    Full Text Available Hans Lipps compares pragmatism (William James and John Dewey existentialism (Friedrich Nietzsche, Soren Kierkegaard, and Martin Heidegger in this 1936 article translated from French.  He claims that they aim at the same goals, e.g., a return to lived experience and a rejection of the Cartesian legacy in philosophy.  While summarizing the commonalities of each, he engages in a polemic against philosophy then that remains relevant now into the next century.

  18. Pragmatic Graph Rewriting Modifications

    OpenAIRE

    Rodgers, Peter; Vidal, Natalia

    1999-01-01

    We present new pragmatic constructs for easing programming in visual graph rewriting programming languages. The first is a modification to the rewriting process for nodes the host graph, where nodes specified as 'Once Only' in the LHS of a rewrite match at most once with a corresponding node in the host graph. This reduces the previously common use of tags to indicate the progress of matching in the graph. The second modification controls the application of LHS graphs, where those specified a...

  19. A test for the Assessment of Pragmatic Abilities and Cognitive Substrates (APACS: Normative data and psychometric properties

    Directory of Open Access Journals (Sweden)

    Giorgio eArcara

    2016-02-01

    Full Text Available The Assessment of Pragmatic Abilities and Cognitive Substrates (APACS test is a new tool to evaluate pragmatic abilities in patients with acquired communicative deficits, ranging from schizophrenia to neurodegenerative diseases. APACS focuses on two main domains, namely discourse and non-literal language, combining traditional tasks with refined linguistic materials in Italian, in a unified framework inspired by language pragmatics. The test includes six tasks (Interview, Description, Narratives, Figurative Language 1, Humor, Figurative Language 2 and three composite scores (Pragmatic Productions, Pragmatic Comprehension, APACS Total. Psychometric properties and normative data were computed on a sample of 119 healthy participants representative of the general population. The analysis revealed acceptable internal consistency and good test-retest reliability for almost every APACS task, suggesting that items are coherent and performance is consistent over time. Factor analysis supports the validity of the test, revealing two factors possibly related to different facets and substrates of the pragmatic competence. Finally, excellent match between APACS items and scores and the pragmatic constructs measured in the test was evidenced by experts’ evaluation of content validity. The performance on APACS showed a general effect of demographic variables, with a negative effect of age and a positive effect of education. The norms were calculated by means of state-of-the-art regression methods. Overall, APACS is a valuable tool for the assessment of pragmatic deficits in verbal communication. The short duration and easiness of administration make the test especially suitable to use in clinical settings. In presenting APACS, we also aim at promoting the inclusion of pragmatics in the assessment practice, as a relevant dimension in defining the patient’s cognitive profile, given its vital role for communication and social interaction in daily life. The

  20. Pragmatics: The State of the Art: An Online Interview with Keith Allan

    Science.gov (United States)

    Allan, Keith; Salmani Nodoushan, Mohammad Ali

    2015-01-01

    This interview was conducted with Professor Keith Allan with the aim of providing a brief but informative summary of the state of the art of pragmatics. In providing answers to the interview questions, Professor Allan begins with a definition of pragmatics as it is practiced today, i.e., the study of the meanings of utterances with attention to…

  1. Teaching Pragmatics in the Foreign Language Classroom: Grammar as a Communicative Resource

    Science.gov (United States)

    Felix-Brasdefer, J. Cesar; Cohen, Andrew D.

    2012-01-01

    This article focuses on the teaching of pragmatics in the Spanish as a Foreign Language classroom and examines the role of grammar as a communicative resource. It also aims to highlight the importance of teaching pragmatics from beginning levels of language instruction, with the spotlight on speech acts at the discourse level. After the concept of…

  2. Between Peirce (1878) and James (1898): G. Stanley Hall, the origins of pragmatism, and the history of psychology.

    Science.gov (United States)

    Leary, David E

    2009-01-01

    This article focuses on the 20-year gap between Charles S. Peirce's classic proposal of pragmatism in 1877-1878 and William James's equally classic call for pragmatism in 1898. It fills the gap by reviewing relevant developments in the work of Peirce and James and by introducing G. Stanley Hall, for the first time, as a figure in the history of pragmatism. In treating Hall and pragmatism, the article reveals a previously unnoted relation between the early history of pragmatism and the early history of the "new psychology" that Hall helped to pioneer. (c) 2009 Wiley Periodicals, Inc.

  3. Feasibility, design and conduct of a pragmatic randomized controlled trial to reduce overweight and obesity in children: The electronic games to aid motivation to exercise (eGAME study

    Directory of Open Access Journals (Sweden)

    Rodgers Anthony

    2009-05-01

    Full Text Available Abstract Background Childhood obesity has reached epidemic proportions in developed countries. Sedentary screen-based activities such as video gaming are thought to displace active behaviors and are independently associated with obesity. Active video games, where players physically interact with images onscreen, may have utility as a novel intervention to increase physical activity and improve body composition in children. The aim of the Electronic Games to Aid Motivation to Exercise (eGAME study is to determine the effects of an active video game intervention over 6 months on: body mass index (BMI, percent body fat, waist circumference, cardio-respiratory fitness, and physical activity levels in overweight children. Methods/Design Three hundred and thirty participants aged 10–14 years will be randomized to receive either an active video game upgrade package or to a control group (no intervention. Discussion An overview of the eGAME study is presented, providing an example of a large, pragmatic randomized controlled trial in a community setting. Reflection is offered on key issues encountered during the course of the study. In particular, investigation into the feasibility of the proposed intervention, as well as robust testing of proposed study procedures is a critical step prior to implementation of a large-scale trial. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12607000632493

  4. Pragmatic Numbers

    DEFF Research Database (Denmark)

    Seabrooke, Leonard

    2012-01-01

    Sector Assessment Programme (FSAP). While the IMF is typically viewed as an institution that enforces global standards for economic governance through the imposition of quantitative targets (‘numbers’ for this special issue), I suggest that its use of benchmarking in the generation of financial data can...... market actors. This article suggests that we cannot simply view the IMF staff as hostage to their commanders. Rather, the IMF's use of ‘pragmatic numbers’ within FSAPs demonstrates one method by which an institution seeks to foster learning under constraint.......Do international organisations generate benchmarks as tools for policy enforcement or policy learning? This article suggests that the latter is possible even in unlikely scenarios. It does this through a case study on the ‘power of numbers’ in the International Monetary Fund's (IMF) Financial...

  5. Phase II Pragmatic Randomized Controlled Trial of Patient-Led Therapies (Mirror Therapy and Lower-Limb Exercises) During Inpatient Stroke Rehabilitation.

    Science.gov (United States)

    Tyson, Sarah; Wilkinson, Jack; Thomas, Nessa; Selles, Ruud; McCabe, Candy; Tyrrell, Pippa; Vail, Andy

    2015-10-01

    Patient-led therapy has the potential to increase the amount of therapy patients undertake during stroke rehabilitation and to enhance recovery. Our objective was to assess the feasibility and acceptability of 2 patient-led therapies during the acute stages of stroke care: mirror therapy for the upper limb and lower-limb exercises for the lower limb. This was a blind assessed, multicenter, pragmatic randomized controlled trial of patient-led upper-limb mirror therapy and patient-led lower leg exercises. Stroke survivors with upper and lower limb limitations, undergoing inpatient rehabilitation and able to consent were recruited at least 1 week poststroke. Both interventions proved feasible, with >90% retention. No serious adverse events were reported. Both groups did less therapy than recommended; typically 5 to 15 minutes for 7 days or less. Participants receiving mirror therapy (n = 63) tended to do less practice than those doing lower-limb exercises (n = 31). Those with neglect did 69% less mirror therapy than those without (P = .02), which was not observed in the exercise group. Observed between-group differences were modest but neglect, upper-limb strength, and dexterity showed some improvement in the mirror therapy group. No changes were seen in the lower-limb group. Both patient-led mirror therapy and lower-limb exercises during inpatient stroke care are safe, feasible, and acceptable and warrant further investigation. Practice for 5 to 15 minutes for 7 days is a realistic prescription unless strategies to enhance adherence are included. © The Author(s) 2015.

  6. Towards greater pragmatism in planning: a growing challenge for planners

    CSIR Research Space (South Africa)

    Norsworthy, J

    2008-04-01

    Full Text Available that originated in the late nineteenth century with Charles Sanders Peirce, who first stated the pragmatic maxim. It came to fruition in the early twentieth-century philosophies of William James and John Dewey. Most of the thinkers who describe themselves...; and the assertion of the maxim is that herein lies the zohole of the purport of the word, the entire concept.” (Peirce, 1905, cited in Thayer, 1984,p. 493) These quotes on the origins of pragmatism are especially important; because they point out...

  7. Theory of mind in utterance interpretation: The case from clinical pragmatics

    Directory of Open Access Journals (Sweden)

    Louise eCummings

    2015-08-01

    Full Text Available The cognitive basis of utterance interpretation is an area that continues to provoke intense theoretical debate among pragmatists. That utterance interpretation involves some type of mind-reading or theory of mind (ToM is indisputable. However, theorists are divided on the exact nature of this ToM-based mechanism. In this paper, it is argued that the only type of ToM-based mechanism that can adequately represent the cognitive basis of utterance interpretation is one which reflects the rational, intentional, holistic character of interpretation. Such a ToM-based mechanism is supported on conceptual and empirical grounds. Empirical support for this view derives from the study of children and adults with pragmatic disorders. Specifically, three types of clinical case are considered. In the first case, evidence is advanced which indicates that individuals with pragmatic disorders exhibit deficits in reasoning and the use of inferences. These deficits compromise the ability of children and adults with pragmatic disorders to comply with the rational dimension of utterance interpretation. In the second case, evidence is presented which suggests that subjects with pragmatic disorders struggle with the intentional dimension of utterance interpretation. This dimension extends beyond the recognition of communicative intentions to include the attribution of a range of cognitive and affective mental states that play a role in utterance interpretation. In the third case, evidence is presented that children and adults with pragmatic disorders struggle with the holistic character of utterance interpretation. This serves to distort the contexts in which utterances are processed for their implicated meanings. The paper concludes with some thoughts about the role of theorizing in relation to utterance interpretation.

  8. Theory of mind in utterance interpretation: the case from clinical pragmatics.

    Science.gov (United States)

    Cummings, Louise

    2015-01-01

    The cognitive basis of utterance interpretation is an area that continues to provoke intense theoretical debate among pragmatists. That utterance interpretation involves some type of mind-reading or theory of mind (ToM) is indisputable. However, theorists are divided on the exact nature of this ToM-based mechanism. In this paper, it is argued that the only type of ToM-based mechanism that can adequately represent the cognitive basis of utterance interpretation is one which reflects the rational, intentional, holistic character of interpretation. Such a ToM-based mechanism is supported on conceptual and empirical grounds. Empirical support for this view derives from the study of children and adults with pragmatic disorders. Specifically, three types of clinical case are considered. In the first case, evidence is advanced which indicates that individuals with pragmatic disorders exhibit deficits in reasoning and the use of inferences. These deficits compromise the ability of children and adults with pragmatic disorders to comply with the rational dimension of utterance interpretation. In the second case, evidence is presented which suggests that subjects with pragmatic disorders struggle with the intentional dimension of utterance interpretation. This dimension extends beyond the recognition of communicative intentions to include the attribution of a range of cognitive and affective mental states that play a role in utterance interpretation. In the third case, evidence is presented that children and adults with pragmatic disorders struggle with the holistic character of utterance interpretation. This serves to distort the contexts in which utterances are processed for their implicated meanings. The paper concludes with some thoughts about the role of theorizing in relation to utterance interpretation.

  9. Pragmatism, Pedagogy, and Community Service Learning

    Science.gov (United States)

    Yoder, Scot D.

    2016-01-01

    In this paper I explore Goodwin Liu's proposal to ground the pedagogy of service-learning in the epistemology of pragmatism from the perspective of a reflective practitioner. I review Liu's epistemology and his claim that from within it three features common to service-learning--community, diversity, and engagement--become pedagogical virtues. I…

  10. Some experimental aspects of optimality theoretic pragmatics

    NARCIS (Netherlands)

    Blutner, R.; Németh T., E.; Bibok, K.

    2010-01-01

    The article has three main concerns: (i) it gives a concise introduction into optimality-theoretic pragmatics; (ii) it discusses the relation to alternative accounts (relevance theory and Levinson's theory of presumptive meanings); (iii) it reviews recent findings concerning the psychological

  11. Pragmatic Frames for Teaching and Learning in Human-Robot Interaction: Review and Challenges.

    Science.gov (United States)

    Vollmer, Anna-Lisa; Wrede, Britta; Rohlfing, Katharina J; Oudeyer, Pierre-Yves

    2016-01-01

    One of the big challenges in robotics today is to learn from human users that are inexperienced in interacting with robots but yet are often used to teach skills flexibly to other humans and to children in particular. A potential route toward natural and efficient learning and teaching in Human-Robot Interaction (HRI) is to leverage the social competences of humans and the underlying interactional mechanisms. In this perspective, this article discusses the importance of pragmatic frames as flexible interaction protocols that provide important contextual cues to enable learners to infer new action or language skills and teachers to convey these cues. After defining and discussing the concept of pragmatic frames, grounded in decades of research in developmental psychology, we study a selection of HRI work in the literature which has focused on learning-teaching interaction and analyze the interactional and learning mechanisms that were used in the light of pragmatic frames. This allows us to show that many of the works have already used in practice, but not always explicitly, basic elements of the pragmatic frames machinery. However, we also show that pragmatic frames have so far been used in a very restricted way as compared to how they are used in human-human interaction and argue that this has been an obstacle preventing robust natural multi-task learning and teaching in HRI. In particular, we explain that two central features of human pragmatic frames, mostly absent of existing HRI studies, are that (1) social peers use rich repertoires of frames, potentially combined together, to convey and infer multiple kinds of cues; (2) new frames can be learnt continually, building on existing ones, and guiding the interaction toward higher levels of complexity and expressivity. To conclude, we give an outlook on the future research direction describing the relevant key challenges that need to be solved for leveraging pragmatic frames for robot learning and teaching.

  12. Pragmatic Frames for Teaching and Learning in Human–Robot Interaction: Review and Challenges

    Science.gov (United States)

    Vollmer, Anna-Lisa; Wrede, Britta; Rohlfing, Katharina J.; Oudeyer, Pierre-Yves

    2016-01-01

    One of the big challenges in robotics today is to learn from human users that are inexperienced in interacting with robots but yet are often used to teach skills flexibly to other humans and to children in particular. A potential route toward natural and efficient learning and teaching in Human-Robot Interaction (HRI) is to leverage the social competences of humans and the underlying interactional mechanisms. In this perspective, this article discusses the importance of pragmatic frames as flexible interaction protocols that provide important contextual cues to enable learners to infer new action or language skills and teachers to convey these cues. After defining and discussing the concept of pragmatic frames, grounded in decades of research in developmental psychology, we study a selection of HRI work in the literature which has focused on learning–teaching interaction and analyze the interactional and learning mechanisms that were used in the light of pragmatic frames. This allows us to show that many of the works have already used in practice, but not always explicitly, basic elements of the pragmatic frames machinery. However, we also show that pragmatic frames have so far been used in a very restricted way as compared to how they are used in human–human interaction and argue that this has been an obstacle preventing robust natural multi-task learning and teaching in HRI. In particular, we explain that two central features of human pragmatic frames, mostly absent of existing HRI studies, are that (1) social peers use rich repertoires of frames, potentially combined together, to convey and infer multiple kinds of cues; (2) new frames can be learnt continually, building on existing ones, and guiding the interaction toward higher levels of complexity and expressivity. To conclude, we give an outlook on the future research direction describing the relevant key challenges that need to be solved for leveraging pragmatic frames for robot learning and teaching

  13. Fostering EF/SL Learners' Meta-Pragmatic Awareness of Complaints and Their Interactive Effects

    Science.gov (United States)

    Cruz, Manuel Padilla

    2015-01-01

    This paper suggests a series of steps for teaching complaint behaviour in English. The production of complaints requires a meta-pragmatic awareness of their interactive value and functions, their different types and realisations, pragmalinguistic formulae frequently employed or the socio-pragmatic factors affecting them, among others, which many…

  14. The impact of life review on depression in older adults: a randomized controlled trial

    NARCIS (Netherlands)

    Pot, A.M.; Bohlmeijer, E.T.; Onrust, S.; Melenhorst, A.S.; Veerbeek, M.A.; de Vries, W.

    2010-01-01

    Background: We developed an indicated preventive life-review course, Looking for Meaning, based on the assumption that reminiscence styles influence coping with depressive symptoms. This study describes the impact of this course in a pragmatic randomized controlled trial. Methods: Inclusion criteria

  15. The impact of life review on depression in older adults: a randomized controlled trial

    NARCIS (Netherlands)

    Pot, Anne Margriet; Bohlmeijer, Ernst Thomas; Onrust, Simone; Melenhorst, Anne-Sophie; Veerbeek, Marjolein; de Vries, Wilma

    2010-01-01

    Background: We developed an indicated preventive life-review course, “Looking for Meaning”, based on the assumption that reminiscence styles influence coping with depressive symptoms. This study describes the impact of this course in a pragmatic randomized controlled trial. Methods: Inclusion

  16. A Pragmatic Perspective on Advertisement Translating

    Institute of Scientific and Technical Information of China (English)

    管虎元

    2008-01-01

    With the strengthening of intercultural communication,advertisement translating becomes more and more impor tant in the field of commerce.Based on an analysis and comparison of English and Chinese advertisements,this paper discusses the strategies of translating advertisement from a pragmatic pernpective, including the speech act theory,the context theory and cultural consideration,etc.

  17. Teaching Pragmatic Particles in the LCTL Classroom

    Directory of Open Access Journals (Sweden)

    Faizah Sari

    2008-01-01

    Full Text Available The success and effectiveness of teaching the LCTL class-room depend on the LCTL research. The study investigated the into-nation contours of seven Indonesian pragmatic particles (kan, ya, kok, lho, dong, deh, and sih to review the functions of the particles. Vide-otaped data of naturally occurring conversations by native speakers of Indonesian were collected. Results indicated the number of into-nation contours for the Indonesian pragmatic particles used by the speakers to organize information (for example, to extend common ground and mark shared knowledge and to convey the speaker’s ex-pression (for example, surprise and emphasis. The particle contour analysis forms a natural link between grammatical and interactional competence and bears an important LCTL pedagogical consequence in terms of both improving teaching materials and bringing the cul-ture closer to the learner. Based on the findings, four strategies in teaching the LCTL classroom are recommended.

  18. Marine radio communication from a linguistic and pragmatic ...

    African Journals Online (AJOL)

    Marine radio communication from a linguistic and pragmatic perspective: A view from Venezuela. ... Regional Maritime University Journal ... language for achieving an effective communication on board and between ships and shore is English.

  19. A Longitudinal Study of Pragmatic Language Development in Three Children with Cochlear Implants

    Science.gov (United States)

    Dammeyer, Jesper

    2012-01-01

    Research has shown how cochlear implants (CIs), in children with hearing impairments, have improved speech perception and production, but very little is known about the children's pragmatic language development. During a 4-year longitudinal study of three children with CIs, certain aspects of pragmatic language development were observed in free…

  20. Pragmatics and Semiotics: Movies as Aesthetic Audio-Visual Device Expedite Second Language Acquisition

    Science.gov (United States)

    Lu, Lucia Y.

    2014-01-01

    The author as teacher educator and her students as teacher candidates conceptualized pragmatics, semiotics and aesthetics into literacy education by inviting students of diversity to watch movies, talk about movies, write movies, and act movies. Pragmatics is the study of how language is used for communication in various social and cultural…

  1. Pragmatic nihilism: how a Theory of Nothing can help health psychology progress.

    Science.gov (United States)

    Peters, Gjalt-Jorn Ygram; Crutzen, Rik

    2017-06-01

    Health psychology developed a plethora of theories to explain and change a wide variety of behaviours. Several attempts have been undertaken to build integrative theories, some even striving for a Theory of Everything. We argue against these efforts, arguing that instead a 'pragmatic nihilism' perspective may be more fruitful to understand and change health behaviours. The first tenet of pragmatic nihilism is that psychological variables are usefully considered as metaphors rather than referring to entities that exist in the mind. As a consequence, the second tenet emphasizes theories' definitions and guidelines for the operationalisation of those variables. The third tenet of pragmatic nihilism is that each operationalisation represents an intersection of a variety of dimensions, such as behavioural specificity and duration, and most importantly, psychological aggregation level. Any operationalisation thus represents a number of choices regarding these dimensions. Pragmatic nihilism has two implications. First, it provides a foundation that enables integrating theories in a more flexible and accurate manner than made possible by integrative theories. Second, it emphasizes the importance of operationalisations, underlining the importance of investing in the careful development of measurement instruments, thorough reporting of measurement instruments' specifics and performance, and full disclosure of the instruments themselves.

  2. Apps for IMproving FITness and Increasing Physical Activity Among Young People: The AIMFIT Pragmatic Randomized Controlled Trial.

    Science.gov (United States)

    Direito, Artur; Jiang, Yannan; Whittaker, Robyn; Maddison, Ralph

    2015-08-27

    Given the global prevalence of insufficient physical activity (PA), effective interventions that attenuate age-related decline in PA levels are needed. Mobile phone interventions that positively affect health (mHealth) show promise; however, their impact on PA levels and fitness in young people is unclear and little is known about what makes a good mHealth app. The aim was to determine the effects of two commercially available smartphone apps (Zombies, Run and Get Running) on cardiorespiratory fitness and PA levels in insufficiently active healthy young people. A second aim was to identify the features of the app design that may contribute to improved fitness and PA levels. Apps for IMproving FITness (AIMFIT) was a 3-arm, parallel, randomized controlled trial conducted in Auckland, New Zealand. Participants were recruited through advertisements in electronic mailing lists, local newspapers, flyers posted in community locations, and presentations at schools. Eligible young people aged 14-17 years were allocated at random to 1 of 3 conditions: (1) use of an immersive app (Zombies, Run), (2) use of a nonimmersive app (Get Running), or (3) usual behavior (control). Both smartphone apps consisted of a fully automated 8-week training program designed to improve fitness and ability to run 5 km; however, the immersive app featured a game-themed design and narrative. Intention-to-treat analysis was performed using data collected face-to-face at baseline and 8 weeks, and all regression models were adjusted for baseline outcome value and gender. The primary outcome was cardiorespiratory fitness, objectively assessed as time to complete the 1-mile run/walk test at 8 weeks. Secondary outcomes were PA levels (accelerometry and self-reported), enjoyment, psychological need satisfaction, self-efficacy, and acceptability and usability of the apps. A total of 51 participants were randomized to the immersive app intervention (n=17), nonimmersive app intervention (n=16), or the

  3. Pragmatic electrical engineering fundamentals

    CERN Document Server

    Eccles, William

    2011-01-01

    Pragmatic Electrical Engineering: Fundamentals introduces the fundamentals of the energy-delivery part of electrical systems. It begins with a study of basic electrical circuits and then focuses on electrical power. Three-phase power systems, transformers, induction motors, and magnetics are the major topics.All of the material in the text is illustrated with completely-worked examples to guide the student to a better understanding of the topics. This short lecture book will be of use at any level of engineering, not just electrical. Its goal is to provide the practicing engineer with a practi

  4. Omora Ethnobotanical Park and the UNESCO Cape Horn Biosphere Reserve

    Directory of Open Access Journals (Sweden)

    Eugene C. Hargrove

    2008-12-01

    Full Text Available The biocultural conservation and research initiative of Omora Ethnobotanical Park and the UNESCO Cape Horn Biosphere Reserve was born in a remote part of South America and has rapidly expanded to attain regional, national, and international relevance. The park and the biosphere reserve, led by Ricardo Rozzi and his team, have made significant progress in demonstrating the way academic research supports local cultures, social processes, decision making, and conservation. It is a dynamic hive of investigators, artists, writers, students, volunteers, and friends, all exploring ways to better integrate academia and society. The initiative involves an informal consortium of institutions and organizations; in Chile, these include the University of Magallanes, the Omora Foundation, and the Institute of Ecology and Biodiversity, and in the United States, the University of North Texas, the Omora Sub-Antarctic Research Alliance, and the Center for Environmental Philosophy at the University of North Texas. The consortium intends to function as a hub through which other institutions and organizations can be involved in research, education, and biocultural conservation. The park constitutes one of three long-term socio-ecological research sites in Chile of the Institute of Ecology and Biodiversity.

