Excellence in Teaching and Learning in Reusable Learning Objects

Our ongoing work at London Metropolitan University investigates effective ways to design learning environments that add mobile learning into blended higher education modules. Our approach is one of evolutionary, iterative refinement of the learning environment based on student feedback. Blended learning effectiveness can be viewed as a function of effective pedagogical practices. Accordingly, a key question is: What combination of instructional strategies and delivery media will best produce the desired learning outcome for the intended audience? The paper will (i) outline the background issues that led to the development of the blended mLearning approach (ii) describe the initial survey that informed our design, (iii) outline the blended mLearning design, (iv) present our evaluation findings with students, and (v) conclude by commenting on the wider applicability of our approach.London Metropolitan Universit

Generating Older Active Lives Digitally (GOALD) Through Sport-Based Reminiscence

How do digitally-delivered meaningful activities, such as sport-based reminiscence, influence older people’s health and well-being and intergenerational relationships? Developing and strengthening older people’s ’connectivities’ through their links with community, resources and meaningful activities is a key aspect of supporting healthy ageing and reducing health inequalities in later life. Sport-based reminiscence has become an established activity to facilitate social connectivity and increasingly, digital connectivity, which can support an individual’s sense of health and well-being. This paper reports on research undertaken within a three-year research programme on ’Connectivity and Digital Design for Promoting Health and Well-being Across Generations, Places and Spaces’ focusing on research conducted with four community-based co-production groups in Scotland. The qualitative research was developed with a stakeholder advisory group and co-production groups in care homes and in community. Data was gathered from recording of meetings and researcher observations thematically analysed to document shared experiences of digitally enabled sport reminiscence over a ten month period. We report on the efficacy of live-streamed and digital sport heritage experiences for triggering reminiscence in a hybrid context. We emphasise the need for structured facilitation of hybrid online/in-person reminiscence, which can clearly produce meaningful and enjoyable experiences for older people, and building connectivity

'Divided they stand, divided they fail': opposition politics in Morocco

The literature on democratization emphasises how authoritarian constraints usually lead genuine opposition parties and movements to form alliances in order to make demands for reform to the authoritarian regime. There is significant empirical evidence to support this theoretical point. While this trend is partly visible in the Middle East and North Africa, such coalitions are usually short-lived and limited to a single issue, never reaching the stage of formal and organic alliances. This article, using the case of Morocco, seeks to explain this puzzle by focusing on ideological and strategic differences that exist between the Islamist and the secular/liberal sectors of civil society, where significant opposition politics occurs. In addition, this article also aims to explain how pro-democracy strategies of the European Union further widen this divide, functioning as a key obstacle to democratic reforms

Marine stratocumulus aerosol-cloud relationships in the MASE-II experiment: Precipitation susceptibility in eastern Pacific marine stratocumulus

Observational data on aerosol-cloud-drizzle relationships in marine stratocumulus are presented from the second Marine Stratus/Stratocumulus Experiment (MASE-II) carried out in July 2007 over the eastern Pacific near Monterey, California. Observations, carried out in regions of essentially uniform meteorology with localized aerosol enhancements due to ship exhaust (“ship tracks”), demonstrate, in accord with those from numerous other field campaigns, that increased cloud drop number concentration Nc and decreased cloud top effective radius r_e are associated with increased subcloud aerosol concentration. Modulation of drizzle by variations in aerosol levels is levels is clearly evident. Variations of cloud base drizzle rate R_(cb) are found to be consistent with the proportionality, R_(cb) / H^3/N_c, where H is cloud depth. Simultaneous aircraft and A-Train satellite observations are used to quantify the precipitation susceptibility of clouds to aerosol perturbations in the eastern Pacific region

Effects of empagliflozin on fluid overload, weight and blood pressure in chronic kidney disease

