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34Preservice elementary teachers perceptions of their self-efficacy in teaching thinking skillsOriginal Research ArticleProcedia - Social and Behavioral Sciences, Volume 2, Issue 2, 2010, Pages 4250-4254Z. Nurdan Baysal, Kader Arkan, Aylin YldrmShow preview| PDF (220 K) | Related articles|Related reference work articles 35Measuring Families Perceptions of Care Across a Health Care System: Preliminary Experience with the Family Assessment ofTreatment at End of Life Short Form (FATE-S)Original Research ArticleJournal of Pain and Symptom Management, Volume 40, Issue 6, December 2010, Pages 801-809David Casarett, Scott Shreve, Carol Luhrs, Karl Lorenz, Dawn Smith, Maysa De Sousa, Diane RichardsonShow preview| Related articles|Related reference work articles Purchase$ 31.5036Evaluacin cognitiva de los pacientes ancianos en el servicio de urgencias: Comparacin entre instrumentos estndar, historia clnica y la percepcin de los mdicosOriginal Research ArticleRevista Espaola de Geriatra y Gerontologa, Volume 45, Issue 4, July-August 2010, Pages 183-188Alejandro Rodrguez-Molinero, Mara Lpez-Diguez, Iaki Prez Medina, Ana I. Tabuenca, Juan J. De La Cruz, Jos R. BanegasClose preview| Related articles|Related reference work articles AbstractAbstract | Figures/TablesFigures/Tables | ReferencesReferences ResumenIntroduccinHemos evaluado la exactitud con la que los mdicos juzgan la capacidad cognitiva de los pacientes ancianos en el servicio de urgencias. En particular hemos evaluado la validez de la impresin subjetiva que el mdico tiene sobre la cognicin de sus pacientes (comparando su juicio clnico con el resultado del S-IQCODE, un test de cribado de deterioro cognitivo) y la validez de los datos de la historia clnica (comparando la informacin cognitiva contenida en la historia con el resultado del S-IQCODE). Material y mtodosEstudio transversal sobre 101 pacientes ancianos seleccionados al azar de entre aquellos que acudieron al servicio de urgencias, sus mdicos y sus familiares-informadores. El estudio se llev a cabo en 4 grandes hospitales universitarios entre julio y noviembre de 2003. El antecedente de deterioro cognitivo recogido en la historia fue comparado con el resultado del S-IQCODE, mediante el ndice de concordancia Kappa (). Adems la impresin que los mdicos pudieran tener sobre la presencia de deterioro cognitivo en sus pacientes, tambin fue comparada con el S-IQCODE usando el coeficiente de concordancia . Cada paciente y su informador fueron emparejados con un solo mdico. Se realiz un anlisis multivariado para detectar factores asociados a la impresin del mdico sobre la cognicin de su paciente. ResultadosLa concordancia entre la informacin sobre deterioro cognitivo contenida en la historia y los resultados del S-IQCODE fue de 0,47 (IC95%: 0,050,88). La concordancia entre la opinin del mdico y el S-IQCODE fue de 0,26 (IC95%: 0,060,45). El anlisis multivariado mostr que la impresin que el mdico tena de la situacin cognitiva del paciente, estaba ligada a la impresin del mdico sobre la situacin funcional de su paciente, ms que a ningn otro factor relacionado con la salud del paciente. ConclusionesLa situacin cognitiva de los pacientes ancianos no es bien evaluada por los mdicos del servicio de urgencias. AbstractIntroductionWe evaluated the accuracy of physician recognition of cognitive impairment in elderly patients in emergency departments (ED). In particular, we evaluated the accuracy of the subjective impression of the physician on patients cognition (a comparison of the information obtained from the responsible physician with the S-IQCODE, a cognitive impairment screening test), and the accuracy of the medical records (a comparison of the information in the medical record with the S-IQCODE). Material and methodsCross-sectional study on 101 elderly patients selected at random from those attending ED, their ED physicians, and family member-carer. The study was conducted in the ED of four tertiary university teaching hospitals in a city, from July through November 2003. Cognitive data shown in the patients medical records were compared against the S-IQCODE obtained from the family member-carer, using the kappa () concordance index. The physicians impressions on the patients cognitive status were also compared against the S-IQCODE results, using the kappa () concordance index. Each patient and their family member-carer were paired with a single physician. A logistic regression model was constructed to identify factors associated with the physicians impressions of the patients cognitive capacity. ResultsThe concordance between information on cognitive decline from medical records and the results of the S-IQCODE, was 0.47 (IC95%: 0.050.88). Concordance between the physicians impression on the presence of cognitive impairment, and the S-IQCODE obtained from family member-carer was 0.26 (IC95% 0.060.45). The multivariate analysis demonstrated that the functional status of patients, as perceived by the physicians, were the variable that better explained the physicians impressions of patient cognitive function. ConclusionsThe cognitive status of elderly patients is not properly assessed by emergency department physicians.Article OutlineIntroduccinMaterial y mtodos Poblacin de estudioMedidas e intervencionesAnlisis estadsticoResultados Caractersticas basales de los