12,919 research outputs found
Collaborative learning: a connected community approach
Collaborative Learning in group settings currently occurs across a substantial portion of the UK Higher Education curriculum. This style of learning has many roots including: Enterprise in Higher Education, Action Learning and Action Research, Problem Based Learning, and Practice Based Learning. As such our focus on Collaborative Learning development can be viewed as an evolutionary. This collaborative and active group learning provides the foundation for what can be collectively called connectivist ‘Learning Communities’. In this setting a primary feature of a ‘Learning Community’ is one that carries a responsibility to promote one another’s learning.
This paper will outline a developmental collaborative learning approach and describe a supporting software environment, known as the Salford Personal Development Environment (SPDE), that has been developed and implemented to assist in delivering collaborative learning for post graduate and other provision. This is done against a background of much research evidence that group based activity can enhance learning. These findings cover many approaches to group based learning and over a significant period of time.
This paper reports on work-in-progress and the features of the environment that are designed to help promote individual and group or community learning that have been influenced by the broad base of research findings in this area
Synthesis of human plasminogen by the liver
Genetic types of plasminogen were determined from a donor and a recipient before and after hepatic homotransplantation. Examination of the plasminogen types demonstrated that the liver is the principal site of synthesis of human plasminogen. Copyright © 1980 AAAS
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Stratification effects in the turbulent boundary layer beneath a melting ice shelf: Insights from resolved large-eddy simulations
AbstractOcean turbulence contributes to the basal melting and dissolution of ice shelves by transporting heat and salt toward the ice. The meltwater causes a stable salinity stratification to form beneath the ice that suppresses turbulence. Here we use large-eddy simulations motivated by the ice shelf–ocean boundary layer (ISOBL) to examine the inherently linked processes of turbulence and stratification, and their influence on the melt rate. Our rectangular domain is bounded from above by the ice base where a dynamic melt condition is imposed. By varying the speed of the flow and the ambient temperature, we identify a fully turbulent, well-mixed regime and an intermittently turbulent, strongly stratified regime. The transition between regimes can be characterized by comparing the Obukhov length, which provides a measure of the distance away from the ice base where stratification begins to dominate the flow, to the viscous length scale of the interfacial sublayer. Upper limits on simulated turbulent transfer coefficients are used to predict the transition from fully to intermittently turbulent flow. The predicted melt rate is sensitive to the choice of the heat and salt transfer coefficients and the drag coefficient. For example, when coefficients characteristic of fully developed turbulence are applied to intermittent flow, the parameterized three-equation model overestimates the basal melt rate by almost a factor of 10. These insights may help to guide when existing parameterizations of ice melt are appropriate for use in regional or large-scale ocean models, and may also have implications for other ice–ocean interactions such as fast ice or drifting ice.Catherin
Measurements of static and dynamic displacement from visual monitoring of the Humber Bridge
Author's manuscript version. The final published version is available from the publisher via doi:10.1016/0141-0296(93)90054-8. Copyright © 1993 Published by Elsevier Ltd.A visual tracking system has been employed in the measurement of deck displacements at the centre of the 1410 m span of the Humber Bridge in the UK. The transputer-based system was developed for applications such as the monitoring or testing of large physical structures, where the actual displacements may not easily be otherwise determined. The system employs parallel processing techniques to track predictively the motion of multiple, independent objects at video frame rate. Results obtained using the system in a monitoring programme of the bridge are presented and discussed. © 1993
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The influence of submesoscales and vertical mixing on the export of sinking tracers in large-eddy simulations
AbstractWe use idealized large-eddy simulations (LES) and a simple analytical theory to study the influence of submesoscales on the concentration and export of sinking particles from the mixed layer. We find that restratification of the mixed layer following the development of submesoscales reduces the rate of vertical mixing which, in turn, enhances the export rate associated with gravitational settling. For a neutral tracer initially confined to the mixed layer, subinertial (submesoscale) motions enhance the downward tracer flux, consistent with previous studies. However, the sign of the advective flux associated with the concentration of sinking particles reverses, indicating reentrainment into the mixed layer. A new theory is developed to model the gravitational settling flux when the particle concentration is nonuniform. The theory broadly agrees with the LES results and allows us to extend the analysis to a wider range of parameters.</jats:p
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Numerical Simulations of Melt-Driven Double-Diffusive Fluxes in a Turbulent Boundary Layer beneath an Ice Shelf
AbstractThe transport of heat and salt through turbulent ice shelf–ocean boundary layers is a large source of uncertainty within ocean models of ice shelf cavities. This study uses small-scale, high-resolution, 3D numerical simulations to model an idealized boundary layer beneath a melting ice shelf to investigate the influence of ambient turbulence on double-diffusive convection (i.e., convection driven by the difference in diffusivities between salinity and temperature). Isotropic turbulence is forced throughout the simulations and the temperature and salinity are initialized with homogeneous values similar to observations. The initial temperature and the strength of forced turbulence are varied as controlling parameters within an oceanographically relevant parameter space. Two contrasting regimes are identified. In one regime double-diffusive convection dominates, and in the other convection is inhibited by the forced turbulence. The convective regime occurs for high temperatures and low turbulence levels, where it is long lived and affects the flow, melt rate, and melt pattern. A criterion for identifying convection in terms of the temperature and salinity profiles, and the turbulent dissipation rate, is proposed. This criterion may be applied to observations and theoretical models to quantify the effect of double-diffusive convection on ice shelf melt rates.</jats:p
The role of cardiopulmonary exercise testing (CPET) in predicting mortality and morbidity in people with congenital heart disease: a systematic review and meta-analysis (Protocol)
This is the final version. Available from BMC via the DOI in this record.Background
Numerous studies have measured the prognostic associations between cardiorespiratory fitness and patient outcomes in congenital heart disease, but no systematic review has assessed these associations for all types of congenital heart disease. It is therefore a timely opportunity to syntheses all available data using a systematic review methodology. The aim of this study is to detail the protocol for a systematic review and meta-analysis.
