In 2011 senior managers at a UK electricity distribution company faced a training and assessment challenge that would have been very difficult to address using conventional methods. This paper describes the challenge they faced and the reasons for using the Construed Antonym Realization Exercise (CARE) generation methodology to create Multiple Alternative Choice (MAC) test items as part of the ...

Background Children with chronic kidney disease (CKD) have a significantly increased cardiovascular (CV) risk. The reasons for this remain unclear. However, abnormalities of systolic and diastolic myocardial function, the vascular system and autonomic dysfunction have been implicated. Conventional investigations like resting echocardiography offer limited assessment of the CV system (CVS). Comp...

First of all, let’s define the meaning of alternative exercise which means exercise activities aside from the ones that generally perform: running, walking, swimming, or biking [1]. This chapter provides reasons for encouraging alternative exercise to patients with diabetes type II. Moreover it provides knowledge of general modes of alternative exercise and their effects in diabetes and non-dia...

The Portuguese Law nº. 49/2018, of 14 August, creates the legal adult protection regime, regarding vulnerable adults. This matter has suffered recent changes in and judiciary field. A is someone who unable to - due health, disability or behaviour reasons fully, personally consciously exercise his/her rights or, same terms, fulfil duties.

background: physical symptoms are often associated with poor quality of life (qol) in patients with heart failure (hf). progressive impairment in the ability ofperforming routine physical activities of daily lifeand decrease inexercise tolerance is thought to lead to the worsening of physical symptoms. exercise and physical activity can improve functional capacity, and improve the symptoms asso...

“The reasons for these results are of course speculative,” said Rainville. “However, they could represent interference with the adaptation of sensory neurons to therapies such as exercise or surgery. The adaptation response might be blocked by the direct biochemical impact of opioids—or could be blocked by cognitive processes, in which continuing pain is required in order to justify continuing ...

This paper focuses on what constitutes “an attitude that includes a questioning mind and a critical assessment of audit evidence”, namely professional scepticism. It also briefly considers factors and reasons contributory to the ever increasing use of (and the need for) professionals who exercise professional scepticism – that is an attitude that includes a questioning mind and a critical asses...