926 research outputs found
Retheorising national assessment of the narrative mode for historical causal explanation in England
In history curriculum design in England, currently at least two loci of authority
– the history teachers’ ‘extended writing movement’ and the national awarding
body Pearson Edexcel – present somewhat contrasting portrayals of the narrative
mode for the purposes of historical causal explanation. Nonetheless, both loci
suggest they are reappropriating academic knowledge for the purposes of
secondary schooling in a fashion similar to what Basil Bernstein (1986) dubs
‘recontextualisation’. As a practising history teacher, I provide a phenomenological
critique of Pearson Edexcel’s specifications for the national GCSE and A-level
examinations from the perspective of the extended writing movement’s
realisation of the Bernsteinian model, with a specific focus on the narrative mode
for the purposes of historical causal explanation. In order to characterise the
status of historical narrative in the academic field of production, I draw on analytic
philosophies of history, theories of history by practising historians and historical
explanations from one historiography: the Salem witch trials. Finally, I make
recommendations for future reforms in national history examinations in England:
constant revaluation with reference to academic knowledge; the avoidance of
specific yet unsustainable claims about the discipline of history generally; and
the abandonment of a genre-led assessment in favour of an epistemology-led
alternative
Oblique triangular antiferromagnetic phase in CsCuCoCl
The spin-1/2 stacked triangular antiferromagnet CsCuCoCl with
undergoes two phase transitions at zero field. The
low-temperature phase is produced by the small amount of Co doping. In
order to investigate the magnetic structures of the two ordered phases, the
neutron elastic scattering experiments have been carried out for the sample
with . It is found that the intermediate phase is identical to
the ordered phase of CsCuCl, and that the low-temperature phase is an
oblique triangular antiferromagnetic phase in which the spins form a triangular
structure in a plane tilted from the basal plane. The tilting angle which is
42 at K decreases with increasing temperature, and becomes
zero at K. An off-diagonal exchange term is proposed as the
origin of the oblique phase.Comment: 6 pages, 7 figure
Interventions to reduce the risk of surgically transmitted Creutzfeldt–Jakob disease: a cost-effective modelling review
Background
Creutzfeldt–Jakob disease is a fatal neurological disease caused by abnormal infectious proteins called prions. Prions that are present on surgical instruments cannot be completely deactivated; therefore, patients who are subsequently operated on using these instruments may become infected. This can result in surgically transmitted Creutzfeldt–Jakob disease.
Objective
To update literature reviews, consultation with experts and economic modelling published in 2006, and to provide the cost-effectiveness of strategies to reduce the risk of surgically transmitted Creutzfeldt–Jakob disease.
Methods
Eight systematic reviews were undertaken for clinical parameters. One review of cost-effectiveness was undertaken. Electronic databases including MEDLINE and EMBASE were searched from 2005 to 2017. Expert elicitation sessions were undertaken. An advisory committee, convened by the National Institute for Health and Care Excellence to produce guidance, provided an additional source of information. A mathematical model was updated focusing on brain and posterior eye surgery and neuroendoscopy. The model simulated both patients and instrument sets. Assuming that there were potentially 15 cases of surgically transmitted Creutzfeldt–Jakob disease between 2005 and 2018, approximate Bayesian computation was used to obtain samples from the posterior distribution of the model parameters to generate results. Heuristics were used to improve computational efficiency. The modelling conformed to the National Institute for Health and Care Excellence reference case. The strategies evaluated included neither keeping instruments moist nor prohibiting set migration; ensuring that instruments were kept moist; prohibiting instrument migration between sets; and employing single-use instruments. Threshold analyses were undertaken to establish prices at which single-use sets or completely effective decontamination solutions would be cost-effective.
Results
A total of 169 papers were identified for the clinical review. The evidence from published literature was not deemed sufficiently strong to take precedence over the distributions obtained from expert elicitation. Forty-eight papers were identified in the review of cost-effectiveness. The previous modelling structure was revised to add the possibility of misclassifying surgically transmitted Creutzfeldt–Jakob disease as another neurodegenerative disease, and assuming that all patients were susceptible to infection. Keeping instruments moist was estimated to reduce the risk of surgically transmitted Creutzfeldt–Jakob disease cases and associated costs. Based on probabilistic sensitivity analyses, keeping instruments moist was estimated to on average result in 2.36 (range 0–47) surgically transmitted Creutzfeldt–Jakob disease cases (across England) caused by infection occurring between 2019 and 2023. Prohibiting set migration or employing single-use instruments reduced the estimated risk of surgically transmitted Creutzfeldt–Jakob disease cases further, but at considerable cost. The estimated costs per quality-adjusted life-year gained of these strategies in addition to keeping instruments moist were in excess of £1M. It was estimated that single-use instrument sets (currently £350–500) or completely effective cleaning solutions would need to cost approximately £12 per patient to be cost-effective using a £30,000 per quality-adjusted life-year gained value.
Limitations
As no direct published evidence to implicate surgery as a cause of Creutzfeldt–Jakob disease has been found since 2005, the estimations of potential cases from elicitation are still speculative. A particular source of uncertainty was in the number of potential surgically transmitted Creutzfeldt–Jakob disease cases that may have occurred between 2005 and 2018.
Conclusions
Keeping instruments moist is estimated to reduce the risk of surgically transmitted Creutzfeldt–Jakob disease cases and associated costs. Further surgical management strategies can reduce the risks of surgically transmitted Creutzfeldt–Jakob disease but have considerable associated costs.
Study registration
This study is registered as PROSPERO CRD42017071807.
