QuestionBuddy – A collaborative question search and play portal.

Generally itembanks are inaccessible to students. Current use of itembanks focus on the teacher as having responsibility to organise questions (place them in pools, associate them with course content) and make them available/deliver them to students. This limits students to the teachers perspective and to the questions that the teacher has made available. As the practice of itembanking increases it may be appropriate to encourage students to use questions from pools not directly prepared by their teacher. A mechanism for searching across itembanks and sharing recommendations with peers would be of help in facilitating this. We describe QuestionBuddy, a collaborative filter based question portal for students, built to study student usage of, and attitudes to, such a system

A two phase study to revise the Australian Practice Standards for Specialist Critical Care Nurses

Background: Observational work to develop the ACCCN Competency Standards was undertaken more than 20 years ago. Since then the landscape of critical care nursing as a specialty has changed and it is not known if the Competency Standards reflected contemporary practice. Objectives: To revise the ACCCN Competency Standards for Specialist Critical Care Nurses to ensure they continue to meet the needs of critical care nurses and reflect current practice. Methods: A two-phased project was undertaken. In Phase I focus groups were held in all states. Thematic analysis was conducted using two techniques. The standards were revised based on the main themes. Phase II consisted of an eDelphi technique. A national panel of critical care nurses responded to three survey rounds using a 7 point likert-type scale to indicate their level of agreement with the revised standards. A 70% agreement level for each statement was determined a priori. Results: Phase I: 12 focus groups (79 participants) were conducted. Phase II: A panel of specialist critical care nurses (research, management, clinical practice and education) responded to round 1 (n = 64), round 2 (n = 56), and round 3 (n = 40). Fifteen practice standards with elements and performance criteria were grouped into four domains (professional practice, provision and coordination of care, critical thinking and analysis, collaboration and leadership). The revised Practice Standards for Specialist Critical Care Nurses build upon and are additional to the Nursing & Midwifery Board of Australia National Competency Standards for Registered Nurses. The standards reflect contemporary critical care nurse practices using an expanded range of technologies to care for complex critically ill patients across the lifespan in diverse settings. Conclusion: The national study has resulted in the 3rd edition of the Practice Standards for Specialist Critical Care Nurses. There was input from stakeholders and agreement that the revised standards capture contemporary Australian critical care nursing practice

Past major tsunamis and the level of tsunami risk on the Aitape coast of Papua New Guinea

This paper reports the results of an investigation into past major tsunamis on the Aitape coast of Papua New Guinea. The investigation was mounted to gather information to help assess the level of ongoing tsunami risk, in the aftermath of a catastrophic tsunami that struck this coast in 1998. We found that local residents have a strong oral tradition of a great tsunami at some time in the past, date unknown. A possible geological record of past major tsunamis was found in a submerged rock face that comprised clay-rich mudstone with three centimetric interbeds of peat, two of which contained coarse detrital sediment of marine origin. The topmost peat contained much marine detrital sediment, some of it very coarse (pebbles to 4 cm), and was dated at around AD 1440–1600. The second peat contained a much smaller proportion of detrital sediment, finer sediment than was in the topmost, and was dated at around AD 1150–1240. The lowermost peat was dated at around AD 980–1050. The two occurrences of coarse detrital sediments are presumed to be a record of past marine incursions into coastal swamps, probably as tsunamis or possibly as storm waves. The more recent, and more energetic, incursion, at around AD 1440–1600, was very likely the great tsunami of legend. In the thousand years recorded in the submerged rock face, there have been, at most, three major tsunamis, at approximate intervals of 300–500 years.We thank the Australian aid program for a grant which covered the cost of drilling

Aggregating assessment tools in a service orientated architecture

Until recently assessment and other eLearning systems have tended to adopt monolithic architectures and this has restricted integration with other tools. The ELearning Framework (ELF) sets out to address this problem by creating an eLearning environment within which components with discrete purposes communicate via webservices. In order to help co-ordinate the design of the ELF, JISC has recently sponsored a number of Framework Reference Model Projects, and FReMa is the Framework Reference Model for Assessment. In this paper we examine how FReMA is facilitating a common understanding of the components of assessment and their interfaces, and we explain how this information is being elicited from the community by reference to tools which are already contributing to the model. We also present our approach to the adaptive website by which the emerging model is being disseminated to a range of stakeholders

