Munazza’s story: Shedding light on a science teacher’s conceptions of the nature of science through a life history study

Life history research creates a broader understanding of teaching by providing illustration of the relationships among various aspects of teachers’ lives and their teaching practice, both inside and beyond the classroom. This article focuses on the life history of Munazza, a young science teacher at the Karachi Model Secondary School (KMSS), a private, co‐educational, English‐medium school for children from middle‐income families. Its purpose is to gain insight into a female science teacher\u27s understanding of teaching science in a school in Pakistan, ascertain what aspects of this science teacher\u27s conceptions of the nature of science are explicit in her practice, and determine how the teacher\u27s life history has affected those views

Et kritisk blik på praktisk arbejde i naturfagene

Denne artikel kaster et kritisk blik på det praktiske arbejde i skolens naturfag og på de ofte ekstraordinært store forventninger vi stiller til det. Idet forfatteren hævder at meget af det vi gør, er dårligt forstået, rodet og af ringe uddannelsesmæssig værdi, argumenteres der for en mere præcis, teoridrevet tilgang

Investigating the effects of 5.5 mmoL vs 25 mmoL glucose concentration in culture media on LHCN-M2 cell viability, proliferation, metabolism and differentiation

Introduction: In vitro skeletal muscle cell models are vitally important for investigating the molecular mechanisms of skeletal muscle in metabolic and endocrine diseases, such as obesity and type 2 diabetes. Culture media for skeletal muscle cells can often contain glucose concentrations (GC) five times higher than what’s considered normal in fasting human plasma, thus is not representative of the in vivo environment. Hyperglycaemia in culture media may negatively impact metabolic function, by creating a model of cell toxicity that’s representative of diseases such as diabetes mellitus. The aim of these experiments was to determine the impact of media containing GC of 5.5 mmol (physiological) vs 25 mmol (supraphysiological) on cell viability, proliferation, ATP production and differentiation in human LHCN-m2 myoblasts.Methods: LHCN-m2 myoblasts were cultured in 5.5 mmol or 25 mmol glucose growth media and cell viability, ATP production, and proliferation were determined. Differentiation of LHCN-m2 myoblasts into multinucleated myotubes was induced by reducing levels of human serum within the culture media and analysed by immunofluorescence following 10 days of differentiation.Results: We observed no differences in the viability, proliferation or basal ATP production rates of LHCN-m2 cells grown in 5.5 mmol compared to 25 mmol glucose (P> 0.05 for all). However cells had a trend of higher ATP production rates and faster proliferation in 5.5 mmol compared to 25 mmol. Fluorescence microscopy revealed the formation of multinucleated myotubes differentiated in 5.5 mmol glucose media containing various concentrations of human serum (0.5%, 1% and 2%).Conclusions: Our data demonstrates the ability to differentiate LHCN-m2 cells in 5.5 mmol GC, which allows our in vitro model to be more physiologically-relevant and more comparable to what is observed in vivo in humans. Further work is required to determine the implications of GC on the wider metabolic function in LHCN-m2 myoblasts

Antibiotics for acute respiratory tract infections: a mixed methods study of patient experiences of non-medical prescriber management

