All the people, all of the time? Experiences in using a large scale video capturing and serving infrastructure in an educational environment

The School of Nursing, Dublin City University moved to a new, purpose built building in January 2004. As part of the design of the building the Nursing Skills Centre, an area that contains a simulated ward area, a community flat and several communication therapy rooms, includes a web based video recording and content management system. This system allows users (students and staff) to record video and audio from the teaching areas to a video server. The video server can also be used as a multimedia archiving and web distribution system. The video server is a LDAP controlled, dual output system (MPEG 4 for instant on-line access, MPEG 2 for high quality download). Content can be recorded to the server from any one of 53 capture stations located throughout the centre. Most of these cameras are directed at the beds on the ward and these are used primarily for skills teaching. They also have other uses such as being used to aid large scale simulation projects and educational content creation. The cameras in the other areas are used for quite different teaching purposes, usually for communications analysis. The paper will cover: • A system overview, what it is and what it can do • The usage of the system including a breakdown into use of pre-prepared video resources and use of live recording • The teaching and learning outcomes, focusing on the pedagogic outcomes of using the technology; what types of teaching were enabled and flourished, what areas were slower to take off than expected • Evaluation, reporting on the evaluation of individual projects using the technology as well as some overall points • The evolution of the technolog

The production and deployment of an on-line video learning bank in a skills training environment

This paper describes the introduction of videos as aids in clinical skills teaching. Although the process explored focuses on a nursing clinical skills environment it is relevant to many other disciplines. With the introduction of the pre-registration degree in nursing in Ireland in 2002, the formerly hospital-based schools of nursing amalgamated into larger programmes with their affiliated higher education institutes (HEIs). The result was a considerable increase in class sizes. The current average annual cohort in the School of Nursing, Dublin City University (DCU) is 240 students. This has resulted in a need to review the way we teach clinical skills on campus. These skills form a large part of the programme and are taught to students in the school-based simulated nursing environment to prepare them for their practical experience in the clinical environment. Until 2006 the skills had been taught to groups of 25-30 students using a demonstration and practice technique. This teaching method has posed a number of problems: •Learning experiences vary depending on the mix of demonstration and practice in each session. •It can be difficult for students to absorb all of the information presented in a single demonstration. •It is highly resource intensive. It was decided that video technology incorporating a large scale deployment of skills videos over a video web server, in conjunction with a shift in emphasis in the teaching contact sessions could offer a useful tool to aid the teaching process. This paper will discuss the production process, the implementation of the project in the teaching environment and the evaluation findings

The production and deployment of an on-line video learning bank in a skills training environment

Context and Background: Nursing students are taught many skills to prepare them for their practical experience in the clinical environment. To date these skills have been taught to students using a demonstration and practice technique. This teaching method has a number of disadvantages: - it is highly resource intensive - learning experiences vary depending on the mix of demonstration and practice in each session - it can be difficult for students to absorb all of the information presented in a single demonstration. It was decided that video technology incorporating the deployment of a skills video bank over a web server, in conjunction with a shift in emphasis in the teaching contact sessions could provide a useful tool to aid the teaching process. Aim of the paper The aim of the paper is to disseminate our experiences of producing a large scale audiovisual learning package. The Production Process The first step involved the production of a video demonstrating a particular clinical skill, aseptic technique. This replaced the demonstration element of the skills session. Students viewed it online before the skills session and then spent the time allotted to this skill practising it under supervision. It was evaluated positively by students and the lecturer involved. As a result, a bank of 17 more videos focussing on fundamental skills within one first year module was developed in-house. The main focus of this paper will be on the production processes involved in this and its introduction into teaching practice

CHASEtown - a VLE for the education and training of health care professionals

CHASEtown is a virtual learning environment aimed at the education and training of healthcare professionals. On the front end the system is based on a location based metaphor which makes for a easy to use GUI while on the back end it is completely flexible, allowing for an imaginative linking of it component parts of location, people and case studies. A unique feature of the system is its ability to trace a case study and patient over time