BACKGROUND: Chronic kidney disease (CKD) is associated with fluid excess which can be estimated by bioimpedance spectroscopy. We aimed to assess effects of sodium glucose co-transporter 2 inhibition on bioimpedance-derived “Fluid Overload” and adiposity in a CKD population. METHODS: EMPA-KIDNEY was a 6609-participant double-blind placebo-controlled trial of empagliflozin 10 mg once daily in patients with CKD at risk of progression. In a 660-participant substudy, bioimpedance measurements were added to the main trial procedures at randomization, 2- and 18-month follow-up visits. The substudy’s primary outcome was the study-average difference in absolute “Fluid Overload” (an estimate of excess extracellular water) analyzed using a mixed-model repeated measures approach. RESULTS: The 660 substudy participants were broadly representative of the 6609- participant trial population. Substudy mean baseline absolute “Fluid Overload” was 0.4±1.7 L. Compared to placebo, the overall mean absolute “Fluid Overload” difference among those allocated empagliflozin was -0.24 L (95%CI -0.38, -0.11), with similar-sized differences at 2- and 18-months, and in pre-specified subgroups. Total body water differences comprised between-group differences in extracellular water of -0.49 L (95%CI -0.69, -0.30, including the -0.24 L “Fluid Overload” difference); and a -0.30 L (95%CI -0.57, -0.03) difference in intracellular water. There was no significant effect of empagliflozin on bioimpedance-derived adipose tissue mass (- 0.28 [95%CI -1.41, 0.85] kg). The between-group difference in weight was -0.7 kg (95%CI -1.3, -0.1). CONCLUSIONS: In a broad range of patients with CKD, empagliflozin resulted in a sustained reduction in a bioimpedance-derived estimate of fluid overload, with no statistically significant effect on fat mass

Immunization with Cocktail of HIV-Derived Peptides in Montanide ISA-51 Is Immunogenic, but Causes Sterile Abscesses and Unacceptable Reactogenicity

BACKGROUND: A peptide vaccine was produced containing B and T cell epitopes from the V3 and C4 Envelope domains of 4 subtype B HIV-1 isolates (MN, RF, CanO, & Ev91). The peptide mixture was formulated as an emulsion in incomplete Freund's adjuvant (IFA). METHODS: Low-risk, healthy adult subjects were enrolled in a randomized, placebo-controlled dose-escalation study, and selected using criteria specifying that 50% in each study group would be HLA-B7+. Immunizations were scheduled at 0, 1, and 6 months using a total peptide dose of 1 or 4 mg. Adaptive immune responses in16 vaccine recipients and two placebo recipients after the 2nd immunization were evaluated using neutralization assays of sera, as well as ELISpot and ICS assays of cryopreserved PBMCs to assess CD4 and CD8 T-cell responses. In addition, (51)Cr release assays were performed on fresh PBMCs following 14-day stimulation with individual vaccine peptide antigens. RESULTS: 24 subjects were enrolled; 18 completed 2 injections. The study was prematurely terminated because 4 vaccinees developed prolonged pain and sterile abscess formation at the injection site-2 after dose 1, and 2 after dose 2. Two other subjects experienced severe systemic reactions consisting of headache, chills, nausea, and myalgia. Both reactions occurred after the second 4 mg dose. The immunogenicity assessments showed that 6/8 vaccinees at each dose level had detectable MN-specific neutralizing (NT) activity, and 2/7 HLA-B7+ vaccinees had classical CD8 CTL activity detected. However, using both ELISpot and ICS, 8/16 vaccinees (5/7 HLA-B7+) and 0/2 controls had detectable vaccine-specific CD8 T-cell responses. Subjects with moderate or severe systemic or local reactions tended to have more frequent T cell responses and higher antibody responses than those with mild or no reactions. CONCLUSIONS: The severity of local responses related to the formulation of these four peptides in IFA is clinically unacceptable for continued development. Both HIV-specific antibody and T cell responses were induced and the magnitude of response correlated with the severity of local and systemic reactions. If potent adjuvants are necessary for subunit vaccines to induce broad and durable immune responses, careful, incremental clinical evaluation is warranted to minimize the risk of adverse events. TRIAL REGISTRATION: ClinicalTrials.gov NCT00000886

NKX2-5 regulates human cardiomyogenesis via a HEY2 dependent transcriptional network.

Congenital heart defects can be caused by mutations in genes that guide cardiac lineage formation. Here, we show deletion of NKX2-5, a critical component of the cardiac gene regulatory network, in human embryonic stem cells (hESCs), results in impaired cardiomyogenesis, failure to activate VCAM1 and to downregulate the progenitor marker PDGFRα. Furthermore, NKX2-5 null cardiomyocytes have abnormal physiology, with asynchronous contractions and altered action potentials. Molecular profiling and genetic rescue experiments demonstrate that the bHLH protein HEY2 is a key mediator of NKX2-5 function during human cardiomyogenesis. These findings identify HEY2 as a novel component of the NKX2-5 cardiac transcriptional network, providing tangible evidence that hESC models can decipher the complex pathways that regulate early stage human heart development. These data provide a human context for the evaluation of pathogenic mutations in congenital heart disease.Nat Commun 2018 Apr 10; 9(1):1373