Good Practice Report : Curriculum Renewal

This good practice report, commissioned by the ALTC, provides a summative evaluation of useful outcomes and good practices from ALTC projects and fellowships on curriculum renewal. The report contains: -a summative evaluation of the good practices and key outcomes for teaching and learning from completed ALTC projects and fellowships -a literature review of the good practices and key outcomes for teaching and learning from national and international research the proposed outcomes and resources for teaching and learning which will be produced by current incomplete ALTC projects and fellowships -identifies areas in which further work or development are appropriate

Digital Ethnography as a Way to Explore Information Grounds on Twitter

Information grounds are social settings where information, people, and place come together to create information flow within a physical environment (Karen E. Pettigrew, 1998). Information grounds also facilitate the opportunistic discovery of information within social settings created temporarily by people gathered for some purpose other than seeking information, but the social environment stimulates spontaneous information sharing (K. E. Pettigrew, 1999), such as in hair salons, doctor's waiting rooms and other public places. Professional and scholarly use of social media is a rapidly emerging area of research. In this regard, qualitative analysis of data gathered from Twitter is a relatively unexplored area of Library and Information Science (LIS) research. This paper details the results of a qualitative study of Twitter using digital ethnography, in order to investigate the use of Twitter by IT professionals in forming communities of practice. This study is relevant to Library and Information Science (LIS) research as LIS professionals are part of the IT community of practice. This study used information grounds theory (K. E. Fisher, 2005) to explore Twitter as an online information ground. The research used online observation - conceptualised here as online ethnography or digital ethnography - and interviews to collect data. The online observations helped the researcher to understand the norms and culture of the participants along with patterns of behaviour. Interviews were used to understand the information grounds of the virtual environment through the participants' individual perspectives and their information experiences. A total of eleven participants were interviewed after a total of 734 tweets from these same participants were downloaded and analysed. Both interview and Twitter data were analysed using constructivist grounded theory (Charmaz, 2006). The findings highlight a variety of information sharing types, the role of information sharing in professional contexts, and the influences of Twitter on communication and social engagement, including a counterintuitive finding that professionals use Twitter not so much to seek or share information as much as to seek out a network of like-minded people. The significance of this study is in providing a fundamental understanding of the ways in which social media is used for professional reasons. It also proposes a systematic, qualitative data collection and data analysis approach to future research around Twitter and social media in general. This contribution not only helps LIS researchers, but can also help information professionals in the use of social media for professional purposes

Pitch Perception, Production and Musical Development of Hearing Impaired Children

Children with cochlear hearing loss are offered a range of intervention devices to manage their hearing impairment. The most common devices fitted are hearing aids, cochlear implants or a combination of both (bimodal stimulation with a cochlear implant on one ear and hearing aid on the other). The main goal of these devices is to improve listening and communication for speech and language development. However in more recent years additional focus has been given to non-speech sounds such as music. Pitch is an important aspect of music because it carries the melody; however it is represented differently by the different devices used. The impact this has on children’s musical ability is not fully understood. This thesis explores this area and aims to determine if groups of hearing impaired children who use different intervention devices have a differential impact on pitch perception, singing and general musical ability. The primary research question addressed within the thesis was, do differences exist between different groups of hearing-impaired children who use different amplification devices for general musical ability, pitch perception and singing ability?.Fifty seven children aged between 4 and 9 years old (15 Cochlear implantees, 21 hearing aid users, 8 children with bimodal stimulation and 13 normally hearing children) were assessed for pitch perception and singing while their parents completed a questionnaire on their general musical ability. Results indicated that children using purely electrical stimulation (bilateral cochlear implants) performed more poorly for pitch perception, than children using acoustic information either through bilateral hearing aids or bimodal stimulation. This result was not demonstrated for singing competency, however a reduced comfortable singing range and greater voice irregularity was observed for the cochlear implantees when singing. Normally hearing children performed better with respect to pitch perception and singing competency but did not show a significantly better score for musical enjoyment or involvement in comparison to all three hearing impaired groups. The results indicate that the bimodal configuration could provide some benefits for pitch perception for hearing-impaired children that have useable residual hearing. This doesn’t however extend to pitch production in terms of singing competency. The findings derived from this research study are important not only to build on current research literature but also to inform future clinical practice

Introducing peer worker roles into UK mental health service teams: a qualitative analysis of the organisational benefits and challenges.