  5. Pragmatic language impairment and associated behavioural problems

    NARCIS (Netherlands)

    Ketelaars, M.P.; Cuperus, J.; Jansonius, K.; Verhoeven, L.

    2010-01-01

    Background: Specific language impairment (SLI) is diagnosed when a child shows isolated structural language problems. The diagnosis of pragmatic language impairment (PLI) is given to children who show difficulties with the use of language in context. Unlike children with SLI, these children tend to

  6. Traditional uses of herbal vapour therapy in Manipur, North East India: an ethnobotanical survey.

    Science.gov (United States)

    Ningthoujam, Sanjoy Singh; Das Talukdar, Anupam; Potsangbam, Kumar Singh; Choudhury, Manabendra Dutta

    2013-05-02

    Vapour-based medicines are an aspect of traditional medicine in North East India. However, no collective studies on this therapy in the region have been attempted. With the changing perception of traditional knowledge, documenting these herbal preparations and the subsequent development of baseline data for applications in further ethnopharmacological research are needed. To survey and document the plant species associated with vapour therapy in Manipur, North East India, and to evaluate these traditional practices. Semi-structured questionnaires were used to collect information from the Meitei community in the Imphal valley and the Jiribam area in Manipur. Traditional disease concepts were studied along with their corresponding medical terminologies. Plant samples collected from fields, healers' private collections and home gardens were identified. Evaluation of the ethnobotanical data was performed with a modified fidelity level index. In the study, 41 traditional disease complexes were treated by 13 different routes of administration using 48 mono-ingredient and 17 multi-ingredient compositions. Preparation methods included boiling in water (28%), burning the materials (48%), crushing the materials to release the aroma (21%) and slight heating of the materials (3%). Some of the mono-ingredient recipes reported in the study were observed to have similar uses in other parts of the world, whereas polyherbal remedies were found to be unique without any similar report. Many compositions mentioned in the paper are still used by the Meitei community. Traditional healers follow their own criteria for selecting medicinal plants. Plants recorded in this ethnobotanical study can suggest methods for selecting and identifying potentially effective plants for future drug candidates. Scientific characterisation of the herbal remedies can contribute to the endorsement of traditional vapour-based therapies in the modern health care systems. Findings from these "new usage

  7. Jamesian pragmatism: a framework for working towards unified diversity in nursing knowledge development.

    Science.gov (United States)

    McCready, Jason S

    2010-07-01

    Abstract Nursing is frequently described as practical or pragmatic and there are many parallels between nursing and pragmatism, the school of thought. Pragmatism is often glancingly referenced by nursing authors, but few have conducted in-depth discussions about its applicability to nursing; and few have identified it as a significant theoretical basis for nursing research. William James's pragmatism has not been discussed substantially in the nursing context, despite obvious complementarities. James's theme of pluralism fits with nursing's diversity and plurality; his emphasis on social conscience in our actions matches nursing's fundamental purpose of improving the lives of others; his continuous testing of pluralistic truths in critically reflective practice pairs well with nursing's focus on developing best-available, holistic evidence; and his conceptualization of truth as being born in practice and becoming an instrument in practice is entirely compatible with nursing's theory-practice identity. The oft-discussed theory-practice gap is seen to hinder the development of nursing knowledge. If nursing is to find its identity in knowledge development and potentiate the knowledge developed, it is imperative to identify and address that which is impeding progress. By way of the pragmatic tenets of William James, I will argue that a significant part of the theory-practice gap lies in how nursing knowledge development is operationalized, creating a false dichotomy between practice and research. I will also argue that the research-practice schism has been widened by continued philosophical and methodological infighting in the research community. I will describe how Jamesian pragmatism can be 'what works' for rebuilding relationships and supporting an engaged plurality within nursing research and bring research and practice together into a collaborative and iterative process of developing nursing knowledge.

  8. Finding harmony so the music plays on: pragmatic trial design considerations to promote organizational sustainment of an empirically-supported behavior therapy.

    Science.gov (United States)

    Hartzler, Bryan; Peavy, K Michelle; Jackson, T Ron; Carney, Molly

    2016-01-22

    Pragmatic trials of empirically-supported behavior therapies may inform clinical and policy decisions concerning therapy sustainment. This retrospective trial design paper describes and discusses pragmatic features of a hybrid type III implementation/effectiveness trial of a contingency management (CM) intervention at an opioid treatment program. Prior reporting (Hartzler et al., J Subst Abuse Treat 46:429-438, 2014; Hartzler, Subst Abuse Treat Prev Policy 10:30, 2015) notes success in recruiting program staff for voluntary participation, durable impacts of CM training on staff-level outcomes, provisional setting implementation of the intervention, documentation of clinical effectiveness, and post-trial sustainment of CM. Six pragmatic design features, and both scientific and practical bases for their inclusion in the trial, are presented: (1) a collaborative intervention design process, (2) voluntary recruitment of program staff for therapy training and implementation, (3) serial training outcome assessments, with quasi-experimental staff randomization to either single or multiple baseline assessment conditions, (4) designation of a 90-day period immediately after training in which the setting implemented the intervention on a provisional basis, (5) inclusive patient eligibility for receipt of the CM intervention, and (6) designation of two staff as local implementation leaders to oversee clinical/administrative issues in provisional implementation. Each pragmatic trial design feature is argued to have contributed to sustainment of CM. Contributions implicate the building of setting proprietorship for the CM intervention, culling of internal staff expertise in its delivery, iterative use of assessment methods that limited setting burden, documentation of setting-specific clinical effectiveness, expanded penetration of CM among staff during provisional implementation, and promotion of setting self-reliance in the oversight of sustainable implementation procedures

  9. Pragmatic Abilities of Children with Williams Syndrome: A Longitudinal Examination

    Science.gov (United States)

    John, Angela E.; Dobson, Lauren A.; Thomas, Lauren E.; Mervis, Carolyn B.

    2012-01-01

    Prior research has indicated that pragmatics is an area of particular weakness for individuals with Williams syndrome (WS). To further address this aspect of the WS social phenotype, we used an individual differences approach to consider both cross-sectional and longitudinal relations among different pragmatic abilities for 14 children with WS, taking into account individual differences in non-verbal reasoning abilities. We also considered the relations between pragmatic abilities and expressive vocabulary ability. Participants were tested at two time points: as 4-year-olds during a 30-min play session with their mothers (Time 1) and an average of 5.87 years later during a one-on-one conversation with a familiar researcher (Time 2). Children’s intellectual and expressive vocabulary abilities were assessed at both time points. Results indicated that the ability to verbally contribute information beyond what was required in response to a question (ExtendQ) was significantly related to the ability to verbally contribute new information in the absence of a question (ExtendS) both at age 4 years and during primary school. At age 4, both the ability to pair verbalizations with eye contact in triadic interactions (secondary intersubjectivity) and expressive vocabulary ability were related to both ExtendQ and ExtendS. Finally, both ExtendQ and the ability to pair verbalizations with eye contact (intersubjectivity) at age 4 years predicted ExtendQ at age 9–12 years. The theoretical implications of our findings and the importance of early pragmatic language intervention for children who have WS are discussed. PMID:22719734

  10. The basis of chemoradiotherapy: pragmatism vs science

    International Nuclear Information System (INIS)

    Phillips, T.L.

    2003-01-01

    Of all of the methods evaluated to improve Radiotherapy through biologic means, the combination of simultaneous chemotherapy and radiotherapy has been by far the most successful. Improved local control and survival have been proven in randomized trials and by meta-analysis. It has taken fifty years to progress from early predictions of favorable interactions between radiation and cytotoxic drugs to improved survival at many tumor sites. How much has pragmatism and empiricism contributed to progress and how much has the lack of predictable effects of new agents in the laboratory delayed progress? Much of the progress has depended on serendipity and chance observations of interactions such as D'Angio's observation of the potentiation of radiation effects by actinomycin-D in 1959. Initial fear of adverse reactions if drug and radiation were concurrent further delayed progress. Laboratory experiments in the 1970's and 1980's provided the ground work for a scientific approach to predicting interaction, more successfully for normal tissues than for tumors. This presentation will summarize the development of proven clinical approaches which have become standard therapy and review the present status of predictive laboratory tests which have the potential to predict favorable interactions and accelerate the introduction of new combinations into the clinic

  11. On the possibility of a pragmatic discourse bioethics: Putnam, Habermas, and the normative logic of bioethical inquiry.

    Science.gov (United States)

    Cooke, Elizabeth F

    2003-01-01

    Pragmatic bioethics represents a novel approach to the discipline of bioethics, yet has met with criticisms which have beset the discipline of bioethics in the past. In particular, pragmatic bioethics has been criticized for its excessively fuzzy approach to fundamental questions of normativity, which are crucial to a field like bioethics. Normative questions need answers, and consensus is not always enough. The approach here is to apply elements of the discourse ethics of Habermas and Putnam to the sphere of bioethics, in order to develop a normative structure out of the framework of bioethical inquiry as it stands. The idea here is that the process of inquiry contains its own normative structure as it aims to discover norms. Such an approach, which fuses pragmatic bioethics with discourse ethics (which equally draws on pragmatism), may rightly be called a "Pragmatic Discourse Bioethics."

  12. Evaluating a Serious Gaming Electronic Medication Administration Record System Among Nursing Students: Protocol for a Pragmatic Randomized Controlled Trial.

    Science.gov (United States)

    Booth, Richard; Sinclair, Barbara; McMurray, Josephine; Strudwick, Gillian; Watson, Gavan; Ladak, Hanif; Zwarenstein, Merrick; McBride, Susan; Chan, Ryan; Brennan, Laura

    2018-05-28

    Although electronic medication administration record systems have been implemented in settings where nurses work, nursing students commonly lack robust learning opportunities to practice the skills and workflow of digitalized medication administration during their formative education. As a result, nursing students' performance in administering medication facilitated by technology is often poor. Serious gaming has been recommended as a possible intervention to improve nursing students' performance with electronic medication administration in nursing education. The objectives of this study are to examine whether the use of a gamified electronic medication administration simulator (1) improves nursing students' attention to medication administration safety within simulated practice, (2) increases student self-efficacy and knowledge of the medication administration process, and (3) improves motivational and cognitive processing attributes related to student learning in a technology-enabled environment. This study comprised the development of a gamified electronic medication administration record simulator and its evaluation in 2 phases. Phase 1 consists of a prospective, pragmatic randomized controlled trial with second-year baccalaureate nursing students at a Canadian university. Phase 2 consists of qualitative focus group interviews with a cross-section of nursing student participants. The gamified medication administration simulator has been developed, and data collection is currently under way. If the gamified electronic medication administration simulator is found to be effective, it could be used to support other health professional simulated education and scaled more widely in nursing education programs. ClinicalTrials.gov NCT03219151; https://clinicaltrials.gov/show/NCT03219151 (Archived by WebCite at http://www.webcitation.org/6yjBROoDt). RR1-10.2196/9601. ©Richard Booth, Barbara Sinclair, Josephine McMurray, Gillian Strudwick, Gavan Watson, Hanif Ladak

  13. Ethnobotanical study on wild plants used by Lhoba people in Milin County, Tibet.

    Science.gov (United States)

    Li, Feifei; Zhuo, Jingxian; Liu, Bo; Jarvis, Devra; Long, Chunlin

    2015-03-24

    The Lhoba are a small ethnic group, located in the Tibet Autonomous Region of China. Until 1960, their livelihood was predominantly based on swidden agriculture, hunting, and gathering. To investigate and document the plant species used by the Lhoba, ethnobotanical surveys were conducted in three villages of Nanyi Township in Milin County, Tibet, China. Ethnobotanical surveys were conducted in three Lhoba villages using key informant interviews and semi-structured interviews. Plants traditionally used by the Lhoba were documented. Data obtained were analyzed through informant consensus factor analysis (FIC) to determine the homogeneity of the informants' knowledge of medicinal plants. Fifty-nine plant species belonging to 49 genera and 28 families were recorded and collected. Twenty-eight species are ethnomedicinal plants, 29 are local edible plants, and 23 are used for other purposes in Lhoba daily life. The medicinal plant species are used for treating eight categories of illness. Most medicinal plants are herbs (71.4%) or roots (39.2%). Nutrition adjustment (FIC = 0.76) and dermatological infections (FIC = 0.56) showed the highest FIC, indicating that the Lhoba had the highest level of agreement about the use of plants for these two illness categories. Fruit is the most frequently used part of the edible plants. Nine edible plant species are used as herbal medicine. Plant species used for other purposes include, six species for fuel, five for dye material, six for religious use, four for timber, two for tobacco substitutes, and one for fodder. Some traditional technologies and customs of Lhoba, such as dyeing and bamboo weaving, have remained the same for centuries. In contrast, the Lhoba's knowledge of ethnomedicine has been recently influenced by traditional Tibetan and Chinese medicine, resulting in the loss of traditional knowledge in this sector. In addition, the development of tourism has influenced a change in the Lhoba lifestyle and their production of

  14. The Effect of Consciousness-Raising Instruction on the Pragmatic Development of Apology and Request

    Science.gov (United States)

    Derakhshan, Ali; Eslami, Zohreh

    2015-01-01

    A growing body of research in interlanguage pragmatics (ILP) has documented that some features of pragmatics lend themselves well to instruction. Due to the abundant teaching approaches, nevertheless, it is still controversial which are most conducive to learning. Therefore, this study seeks to investigate the effectiveness of…

  15. Ethno-botanical remedies used by pastoralists for the treatment of livestock diseases in Cholistan desert, Pakistan.

    Science.gov (United States)

    Raza, Muhammad Asif; Younas, Muhammad; Buerkert, Andreas; Schlecht, Eva

    2014-01-01

    Account of the traditional plant based viz. ethno-botanical remedies used by the pastoralists of Cholistan desert, Pakistan, for the control and treatment of livestock diseases and ailments. The study was conducted across five locations in Cholistan desert, Pakistan, using a structured questionnaire to collect data from 100 livestock farmers (LF) and 20 livestock healers (LH). From correlation analyses 3 least correlated variables were identified among 5, which were representative of LFs. Cluster analysis was performed on the basis of these 3 variables and LFs were grouped into 3 logically different clusters. Kruskal-Wallis test and crosstab analyses were used to detect significant differences between clusters and effects of various variables on their use of ethno-botanical remedies. Most of the male only interviewees (LF 78%; LH 70%) were married and illiterate (LF 66%; LH 70%). LH had larger herds (average 109 animals) than LF (average 85 animals) and were more experienced in livestock husbandry and management. LF spent about 162.5 Euros annually on the treatment of their livestock, but there was great variability in expenditures. Average animal treatment experience of LH was 29 years; all were experts in treatment of all types of diseases (100%) and animal species (70%). Eighty-six traditional remedies based on 64 plants belonging to 43 families were used. Capparaceae was the botanical family with the largest number of used species (4), followed by Chenopodiaceae, Poaceae, Solanaceae and Zygophyllaceae (3). Aerial parts (43%), leaves (26%), fruits (9%), seeds and seed oils (9%) were frequently used parts, while flowers, roots, bulbs and pods were less frequently used (medicinal plants against the most prevalent livestock diseases should be evaluated, in order to recommend effective preparations and treatments to this poor population group. © 2013 Published by Elsevier Ireland Ltd.

  16. The effect of myofascial release and microwave diathermy combined with acupuncture versus acupuncture therapy in tension-type headache patients: A pragmatic randomized controlled trial.

    Science.gov (United States)

    Georgoudis, George; Felah, Bledjana; Nikolaidis, Pantelis; Damigos, Dimitrios

    2018-04-01

    Nonpharmacological therapies for tension-type headache (TTH) and cervicogenic cephalalgia are often a treatment choice, despite the weak to moderate evidence. The aim of this study was to compare the effectiveness of an acupuncture/stretching protocol versus acupuncture/stretching plus physiotherapy techniques, in patients with TTH cephalalgia. A single-blind, prospective, multicentre, randomized controlled trial was designed considering the pragmatic situation of administering such protocols and treating the 44 headache patients participating in this study. The patients were randomly assigned in 2 treatment groups (control group, n = 20, acupuncture/stretching; experimental group, n = 24, acupuncture/stretching plus physiotherapy) and completed 10 treatment sessions within 4 weeks with measurements taking place before treatment, after the fifth treatment and after the 10th treatment. The mechanical pressure pain threshold (PPT) was considered as the main outcome measure, using a mechanical algometer to measure 7 bilateral somatic points. Acupuncture in both groups included 17-20 acupuncture points, whereas stretching was initially taught and subsequently self-administered (self-stretches), following a standardized set of movements of the cervical spine. Physiotherapy consisted of microwave diathermy and myofascial release with hands-on techniques. An improvement was noted in both groups/treatments regarding the main outcome measure PPT, all the way from the first to fifth and the 10th treatment, at all measuring sites and at all measurements in both groups (p acupuncture and stretching but further PPT improvements were evidenced when physiotherapy hands-on techniques were added. In clinical terms, the combination of physiotherapy in the form of myofascial release and microwave diathermy with acupuncture and stretching in order to improve the analgesic effect (PPT) is strongly recommended. Copyright © 2017 John Wiley & Sons, Ltd.

  17. A Semantic and Pragmatic Analyses of Igbo Names

    African Journals Online (AJOL)

    Key words: personal names, Igbo, semantic content, pragmatic content, structure. Background to the Study ... Igbo name is a story, a book or a dictionary itself. ..... the meaning (literal meaning) of some of the data structurally presented above.

  18. Semantics, pragmatics and the theory of meaning

    NARCIS (Netherlands)

    Groenendijk, J.A.G.; Stokhof, M.J.B.

    1978-01-01

    In this paper arguments are given for the thesis that an adequate theory of meaning for a natural language has to consist at least of a recursive specification of the truth conditions (semantics) and of a recursive specification of the correctness conditions (pragmatics) of the sentences of that

  19. Behavioral counseling to prevent childhood obesity – study protocol of a pragmatic trial in maternity and child health care

    Directory of Open Access Journals (Sweden)

    Mustila Taina

    2012-07-01

    Full Text Available Abstract Background Prevention is considered effective in combating the obesity epidemic. Prenatal environment may increase offspring's risk for obesity. A child starts to adopt food preferences and other behavioral habits affecting weight gain during preschool years. We report the study protocol of a pragmatic lifestyle intervention aiming at primary prevention of childhood obesity. Methods/Design A non-randomized controlled pragmatic trial in maternity and child health care clinics. The control group was recruited among families who visited the same clinics one year earlier. Eligibility criteria was mother at risk for gestational diabetes: body mass index ≥ 25 kg/m2, macrosomic newborn in any previous pregnancy, immediate family history of diabetes and/or age ≥ 40 years. All maternity clinics in town involved in recruitment. The gestational intervention consisted of individual counseling on diet and physical activity by a public health nurse, and of two group counseling sessions. Intervention continues until offspring’s age of five years. An option to participate a group counseling at child’s age 1 to 2 years was offered. The intervention includes advice on healthy diet, physical activity, sedentary behavior and sleeping pattern. The main outcome measure is offspring BMI z-score and its changes by the age of six years. Discussion Early childhood is a critical time period for prevention of obesity. Pragmatic trials targeting this period are necessary in order to find effective obesity prevention programs feasible in normal health care practice. Trial registration Clinical Trials gov NCT00970710

  20. Implementation of the Pragmatic Function of Phraseological Units in a Literary Text

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    Ekaterina Yuryevna Belozerova

    2015-09-01

    Full Text Available The article is devoted to the identification and study of the pragmatic functions of phraseological units in modern fiction for teenagers using the example of the literary work A Perfect 10 by Chris Higgins (2013. In the present analysis of idioms the author relies on the fact that a language (as a form of expression can act as a key to the study and understanding of human communication. The idioms containing indirect characteristics of an emotional state of a person are chosen to be the object of the study. The analysis of the functional and pragmatic properties of English idioms is chosen to be the subject of the study. It was established that the phraseological units in the text of the novel by Chris Higgins are used in order to: show the emotional state; transmit the emotional stress; express the aggression and confidence in victory; express a negative attitude towards the situation; impose a subjective view on the reader; implement a positive, descriptive and pragmatic attitude with initially negative value; implement positive subjective evaluation. The analyzed phraseological units reveal the conditions and goals of situational dialogues, as well as reflect the knowledge, thoughts and ideas about the world in the field of interpersonal relations of teenagers. The main attention is given to the pragmatic aspect of the idiom function for the transmission of emotional and evaluative (positive and negative values in the process of communication. The targeted effects of phraseological units on the reader are considered as the realization of the pragmatic functions of idioms and are clearly transmitted to the reader

  1. The use of ethnobotanicals in the management of inflammation in Nigeria: a review

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    TR Fasola

    2015-06-01

    Full Text Available Inflammation, one of the leading health issues in recent times call for concern. Many plants used in the management and treatment of inflammation in various parts of Nigeria have not been properly harnessed hence this review. The result of this review revealed that plants commonly used for the treatment of inflammation include: Zingiber officinale, Alstonia boonei, Plumbago zeylanica, Ocimum basilicum, Parquetina nigrescens, Peperomia pellucida, Abrus precatorius, Tetrapleura tetraptera, Alchornea cordifolia, Terminalia ivorensis, Aspilia africana, Ageratum conyzoides and Hymenocardia acida. Altogether 74 plant species are ethnobotanicals used in the management and treatment of inflammation. The plants were enumerated with their family names, common and local names, possible chemical constituents, part(s used, route of administration and subsequent references where available.DOI: http://dx.doi.org/10.3126/ije.v4i2.12620 International Journal of Environment Vol.4(2 2015: 1-18

  2. Medicinal plants at Rio Jauaperi, Brazilian Amazon: Ethnobotanical survey and environmental conservation.

    Science.gov (United States)

    Pedrollo, Camilo Tomazini; Kinupp, Valdely Ferreira; Shepard, Glenn; Heinrich, Michael

    2016-06-20

    The Amazon basin is a mosaic of different environments. Flooded riparian and upland forests play a significant role for the establishment of human settlements. Riparian communities in the Amazon have evolved depending on the use of plants applied for therapeutic purposes, thus developing important knowledge about their management and preparation. This paper describes and analyzes the use and management of medicinal plants in order to establish links to environmental conservation. The categorization of habitats of occurrence and categories of diseases were held in five riparian communities at Rio Jauaperi, in the border between Roraima and Amazonas states in Brazil. The study sight is poorly investigated in terms of scientific research. Quantitative and qualitative ethnobotanical field inquiries and analytical methods including observations, individual and focus group discussions, individual interviews, preference ranking by free listing tasks, guided tours and community mapping were applied. Sutrop's cognitive salience index was applied in order to check the most important ethnospecies and diseases. The survey was conducted from February to December 2012. A total of 62 informants were interviewed, resulting in 119 botanical species documented. The most salient medicinal species are usually wide distributed and recognized transculturally. Arboreal habit was the most important corresponding to 47% of total species used. The most frequent accessed environments were terra-firme (upland forest), vargeado (flooded forest), poultry (regenerating forest) and restinga (seasonally flooded forest) which together provides 59% of the total medicinal plant species. Exotic species played a secondary role with only 20% of the total. Thirty seven percent of the species were cultivated. Plants at homegardens are usually associated with children's or women's disease. Xixuaú is the community with improved ability to environmental preservation using more forestry species. The most

  3. Multidisciplinary, multi-modal nutritional care in acute hip fracture inpatients - results of a pragmatic intervention.

