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1.
目的:本研究基于艾宾浩斯学习理论,制定一套量化的骨科护理临床教学管理纲要,对临床实习内容进行整理和评估,为实 习人员规范化培训提供参考。方法:通过中国知网数据库检索实习护理人员培训所涵盖的护理操作、心理、教育等方面的内容。采 用德尔菲(Delphi)法进行专家咨询,依据专家意见评估并筛选教学量表内容。基于艾宾浩斯学习理论确定不同科目的权重与频 次,建立临床带教管理量表。结果:临床带教管理量表包括3 项一级项目:基础操作、专科操作和健康宣教;43 项二级项目:静脉输 液、卧换、轴线翻身等。结论:临床带教管理量表的制定为实习人员规范化培训提供了可借鉴的方法,为提升临床带教效果奠定了基础。  相似文献   
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目的:探索华生关怀理论在老年痴呆症患者临床护理中的应用效果,为临床护理提供参考。方法:选择2012年3月至2014年3月我院收治的老年痴呆患者200例,随机分为治疗组和对照组。对照组采用常规护理措施,治疗组采用华生关怀理论进行干预。分别于干预前后采用简易智能量表(MMSE)、蒙特利尔认知评估量表(MOCA)、AD评定量表认知部分(ADAS-Cog)、日常生活活动量表(ADL)、中医症状积分量表对两组患者进行测评。结果:与干预前比较,两组患者干预后的MMSE和MOCA评分显著升高,ADAS-Cog、ADL和中医症状积分明显降低,差异具有统计学意义(P0.05);与对照组比较,治疗组患者变化更明显(P0.01)。两组患者干预前后的血尿常规、肝肾功能及心电图等指标无显著差异(P0.05)。结论:利用华生关怀理论护理老年痴呆症患者,不仅能改善患者的病情,缓解心理压力,而且有利于减轻家庭和社会负担。  相似文献   
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Migratory animals present a unique challenge for understanding the consequences of habitat loss on population dynamics because individuals are typically distributed over a series of interconnected breeding and non‐breeding sites (termed migratory network). Using replicated breeding and non‐breeding populations of Drosophila melanogaster and a mathematical model, we investigated three hypotheses to explain how habitat loss influenced the dynamics of populations in networks with different degrees of connectivity between breeding and non‐breeding seasons. We found that habitat loss increased the degree of connectivity in the network and influenced population size at sites that were not directly connected to the site where habitat loss occurred. However, connected networks only buffered global population declines at high levels of habitat loss. Our results demonstrate why knowledge of the patterns of connectivity across a species range is critical for predicting the effects of environmental change and provide empirical evidence for why connected migratory networks are commonly found in nature.  相似文献   
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Temperature and nutrient availability play key roles in controlling the pathways and rates at which energy and materials move through ecosystems. These factors have also changed dramatically on Earth over the past century as human activities have intensified. Although significant effort has been devoted to understanding the role of temperature and nutrients in isolation, less is known about how these two factors interact to influence ecological processes. Recent advances in ecological stoichiometry and metabolic ecology provide a useful framework for making progress in this area, but conceptual synthesis and review are needed to help catalyze additional research. Here, we examine known and potential interactions between temperature and nutrients from a variety of physiological, community, and ecosystem perspectives. We first review patterns at the level of the individual, focusing on four traits – growth, respiration, body size, and elemental content – that should theoretically govern how temperature and nutrients interact to influence higher levels of biological organization. We next explore the interactive effects of temperature and nutrients on populations, communities, and food webs by synthesizing information related to community size spectra, biomass distributions, and elemental composition. We use metabolic theory to make predictions about how population‐level secondary production should respond to interactions between temperature and resource supply, setting up qualitative predictions about the flows of energy and materials through metazoan food webs. Last, we examine how temperature–nutrient interactions influence processes at the whole‐ecosystem level, focusing on apparent vs. intrinsic activation energies of ecosystem processes, how to represent temperature–nutrient interactions in ecosystem models, and patterns with respect to nutrient uptake and organic matter decomposition. We conclude that a better understanding of interactions between temperature and nutrients will be critical for developing realistic predictions about ecological responses to multiple, simultaneous drivers of global change, including climate warming and elevated nutrient supply.  相似文献   
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The effect of the alkyl side-chain length on the structural and optoelectronic properties of poly[N-9′-heptadecanyl-27-carbazole-alt-55-(4′,7′-di-2-thienyl-2′,1′,3′-benzothiadiazole)] (PCDTBT) conjugated oligomers have been studied by density functional theory (DFT) and time-dependent density functional theory (TD-DFT). The study was carried out by varying the length of alkyl side-chain attached to the nitrogen atom of the carbazole unit of the PCDTBT oligomers. The structural properties of the optimised oligomers were then studied by determining the bond-length alternation and dihedral angles (Φ) for various side-chain lengths. Total energy calculations for the determination of HOMO energy (EHOMO), LUMO energy (ELUMO), and fundamental energy gap (EGap) were performed using DFT at the B3LYP/6-31G(d), while the first singlet excitation energies (EOpt) were calculated by TD-DFT also at the same level of theory. It was observed that there are no significant structural changes occurring as the alkyl chain lengths are varied. For the electronic properties, very small differences (i.e. ~0.01 eV) were observed for EGap and EOpt while the exciton binding energies (EB) were virtually the same. The results suggest that using shorter alkyl side-chains do not significantly affect the structural and optoelectronic properties of the carbazole-benzothiadiazole based polymer. The observations can aid future computational design studies of analogous systems by reducing large structures thus decreasing computational costs.  相似文献   
8.
