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Spatial integration and modernization process: a case study of ChinaComtois, Claude. January 1983 (has links)
published_or_final_version / Geography and Geology / Doctoral / Doctor of Philosophy
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The supersonic transport development program: a case study of the impact of technology upon the socio-political environmentBarish, Lawrence Stephen, 1945- January 1970 (has links)
No description available.
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PILOT STUDY: A NOVEL APPROACH TO CASE‐BASED INSTRUCTION OF MEDICAL STUDENTS USING SIMULATION EDUCATIONJugler, Tanner 10 April 2015 (has links)
A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. / This pilot project explores medical student preference regarding simulation education in case based instruction (CBI) compared with the traditional Power Point lecture CBI. The study population consisted of volunteer first, second, third, and fourth year medical students. The subjects were randomized into control (traditional CBI) and intervention (simulation CBI) groups and preference data was collected via pre‐ and post‐survey administered before and after the activity. Preference was limited to enjoyment of learning activity and opinion of benefit on exams of the learning activity. T‐tests were applied to the data in order to determine statistical significance. Enjoyment of the simulation activity was determined to be higher post‐simulation activity in the intervention group compared to the control group. While opinion that simulation CBI may be beneficial in regard to exam scores and knowledge retention was above neutral for the two groups, this study did not determine a significance in opinion between the control and intervention groups. The study results suggest that students who have experienced a simulation CBI enjoy them more compared to the traditional CBI and are more in favor of changing the current model of case‐based instruction.
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An Evaluation of the Association Between Health Care Utilization and Use of Salmeterol Among Subjects with AsthmaWang, Meng-Ting January 2006 (has links)
OBJECTIVE: To evaluate whether the use of salmeterol is associated with an increased risk of an asthma-related hospitalization or emergency care among asthma patients. METHODS: The data for this study were extracted from the Medstat MarketScan® claims databases occurring between 01/01/00 and 12/31/01. A nested case-control study design was employed. A cohort representing asthma patients was identified in 2000. Among the study cohort, hospitalized cases were identified as those who had the firsttime asthma-related hospitalization in 2001, and were matched to select controls by age (± 5 years), sex, and the number of ambulatory visits for asthma (5:1 control to case ratio). A similar process was applied to evaluating an asthma-related emergency department (ED) visit. The odds of prior salmeterol exposure among cases compared to controls were estimated using conditional multiple logistic regressions. The covariates of interest comprised age, prior hospital admission or ED visit for asthma, number of canisters of inhaled short-acting β₂ agonists and use of other asthma medications. RESULTS: A total of 35,312 subjects were eligible to be the study cohort. In addition, 285 and 640 subjects were identified as hospitalized and ED cases, respectively. The non-significant association was found when the prior salmeterol exposure was treated as a dichotomized variable. However, it was found that one unit increase in the number of canisters of salmeterol was associated with a seven percent decrease in the risk of a hospital admission for asthma (p <0.001). Additionally, current use of salmeterol was associated with a 48 percent decrease in the risk of an asthma-related hospitalization (OR = 0.52; p <0.001). The protective effect of salmeterol did not exist for those with recent or past use of salmeterol. Similar findings were observed for the ED visit outcome. CONCLUSIONS: The use of salmeterol was not found to be associated with an increased risk of an asthma-related hospital admission or ED visit. Conversely, one unit increase in the number of canisters of salmeterol and current use of salmeterol, respectively, were found to decrease the risk in an asthma-related hospitalization or ED visit among asthma patients.