The origin and evolution of breakouts in a cooling-limited rhyolite lava flow

Understanding lava flow processes is important for interpreting existing lavas and for hazard assessments. Although substantial progress has been made for basaltic lavas our understanding of silicic lava flows has seen limited recent advance. In particular, the formation of lava flow breakouts, which represent a characteristic process in cooling-limited basaltic lavas, but has not been described in established models of rhyolite emplacement. Using data from the 2011–2012 rhyolite eruption of Puyehue-Cordón Caulle, Chile, we develop the first conceptual framework to classify breakout types in silicic lavas, and to describe the processes involved in their progressive growth, inflation, and morphological change. By integrating multi-scale satellite, field, and textural data from Cordón Caulle, we interpret breakout formation to be driven by a combination of pressure increase (from local vesiculation in the lava flow core, as well as from continued supply via extended thermally preferential pathways) and a weakening of the surface crust through lateral spreading and fracturing. Small breakouts, potentially resulting more from local vesiculation than from continued magma supply, show a domed morphology, developing into petaloid as inflation increasingly fractures the surface crust. Continued growth and fracturing results in a rubbly morphology, with the most inflated breakouts developing into a cleft-split morphology, reminiscent of tumulus inflation structures seen in basalts. These distinct morphological classes result from the evolving relative contributions of continued breakout advance and inflation. The extended nature of some breakouts highlights the role of lava supply under a stationary crust, a process ubiquitous in inflating basalt lava flows that reflects the presence of thermally preferential pathways. Textural analyses of the Cordón Caulle breakouts also emphasize the importance of late-stage volatile exsolution and vesiculation within the lava flow. Although breakouts occur across the compositional spectrum of lava flows, the greater magma viscosity is likely to make late-stage vesiculation much more important for breakout development in silicic lavas than in basalts. Such late-stage vesiculation has direct implications for hazards previously recognized from silicic lava flows, enhancing the likelihood of flow front collapse, and explosive decompression of the lava core

MTDATA and the prediction of phase equilibria in oxide systems : 30 years of industrial collaboration

This paper gives an introduction to MTDATA, Phase Equilibrium Software from the National Physical Laboratory (NPL), and describes the latest advances in the development of a comprehensive database of thermodynamic parameters to underpin calculations of phase equilibria in large oxide, sulfide, and fluoride systems of industrial interest. The database, MTOX, has been developed over a period of thirty years based upon modeling work at NPL and funded by industrial partners in a project co-ordinated by Mineral Industry Research Organisation. Applications drawn from the fields of modern copper scrap smelting, high-temperature behavior of basic oxygen steelmaking slags, flash smelting of nickel, electric furnace smelting of ilmenite, and production of pure TiO2via a low-temperature molten salt route are discussed along with calculations to assess the impact of impurities on the uncertainty of fixed points used to realize the SI unit of temperature, the kelvin

A BEME systematic review of the effects of interprofessional education : BEME Guide No. 39

BACKGROUND: Interprofessional education (IPE) aims to bring together different professionals to learn with, from, and about one another in order to collaborate more effectively in the delivery of safe, high-quality care for patients/clients. Given its potential for improving collaboration and care delivery, there have been repeated calls for the wider-scale implementation of IPE across education and clinical settings. Increasingly, a range of IPE initiatives are being implemented and evaluated which are adding to the growth of evidence for this form of education. AIM: The overall aim of this review is to update a previous BEME review published in 2007. In doing so, this update sought to synthesize the evolving nature of the IPE evidence. METHODS: Medline, CINAHL, BEI, and ASSIA were searched from May 2005 to June 2014. Also, journal hand searches were undertaken. All potential abstracts and papers were screened by pairs of reviewers to determine inclusion. All included papers were assessed for methodological quality and those deemed as "high quality" were included. The presage-process-product (3P) model and a modified Kirkpatrick model were employed to analyze and synthesize the included studies. RESULTS: Twenty-five new IPE studies were included in this update. These studies were added to the 21 studies from the previous review to form a complete data set of 46 high-quality IPE studies. In relation to the 3P model, overall the updated review found that most of the presage and process factors identified from the previous review were further supported in the newer studies. In regard to the products (outcomes) reported, the results from this review continue to show far more positive than neutral or mixed outcomes reported in the included studies. Based on the modified Kirkpatrick model, the included studies suggest that learners respond well to IPE, their attitudes and perceptions of one another improve, and they report increases in collaborative knowledge and skills. There is more limited, but growing, evidence related to changes in behavior, organizational practice, and benefits to patients/clients. CONCLUSIONS: This updated review found that key context (presage) and process factors reported in the previous review continue to have resonance on the delivery of IPE. In addition, the newer studies have provided further evidence for the effects on IPE related to a number of different outcomes. Based on these conclusions, a series of key implications for the development of IPE are offered