Funding
This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 11. See the NIHR Journals Library website for further project information
Nontrival Cosmological Constant in Brane Worlds with Unorthodox Lagrangians
In self-tuning brane-world models with extra dimensions, large contributions
to the cosmological constant are absorbed into the curvature of extra
dimensions and consistent with flat 4d geometry. In models with conventional
Lagrangians fine-tuning is needed nevertheless to ensure a finite effective
Planck mass. Here, we consider a class of models with non conventional
Lagrangian in which known problems can be avoided. Unfortunately these models
are found to suffer from tachyonic instabilities. An attempt to cure these
instabilities leads to the prediction of a positive cosmological constant,
which in turn needs a fine-tuning to be consistent with observations.Comment: 17 pages, 1 figur
Thermochemical scanning probe lithography of protein gradients at the nanoscale
Patterning nanoscale protein gradients is crucial for studying a variety of cellular processes in vitro. Despite the recent development in nano-fabrication technology, combining nanometric resolution and fine control of protein concentrations is still an open challenge. Here, we demonstrate the use of thermochemical scanning probe lithography (tc-SPL) for defining micro- and nano-sized patterns with precisely controlled protein concentration. First, tc-SPL is performed by scanning a heatable atomic force microscopy tip on a polymeric substrate, for locally exposing reactive amino groups on the surface, then the substrate is functionalized with streptavidin and laminin proteins. We show, by fluorescence microscopy on the patterned gradients, that it is possible to precisely tune the concentration of the immobilized proteins by varying the patterning parameters during tc-SPL. This paves the way to the use of tc-SPL for defining protein gradients at the nanoscale, to be used as chemical cues e.g. for studying and regulating cellular processes in vitro
Oscillatory behavior of closed isotropic models in second order gravity theory
Homogeneous and isotropic models are studied in the Jordan frame of the
second order gravity theory. The late time evolution of the models is analysed
with the methods of the dynamical systems. The normal form of the dynamical
system has periodic solutions for a large set of initial conditions. This
implies that an initially expanding closed isotropic universe may exhibit
oscillatory behaviour.Comment: 16 pages, 3 figures. With some minor improvements. To appear in
General Relativity and Gravitatio
The use of an e-learning constructivist solution in workplace learning
We wished to investigate whether an e-learning approach which uses constructivist principles can be successfully applied to train employees in a highly specialised skill thought to require expert individuals and extensive prolonged training. The approach involved the development of an e-learning package which included simulations and interactivity, then experimental testing in a case study workplace environment with the collection of both quantitative and qualitative data to assess the effectiveness of the package. Our study shows that this e-learning strategy improved the skills of the inexperienced
operator significantly. We therefore propose that such programmes could be used as a work based training aid and used as a model system for the training of employees in complex skilled tasks in the workplace. This research demonstrates that the e-learning can be applied outside the traditional learning environment to train unskilled employees to undertake complex practical tasks which traditionally would involve prohibitively expensive instruction. This work also illustrates that simulations and interactivity are powerful tools in the design of successful e-learning packages in preparing learners for real world practical situations. Finally this study shows that workplace learners can be better served by elearning environments rather than conventional training as they allow asynchronous learning and private study which are valued by employees who have other demands on their time and are more comfortable receiving tuition privately Relevance to industry: E-learning using constructivist principles, and incorporating simulations and interactivity can be used successfully in the training of highly specialised and skilled tasks required in the
modern workplace
Higher codimension braneworlds from intersecting branes
We study the matching conditions of intersecting brane worlds in Lovelock
gravity in arbitrary dimension. We show that intersecting various codimension 1
and/or codimension 2 branes one can find solutions that represent
energy-momentum densities localized in the intersection, providing thus the
first examples of infinitesimally thin higher codimension braneworlds that are
free of singularities and where the backreaction of the brane in the background
is fully taken into account.Comment: 20 pages; v2. references and comments added to match the published
versio
Probing Yukawian Gravitational Potential by Numerical Simulations. II. Elliptical Galaxies
Since the Newtonian gravitation is largely used to model with success the
structures of the universe, such as galaxies and clusters of galaxies, for
example, a way to probe and constrain alternative theories, in the weak field
limit, is to apply them to model the structures of the universe. We then
modified the well known Gadget-2 code to probe alternative theories of
gravitation through galactic dynamics. In particular, we modified the Gadget-2
code to probe alternatives theories whose weak field limits have a Yukawa-like
gravitational potential. As a first application of this modified Gadget-2 code
we simulate the evolution of elliptical galaxies. These simulations show that
galactic dynamics can be used to constrain the parameters associated with
alternative theories of gravitation.Comment: 6 pages, 5 figures - To appear in General Relativity and Gravitatio
Scalar brane backgrounds in higher order curvature gravity
We investigate maximally symmetric brane world solutions with a scalar field.
Five-dimensional bulk gravity is described by a general lagrangian which yields
field equations containing no higher than second order derivatives. This
includes the Gauss-Bonnet combination for the graviton. Stability and
gravitational properties of such solutions are considered, and we particularily
emphasise the modifications induced by the higher order terms. In particular it
is shown that higher curvature corrections to Einstein theory can give rise to
instabilities in brane world solutions. A method for analytically obtaining the
general solution for such actions is outlined. Genericaly, the requirement of a
finite volume element together with the absence of a naked singularity in the
bulk imposes fine-tuning of the brane tension. A model with a moduli scalar
field is analysed in detail and we address questions of instability and
non-singular self-tuning solutions. In particular, we discuss a case with a
normalisable zero mode but infinite volume element.Comment: published versio
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