BACKGROUND: The provision of peer support as a component of mental health care, including the employment of Peer Workers (consumer-providers) by mental health service organisations, is increasingly common internationally. Peer support is strongly advocated as a strategy in a number of UK health and social care policies. Approaches to employing Peer Workers are proliferating. There is evidence to suggest that Peer Worker-based interventions reduce psychiatric inpatient admission and increase service user (consumer) empowerment. In this paper we seek to address a gap in the empirical literature in understanding the organisational challenges and benefits of introducing Peer Worker roles into mental health service teams. METHODS: We report the secondary analysis of qualitative interview data from service users, Peer Workers, non-peer staff and managers of three innovative interventions in a study about mental health self-care. Relevant data was extracted from interviews with 41 participants and subjected to analysis using Grounded Theory techniques. Organisational research literature on role adoption framed the analysis. RESULTS: Peer Workers were highly valued by mental health teams and service users. Non-peer team members and managers worked hard to introduce Peer Workers into teams. Our cases were projects in development and there was learning from the evolutionary process: in the absence of formal recruitment processes for Peer Workers, differences in expectations of the Peer Worker role can emerge at the selection stage; flexible working arrangements for Peer Workers can have the unintended effect of perpetuating hierarchies within teams; the maintenance of protective practice boundaries through supervision and training can militate against the emergence of a distinctive body of peer practice; lack of consensus around what constitutes peer practice can result in feelings for Peer Workers of inequality, disempowerment, uncertainty about identity and of being under-supported. CONCLUSIONS: This research is indicative of potential benefits for mental health service teams of introducing Peer Worker roles. Analysis also suggests that if the emergence of a distinctive body of peer practice is not adequately considered and supported, as integral to the development of new Peer Worker roles, there is a risk that the potential impact of any emerging role will be constrained and diluted

The effect of a monetary incentive on return of a postal health and development questionnaire: a randomised trial [ISRCTN53994660]

BACKGROUND: Postal questionnaires are widely used to collect data in healthcare research but a poor response rate may reduce the validity and reliability of results. There was a lack of evidence available relating to use of a monetary incentive to improve the response rate in the healthcare setting. METHODS: The MRC ORACLE Children Study is assessing the health and development of nearly 9000 seven year old children whose mothers' joined the MRC ORACLE Trial. We carried out a randomised controlled trial of inclusion of monetary incentive (five pound voucher redeemable at many high street stores) with the reminder questionnaire to parents. This trial took place between April 2002 and November 2003. When the parents were sent the reminder questionnaire about their child's health and development they were randomly assigned by concealed computer-generated allocation stratified by week of birthday to receive a five pound voucher or no incentive. The population were 722 non-responders to the initial mailing of a 12-page questionnaire. Main outcome measures: Difference in response rate between the two groups. RESULTS: Inclusion of the voucher with the reminder questionnaire resulted in a 11.7%(95% CI 4.7% to 18.6%) improvement in the response rate between the two groups. CONCLUSION: This improvement in response rate and hence the validity and reliability of results obtained appears to be justified ethically and financially

TLR3, TLR4 and TLRs7-9 Induced Interferons Are Not Impaired in Airway and Blood Cells in Well Controlled Asthma

Defective Rhinovirus induced interferon-β and interferon-λ production has been reported in bronchial epithelial cells from asthmatics but the mechanisms of defective interferon induction in asthma are unknown. Virus infection can induce interferon through Toll like Receptors (TLR)3, TLR7 and TLR8. The role of these TLRs in interferon induction in asthma is unclear. This objective of this study was to measure the type I and III interferon response to TLR in bronchial epithelial cells and peripheral blood cells from atopic asthmatics and non-atopic non-asthmatics. Bronchial epithelial cells and peripheral blood mononuclear cells from atopic asthmatic and non-atopic non-asthmatic subjects were stimulated with agonists to TLR3, TLR4 & TLRs7-9 and type I and III interferon and pro-inflammatory cytokine, interleukin(IL)-6 and IL-8, responses assessed. mRNA expression was analysed by qPCR. Interferon proteins were analysed by ELISA. Pro-inflammatory cytokines were induced by each TLR ligand in both cell types. Ligands to TLR3 and TLR7/8, but not other TLRs, induced interferon-β and interferon-λ in bronchial epithelial cells. The ligand to TLR7/8, but not those to other TLRs, induced only type I interferons in peripheral blood mononuclear cells. No difference was observed in TLR induced interferon or pro-inflammatory cytokine production between asthmatic and non-asthmatic subjects from either cell type. TLR3 and TLR7/8,, stimulation induced interferon in bronchial epithelial cells and peripheral blood mononuclear cells. Interferon induction to TLR agonists was not observed to be different in asthmatics and non-asthmatics