In the Shadow of Celebrity? World-Class University Policies and Public Value in Higher Education

The growing popularity of the concept of world-class universities raises the question of whether investing in such universities is a worthwhile use of public resources. Does concentrating public resources on the most excellent universities improve the overall quality of a higher education system, especially if definitions of excellence and world-class are made by external ranking organizations? This paper addresses that question by developing a framework for weighing up trade-offs between institutional and system performance, focusing on the potential system-wide improvements which world-class university programmes (WCUPs) may bring. Because WCUPs are in a relatively early stage of their development, systemic effects are not yet clear. We therefore analyse the ex ante reasons that policy makers have for adopting WCUPs to see if they at least seek to create these systemic benefit

Liver transplantation in ornithine transcarbamylase deficiency: A retrospective multicentre cohort study

Ornithine transcarbamylase deficiency (OTCD) is an X-linked defect of ureagenesis and the most common urea cycle disorder. Patients present with hyperammonemia causing neurological symptoms, which can lead to coma and death. Liver transplantation (LT) is the only curative therapy, but has several limitations including organ shortage, significant morbidity and requirement of lifelong immunosuppression. This study aims to identify the characteristics and outcomes of patients who underwent LT for OTCD. // We conducted a retrospective study for OTCD patients from 5 UK centres receiving LT in 3 transplantation centres between 2010 and 2022. Patients' demographics, family history, initial presentation, age at LT, graft type and pre- and post-LT clinical, metabolic, and neurocognitive profile were collected from medical records.// A total of 20 OTCD patients (11 males, 9 females) were enrolled in this study. 6/20 had neonatal and 14/20 late-onset presentation. 2/20 patients had positive family history for OTCD and one of them was diagnosed antenatally and received prospective treatment. All patients were managed with standard of care based on protein-restricted diet, ammonia scavengers and supplementation with arginine and/or citrulline before LT. 15/20 patients had neurodevelopmental problems before LT. The indication for LT was presence (or family history) of recurrent metabolic decompensations occurring despite standard medical therapy leading to neurodisability and quality of life impairment. Median age at LT was 10.5 months (6–24) and 66 months (35–156) in neonatal and late onset patients, respectively. 15/20 patients had deceased donor LT (DDLT) and 5/20 had living related donor LT (LDLT). Overall survival was 95% with one patient dying 6 h after LT. 13/20 had complications after LT and 2/20 patients required re-transplantation. All patients discontinued dietary restriction and ammonia scavengers after LT and remained metabolically stable. Patients who had neurodevelopmental problems before LT persisted to have difficulties after LT. 1/5 patients who was reported to have normal neurodevelopment before LT developed behavioural problems after LT, while the remaining 4 maintained their abilities without any reported issues. // LT was found to be effective in correcting the metabolic defect, eliminates the risk of hyperammonemia and prolongs patients' survival

Priority Setting for Occupational Cancer Prevention

Background: Selecting priority occupational carcinogens is important for cancer prevention efforts; however, standardized selection methods are not available. The objective of this paper was to describe the methods used by CAREX Canada in 2015 to establish priorities for preventing occupational cancer, with a focus on exposure estimation and descriptive profiles. Methods: Four criteria were used in an expert assessment process to guide carcinogen prioritization: (1) the likelihood of presence and/or use in Canadian workplaces; (2) toxicity of the substance (strength of evidence for carcinogenicity and other health effects); (3) feasibility of producing a carcinogen profile and/or an occupational estimate; and (4) special interest from the public/scientific community. Carcinogens were ranked as high, medium or low priority based on specific conditions regarding these criteria, and stakeholder input was incorporated. Priorities were set separately for the creation of new carcinogen profiles and for new occupational exposure estimates. Results: Overall, 246 agents were reviewed for inclusion in the occupational priorities list. For carcinogen profile generation, 103 were prioritized (11 high, 33 medium, and 59 low priority), and 36 carcinogens were deemed priorities for occupational exposure estimation (13 high, 17 medium, and 6 low priority). Conclusion: Prioritizing and ranking occupational carcinogens is required for a variety o