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This paper presents an algorithm that applies metrics derived from automatic QRS detection and segmentation in electrocardiogram signals for analyzing Heart Rate Variability to study the evolution of metrics in the frequency domain of a clinical procedure. The analysis was performed on three sets of elderly people, who are categorized according to frailty phenotype. The first set was comprised of frail elderly, the second pre-frail elderly, and the third robust elderly. Investigators from many disciplines have been encouraged to contribute to the understanding of molecular and physiological changes in multiple systems that may increase the vulnerability of frail elderly. In this work, the frailty phenotype can be characterized by unintentional weight loss, as self-reported, fatigue assessed by self-report, grip strength (measured directly), physical activity level assessed by self-report and gait speed (measured). The results obtained demonstrate the existence of significant differences between Heart Rate Variability metrics for the three groups, especially considering a higher preponderance for sympathetic nervous system for the group of robust patients in response to postural maneuver.
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This doctoral dissertation focuses on teacher education in the context of experienced tertiary English language teachers in mainland China. It investigates the changes in teachers’ beliefs and attitudes, and in their classroom practice, that result from an external inservice education and training (INSET) course. It follows up subsequent change in teachers’ classroom practice, and in their beliefs and attitudes, in their teaching contexts one year after the INSET course. This dissertation presents a review of the literature in the field of second language teacher education, shifts in research paradigms in the field, and the characterisation of inservice teacher professional development. The nature of teachers’ beliefs and attitudes, and of teachers’ classroom practice, are synthesised from the literature, and are related to research on stages of innovations. Models of change (from beliefs and attitudes to classroom practice, as well as alternative pathways) are discussed, and a conceptualisation of the processes of teacher change in the context of innovations for experienced inservice teachers is proposed. The research presents a case study of one group of teachers attending an INSET course, and uses qualitative data collection, analysis and interpretation. Findings are discussed which provide insight and guidance for INSET provision in the context of experienced teachers, and which add to the research in the field of teacher education in the context of China. The findings suggest that in the complexity of INSET among individual teachers any one model of the process of teacher change may not be applicable, but rather that multiple possible models of change exist for each teacher—in beliefs and attitudes, and in classroom practice—and for each innovation. It is likely that each individual teacher experiences different change models for different innovations during the same INSET course. The significance and implications of the findings are discussed in relation to INSET provision, teacher change, and theories of teacher education and development, as well as the limits of the study, and future research areas suggested
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