    Science.gov (United States)

    Bell, Jack J; Bauer, Judith D; Capra, Sandra; Pulle, Ranjeev Chrys

    2014-12-01

    Malnutrition is highly prevalent and resistant to intervention following hip fracture. This study investigated the impact of individualised versus multidisciplinary nutritional care on nutrition intake and outcomes in patients admitted to a metropolitan hospital acute hip fracture unit. A prospective, controlled before and after comparative interventional study aligning to the CONSORT guidelines for pragmatic clinical trials. Randomly selected patients receiving individualised nutritional care (baseline) were compared with post-interventional patients receiving a new model of nutritional care promoting nutrition as a medicine, multidisciplinary nutritional care, foodservice enhancements, and improved nutrition knowledge and awareness. Malnutrition was diagnosed using the Academy of Nutrition and Dietetics criteria. Fifty-eight weighed food records were available for each group across a total of 82 patients (n = 44, n = 38). Group demographics were not significantly different with predominantly community dwelling (72%), elderly (82.2 years), female (70%), malnourished (51.0%) patients prone to co-morbidities (median 5) receiving early surgical intervention (median D1). Multidisciplinary nutritional care reduced intake barriers and increased total 24-h energy (6224 vs. 2957 kJ; p hip fracture inpatients. Similar pragmatic study designs should be considered in other elderly inpatient populations perceived resistant to nutritional intervention. Copyright © 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  4. Semi-Individualized Homeopathy Add-On Versus Usual Care Only for Premenstrual Disorders: A Randomized, Controlled Feasibility Study.

    Science.gov (United States)

    Klein-Laansma, Christien T; Jong, Mats; von Hagens, Cornelia; Jansen, Jean Pierre C H; van Wietmarschen, Herman; Jong, Miek C

    2018-03-22

    Premenstrual syndrome and premenstrual dysphoric disorder (PMS/PMDD) bother a substantial number of women. Homeopathy seems a promising treatment, but it needs investigation using reliable study designs. The feasibility of organizing an international randomized pragmatic trial on a homeopathic add-on treatment (usual care [UC] + HT) compared with UC alone was evaluated. A multicenter, randomized, controlled pragmatic trial with parallel groups. The study was organized in general and private homeopathic practices in the Netherlands and Sweden and in an outpatient university clinic in Germany. Women diagnosed as having PMS/PMDD, based on prospective daily rating by the daily record of severity of problems (DRSP) during a period of 2 months, were included and randomized. Women were to receive UC + HT or UC for 4 months. Homeopathic medicine selection was according to a previously tested prognostic questionnaire and electronic algorithm. Usual care was as provided by the women's general practitioner according to their preferences. Before and after treatment, the women completed diaries (DRSP), the measure yourself concerns and well-being, and other questionnaires. Intention-to-treat (ITT) and per protocol (PP) analyses were performed. In Germany, the study could not proceed because of legal limitations. In Sweden, recruitment proved extremely difficult. In the Netherlands and Sweden, 60 women were randomized (UC + HT: 28; UC: 32), data of 47/46 women were analyzed (ITT/PP). After 4 months, relative mean change of DRSP scores in the UC + HT group was significantly better than in the UC group (p = 0.03). With respect to recruitment and different legal status, it does not seem feasible to perform a larger, international, pragmatic randomized trial on (semi-)individualized homeopathy for PMS/PMDD. Since the added value of HT compared with UC was demonstrated by significant differences in symptom score changes, further studies are warranted.

  5. A functional-pragmatic analysis of conversation management ...

    African Journals Online (AJOL)

    Nonetheless, they have a communicative function and their role of giving the conversations a structure by encoding the emotive aspects of interpersonal interaction are of a pragmatic nature, hence their interpretation is derived from the contexts in which they are applied. They regulate the structure of the conversations by ...

  6. Instruction and Development of Second Language Acquisition Pragmatics: An Investigation into Sociolinguistic Communicative Competence

    Science.gov (United States)

    Tchoutezo, Etienne

    2010-01-01

    The problem: The purpose of this study is first to explore the perceptions and attitudes of ESL instructors regarding pragmatics instruction in second language classes. Second, this study is also designed to add to the scholarly literature regarding the importance of pragmatics instruction in developing second language communicative competence.…

  7. The Teaching of Pragmatics by Native and Nonnative Language Teachers: What They Know and What They Report Doing

    Science.gov (United States)

    Cohen, Andrew D.

    2016-01-01

    The paper focuses on how nonnative teachers of a target language (NNTs) deal with pragmatics in their classes. It starts with a discussion of what pragmatics entails. Next, issues relating to the teaching of pragmatics are identified, such as the language background of the teacher, comparisons between second- (L2) and foreign-language (FL)…

  8. Pragmatic sociology and competing orders of worth in organizations

    DEFF Research Database (Denmark)

    Jagd, Søren

    2011-01-01

    primarily has been related to three main themes in organizational research: non-profit and co-operative organizations, inter-organizational co-operation, and organizational change. Third, I discuss how the pragmatic, process-oriented aspect of the research program, focusing on the intertwining of values......Different notions of multiple rationalities have recently been applied to describe the phenomena of co-existence of competing rationalities in organizations. These include institutional pluralism, institutional logics, competing rationalities and pluralistic contexts. The French pragmatic...... studies of organizations. First, I summarize the basic ideas of the framework, stressing the aspects of special relevance for studies of organizations. Second, I review the empirical studies focusing on the coexistence of competing orders of worth in organizations showing that the order of worth framework...

  9. Communicative Pragmatic Parameters of Manipulative Formulas in the Advertising Text

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    Areshenkova Oleksandra

    2016-12-01

    Full Text Available Background: Advertising communication tends to shorten the use of the language means. This characteristic explains the deliberate usage of such linguistic constructions that primarily influence the potential consumer. The role of advertising has increased in the modern world. Its strengthening intensifies the interest in the study of this social phenomenon among the scientists in various fields. The relevance of the study is obvious due to the fact that the issues of verbal influence on the recipient remains unexplored in modern Ukrainian linguistics. Purpose: clarifying the role of manipulative formulas in pragmatic implementation of advertisement guidelines. Results: This article makes an attempt to define and describe a set of basic communicative and pragmatic properties in modern advertising texts. The research represents main communicative and speech characteristics of advertising texts. The author analyzes the role of evaluation in producing the impact of communicative effect on the recipient. Also it reveals the efficiency of using impact-oriented language means in advertising texts. Discussion: Hidden evaluation of the advertised goods / services is an effective communicative pragmatic tool influencing the buyer. The latent assessment is provided by manipulative formulas (all, million; №1, leader; 100%; professional, expert.

  10. METONYMY BASED ON CULTURAL BACKGROUND KNOWLEDGE AND PRAGMATIC INFERENCING: EVIDENCE FROM SPOKEN DISCOURSE

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    Arijana Krišković

    2009-01-01

    Full Text Available Th e characterization of metonymy as a conceptual tool for guiding inferencing in language has opened a new fi eld of study in cognitive linguistics and pragmatics. To appreciate the value of metonymy for pragmatic inferencing, metonymy should not be viewed as performing only its prototypical referential function. Metonymic mappings are operative in speech acts at the level of reference, predication, proposition and illocution. Th e aim of this paper is to study the role of metonymy in pragmatic inferencing in spoken discourse in televison interviews. Case analyses of authentic utterances classifi ed as illocutionary metonymies following the pragmatic typology of metonymic functions are presented. Th e inferencing processes are facilitated by metonymic connections existing between domains or subdomains in the same functional domain. It has been widely accepted by cognitive linguists that universal human knowledge and embodiment are essential for the interpretation of metonymy. Th is analysis points to the role of cultural background knowledge in understanding target meanings. All these aspects of metonymic connections are exploited in complex inferential processes in spoken discourse. In most cases, metaphoric mappings are also a part of utterance interpretation.

  11. Ethnobotanical, micrographic and pharmacological features of plant-based weight-loss products sold in naturist stores in Mexico City: the need for better quality control

    Directory of Open Access Journals (Sweden)

    Patricia Marta Arenas

    2013-09-01

    Full Text Available The consumption of dietary supplements and herbal mixtures to promote weight loss is a common practice in the West. This study was undertaken in Mexico City, surveying stores selling "natural products" at subway stations. The aims of this paper were as follows: to compile a record of plant products marketed as slimming aids and of retailer perceptions of these products; to review the pharmacological and ethnobotanical literature on the species declared; and to create an optical micrograph of a subset of products to verify the accuracy of the list of component plant species shown on the labels. We applied the techniques of observation, semi-structured interviews and free-listing at the retail stores. Results are presented for the 75 species recorded in the 41 weight-loss products surveyed, showing which plant parts are used, the geographical distribution of the species, pharmacological effects, dosage, route of administration and method of preparation, as well as ethnobotanical information derived from fieldwork. We discuss the values assigned to the species used. Microscopic analyses revealed that many of the plant ingredients declared were absent, highlighting the need for greater quality control and safety of these herbal remedies.

  12. Relationship between Cultural Distance and Pragmatic Comprehension

    Science.gov (United States)

    Rafieyan, Vahid; Sharafi-Nejad, Maryam; Khavari, Zahra; Damavand, Ayoob; Eng, Lin Siew

    2014-01-01

    The distance between language learners' culture and the culture of the target language community is considered to play a crucial role in determining the level of pragmatic comprehension. In this respect, a study was conducted over 30 German students, perceived as culturally close to the British, and 30 South Korean students, perceived as…

  13. Early pragmatic language difficulties in siblings of children with autism: implications for DSM-5 social communication disorder?

    Science.gov (United States)

    Miller, Meghan; Young, Gregory S; Hutman, Ted; Johnson, Scott; Schwichtenberg, A J; Ozonoff, Sally

    2015-07-01

    We evaluated early pragmatic language skills in preschool-age siblings of children with autism spectrum disorder (ASD), and examined correspondence between pragmatic language impairments and general language difficulties, autism symptomatology, and clinical outcomes. Participants were younger siblings of children with ASD (high-risk, n = 188) or typical development (low-risk, n = 119) who were part of a prospective study of infants at risk for ASD; siblings without ASD outcomes were included in analyses. Pragmatic language skills were measured via the Language Use Inventory (LUI). At 36 months, the high-risk group had significantly lower parent-rated pragmatic language scores than the low-risk group. When defining pragmatic language impairment (PLI) as scores below the 10(th) percentile on the LUI, 35% of the high-risk group was identified with PLI versus 10% of the low-risk group. Children with PLI had higher rates of general language impairment (16%), defined as scores below the 10(th) percentile on the Receptive or Expressive Language subscales of the Mullen Scales of Early Learning, relative to those without PLI (3%), but most did not evidence general language impairments. Children with PLI had significantly higher ADOS scores than those without PLI and had higher rates of clinician-rated atypical clinical best estimate outcomes (49%) relative to those without PLI (15%). Pragmatic language problems are present in some siblings of children with ASD as early as 36 months of age. As the new DSM-5 diagnosis of Social (Pragmatic) Communication Disorder (SCD) is thought to occur more frequently in family members of individuals with ASD, it is possible that some of these siblings will meet criteria for SCD as they get older. Close monitoring of early pragmatic language development in young children at familial risk for ASD is warranted. © 2014 Association for Child and Adolescent Mental Health.

  14. Ethicist as designer: a pragmatic approach to ethics in the lab.

    Science.gov (United States)

    van Wynsberghe, Aimee; Robbins, Scott

    2014-12-01

    Contemporary literature investigating the significant impact of technology on our lives leads many to conclude that ethics must be a part of the discussion at an earlier stage in the design process i.e., before a commercial product is developed and introduced. The problem, however, is the question regarding how ethics can be incorporated into an earlier stage of technological development and it is this question that we argue has not yet been answered adequately. There is no consensus amongst scholars as to the kind of ethics that should be practiced, nor the individual selected to perform this ethical analysis. One school of thought holds that ethics should have pragmatic value in research and design and that it should be implemented by the (computer) engineers and/or (computer) scientists themselves, while another school of thought holds that ethics need not be so pragmatic. For the latter, the ethical reflection can aim at a variety of goals, and be carried out by an ethicist. None of the approaches resulting from these lines of thinking have been adopted on a wide-scale basis. To that end, the approach presented here is intended to bridge the gap between these schools of thought. It is our contention that ethics ought to be pragmatic and to provide utility for the design process and we maintain that adequate ethical reflection, and all that it entails, ought to be conducted by an ethicist. Thus, we propose a novel role for the ethicist--the ethicist as designer--who subscribes to a pragmatic view of ethics in order to bring ethics into the research and design of artifacts-no matter the stage of development. In this paper we outline the series of steps that a pragmatic value analysis entails: uncovering relevant values, scrutinizing these values and, working towards the translation of values into technical content. In conclusion, we present a list of tasks for the ethicist in his/her role as designer on the interdisciplinary team.

  15. THE PROBLEM OF THE VALUES SUPPORTING REASONING IN THE HUMANITIES: A COGNITIVE-PRAGMATIC APPROACH

    Directory of Open Access Journals (Sweden)

    Tatiana Savtchouk

    2017-04-01

    Full Text Available The main cognitive models of the values supporting reasoning in the discourse of the humanities are identified, the typology of selected schemes is made, their modifications are characterised, the pragmatic differences of the models are determined. Particular attention is paid to the “cause to aim” justification of the value judgments that prevails in the humanities. The regularities of verbal representation of cognitive structures are ascertained, pragmatic properties of argumentative markers are explicated. The author’s typology of tactics that implements rational and emotional value-study strategies is proposed. A number of fallacies in the justification of normative value judgments are revealed, such as “semantic-pragmatic dissonance”, “simulation of reasoning”, “pseudoauthority”, “superfluity of argumentative resource”. The sources of such shortcomings are exemplified by the facts from the evidence base. The conclusion is that the author of the article chooses the cognitive model of argumentation in support of the values, the ways of its verbal presentation and the tactics of reasoning on the basis of pragmatic factors.

  16. Retrospectively Assessed Early Motor and Current Pragmatic Language Skills in Autistic and Neurotypical Children.

    Science.gov (United States)

    Stevenson, Jennifer L; Lindley, Caitlin E; Murlo, Nicole

    2017-08-01

    Autistic individuals often struggle developmentally, even in areas that are not explicit diagnostic criteria, such as motor skills. This study explored the relation between early motor skills, assessed retrospectively, and current pragmatic language skills. Caregivers of neurotypical and autistic children, matched on gender and age, completed assessments of their child's early motor development and current language abilities. Early motor skills were correlated with later pragmatic language skills, and autistic children exhibited fewer motor skills than neurotypical children. In fact, motor skills were a better predictor of an autism spectrum diagnosis than were scores on a measure of current pragmatic language. These results highlight the important role of motor skills in autism spectrum disorders.

  17. Motivation, amount of interaction, length of residence and ESL learners’ pragmatic competence

    Directory of Open Access Journals (Sweden)

    Zohre R Eslami

    2014-01-01

    Full Text Available This study examined how motivation for learning English, the amount of contact with English, and length of residence in the target language area affects Korean graduate students’ English pragmatic skills. The study attempted to account for differential pragmatic development among 50 graduate-level Korean students in relation to individual factors mentioned above. The data were collected using three types of elicitation instruments: a written background questionnaire, a discourse completion test, and the mini-Attitude/Motivation Test Battery. Descriptive and inferential statistics (correlation coefficients, and multiple regressions were used to analyze the data. The findings of the study revealed that (a the level of motivation had a positive and moderate relationship with the ESL learners’ L2 pragmatic competence and (b the amount of L2 contact and length of residence had only a weak and insignificant impact on the participants’ pragmatic competence.

  18. Pragmatic trial design elements showed a different impact on trial interpretation and feasibility than explanatory elements

    NARCIS (Netherlands)

    Nieuwenhuis, Joost B.; Irving, Elaine; Oude Rengerink, Katrien; Lloyd, Emily; Goetz, Iris; Grobbee, Diederick E.; Stolk, Pieter; Groenwold, Rolf H H; Zuidgeest, Mira G P

    2016-01-01

    OBJECTIVE: To illustrate how pragmatic trial design elements, or inserting explanatory trial elements in pragmatic trials affect validity, generalizability, precision and operational feasibility. STUDY DESIGN AND SETTING: From illustrative examples identified through the IMI Get Real Consortium, we

  19. The role of pragmatics in mediating the relationship between social disadvantage and adolescent behavior.

    Science.gov (United States)

    Law, James; Rush, Robert; Clegg, Judy; Peters, Tim; Roulstone, Susan

    2015-06-01

    The relationship between social disadvantage, behavior, and communication in childhood is well established. Less is known about how these 3 interact across childhood and specifically whether pragmatic language skills act as a mediator between early social disadvantage and adolescent behavior. The sample was the Avon Longitudinal Study of Parents and Children, a representative birth cohort initially recruited in England in 1991/1992 and followed through to adolescence and beyond. Of the original 13,992 live births, data were available for 2926 children at 13 years. Univariable analysis was first used to identify sociodemographic and other predictors of the Strengths and Difficulties Questionnaire (SDQ) at 13 years. The mediational role of the pragmatics scale of the Children's Communication Checklist (CCC) at 9 years was then tested, controlling for age, gender, and IQ. There was evidence of both a direct effect from social disadvantage (path C') to SDQ Total Behavior Score at 13 years (-.205; p pragmatics scale as a mediator. The latter represents a reduction in the magnitude of the unadjusted effect or "total effect" (-.430), demonstrating that the pragmatics scale partially mediates the relationship of early social disadvantage and adolescent behavior (even after controlling for other covariates). The same relationship held for all but the pro-social subscale of the SDQ. The results provide evidence to suggest that there maybe a causal relationship between these variables, suggesting that interventions targeting pragmatic skills have the potential to reduce adolescent behavioral symptoms.

  20. Ethnobotanical survey of the medicinal flora used by the Caribs of Guatemala.

    Science.gov (United States)

    Girón, L M; Freire, V; Alonzo, A; Cáceres, A

    1991-09-01

    An ethnobotanical survey was conducted among the Carib population of Guatemala in 1988-1989. In general terms, the sample surveyed possessed a relatively good standard of living. Results indicated that health services were utilized by the population, and that domestic medicine, mainly plants (96.9%) was used by 15% of the population. One hundred and nineteen plants used for medicinal purposes were collected, of which 102 (85.7%) could be identified; a list of these together with the information provided for each plant is presented. The most frequently reported plants used as medicine are: Acalypha arvensis, Cassia alata, Cymbopogon citratus, Melampodium divaricatum. Momordica charantia, Neurolaena lobata, Ocimum basilicum, Petiveria alliacea and Solanum nigrescens. Most of these plants are found in the region, but some are brought from the Highlands or outside of the country, such as Malva parviflora, Matricaria chamomilla, Peumus boldus, Pimpinella anisum, Rosmarinus officinalis and Tagetes lucida. This survey demonstrated that the Carib population of Guatemala has survived in a transcultural environment of African and native Amerindian beliefs.

  1. PRAGMATIC INTERACTIONS OF THE SYNTAGM "IN THAT" IN CONTEXTS

    Directory of Open Access Journals (Sweden)

    Ana Maria BIRTALAN

    2017-08-01

    Full Text Available This work is an empirical study, trying to identify the role of “in that” clause in different contexts. The aim of this paper is to analyze the pragmatic result of stretching or limiting the meaning of a word when I use “in that” construction. I shall prove that “in that” clauses work like hedges, limiting the domain over which an assertion is held to be true, removing the speaker from responsibility for interpretations other than those specifically mentioned. I shall also prove that “in that” can stretch the meanings of words, giving them various metaphorical or connotative values.Finally, by this study, I would like to demonstrate once again that pragmatics and syntax interact and influence each other in order to create acceptable speech.

  2. Language and pragmatic functions in school-age children on the autism spectrum.

    Science.gov (United States)

    Ramberg, C; Ehlers, S; Nydén, A; Johansson, M; Gillberg, C

    1996-01-01

    This study examined group differences in language and pragmatic functions across sex-, age- and IQ-matched samples of Asperger syndrome (N = 22), high-functioning autism (N = 11), deficits in attention, motor control and perception (DAMP) (N = 11), and speech and language disorder (SLD) (N = 11) groups. The purpose was to explore possible differentiating features in the fields of vocabulary, comprehension and pragmatics and, in addition, to determine whether Asperger syndrome could be reliably separated from high-functioning autism on these variables. The findings suggest that Asperger syndrome may be associated with higher full-scale and verbal IQ than high-functioning autism; Asperger syndrome may not be associated with better pragmatic skills (as defined in this context) than high-functioning autism; language comprehension may not clearly separate Asperger syndrome and high-functioning autism once the effects of very low IQ are partialled out; both DAMP and SLD can be distinctly separated from Asperger syndrome and autism.

  3. Pragmatic Language Skills of Children with Developmental Disabilities: A Descriptive and Relational Study in Turkey

    Science.gov (United States)

    Diken, Özlem

    2014-01-01

    Problem Statement: Because communication skills, particularly pragmatic skills, are fundamental for living an independent life in society, these skills are vital to the quality of life of individuals with developmental disabilities (DD) and their families. Studies of the pragmatic skills of individuals with DD can provide important insights into…

  4. Helen Flanders Dunbar, John Dewey, and clinical pragmatism: reflections on method in psychosomatic medicine and bioethics.

