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559 result(s) for "Tang, Anne"
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Hong Kong university teachers' conceptions and articulation of teacher care
This paper addresses university teachers’ conceptions and articulation of teacher care as informed by their teaching practice within the Hong Kong university context. The research is predicated upon the perspectives of caring university teachers identified through a systematic process of reputational-case selection, and their narrations analyzed by thematic analysis. Three overarching themes, ‘humanitarian caring whole-person education’, ‘student-centred caring teaching’ and ‘invisible caring acts’, were identified. Based on the overarching themes, we propose a model of ‘caring pedagogy of student-centredness and invisible care’. This study contributes to enriching the existing literature on teacher care and caring pedagogy from university teachers’ perspectives. We advocate the integration of care into pedagogy, whilst university administrators could provide more institutional support for practising caring pedagogy for the benefits of our students.
Motivating university management students on studying research methods: influence of career applicability, and emotional and cognitive interests
PurposeThis paper aims to examine the relationships between undergraduate management students’ emotional interest (EI) and cognitive interest (CI) in research methods (RMs), the perceived applicability of RMs to future careers and motivation to study RMs within the Asian higher education context. This draws implications for better pedagogical approaches to motivating them to study RMs.Design/methodology/approachA pre–post-semester cohort study design was conducted with 172 undergraduate management students enrolled on an RMs subject by means of a self-administrated online survey using Qualtrics. A total of 170 students responded to the pre-semester survey and 116 students to the post-semester one. The main instrument was adapted from Mazer’s (2012) study interest scale. Regression analysis was applied to investigating the relationship between students’ EI and CI in RMs with perceived applicability of RMs to future careers and their motivation to study RMs.FindingsThe findings have shown that there was a significant relationship between undergraduate management students’ CI and EI and perceived applicability of RMs to future careers and their study motivation towards RMs. The regression model built on the two independent variables of students’ EI in RMs and their perceived applicability of RMs to future careers served to have higher accuracy in predicting their study motivation.Originality/valueThis paper contributes to enriching the conceptual understanding of the conflating influences of undergraduate management students’ intrinsic and extrinsic motivation levels on studying RMs within the Asian higher education context. Practically, this study explores different pedagogical approaches to better motivating students to study RMs.
Dual roles of educational robotics in management education: Pedagogical means and learning outcomes
This conceptual paper explores the pedagogical implications of educational robotics (ER) in management education. Premised on Vygotsky’s social constructivism, this paper conceptualizes ER as a stimulus for serving dual roles, as a pedagogical means and as a learning outcome, by presenting a number of justifications and viable approaches. This paper suggests that ER presents a number of opportunities for facilitating learner-centred, experiential, and collaborative pedagogical approaches to address different learning needs and knowledge levels. Based on a critical analysis of current literature with examples of ER in different fields, ER could be conceptualized as a tool to be integrated into a holistic pedagogical strategy to equip management students with management knowledge and skills, technical competences, and transferable skills for their benefits of learning facilitation.
Chronic Disease Risks in Young Adults With Autism Spectrum Disorder: Forewarned Is Forearmed
An emerging, cost-effective method to examine prevalent and future health risks of persons with disabilities is electronic health record (EHR) analysis. As an example, a case-control EHR analysis of adults with autism spectrum disorder receiving primary care through the Cleveland Clinic from 2005 to 2008 identified 108 adults with autism spectrum disorder. In this cohort, rates of chronic disease included 34.9% for obesity, 31.5% for hyperlipidemia, and 19.4% for hypertension. Compared with a control cohort of patients from the same health system matched for age, sex, race, and health insurance status, adults with autism spectrum disorder were more likely to be diagnosed with hyperlipidemia (odds ratio = 2.0, confidence interval = 1.2–3.4, p = .012). Without intervention, adults with autism spectrum disorder appear to be at significant risk for developing diabetes, coronary heart disease, and cancer by midlife.
