192 research outputs found

    Grafting: An Approach to Exploring Crossovers Between Craft and Gaming

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    This thesis investigates the crossovers between craft practices and the play of video games by utilising innovative design and making approaches. The study challenges assumptions about craft and gaming by exploring their intersections and sheds light on the potential value for contexts beyond individual practices. Through an analysis of skilled amateur craft and gaming, the research explored an emerging field by considering the embodied nature of video gaming and its theoretical relationship with craft. Specifically, this study contributes new knowledge through the development of ‘graft-games’ that reveal potential to improve production efficiency by directly connecting craft and gaming. The study combines theoretical investigation with creative practice, employing a mixed-methods approach that spans the fields of craft and gaming. This study establishes new ways of thinking about embodiment and practice in both fields by drawing upon craft theory and games studies. Indeed, through an analysis of autoethnographic observations of amateur craft and gaming case studies, this study also develops a conceptual model that articulates areas of crossover between them. The conceptual model is evaluated through a progressive series of applications and prototypes. Firstly, the graft-game, Hazuki Knit, is informed through a series of public participatory events. A second prototype graft-game, Pocket Racer, is developed through observations of skilled practices within the Blackburn based garment manufacturer Cookson & Clegg, tested at a festival site through public interaction and deployed as an intervention into a small-scale production process. The evaluation and analysis of graft-game prototypes indicate the value of introducing craft-game hybrids into manufacturing contexts. The study contributes new knowledge through the concept of grafting, positing that creating new or merged goals for users supports the development of individual strategies for improving efficiency and reducing risk. New hybrid forms of knowledge emerge through cross-fertilisation and conjoined experiences between craft and gaming. By utilising creative practice this research contributes to our theoretical understanding of the relationship between craft and games, adding new understanding in the form of ‘graft-games’ and the value these generate

    Indigenous participation in intercultural education:learning from Mexico and Tanzania

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    Intercultural education seeks to create a forum for integrating Western scientific knowledge and indigenous knowledge to address local and global challenges such as biocultural diversity conservation, natural resource management, and social justice for indigenous peoples. Intercultural education is based on learning together with, rather than learning about or from, indigenous communities. In the best examples, problem-based learning dissolves the dichotomy between indigenous and nonindigenous, resulting in full partnerships in which participants share expertise to meet mutual needs. With reference to literature and two illustrative examples of intercultural education initiatives in Mexico and Tanzania, we present an original conceptual framework for assessing indigenous participation in intercultural education. This incorporates a new ladder of participation depth (in relation to both curriculum content and decision making) alongside separate considerations of breadth, i.e., stakeholder diversity, and scope, i.e., the number of key project stages in which certain stakeholder groups are participating. The framework can be used to compare intercultural education initiatives in differing contexts and might be adaptable to other intercultural work

    Poverty and Inequality in Middle Income Countries: Policy Achievements, Political Obstacles

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    This collection offers a timely reassessment of viable ways of addressing poverty across the globe today. The profile of global poverty has changed dramatically over the past decade, and around three-quarters of the poor now live in middle income countries, making inequality a major issue. This requires us to fundamentally rethink anti-poverty strategies and policies, as many aspects of the established framework for poverty reduction are no longer effective. Featuring contributions from Latin America, Africa and Asia, this much-needed collection answers some of the key questions arising as development policy confronts the challenges of poverty and inequality on the global, national and local scale in both urban and rural contexts. Providing poverty researchers and practitioners with valuable new tools to address new forms of poverty in the right way, Poverty and Inequality in Middle Income Countries shows how a radical switch from aid to redistribution-based social policies is needed to combat new forms of global poverty.Comparative Research Programme on Poverty (CROP) at the University of BergenpublishedVersio

    AIDS virus–specific CD8+ T lymphocytes against an immunodominant cryptic epitope select for viral escape