    Science.gov (United States)

    Hart, Curtis W

    2002-01-01

    This article outlines the method utilized by physicians and major figures in the founding of Clinical Pastoral Education, Helen Flanders Dunbar, in her work of 1943, Psychosomatic Diagnosis, and relates it to the currently evolving approach in bioethics known as clinical pragmatism. It assesses Dewey's influence on both Dunbar in psychosomatic medicine and clinical pragmatism in bioethics, and illustrates the breadth of influence of the school of philosophical thought known as pragmatism with which Dewey's name and those of William James and Charles Sanders Pierce are most often identified.

  5. Pragmatic Software Innovation

    DEFF Research Database (Denmark)

    Aaen, Ivan; Jensen, Rikke Hagensby

    2014-01-01

    We understand software innovation as concerned with introducing innovation into the development of software intensive systems, i.e. systems in which software development and/or integration are dominant considerations. Innovation is key in almost any strategy for competitiveness in existing markets......, for creating new markets, or for curbing rising public expenses, and software intensive systems are core elements in most such strategies. Software innovation therefore is vital for about every sector of the economy. Changes in software technologies over the last decades have opened up for experimentation......, learning, and flexibility in ongoing software projects, but how can this change be used to facilitate software innovation? How can a team systematically identify and pursue opportunities to create added value in ongoing projects? In this paper, we describe Deweyan pragmatism as the philosophical foundation...

  6. Pragmatics Annotated Coloured Petri Nets for Protocol Software Generation and Verification

    DEFF Research Database (Denmark)

    Simonsen, Kent Inge; Kristensen, Lars Michael; Kindler, Ekkart

    This paper presents the formal definition of Pragmatics Annotated Coloured Petri Nets (PA-CPNs). PA-CPNs represent a class of Coloured Petri Nets (CPNs) that are designed to support automated code genera-tion of protocol software. PA-CPNs restrict the structure of CPN models and allow Petri net...... elements to be annotated with so-called pragmatics, which are exploited for code generation. The approach and tool for gen-erating code is called PetriCode and has been discussed and evaluated in earlier work already. The contribution of this paper is to give a formal def-inition for PA-CPNs; in addition...

  7. A cognitive-pragmatic model for translation-shift analysis in ...

    African Journals Online (AJOL)

    A cognitive-pragmatic model for translation-shift analysis in descriptive case ... This model responds to the tendency of descriptive studies to analyse all translation shifts under the same rubric of neutrality. ... AJOL African Journals Online.

  8. Transcutaneous electrical nerve stimulation for the management of tennis elbow: a pragmatic randomized controlled trial: the TATE trial (ISRCTN 87141084

    Directory of Open Access Journals (Sweden)

    Warlow Catherine

    2009-12-01

    Full Text Available Abstract Background Tennis elbow is a common and often extremely painful musculoskeletal condition, which has considerable impact on individuals as well as economic implications for healthcare utilization and absence from work. Many management strategies have been studied in clinical trials. Whilst corticosteroid injections offer short term pain relief, this treatment is unpleasant and is used with caution due to an associated high risk of pain recurrence in the long term. Systematic reviews conclude that there is no clear and effective treatment for symptoms of pain in the first 6 weeks of the condition. There is a clear need for an intervention that is acceptable to patients and provides them with effective short-term pain relief without increasing the risk of recurrence. Transcutaneous electrical nerve stimulation (TENS is an inexpensive, non-invasive, non-pharmacological form of analgesia that is commonly used in the treatment of pain. TENS has very few contraindications and is simple to apply. It also benefits from being patient controlled, thereby promoting self-management. This study aims to assess the effectiveness, in terms of pain relief, and cost-effectiveness of a self-management package of treatment that includes TENS. Methods/Design The design of the study will be a two-group pragmatic randomized clinical trial. 240 participants aged 18 years and over with tennis elbow will be recruited from 20-30 GP practices in Staffordshire, UK. Participants are to be randomized on a 1:1 basis to receive either primary care management (standard GP consultation, medication, advice and education or primary care management with the addition of TENS, over 6 weeks. Our primary outcome measure is average intensity of elbow pain in the past 24 hours (0-10 point numerical rating scale at 6 weeks. Secondary outcomes include pain and limitation of function, global assessment of change, days of sick leave, illness perceptions, and overall health status. A

  9. Pragmatics of the Development of Personal Identity in Adolescents in the Latin American Context.

    Science.gov (United States)

    Tapia, Javier; Rojas, Adrián; Picado, Karol

    2017-03-01

    The present work proposes a pragmatic perspective of the development of personal identity. Such perspective is based on a unifying vision that incorporates the contribution of communicative pragmatics and becomes aware of the contribution of semiotics to psychology, without leaving aside the eriksonian point of view and other significant contributions in the field. The article defines identity in adolescence from a development approach, and adopts a systemic perspective concerning the insertion of adolescents in their context of formation as individuals. It then proposes a way to understand identity from a pragmatic-communicative perspective. Finally, it introduces two communicative use contexts from which personal identity can emerge, showing the importance of communication and language in the formation and development of identity.

  10. Effectiveness of McKenzie Method-Based Self-Management Approach for the Secondary Prevention of a Recurrence of Low Back Pain (SAFE Trial): Protocol for a Pragmatic Randomized Controlled Trial.

    Science.gov (United States)

    de Campos, Tarcisio F; Maher, Chris G; Clare, Helen A; da Silva, Tatiane M; Hancock, Mark J

    2017-08-01

    Although many people recover quickly from an episode of low back pain (LBP), recurrence is very common. There is limited evidence on effective prevention strategies for recurrences of LBP. The purpose of this study was to determine the effectiveness of a McKenzie method-based self-management approach in the secondary prevention of LBP. This will be a pragmatic randomized controlled trial. Participants will be recruited from the community and primary care, with the intervention delivered in a number of physical therapist practices in Sydney, Australia. The study will have 396 participants, all of whom are at least 18 years old. Participants will be randomly assigned to either the McKenzie method-based self-management approach group or a minimal intervention control group. The primary outcome will be days to first self-reported recurrence of an episode of activity-limiting LBP. The secondary outcomes will include: days to first self-reported recurrence of an episode of LBP, days to first self-reported recurrence of an episode of LBP leading to care seeking, and the impact of LBP over a 12-month period. All participants will be followed up monthly for a minimum of 12 months or until they have a recurrence of activity-limiting LBP. All participants will also be followed-up at 3, 6, 9, and 12 months to assess the impact of back pain, physical activity levels, study program adherence, credibility, and adverse events. Participants and therapists will not be masked to the interventions. To our knowledge, this will be the first large, high-quality randomized controlled trial investigating the effectiveness of a McKenzie method-based self-management approach for preventing recurrences of LBP. If this approach is found to be effective, it will offer a low-cost, simple method for reducing the personal and societal burdens of LBP. © 2017 American Physical Therapy Association

  11. The pragmatics of therapeutic interaction: an empirical study.

    Science.gov (United States)

    Lepper, Georgia

    2009-10-01

    The research reported in this article aims to demonstrate a method for the systematic study of the therapist/patient interaction in psychoanalytic psychotherapy, drawing upon the tradition and methods of 'pragmatics'--the study of language in interaction. A brief introduction to the discipline of pragmatics demonstrates its relevance to the contemporary focus of clinical theory on the here-and-now dynamics of the relationship between analyst and patient. This is followed by a detailed study of five segments from the transcript of a therapeutic dialogue, drawn from a brief psychoanalytic psychotherapy, in which therapist and patient negotiate the meaning of the patient's symptom: Is it psychosomatic? The research seeks to show how the therapeutic process can be observed and studied as an interactional achievement, grounded in general and well-studied procedures through which meaning is intersubjectively developed and shared. Implications of the analysis for clinical theory and practice, and further research, are discussed.

  12. Teaching and Learning Culture with AETs : What Cross-cultural Pragmatics can Tell Us

    OpenAIRE

    Fukazawa, Seiji

    1997-01-01

    This article aims to discuss the feasibility of applying the findings from cross-cultural pragmatic studies to the teaching of culture in team teaching. Referring to some studies on cross-cultural speech act realizations such as refusals and apologies, first, the present study examines whether the English textbooks used in junior/senior high schools in Japan appropriately illustrate examples of authentic pragmatic interactions. Secondly, it shows two excerpts of classroom discourse between a ...

  13. Folk medicine in Mandaguaçu municipality, Paraná State: an ethnobotanical approach - doi: 10.4025/actascibiolsci.v34i4.9306

    Directory of Open Access Journals (Sweden)

    Edmar Antônio Correa

    2012-09-01

    Full Text Available Herein, we present results from an ethnobotanical study (from February to August 2009 aiming the improvement and rationalization of medical practices, based on popular use of plants. We applied semi-structured interviews to 220 families from the urban area of Mandaguaçu municipality, Paraná State. During the interviews we recorded the following information about the used plants: common name; plant part used; method of preparation; collection site; therapeutic indication, and known adverse effects. Additionally, we compared the data obtained in the interviews with the literature in order to identify contradiction in use and application. Among the interviewees, 90% use medicinal plants, obtained especially from the backyards. We recorded 44 ethnobotanical citations, comprising 47 species (22 families. The species most frequently mentioned in the interviews were, respectively, Cymbopogon citrates (DC Stapf. (Lemon grass, Mentha sp. (Mint, Plectranthus barbatus Andrews (False Boldo and Plectranthus ornatus Codd (Dog bane. The applications most cited were: the treatment of diseases from the digestive tract (122 citations, respiratory (67 citations and nervous system (40 citations. In general, the population knows the correct method for preparing the medicinal plants. However, they report that do not know any adverse effect caused by these plants. This scenario is worrying because some species are recognized in the literature as potentially toxic or responsible for adverse effects.  

  14. Ethnobotanical study of medicinal flora utilised by traditional healers in the management of sexually transmitted infections in Sesheke District, Western Province, Zambia

    Directory of Open Access Journals (Sweden)

    K.C. Chinsembu

    Full Text Available ABSTRACT Since many rural-poor Lozi people of Sesheke District (Western Province, Zambia that suffer from sexually transmitted infections do not usually access public health facilities; they turn to traditional healers who administer remedies extracted from medicinal plants. However, the medicinal plants used for sexually transmitted infections and data on the usage of plants in Sesheke District in particular and Western Province in general have not been documented. In this study, an ethnobotanical survey was conducted to document the indigenous knowledge of medicinal plants that alleviate symptoms of sexually transmitted infections in Sesheke District, Western Province, Zambia. Using semi-structured interviews and questionnaires, ethnobotanical data were collected from twenty traditional healers that manage patients presenting with sexually transmitted infections. The results showed that 52 plant species in 25 families and 43 genera were used to treat gonorrhoea, syphilis, chancroid, chlamydia, genital herpes, and ano-genital warts. Sexually transmitted infections were frequently managed using the following plants: Terminalia sericea, Strychnos cocculoides, Ximenia caffra, Cassia abbreviata, Cassia occidentalis, Combretum hereroense, Combretum imberbe, Dichrostachys cinerea, Boscia albitrunca, Momordica balsamina and Peltophorum africanum. Many of these plants have putative antimicrobial activities which may justify their roles as natural remedies for sexually transmitted infections. Further studies are needed to determine the dosages, minimum inhibitory concentrations, biological activities and toxicities, and characterise the plants' chemical compounds.

  15. Pragmatic comprehension of apology, request and refusal: An investigation on the effect of consciousness-raising video-driven prompts

    Directory of Open Access Journals (Sweden)

    Ali Derakhshan

    2014-01-01

    Full Text Available Recent research in interlanguage pragmatics (ILP has substantiated that some aspects of pragmatics are amenable to instruction in the second or foreign language classroom. However, there are still controversies over the most conducive teaching approaches and the required materials. Therefore, this study aims to investigate the relative effectiveness of consciousness-raising video-driven prompts on the comprehension of the three speech acts of apology, request, and refusal on seventy eight (36 male and 42 female upper-intermediate Persian learners of English who were randomly assigned to four groups (metapragmatic, form-search, role play, and control. The four groups were exposed to 45 video vignettes (15 for each speech act extracted from different episodes of Flash Forward, Stargate TV Series and Annie Hall Film for nine 60-minute sessions of instruction twice a week. Results of the multiple choice discourse completion test (MDCT indicated that learners’ awareness of apologies, requests and refusals benefit from all three types of instruction, but the results of the Post hoc test of Tukey (HSD illustrated that the metapragmatic group outperformed the other treatment groups, and that form-search group had a better performance than role-play and control groups.

  16. Pragmatic and executive functions in traumatic brain injury and right brain damage: An exploratory comparative study

    Directory of Open Access Journals (Sweden)

    Nicolle Zimmermann

    Full Text Available Abstract Objective: To describe the frequency of pragmatic and executive deficits in right brain damaged (RBD and in traumatic brain injury (TBI patients, and to verify possible dissociations between pragmatic and executive functions in these two groups. Methods: The sample comprised 7 cases of TBI and 7 cases of RBD. All participants were assessed by means of tasks from the Montreal Communication Evaluation Battery and executive functions tests including the Trail Making Test, Hayling Test, Wisconsin Card Sorting Test, semantic and phonemic verbal fluency tasks, and working memory tasks from the Brazilian Brief Neuropsychological Assessment Battery NEUPSILIN. Z-score was calculated and a descriptive analysis of frequency of deficits (Z< -1.5 was carried out. Results: RBD patients presented with deficits predominantly on conversational and narrative discursive tasks, while TBI patients showed a wider spread pattern of pragmatic deficits. Regarding EF, RBD deficits included predominantly working memory and verbal initiation impairment. On the other hand, TBI individuals again exhibited a general profile of executive dysfunction, affecting mainly working memory, initiation, inhibition, planning and switching. Pragmatic and executive deficits were generally associated upon comparisons of RBD patients and TBI cases, except for two simple dissociations: two post-TBI cases showed executive deficits in the absence of pragmatic deficits. Discussion: Pragmatic and executive deficits can be very frequent following TBI or vascular RBD. There seems to be an association between these abilities, indicating that although they can co-occur, a cause-consequence relationship cannot be the only hypothesis.

  17. A Socio-pragmatic analysis of compliment responses among ...

    African Journals Online (AJOL)

    Lipenga

    language education system in Botswana, for instance, produces students who are able to ... EFL learners face in intercultural communication are mainly pragmatic. ... illocutions and to use these forms and strategies in an appropriate context ... domains of use at the societal level, which renders it a foreign language in the.

  18. A Pragmatic Study of Barak Obama's Political Propaganda

    Science.gov (United States)

    Al-Ameedi, Riyadh Tariq Kadhim; Khudhier, Zina Abdul Hussein

    2015-01-01

    This study investigates, pragmatically, the language of five electoral political propaganda texts delivered by Barak Obama. It attempts to achieve the following aims: (1) identifying the speech acts used in political propaganda, (2) showing how politicians utilize Grice's maxims and the politeness principle in issuing their propaganda, (3)…

  19. Normative Pragmatism and the Language Game of Music

    Czech Academy of Sciences Publication Activity Database

    Kolman, Vojtěch

    2014-01-01

    Roč. 11, č. 2 (2014), s. 147-163 ISSN 1572-3429 R&D Projects: GA ČR(CZ) GA13-20785S Institutional support: RVO:67985955 Keywords : pragmatism * Brandom * philosophy of music * emotions Subject RIV: AA - Philosophy ; Religion http://booksandjournals.brillonline.com/content/journals/10.1163/18758185-90000295

  20. Pragmatism and pluralism: How to avoid becoming a physicalist

    Science.gov (United States)

    Ritchie, John Miller

    This thesis can be split into two sections. The first section is an argument against physicalism and its naturalistic pretensions. The second section presents an alternative to physicalism - pragmatic pluralism. The arguments for the first section are split into four chapters. In chapter one it is argued that an examination of science lends no support to physicalist ontology. The case of quantum chemistry is studied in some detail and its shown that higher-level chemical facts are needed to support the quantum mechanical explanations given. The second and third chapters look at various ways in which physicalist have sought to explain away the apparent lack of unity in the sciences. Various accounts of the supervenience relation and functionalism are discussed and shown to be either inadequate for the physicalist programme or empirically implausible. The final chapter of this section discusses the so called completeness of physics. It is shown that like physicalism in general, there is no way to formulate this doctrine to make it plausible in light of contemporary physics and able to underpin a physicalist ontology. The second section critically discusses alternatives to physicalism. The scientific pluralisms of John Dupre and Nancy Cartwright and the pragmatic pluralisms of Hilary Putnam and Nelson Goodman are discussed in detail. Drawing on the work of Putnam, in particular, and presenting Davidson's anomalous monism in a new guise, an original form of pragmatic or metaphysically deflationary pluralism is defended.

  1. Connecting development of pragmatic competence with the CEFR

    Directory of Open Access Journals (Sweden)

    Marija Kusevska

    2014-12-01

    Full Text Available The aim of this paper is to look at how The Common European Framework of Reference for Languages (CEFR can facilitate research of pragmatic competence development. Central to developing pragmatic competence are the language functions (or speech acts and the conventions of politeness. In particular, we focus on how Macedonian learners of English at B2 level express their disagreement, and we put their performance in relation to the functions and the politeness maxims postulated in Vantage (van Ek/Trim 2001 and the Common European Framework of Reference for Languages (2001. Data for the analysis was compiled by means of a Discourse Completion Task (DCT consisting of nine tasks which required the students to express an opposing view to the one given in the tasks. In our analysis, we classified disagreement as strong, weak, direct and hints. We focus on the linguistic means that learners used to express and to modify their disagreement. In particular, we discuss the use of lexical and syntactic modifiers, putting more emphasis on the use of modal verbs and I think. We end the paper with a conclusion that the CEFR and the accompanying books provide a valuable tool not only because they list the exponents of the functions, but also because they explain the principles that these exponents are motivated by. Finally, we raise two issues that we believe are important for further consideration. One is development of further research across all levels with the aim of better understanding the processes governing the acquisition of pragmatic competence. The other is developing research on what teaching methods and techniques should be employed to facilitate it.

  2. Investigating the of Explicit Instruction of Apology Speech Act on Pragmatic Development of Iranian EFL Learners

    Directory of Open Access Journals (Sweden)

    Shima Rajabi

    2015-08-01

    Full Text Available Learning a foreign language requires students to acquire both grammatical knowledge and socio-pragmatic rules of a language. Pragmatic competence as one of the most difficult aspects of language provides several challenges to L2 learners in the process of learning a foreign language. To overcome this problem, EFL teachers should find the most effective way of teaching pragmatic knowledge to their students. Accordingly, the present study investigated the effect of explicit teaching of apology speech act, as an aspect of pragmatic competence, on the Iranian EFL learners’ appropriate use of the mentioned speech act. In so doing, a total of 73 EFL students at intermediate and advanced levels participated in a pre-posttest design research with experimental and control group. Data were collected using a Discourse Completion Test (DCT. The selection of apologetic situations in DCT was based on two variables of social status and social distance. The results revealed that explicit instruction was a facilitative tool that helped students use the proper apology strategies in different situations. Moreover, it was found that L2 proficiency had a significant influence on overall appropriateness of speech act production. Keywords: Explicit instruction; Apology speech act;   Pragmatic competence; Iranian EFL learners

  3. Making the Implicit Explicit: Raising Pragmatic Awareness in Trainee Interpreters Using Semiauthentic Spontaneous Discourse Samples

    Science.gov (United States)

    Sachtleben, Annette; Denny, Heather

    2012-01-01

    Following the recent interest in the teaching of pragmatics and the recognition of its importance for both cross-cultural communication and new speakers of an additional language, the authors carried out an action research project to evaluate the effectiveness of a new approach to the teaching of pragmatics. This involved the use of semiauthentic…

  4. Investigating the Explicit Instruction of Apology Speech Act on Pragmatic Development of Iranian EFL Learners

    Science.gov (United States)

    Rajabi, Shima; Azizifar, Akbar; Gowhary, Habib

    2015-01-01

    Learning a foreign language requires students to acquire both grammatical knowledge and socio-pragmatic rules of a language. Pragmatic competence as one of the most difficult aspects of language provides several challenges to L2 learners in the process of learning a foreign language. To overcome this problem, EFL teachers should find the most…

  5. A systematic review of pragmatic language interventions for children with autism spectrum disorder.

    Directory of Open Access Journals (Sweden)

    Lauren Parsons

    Full Text Available There is a need for evidence based interventions for children with autism spectrum disorder (ASD to limit the life-long, psychosocial impact of pragmatic language impairments. This systematic review identified 22 studies reporting on 20 pragmatic language interventions for children with ASD aged 0-18 years. The characteristics of each study, components of the interventions, and the methodological quality of each study were reviewed. Meta-analysis was conducted to assess the effectiveness of 15 interventions. Results revealed some promising approaches, indicating that active inclusion of the child and parent in the intervention was a significant mediator of intervention effect. Participant age, therapy setting or modality were not significant mediators between the interventions and measures of pragmatic language. The long-term effects of these interventions and the generalisation of learning to new contexts is largely unknown. Implications for clinical practice and directions for future research are discussed.

  6. The Effects of Planned Instruction on Iranian L2 Learners' Interlanguage Pragmatic Development

    Directory of Open Access Journals (Sweden)

    Maryam Esmaeili

    2013-05-01

    Full Text Available The most compelling evidence that instruction in L2pragmatics is necessary comes from learners whoselanguage proficiency is advanced but their communicative actsfrequently contain pragmatic errors. The current studyevaluated the impact of explicit instruction on EFL learner'sawareness and production of three speech acts of request,apology, and complaint. It also probed whether learners’language proficiency plays any role in incorporatingpragmatic instruction into the L2 classroom. The instructionlasted for about 12 weeks. Achievement in L2 pragmaticswas assessed based on a pretest-posttest plan usingMultiple-Choice Discourse Comprehension Test (MDCTand Written Discourse Completion Test (WDCT. Thesignificant gains made by the experimental groups receivinginstruction support the claim recently made by instructionalpragmatics that explicit instruction does facilitate thedevelopment of pragmatically appropriate use of language.Yet, learners’ level of language proficiency had no significantrole in the incorporation of the instruction. Furthertheoretical issues are also discussed.

  7. Male Pragmatism in Ethical Decision Making

    OpenAIRE

    Kray, Laura J.; Haselhuhn, Michael P.

    2011-01-01

    Why do men have more lenient ethical standards than women? To address this question, we test the male pragmatism hypothesis, which posits that men rely on their social and achievement motivations to set ethical standards more so than women. Across two studies, motivation was both manipulated and measured before examining ethicality judgments. Study 1 manipulated identification with two parties in an ethical dilemma and found that men were more egocentric than women. Whereas men’s ethicality...

