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180,805 result(s) for "Experimental Study"
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Teaching postdramatic theatre : anxieties, aporias and disclosures
This text explores the concept and vocabulary of postdramatic theatre from a pedagogical perspective. It identifies some of the major anxieties and paradoxes generated by teaching postdramatic theatre through practice, with reference to the aesthetic, cultural and institutional pressures that shape teaching practices. It also presents a series of case studies that identify the pedagogical fault lines that expose the power-relations inherent in teaching (with a focus on the higher education sector as opposed to actor training institutions). It uses auto-ethnography, performance analysis and critical theory to assist university teachers involved in directing theatre productions to deepen their understanding of the concept of postdramatic theatre.
Vitamin D Supplementation Associated to Better Survival in Hospitalized Frail Elderly COVID-19 Patients: The GERIA-COVID Quasi-Experimental Study
Background. The objective of this quasi-experimental study was to determine whether bolus vitamin D supplementation taken either regularly over the preceding year or after the diagnosis of COVID-19 was effective in improving survival among hospitalized frail elderly COVID-19 patients. Methods. Seventy-seven patients consecutively hospitalized for COVID-19 in a geriatric unit were included. Intervention groups were participants regularly supplemented with vitamin D over the preceding year (Group 1), and those supplemented with vitamin D after COVID-19 diagnosis (Group 2). The comparator group involved participants having received no vitamin D supplements (Group 3). Outcomes were 14-day mortality and highest (worst) score on the ordinal scale for clinical improvement (OSCI) measured during COVID-19 acute phase. Potential confounders were age, gender, functional abilities, undernutrition, cancer, hypertension, cardiomyopathy, glycated hemoglobin, number of acute health issues at admission, hospital use of antibiotics, corticosteroids, and pharmacological treatments of respiratory disorders. Results. The three groups (n = 77; mean ± SD, 88 ± 5 years; 49% women) were similar at baseline (except for woman proportion, p = 0.02), as were the treatments used for COVID-19. In Group 1 (n = 29), 93.1% of COVID-19 participants survived at day 14, compared to 81.2% survivors in Group 2 (n = 16) (p = 0.33) and 68.7% survivors in Group 3 (n = 32) (p = 0.02). While considering Group 3 as reference (hazard ratio (HR) = 1), the fully-adjusted HR for 14-day mortality was HR = 0.07 (p = 0.017) for Group 1 and HR = 0.37 (p = 0.28) for Group 2. Group 1 had longer survival time than Group 3 (log-rank p = 0.015), although there was no difference between Groups 2 and 3 (log-rank p = 0.32). Group 1, but not Group 2 (p = 0.40), was associated with lower risk of OSCI score ≥5 compared to Group 3 (odds ratio = 0.08, p = 0.03). Conclusions. Regular bolus vitamin D supplementation was associated with less severe COVID-19 and better survival in frail elderly.
The road to independence : emancipatory pedagogy
\"Offers ways to empower people through education so that we can live and prosper together in a sustainable world. The emancipatory pedagogy of innovation and entrepreneurial education is presented as a road to independence: as a way to enable everyone to reach their inherent potential. This book presents case studies, stories, and research findings from innovation and entrepreneurial education that illuminate the real lives and work of teachers and students from different cultures\"--Page 4 of cover.
Experimental writing in composition : aesthetics and pedagogies
\"From the outset, experimental writing has been viewed as a means to afford a more creative space for students to express individuality, underrepresented social realities, and criticisms of dominant socio-political discourses and their institutions. Yet, the recent trend toward multimedia texts has left many composition instructors with little basis from which to assess these new forms and to formulate pedagogies. In this original study, Patricia Suzanne Sullivan provides a critical history of experimental writing theory and its aesthetic foundations and demonstrates their application to current multimodal writing. Sullivan unpacks the work of major scholars in composition and rhetoric and their theories on aesthetics, particularly avant-gardism. She also relates the dialectics that shape these aesthetics and sheds new light on both the positive and negative aspects of experimental writing and its attempts to redefine the writing disciplines. Additionally, she shows how current debates over the value of multimedia texts echo earlier arguments that pitted experimental writing against traditional models. Sullivan further articulates the ways that multimedia is and isn't changing composition pedagogies, and provides insights into resolving these tensions\"-- Provided by publisher.
Impact of reduced night work on shift workers' sleep using difference‐in‐difference estimation
Objectives We used a quasi‐experimental design to investigate the impact of a change in the shift work system by reducing overnight work on the sleep health of workers. Methods A difference‐in‐difference (DID) analysis was used to investigate changes in sleep time and sleep quality between the experimental group (shift workers, N = 116 in 2007 and N = 118 in 2013) and the control group (regular day workers, N = 256 in 2007 and N = 185 in 2013) before and after a change in the shift system that eliminated overnight work. The sleep outcomes were measured using a questionnaire that inquired about sleep duration, mid‐sleep awakenings, and subjective sleep quality. We used a generalized estimating equation model to investigate differences in the prevalence of sleep‐related outcomes between baseline and post‐intervention. Results In the DID models, the sleep time per day (+0.5 h), the prevalence of awakening during sleep (−13.9%), and self‐reported poor sleep quality (−34.9%) were improved with statistical significance during evening shifts in the experimental group, but there was no significant change during day shifts in the experimental group compared to the control group after the implementation of the new shift system without overnight shift. Conclusions Quitting overnight work improved sleep health of shift workers.
