Automation in distance learning: an empirical study of unlearning and academic identity change linked to automation of student messaging within distance learning

This paper explores the unlearning and learning undertaken by adjuncts (Associate Lecturers) during the introduction of automated messaging by the university as part replacement of adjunct pastoral support for students. Automated messages were introduced by the University to standardize the student experience in terms of qualification communications, for example, reminders of forthcoming assessment deadlines. This change in communicative strategy is due to shifting power from a collegial to a managerial culture and practice in supporting distance learning students effectively. This is a university-wide initiative in a bid to improve progression and completion in an increasingly cost-focused higher education environment. The introduction of automated messaging requires adjuncts to learn new processes, and thus unlearn previous organizational routines which impacts upon their academic identity and perceived power within their roles

A moment in and out of time: precarity, liminality, and autonomy in crisis teaching

This paper explores tensions and ambiguities for UK HE teachers during COVID-19. It analyses changed behaviours and routines for existing hybrid workers experienced in online pedagogy through three core axes of precarity and security; time and perceptions of time; and communication. Twelve participants supplied photographs and written narratives depicting their teaching during the pandemic. To understand working lives at this liminal time, we undertook three-level photographic and content analysis, examining the interplay between homeworking challenges and extremities with an accompanying range of emotional responses. Findings include changed routines, new independence, and tensions around resulting autonomy in a liminal lockdown phase when everyday life was anything but. Recommendations for HE management are to ensure that effective communication and collaboration are privileged between management and academic staff. Moving forward, the value of academic judgement and voice should be acknowledged as much as teaching capacity in strategic planning and tuition delivery

Stop all the clocks: Narratives of independence, interdependence, and resistance in digital teaching when the everyday is every day.

This study offers an account of HE business and law teachers’ responses to increased ambiguities and anxieties provoked during the 2020 Covid-19 pandemic. Respondents chronicled the abrupt transition to online-only teaching and learning during the early weeks of pandemic lockdown, using a mix of self-chosen photographs and other images, and accompanying narratives. These reflective accounts uncovered a series of emotionally heightened reactions, identity challenges, and new independencies to enforced autonomies from a lack of institutional direction and communication at this time. Whilst pre-pandemic, institutional and sector manoeuvres, and encroaching authoritarianism (McCann et al, 2020) were producing diminishing terms and conditions and increased precarity for those in digital teaching roles, (Collins et al, 2020), the lockdown period offered a pause in expected workplace relations. Widespread confusion accompanying an abrupt breakdown of routines and role definitions led to a vacuum in management presence alongside both an intensification of workload and temporary emancipation from expected performance metrics. Consequences of this ‘absence of leadership’ (Cai et al 2021:392) and workplace extremity in other public-facing sectors has already been reported on from early pandemic research outputs, such as healthcare (Ford et al, 2022) and retail (Cai et al, 2021). The research process undertook a content analysis of responses to three themes recommended to our participants as starting points: ‘precarity and security’, ‘time’ and ‘communication’. We asked them to describe emotional rather than operational aspects of transition to a complete shift to online rather than blended workplace. Accompanying images were used by participants as a focal point for the changes to everyday teaching encounters that had value to them. We found early pandemic conditions (March – May 2020) produced a liminal state (Turner, 1982) at the micro level of teaching interactions. Individuals became separated from their regular lives. They entered a newly ambiguous state, freed from well-worn customs, regulations, and management control measures, before in due time being reaggregated into new, hybrid teaching roles as longer-term outcomes of the crisis. Multiple and conflicting communications from the institution offered opportunities to individual academics who took student learning into their own hands, producing a wide range of narratives ranging from fear and doubt to new self-determination and a growth mindset. Our early conclusions are pointing to intense and emotive phases of work producing positive impacts on work identity as well as negative. We observed the mitigation of psychological impact on those respondents who both kept busy during the lockdown period and who took control in their online learning classrooms, filtering and translating myriad communications to provide a clear voice for students. Learnings taken include the importance of continuing to nurture the positive aspects of identity, such as autonomy and responsibility, are not diluted. We also noted, like Czarniawska and Mazza (2003:272) before us, that although the pandemic threw up major challenges and difficulties for those teaching in the digital sphere, that liminal state also resulted in ‘a sense of freedom’, a ‘possibility of creation’ and shared sense of community with fellow teachers and learners during this time

Perinatal Excellence to Reduce Injury in Preterm Birth (PERIPrem) through Quality Improvement