Anti-inflammatory effects of the novel inhaled phosphodiesterase type 4 inhibitor CHF6001 on virus-inducible cytokines

Respiratory virus infections precipitate asthma and chronic obstructive pulmonary disease (COPD) exacerbations, with most exacerbations due to rhinovirus infection. Both asthma and COPD exacerbations are not well controlled by steroid therapies, and there is a much research interest in finding improved therapies or combinations of therapies for controlling exacerbations. CHF6001 is a new, inhaled highly potent and selective phosphodiesterase type 4 (PDE4) inhibitor. Using in vitro human bronchial epithelial cells (BEAS-2B), we investigated the potential anti-inflammatory effects of CHF6001 on rhinovirus (RV1B)-induced cytokines. Cytokine mRNA was measured by real-time PCR, while protein release was measured by ELISA. CHF6001 was used in a 7-point dose–response curve (1000–0.001 nmol/L) as a 1.5-h pretreatment prior to infection in comparison with roflumilast. Both roflumilast and CHF6001 reduced RV1B-induced IL-8, IL-29, IP-10, and RANTES mRNA and protein in a concentration-dependent manner. Generally, CHF6001 was 13- to 16-fold more potent (subnanomolar EC50 values) than roflumilast at reducing IL-8, IL-29, IP-10, and RANTES mRNA and protein release, but had similar efficacies. In combination with the steroid fluticasone propionate (1 nmol/L), CHF6001 had additive effects, significantly reducing RV-induced cytokines when compared with steroid or CHF6001 alone. Combined low-dose steroid and low-dose CHF6001 had a similar efficacy as high-dose steroid or CHF6001 alone, indicating the combination had steroid and PDE4 inhibitor sparing effects. Overall results indicate that PDE4 inhibitors have anti-inflammatory activity against virus-induced inflammatory mediators and that CHF6001 is more potent than roflumilast

Nitrogen partitioning, energy use efficiency and isotopic fractionation measurements from cows differing in genetic merit fed low-quality pasture in late lactation

The study was carried out to evaluate energy and nitrogen (N) use efficiencies of high and low breeding worth (BW) cow groups relative to N isotopic fractionation (∆¹⁵N). Eight high- and eight low-BW cows (mean BW index ≤ 198 and 57, respectively) in late lactation were used to conduct an N balance study with all cows fed autumn pasture. Individual cow pasture DM intake, N intake and N outputs of milk, urine and faeces were quantified. Plasma sample from each cow was harvested. Feed, plasma, faeces, urine and milk samples were measured for δ¹⁵N and calculated for ∆¹⁵N. Urea N in milk and plasma, and urinary excretion of purine derivatives were also measured. The metabolisable energy (ME) intake, milk energy output, and energy and N use efficiencies of high-BW cows were greater on average than low-BW cows. Conversely, the ratios of urinary N excretion to faecal N excretion and urinary N excretion to N intake were greater for low-BW cows than high-BW cows. There was no effect of BW groups on manure N output, apparent N digestibility, retained N, purine derivatives excretion or ratio of purine derivatives excretion to ME intake. No relationships were found between N and energy efficiencies and δ¹⁵N measurements. Regression analysis with individual cow measurement showed plasma δ¹⁵N - feed δ¹⁵N was negatively correlated with DM intake. N use efficiency was positively correlated with BW. High genetic merit cows are more efficient in N and energy use than lower genetic merit cows when fed low quality pasture in late lactation. Plasma δ¹⁵N - feed δ¹⁵N was proved to be a potential indicator of DM intake for individual cows when identical feed was offered. BW may be used to predict N use efficiency for individual cows. © CSIRO 2014