Savings or Selection? Initial Spending Reductions in the Medicare Shared Savings Program and Considerations for Reform
Policy Points Concerns have been raised about risk selection in the Medicare Shared Savings Program (MSSP). Specifically, turnover in accountable care organization (ACO) physicians and patient panels has led to concerns that ACOs may be earning shared‐savings bonuses by selecting lower‐risk patients or providers with lower‐risk panels. We find no evidence that changes in ACO patient populations explain savings estimates from previous evaluations through 2015. We also find no evidence that ACOs systematically manipulated provider composition or billing to earn bonuses. The modest savings and lack of risk selection in the original MSSP design suggest opportunities to build on early progress. Recent program changes provide ACOs with more opportunity to select providers with lower‐risk patients. Understanding the effect of these changes will be important for guiding future payment policy. Context The Medicare Shared Savings Program (MSSP) establishes incentives for participating accountable care organizations (ACOs) to lower spending for their attributed fee‐for‐service Medicare patients. Turnover in ACO physicians and patient panels has raised concerns that ACOs may be earning shared‐savings bonuses by selecting lower‐risk patients or providers with lower‐risk panels. Methods We conducted three sets of analyses of Medicare claims data. First, we estimated overall MSSP savings through 2015 using a difference‐in‐differences approach and methods that eliminated selection bias from ACO program exit or changes in the practices or physicians included in ACO contracts. We then checked for residual risk selection at the patient level. Second, we reestimated savings with methods that address undetected risk selection but could introduce bias from other sources. These included patient fixed effects, baseline or prospective assignment, and area‐level MSSP exposure to hold patient populations constant. Third, we tested for changes in provider composition or provider billing that may have contributed to bonuses, even if they were eliminated as sources of bias in the evaluation analyses. Findings MSSP participation was associated with modest and increasing annual gross savings in the 2012‐2013 entry cohorts of ACOs that reached$139 to $ 302 per patient by 2015. Savings in the 2014 entry cohort were small and not statistically significant. Robustness checks revealed no evidence of residual risk selection. Alternative methods to address risk selection produced results that were substantively consistent with our primary analysis but varied somewhat and were more sensitive to adjustment for patient characteristics, suggesting the introduction of bias from within‐patient changes in time‐varying characteristics. We found no evidence of ACO manipulation of provider composition or billing to inflate savings. Finally, larger savings for physician group ACOs were robust to consideration of differential changes in organizational structure among non‐ACO providers (eg, from consolidation). Conclusions Participation in the original MSSP program was associated with modest savings and not with favorable risk selection. These findings suggest an opportunity to build on early progress. Understanding the effect of new opportunities and incentives for risk selection in the revamped MSSP will be important for guiding future program reforms.
Creative education, teaching and learning : creativity, engagement, and the student experience
\"Educators and education policy has increasingly acknowledged the value of creativity and creative approaches to education in particular. However, despite the recommendation that teachers adopt creative teaching techniques, few guidelines for the application of creative methods are available. Therefore, sharing practice is essential for creative education to become more widespread. Creative Education, Teaching and Learning highlights a range of innovative teaching techniques successfully employed by teachers from a range of disciplines and education levels. For example, chapters highlight the use of social networking sites, virtual games, film, book groups, board games, story telling, teddy bears, archival data, comedy, and art within education. The book also considers the extent to which students can extend their traditional role through the provision of peer support or employment as Research Interns or Teaching Assistants and is intended to support teachers from all disciplines, working with students at all levels\"-- Provided by publisher.
Experimental study and numerical modeling of the thermo-hydro-mechanical processes in soil freezing with different frost penetration directions
This research work presents an experimental and numerical study of the coupled thermo-hydro-mechanical (THM) processes that occur during soil freezing. With focusing on the artificial ground freezing (AGF) technology, a new testing device is built, which considers a variety of AGF-related boundary conditions and different freezing directions. In the conducted experiments, a distinction is made between two thermal states: (1) The thermal transient state, which is associated with ice penetration, small deformations, and insignificant water suction. (2) The thermal (quasi-) steady state, which has a much longer duration and is associated with significant ice lens formation due to water suction. In the numerical modeling, a special focus is laid on the processes that occur during the thermal transient state. Besides, a demonstration of the micro-cryo-suction mechanism and its realization in the continuum model through a phenomenological retention-curve-like formulation is presented. This allows modeling the ice lens formation and the stiffness degradation observed in the experiments. Assuming a fully saturated soil as a biphasic porous material, a phase-change THM approach is applied in the numerical modeling. The governing equations are based on the continuum mechanical theory of porous media (TPM) extended by the phase-field modeling (PFM) approach. The model proceeds from a small-strain assumption, whereas the pore fluid can be found in liquid water or solid ice state with a unified kinematics treatment of both states. Comparisons with the experimental data demonstrate the ability and usefulness of the considered model in describing the freezing of saturated soils.