1,859 research outputs found

    Peningkatan Penguasaan Konsep Siswa Melalui Pembelajaran IPA Terpadu Berbasis Masalah Berbantuan Mind Map

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    The purpose of this study was to examine the impact of Problem Based Learning aided mind map on student' mastery of Acid Rain concepts. A quasi experimental research design with a pre-test and post-test control group, which was selected from seventh graders, was used in this study. A total of 76 seventh graders in Bandung at the second-semester of the academic year 2014 /2015 participated in the study. One class (39 students) as experimental group were taught using the Problem Based Learning aided mind map while one other class (37 students) as control group used the Problem Based Learning. The results showed: 1) Student mastery of acid rain concepts in control group increased by 32.2%, 2) Student mastery of acid rain concepts in experimental group increased by 75.6%, 3) There are significant differences (p = 0.000) between the experimental group and control group in improving students' mastery of Acid Rain concepts. Results of this study indicate that Problem Based Learning aided mind map could be helpful in improving students' mastery of Acid Rain concepts

    Using National Measures of Patients' Perceptions of Health Care to Design and Debrief Clinical Simulations

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    This article describes an innovative approach to using national measures of patients' perspectives of quality health care. Nurses from a regional simulation consortium designed and executed a simulation using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to prepare nurses to improve care and, in turn, enhance patients' perceptions of care. The consortium is currently revising the reporting mechanism to collect data about specific learning objectives based on national quality indicator benchmarks, specifically HCAHPS. This revision reflects the changing needs of health care to include quality metrics in simulation

    Parasympathetic functions in children with sensory processing disorder.

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    The overall goal of this study was to determine if parasympathetic nervous system (PsNS) activity is a significant biomarker of sensory processing difficulties in children. Several studies have demonstrated that PsNS activity is an important regulator of reactivity in children, and thus, it is of interest to study whether PsNS activity is related to sensory reactivity in children who have a type of condition associated with sensory processing disorders termed sensory modulation dysfunction (SMD). If so, this will have important implications for understanding the mechanisms underlying sensory processing problems of children and for developing intervention strategies to address them. The primary aims of this project were: (1) to evaluate PsNS activity in children with SMD compared to typically developing (TYP) children, and (2) to determine if PsNS activity is a significant predictor of sensory behaviors and adaptive functions among children with SMD. We examine PsNS activity during the Sensory Challenge Protocol; which includes baseline, the administration of eight sequential stimuli in five sensory domains, recovery, and also evaluate response to a prolonged auditory stimulus. As a secondary aim we examined whether subgroups of children with specific physiological and behavioral sensory reactivity profiles can be identified. Results indicate that as a total group the children with severe SMD demonstrated a trend for low baseline PsNS activity, compared to TYP children, suggesting this may be a biomarker for SMD. In addition, children with SMD as a total group demonstrated significantly poorer adaptive behavior in the communication and daily living subdomains and in the overall Adaptive Behavior Composite of the Vineland than TYP children. Using latent class analysis, the subjects were grouped by severity and the severe SMD group had significantly lower PsNS activity at baseline, tones and prolonged auditory. These results provide preliminary evidence that children who demonstrate severe SMD may have physiological activity that is different from children without SMD, and that these physiological and behavioral manifestations of SMD may affect a child\u27s ability to engage in everyday social, communication, and daily living skills

    Phase 1 study of sirolimus in combination with oral cyclophosphamide and topotecan in children and young adults with relapsed and refractory solid tumors.

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    PurposeTo determine the maximum tolerated dose (MTD), toxicities, and pharmacodynamics effects of sirolimus combined with oral metronomic topotecan and cyclophosphamide in a pediatric population.Materials and methodsPatients who were 1 to 30 years of age with relapsed/refractory solid tumors (including CNS) were eligible. Patients received daily oral sirolimus and cyclophosphamide (25-50 mg/m2/dose) on days 1-21 and oral topotecan (0.8 mg/m2/dose) on days 1-14 in 28-day cycles. Sirolimus steady-state plasma trough concentrations of 3-7.9 ng/mL and 8-12.0 ng/mL were evaluated, with dose escalation based on a 3+3 phase 1 design. Biomarkers of angiogenesis were also evaluated.ResultsTwenty-one patients were treated (median age 18 years; range 9-30). Dose-limiting toxicities included myelosuppression, ALT elevation, stomatitis, and hypertriglyceridemia. The MTD was sirolimus with trough goal of 8-12.0 ng/mL; cyclophosphamide 25 mg/m2/dose; and topotecan 0.8 mg/m2/dose. No objective responses were observed. Four patients had prolonged stable disease > 4 cycles (range 4-12). Correlative biomarker analyses demonstrated reductions in thrombospondin-1 (p=0.043) and soluble vascular endothelial growth factor receptor-2 plasma concentrations at 21 days compared to baseline.ConclusionsThe combination of oral sirolimus, topotecan, and cyclophosphamide was well tolerated and biomarker studies demonstrated modulation of angiogenic pathways with this regimen

    Prioritizing Aquatic Science and Applications Needs in the Chesapeake Bay for a Space-Borne Hyperspectral Mission

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    The Chesapeake Bay is the largest estuary in North America, benefiting a growing population through its ecosystem services, fishing, recreations, and transportation routes. Studies indicate the health of the Bay as seen some improvement in recent years, yet threats to its health persist (e.g. warming, pollution nutrient run-off). Increasing human activities in coastal regions requires constant vigilance by agencies managing water quality, to ensure the safety of the population. Since April 2018, an interagency working group has been meeting monthly and a daylong workshop was convened with science and applications stakeholders around the overall theme of monitoring water quality from space. Current ocean color images indicate bloom locations used to guide in situ sampling efforts, despite limited spatial, spectral and temporal resolution. High resolution hyperspectral remote sensing provides a potential opportunity to measure additional indicators of ecological health and water quality. Assessing the needs of the aquatic user community around the Chesapeake Bay will inform science and applications recommendations during the current architecture study for a Surface Biology and Geology (SBG) Mission, as well as future scoping studies of other coastal and inland water bodies

    Rescaling multipartite entanglement measures for mixed states

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    A relevant problem regarding entanglement measures is the following: Given an arbitrary mixed state, how does a measure for multipartite entanglement change if general local operations are applied to the state? This question is nontrivial as the normalization of the states has to be taken into account. Here we answer it for pure-state entanglement measures which are invariant under determinant 1 local operations and homogeneous in the state coefficients, and their convex-roof extension which quantifies mixed-state entanglement. Our analysis allows to enlarge the set of mixed states for which these important measures can be calculated exactly. In particular, our results hint at a distinguished role of entanglement measures which have homogeneous degree 2 in the state coefficients.Comment: Published version plus one important reference (Ref. [39]
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