  8. Pragmatic clinical trials embedded in healthcare systems: generalizable lessons from the NIH Collaboratory

    Directory of Open Access Journals (Sweden)

    Kevin P. Weinfurt

    2017-09-01

    Full Text Available Abstract Background The clinical research enterprise is not producing the evidence decision makers arguably need in a timely and cost effective manner; research currently involves the use of labor-intensive parallel systems that are separate from clinical care. The emergence of pragmatic clinical trials (PCTs poses a possible solution: these large-scale trials are embedded within routine clinical care and often involve cluster randomization of hospitals, clinics, primary care providers, etc. Interventions can be implemented by health system personnel through usual communication channels and quality improvement infrastructure, and data collected as part of routine clinical care. However, experience with these trials is nascent and best practices regarding design operational, analytic, and reporting methodologies are undeveloped. Methods To strengthen the national capacity to implement cost-effective, large-scale PCTs, the Common Fund of the National Institutes of Health created the Health Care Systems Research Collaboratory (Collaboratory to support the design, execution, and dissemination of a series of demonstration projects using a pragmatic research design. Results In this article, we will describe the Collaboratory, highlight some of the challenges encountered and solutions developed thus far, and discuss remaining barriers and opportunities for large-scale evidence generation using PCTs. Conclusion A planning phase is critical, and even with careful planning, new challenges arise during execution; comparisons between arms can be complicated by unanticipated changes. Early and ongoing engagement with both health care system leaders and front-line clinicians is critical for success. There is also marked uncertainty when applying existing ethical and regulatory frameworks to PCTS, and using existing electronic health records for data capture adds complexity.

  9. Toward criteria for pragmatic measurement in implementation research and practice: a stakeholder-driven approach using concept mapping.

    Science.gov (United States)

    Powell, Byron J; Stanick, Cameo F; Halko, Heather M; Dorsey, Caitlin N; Weiner, Bryan J; Barwick, Melanie A; Damschroder, Laura J; Wensing, Michel; Wolfenden, Luke; Lewis, Cara C

    2017-10-03

    Advancing implementation research and practice requires valid and reliable measures of implementation determinants, mechanisms, processes, strategies, and outcomes. However, researchers and implementation stakeholders are unlikely to use measures if they are not also pragmatic. The purpose of this study was to establish a stakeholder-driven conceptualization of the domains that comprise the pragmatic measure construct. It built upon a systematic review of the literature and semi-structured stakeholder interviews that generated 47 criteria for pragmatic measures, and aimed to further refine that set of criteria by identifying conceptually distinct categories of the pragmatic measure construct and providing quantitative ratings of the criteria's clarity and importance. Twenty-four stakeholders with expertise in implementation practice completed a concept mapping activity wherein they organized the initial list of 47 criteria into conceptually distinct categories and rated their clarity and importance. Multidimensional scaling, hierarchical cluster analysis, and descriptive statistics were used to analyze the data. The 47 criteria were meaningfully grouped into four distinct categories: (1) acceptable, (2) compatible, (3) easy, and (4) useful. Average ratings of clarity and importance at the category and individual criteria level will be presented. This study advances the field of implementation science and practice by providing clear and conceptually distinct domains of the pragmatic measure construct. Next steps will include a Delphi process to develop consensus on the most important criteria and the development of quantifiable pragmatic rating criteria that can be used to assess measures.

  10. Pragmatic Ability Deficit in Schizophrenia and Associated Theory of Mind and Executive Function

    Directory of Open Access Journals (Sweden)

    Xiaoming Li

    2017-12-01

    Full Text Available Deficits in pragmatic abilities have frequently been observed in patients with schizophrenia. The objective of the study was to investigate the relationship between pragmatic deficits, ToM deficits and executive dysfunctions in schizophrenia. A group of 42 schizophrenic patients and 42 healthy controls were assessed on irony task (one type of pragmatic language, two subcomponents of ToM (cognitive and affective, and three subcomponents of EF (inhibition, updating, and switching. The clinical symptoms in schizophrenia were assessed using the positive and negative symptoms of schizophrenia. The schizophrenia group exhibited significant impairments in all above tasks compared to the control group. Correlation results found that irony scores were correlated with the two subcomponents of ToM and two of the three subcomponents of EF (inhibition and updating. The regression analysis revealed that the cognitive ToM and inhibition predicted 9.2% and 29.9% of the variance of irony comprehension in the patient group, and inhibition was the best predictor for performance on irony task. Irony understanding was related to positive symptoms, but not to negative symptoms. The results suggest that the ability to interpret pragmatic language depends on schizophrenic patients’ ability to infer mental states and the ability of inhibition. It provides empirical evidence for a particular target of inhibition for rehabilitation and intervention programs developed for schizophrenic patients.

  11. Keeping the feet of the gods and the saints warm: mundane pragmatics in times of suffering and uncertainty.

    Science.gov (United States)

    van Dongen, Els

    2008-12-01

    In this article the author writes about mundane pragmatics, or everyday deeds, in times of suffering and uncertainty. Such pragmatics differ from cultural practices such as biomedical therapies or individual health-seeking behaviour patterns. Medical anthropologists and others working in the field of health and illness often overlook such pragmatics. However, these actions are of great social value and express the connectedness and bonds between people. They also express our deep beliefs, hopes, powerlessness and vulnerability.

  12. Testing feedback message framing and comparators to address prescribing of high-risk medications in nursing homes: protocol for a pragmatic, factorial, cluster-randomized trial.

    Science.gov (United States)

    Ivers, Noah M; Desveaux, Laura; Presseau, Justin; Reis, Catherine; Witteman, Holly O; Taljaard, Monica K; McCleary, Nicola; Thavorn, Kednapa; Grimshaw, Jeremy M

    2017-07-14

    Audit and feedback (AF) interventions that leverage routine administrative data offer a scalable and relatively low-cost method to improve processes of care. AF interventions are usually designed to highlight discrepancies between desired and actual performance and to encourage recipients to act to address such discrepancies. Comparing to a regional average is a common approach, but more recipients would have a discrepancy if compared to a higher-than-average level of performance. In addition, how recipients perceive and respond to discrepancies may depend on how the feedback itself is framed. We aim to evaluate the effectiveness of different comparators and framing in feedback on high-risk prescribing in nursing homes. This is a pragmatic, 2 × 2 factorial, cluster-randomized controlled trial testing variations in the comparator and framing on the effectiveness of quarterly AF in changing high-risk prescribing in nursing homes in Ontario, Canada. We grouped homes that share physicians into clusters and randomized these clusters into the four experimental conditions. Outcomes will be assessed after 6 months; all primary analyses will be by intention-to-treat. The primary outcome (monthly number of high-risk medications received by each patient) will be analysed using a general linear mixed effects regression model. We will present both four-arm and factorial analyses. With 160 clusters and an average of 350 beds per cluster, assuming no interaction and similar effects for each intervention, we anticipate 90% power to detect an absolute mean difference of 0.3 high-risk medications prescribed. A mixed-methods process evaluation will explore potential mechanisms underlying the observed effects, exploring targeted constructs including intention, self-efficacy, outcome expectations, descriptive norms, and goal prioritization. An economic analysis will examine cost-effectiveness analysis from the perspective of the publicly funded health care system. This protocol

  13. Informal pragmatics and linguistic creativity | Collier | South African ...

    African Journals Online (AJOL)

    Syntax and semantics are part of what Barwise and Perry call the context of the utterance, contributing to the pragmatics of the utterance. This full and distributed multichannel context determines meaning if anything does. On the standard account of context, context disambiguates the meaning of language, but it is at least as ...

  14. Assessing the Learning Path Specification: a Pragmatic Quality Approach

    NARCIS (Netherlands)

    Janssen, José; Berlanga, Adriana; Heyenrath, Stef; Martens, Harrie; Vogten, Hubert; Finders, Anton; Herder, Eelco; Hermans, Henry; Melero, Javier; Schaeps, Leon; Koper, Rob

    2010-01-01

    Janssen, J., Berlanga, A. J., Heyenrath, S., Martens, H., Vogten, H., Finders, A., Herder, E., Hermans, H., Melero Gallardo, J., Schaeps, L., & Koper, R. (2010). Assessing the Learning Path Specification: a Pragmatic Quality Approach. Journal of Universal Computer Science, 16(21), 3191-3209.

  15. Mindfully implementing simulation tools for supporting pragmatic design inquiries

    NARCIS (Netherlands)

    Hartmann, Timo; olde Scholtenhuis, Léon Luc; Zerjav, Vedran; Champlin, Carissa J

    2015-01-01

    Based upon a conceptualization of the engineering design process as pragmatic inquiry, this paper introduces a framework for supporting designers and design managers with a better understanding of the trade-offs required for a successful implementation of simulation tools. This framework contributes

  16. Pragmatic Assessment of Request Speech Act of Iranian EFL Learners by Non-Native English Speaking Teachers

    Science.gov (United States)

    Alemi, Minoo; Khanlarzadeh, Neda

    2016-01-01

    The analysis of raters' comments on pragmatic assessment of L2 learners is among new and understudied concepts in second language studies. To shed light on this issue, the present investigation targeted important variables such as raters' criteria and rating patterns by analyzing the interlanguage pragmatic assessment process of the Iranian…

  17. Autism from a cognitive-pragmatic perspective

    OpenAIRE

    Reboul , Anne; Manificat , Sabine; Foudon , Nadège

    2012-01-01

    International audience; Autism is one of a group of three neuro-developmental disorders including, in addition to autism itself, Asperger Syndrome and a fairly heterogeneous group of patients who present some but not all of the symptoms of autism (see below, section 2.2). Asperger Syndrome and autism being the best described pathologies, notably in terms of language and language development, they will be the focus of our attention in what follows. Autism has been described as being to pragmat...

  18. Early Pragmatic Language Difficulties in Siblings of Children with Autism: Implications for "DSM-5" Social Communication Disorder?

    Science.gov (United States)

    Miller, Meghan; Young, Gregory S.; Hutman, Ted; Johnson, Scott; Schwichtenberg, A. J.; Ozonoff, Sally

    2015-01-01

    Background: We evaluated early pragmatic language skills in preschool-age siblings of children with autism spectrum disorder (ASD), and examined correspondence between pragmatic language impairments and general language difficulties, autism symptomatology, and clinical outcomes. Methods: Participants were younger siblings of children with ASD…

  19. Dependency-dependent interference: NPI interference, agreement attraction, and global pragmatic inferences

    Directory of Open Access Journals (Sweden)

    Ming eXiang

    2013-10-01

    Full Text Available Previous psycholinguistics studies have shown that when forming a long distance dependency in online processing, the parser sometimes accepts a sentence even though the required grammatical constraints are only partially met. A mechanistic account of how such errors arise sheds light on both the underlying linguistic representations involved and the processing mechanisms that put such representations together. In the current study, we contrast the NPI (negative polarity items interference effect, as shown by the acceptance of an ungrammatical sentence like The bills that democratic senators have voted for will ever become law, with the well-known phenomenon of agreement attraction (The key to the cabinets are…. On the surface, these two types of errors look alike and thereby can be explained as being driven by the same source: similarity based memory interference. However, we argue that the linguistic representations involved in NPI licensing are substantially different from those of subject-verb agreement, and therefore the interference effects in each domain potentially arise from distinct sources. In particular, we show that NPI interference at least partially arises from pragmatic inferences. In a self-paced reading study with an acceptability judgment task, we showed NPI interference was modulated by participants’ general pragmatic communicative skills, as quantified by the Autism-Spectrum Quotient (Baron-Cohen 2001, especially in offline tasks. Participants with more autistic traits were actually less prone to the NPI interference effect than those with fewer autistic traits. This result contrasted with agreement attraction conditions, which were not influenced by individual pragmatic skill differences. We also show that different NPI licensors have distinct interference profiles. We discuss two kinds of interference effects for NPI licensing: memory-retrieval based and pragmatically triggered.

  20. Study protocol: pragmatic randomized control trial of an internet-based intervention (My tools 4 care) for family carers.

    Science.gov (United States)

    Duggleby, Wendy; Ploeg, Jenny; McAiney, Carrie; Fisher, Kathryn; Swindle, Jenny; Chambers, Tracey; Ghosh, Sunita; Peacock, Shelley; Markle-Reid, Maureen; Triscott, Jean; Williams, Allison; Forbes, Dorothy; Pollard, Lori

    2017-08-14

    Family carers of older persons with Alzheimer's' disease and related dementia (ADRD) and multiple chronic conditions (MCC) experience significant, complex, and distressing transitions such as changes to their environment, roles and relationships, physical health, and mental health. An online intervention (My Tools 4 Care) was developed for family carers of persons with ADRD and MCC living at home, with the aim of supporting these carers through transitions and increasing their self-efficacy, hope, and health related quality of life (HRQoL). This study will evaluate My Tools 4 Care (MT4C) by asking the following research questions: 1. Does use of MT4C result in a 3 month (immediately post intervention) and 6-month (3 months after intervention) increase in HRQoL, self-efficacy, and hope, in carers of persons with ADRD and MCC compared to an educational control group? 2. Does use of MT4C help carers of community-dwelling older adults with ADRD and MCC deal with significant changes they experience as carers? and 3. Are the effects/benefits of the MT4C intervention achieved at no additional cost compared to an educational control group? Using a pragmatic mixed methods randomized controlled trial design, 180 family carers of community dwelling older persons (65 years of age and older) with ADRD and MCC will participate in the study. Data will be collected from the intervention and an educational control group at four time points: baseline, 1 month, 3 and 6 months. We expect to find that family carers using MT4C will show greater improvement in hope, self-efficacy and HRQoL, at no additional cost from a societal perspective, compared to those in the educational control group. General estimating equations will be used to determine differences between groups and over time. Data collection began in Ontario and Alberta Canada in June 2015 and is expected to be completed in June 2017. The results will inform policy and practice as MT4C can be easily revised for local

  1. Exploiting Topic Pragmatics for New Event Detection in TDT-2003

    National Research Council Canada - National Science Library

    Braun, Ronald K; Kaneshiro, Ryan

    2003-01-01

    .... We combined a number of "pragmatics-based" classifiers in an ensemble-learning framework to identify the first story of a new topic to link subsequent stories together as they unfold across multiple news streams...

  2. [Exploring the nature of "Hwa-Byung" using pragmatics].

    Science.gov (United States)

    Khim, Soon-Yong; Lee, Cho-Sik

    2003-02-01

    While most psychiatrists diagnose Hwa-Byung as a chronic psychogenic disorder associated with familial, financial and personality, the purpose of study was to shed light on the nature of Hwa-Byung through pragmatics. Hwa-Byung is characterized as 'Hwa' which means fire 'Byung' which means disease. This condition cannot be empirically experienced, rather it is represented by suffering internally (in the mind). It also could find an aspect of somatization, and self-diagnosing. As patients themselves diagnose Hwa-Byung, pragmatical approach was taken to analyze the context of the learning through their communication with others. The case examples resulted from in-depth telephone counseling with a client who is housewife with Hwa-Byung over a period of time at the Women's Hot Line. The study showed that the client experienced continuous improper attacks by her husband. She expressed improperness by applying her personal emotions to social-justice reasoning. 'Hwa' means lack of mutual intimacy in this research. By expressing this 'Hwa', the client would like to recover mutual intimacy with her husband.

  3. Iconoclast or creed? Objectivism, pragmatism, and the hierarchy of evidence.

    Science.gov (United States)

    Goldenberg, Maya J

    2009-01-01

    Because "evidence" is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on what counts as evidence, the critics miss important and desirable pragmatic features of the evidence-based approach. This article redirects critical attention toward EBM's rigid hierarchy of evidence as the culprit of its objectionable epistemic practices. It reframes the EBM discourse in light of a distinction between objectivist and pragmatic epistemology, which allows for a more nuanced analysis of EBM than previously offered: one that is not either/or in its evaluation of the decision-making technology as either iconoclastic or creedal.

  4. Relationship between Acculturation Attitude and Effectiveness of Pragmatic Instruction

    Science.gov (United States)

    Rafieyan, Vahid

    2016-01-01

    Attitude toward accepting target language culture or maintaining heritage culture referred to as acculturation attitude can determine language learners' pragmatic gains during an educational sojourn. To this end, the current study investigated the relationship between language learners' acculturation attitudes during an educational sojourn and the…

  5. The Pragmatics of Branding

    DEFF Research Database (Denmark)

    Hatch, Mary Jo

    2012-01-01

    , intention and imagination of the brand's stakeholders. Originality/value: The article offers increased depth to the study of the expressive/emotional/aesthetic aspects of branding and offers an enriched aesthetic foundation for studying and practicing brand co-creation......This article aims to explore the potential of Dewey's theory of aesthetic expression to expand knowledge about aesthetics in branding and better understand how brands work. The paper aims to mine the pragmatic theory of aesthetic expression as involving artistry, intention and imagination to reveal...... the role beauty plays alongside usefulness in defining and refining brand image and meaning. Design/methodology/approach: Dewey's dialectical method of holistically combining tensions such as beauty and usefulness is applied to brand theory and used to critique current brand management practices. Findings...

  6. FROM THE PRAGMATIC OF THE FRAGMENTED SPECIALIZATION TO THE PRAGMATIC OF THE MORE FLEXIBLE LYOPHILIZATION: THE WAYS OF THE EDUCATION IN THE CAPITALIST MODE OF PRODUCTION

    Directory of Open Access Journals (Sweden)

    Ricardo Antunes

    2009-06-01

    Full Text Available Our presentation treats the proposed theme – Mode of production and education – by seeking an initial sistematisation of this problematic in the form of three notes. The first suggests some elements for a broad understanding of Marx’s concept of mode of production. The second suggests some differences present in different forms of alienation and estrangement present in the Twentieth century, and the third explores some distinct modes of education for capital under capitalism, which we define as the pragmatism of specialisation, in its taylorist-fordist variant, and the pragmatism of flexible liofilization in the eara of toyotism and flexible accumulation. I have concluded with a brief excerpt introducing some angles for considering education beyond the constraints of capital.

  7. TIM Series: Theory, Evidence and the Pragmatic Manager

    Directory of Open Access Journals (Sweden)

    Steven Muegge

    2008-08-01

    Full Text Available On July 2, 2008, Steven Muegge from Carleton University delivered a presentation entitled "Theory, Evidence and the Pragmatic Manager". This section provides the key messages from the lecture. The scope of this lecture spanned several topics, including management decision making, forecasting and its limitations, the psychology of expertise, and the management of innovation.

  8. Pragmatic Difficulties in the Production of the Speech Act of Apology by Iraqi EFL Learners

    Directory of Open Access Journals (Sweden)

    Mehdi Falih Al-Ghazalli

    2014-12-01

    Full Text Available The purpose of this paper is to investigate the pragmatic difficulties encountered by Iraqi EFL university students in producing the speech act of apology. Although the act of apology is easy to recognize or use by native speakers of English, non-native speakers generally encounter difficulties in discriminating one speech act from another. The problem can be attributed to two factors: pragma-linguistic and socio-pragmatic knowledge. The aim of this study is(1to evaluate the socio-pragmatic level of interpreting apologies as understood and used by Iraqi EFL university learners, (2 find out the level of difficulty they experience in producing apologies and(3 detect the reasons behind such misinterpretations and misuses. It is hypothesized that the socio-pragmatic interpretation of apology tends to play a crucial role in comprehending what is intended by the speaker. However, cultural gaps can be the main reason behind the EFL learners' inaccurate production of the act of apology. To verify the aforementioned hypotheses, a test has been constructed and administered to a sample of 70 fourth-year Iraqi EFL university learners, morning classes. The subjects' responses have been collected and linguistically analyzed in the light of an eclectic model based on Deutschmann (2003 and Lazare (2004. It has been concluded that the misinterpretation or difficulty Iraqi EFL students have faced is mainly attributed to their lack of socio-pragmatic knowledge. The interference of the learnersʹ first language culture has led to non-native productions of speech act of apology.

  9. Do Children with Social Communication Disorder Have Explicit Knowledge of Pragmatic Rules They Break? A Comparison of Conversational Pragmatic Ability and Metapragmatic Awareness

    Science.gov (United States)

    Lockton, Elaine; Adams, Catherine; Collins, Anna

    2016-01-01

    Background: Children who have social communication disorder (CwSCD) demonstrate persistent difficulties with language pragmatics in conversations and other verbal interactions. Speech-language interventions for these children often include promotion of metapragmatic awareness (MPA); that is, the ability to identify explicitly and reflect upon…

  10. "I No Say You Say Is Boring": The Development of Pragmatic Competence in L2 Apology

    Science.gov (United States)

    Chang, Yuh-Fang

    2010-01-01

    While the number of studies on pragmatic development has been increasing since Kasper and Schmidt's call for more research into this under-researched area (e.g., [Barron, A., 2003. Acquisition in Interlanguage Pragmatics: Learning How to do Things with Words in a Study Abroad Context. Benhamins, Amsterdam; Achiba, M., 2003. Learning to Request in…

  11. Pragmatic electrical engineering systems and instruments

    CERN Document Server

    Eccles, William

    2011-01-01

    Pragmatic Electrical Engineering: Systems and Instruments is about some of the non-energy parts of electrical systems, the parts that control things and measure physical parameters. The primary topics are control systems and their characterization, instrumentation, signals, and electromagnetic compatibility. This text features a large number of completely worked examples to aid the reader in understanding how the various principles fit together.While electric engineers may find this material useful as a review, engineers in other fields can use this short lecture text as a modest introduction

  12. Increasing Pragmatic Awareness: Die Vagheit der Sprache "und so"

    Science.gov (United States)

    Overstreet, Maryann; Tran, Jennie; Zietze, Sylvia

    2006-01-01

    This article presents a description of some pragmatic expressions ("oder so," "und so," "oder wie") rarely found in textbooks, but common in everyday conversation. Though often treated as vague or superfluous, these expressions perform important functions in interpersonal communication. Focusing on these easily identifiable phrases can help…

  13. The pragmatics of NPP presidential campaign promises in Ghana's ...

    African Journals Online (AJOL)

    The paper discusses election campaign promises under Commissives, an aspect of Speech Act Theory, and Political Discourse Analysis (PDA). It considers the importance of context and looks at the social settings that are connected with promises. It examines the semantics, pragmatics and the structure of campaign ...