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Collaborative planning of interdisciplinary experiences : a case study at the middle school levelKain, Daniel Lawrence 05 1900 (has links)
This case study examined how a team of middle school teachers from different subject areas collaboratively planned interdisciplinary experiences for their students. Using fieldwork research methods, including long-term participant-observation, interviewing and document analysis, the study explored how team members planned interdisciplinary experiences. Data were analyzed through a process of searching for patterns, coding and comparison, utilizing the Hackman and Oldham (1980) model of group effectiveness as a heuristic for understanding the group processes. The results of this study raise questions about the preeminence of the "interdisciplinary thematic unit" in middle school rhetoric. The team developed a conception of interdisciplinary that progressed through phases of elusion and inclusion to allusion. Team members chose not to create any tightly-structured interdisciplinary thematic units, and they did not follow any established planning processes designed for creating such units; rather, they dialogued about their subject areas in ways that allowed them to make ongoing connections between subjects. Through their dialogues, team members gained insight into both their own subject areas and connections among subject areas. The Interdisciplinary Judgment Matrix was developed as a means of understanding team members' decision-making in determining whether to plan interdisciplinary experiences. This matrix presents the teachers' decision-making as a process of judging the relevance of potential interdisciplinary experiences both to the established curriculum and to the subject specialists’ criteria for what students ought to derive from a course. The matrix argues that team members do not merely follow a curriculum guide or textbook, but make professional judgments balancing the demands of the curriculum with subject specialists' assumptions and concerns. The study has implications for both practitioners and researchers. Middle school team members need to be given time to develop a conception of interdisciplinarity that fits with their understanding of the purposes of teaming. Also, rather than implementing pre-packaged interdisciplinary thematic units, such teams should be encouraged to dialogue about their subject areas in order to make meaningful and ongoing connections for their students. Rather than adhering to a set of steps for creating interdisciplinary thematic units, middle school teams must learn to discuss the substance of their teaching with one another. Such discussion promises professional growth through everyday occupational conditions. Based on the findings of this study, researchers might profitably investigate the role of unit planning as the common focus of collaborative planning. The study also suggests research into the effectiveness of pre-established planning models as compared to the dialoguing the study recommends. Finally, the study raises a research question about the interplay of collaborative groups with the larger culture of the school.
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The experience of culture conflict in second-generation Indo-Canadian womenSohi, Sukhi 05 1900 (has links)
The purpose of this study was to explore the experience of culture conflict in second-generation Indo-Canadian women. An existential-phenomenological approach was used to gain an understanding of culture conflict from the perspective of those who have experienced it. Five second-generation Indo-Canadian women participated in this study. The participants took part in an in depth, unstructured interview in which they were asked to describe their experience of culture conflict. The interview was taped and transcribed. The transcripts were then analyzed and common themes were explicated. The 29 themes that emerged from the data were written into an exhaustive description of the experience of culture conflict. The themes and exhaustive description were then presented to each of the participants for validation. From the exhaustive description, the essential structure of the experience of culture conflict was also formulated. The findings of this study are discussed in terms of implications for further research as well as implications for counselling individuals who are experiencing culture conflict.
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The process of downsizing a mental health hospital : an ethnographySage-Hayward, Wendy S. 05 1900 (has links)
The purpose of the study was to identify and describe the approach and strategies
used to downsize a mental health organization. This ethnographic study was
conducted at a psychiatric hospital that is beginning the 4th year of a 10 year
downsizing plan. Data were gathered through interviews, informal observations, and
field documents. This research design facilitated an understanding of the phenomenon
in the context of the practices and beliefs of the executive management team. Semistructured
interviews were conducted with six executive and four middle managers who
were involved in the downsizing decision making process. Freeman and Cameron's
(1993) definition of downsizing was broadened to encompass not-for-profit reasons for
downsizing. Cameron's (1994) downsizing model was supported and an additional
best practice called alignment of purpose was proposed in which the leadership of an
organization attempts to align the stakeholders with similar goals and objectives for
downsizing. The emotional process of downsizing emerged as a key area to address
concurrently with job security and other more pragmatic consequences of downsizing.
Empathy was suggested as one method of dealing with the emotional process of
downsizing.