participantesHistorias clnicas de urgenciasJuicio clnico de los mdicos de urgenciasDiscusinConflicto de interesesAcknowledgementsReferencesPurchase$ 31.5037Is a mass immunization program for pandemic (H1N1) 2009 good value for money? Evidence from the Canadian ExperienceOriginal Research ArticleVaccine, Volume 28, Issue 38, 31 August 2010, Pages 6210-6220Beate Sander, Chris T. Bauch, David Fisman, Robert A. Fowler, Jeffrey C. Kwong, Andreas Maetzel, Allison McGeer, Janet Raboud, Damon C. Scales, Marija Zivkovic Gojovic, Murray KrahnShow preview| Supplementary content| Related articles|Related reference work articles Purchase$ 31.5038Attribute perceptions as factors explaining Mobile Internet acceptance of cellular customers in Germany An empirical study comparing actual and potential adopters with distinct categories of access appliancesOriginal Research ArticleExpert Systems with Applications, Volume 38, Issue 3, March 2011, Pages 2148-2162Torsten J. GerpottShow preview| Related articles|Related reference work articles Purchase$ 41.95Research highlightsRHtriangle This article provides an empirical examination of differences between 525 actual and 540 potential German-speaking Mobile Internet (MI) users concerning their perceptions of MI attributes and the relationships between such perceptions and adoption-phase specific acceptance criteria. RHtriangle The findings indicate that attribute perceptions of MI offers tend to have stronger impacts on MI use intensity among effective adopters than on MI use interest among potential adopters. RHtriangle All in all, effective and potential MI adopters who (intend to) use a laptop for MI access perceive MI attributes more positively than the respective adopter groups equipped with a cellular handset. RHtriangle Cellular customers, independent of the MI adoption status of and the MI appliance category used or preferred, tend to be convinced that almost 50% of the qualities of MI offerings are assessable only after the initial phase of effective service use; Put differently, MI is predominantly viewed as an “experience good”.39Current and future trends in fecal source tracking and deployment in the Lake Taihu Region of ChinaOriginal Research ArticlePhysics and Chemistry of the Earth, Parts A/B/C, In Press, Corrected Proof, Available online 15 March 2010Charles Hagedorn, Liang XinqiangClose preview| Related articles|Related reference work articles AbstractAbstract | Figures/TablesFigures/Tables | ReferencesReferences AbstractThe emerging discipline of microbial and/or chemical source tracking (collectively termed fecal source tracking (FST) is being used to identify origins of fecal contamination in polluted waters in many countries around the world. FST has developed rapidly because standard methods of measuring contamination in water by enumerating fecal indicator bacteria (FIB) such as fecal coliforms and enterococci do not identify the sources of the contamination. FST is an active area of research and development in both the academic and private sectors and includes: Developing and testing new microbial and chemical FST methods. Determining the geographic application and animal host ranges of existing and emerging FST techniques. Conducting experimental comparisons of FST techniques. Combining direct monitoring of human pathogens associated with waterborne outbreaks and zoonotic pathogens responsible for infections among people, wildlife, or domesticated animals with the use of FST techniques. Applying FST to watershed analysis and coastal environments. Designing appropriate statistical and probability analysis of FST data and developing models for mass loadings of host-specific fecal contamination. This paper includes a critical review of FST with emphasis on the extent to which methods have been tested (especially in comparison with other methods and/or with blind samples), which methods are applicable to different situations, their shortcomings, and their usefulness in predicting public health risk or pathogen occurrence. In addition, the paper addresses the broader question of whether FST and fecal indicator monitoring is the best approach to regulate water quality and protect human health. Many FST methods have only been tested against sewage or fecal samples or isolates in laboratory studies (proof of concept testing) and/or applied in field studies where the “real” answer is not known, so their comparative performance and accuracy cannot be assessed. For FST to be quantitative, stability of ratios between host-specific markers in the environment must be established. In addition, research is needed on the correlation between host-specific markers and pathogens, and survival of markers after waste treatments. As a result of the exclusive emphasis on FIB by regulatory agencies, monitoring and FST development has concentrated on FIB rather than the actual pathogens. A more rational approach to regulating water quality might be to use available epidemiological data to identify pathogens of concern in a particular water body, and then use targeted pathogen monitoring coupled with very specific FST approaches to control the pathogens. Baseline monitoring of FIB would be just one tool among many in this example.Article Outline1. Introduction2. FST microbes and methods3. Performance criteria4. Implementation of FST5. Water quality in china and the need for FST6. A case study