Perinatal Excellence to Reduce Injury in Premature Birth (PERIPrem) is an 11-element perinatal care bundle designed to improve outcomes for preterm babies, in line with the National Health Service (NHS) Long Term plan. Designed in collaboration with 12 NHS Trusts (secondary care hospitals), South West and West of England Academic Health Science Networks, South West Neonatal Operational Delivery Network, parent partners and clinical experts, implementation was via bespoke quality improvement (QI) methodology. Before project initiation, there was regional variation in uptake of elements, evidenced by baseline audit. Optimisation of the preterm infant is complex; eligibility for treatments is dependent on gestation and local policies. Preterm infants experience variability in care dependent on the place of birth, and there remains an implementation gap for several effective, evidence-based treatments. The PERIPrem ambition is to reduce severe brain injury and death caused by prematurity by at least 50% through the delivery of a perinatal care bundle. The PERIPrem approach resulted in improved element implementation by 26% (from 3% to 29%) between 2019 and 2021, with dyads significantly more likely to receive the full bundle in 2021 compared with 2019 (probability=0.96 (95% CI 0.87 to 0.99), p<0.001). When examining the impact on psychological safety and team-working of PERIPrem, linear mixed models indicated an improvement in team function (p=0.021), situation monitoring (p=0.029) and communication within teams (p=0.002). Central to success was the development of a committed multiorganisational collaborative that continues to drive perinatal improvement using a common language and streamlining processes. In addition to saving the lives of the most vulnerable babies, PERIPrem aims to improve the chances of disability-free lives and is successfully nurturing high-functioning perinatal teams with enhanced QI skills

A representação dos conventos de Lisboa cerca de 1567 na primeira planta da cidade

No presente trabalho estuda-se por um lado a primeira representação de cada um dos conventos de Lisboa, tal como foram registados na segunda gravura com a imagem da capital, publicada em 1598 por Georg Braun no volume V da série Civitatis orbis terrarum, e por outro mostra-se como esta imagem corresponderá à primeira planta-topográfica de Lisboa preparada talvez cerca de 1567. A referida imagem de Lisboa revela o essencial das linhas de força do urbanismo da cidade no século XVI e apresenta um primeiro e vasto panorama visual do património construído até então, de que apreciamos aqui o caso dos quinze conventos nela representados.Fundação para a Ciência e a Tecnologia (FCT), Fundação Millennium bc

Geochemical Sourcing of New Zealand Obsidians by Portable X-Ray Fluorescence from 2011 to 2018

This dataset includes 4,582 obsidian artefacts matched to their natural geological source from 45 archaeological sites in New Zealand (Aotearoa). It is a compilation of a number of independent projects conducted in the laboratories of the University of Auckland and University of Otago from 2011 to 2018 [1–13]. It combines previously published studies [3, 5–13], an MA thesis [1], a BA(Hons) dissertation [2], a site report [4], and other previously unpublished primary data. The dataset has high reuse potential for future non-destructive studies of artefacts and social network analyses.   Funding statement: This database began as part of a project funded by Royal Society of New Zealand Marsden Grant (UOA1619) and the support of Te Pūnaha Matatini

Alkaline ceramidase 1 is essential for mammalian skin homeostasis and regulating whole-body energy expenditure.

The epidermis is the outermost layer of skin that acts as a barrier to protect the body from the external environment and to control water and heat loss. This barrier function is established through the multistage differentiation of keratinocytes and the presence of bioactive sphingolipids such as ceramides, the levels of which are tightly regulated by a balance of ceramide synthase and ceramidase activities. Here we reveal the essential role of alkaline ceramidase 1 (Acer1) in the skin. Acer1-deficient (Acer1(-/-) ) mice showed elevated levels of ceramide in the skin, aberrant hair shaft cuticle formation and cyclic alopecia. We demonstrate that Acer1 is specifically expressed in differentiated interfollicular epidermis, infundibulum and sebaceous glands and consequently Acer1(-/-) mice have significant alterations in infundibulum and sebaceous gland architecture. Acer1(-/-) skin also shows perturbed hair follicle stem cell compartments. These alterations result in Acer1(-/-) mice showing increased transepidermal water loss and a hypermetabolism phenotype with associated reduction of fat content with age. We conclude that Acer1 is indispensable for mammalian skin homeostasis and whole-body energy homeostasis. © 2016 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of Pathological Society of Great Britain and Ireland

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Effects of antiplatelet therapy after stroke due to intracerebral haemorrhage (RESTART): a randomised, open-label trial