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Transgender : a study of quality of lifeSeidl, Helma. January 2008 (has links)
This research presents a new way to improve inclusiveness for the variety of transgender self-identities in clinical settings. The spectrum of transgender identities were clustered into two groups: the fixed -- representing transgender individuals who preferred identification with the gender binary male or female, and the fluid -- representing transgender individuals that favor openness and flexibility on the gender continuum. Furthermore, different scales, the Memorial University of Newfoundland's Scale of Happiness (MUNSH) (Kozma, & Stones, 1980) and Bradley's Well-Being Scale (BWB) (Bradley, 1994), Self-Confidence Scale (Oakley, 1996, 1998) and Perceived Stress Scale (PSS) (Cohen, 1994) were investigated for their reliability with transgender clients. The fixed and fluid transgender groups were then used as the key criterion for investigating differences in quality of life (QOL), self-confidence, stress and counselling satisfaction. Using combined quantitative as well as qualitative methodology, data was analyzed for a sample of 145 transgender people. Mean age was 42.27. Quality of life for the fluid transgender group was <extremely low,> the group difference was not significant Stress was expectedly very high in both groups, but interestingly self-confidence was also high. The mean difference between the fixed (M=17.44) and fluid (M=20.82) transgender groups was statistically significant. One in four transgender individuals identified either as <neutral> or <dissatisfied to very dissatisfied> with their counselling experience. The dissatisfaction was higher in the fluid transgender group. One hundred eleven transgender participants (111) completed seven open-ended questions and 11 participated in a semi-structured, face-to-face interview process, guided by thirteen questions. The stories of the participants demonstrated how a gender specific upbringing affects transgender individuals through: themes of shame, guilt, and anger. While, transgender individuals developed survival techniques such as daydreaming and fantasizing, negative coping methods such as alcohol abuse, drug abuse and self-harm were also common. Family was identified as the dominant factor in reinforcing gender appropriate behaviour. To improve clinical care these findings should be taken into consideration.
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Exploring the complexities of the practicum : case studies of two school advisorsChin, Peter M.K. 11 1900 (has links)
This study investigates how school advisors, in a secondary-school science context,
conceive of and enact their roles in working with student teachers. It describes the
interactions between school advisors and student teachers in relation to their personal
conceptions of teaching, learning, and the process of learning to teach. The study provides a
better understanding of the practicum setting with particular attention to the school advisor's
perspective.
Detail-rich cases highlight a range of issues for school advisors as they enact their
responsibilities in attending to the student teachers' learning. These cases poignantly depict
the complexities of the school advisor/student teacher dynamic and the various tensions that
arise when conflicts emerge as the practicum unfolds. There are three questions that guide
this study: (1) How do teachers perceive their roles as school advisors?; (2) How do teachers
enact their roles as school advisors, and what are the foci of the school advisors' work with
student teachers?; and (3) How do student teachers perceive the role of the school advisors?
The practicum is a context in which one person assists the other in learning (to teach) and for
this reason the conceptual framework used for data analysis is a curriculum perspective.
Two levels of curriculum are discussed; level one of the curriculum framework is
meeting the needs of the students while level two is meeting the needs of the student teacher.
Both levels must be attended to throughout the teaching practicum. Five thematic areas were
identified: (a) the student teachers' learning, (b) the working relationship, (c) experiences
outside of the classroom, (d) lesson planning, and (e) classroom management.
This study makes a significant contribution to the research literature on teacher
education. First, it focuses upon the school advisor's role within the practicum. Second, one
of the two case studies that deteriorated to the point where a change of venues was in order,
serves as a rare example of a less-than-ideal practicum experience. Third, the conceptual
framework of regarding the practicum as curriculum provides a new perspective for gaining
insights into the complexities of learning to teach.
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Fragments : an art-based narrative inquiryWilson, Sylvia 11 1900 (has links)
As I investigate, construct, and tell autobiographic narratives of mothering, of loss, and of hope,
both the process of research and the "story fabric" evolve as both written and visual, an interplay
of image and text. I involve myself in this investigation as I expect that it is in these places of
loss, disability, and dependence that one can find things of great value, perhaps a way of being
with each other, of caring, of sharing of self, and of receiving the other that does not depend on
growth or achievement or on progress in learning. Ted Aoki writes of "face to face living"
(1993, p. 59) of teacher and student. Living, as it were, not at a distance, but face to face and
engaged as we open ourselves to the daily struggles and challenges we bring to our work, our
teachingAearning, and to our research. Autobiographic narrative offers a way in, extends an
invitation to give and to receive.
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