ABSTRACT Objective: To 1) explore patients’ expectations and experiences of nurse and pharmacist non- medical prescriber led management of respiratory tract infections, 2) to examine whether patient expectations for antibiotics affect the likelihood of receiving them, and 3) to understand factors influencing patient satisfaction with respiratory tract infection consultations. Design: Mixed methods Setting: Primary care Participants: Questionnaires from 120 patients and follow-up interviews with 22 patients and 16 nurse and pharmacist non-medical prescribers. Results: Patients had multiple expectations of their consultation with 43% expecting to be prescribed an antibiotic. There was alignment between self-reported patient expectations and those perceived by non-medical prescribers. Patient expectations for non-antibiotic strategies, such as education to promote self-management, were associated with receipt of those strategies, whereas patient expectations for an antibiotic were not associated with receipt of these medications. ‘Patient-centred’ management strategies (including reassurance and providing information) were received by 86.7% of patients. Regardless of patients’ expectation or the management strategy employed, high levels of satisfaction were reported for all aspects of the consultation. Taking concerns seriously, conducting a physical examination, communicating the treatment plan, explaining treatment decisions, and lack of time restrictions, were each reported to contribute to patient satisfaction. Conclusion: Non-medical prescribers demonstrate an understanding of patient expectations of respiratory tract infection consultations and use a range of non-antibiotic management strategies, particularly those resembling a patient-centred approach. Overall, patients’ expectations were met and prescribers were not unduly influenced by patient expectations for an antibiotic. Patients were satisfied with the consultation, indicating that strategies used by non-medical prescribers were acceptable. However, the lower levels of satisfaction among patients who expected but did not receive an antibiotic, indicates that although NMPs appear to have strategies for managing RTI consultations, there is still scope for improvement and these prescribers are therefore an important group to involve in antimicrobial stewardship

Olhares e reflexões contemporâneas sobre o triângulo sociedade-educação-tecnologias e suas influências no ensino das ciências

Quando se combinam termos como sociedade, educação e tecnologias, parece destacar-se a ideia de que as tecnologias têm sido associadas a algumas das mais expressivas mudanças ocorridas na sociedade do século XX e início do século XXI, e têm sido relatadas como capazes de influenciar aspetos diversos e significativos da realidade social, a ponto de alguns autores dizerem que estamos perante uma nova forma de organização da sociedade e do sistema econômico, à qual o sistema educativo deveria procurar corresponder, adequando-se. Neste artigo, apresentam-se algumas perspetivas e olhares que julgamos úteis para alavancar uma reflexão sustentada e projetiva sobre o passado, o presente e o futuro das inter-relações entre as esferas social, educativa e tecnológica e as possíveis influências daí decorrentes para o ensino das ciências. Assim, de forma mais descritiva, importa referir que este artigo é constituído por cinco tópicos que julgamos relevantes para consubstanciar a reflexão sobre a temática em apreço. Começando por apresentar algumas considerações sobre a sociedade da informação, a metáfora da rede e o potencial coletivo, segue-se um enfoque nas tecnologias e na sua relação com as "escolas que aprendem". Na medida em que o letramento digital não se esgota na competência tecnológica, a instituição escolar - e os seus agentes pode assumir um papel de mediação entre os desafios da sociedade do conhecimento e as novas gerações. Nesse contexto de interdependências múltiplas, termina-se o artigo com algumas reflexões sobre a educação em ciência, o ensino das ciências e o letramento científico na sociedade da informação

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial

Background Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear. Methods RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047. Findings Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths. Interpretation Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population

Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial

Background Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain. Methods RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov , NCT00541047 . Findings Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths. Interpretation Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy. Funding Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society

Science Education as a Call to Action

Este artículo considera que tanto la educación en Ciencia, Tecnología, Sociedad y Ambiente (CTSA) como las formas convencionales de la enseñanza de problemas socio-científicos (PSC) son inadecuadas para satisfacer las necesidades e intereses de los y las estudiantes que se enfrentan con demandas, problemas y asuntos de la vida contemporánea. Se defiende un acercamiento educativo mucho más politizado, con un mayor énfasis en la crítica social, la clarificación de valores y la acción socio-política, a través de un enfoque basado en problemas que puede convivir con el currículo convencional basado en disciplinas. Para ello, es necesario que la confrontación de cuestiones, la consideración de los valores subyacentes y la acción sean totalmente integrados al currículumThis article takes the view that both science, technology, society, environment (STSE) education and conventional forms of socio-scientific issues (SSI)-oriented science education are inadequate to meet the needs and interests of students faced with the demands, issues, and problems of contemporary life. A much more politicized approach is advocated, with major emphasis on social critique, values clarification, and sociopolitical actio