Listening beyond phonemes: Listening for meaning

This research project examined the listening section of the English language curriculum which primarily addressed bottom - up processes. Upon analysis, the authors revised the listening syllabus to better suit the needs of the students. Rather than choosing only a bottom-up approach, or only a top-down approach, the authors sought a compromise to address both needs. We also attempted to increase learner engagement through personal story telling which can be accessible, easily distributed, and easily supplemented through the Moodle learning management system. The project is called Listening for Meaning. This paper will discuss the method and explore the implementation of the supplementary material through analysis of feedback from both the students and the teachers who used the new materials

High-cut harvesting of maize stover and genotype choice can provide improved feed for ruminants and stubble for conservation agriculture

In smallholder crop–livestock systems where maize (Zea mays L.) is a staple cereal, the stover is usually an important but low-quality ruminant feed. Maize stover has various competing uses, and optimal allocation of stover, particularly for forage and mulch, is essential for improving whole-farm productivity and sustainability. Knowledge that feed quality increases with height in maize stover provides opportunities. An experiment investigated the effects of a high cutting height of stover at grain harvest (cut at two internodes below the lowest ear) on the yields and feed quality of the upper and lower stover (stubble) fractions. Measurements were made on six maize genotypes at two sites during two cropping seasons in Ethiopia. The upper stover fraction (USF) on average comprised 674 g kg–1 of the entire stover and was also substantially higher (P <.001) than the lower stover fraction (LSF) in in vitro dry matter digestibility (527 vs. 450 g kg−1 dry matter [DM]) and total N concentrations (8.8 vs. 6.2 g kg−1 DM) and was lower in fiber. Stems (including leaf sheath and tassel), husks (including shank), and leaf blade comprised 484, 310, and 206 g kg−1 of the USF, respectively. Yields and feed quality of stover varied among genotypes and environments. Use of an USF can provide a feedstuff of increased nutritional quality for ruminants, but the efficacy of the LSF for mulch requires investigation. In conclusion, a simple management change to harvest maize stover at higher stubble height combined with use of appropriate genotypes can provide higher-quality feed while leaving stubble for conservation agriculture

Enhancing Learner Engagement in a Communicative Curriculum

Throughout the field of English language education, communication skills are increasingly being emphasized. Within the Japanese university context this is particularly the case. There are however many challenges to fostering a communicative classroom. These challenges include learners accustomed to teacher-centered approaches and passive behavior in the classroom. Additional complications inherent to compulsory study include variations in learners’ motivation, interest, and proficiency. This paper presents an attempt to improve learner engagement in speaking activities as part of a project of ongoing curriculum renewal

A survey of UK healthcare workers' attitudes on volunteering to help with the Ebola outbreak in West Africa

Objective To understand the barriers and enablers for UK healthcare workers who are considering going to work in the current Ebola outbreak in West Africa, but have not yet volunteered. Design After focus group discussions, and a pilot questionnaire, an anonymous survey was conducted using SurveyMonkey to determine whether people had considered going to West Africa, what factors might make them more or less likely to volunteer, and whether any of these were modifiable factors. Participants The survey was publicised among doctors, nurses, laboratory staff and allied health professionals. 3109 people answered the survey, of whom 472 (15%) were considering going to work in the epidemic but had not yet volunteered. 1791 (57.6%) had not considered going, 704 (22.6%) had considered going but decided not to, 53 (1.7%) had volunteered to go and 14 (0.45%) had already been and worked in the epidemic. Results For those considering going to West Africa, the most important factor preventing them from volunteering was a lack of information to help them decide; fear of getting Ebola and partners’ concerns came next. Uncertainty about their potential role, current work commitments and inability to get agreement from their employer were also important barriers, whereas clarity over training would be an important enabler. In contrast, for those who were not considering going, or who had decided against going, family considerations and partner concerns were the most important factors. Conclusions More UK healthcare workers would volunteer to help tackle Ebola in West Africa if there was better information available, including clarity about roles, cover arrangements, and training. This could be achieved with a well-publicised high quality portal of reliable information

Challenges of stroke management in resource-limited settings: A case- based reflection

A 19-year-old man presented with a 1-year history of headache, generalised body weakness, progressive memory loss, and disorientation. One month prior to admission, there was aggravation of the weakness of the right upper limb, with new-onset difficulty with mastication, speech impairment, apathy, and urinary incontinence. On clinical examination, the patient had a motor aphasia and a right-sided hemiparesis with increased muscle tone and hyperreflexia. A noncontrast computed tomography (CT) scan of the brain revealed large ischaemic strokes extending beyond the classical vascular territories. Cerebrospinal fluid analysis showed a mildly increased protein level. The electrocardiogram revealed an irregular sinus bradycardia. The remainder of the cardiovascular and laboratory workup was unremarkable. Considering a working diagnosis of central nervous system vasculitis, the patient was treated with aspirin, prednisolone, and physiotherapy. However, he died suddenly a few weeks later. Based on this case, we discuss the challenges of stroke management in resource-limited settings, provide practical tips for general practitioners, reflect on the potential avenues for short- and long-term action, and introduce the budding collaboration platform between the University College London, the University of Liverpool, the Queen Elizabeth Central Hospital, and the Malawi-Liverpool-Wellcome Trust Clinical Research Programme

Gut Microbiota, Blood Metabolites, and Left Ventricular Diastolic Dysfunction in Us Hispanics/Latinos

BACKGROUND: Left ventricular diastolic dysfunction (LVDD) is an important precursor of heart failure (HF), but little is known about its relationship with gut dysbiosis and microbial-related metabolites. By leveraging the multi-omics data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a study with population at high burden of LVDD, we aimed to characterize gut microbiota associated with LVDD and identify metabolite signatures of gut dysbiosis and incident LVDD. RESULTS: We included up to 1996 Hispanic/Latino adults (mean age: 59.4 years; 67.1% female) with comprehensive echocardiography assessments, gut microbiome, and blood metabolome data. LVDD was defined through a composite criterion involving tissue Doppler assessment and left atrial volume index measurements. Among 1996 participants, 916 (45.9%) had prevalent LVDD, and 212 out of 594 participants without LVDD at baseline developed incident LVDD over a median 4.3 years of follow-up. Using multivariable-adjusted analysis of compositions of microbiomes (ANCOM-II) method, we identified 7 out of 512 dominant gut bacterial species (prevalence \u3e 20%) associated with prevalent LVDD (FDR-q \u3c 0.1), with inverse associations being found for Intestinimonas_massiliensis, Clostridium_phoceensis, and Bacteroide_coprocola and positive associations for Gardnerella_vaginali, Acidaminococcus_fermentans, Pseudomonas_aeruginosa, and Necropsobacter_massiliensis. Using multivariable adjusted linear regression, 220 out of 669 circulating metabolites with detection rate \u3e 75% were associated with the identified LVDD-related bacterial species (FDR-q \u3c 0.1), with the majority being linked to Intestinimonas_massiliensis, Clostridium_phoceensis, and Acidaminococcus_fermentans. Furthermore, 46 of these bacteria-associated metabolites, mostly glycerophospholipids, secondary bile acids, and amino acids, were associated with prevalent LVDD (FDR-q \u3c 0.1), 21 of which were associated with incident LVDD (relative risk ranging from 0.81 [p = 0.001, for guanidinoacetate] to 1.25 [p = 9 × 10 CONCLUSION: In this study of US Hispanics/Latinos, we identified multiple gut bacteria and related metabolites linked to LVDD, suggesting their potential roles in this preclinical HF entity. Video Abstract