Choroid plexus tumors in adult and pediatric populations: the Cleveland Clinic and University Hospitals experience
Choroid plexus tumors (CPT) are rare neoplasms accounting for 1–4% of all pediatric brain tumors. They are divided into choroid plexus papilloma (CPP), atypical choroid plexus papilloma (APP) and choroid plexus carcinoma (CPC). CPTs are known to primarily affect children less than 2 years of age. Gross total resection is the most important predictor of survival especially in CPC. Although small case series have been published, limited clinical data are available to describe treatment and outcome of CPTs. More clinical data would be necessary to complete the picture, particularly in populations that are not age limited. Here we share data from the two major hospitals in Cleveland to describe treatment and outcome of adult and pediatric patients. We performed a retrospective analysis of patients with CPT seen in Cleveland Clinic from 1990 to 2015 and at University Hospitals from 1994 to 2015. Results were compared to previously published historical controls. We identified 30 cases with CPT, including 22 pediatric and eight adult cases; 11 females and 19 males. The mean age at presentation was 12.4 years with a median age of 4.5 years (range 2 months–51 years). Gross total surgical resection was achieved in 22, subtotal resection in four, partial resection in two and unknown in two. The histology was CPP in 23 patients, two of whom developed recurrence requiring repeat resection and adjuvant therapy. Median event free survival (EFS) for CPP patients was 7.6 years. The histology was CPC in seven patients. All CPC patients were treated with adjuvant therapy. Median EFS of CPC patients was 4.4 years. Overall survival of all CPT patients was 100% with a median follow up of 7 years. A systematic literature review identified 1012 CPT patients treated from 1989 to 2013. The mean and median age of CPT patients was 13 and 3 years respectively. The median survival of 541 CPP patients was undefined vs. 2.7 years for the 452 CPC patients. The difference between the two populations was highly significant (p < 0.001). Kaplan–Meier survival curves comparing CPTs at Cleveland Clinic and University Hospitals versus a systematic literature review showed a statistically significant advancement in overall survival among the patients treated at Cleveland Clinic and University Hospitals. Our data are consistent with the literature review regarding epidemiology, clinical presentation, and treatment modalities but differed in regards to survival. Differences in survival may be related to different methods of data collection or details in patient care.
From Bad to Worse
Anemia at hospitalization is often treated as an accompaniment to an underlying illness, without active investigation, despite its association with morbidity. Development of hospital-acquired anemia (HAA) has also been associated with increased risk for poor outcomes. Together, they may further heighten morbidity risk from bad to worse. The aims of this study were to (1) examine mortality, length of stay, and total charges in patients with present-on-admission (POA) anemia and (2) determine whether these are exacerbated by development of HAA. In this cohort investigation, from January 1, 2009, to August 31, 2011, a total of 44,483 patients with POA anemia were admitted to a single health system compared with a reference group of 48,640 without POA anemia or HAA. Data sources included the University HealthSystem Consortium database and electronic medical records. Risk-adjustment methods included logistic and linear regression models for mortality, length of stay, and total charges. Present-on-admission anemia was defined by administrative coding. Hospital-acquired anemia was determined by changes in hemoglobin values from the electronic medical record. Approximately one-half of the patients experienced worsening of anemia with development of HAA. Risk for death and resource use increased with increasing severity of HAA. Those who developed severe HAA had 2-fold greater odds for death; that is, mild POA anemia with development of severe HAA resulted in greater mortality (odds ratio, 2.57; 95% confidence interval, 2.08-3.18; P < 0.001), increased length of stay (2.23; 2.16-2.31; P < 0.001), and higher charges (2.09; 2.03-2.15; P < 0.001). Present-on-admission anemia is associated with increased mortality and resource use. This risk is further increased from bad to worse when patients develop HAA. Efforts to address POA anemia and HAA deserve attention.
Predictors of a Fall Event in Hospitalized Patients With Cancer
To determine predictors of fall events in hospitalized patients with cancer and develop a scoring system to predict fall events. Retrospective medical record review. A 1,200-bed tertiary care hospital in northeastern Ohio. 145 patients with cancer who did not have a fall event were randomly selected from all oncology admissions from February 2006-January 2007 and compared to 143 hospitalized patients with cancer who had a fall event during the same period. Multivariable logistic regression models predicting falls were fit. Risk score analysis was completed using bootstrap samples to evaluate discrimination between patients who did or did not fall and agreement between predicted and actual fall status. A nomogram of risk scores was created. Fall episodes during hospitalization and patient characteristics that predict falls. While patients were hospitalized for cancer care, their predictors of a fall episode were low pain level, abnormal gait, cancer type, presence of metastasis, antidepressant and antipsychotic medication use, and blood product use (all p < 0.02); risk model c-statistic was 0.89. For hospitalized patients with cancer, predictors reflecting greater fall episode risk can be assessed easily by nursing staff and acted on when the risk is sufficiently high. Understanding specific risk factors of falls in an adult oncology population may lead to interventions that reduce fall risk.