  14. Investigating the Grammatical and Pragmatic Origins of Wh-Questions in Children with Autism Spectrum Disorders

    Directory of Open Access Journals (Sweden)

    Manya Jyotishi

    2017-03-01

    Full Text Available Compared to typically developing children, children with autism (ASD show delayed production of wh-questions. It is currently controversial the degree to which such deficits derive from social-pragmatic requirements and/or because these are complex grammatical structures. The current study employed the intermodal preferential looking (IPL paradigm, which reduces social-pragmatic demands. The IPL paradigm can help distinguish these proposals, as successful comprehension promotes the “pragmatics-origins” argument whereas comprehension difficulties would implicate a “grammatical-origins” argument. Additionally, we tested both the linguistic and social explanations by assessing the contributions of children's early grammatical knowledge (i.e., SVO word order and their social-pragmatic scores on the Vineland to their later wh-question comprehension. Fourteen children with ASD and 17 TD children, matched on language level, were visited in their homes at 4-month intervals. Comprehension of wh-questions and SVO word order were tested via IPL: the wh-question video showed a costumed horse and bird serving as agents or patients of familiar transitive actions. During the test trials, they were displayed side by side with directing audios (e.g., “What did the horse tickle?”, “What hugged the bird?”, “Where is the horse/bird?”. Children's eye movements were coded offline; the DV was their percent looking to the named item during test. To show comprehension, children should look longer at the named item during a where-question than during a subject-wh or object-wh question. Results indicated that TD children comprehended both subject and object wh-questions at 32 months of age. Comprehension of object-wh questions emerged chronologically later in children with ASD compared to their TD peers, but at similar levels of language. Moreover, performance on word order and social-pragmatic scores independently predicted both groups' later

  15. Pragmatism and structuralism in occupational therapy: the long conversation.

    Science.gov (United States)

    Hooper, Barb; Wood, Wendy

    2002-01-01

    The history of occupational therapy may be understood as a continual transaction between two cultural discourses: pragmatism and structuralism. Pragmatism is a way of thinking that presupposes humans are agentic by nature and knowledge is tentative and created within particular contexts. Structuralism is a way of thinking that assumes humans are composites of recurring general frameworks and that knowledge is objective and can be generalized to multiple contexts. Early in the field's history, both pragmatist and structuralist assumptions about the human and knowledge produced different readings, or interpretations, of what constituted the appropriate tools, methods, and outcomes for occupational therapy. Consequently, occupational therapy adopted an interesting mix of pragmatist language regarding the human and structuralist approaches to knowledge, resulting in professional identity problems still experienced today. However, recent developments offer an opportunity for occupational therapists to correct old identity problems through critically evaluating incompatible assumptions and carefully reading the prevailing cultural ethos.

  16. Framing the conversation: use of PRECIS-2 ratings to advance understanding of pragmatic trial design domains.

    Science.gov (United States)

    Lipman, Paula Darby; Loudon, Kirsty; Dluzak, Leanora; Moloney, Rachael; Messner, Donna; Stoney, Catherine M

    2017-11-10

    There continues to be debate about what constitutes a pragmatic trial and how it is distinguished from more traditional explanatory trials. The NIH Pragmatic Trials Collaborative Project, which includes five trials and a coordinating unit, has adopted the Pragmatic-Explanatory Continuum Indicator Summary (PRECIS-2) instrument. The purpose of the study was to collect PRECIS-2 ratings at two points in time to assess whether the tool was sensitive to change in trial design, and to explore with investigators the rationale for rating shifts. A mixed-methods design included sequential collection and analysis of quantitative data (PRECIS-2 ratings) and qualitative data. Ratings were collected at two annual, in-person project meetings, and subsequent interviews conducted with investigators were recorded, transcribed, and coded using NVivo 11 Pro for Windows. Rating shifts were coded as either (1) actual change (reflects a change in procedure or protocol), (2) primarily a rating shift reflecting rater variability, or (3) themes that reflect important concepts about the tool and/or pragmatic trial design. Based on PRECIS-2 ratings, each trial was highly pragmatic at the planning phase and remained so 1 year later in the early phases of trial implementation. Over half of the 45 paired ratings for the nine PRECIS-2 domains indicated a rating change from Time 1 to Time 2 (N = 24, 53%). Of the 24 rating changes, only three represented a true change in the design of the trial. Analysis of rationales for rating shifts identified critical themes associated with the tool or pragmatic trial design more generally. Each trial contributed one or more relevant comments, with Eligibility, Flexibility of Adherence, and Follow-up each accounting for more than one. PRECIS-2 has proved useful for "framing the conversation" about trial design among members of the Pragmatic Trials Collaborative Project. Our findings suggest that design elements assessed by the PRECIS-2 tool may represent

  17. An ethnobotanical survey of medicinal plants of Laos toward the discovery of bioactive compounds as potential candidates for pharmaceutical development

    Science.gov (United States)

    Soejarto, D.D.; Gyllenhaal, C.; Kadushin, M.R.; Southavong, B.; Sydara, K.; Bouamanivong, S.; Xaiveu, M.; Zhang, H.-J.; Franzblau, S.G.; Tan, Ghee T.; Pezzuto, J.M.; Riley, M.C.; Elkington, B.G.; Waller, D.P.

    2012-01-01

    Context An ethnobotany-based approach in the selection of raw plant materials to study was implemented. Objective To acquire raw plant materials using ethnobotanical field interviews as starting point to discover new bioactive compounds from medicinal plants of the Lao People’s Democratic Republic. Methods Using semi-structured field interviews with healers in the Lao PDR, plant samples were collected, extracted, and bio-assayed to detect bioactivity against cancer, HIV/AIDS, TB, malaria. Plant species demonstrating activity were recollected and the extracts subjected to a bioassay-guided isolation protocol to isolate and identify the active compounds. Results Field interviews with 118 healers in 15 of 17 provinces of Lao PDR yielded 753 collections (573 species) with 955 plant samples. Of these 955, 50 extracts demonstrated activity in the anticancer, 10 in the anti-HIV, 30 in the anti-TB, and 52 in the antimalarial assay. Recollection of actives followed by bioassay-guided isolation processes yielded a series of new and known in vitro-active anticancer and antimalarial compounds from 5 species. Discussion Laos has a rich biodiversity, harboring an estimated 8000–11,000 species of plants. In a country highly dependent on traditional medicine for its primary health care, this rich plant diversity serves as a major source of their medication. Conclusions Ethnobotanical survey has demonstrated the richness of plant-based traditional medicine of Lao PDR, taxonomically and therapeutically. Biological assays of extracts of half of the 955 samples followed by in-depth studies of a number of actives have yielded a series of new bioactive compounds against the diseases of cancer and malaria. PMID:22136442

  18. Effectiveness of additional self-care acupressure for women with menstrual pain compared to usual care alone: using stakeholder engagement to design a pragmatic randomized trial and study protocol.

    Science.gov (United States)

    Blödt, Susanne; Schützler, Lena; Huang, Wenjing; Pach, Daniel; Brinkhaus, Benno; Hummelsberger, Josef; Kirschbaum, Barbara; Kuhlmann, Kirsten; Lao, Lixing; Liang, Fanrong; Mietzner, Anna; Mittring, Nadine; Müller, Sabine; Paul, Anna; Pimpao-Niederle, Carolina; Roll, Stephanie; Wu, Huangan; Zhu, Jiang; Witt, Claudia M

    2013-04-11

    Self-care acupressure might be successful in treating menstrual pain, which is common among young women. There is a need for comparative effectiveness research with stakeholder engagement in all phases seeking to address the needs of decision-makers. Our aim was to design a study on the effectiveness of additional self-care acupressure for menstrual pain comparing usual care alone using different methods of stakeholder engagement. The study was designed using multiple mixed methods for stakeholder engagement. Based on the results of a survey and focus group discussion, a stakeholder advisory group developed the study design. Stakeholder engagement resulted in a two-arm pragmatic randomized trial. Two hundred and twenty women aged 18 to 25 years with menstrual pain will be included in the study. Outcome measurement will be done using electronic questionnaires provided by a study specific mobile application (App). Primary outcome will be the mean pain intensity at the days of pain during the third menstruation after therapy start. Stakeholder engagement helped to develop a study design that better serves the needs of decision makers, including an App as a modern tool for both intervention and data collection in a young target group. Clinicaltrials.gov identifier http://NCT01582724.

  19. Are children with Specific Language Impairment competent with the pragmatics and logic of quantification?

    Science.gov (United States)

    Katsos, Napoleon; Roqueta, Clara Andrés; Estevan, Rosa Ana Clemente; Cummins, Chris

    2011-04-01

    Specific Language Impairment (SLI) is understood to be a disorder that predominantly affects phonology, morphosyntax and/or lexical semantics. There is little conclusive evidence on whether children with SLI are challenged with regard to Gricean pragmatic maxims and on whether children with SLI are competent with the logical meaning of quantifying expressions. We use the comprehension of statements quantified with 'all', 'none', 'some', 'some…not', 'most' and 'not all' as a paradigm to study whether Spanish-speaking children with SLI are competent with the pragmatic maxim of informativeness, as well as with the logical meaning of these expressions. Children with SLI performed more poorly than a group of age-matched typically-developing peers, and both groups performed more poorly with pragmatics than with logical meaning. Moreover, children with SLI were disproportionately challenged by pragmatic meaning compared to their age-matched peers. However, the performance of children with SLI was comparable to that of a group of younger language-matched typically-developing children. The findings document that children with SLI do face difficulties with employing the maxim of informativeness, as well as with understanding the logical meaning of quantifiers, but also that these difficulties are in keeping with their overall language difficulties rather than exceeding them. The implications of these findings for SLI, linguistic theory, and clinical practice are discussed. Copyright © 2010 Elsevier B.V. All rights reserved.

  20. Assessment of Pragmatic Difficulties and Socioemotional Adjustment in Practice

    Science.gov (United States)

    Farmer, Marion; Oliver, Alice

    2005-01-01

    Background: In professional practice, psychologists and other professionals such as therapists and teachers receive referrals of many children who present with social, emotional and behavioural difficulties that are difficult to understand and assess. The problems of some of these children may stem from pragmatic difficulties in communication.…

  1. Socio-pragmatic and cultural aspects of teaching English for ...

    African Journals Online (AJOL)

    In this paper, after a brief sketch of the historical and sociolinguistic conditions, EAP is contrasted with African oral performance (orature) as this relates to discursive conventions amongst a community of African students. Following this, several socio-pragmatic and linguistic aspects are highlighted; and finally the question of ...

  2. Motivation and Interlanguage Pragmatics in Iranian English Language Learners

    Science.gov (United States)

    Khorshidi, Hassan Rasouli; Nimchahi, Abdolreza Bagherzadeh

    2013-01-01

    It is generally believed that interlanguage pragmatics and motivation play important roles in learning. Motivation is important because it determines the extent of the learner's active involvement and attitude toward learning. The major purpose of this study was to investigate the impact of integrative and instrumental motivation on the…

  3. The Cinematic Narrator: The Logic and Pragmatics of Impersonal Narration.

    Science.gov (United States)

    Burgoyne, Robert

    1990-01-01

    Describes "impersonal narration," an approach that defends the concept of the cinematic narrator as a logical and pragmatic necessity. Compares this approach with existing theories of the cinematic narrator, addressing disagreements in the field of film narrative theory. (MM)

  4. The long-term effects of naprapathic manual therapy on back and neck pain - Results from a pragmatic randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Bohman Tony

    2010-02-01

    Full Text Available Abstract Background Back and neck pain are very common, disabling and recurrent disorders in the general population and the knowledge of long-term effect of treatments are sparse. The aim of this study was to compare the long-term effects (up to one year of naprapathic manual therapy and evidence-based advice on staying active regarding non-specific back and/or neck pain. Naprapathy, a health profession mainly practiced in Sweden, Finland, Norway and in the USA, is characterized by a combination of manual musculoskeletal manipulations, aiming to decrease pain and disability in the neuromusculoskeletal system. Methods Subjects with non-specific pain/disability in the back and/or neck lasting for at least two weeks (n = 409, recruited at public companies in Sweden, were included in this pragmatic randomized controlled trial. The two interventions compared were naprapathic manual therapy such as spinal manipulation/mobilization, massage and stretching, (Index Group, and advice to stay active and on how to cope with pain, provided by a physician (Control Group. Pain intensity, disability and health status were measured by questionnaires. Results 89% completed the 26-week follow-up and 85% the 52-week follow-up. A higher proportion in the Index Group had a clinically important decrease in pain (risk difference (RD = 21%, 95% CI: 10-30 and disability (RD = 11%, 95% CI: 4-22 at 26-week, as well as at 52-week follow-ups (pain: RD = 17%, 95% CI: 7-27 and disability: RD = 17%, 95% CI: 5-28. The differences between the groups in pain and disability considered over one year were statistically significant favoring naprapathy (p ≤ 0.005. There were also significant differences in improvement in bodily pain and social function (subscales of SF-36 health status favoring the Index Group. Conclusions Combined manual therapy, like naprapathy, is effective in the short and in the long term, and might be considered for patients with non-specific back and/or neck

  5. Treating Procrastination Using Cognitive Behavior Therapy: A Pragmatic Randomized Controlled Trial Comparing Treatment Delivered via the Internet or in Groups.

    Science.gov (United States)

    Rozental, Alexander; Forsström, David; Lindner, Philip; Nilsson, Simon; Mårtensson, Lina; Rizzo, Angela; Andersson, Gerhard; Carlbring, Per

    2018-03-01

    Procrastination is a common problem among university students, with at least half of the population reporting great difficulties initiating or completing tasks and assignments. Procrastination can have a negative impact on course grades and the ability to achieve a university degree, but can also lead to psychological distress. Cognitive behavior therapy (CBT) is believed to reduce procrastination, but few studies have investigated its effectiveness in a regular clinical setting. The current study explored its effects using a pragmatic randomized controlled trial comparing treatment delivered during 8 weeks as self-guided CBT via the Internet (ICBT) or as group CBT. In total, 92 university students with severe procrastination were included in the study (registered as a clinical trial on Clinicaltrials.gov: NCT02112383). Outcome measures on procrastination, depression, anxiety, and well-being were distributed at pre- and posttreatment as well as 6-month follow-up. An outcome measure of procrastination was administered weekly. Linear mixed and fixed effects models were calculated, along with improvement and deterioration rates. The results showed large within-group effect sizes on procrastination, Cohen's d of 1.29 for ICBT, 95% Confidence Interval (CI) [0.81, 1.74], and d of 1.24 for group CBT, 95% CI [0.76, 1.70], and small to moderate benefits for depression, anxiety, and well-being. In total, 33.7% were regarded as improved at posttreatment and 46.7% at follow-up. No differences between conditions were observed after the treatment period, however, participants in group CBT continued or maintained their improvement at follow-up, while participants in self-guided ICBT showed some signs of deterioration. The findings from the current study suggest that CBT might be an effective treatment for those struggling with severe procrastination, but that a group format may be better for some to sustain their benefits over time and that the clinical significance of the

  6. Pragmatic critical realism: could this methodological approach expand our understanding of employment relations?

    Science.gov (United States)

    Mearns, Susan Lesley

    2011-01-01

    This paper seeks to highlight the need for employment relations academics and researchers to expand their use of research methodologies in order for them to enable the advancement of theoretical debate within their discipline. It focuses on the contribution that pragmatical critical realism has made to the field of perception and argues that it would add value to the subject of employment relations. It is a theoretically centred review of pragmatical critical realism and the possible contribution this methodology would make to the field of employment relations. The paper concludes that the employment relationship does not take place in a vacuum rather it is focussed on the interaction between imperfect individuals. Therefore, their interactions are moulded by emotions which can not be explored thoroughly or even acknowledged through a positivists' rigorous but limited acknowledgment of what constitutes 'knowledge' and development of theory. While not rejecting the contribution that quantitative data or positivism have made to the field, the study concludes that pragmatic critical realism has a lot to offer the development of the area and its theoretical foundations.

  7. A Study on the Perception of Jordanian EFL Learners’ Pragmatic Transfer of Refusals

    Directory of Open Access Journals (Sweden)

    Ibrahim Fathi Huwari

    2015-02-01

    Full Text Available This study investigates the perception of Jordanian EFL learners’ (JEFL pragmatic transfer of refusal strategies in terms of contextual and cultural factors. Data were collected using a discourse completion test (DCT and a scaled-response questionnaire (SRQ to elicit perception data from the participants. Data from the SRQ were analyzed based on the speaker’s right to refuse the initiating act. Findings revealed that the right the speaker has to refuse the initiating act was assigned high ratings by the three groups (i.e., M > 3.00 in all social categories. Individually, however, the groups displayed the rating value differently where the AEL1 group’s perception of the speaker’s right was relatively higher than that of the JEFL and JAL1 groups in all the social categories. The JEFL participants’ negative pragmatic transfer criteria were met in the first and third social categories. The study concludes with a discussion of important directions for future research. Keywords: Perception, Refusal, Pragmatic transfer, Pragmalinguistic transfer, Sociopragmatic transfer

  8. John Dewey's Pragmatism: Implications for Reflection in Service-Learning

    Science.gov (United States)

    Maddux, Harry Clark; Donnett, Deborah

    2015-01-01

    This essay examines the relationship of philosophical pragmatism to the practice of reflection in service-learning. Service-learning theory and practice often elides over or ignores entirely the principles of inquiry as developed by Dewey. The exercise of reflective thought requires that educators create a situation of discomfort for learners, and…

  9. Pragmatic competence of children with autism spectrum disorder. Impact of theory of mind, verbal working memory, ADHD symptoms, and structural language.

    Science.gov (United States)

    Baixauli-Fortea, Inmaculada; Miranda Casas, Ana; Berenguer-Forner, Carmen; Colomer-Diago, Carla; Roselló-Miranda, Belén

    2017-11-21

    The primary aim of this study is to increase the existing knowledge about the pragmatic skills of children with autism spectrum disorders (ASD). Specifically, the study has two objectives. The first is to provide a profile of characteristics based on The Children's Communication Checklist (CCC-2) pragmatics scales (inappropriate initiation, stereotyped language, use of context, nonverbal communication, and general pragmatics) and narrative task indicators. To this end, children with ASD will be compared to children with typical development (TD), controlling the effects of sex and structural language (speech, syntax, semantics, coherence). The second objective is to analyze whether theory of mind (ToM), verbal working memory, ADHD symptoms, and structural language can predict pragmatic competence in children with ASD without intellectual disability (ID). The results showed worse performance in the group with ASD on the majority of the pragmatic aspects evaluated. In addition, the application of ToM skills and structural language were significant predictors of the pragmatic skills of the children with ASD. These findings reinforce the importance of focusing intervention programs on mentalist abilities through experiences in real social scenarios, along with strengthening structural language components.

  10. Pragmatic Inferences in Context: Learning to Interpret Contrastive Prosody

    Science.gov (United States)

    Kurumada, Chigusa; Clark, Eve V.

    2017-01-01

    Can preschoolers make pragmatic inferences based on the intonation of an utterance? Previous work has found that young children appear to ignore intonational meanings and come to understand contrastive intonation contours only after age six. We show that four-year-olds succeed in interpreting an English utterance, such as "It LOOKS like a…

  11. Instruction and Pragmatic Change during Study Abroad Email Communication

    Science.gov (United States)

    Alcón-Soler, Eva

    2015-01-01

    The study deals with the effect of instruction and study abroad (SA) on pragmatic knowledge. More specifically, the focus is on gains in explicit knowledge of request mitigators, and whether learners draw on this knowledge when they perform email requests. Email requests produced by 60 Spanish students staying abroad (30 treatment/30 control…

  12. A Pragmatic and Pedagogically Minded Revaluation of Historical Materialism

    Science.gov (United States)

    McNight, Andrew N.

    2010-01-01

    In this article the author uses the context of our contemporary social climate, with its various challenges to democratic vitality and social justice, to reconstruct a theory of social progress. Specifically, he attempts a pragmatic reconstruction of Marx's historical materialism, not as a totalizing ideology, but as a method of analysis for…

  13. Teaching How to Apologize: EFL Textbooks and Pragmatic Input

    Science.gov (United States)

    Limberg, Holger

    2016-01-01

    Learners of English as a foreign language (EFL) are exposed to a collection of materials and communicative activities in the classroom through which they learn to use the language competently and appropriately. Textbooks, in particular, are a rich source of input, offering a variety of opportunities to acquire and practice pragmatic competence in…

  14. The Pragmatics of Political Apology in Ghana's Contemporary Politics

    African Journals Online (AJOL)

    The paper discusses political apology in the 4th republic of Ghanaian contemporary politics from 2013 to 2015. It taps its data from apologetic speeches by political officials and from apologies rendered to politicians. The paper discusses the semantics and pragmatics of political apology. It examines the use of the language ...

  15. Pragmatic Bootstrapping: A Neural Network Model of Vocabulary Acquisition

    Science.gov (United States)

    Caza, Gregory A.; Knott, Alistair

    2012-01-01

    The social-pragmatic theory of language acquisition proposes that children only become efficient at learning the meanings of words once they acquire the ability to understand the intentions of other agents, in particular the intention to communicate (Akhtar & Tomasello, 2000). In this paper we present a neural network model of word learning which…

  16. Some problems with social cognition models: a pragmatic and conceptual analysis.

    Science.gov (United States)

    Ogden, Jane

    2003-07-01

    Empirical articles published between 1997 and 2001 from 4 health psychology journals that tested or applied 1 or more social cognition models (theory of reasoned action, theory of planned behavior, health belief model, and protection motivation theory; N = 47) were scrutinized for their pragmatic and conceptual basis. In terms of their pragmatic basis, these 4 models were useful for guiding research. The analysis of their conceptual basis was less positive. First, these models do not enable the generation of hypotheses because their constructs are unspecific; they therefore cannot be tested. Second, they focus on analytic truths rather than synthetic ones, and the conclusions resulting from their application are often true by definition rather than by observation. Finally, they may create and change both cognitions and behavior rather than describe them.

  17. Neuropragmatics: Extralinguistic Pragmatic Ability is Better Preserved in Left-Hemisphere-Damaged Patients than in Right-Hemisphere-Damaged Patients

    Science.gov (United States)

    Cutica, Ilaria; Bucciarelli, Monica; Bara, Bruno G.

    2006-01-01

    The aim of the present study is to compare the pragmatic ability of right- and left-hemisphere-damaged patients excluding the possible interference of linguistic deficits. To this aim, we study extralinguistic communication, that is communication performed only through gestures. The Cognitive Pragmatics Theory provides the theoretical framework:…

  18. Mobile-media pragmatism: innovation excellences and encumbrances

    Science.gov (United States)

    Lin, Chen-Ju

    2017-10-01

    Establishing two pragmatic models of enhancing entertainment and job-performance, this study aims to elaborate on how people adopt and perceive innovation excellences and encumbrances of modern mobile-media services through reflecting on their intrinsic expectancy. A survey methodology was executed to examine the hypothesised variable relationships using the purposive sampling method. CHT's Taipei think-tank head-office provided this study with a representative sampling frame and assisted to collect data from 725 focused subjects (with normative characteristics) who subscribed to HiNet or MOD, or predominantly used 4G telecommunication services. As a result of adopting the structural equation modelling test, the models of perceived innovation excellences and innovation encumbrances were affirmatively established to interpret the two applicative scenarios: entertainment and job-performance enhancement. Several valuable findings were generated. When a consumer targets entertainment technology pragmatism, he or she may stress the importance of innovative excellences, especially on product novelty. For the sake of pursuing job-performance enhancement, a customer was actively willing to invest his or her energy to meet and deal with the learning cost, customer unfamiliarity and complexity of telecom products and services. Importantly, the adopter's previous experiences with telecom products in the IT domain could effectively moderate the effect of pursuing new telecom innovation, adopting the product, and then strengthening self-evaluation.

  19. Beyond Performativity: A Pragmatic Model of Teacher Professional Learning

    Science.gov (United States)

    Lloyd, Margaret; Davis, James P.

