Content and discontent: a qualitative exploration of obstacles to elearning engagement in medical students

BACKGROUND: Elearning is ubiquitous in healthcare professions education. Its equivalence to ‘traditional’ educational delivery methods is well established. There is a research imperative to clarify when and how to use elearning most effectively to mitigate the potential of it becoming merely a ‘disruptive technology.’ Research has begun to broadly identify challenges encountered by elearning users. In this study, we explore in depth the perceived obstacles to elearning engagement amongst medical students. Sensitising concepts of achievement emotions and the cognitive demands of multi-tasking highlight why students’ deeply emotional responses to elearning may be so important in their learning. METHODS: This study used focus groups as a data collection tool. A purposeful sample of 31 participated. Iterative data gathering and analysis phases employed a constant comparative approach to generate themes firmly grounded in participant experience. RESULTS: Key themes that emerged from the data included a sense of injustice, passivity and a feeling of being ‘lost at sea’. The actual content of the elearning resource provided important context. CONCLUSIONS: The identified themes have strong emotional foundations. These responses, interpreted through the lens of achievement emotions, have not previously been described. Appreciation of their importance is of benefit to educators involved in curriculum development or delivery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12909-016-0710-5) contains supplementary material, which is available to authorized users

Slow equivariant lump dynamics on the two sphere

The low-energy, rotationally equivariant dynamics of n CP^1 lumps on S^2 is studied within the approximation of geodesic motion in the moduli space of static solutions. The volume and curvature properties of this moduli space are computed. By lifting the geodesic flow to the completion of an n-fold cover of the moduli space, a good understanding of nearly singular lump dynamics within this approximation is obtained.Comment: 12 pages, 3 figure

Magnetic bubble refraction and quasibreathers in inhomogeneous antiferromagnets

The dynamics of magnetic bubble solitons in a two-dimensional isotropic antiferromagnetic spin lattice is studied, in the case where the exchange integral J(x,y) is position dependent. In the near continuum regime, this system is described by the relativistic O(3) sigma model on a spacetime with a spatially inhomogeneous metric, determined by J. The geodesic approximation is used to describe low energy soliton dynamics in this system: n-soliton motion is approximated by geodesic motion in the moduli space of static n-solitons, equipped with the L^2 metric. Explicit formulae for this metric for various natural choices of J(x,y) are obtained. From these it is shown that single soliton trajectories experience refraction, with 1/J analogous to the refractive index, and that this refraction effect allows the construction of simple bubble lenses and bubble guides. The case where J has a disk inhomogeneity (taking the value J_1 outside a disk, and J_2<J_1 inside) is considered in detail. It is argued that, for sufficiently large J_1/J_2 this type of antiferromagnet supports approximate quasibreathers: two or more coincident bubbles confined within the disk which spin internally while their shape undergoes periodic oscillations with a generically incommensurate period.Comment: Conference proceedings paper for talk given at Nonlinear Physics Theory and Experiment IV, Gallipoli, Italy, June 200

Temporal and spatial patterning of sea surface temperature in the northern Benguela upwelling system: Possible environmental indicators of clupeoid production

The physical dynamics of the northern Benguela upwelling system between July 1981 and August 1987 were investigated by applying standardized Principal Components Analysis to a time-series of 235 mean, weekly sea surface temperature satellite images of the region. The first three principal components accounted for 87% of the total variance in the standardized input images and were the only components retained for interpretation. Principal Component I (PC I) represents the mean spatial structure of the system in terms of relative SST gradients, PC II represents the balance in dominance between inshore-offshore v. longshore SST gradients and PC III highlights patterns associated with the warming of the central Namibian region (19–23°S) in conjunction with the maintenance of cooler conditions to the north and/or south. These results are interpreted within the context of previous findings on the behaviour of the system, and their relevance toclupeoid recruitment is discussed. Strong negative loadings on PC II indicated conditions which would promote the longshore “retention” of clupeoid eggs and larvae and “concentration” of planktonic food acrossthermoclines and thermal fronts, whereas strong positive loadings on PC III indicated conditions which would promote onshore retention and concentration. Conditions promoting onshore retention would, onoccasion, have also been reflected by positive loadings on PC II whenever there was a uniform contraction of the offshore upwelling front, as a result of reduced, but similar, levels of upwelling along the entire coast

Quantum lump dynamics on the two-sphere

It is well known that the low-energy classical dynamics of solitons of Bogomol'nyi type is well approximated by geodesic motion in M_n, the moduli space of static n-solitons. There is an obvious quantization of this dynamics wherein the wavefunction evolves according to the Hamiltonian H_0 equal to (half) the Laplacian on M_n. Born-Oppenheimer reduction of analogous mechanical systems suggests, however, that this simple Hamiltonian should receive corrections including k, the scalar curvature of M_n, and C, the n-soliton Casimir energy, which are usually difficult to compute, and whose effect on the energy spectrum is unknown. This paper analyzes the spectra of H_0 and two corrections to it suggested by work of Moss and Shiiki, namely H_1=H_0+k/4 and H_2=H_1+C, in the simple but nontrivial case of a single CP^1 lump moving on the two-sphere. Here M_1=TSO(3), a noncompact kaehler 6-manifold invariant under an SO(3)xSO(3) action, whose geometry is well understood. The symmetry gives rise to two conserved angular momenta, spin and isospin. A hidden isometry of M_1 is found which implies that all three energy spectra are symmetric under spin-isospin interchange. The Casimir energy is found exactly on the zero section of TSO(3), and approximated numerically on the rest of M_1. The lowest 19 eigenvalues of H_i are found for i=0,1,2, and their spin-isospin and parity compared. The curvature corrections in H_1 lead to a qualitatively unchanged low-level spectrum while the Casimir energy in H_2 leads to significant changes. The scaling behaviour of the spectra under changes in the radii of the domain and target spheres is analyzed, and it is found that the disparity between the spectra of H_1 and H_2 is reduced when the target sphere is made smaller.Comment: 35 pages, 3 figure