Objectives
Within this paper we have developed a protocol for a prognostic factors systematic review and meta-analysis, to assess the role of cardiopulmonary exercise testing/cardiorespiratory fitness, in the prognosis of mortality and morbidity in congenital heart disease.
Methods
We have outlined, in detail, the process for this systematic review using the latest accepted methodological guidelines for prognostic factors research, such as the PICOTS system, CHARMS-PF data extraction, QUIPS risk of bias assessments and the prognostic GRADE guidelines (see list of abbreviations).
Conclusion
The implications of this review will aid future treatments, interventions and individual patient risk prediction. The publication of this protocol aims to improve scientific rigour by ensuring transparency in the systematic review and meta-analysis process.Canon Medical Systems UK Ltd.University of ExeterQUEX instituteMedical Research Counci
Protocol for an HTA report: Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic modelling
This article is made available through the Brunel Open Access Publishing Fund. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/Introduction: Long-term medical conditions (LTCs) cause reduced health-related quality of life and considerable health service expenditure. Writing therapy has potential to improve physical and mental health in people with LTCs, but its effectiveness is not established. This project aims to establish the clinical and cost-effectiveness of therapeutic writing in LTCs by systematic review and economic evaluation, and to evaluate context and mechanisms by which it might work, through realist synthesis.
Methods: Included are any comparative study of therapeutic writing compared with no writing, waiting list, attention control or placebo writing in patients with any diagnosed LTCs that report at least one of the following: relevant clinical outcomes; quality of life; health service use; psychological, behavioural or social functioning; adherence or adverse events. Searches will be conducted in the main medical databases including MEDLINE, EMBASE, PsycINFO, The Cochrane Library and Science Citation Index. For the realist review, further purposive and iterative searches through snowballing techniques will be undertaken. Inclusions, data extraction and quality assessment will be in duplicate with disagreements resolved through discussion. Quality assessment will include using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data synthesis will be narrative and tabular with meta-analysis where appropriate. De novo economic modelling will be attempted in one clinical area if sufficient evidence is available and performed according to the National Institute for Health and Care Excellence (NICE) reference case.National Institute for Health Research
Health Technology Assessment (NIHR HTA) Programm
HEREFORD AND WORCESTER (Reino Unido). Planos de población (1757). 1:12377
TÃtulo redactado a partir del contenido del documentoDedicatoria : "To the Right Honble. ye Earl of Oxford High Steward of the City of Hereford, the Rt. Honble. & Rt. Rerd. Ld. James Beauclerck Lord Bishop of Hereford... and also to the Woschipful the Mayor, Aldermen and Citizens of Hereford, this Plan of the aforesaid City is most humbly Dedicated by their obligd & most Humble servant J. Taylor"Escala nominal de "chains & 66 yardas a 1 pulgada". Orientado con lis en rosa de cuatro vientosToponimia de las principales calles y plazasTabla estadÃstica del número de casas y hatitantes que viven en cada una de las calles de la ciudadEnmarcados en cartelas rococos, siete perspectivas de los edificios más significativos de la ciudad, tanto civiles como religiosos, y una vista. Tabla estadÃstica en cartela del mismo estilo. Dedicatoria en cartela enmarcada en paisaje rural, con escena alusiva al transporte fluvial y coronada por los escudos de la ciudad y el obispado de HerefordForma parte de la Colección Mendoz
‘Treading water but drowning slowly’: what are GPs’ experiences of living and working with mental illness and distress in England? A qualitative study
Objectives
This paper provides an in-depth account of general practitioners’ (GPs) experiences of living and working with mental illness and distress, as part of a wider study reporting the barriers and facilitators to help-seeking for mental illness and burn-out, and sources of stress/distress for GP participants.
Design
Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method.
Setting
England.
Participants
A purposive sample of GP participants who self-identified as: (1) currently living with mental distress, (2) returning to work following treatment, (3) off sick or retired early as a result of mental distress or (4) without experience of mental distress. Interviews were conducted face to face or over the telephone.
Results
The findings report GP participants’ in-depth experiences of distress and mental illness with many recollecting their distressing experiences and significant psychological and physical symptoms relating to chronic stress, anxiety, depression and/or burn-out, and a quarter articulating thoughts of suicide. Many talked about their shame, humiliation and embarrassment at their perceived inability to cope with the stresses of their job and/or their symptoms of mental illness.
Conclusions
These findings paint a concerning picture of the situation affecting primary care doctors, with participants’ accounts suggesting there is a considerable degree of mental ill health and reduced well-being among GPs. The solutions are complex and lie in prevention and provision. There needs to be greater recognition of the components and cumulative effect of occupational stressors for doctors, such as the increasing workload and the clinical and emotional demands of the job, as well as the need for a culture shift within medicine to more supportive and compassionate work environments
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