Lack of Correlation Between Pulmonary Disease and Cystic Fibrosis Transmembrane Conductance Regulator Dysfunction in Cystic Fibrosis: A Case Report

Introduction: Mutations in both alleles of the cystic fibrosis transmembrane conductance regulator gene result in the disease cystic fibrosis, which usually manifests as chronic sinopulmonary disease, pancreatic insufficiency, elevated sodium chloride loss in sweat, infertility among men due to agenesis of the vas deferens and other symptoms including liver disease. Case presentation: We describe a pair of African-American brothers, aged 21 and 27, with cystic fibrosis. They were homozygous for a rare frameshift mutation in the cystic fibrosis transmembrane conductance regulator 3791delC, which would be expected to cause significant morbidity. Although 80% of cystic fibrosis patients are colonized with Pseudomonas aeruginosa by eight years of age, the older brother had no serum opsonic antibody titer to P. aeruginosa by age 13 and therefore would have failed to mount an effective antibody response to the alginate (mucoid polysaccharide) capsule of P. aeruginosa. He was not colonized with P. aeruginosa until 24 years of age. Similarly, the younger brother was not colonized with P. aeruginosa until age 20 and had no significant lung disease. Conclusion: Despite a prevailing idea in cystic fibrosis research that the amount of functional cystic fibrosis transmembrane conductance regulator predicts clinical status, our results indicated that respiratory disease severity in cystic fibrosis exhibits phenotypic heterogeneity. If this heterogeneity is, in part, genetic, it is most likely derived from genes outside the cystic fibrosis transmembrane conductance regulator locus

Lack of correlation between pulmonary disease and cystic fibrosis transmembrane conductance regulator dysfunction in cystic fibrosis: a case report

Abstract Introduction Mutations in both alleles of the cystic fibrosis transmembrane conductance regulator gene result in the disease cystic fibrosis, which usually manifests as chronic sinopulmonary disease, pancreatic insufficiency, elevated sodium chloride loss in sweat, infertility among men due to agenesis of the vas deferens and other symptoms including liver disease. Case presentation We describe a pair of African-American brothers, aged 21 and 27, with cystic fibrosis. They were homozygous for a rare frameshift mutation in the cystic fibrosis transmembrane conductance regulator 3791delC, which would be expected to cause significant morbidity. Although 80% of cystic fibrosis patients are colonized with Pseudomonas aeruginosa by eight years of age, the older brother had no serum opsonic antibody titer to P. aeruginosa by age 13 and therefore would have failed to mount an effective antibody response to the alginate (mucoid polysaccharide) capsule of P. aeruginosa. He was not colonized with P. aeruginosa until 24 years of age. Similarly, the younger brother was not colonized with P. aeruginosa until age 20 and had no significant lung disease. Conclusion Despite a prevailing idea in cystic fibrosis research that the amount of functional cystic fibrosis transmembrane conductance regulator predicts clinical status, our results indicated that respiratory disease severity in cystic fibrosis exhibits phenotypic heterogeneity. If this heterogeneity is, in part, genetic, it is most likely derived from genes outside the cystic fibrosis transmembrane conductance regulator locus

Left sided inferior vena cava duplication and venous thromboembolism: case report and review of literature

The etiology of venous thromboembolism in young patients is frequently associated with hereditary coagulation abnormalities, immunologic diseases, and neoplasia. The advent of radiological advances, namely Computed Tomography (CT) scans and venography has identified vena cava malformations as a new etiologic factor worthy of consideration. In this case report, we describe the unusual occurrence of venous thromboembolism in association with a duplicated inferior vena cava. Duplications of the inferior vena cava (IVC) are seen with an incidence of 0.2% to 3.0% in the general population. Embryogenesis of the IVC is a complex process involving the intricate formation and regression of numerous anastomoses, potentially leading to various anomalies. We present a 23-year-old Caucasian woman with IVC duplication who developed a deep venous thrombosis and multiple pulmonary emboli. Anomaly of the IVC is a rare example of a congenital condition that predisposes to thromboembolism, presumably by favoring venous stasis. This diagnosis should be considered in patients under the age of 30 with spontaneous occurrence of blood clots