in FST: implementation in the Lake Taihu Region of China7. The future of FSTReferencesPurchase$ 41.9540Standardizing sustainable development? The Forest Stewardship Councils plantation policy review process as neoliberal environmental governanceOriginal Research ArticleGeoforum, Volume 41, Issue 1, January 2010, Pages 117-129Dan KloosterClose preview| Related articles|Related reference work articles AbstractAbstract | Figures/TablesFigures/Tables | ReferencesReferences AbstractTrans-nationally-scaled, multi-stakeholder, non-governmental product certification systems are emerging as important elements of neoliberal environmental governance. However, analysts question the extent to which they represent effective alternatives to the damaging impacts of neoliberalized, global production. They call for work examining the environmental politics arising in these new arenas of regulation, where social movements advocating environmental conservation and social justice interact with business interests in debates over how to use neoliberal tools to govern global commodity chains. This article examines The Forest Stewardship Council (FSC) process to revise tree plantation certification standards. First, it considers the political process surrounding standard-setting and argues that tensions between rigor, legitimacy, and acceptability restrain the political struggles over standards within voluntary, multi-stakeholder environmental governance organizations. It proffers findings at odds with the expectation that mainstreaming diminishes the rigor of social and environmental standards. Second, it speculates on the implications of this form of neoliberal environmental governance for promoting more sustainable productions of nature. The review process failed to adequately consider the role of plantation certification in strategies for natural forest conservation. Neither did it adequately consider vital questions of the appropriate scale and location of production, the community actors best suited to deliver both forest conservation and poverty alleviation, or the need to encourage reduced consumption. The reliance on a neoliberal framework and values limits the scope of action. These contradictions suggest that FSC certification is an important part of what needs to be a broader movement questioning current practices of environmentally damaging production and complicit, complacent, consumption.Article Outline1. Introduction2. Certification and neoliberalism 2.1. Certification as neoliberal environmental governance2.2. Questioning the transformative power of certification 2.2.1. Does mainstreaming reduce the “push-back”?2.2.2. Does a neoliberal approach subvert the “push-back”?3. The Forest Stewardship Council and plantation certification 3.1. The FSC approach to commodity governance3.2. Plantation certification3.3. Method4. Rigor, acceptability, and legitimacy of the plantation review process 4.1. Rigor, acceptability, legitimacy4.2. The process maintained legitimacy4.3. Elements of the debate 4.3.1. Harmful effects of plantations4.3.2. Vested interests of auditing firms4.3.3. Certification as market barrier4.3.4. Certification needed to improve plantation management4.4. Recommendations increased rigor4.5. The tradeoff between rigor, acceptability, and legitimacy5. Forest certification and sustainability6. ConclusionReferencesPurchase$ 19.9541Trends in technology, trade and consumption likely to impact on microbial food safetyOriginal Research ArticleInternational Journal of Food Microbiology, Volume 139, Supplement 1, 30 May 2010, Pages S29-S42T.E. Quested, P.E. Cook, L.G.M. Gorris, M.B. ColeShow preview| Related articles|Related reference work articles Purchase$ 31.5042Predictors of Comprehension during Surgical Informed ConsentOriginal Research ArticleJournal of the American College of Surgeons, Volume 210, Issue 6, June 2010, Pages 919-926Aaron S. Fink, Allan V. Prochazka, William G. Henderson, Debra Bartenfeld, Carsie Nyirenda, Alexandra Webb, David H. Berger, Kamal Itani, Thomas Whitehill, James Edwards, Mark Wilson, Cynthia Karsonovich, Patricia ParmeleeShow preview| Related articles|Related reference work articles Purchase$ 31.5043Integrated care in the emergency department: A complex adaptive systems perspectiveOriginal Research ArticleSocial Science & Medicine, Volume 71, Issue 11, December 2010, Pages 1997-2004Peter Nugus, Katherine Carroll, David G. Hewett, Alison Short, Roberto Forero, Jeffrey BraithwaiteShow preview| Related articles|Related reference work articles Purchase$ 35.9544Leadership at all levels: Leading public sector organisations in an age of austerityOriginal Research ArticleEuropean Management Journal, Volume 28, Issue 4, August 2010, Pages 297-305Keith Leslie, Adam CanwellShow preview| Related articles|Related reference work articles Purchase$ 31.5045Personality Profiling of the Modern Surgical Trainee: Insights into Generation XReview ArticleJournal of Surgical Education, Volume 67, Issue 6, November-December 2010, Pages 417-420Jennifer A. Swanson, Mara B. Antonoff, Jonathan DCunha, Michael A. MaddausShow preview| Related articles|Related reference work articles Purchase$ 31.5046User testing and stakeholder feedback contributed to the development ofunderstandable and useful Summary of Findings tables for Cochrane reviewsOriginal Research Art

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