Discharge after acute kidney injury : recognising and managing risk

Peer reviewedPublisher PD

Maybe Definitely – Definitely Maybe? EC Competition Law – Is the Time Ripe for Reform?

[Summary]. The aim of this article is to discuss whether the timing for the Commission’s Proposal for reforming the implementation of Articles 81 and 82 of the EC Treaty is appropriate based on legal certainty considerations. The Proposal suggests to decentralise the day-to-day application of the EC antitrust rules further than is the case today and to abolish the present notification system whereby undertakings can apply for exemptions pursuant to Article 81(3) and negative clearances. The article provides examples showing that presently, the answers to certain legal questions of EC competition rules are vague or contradictory, and that if the proposed reform were to be implemented in its present form, the undertakings would have to carry the full risk for compliance with the competition rules but without a simple or straightforward way of obtaining guidance or legally binding exemptions or negative clearances. While recognising the need for a reform of the implementation system of the EC competition rules, the article argues that consistency and coherence in the understanding and application of the competition rules are a prerequisite to ensure legal certainty which, in turn, is a prerequisite for the implementation of the Commission’s plans to decentralise EC competition law application. It is therefore suggested that the time is not yet ripe for the type of reform proposed by the Commission and that efforts should instead focus on creating the basis for such a reform by adopting clear guidelines and/or binding legislation that secure the legal certainty of the undertakings that have to operate under the EC competition law framework

Thriving in the 21st century: Learning Literacies for the Digital Age (LLiDA project): Executive Summary, Conclusions and Recommendations

LLiDA set out to: review the evidence of change in the contexts of learning, including the nature of work,nknowledge, social life and citizenship, communications media and other technologies review current responses to these challenges from the further and higher education sectors, in terms of: a) the kinds of capabilities valued, taught for and assessed (especially as revealed through competence frameworks); b) the ways in which capabilities are supported ('provision') c) the value placed on staff and student 'literacies of the digital' collect original data concerning current practice in literacies provision in UK FE and HE, including 15 institutional audits and over 40 examples of forward thinking practice offer conclusions and recommendations, in terms of the same issues reviewed in

Reflecting on the transition from practice to education : the journey to becoming an effective teacher in higher education

This paper discusses the journey of transition from practice to education by reflecting on the opportunities and challenges of this process. It utilises reflective principles to identify strategies for universities and the higher education sector to consider when supporting new teachers. Higher education presents a significant challenge for new academic staff in becoming competent and overcoming the barriers that may impact on students' learning. Nurse education requires a teacher to be dynamic, supportive, caring, empathetic, challenging and knowledgeable. Maintaining the balance of the role in supporting students and sustaining identity for new teachers is the beginning of the journey to becoming an effective teacher in higher education

A Curriculum for Excellence: a review of approaches to recognising wider achievement

The is the report of work undertaken by the Quality in Education Centre of the University of Strathclyde on behalf of Learning and Teaching Scotland into Recognising WiderAchievements of young people both in and out of school.Desk research and empirical research were undertaken in January and February 2007. This short timescale inevitably limited the extent of the work undertaken. The views ofstakeholders were sought through interviews and questionnaires. Definitions of wider achievement have been emerging in the UK since four key areaswere identified by the DfES (DfES, 1984). These were recognised in 'National Records of Achievement' and included recognition of achievement (exams and other activities), motivation and personal development, curriculum organisation, and a document of recordthat is 'recognised and valued'. Further policy development in the 1990s and into this century raised further issues including the range of activities and variation in types oflearning, equity of access to opportunities, and challenges of assessment

Effectiveness and cost-effectiveness of a novel, group self-management course for adults with chronic musculoskeletal pain: study protocol for a multicentre, randomised controlled trial (COPERS)

Introduction: Chronic musculoskeletal pain is a common condition that often responds poorly to treatment. Self-management courses have been advocated as a non-drug pain management technique, although evidence for their effectiveness is equivocal. We designed and piloted a self-management course based on evidence for effectiveness for specific course components and characteristics. Methods/analysis: COPERS (coping with persistent pain, effectiveness research into self-management) is a pragmatic randomised controlled trial testing the effectiveness and cost-effectiveness of an intensive, group, cognitive behavioural-based, theoretically informed and manualised self-management course for chronic pain patients against a control of best usual care: a pain education booklet and a relaxation CD. The course lasts for 15 h, spread over 3 days, with a –2 h follow-up session 2 weeks later. We aim to recruit 685 participants with chronic musculoskeletal pain from primary, intermediate and secondary care services in two UK regions. The study is powered to show a standardised mean difference of 0.3 in the primary outcome, pain-related disability. Secondary outcomes include generic health-related quality of life, healthcare utilisation, pain self-efficacy, coping, depression, anxiety and social engagement. Outcomes are measured at 6 and 12 months postrandomisation. Pain self-efficacy is measured at 3 months to assess whether change mediates clinical effect. Ethics/dissemination: Ethics approval was given by Cambridgeshire Ethics 11/EE/046. This trial will provide robust data on the effectiveness and cost-effectiveness of an evidence-based, group self-management programme for chronic musculoskeletal pain. The published outcomes will help to inform future policy and practice around such self-management courses, both nationally and internationally. Trial registration: ISRCTN24426731