323 research outputs found

    mStories: exploring semiotics and praxis of user-generated mobile stories

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    © 2014 Taylor & Francis. Innovations in information and communication technologies have allowed people to actively author multimodal content and engage in new meaning-making practices. New Literacies research has gone some way to understanding new meaning-making behaviours. However, this research often derives its understandings from studies undertaken with students enrolled in formal educational settings. Mobile technologies are increasingly situated outside such domains; the informal use of these devices by adults remains on the periphery of scholarly focus. mStories is a creative participatory digital mobile storytelling project. Taking a multidimensional perspective, this article presents the in-depth case analysis of one participant and their mStory. A semiotic analysis found that the user-generated content demonstrated complex and sophisticated multimodal sense relations. However, control over the textual or compositional meta-function of the text was determined largely by the computer interface, with users habituated to relinquishing authorial control over this element. Within this study, mobile literacy praxis was characteristically ad hoc and contextually embedded, and though mobile technology invites such practices, users were neither determined nor limited by this, and happily turned to other devices where necessary

    A student-generated video careers project: Understanding the learning processes in and out of the classroom

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    Copyright © 2018, IGI Global. This article describes how in recent years, the multimedia recording capabilities of mobile devices have been used increasingly to create a more active, learner-centred educational experience. Despite the proven value of student-generated multimedia projects, there are still gaps in our understanding of how students learn during them. This article reports on a project in which first-year information technology students interviewed IT professionals in their workplace and video-recorded the interview to enable sharing with their peers. In order to understand the statistically significant increases found in students' learning, student diaries and reflections were analyzed qualitatively. Factors found to contribute to learning included: the iterative nature of student activities; the multiple, evolving representations of knowledge as students proceeded through the project; the importance of the workplace context in engaging students and enhancing learning; the affordance of mobile technology for capturing and sharing this context; and the collaborative and metacognitive processes fostered by the project

    The impact of an iPad-supported annotation and sharing technology on university students' learning

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    © 2018 Elsevier Ltd iPads, or more generally tablet computers, have received rapid and widespread uptake across higher education. Despite this, there is limited evidence of how their use affects student learning within this context. This study focuses on the use of a tablet by the instructor to support the annotation and in-class sharing of students' work to create a collaborative learning environment within a first year undergraduate subject. This paper reports the results of an empirical study looking at the effect this tablet technology has on student performance using a sample of 741 first-year accounting students. The study uses data from enrolment and attendance records, end of semester examination results and student perceptions from a survey. Results indicate that class sharing of the instructor's and students' annotation of homework through the use of a tablet is associated with an improvement in student performance on procedural or equation-based questions as well as increased student engagement. However, contrary to expectations, the introduction of in class annotations was associated with a decline in student performance on theoretical, extended response questions. The authors argue that affordances of the tablet, when used in a student-centred way, can introduce a bias towards some kinds of interactions over others. This large-scale study of in-class tablet use suggests that though the tablets may be positively associated with student engagement and satisfaction, caution must be exercised in how the use by the instructor affects the classroom environment and what students learn. These findings have particular relevance to university learning contexts with equation-centric subjects such as those in Business and STEM

    Increasing Student Engagement and Performance in Introductory Accounting through Student-Generated Screencasts

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    The paper reports the findings of a trial of student generated screencasts in an introductory accounting subject. This paper examines the effect of this screencast project on student engagement and performance. The effect on student engagement is examined using data from a pre and post screencast project student survey and performance effects examined by analysing the performance of students completing and not completing the project. The results of the study suggest the screencast project facilitated higher student engagement and performance. These findings have important implications for integrating technologies such as screencasting to facilitate enhanced learning outcomes in introductory accounting subjects

    Review article: experimental therapies in autoimmune hepatitis

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    BACKGROUND: Current therapeutic options for autoimmune hepatitis (AIH) are limited by adverse events associated with corticosteroids and thiopurines and the limited evidence base for second- and third-line treatment options. Furthermore, current treatment approaches require long-term exposure of patients to pharmacological agents. There have been significant advances in the understanding of the mechanisms underpinning autoimmunity and an expansion in the available therapeutic agents for suppressing autoimmune responses or potentially restoring self-tolerance. AIM: To review the mechanisms and evidence for experimental therapies that are being actively explored in the management of AIH. METHODS: We have reviewed the literature relating to a range of novel therapeutic immunomodulatory treatment strategies and drugs. RESULTS: Drugs which block B cell-activating factor of the tumour necrosis factor family (BAFF) and tumour necrosis factor α are currently in clinical trials for the treatment of AIH. Experimental therapies and technologies to increase immune tolerance, such as pre-implantation factor and regulatory T cell therapies, are undergoing development for application in autoimmune disorders. There is also evidence for targeting inflammatory pathways to control other autoimmune conditions, such as blockade of IL1 and IL6 and Janus-associated kinase (JAK) inhibitors. CONCLUSIONS: With the range of tools available to clinicians and patients increasing, it is likely that the therapeutic landscape of AIH will change over the coming years and treatment approaches offering lower corticosteroid use and aiming to restore immune self-tolerance should be sought