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    Cryptic major histocompatibility complex class I epitopes have been detected in several pathogens, but their importance in the immune response to AIDS viruses remains unknown. Here, we show that Mamu-B*17+ simian immunodeficiency virus (SIV)mac239-infected rhesus macaques that spontaneously controlled viral replication consistently made strong CD8+ T lymphocyte (CD8-TL) responses against a cryptic epitope, RHLAFKCLW (cRW9). Importantly, cRW9-specific CD8-TL selected for viral variation in vivo and effectively suppressed SIV replication in vitro, suggesting that they might play a key role in the SIV-specific response. The discovery of an immunodominant CD8-TL response in elite controller macaques against a cryptic epitope suggests that the AIDS virus–specific cellular immune response is likely far more complex than is generally assumed

    A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions

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    Background: NHS England funded 40 Mental Health and Wellbeing Hubs to support health and social care staff affected by the COVID-19 pandemic. We aimed to document variations in how national guidance was adapted to the local contexts of four Hubs in the North of England.Methods: We used a modified version of Price’s (2019) service mapping methodology. Service level data were used to inform the analysis. A mapping template was adapted from a range of tools, including the European Service Mapping Schedule, and reviewed by Hub leads. Key data included service model; staffing; and interventions. Data were collected between March 2021 – March 2022 by site research assistants. Findings were accuracy-checked by Hub leads, and a logic model developed to theorise how the Hubs may effect change.Results: Hub goals and service models closely reflected guidance; offering: proactive outreach; team-based support; clinical assessment; onward referral, and rapid access to mental health support (in-house and external). Implementation reflected a service context of a client group with high mental health need, and high waiting times at external mental health services. Hubs were predominantly staffed by experienced clinicians, to manage these mental health presentations and organisational working. Formulation-based psychological assessment and the provision of direct therapy were not core functions of the NHS England model, however all Hubs incorporated these adaptations into their service models in response to local contexts, such as extensive waiting lists within external services, and/or client presentations falling between gaps in existing service provision. Finally, a standalone clinical records system was seen as important to reassure Hub users of confidentiality. Other more nuanced variation depended on localised contexts.Conclusion: This study provides a map for setting up services, emphasising early understandings of how new services will integrate within existing systems. Local and regional contexts led to variation in service configuration. Whilst additional Hub functions are supported by available literature, further research is needed to determine whether these functions should comprise essential components of staff wellbeing services moving forward. Future research should also determine the comparative effectiveness of service components, and the limits of permissible variation.Study registration: researchregistry6303.</p

    Heterogeneity in outcomes of treated HIV-positive patients in Europe and North America: relation with patient and cohort characteristics

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    Background HIV cohort collaborations, which pool data from diverse patient cohorts, have provided key insights into outcomes of antiretroviral therapy (ART). However, the extent of, and reasons for, between-cohort heterogeneity in rates of AIDS and mortality are unclear. Methods We obtained data on adult HIV-positive patients who started ART from 1998 without a previous AIDS diagnosis from 17 cohorts in North America and Europe. Patients were followed up from 1 month to 2 years after starting ART. We examined between-cohort heterogeneity in crude and adjusted (age, sex, HIV transmission risk, year, CD4 count and HIV-1 RNA at start of ART) rates of AIDS and mortality using random-effects meta-analysis and meta-regression. Results During 61 520 person-years, 754/38 706 (1.9%) patients died and 1890 (4.9%) progressed to AIDS. Between-cohort variance in mortality rates was reduced from 0.84 to 0.24 (0.73 to 0.28 for AIDS rates) after adjustment for patient characteristics. Adjusted mortality rates were inversely associated with cohorts' estimated completeness of death ascertainment [excellent: 96-100%, good: 90-95%, average: 75-89%; mortality rate ratio 0.66 (95% confidence interval 0.46-0.94) per category]. Mortality rate ratios comparing Europe with North America were 0.42 (0.31-0.57) before and 0.47 (0.30-0.73) after adjusting for completeness of ascertainment. Conclusions Heterogeneity between settings in outcomes of HIV treatment has implications for collaborative analyses, policy and clinical care. Estimated mortality rates may require adjustment for completeness of ascertainment. Higher mortality rate in North American, compared with European, cohorts was not fully explained by completeness of ascertainment and may be because of the inclusion of more socially marginalized patients with higher mortality ris
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