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1.
中共中央、国务院印发的《新时期产业工人队伍建设改革方案》提出,要帮助"新生代农民工增加受教育培训机会,提高专业技能和胜任岗位能力",并将教育作为促进农民工融入城市,成为稳定就业的产业工人的重要路径。以浙江省11个地级市的服务行业、建筑行业、制造业的从业人员为主要调查对象,了解浙江省新生代农民工接受继续教育的现状与特点,发现新生代农民工存在自身接受继续教育的动力意愿不足、企业进行职业技能培训投资的动力意愿不足等问题,并据此提出要做好终身教育宣传、搭建继续教育平台、优化在职培训模式等解决办法。  相似文献   
2.
In studies with recurrent event endpoints, misspecified assumptions of event rates or dispersion can lead to underpowered trials or overexposure of patients. Specification of overdispersion is often a particular problem as it is usually not reported in clinical trial publications. Changing event rates over the years have been described for some diseases, adding to the uncertainty in planning. To mitigate the risks of inadequate sample sizes, internal pilot study designs have been proposed with a preference for blinded sample size reestimation procedures, as they generally do not affect the type I error rate and maintain trial integrity. Blinded sample size reestimation procedures are available for trials with recurrent events as endpoints. However, the variance in the reestimated sample size can be considerable in particular with early sample size reviews. Motivated by a randomized controlled trial in paediatric multiple sclerosis, a rare neurological condition in children, we apply the concept of blinded continuous monitoring of information, which is known to reduce the variance in the resulting sample size. Assuming negative binomial distributions for the counts of recurrent relapses, we derive information criteria and propose blinded continuous monitoring procedures. The operating characteristics of these are assessed in Monte Carlo trial simulations demonstrating favourable properties with regard to type I error rate, power, and stopping time, ie, sample size.  相似文献   
3.

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Background

Due to minimal experience and cultural resistance, few practitioners offer vaginal breech birth, and many practice guidelines and training programmes recommend delivery techniques requiring supine maternal position. Fewer practitioners have skills to support physiological breech birth, involving active maternal movement and choice of birthing position, including upright postures such as kneeling, standing, squatting, or on a birth stool. How professionals learn complex skills contrary to those taught in their local practice settings is unclear.

Question

How do professionals develop competence and expertise in physiological breech birth?

Methods

Nine midwives and five obstetricians with experience facilitating upright physiological breech births participated in semi-structured interviews. Data were analysed iteratively using constructivist grounded theory methods to develop an empirical theory of physiological breech skill acquisition.

Results

Among the participants in this research, the deliberate acquisition of competence in physiological breech birth included stages of affinity with physiological birth, critical awareness, intention, identity and responsibility. Expert practitioners operating across local and national boundaries guided less experienced practitioners.

Discussion

The results depict a specialist learning model which could be formalised in sympathetic training programmes, and evaluated. It may also be relevant to developing competence in other specialist/expert roles and innovative practices.

Conclusion

Deliberate development of local communities of practice may support professionals to acquire elusive breech skills in a sustainable way.  相似文献   
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5.
Over the years, noteworthy social workers have been interviewed for the Clinical Social Work Journal. This article features an interview with Joyce Edward who is recognized for her many extraordinary contributions to clinical social work. Joyce has co-written or co-edited three exceptional books for the social work clinician, she has been an esteemed teacher and a vocal activist for quality mental health care. In this interview Joyce reflects on family influences, her work as a social caseworker, the psychoanalytic luminaries with whom she trained, her concerns about the clinical education of today's social work students, and finally, her perspective on managed mental health care.  相似文献   
6.
英语口语技能是听、说、读、写四项基本语言技能中很重要的一种技能。要通过课堂教学提高学生口语能力 ,必须从教师、教学方法和学生三方面入手 ,即教师应组织和动员学生积极参与学习 ,采取循序渐进的教学方法 ,发挥学生的主观能动性。学生应有明确的学习目标和计划 ,积极配合老师 ,多说勤炼  相似文献   
7.
爱尔兰著名作家詹姆斯·乔伊斯在其文学作品创作过程中始终追求艺术形式的创新.作为20世纪初现代主义文学倾向的代表人物,乔伊斯在小说<一个青年艺术家的肖像>中大胆突破传统,以强烈的文学实验精神将其创作理论应用到实际创作中.以时间、意识和技巧为创作中心,生动展示了主人公斯蒂芬·迪达勒斯的现代精神气质.本文以其代表作小说<一个青年艺术家的肖像>为实例,旨在从两个方面展示乔伊斯的文学实验精神,即乔伊斯美学理论在实际创作中的应用以及其现代主义创作技巧在体现小说整体布局中的作用.  相似文献   
8.
化学中的探究式学习方式涉及提出问题、猜想与假设、制定计划、进行实验、收集证据、解释与结论、反思与评价、表达与交流等要素。探究式教学对学生起到了唤醒、激励、体验和感召的作用,使课堂教学焕发出勃勃生机。  相似文献   
9.
加强学生听说能力和交际能力即英语实用性能力,提高英语专业学生的英语综合能力是大学英语教学面临的重要问题。从《新编大学英语》精读课课堂教学改革的必要性出发,提出教学的新模式CTA及具体的操作方法及成果,旨在为中国培养出更多、更高质量的具有国际竞争力的英语专业人才打好基础。  相似文献   
10.
综合英语课是一门综合性的语言基础课。在综合英语课教学中,结合所教学生的实际英语水平,采用不同的教学方法,并组织形式多样的课堂教学活动,使学生在大量的语言实践活动中掌握并具备听、说、读、写等综合语言能力。  相似文献   
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