    A note on perturbation series in supersymmetric gauge theories

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    Exact results in supersymmetric Chern-Simons and N=2 Yang-Mills theories can be used to examine the quantum behavior of observables and the structure of the perturbative series. For the U(2) x U(2) ABJM model, we determine the asymptotic behavior of the perturbative series for the partition function and write it as a Borel transform. Similar results are obtained for N=2 SU(2) super Yang-Mills theory with four fundamental flavors and in N=2* super Yang-Mills theory, for the partition function as well as for the expectation values for Wilson loop and 't Hooft loop operators (in the 0 and 1 instanton sectors). In all examples, one has an alternate perturbation series where the coefficient of the nth term increases as n!, and the perturbation series are Borel summable. We also calculate the expectation value for a Wilson loop operator in the N=2* SU(N) theory at large N in different regimes of the 't Hooft gauge coupling and mass parameter. For large masses, the calculation reproduces the running gauge coupling for the pure N=2 SYM theory.Comment: 28 pages. V2: minor additions and reference adde

    Patient Priorities in Autoimmune Hepatitis: The Need for Better Treatments, More Education and Challenging Stigma

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    BACKGROUND: Data show that patients with autoimmune hepatitis have significantly reduced quality-of-life and that corticosteroids carry marked side effects. AIMS: This study explored patients’ experiences of autoimmune hepatitis and its treatments; key aspects for developing safe and effective new approaches to therapy. METHODS: An anonymised, internet-based survey collected data including patient demographics, treatments, side-effects, impact on day-to-day life, sources of support and attitudes towards autoimmune hepatitis between December 2019–January 2020. Semi-structured interviews were conducted with 13 patients to further explore their support networks, treatment experiences and health priorities. Descriptive and quantitative analyses were undertaken using R and free text responses were subject to thematic analysis. RESULTS: In total, 270 survey responses were received (median age 55 years and 94% female). Perceived medication side-effects were reported by 66% (169/257) and 73% responded negatively about their experience of corticosteroids. The majority (62·3% [(109/175]) would ‘definitely’ or ‘probably’ consider clinical trial participation to improve their care. Only 18·7% (31/166) reported access to a specialist liver nurse and nearly half were involved in support groups. Interview and survey data suggested that major issues were stigma, loss of control and fatigue. CONCLUSIONS: This study provides insights into the realities of living with autoimmune hepatitis with clear issues around lack of support networks, need for patient empowerment and stigma surrounding liver disease. Patient priorities are better therapies to slow disease progression, avoiding corticosteroids and minimising side-effects. Patient willingness to participate in trials suggests that they are achievable provided they have the right design and clinical endpoints

    The inter-relationship of symptom severity and quality of life in 2055 patients with primary biliary cholangitis

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    BackgroundAge at presentation with primary biliary cholangitis (PBC) is associated with differ-ential response to ursodeoxycholic acid (UDCA) therapy. Younger-presentingpatients are less likely to respond to treatment and more likely to need transplantor die from the disease. PBC has a complex impact on quality of life (QoL), withsystemic symptoms often having significant impact.AimTo explain the impact of age at presentation on perceived QoL and the inter-related symptoms which impact upon it.MethodsUsing the UK-PBC cohort, symptoms were assessed using the PBC-40 and othervalidated tools. Data were available on 2055 patients.ResultsOf the 1990 patients reporting a global PBC-QoL score, 66% reported good/neutralscores and 34% reported poor scores. Each 10-year increase in age at presentationwas associated with a 14% decrease in risk of poor perceived QoL (OR = 0.86,95% CI: 0.75–0.98, P < 0.05). All sympto m domains were similarly age-associated(P < 0.01). Social dysfunction was the symptom factor with the greatest impa ct onQoL. Median (interquartile range) PBC-40 social scores for patient s with good per-ceived QoL were 18 (14–23) compared with 34 (29–39) for those with poor QoL.ConclusionThe majo rity of patients with primary biliary cholangitis do not feel their QoL isimpaired, although impairment is reported by a sizeable minority. Age at presenta-tion is associated with impact on per ceived QoL and the symptoms impairing it,with younger patients being more affected. Social dysfunction makes the greatestcontribution to QoL impairment, and it should be targeted in trials aimed atimproving life quality

    Bacterial and metabolic phenotypes associated with inadequate response to ursodeoxycholic acid treatment in primary biliary cholangitis

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    Primary biliary cholangitis (PBC) is a chronic cholestatic liver disease with ursodeoxycholic acid (UDCA) as first-line treatment. Poor response to UDCA is associated with a higher risk of progressing to cirrhosis, but the underlying mechanisms are unclear. UDCA modulates the composition of primary and bacterial-derived bile acids (BAs). We characterized the phenotypic response to UDCA based on BA and bacterial profiles of PBC patients treated with UDCA. Patients from the UK-PBC cohort (n = 419) treated with UDCA for a minimum of 12-months were assessed using the Barcelona dynamic response criteria. BAs from serum, urine, and feces were analyzed using Ultra-High-Performance Liquid Chromatography-Mass Spectrometry and fecal bacterial composition measured using 16S rRNA gene sequencing. We identified 191 non-responders, 212 responders, and a subgroup of responders with persistently elevated liver biomarkers (n = 16). Responders had higher fecal secondary and tertiary BAs than non-responders and lower urinary bile acid abundances, with the exception of 12-dehydrocholic acid, which was higher in responders. The sub-group of responders with poor liver function showed lower alpha-diversity evenness, lower abundance of fecal secondary and tertiary BAs than the other groups and lower levels of phyla with BA-deconjugation capacity (Actinobacteriota/Actinomycetota, Desulfobacterota, Verrucomicrobiota) compared to responders. UDCA dynamic response was associated with an increased capacity to generate oxo-/epimerized secondary BAs. 12-dehydrocholic acid is a potential biomarker of treatment response. Lower alpha-diversity and lower abundance of bacteria with BA deconjugation capacity might be associated with an incomplete response to treatment in some patients
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