    2018-01-01

    The intent and content of teacher professional learning has changed in recent times to meet the demands of performativity. In this article, we offer and demonstrate a pragmatic way to map teacher professional learning that both meets current demands and secures a place for teacher-led catalytic learning. To achieve this, we position identified…

  20. Pragmatics Abilities in Narrative Production: A Cross-Disorder Comparison

    Science.gov (United States)

    Norbury, Courtenay Frazier; Gemmell, Tracey; Paul, Rhea

    2014-01-01

    We aimed to disentangle contributions of socio-pragmatic and structural language deficits to narrative competence by comparing the narratives of children with autism spectrum disorder (ASD; n=25), non-autistic children with language impairments (LI; n=23), and children with typical development (TD; n=27). Groups were matched for age (6½ to 15…

  1. Wellness-Promoting Practices Through Girl Scouts: A Pragmatic Superiority Randomized Controlled Trial With Additional Dissemination.

    Science.gov (United States)

    Cull, Brooke J; Dzewaltowski, David A; Guagliano, Justin M; Rosenkranz, Sara K; Knutson, Cassandra K; Rosenkranz, Richard R

    2018-01-01

    To evaluate the effectiveness of in-person versus online Girl Scout leader wellness training for implementation of wellness-promoting practices during troop meetings (phase I) and to assess training adoption and current practices across the council (phase II). Pragmatic superiority trial (phase 1) followed by serial cross-sectional study (phase II). Girl Scout troop meetings in Northeast Kansas. Eighteen troop leaders from 3 counties (phase 1); 113 troop leaders from 7 counties (phase II). Phase I: Troop leaders attended 2 wellness training sessions (first in groups, second individually), wherein leaders set wellness-promoting practice implementation goals, self-monitored progress, and received guidance and resources for implementation. Leaders received the intervention in person or online. Phase I: At baseline and postintervention, leaders completed a wellness-promoting practice implementation questionnaire assessing practices during troop meetings (max score = 11). Phase II: Leaders completed a survey about typical troop practices and interest in further training. Phase I: Generalized linear mixed modeling. Phase I: In-person training increased wellness-promoting practice implementation more than online training (in person = 2.1 ± 1.8; online = 0.2 ± 1.2; P = .022). Phase II: Fifty-six percent of leaders adopted the training. For 8 of 11 wellness categories, greater than 50% of leaders employed wellness-promoting practices. In-person training was superior to online training for improvements in wellness-promoting practices. Wellness training was adopted by the majority of leaders across the council.

  2. Pragmatic impact of workplace ostracism: toward a theoretical model

    Directory of Open Access Journals (Sweden)

    Amer Ali Al-Atwi

    2017-07-01

    Full Text Available Purpose - The purpose of this paper is to extend the ostracism literature by exploring the pragmatic impact of ostracism on performance. Design/methodology/approach - Ostracism workplace, social relations and empowerment structures are discussed. The paper then develops a theoretical framework that explains why and under what conditions workplace ostracism undermines employees’ performance. The author proposes that empowerment structures mediate the link between ostracism and in-role and extra-role performance. In addition, it was proposed that relational links buffer the negative relationship between ostracism and empowerment structures on performance and weaken the negative indirect effect of ostracism on performance. Findings - The theoretical arguments provide support for the model showing that empowerment structures mediate the relationship between ostracism and performance, and the mediation effect only occurred when external links were high but not when external links were low. Originality/value - The author has expanded the extant literature by answering recent calls for research exploring the pragmatic impact of workplace ostracism where past research has typically focused solely on the psychological impacts such as psychological needs.

  3. Preventing Depression in Adults With Subthreshold Depression: Health-Economic Evaluation Alongside a Pragmatic Randomized Controlled Trial of a Web-Based Intervention.

    Science.gov (United States)

    Buntrock, Claudia; Berking, Matthias; Smit, Filip; Lehr, Dirk; Nobis, Stephanie; Riper, Heleen; Cuijpers, Pim; Ebert, David

    2017-01-04

    Psychological interventions for the prevention of depression might be a cost-effective way to reduce the burden associated with depressive disorders. To evaluate the cost-effectiveness of a Web-based guided self-help intervention to prevent major depressive disorder (MDD) in people with subthreshold depression (sD). A pragmatic randomized controlled trial was conducted with follow-up at 12 months. Participants were recruited from the general population via a large statutory health insurance company and an open access website. Participants were randomized to a Web-based guided self-help intervention (ie, cognitive-behavioral therapy and problem-solving therapy assisted by supervised graduate students or health care professionals) in addition to usual care or to usual care supplemented with Web-based psycho-education (enhanced usual care). Depression-free years (DFYs) were assessed by blinded diagnostic raters using the telephone-administered Structured Clinical Interview for DSM-IV Axis Disorders at 6- and 12-month follow-up, covering the period to the previous assessment. Costs were self-assessed through a questionnaire. Costs measured from a societal and health care perspective were related to DFYs and quality-adjusted life years (QALYs). In total, 406 participants were enrolled in the trial. The mean treatment duration was 5.84 (SD 4.37) weeks. On average, participants completed 4.93 of 6 sessions. Significantly more DFYs were gained in the intervention group (0.82 vs 0.70). Likewise, QALY health gains were in favor of the intervention, but only statistically significant when measured with the more sensitive SF-6D. The incremental per-participant costs were €136 (£116). Taking the health care perspective and assuming a willingness-to-pay of €20,000 (£17,000), the intervention's likelihood of being cost-effective was 99% for gaining a DFY and 64% or 99% for gaining an EQ-5D or a SF-6D QALY. Our study supports guidelines recommending Web-based treatment for s

  4. Effect of Blinding With a New Pragmatic Placebo Needle

    Science.gov (United States)

    Liu, Baoyan; Xu, Huanfang; Ma, Rui; Mo, Qian; Yan, Shiyan; Liu, Zhishun

    2014-01-01

    Abstract Placebo control is a useful method for determining the efficacy of a therapy. In acupuncture researches, the preferred method for placebo control is acupuncture using a placebo needle that has a blunt tip and achieves no skin penetration. We performed a crossover study to validate the blinding effect of a new type of placebo needle. Sixty volunteers were randomized to receive acupuncture using 2 types of needles with different sequences: sequence AB, involving first the pragmatic placebo needle and then the real needle, and sequence BA, in a reverse order. Placebo acupuncture was performed by administering the placebo needle through an adhesive pad without skin penetration on the acupoints LI4, RN12, BL25, and BL36. Real acupuncture was performed by needling through the pad and penetrating the skin to 15 mm using a real needle on the same acupoints. The acupuncture was administered every other day with 3 sessions for 1 type of needle. The primary outcome was the perception of needle penetration. Besides degree of acupuncture pain, type, and degree of needle sensation, needle acceptability and factors influencing the subject blinding effect were assessed. Needle penetration was felt by 100%, 90% (54/60), 88.3% (53/60), and 95% (57/60) of volunteers receiving placebo acupuncture and 98.3% (59/60), 96.7% (58/60), 95% (57/60), and 95% (57/60) of volunteers receiving real acupuncture on LI4, RN12, BL25, and BL36, respectively. Differences of the volunteers’ perception of needle penetration between the placebo needle and real needle were not significant for the 4 acupoints (all P > 0.05). Volunteers experienced fewer distension sensations (P = 0.01), a lower degree of needle sensation (P = 0.007), and less pain (P = 0.006) during placebo acupuncture than during real acupuncture. The placebo needle was more easily accepted than the real needle (OR = 1.63, 95% CI, 1.01–2.64). The influences of age, sex, educational level, acupuncture

  5. Cost-effectiveness of i-Sleep, a guided online CBT intervention, for patients with insomnia in general practice: protocol of a pragmatic randomized controlled trial.

    Science.gov (United States)

    van der Zweerde, Tanja; Lancee, Jaap; Slottje, Pauline; Bosmans, Judith; Van Someren, Eus; Reynolds, Charles; Cuijpers, Pim; van Straten, Annemieke

    2016-04-02

    Insomnia is a highly prevalent disorder causing clinically significant distress and impairment. Furthermore, insomnia is associated with high societal and individual costs. Although cognitive behavioural treatment for insomnia (CBT-I) is the preferred treatment, it is not used often. Offering CBT-I in an online format may increase access. Many studies have shown that online CBT for insomnia is effective. However, these studies have all been performed in general population samples recruited through media. This protocol article presents the design of a study aimed at establishing feasibility, effectiveness and cost-effectiveness of a guided online intervention (i-Sleep) for patients suffering from insomnia that seek help from their general practitioner as compared to care-as-usual. In a pragmatic randomized controlled trial, adult patients with insomnia disorder recruited through general practices are randomized to a 5-session guided online treatment, which is called "i-Sleep", or to care-as-usual. Patients in the care-as-usual condition will be offered i-Sleep 6 months after inclusion. An ancillary clinician, known as the psychological well-being practitioner who works in the GP practice (PWP; in Dutch: POH-GGZ), will offer online support after every session. Our aim is to recruit one hundred and sixty patients. Questionnaires, a sleep diary and wrist actigraphy will be administered at baseline, post intervention (at 8 weeks), and at 6 months and 12 months follow-up. Effectiveness will be established using insomnia severity as the main outcome. Cost-effectiveness and cost-utility (using costs per quality adjusted life year (QALY) as outcome) will be conducted from a societal perspective. Secondary measures are: sleep diary, daytime consequences, fatigue, work and social adjustment, anxiety, alcohol use, depression and quality of life. The results of this trial will help establish whether online CBT-I is (cost-) effective and feasible in general practice as compared

  6. Evaluating a community-based early childhood education and development program in Indonesia: study protocol for a pragmatic cluster randomized controlled trial with supplementary matched control group.

    Science.gov (United States)

    Pradhan, Menno; Brinkman, Sally A; Beatty, Amanda; Maika, Amelia; Satriawan, Elan; de Ree, Joppe; Hasan, Amer

    2013-08-16

    This paper presents the study protocol for a pragmatic cluster randomized controlled trial (RCT) with a supplementary matched control group. The aim of the trial is to evaluate a community-based early education and development program launched by the Government of Indonesia. The program was developed in collaboration with the World Bank with a total budget of US$127.7 million, and targets an estimated 738,000 children aged 0 to 6 years living in approximately 6,000 poor communities. The aim of the program is to increase access to early childhood services with the secondary aim of improving school readiness. The study is being conducted across nine districts. The baseline survey contained 310 villages, of which 100 were originally allocated to the intervention arm, 20 originally allocated to a 9-month delay staggered start, 100 originally allocated to an 18-month delay staggered start and 90 allocated to a matched control group (no intervention). The study consists of two cohorts, one comprising children aged 12 to 23 months and the other comprising children aged 48 to 59 months at baseline. The data collection instruments include child observations and task/game-based assessments as well as a questionnaire suite, village head questionnaire, service level questionnaires, household questionnaire, and child caretaker questionnaire. The baseline survey was conducted from March to April 2009, midline was conducted from April to August 2010 and endline conducted early 2013. The resultant participation rates at both the district and village levels were 90%. At the child level, the participation rate was 99.92%. The retention rate at the child level at midline was 99.67%. This protocol paper provides a detailed record of the trial design including a discussion regarding difficulties faced with compliance to the randomization, compliance to the dispersion schedule of community block grants, and procurement delays for baseline and midline data collections. Considering the

  7. Ethnobotany as a pharmacological research tool and recent developments in CNS-active natural products from ethnobotanical sources.

    Science.gov (United States)

    McClatchey, Will C; Mahady, Gail B; Bennett, Bradley C; Shiels, Laura; Savo, Valentina

    2009-08-01

    The science of ethnobotany is reviewed in light of its multi-disciplinary contributions to natural product research for the development of pharmaceuticals and pharmacological tools. Some of the issues reviewed involve ethical and cultural perspectives of healthcare and medicinal plants. While these are not usually part of the discussion of pharmacology, cultural concerns potentially provide both challenges and insight for field and laboratory researchers. Plant evolutionary issues are also considered as they relate to development of plant chemistry and accessing this through ethnobotanical methods. The discussion includes presentation of a range of CNS-active medicinal plants that have been recently examined in the field, laboratory and/or clinic. Each of these plants is used to illustrate one or more aspects about the valuable roles of ethnobotany in pharmacological research. We conclude with consideration of mutually beneficial future collaborations between field ethnobotanists and pharmacologists.

  8. An ethnobotanical study of medicinal plants used in Kilte Awulaelo District, Tigray Region of Ethiopia

    Science.gov (United States)

    2013-01-01

    Background The Ethiopian people have been dependent on traditional medicine, mainly medicinal plants, from time immemorial for control of human and animal health problems, and they still remain to be largely dependent on the practice. The purpose of the current study was to conduct ethnobotanical study to document medicinal plants used to treat diseases of human and domestic animals in Kilte Awulaelo District in the Tigray Region of Ethiopia. Methods Ethnobotanical data were collected between July and September 2011 through semi-structured interviews, ranking exercises and field observations. For the interviews, 72 knowledgeable informants were sampled using purposive sampling method. For the different ranking exercises, key informants were identified with the help of elders and local administrators from informants that were already involved in the interviews. Results The study revealed 114 medicinal plant species belonging to 100 genera and 53 families. The plants were used to treat 47 human and 19 livestock diseases. Of the species, the majority (74%) were obtained from the wild. Herbs were the most utilized plants, accounting for 44% of the species, followed by shrubs (29%). Leaf was the most commonly used plant part accounting for 42.98% of the plants, followed by roots (25.73%). Preference ranking exercise on selected plants used against abdominal pain indicated the highest preference of people for Solanum marginatum. Direct matrix ranking showed Cordia africana as the most preferred multipurpose plant in the community. Preference ranking of selected scarce medicinal plants indicated Myrica salicifolia as the most scarce species, followed by Boscia salicifolia and Acokanthera schimperi. According to priority ranking, drought was identified as the most destructive factor of medicinal plants, followed by overgrazing and firewood collection. Conclusion Medicinal plants are still playing significant role in the management of various human and livestock diseases in

  9. The Effect of Teaching Interlanguage Pragmatics on Interpretation Ability of Iranian Translation Students

    Directory of Open Access Journals (Sweden)

    Mahnaz Mahmoudi Ravesh

    2017-06-01

    Full Text Available The present study sought to investigate whether Iranian translation students were successful in comprehending interlanguage pragmatic (ILP features. Moreover, it tried to figure out whether teaching interlanguage pragmatics proved helpful for the improvement of interpretation ability of Iranian translation students. To this end, 30 students of undergraduate translation studying at Islamic Azad University, Isfahan (Khorasgan Branch, were chosen to participate in the study. Then, they were divided into two groups of control and experimental. The Oxford Placement Test (OPT was used to measure the participants’ language proficiency. Then, a Discourse Completion Test was administered to measure the participants’ interlanguage pragmatics. Using the SPSS 20 software, the ANCOVA and t test were run for the data obtained from both the pre-test and the post-test. The results revealed that ILP features are lacking in the university context. Furthermore, it was shown that ILP features were effective for improving Iranian students’ interpretation ability. In this sense, university professors can pay attention to this finding and, where required, they can incorporate ILP features into their courses so as to make attempts to render a more effective learning and teaching environment.

  10. Hola, Shalom, Hello: Adolescent Pragmatics from a Cross-Cultural Perspective

    Science.gov (United States)

    Brice, Alejandro E.; Franklin, Emily; Ratusnik, David L.

    2008-01-01

    Introduction: Classroom language demands increase when children enter the middle school environment (Brice & Heath, 1986; Larson & McKinley, 1998; Larson & McKinley, 1987). The pragmatic skills or social language skills of culturally and linguistically diverse adolescents from three different backgrounds were the focus of this study…

  11. Pragmatic setup for bioparticle responses by dielectrophoresis for resource limited environment application

    Science.gov (United States)

    Ali, Mohd Anuar Md; Yeop Majlis, Burhanuddin; Kayani, Aminuddin Ahmad

    2017-12-01

    Various dielectrophoretic responses of bioparticles, including cell-chain, spinning, rotation and clustering, are of high interest in the field due to their benefit into application for biomedical and clinical implementation potential. Numerous attempts using sophisticated equipment setup have been studied to perform those dielectrophoretic responses, however, for development into resource limited environment application, such as portable, sustainable and environmental friendly diagnostic tools, establishment of pragmatic setup using standard, non-sophisticated and low-cost equipment is of important task. Here we show the advantages in the judicious design optimization of tip microelectrode, also with selection of suspending medium and optimization of electric signal configuration in establishing setup that can promote the aforementioned dielectrophoretic responses within standard equipments, i.e. pragmatic setup.

  12. ON THE PRAGMATICS OF SOCIAL THEORY: THE CASE OF ELIAS'S "ON THE PROCESS OF CIVILIZATION".

    Science.gov (United States)

    DA Silva, Filipe Carreira; Bucholc, Marta

    2016-09-01

    This paper proposes a new approach to the study of sociological classics. This approach is pragmatic in character. It draws upon the social pragmatism of G. H. Mead and the sociology of texts of D. F. McKenzie. Our object of study is Norbert Elias's On the Process of Civilization. The pragmatic genealogy of this book reveals the importance of taking materiality seriously. By documenting the successive entanglements between human agency and nonhuman factors, we discuss the origins of the book in the 1930s, how it was forgotten for 30 years, and how in the mid-1970s it became a sociological classic. We explain canonization as a matter of fusion between book's material form and its content, in the context of the paperback revolution of the 1960s, the events of May 1968, and the demise of Parsons' structural functionalism, and how this provided Elias with an opportunity to advance his model of sociology. © 2016 Wiley Periodicals, Inc.

  13. Use of pragmatism to explore women's experiences of traumatic brain injury: a kaleidoscopic view of the world.

    Science.gov (United States)

    O'Reilly, Kate; Peters, Kath; Wilson, Nathan; Kwok, Cannas

    2018-03-16

    Although more men than women sustain a traumatic brain injury (TBI), approximately one quarter of people with TBIs are women. The experiences of TBI reported in the literature are informed from the masculine perspective and do not adequately represent women's experiences. Pragmatism provides an overarching methodological framework to explore and critique a broader perspective of health, including psychosocial, cultural, spiritual, political and environmental factors, while attempting to address gender inequity. To describe the philosophical background validating the use of pragmatism to research women's experiences of TBI. Given the limited understanding of the interplay of socially constructed barriers with the complex impairments women have following TBI, a novel approach to research is required. Pragmatism offers a way to incorporate critical thinking and advocacy into research designs. The critical feminist transformative framework presented in this paper demonstrates the strengths of using pragmatism as a framework to explore complex phenomena. This paper illustrates how methodology, which is influenced by various philosophical perspectives, can be woven throughout the design of a research project. ©2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

  14. All Together Now: Disentangling Semantics and Pragmatics with Together in Child and Adult Language.

    Science.gov (United States)

    Syrett, Kristen; Musolino, Julien

    The way in which an event is packaged linguistically can be informative about the number of participants in the event and the nature of their participation. At times, however, a sentence is ambiguous, and pragmatic information weighs in to favor one interpretation over another. Whereas adults may readily know how to pick up on such cues to meaning, children - who are generally naïve to such pragmatic nuances - may diverge and access a broader range of interpretations, or one disfavored by adults. A number of cases come to us from a now well-established body of research on scalar implicatures and scopal ambiguity. Here, we complement this previous work with a previously uninvestigated example of the semantic-pragmatic divide in language development arising from the interpretation of sentences with pluralities and together . Sentences such as Two boys lifted a block (together) allow for either a Collective or a Distributive interpretation (one pushing event vs. two spatiotemporally coordinated events). We show experimentally that children allow both interpretations in sentences with together , whereas adults rule out the Distributive interpretation without further contextual motivation. However, children appear to be guided by their semantics in the readings they access, since they do not allow readings that are semantically barred. We argue that they are unaware of the pragmatic information adults have at their fingertips, such as the conversational implicatures arising from the presence of a modifier, the probability of its occurrence being used to signal a particular interpretation among a set of alternatives, and knowledge of the possible lexical alternatives.

  15. Survey on the Pragmatic Elements of Television Interviews

    Directory of Open Access Journals (Sweden)

    Vitucci, Francesco

    2016-06-01

    Full Text Available This study analyses the pragmatic aspects of intracultural management of TV interview in Japanese. In particular, it investigates how speakers, in order to achieve their communication goals, often melt together their sociopragmatic values with an unconventional use of language. From a didactic point of view, this observation proves to be particularly significant since it helps to reduce the boundary between a pedagogical approach too often linked to models of syntactic-grammatical correctness and a more recent one which tries to come as close as possible to actual interactional models by promoting awareness of intralingual communication strategies, and reducing sociopragmatic, pragmalinguistic and intercultural mistakes by foreign/second language learners. From a methodological perspective, the presentation intends to clarify the inner dynamics of pragmatic management of the interview with the following goals: a intercepting intracultural dynamics of content management and feedbacks through a bottom up approach by utilizing transcription techniques of CA; b extracting and isolating those key concepts apt to describe TV interview features in Japanese without imposing them through a top-down model; c stimulating a reflection that goes beyond the analysis of language itself in order to understand the iconic, paralinguistic and extralinguistic aspects of communication.

  16. An ethnobotanical survey of medicinal plants in Trinidad.

    Science.gov (United States)

    Clement, Y N; Baksh-Comeau, Y S; Seaforth, C E

    2015-09-15

    An ethnobotanical survey was conducted on the Caribbean island of Trinidad to identify medicinal plants commonly used in traditional medicine to treat a variety of medical conditions. A pilot survey was conducted to identify the top ten most common ailments where medicinal plants were used. The results of the foregoing study guided a wider national survey conducted between October 2007 and July 2008. A total of 450 households from 50 rural communities were interviewed using the TRAMIL (Traditional Medicine in the Islands) questionnaire for data collection. Details of plants, part(s) used, and remedy formulations were elicited from informants and voucher specimens collected for identification at the National Herbarium of Trinidad and Tobago. The TRAMIL methodology set a limit of a plant with 20 % or more citations for any particular ailment as having significant or popular use. At the end of the survey 917 single plant remedies were identified. The majority of species were from the following families; Asteraceae, Lamiaceae, Leguminosae, Verbenaceae and Poaceae. Applying the TRAMIL 20 % citation of a plant for popular use as significant, Leonotis nepetifolia (for cough/common cold), Gomphrena globosa (for "stoppage-of-water"), Curcuma longa and Senna occidentalis (for "afterbirth"), Cymbopogon citratus and Neurolaena lobata (for fever), and Citrus limon (for kidney stones) qualified in our study. Those not reaching the TRAMIL 20 % significant (popular) use were Stachytarpheta jamaicensis (L.) Vahl, Senna alata (L.) Roxb.and Momordica charantia L. which were widely used as "'cooling/cleanser'" in our survey. Our survey showed significant retention of traditional knowledge of medicinal plants in rural Trinidad. More interestingly, a large remnant of medico-cultural concepts such as "cooling/cleanser", "afterbirth", "stoppage-of-water" and "womb infection" persist in the rural population. Although the scientific literature show that some of the cited plants possessed

  17. Minimalism and the Pragmatic Frame

    Directory of Open Access Journals (Sweden)

    Ana Falcato

    2016-02-01

    Full Text Available In the debate between literalism and contextualism in semantics, Kent Bach’s project is often taken to stand on the latter side of the divide. In this paper I argue this is a misleading assumption and justify it by contrasting Bach’s assessment of the theoretical eliminability of minimal propositions arguably expressed by well-formed sentences with standard minimalist views, and by further contrasting his account of the division of interpretative processes ascribable to the semantics and pragmatics of a language with a parallel analysis carried out by the most radical opponent to semantic minimalism, i.e., by occasionalism. If my analysis proves right, the sum of its conclusions amounts to a refusal of Bach’s main dichotomies.