Palliative care for Parkinson's disease: Patient and carer's perspectives explored through qualitative interview

Background: Palliative care is recommended for non-malignant illnesses, including Parkinson’s disease. However, past research with healthcare workers highlights unmet palliative needs in this population and referral rates to Specialist Palliative Care are low. Some healthcare workers perceive a ‘fear’ in their patients about introducing palliative care. However, less is known about the views of people with Parkinson’s disease and their carers about palliative care. Aim: (1) To explore the palliative care and related issues most affecting people with Parkinson’s disease and their families and (2) to examine perceptions about/understanding of palliative care. Design: This was a qualitative study; semi-structured interviews were conducted, transcribed and analysed using thematic analysis. Setting/participants: A total of 31 people participated, both people with Parkinson’s disease (n = 19) and carers (n = 12), across three Movement Disorder Clinics in the Republic of Ireland. Results: People with Parkinson’s disease and their carers were unfamiliar with the term palliative care. When informed of the role of palliative care, most felt that they would benefit from this input. People with Parkinson’s disease and carers experienced a high illness burden and wanted extra support. Crises requiring Specialist Palliative Care involvement may occur at diagnosis and later, with advancing illness. Participants wanted more information about palliative care and especially further supports to address their psychosocial needs. Conclusion: A holistic palliative care approach could address the complex physical and psychosocial symptoms experienced by people with Parkinson’s disease and their carers, and people with Parkinson’s disease and their carers are open to palliative care. Further research needs to explore how palliative care can be introduced into the routine care for people with Parkinson’s disease

Protein O-Glucosyltransferase 1 (POGLUT1) Promotes Mouse Gastrulation through Modification of the Apical Polarity Protein CRUMBS2

Crumbs family proteins are apical transmembrane proteins with ancient roles in cell polarity. Mouse Crumbs2 mutants arrest at midgestation with abnormal neural plate morphology and a deficit of mesoderm caused by defects in gastrulation. We identified an ENU-induced mutation, wsnp, that phenocopies the Crumbs2 null phenotype. We show that wsnp is a null allele of Protein O-glucosyltransferase 1 (Poglut1), which encodes an enzyme previously shown to add O-glucose to EGF repeats in the extracellular domain of Drosophila and mammalian Notch, but the role of POGLUT1 in mammalian gastrulation has not been investigated. As predicted, we find that POGLUT1 is essential for Notch signaling in the early mouse embryo. However, the loss of mouse POGLUT1 causes an earlier and more dramatic phenotype than does the loss of activity of the Notch pathway, indicating that POGLUT1 has additional biologically relevant substrates. Using mass spectrometry, we show that POGLUT1 modifies EGF repeats in the extracellular domain of full-length mouse CRUMBS2. CRUMBS2 that lacks the O-glucose modification fails to be enriched on the apical plasma membrane and instead accumulates in the endoplasmic reticulum. The data demonstrate that CRUMBS2 is the target of POGLUT1 for the gastrulation epithelial-to-mesenchymal transitions (EMT) and that all activity of CRUMBS2 depends on modification by POGLUT1. Mutations in human POGLUT1 cause Dowling-Degos Disease, POGLUT1 is overexpressed in a variety of tumor cells, and mutations in the EGF repeats of human CRUMBS proteins are associated with human congenital nephrosis, retinitis pigmentosa and retinal degeneration, suggesting that O-glucosylation of CRUMBS proteins has broad roles in human health

Identification of a Phosphorylation Site for Calcium/Calmodulindependent Protein Kinase II in the NR2B Subunit of the N-Methyl-D-aspartate Receptor

The N-methyl-D-aspartate (NMDA) subtype of excitatory glutamate receptors plays critical roles in embryonic and adult synaptic plasticity in the central nervous system. The receptor is a heteromultimer of core subunits, NR1, and one or more regulatory subunits, NR2A-D. Protein phosphorylation can regulate NMDA receptor function (Lieberman, D. N., and Mody, I. (1994) Nature 369, 235-239; Wang, Y. T., and Salter, M. W. (1994) Nature 369, 233-235; Wang, L.-Y., Orser, B. A., Brautigan, D. L., and MacDonald, J. F. (1994) Nature 369, 230-232). Here we identify a major phosphorylation site on subunit NR2B that is phosphorylated by Ca2+/calmodulin-dependent protein kinase II (CaM kinase II), an abundant protein kinase located at postsynaptic sites in glutamatergic synapses. For the initial identification of the site, we constructed a recombinant fusion protein containing 334 amino acids of the C terminus of the NR2B subunit and phosphorylated it with CaM kinase II in vitro. By peptide mapping, automated sequencing, and mass spectrometry, we identified the major site of phosphorylation on the fusion protein as Ser-383, corresponding to Ser-1303 of full-length NR2B. The Km for phosphorylation of this site in the fusion protein was ~50 nM, much lower than that of other known substrates for CaM kinase II, suggesting that the receptor is a high affinity substrate. We show that serine 1303 in the full-length NR2B and/or the cognate site in NR2A is a major site of phosphorylation of the receptor both in the postsynaptic density fraction and in living hippocampal neurons