Background: Antiplatelet therapy reduces the risk of major vascular events for people with occlusive vascular disease, although it might increase the risk of intracranial haemorrhage. Patients surviving the commonest subtype of intracranial haemorrhage, intracerebral haemorrhage, are at risk of both haemorrhagic and occlusive vascular events, but whether antiplatelet therapy can be used safely is unclear. We aimed to estimate the relative and absolute effects of antiplatelet therapy on recurrent intracerebral haemorrhage and whether this risk might exceed any reduction of occlusive vascular events. Methods: The REstart or STop Antithrombotics Randomised Trial (RESTART) was a prospective, randomised, open-label, blinded endpoint, parallel-group trial at 122 hospitals in the UK. We recruited adults (≥18 years) who were taking antithrombotic (antiplatelet or anticoagulant) therapy for the prevention of occlusive vascular disease when they developed intracerebral haemorrhage, discontinued antithrombotic therapy, and survived for 24 h. Computerised randomisation incorporating minimisation allocated participants (1:1) to start or avoid antiplatelet therapy. We followed participants for the primary outcome (recurrent symptomatic intracerebral haemorrhage) for up to 5 years. We analysed data from all randomised participants using Cox proportional hazards regression, adjusted for minimisation covariates. This trial is registered with ISRCTN (number ISRCTN71907627). Findings: Between May 22, 2013, and May 31, 2018, 537 participants were recruited a median of 76 days (IQR 29–146) after intracerebral haemorrhage onset: 268 were assigned to start and 269 (one withdrew) to avoid antiplatelet therapy. Participants were followed for a median of 2·0 years (IQR [1·0– 3·0]; completeness 99·3%). 12 (4%) of 268 participants allocated to antiplatelet therapy had recurrence of intracerebral haemorrhage compared with 23 (9%) of 268 participants allocated to avoid antiplatelet therapy (adjusted hazard ratio 0·51 [95% CI 0·25–1·03]; p=0·060). 18 (7%) participants allocated to antiplatelet therapy experienced major haemorrhagic events compared with 25 (9%) participants allocated to avoid antiplatelet therapy (0·71 [0·39–1·30]; p=0·27), and 39 [15%] participants allocated to antiplatelet therapy had major occlusive vascular events compared with 38 [14%] allocated to avoid antiplatelet therapy (1·02 [0·65–1·60]; p=0·92). Interpretation: These results exclude all but a very modest increase in the risk of recurrent intracerebral haemorrhage with antiplatelet therapy for patients on antithrombotic therapy for the prevention of occlusive vascular disease when they developed intracerebral haemorrhage. The risk of recurrent intracerebral haemorrhage is probably too small to exceed the established benefits of antiplatelet therapy for secondary prevention

Effects of antiplatelet therapy after stroke due to intracerebral haemorrhage (RESTART): a randomised, open-label trial

Background: Antiplatelet therapy reduces the risk of major vascular events for people with occlusive vascular disease, although it might increase the risk of intracranial haemorrhage. Patients surviving the commonest subtype of intracranial haemorrhage, intracerebral haemorrhage, are at risk of both haemorrhagic and occlusive vascular events, but whether antiplatelet therapy can be used safely is unclear. We aimed to estimate the relative and absolute effects of antiplatelet therapy on recurrent intracerebral haemorrhage and whether this risk might exceed any reduction of occlusive vascular events. Methods: The REstart or STop Antithrombotics Randomised Trial (RESTART) was a prospective, randomised, open-label, blinded endpoint, parallel-group trial at 122 hospitals in the UK. We recruited adults (≥18 years) who were taking antithrombotic (antiplatelet or anticoagulant) therapy for the prevention of occlusive vascular disease when they developed intracerebral haemorrhage, discontinued antithrombotic therapy, and survived for 24 h. Computerised randomisation incorporating minimisation allocated participants (1:1) to start or avoid antiplatelet therapy. We followed participants for the primary outcome (recurrent symptomatic intracerebral haemorrhage) for up to 5 years. We analysed data from all randomised participants using Cox proportional hazards regression, adjusted for minimisation covariates. This trial is registered with ISRCTN (number ISRCTN71907627). Findings: Between May 22, 2013, and May 31, 2018, 537 participants were recruited a median of 76 days (IQR 29–146) after intracerebral haemorrhage onset: 268 were assigned to start and 269 (one withdrew) to avoid antiplatelet therapy. Participants were followed for a median of 2·0 years (IQR [1·0– 3·0]; completeness 99·3%). 12 (4%) of 268 participants allocated to antiplatelet therapy had recurrence of intracerebral haemorrhage compared with 23 (9%) of 268 participants allocated to avoid antiplatelet therapy (adjusted hazard ratio 0·51 [95% CI 0·25–1·03]; p=0·060). 18 (7%) participants allocated to antiplatelet therapy experienced major haemorrhagic events compared with 25 (9%) participants allocated to avoid antiplatelet therapy (0·71 [0·39–1·30]; p=0·27), and 39 [15%] participants allocated to antiplatelet therapy had major occlusive vascular events compared with 38 [14%] allocated to avoid antiplatelet therapy (1·02 [0·65–1·60]; p=0·92). Interpretation: These results exclude all but a very modest increase in the risk of recurrent intracerebral haemorrhage with antiplatelet therapy for patients on antithrombotic therapy for the prevention of occlusive vascular disease when they developed intracerebral haemorrhage. The risk of recurrent intracerebral haemorrhage is probably too small to exceed the established benefits of antiplatelet therapy for secondary prevention