  18. Assertions and Conditionals: A Historical and Pragmatic Stance

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    Chiffi Daniele

    2017-03-01

    Full Text Available The assertion candidate expresses a potential logical-linguistic object that can be asserted. It differs from both the act and the product of assertion; it needs not to be actually asserted and differs from the assertion made. We investigate the medieval origins of this notion, which are almost neglected in contemporary logic. Our historical analysis suggests an interpretation of the assertion candidate within the system of logic for pragmatics.

  19. Teaching Psychological Research Methods through a Pragmatic and Programmatic Approach

    Science.gov (United States)

    Rosenkranz, Patrick; Fielden, Amy; Tzemou, Effy

    2014-01-01

    Research methods teaching in psychology is pivotal in preparing students for the transition from student as learner to independent practitioner. We took an action research approach to re-design, implement and evaluate a module guiding students through a programmatic and pragmatic research cycle. These revisions allow students to experience how…

  20. Pragmatic Use of LOD - a Modular Approach

    DEFF Research Database (Denmark)

    Treldal, Niels; Vestergaard, Flemming; Karlshøj, Jan

    and reliability of deliveries along with use-case-specific information requirements provides a pragmatic approach for a LOD concept. The proposed solution combines LOD requirement definitions with Information Delivery Manual-based use case requirements to match the specific needs identified for a LOD framework......The concept of Level of Development (LOD) is a simple approach to specifying the requirements for the content of object-oriented models in a Building Information Modelling process. The concept has been implemented in many national and organization-specific variations and, in recent years, several...

  1. Grice’s Conversational Implicature: A Pragmatics Analysis of Selected Poems of Audre Lorde

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    Adaoma Igwedibia

    2017-12-01

    Full Text Available A number of works have been done by scholars on the study and interpretation of Audre Lorde’s poetry, especially through the lens of literary and critical analysis. However, Lorde’s poems have not been analyzed pragmatically. A lot may have been written about Lorde’s poetry, but there is absolutely no evidence of a pragmatics study of her work. Lorde is the author of many poems that have been studied in various theoretical dimensions, but none have been done with reference to their pragmatics implications. The problem which this research recognizes, therefore, is that Lorde’s poems, especially the ones under the present study, have not been studied and interpreted using Grice’s theory of Conversational Implicature (Cooperative Principle which is comprised the four maxims: the maxims of Quantity, Quality, Manner and Relation. This study seeks to discover the extent to which these maxims  could be applied to the reading of the selected poems of Lorde. It also seeks to ascertain the degree to which Lorde’s selected poems violate or adhere to these maxims. The study has found that Audre Lorde in some of her poems, violates the maxims as well as adheres to them both in the same breath.

  2. Effectiveness of intensive practice nurse counselling versus brief general practitioner advice, both combined with varenicline, for smoking cessation: a randomized pragmatic trial in primary care.

    Science.gov (United States)

    van Rossem, Carolien; Spigt, Mark; Viechtbauer, Wolfgang; Lucas, Annelies E M; van Schayck, Onno C P; Kotz, Daniel

    2017-12-01

    To study the effectiveness of intensive counselling by a practice nurse (PN) versus brief advice by a general practitioner (GP), each combined with pharmacotherapy, for 6 months' tobacco abstinence (primary outcome). Secondary outcomes included 12-month abstinence, medication adherence and incremental costs per life-year gained. A multi-site (n = 10), two-group, parallel, pragmatic randomized controlled trial. A network of primary health-care centres in the Netherlands. A total of 295 adult daily smokers (mean age = 48 years; mean cigarettes/day = 19). Patients were randomized to receive individual counselling by a practice nurse (PN) (n = 149) or brief advice by a general practitioner (GP) (146). All patients received 12 weeks of open-label varenicline. The primary outcome was prolonged biochemically validated abstinence from weeks 9 to 26 after treatment initiation. Secondary outcomes included abstinence from weeks 9 to 52, good dosing adherence (> 80% days taken) and incremental costs per life-year gained. Abstinence rates in the PN versus GP groups were 32.2% (n = 48) versus 39.0% [n = 57; odds ratio (OR) = 0.71; 95% confidence interval (CI) = 0.44-1.16] from weeks 9 to 26 and 25.5% (n = 38) versus 28.8% (n = 42; OR = 0.84, 95% CI = 0.50-1.43) from weeks 9 to 52, respectively. Values of the Bayes factor indicated that the PN and GP were equally effective. Good dosing adherence was significantly lower in the PN (45.5%, n = 56/123) than in the GP group (62.0%, n = 75/121; OR = 0.45, 95% CI = 0.26-0.77), and the incremental costs per life-year gained were -€416.10. Among people seeking help to stop smoking from their general practice, one-off brief advice from a general practitioner appears to be as effective as several sessions of behavioural support from a practice nurse when smoking cessation medication is provided. © 2017 Society for the Study of Addiction.

  3. Local Pragmatic Norms in Students' English: An Identity to Unleash

    African Journals Online (AJOL)

    Nneka Umera-Okeke

    English has grown into a global language shared by people in diverse ... Then it revealed the local pragmatic norms of various kinds, which students ... regardless of what any other individual or community may think or feel about the ... those of how non-native speakers of English speak, act, and behave with reference to.

  4. Sidney Hook's Pragmatic Anti-Communism: Commitment to Democracy as Method

    Science.gov (United States)

    Ferriter, Courtney

    2017-01-01

    In recent years, opposition to Communism has emerged as Sidney Hook's central philosophical legacy in the eyes of scholars and historians, who tend to ignore all of Hook's pre-Cold War philosophical contributions. Furthermore, critics who treat Hook's anti-Communism often accuse him of abandoning pragmatism for dogmatism in his later career. In…

  5. The ‘Unsaid’ in Terence’s Eunuch: An Attempt at a Pragmatic Analysis

    Directory of Open Access Journals (Sweden)

    Janja Žmavc

    2010-12-01

    Full Text Available The paper presents a pragmatics-based analysis of passages from Terence’s comedy The Eunuch – an analysis based on implication theory, on Grice’s implicature theory, and on Austin and Searle’s speech act theory. Contemporary research into the language of Roman comedy, using contemporary methods of linguistics and of linguistic pragmatics, has been relatively rare; moreover, it has concentrated on the elements of colloquial language, such as abstract expressions, word order, Greek loan-words, or the conversation elements of the spoken passages (Babič, Bagordo, Karaxis, etc.. The phenomenon of implicitness, on the other hand, has not been examined in its own right. The fundamental insight of this study is that ancient comedy strategically produces meaning by exploiting the fact that one can never be fully explicit in language. A closer look at the main characteristics of Roman comedy reveals that they form one of the basic conditions for the generation of meaning, and that their nature is closely linked to implicitness in language use. Linguistic pragmatics defines implied meaning as what can be meant or communicated in addition to what we literally say, with the aid of special tools for linking the explicit content to the unexpressed but relevant background information. The reference frame by which the unsaid in Roman comedy can be explained or made explicit includes conventions of the stage, drama and language, as well as the social and cultural characteristics of the period in which this comedy emerged, flourished, and declined. Linking the explicit content to the relevant background information, or communicating the implied meaning, is enabled by conventionalised linguistic means, the so-called types of implicit meaning, which may be divided into several categories (presuppositions, implicatures, speech acts. Speech act theory treats semantic processes from the aspect of structure, while implicature theory emphasises their

  6. Pragmatics annotated coloured petri nets for protocol software generation and verification

    DEFF Research Database (Denmark)

    Simonsen, Kent Inge Fagerland; Kristensen, Lars M.; Kindler, Ekkart

    2016-01-01

    Pragmatics Annotated Coloured Petri Nets (PA-CPNs) are a restricted class of Coloured Petri Nets (CPNs) developed to support automated generation of protocol software. The practical application of PA-CPNs and the supporting PetriCode software tool have been discussed and evaluated in earlier papers...

  7. Emotional prosody perception and its association with pragmatic language in school-aged children with high-function autism.

    Science.gov (United States)

    Wang, Jia-En; Tsao, Feng-Ming

    2015-02-01

    Emotional prosody perception is essential for social communication, but it is still an open issue whether children with high-function autism (HFA) exhibit any prosodic perception deficits or experience selective impairments in recognizing the prosody of positive emotions. Moreover, the associations between prosody perception, pragmatic language, and social adaptation in children with HFA have not been fully explored. This study investigated whether emotional prosody perception for words and sentences in children with HFA (n=25, 6-11 years of age) differed from age-matched, typically developing children (TD, n=25) when presented with an emotional prosody identification task. The Children's Communication Checklist and Vineland Adaptive Behavior Scale were used to assess pragmatic and social adaption abilities. Results show that children with HFA performed poorer than TD children in identifying happy prosody in both emotionally neutral and relevant utterances. In contrast, children with HFA did not exhibit any deficits in identifying sad and angry prosody. Results of correlation analyses revealed a positive association between happy prosody identification and pragmatic function. The findings indicate that school-aged children with HFA experience difficulties in recognizing happy prosody, and that this limitation in prosody perception is associated with their pragmatic and social adaption performances. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. Ethno-botanical study of medicinal plants of Paddar Valley of Jammu and Kashmir, India.

    Science.gov (United States)

    Gupta, Sushil Kumar; Sharma, O M Prakash; Raina, Narinder Singh; Sehgal, Sandeep

    2013-01-01

    The Paddar Valley, historically known as Sapphire Valley situated in Kishtwar district, is a prime landmark in the Jammu region of J&K state and is known for its rich cultural and plant diversity because of diverse habitats such as rivers, streams, meadows and steep mountain slopes. The area is located in the dry temperate region comprising typical vegetation which disappears completely on the eastern slopes, dominated by a variety of economical species which play an important role in the rural life. The inhabitants are dependent on plant resources for food, fuel, timber, shelter, fodder/forage, household articles and traditional medicines in treating diseases like malaria, cancer, gastro-intestinal ailments, etc. This paper deals with the observations on traditional therapeutic application by the inhabitants of Paddar Valley. The ethno-botanical information on medicinal plants would not only be useful in conservation of traditional cultures and biodiversity but also community health care and drug development. Exploration survey in Paddar Valley has revealed that people collect and sell these medicinal species through local intermediaries / contractors to earn their livelihood. But the scientific cultivation and appropriate post-harvest management would improve employment opportunity and income of local farmers in the region.

  9. An ethnobotanical perspective on traditional fermented plant foods and beverages in Eastern Europe.

    Science.gov (United States)

    Sõukand, Renata; Pieroni, Andrea; Biró, Marianna; Dénes, Andrea; Dogan, Yunus; Hajdari, Avni; Kalle, Raivo; Reade, Benedict; Mustafa, Behxhet; Nedelcheva, Anely; Quave, Cassandra L; Łuczaj, Łukasz

    2015-07-21

    Fermented food and beverages represent an important part of the worldwide foodscape, medicinal food domain and domestic strategies of health care, yet relevant traditional knowledge in Europe is poorly documented. Review of primary ethnographic literature, archival sources and a few ad-hoc ethnobotanical field studies in seven selected Eastern European countries (Albania, Belarus, Bulgaria, Estonia, Hungary, Kosovo, and Poland) were conducted. Current or recently abandoned uses of 116 botanical taxa, belonging to 37 families in fermented food or medicinal food products were recorded. These findings demonstrate a rich bio-cultural diversity of use, and also a clear prevalence of the use of fruits of the tannin- and phenolic-rich Rosaceae species in alcoholic, lactic- and acetic acid fermented preparations. In the considered countries, fermentation still plays (or has played until recent years) a crucial role in folk cuisines and this heritage requires urgent and in-depth evaluation. Future studies should be aimed at further documenting and also bio-evaluating the ingredients and processes involved in the preparation of homemade fermented products, as this can be used to support local, community-based development efforts to foster food security, food sovereignty, and small-scale local food-based economies. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Preliminary ethnobotanical studies of the Rwenzori Mountain forest area in Bundibugyo District, Uganda

    Directory of Open Access Journals (Sweden)

    H. Oryem-Origa

    1995-10-01

    Full Text Available Ethnobotanical studies of the Rwenzori Mountain forest area in Bundibugyo District in Uganda were carried out between May and December 1991, and covered the northern part of the Rwenzori Mountain slopes occupied by the Bakonjo people. The presence of a major footpath through the forest with numerous utility trails radiating from it showed that some forest resources are being sought by the local population. Plant biodiversity is high, as is indicated by the fact that in a study plot of only 4 250 m , a total of 115 plant species, 101 genera and 57 families were identified from a collection of 300 plant specimens. Seventy-seven plant species were found to be of some importance to the local communities. Out of the 77 useful plant species recorded:  22 species were used for medicinal purposes; 16 for firewood; 13 for construction, joinery and furniture;  12 for craftwork; 10 provided edible fruits and vegetables; and 27 were used for a variety of other purposes. These other purposes include construction of shrines, covering of granary floors, use as toilet paper, carry ing luggage, and fodder for goats, sheep and cattle. Arundinaria alpina K. Schum. (bamboo is the species that is most extensively harvested from the forest.

  11. Grounded Theory and Pragmatism: The Curious Case of Anselm Strauss

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    Antony Bryant

    2009-07-01

    Full Text Available Sir Arthur CONAN DOYLE's stories featuring Sherlock Holmes are justly famous the world over. In The Memoirs of Sherlock Holmes (1993 one story entitled Silver Blaze contains an exchange between Holmes and a Scotland Yard detective as follows: Gregory (Scotland Yard detective: "Is there any other point to which you would wish to draw my attention?" Holmes: "To the curious incident of the dog in the night-time." Gregory: "The dog did nothing in the night-time." Holmes: "That was the curious incident." In similar fashion I wish to draw attention to the curious case of Anselm STRAUSS: There is already a good deal of work pointing to the continuities between the Grounded Theory Method (GTM and the Pragmatism of John DEWEY and Charles PEIRCE. This has usually focused on Anselm STRAUSS with his Chicago-influenced Pragmatist background, although STRAUSS himself never articulated the way in which Pragmatism informed or could be brought to bear on the method as it evolved from the 1960s onwards. This paper argues that many of the contentious issues surrounding GTM can be resolved if they are understood against the context of some of the core tenets of Pragmatism, particularly the ways in which some of the more recent Pragmatists such as Richard RORTY have brought them back as a focus of attention. In so doing is raises the question of why, given his intellectual background and formation, Anselm STRAUSS did so little to bring Pragmatist ideas into GTM in its later embodiments and extended statements. That is the "curious incident" to which specific attention is drawn at several points in what follows; it remains a perplexing one, with perhaps no convincing solution, unlike the Sherlock Holmes mystery alluded to above. URN: urn:nbn:de:0114-fqs090325

  12. Defending Letters: A Pragmatic Response to Assaults on the Humanities

    Science.gov (United States)

    Hay, Iain

    2016-01-01

    This paper is a mainly pragmatic response to utilitarian criticisms of the humanities. It first outlines political, public and practical fronts on which the humanities are under assault, identifying critics and their conspirators. Then, as a part of its defence of the humanities it expounds some of their central strengths. These range from the…

  13. A Pragmatic Study of Exaggeration in British and American Novels

    Science.gov (United States)

    Abbas, Qassim; Al-Tufaili, Dhayef

    2016-01-01

    The main concern of this study is to tackle exaggeration in British and American situations taken from "Mrs. Dalloway" and "The Great Gatsby" novels. From a pragmatic point of view, exaggeration in the field of literature has not been given enough attention. Accordingly, this study is an attempt to develop a model for the…

  14. Audits of oncology units – an effective and pragmatic approach ...

    African Journals Online (AJOL)

    Background. Audits of oncology units are part of all quality-assurance programmes. However, they do not always come across as pragmatic and helpful to staff. Objective. To report on the results of an online survey on the usefulness and impact of an audit process for oncology units. Methods. Staff in oncology units who ...

  15. Pragmatics in EFL teaching: how speech acts are addressed in a Brazilian textbook series

    Directory of Open Access Journals (Sweden)

    Tavares, Paulo Ott

    2014-01-01

    Full Text Available This paper aims at discussing and analyzing the approach to speech acts in an EFL textbook series used in Brazilian public schools. In order to do that, the concepts of pragmatics and pragmatic competence, as well as their implications to foreign language (FL teaching, are discussed. Then, a brief review of the Speech Act Theory is presented. After describing the approach to FL teaching proposed by the PCNs and the selection of textbooks through the PNLD, we analyze one series, selected for the 2014-2016 triennium. The conclusion is that speech acts are not deeply approached, but that is in accordance with the goals of the series

  16. Pluralism, Pragmatism and Functional Explanations

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    Shaw Jamie

    2016-04-01

    Full Text Available While many philosophers speak of ‘pluralism’ within philosophy of biology, there has been little said about what such pluralism amounts to or what its underlying assumptions are. This has provoked so me anxiety about whether pluralism is compatible with their commitment to naturalism (Cussins 1992. This paper surveys three prominent pluralist positions (Sandra Mitchell and Michael Dietrich’s (2006 ‘integrative pluralism’, and both Peter Godfrey-Smith’s (1993 and Beth Preston’s (1998 pluralist analyses of functional explanations in evolutionary biology and demonstrates how all three are committed to a form of pragmatism. This analysis both clarifies the justification and grounding of pluralism and allows these pluralisms to avoid the criticisms of Cussins. I close by making some more general points about pluralism and its relationship to history and integration.

  17. Pragmatic Failure and Referential Ambiguity when Attorneys Ask Child Witnesses "Do You Know/Remember" Questions.

    Science.gov (United States)

    Evans, Angela D; Stolzenberg, Stacia N; Lyon, Thomas D

    2017-05-01

    "Do you know" and "Do you remember" (DYK/R) questions explicitly ask whether one knows or remembers some information while implicitly asking for that information. This study examined how 104 4- to 9-year-old children testifying in child sexual abuse cases responded to DYK/R wh- and yes/no questions. When asked DYK/R questions containing an implicit wh- question requesting information, children often provided unelaborated "Yes" responses. Attorneys' follow-up questions suggested that children usually misunderstood the pragmatics of the questions. When DYK/R questions contained an implicit yes/no question, unelaborated "Yes" or "No" responses could be responding to the explicit or the implicit questions resulting in referentially ambiguous responses. Children often provided referentially ambiguous responses and attorneys usually failed to disambiguate children's answers. Although pragmatic failure following DYK/R wh- questions decreased with age, the likelihood of referential ambiguity following DYK/R yes/no questions did not. The results highlight the risks of serious miscommunications caused by pragmatic misunderstanding and referential ambiguity when children testify.

  18. Randomised controlled pragmatic clinical trial evaluating the effectiveness of a discharge follow-up phone call on 30-day hospital readmissions: balancing pragmatic and explanatory design considerations

    Science.gov (United States)

    Yiadom, Maame Yaa A B; Domenico, Henry; Byrne, Daniel; Hasselblad, Michele Marie; Gatto, Cheryl L; Kripalani, Sunil; Choma, Neesha; Tucker, Sarah; Wang, Li; Bhatia, Monisha C; Morrison, Johnston; Harrell, Frank E; Hartert, Tina; Bernard, Gordon

    2018-01-01

    Introduction Hospital readmissions within 30 days are a healthcare quality problem associated with increased costs and poor health outcomes. Identifying interventions to improve patients’ successful transition from inpatient to outpatient care is a continued challenge. Methods and analysis This is a single-centre pragmatic randomised and controlled clinical trial examining the effectiveness of a discharge follow-up phone call to reduce 30-day inpatient readmissions. Our primary endpoint is inpatient readmission within 30 days of hospital discharge censored for death analysed with an intention-to-treat approach. Secondary endpoints included observation status readmission within 30 days, time to readmission, all-cause emergency department revisits within 30 days, patient satisfaction (measured as mean Hospital Consumer Assessment of Healthcare Providers and Systems scores) and 30-day mortality. Exploratory endpoints include the need for assistance with discharge plan implementation among those randomised to the intervention arm and reached by the study nurse, and the number of call attempts to achieve successful intervention delivery. Consistent with the Learning Healthcare System model for clinical research, timeliness is a critical quality for studies to most effectively inform hospital clinical practice. We are challenged to apply pragmatic design elements in order to maintain a high-quality practicable study providing timely results. This type of prospective pragmatic trial empowers the advancement of hospital-wide evidence-based practice directly affecting patients. Ethics and dissemination Study results will inform the structure, objective and function of future iterations of the hospital’s discharge follow-up phone call programme and be submitted for publication in the literature. Trial registration number NCT03050918; Pre-results. PMID:29444787

  19. The opportunities and challenges of pragmatic point-of-care randomised trials using routinely collected electronic records : evaluations of two exemplar trials

    NARCIS (Netherlands)

    van Staa, Tjeerd-Pieter; Dyson, Lisa; McCann, Gerard; Padmanabhan, Shivani; Belatri, Rabah; Goldacre, Ben; Cassell, Jackie; Pirmohamed, Munir; Torgerson, David; Ronaldson, Sarah; Adamson, Joy; Taweel, Adel; Delaney, Brendan; Mahmood, Samhar; Baracaia, Simona; Round, Thomas; Fox, Robin; Hunter, Tommy; Gulliford, Martin; Smeeth, Liam

    BACKGROUND: Pragmatic trials compare the effects of different decisions in usual clinical practice. OBJECTIVES: To develop and evaluate methods to implement simple pragmatic trials using routinely collected electronic health records (EHRs) and recruiting patients at the point of care; to identify

  20. The sequencing of adverbial clauses of time in academic English: Random forest modelling

    Directory of Open Access Journals (Sweden)

    Abbas Ali Rezaee

    2016-12-01

    Full Text Available Adverbial clauses of time are positioned either before or after their associated main clauses. This study aims to assess the importance of discourse-pragmatics and processing-related constraints on the positioning of adverbial clauses of time in research articles of applied linguistics written by authors for whom English is considered a native language. Previous research has revealed that the ordering is co-determined by various factors from the domains of semantics and discourse-pragmatics (bridging, iconicity, and subordinator and language processing (deranking, length, and complexity. This research conducts a multifactorial analysis on the motivators of the positioning of adverbial clauses of time in 100 research articles of applied linguistics. The study will use a random forest of conditional inference trees as the statistical technique to measure the weights of the aforementioned variables. It was found that iconicity and bridging, which are factors associated with discourse and semantics, are the two most salient predictors of clause ordering.