Learning in equines occurs through a predictable chain of stimulus–response–consequence processing. Whether the behavior persists will depend on the nature and timing of the consequence, whether it punishes or reinforces the response behavior. Knowledge and application of learning theory in UK-based equestrians was assessed by an online survey which probed three aspects of knowledge and understanding. Fifty-eight UK individuals (91% female) took part in the study and had an average of 12.4 years’ equestrian experience. Almost one-third (31%) described themselves as professional equestrians. A questionnaire was used to assess participants’ ability to identify and describe terminology associated with learning theory; self-report on their own knowledge and training methodology; and to express how they would respond in different training situations. Human-focused educational strategies were tested to assess their effectiveness and suitability for increasing understanding of learning theory. Professional equestrians expressed higher levels of subjective knowledge than amateurs (t(27) = –2.752, p = 0.018), with a moderate positive correlation between subjective knowledge and observer-scored knowledge (r = 0.443, p < 0.001). Professionals scored higher than amateurs on all questions asked, however a deficit of knowledge was observed across the board; in particular, in defining positive punishment (professional 38.8%, amateur 12.5% successful) and negative reinforcement (professional 33%, amateur 12.5% successful). Application of both an educational video and a leaflet increased respondents’ ability to correctly define terminology (Video t(8) = –4.07, p = 0.004: Leaflet t(12) = –5.02, p < 0.001). Improving understanding and application of learning theory in amateurs and professionals alike has the potential to improve equine welfare and training outcomes for both leisure and performance horses through reducing wastage attributed to behavioral problems or poor training.  相似文献   
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The most important transport properties of argon have been calculated using classical kinetic theory expressions in conjunction with high-quality ab initio potential energy values computed by Patkowski and Szalewicz. Dilute gas transport properties have been calculated for the viscosity, thermal conductivity, self-diffusion coefficient and thermal diffusion factor from 83 to 10,000 K. Comparisons between experimental transport property data and values presently calculated indicate that the present theoretical predictions may be employed as recommended values for this set of transport properties over a wide temperature range.  相似文献   
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The study of child abuse and child homicide has been based on the often implicit assumption that there is a continuum of violence ranging from mild physical punishment to severe abuse and homicide. Empirical data supporting this assumption are sparse. Existing data can be shown, however, to support an assumption that there are distinct forms of violence, not a continuum. This paper reviews these data and discusses their implications for the study of violence, abuse, and homicide in terms of substantive and methodological explanations. In addition, the implications of the assumption that violence consists of distinct behaviors as opposed to a continuum are discussed in light of sociobiological and evolutionary explanations of child abuse and child homicide. This paper was written under the auspices of the Family Violence Research Program at the University of Rhode Island. A complete list of books and articles is available upon request. Richard J. Gelles is Professor of Sociology and Anthropology and the Director of the Family Violence Research Program at the University of Rhode Island. He is the author or coauthor of 14 books and more than 90 articles and chapters on family violence. His most recent books areIntimate Violence, published in 1988 by Simon and Schuster;Physical Violence in American Families: Risk Factors and Adaptations in 8,145 Families, published by Transaction Books in 1990; andIntimate Violence in Families, published in 1990 by Sage Publications.  相似文献   
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