Can virtual seminars be used cost‐effectively to enhance student learning?

This paper describes a virtual seminar initiative designed to investigate the extent to which computer‐mediated communication (CMC) can cost‐effectively strengthen staff‐student interaction and enhance student group discussion, and thereby improve collaborative learning. After setting the scene by means of a brief review of the discursive potential of CMC, the establishment of an asynchronous bulletin board system on three modules in the Department of Sociology at the University of Manchester using industry standard software is described. Detailed time diaries kept by all staff involved revealed that organizing and running the virtual seminars were very much less time‐consuming than running face‐to‐face seminars. However, analysis of the students’ access to and mage of the virtual seminars indicates that some of them were disadvantaged by CMC and that they favoured face‐to‐face contact with lecturers over virtual seminars. The latter should therefore be part of a portfolio of teaching techniques rather than the sole form of collaborative learning. The conclusion is that a significant obstacle to benefiting from CMC is the further demand on staff time that results from adding virtual seminars as a supplement to existing teaching practices. Even though these extra demands may be modest, effectively deploying the discursive potential of CMC to enhance student learning increases staff effort rather than reducing it, as many have hoped or promised it would

Replica determinism and flexible scheduling in hard real-time dependable systems

Fault-tolerant real-time systems are typically based on active replication where replicated entities are required to deliver their outputs in an identical order within a given time interval. Distributed scheduling of replicated tasks, however, violates this requirement if on-line scheduling, preemptive scheduling, or scheduling of dissimilar replicated task sets is employed. This problem of inconsistent task outputs has been solved previously by coordinating the decisions of the local schedulers such that replicated tasks are executed in an identical order. Global coordination results either in an extremely high communication effort to agree on each schedule decision or in an overly restrictive execution model where on-line scheduling, arbitrary preemptions, and nonidentically replicated task sets are not allowed. To overcome these restrictions, a new method, called timed messages, is introduced. Timed messages guarantee deterministic operation by presenting consistent message versions to the replicated tasks. This approach is based on simulated common knowledge and a sparse time base. Timed messages are very effective since they neither require communication between the local scheduler nor do they restrict usage of on-line flexible scheduling, preemptions and nonidentically replicated task sets

The development of a multi-criteria decision analysis aid to help with contraceptive choices: My Contraception Tool.

My Contraception Tool (MCT) applies the principles of multi-criteria decision analysis to the choice of contraceptive method. Its purpose is to make the decision-making process transparent to the user and to suggest a method to them based on their own preferences. The contraceptive option that emerges as optimal from the analysis takes account of the probability of a range of outcomes and the relative weight ascribed to them by the user. The development of MCT was a collaborative project between London School of Hygiene & Tropical Medicine, Brook, FPA and Maldaba Ltd. MCT is available online via the Brook and FPA websites. In this article we describe MCT's development and how it works. Further work is needed to assess the impact it has on decision quality and contraceptive behaviour

Views and experiences of men who have sex with men on the ban on blood donation: a cross sectional survey with qualitative interviews.

OBJECTIVE: To explore compliance with the UK blood services' criterion that excludes men who have had penetrative sex with a man from donating blood, and to assess the possible effects of revising this policy. DESIGN: A random location, cross sectional survey followed by qualitative interviews. SETTING: Britain. PARTICIPANTS: 1028 of 32,373 men in the general population reporting any male sexual contact completed the survey. Additional questions were asked of a general population sample (n=3914). Thirty men who had had penetrative sex with a man participated in the qualitative interviews (19 who had complied with the blood services' exclusion criterion and 11 who had not complied). Main outcome measure Compliance with the blood services' lifetime exclusion criterion for men who have had penetrative sex with a man. RESULTS: 10.6% of men with experience of penetrative sex with a man reported having donated blood in Britain while ineligible under the exclusion criterion, and 2.5% had donated in the previous 12 months. Ineligible donation was less common among men who had had penetrative sex with a man recently (in previous 12 months) than among men for whom this last occurred longer ago. Reasons for non-compliance with the exclusion included self categorisation as low risk, discounting the sexual experience that barred donation, belief in the infallibility of blood screening, concerns about confidentiality, and misunderstanding or perceived inequity of the rule. Although blood donation was rarely viewed as a "right," potential donors were seen as entitled to a considered assessment of risk. A one year deferral since last male penetrative sex was considered by study participants to be generally feasible, equitable, and acceptable. CONCLUSIONS: A minority of men who have sex with men who are ineligible to donate blood under the current donor exclusion in Britain have nevertheless done so in the past 12 months. Many of the reasons identified for non-compliance seem amenable to intervention. A clearly rationalised and communicated one year donor deferral is likely to be welcomed by most men who have sex with men

An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men.

BACKGROUND: Men who have sex with men (MSM) are at increased risk of HIV infection in both high- and low-income settings. Mass media campaigns have been used as a means of communicating HIV health promotion messages to large audiences of MSM. There is no consensus on which designs are most appropriate to evaluate the process and outcomes of such interventions. METHODS: An exploratory review was conducted to assess research examining awareness, acceptability, effects on HIV testing, disclosure and sexual risk, and cost-effectiveness of HIV mass media campaigns targeting MSM. We searched for quantitative and qualitative studies published between 1990 and May 2011 via the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Psych Info, ISI Web of Science, OpenGrey and COPAC, and contacting experts. No exclusions were made on the basis of study design or methods because our primary aim was to map evidence. We appraised study quality and present a narrative synthesis of findings. RESULTS: Sixteen reports from 12 studies were included. All were from high-income countries and most examined multi-media interventions. Half of the studies were single cross-sectional surveys. Three repeat cross-sectional studies collected data pre and post the campaign launch. The remaining three studies monitored routine data. Three studies included a nested qualitative component. Campaign coverage was the most commonly reported outcome (9 studies). Imagery, tone of language, content and relevance were identified in the qualitative research as factors influencing campaign acceptability. HIV testing rates (or intention to test) were reported by five studies. Two studies reported that testing rates were higher among men who had seen the campaigns compared to men who had not, but this may reflect confounding. Findings were less consistent regarding reductions in sexual risk behaviours (4 studies). None of the studies examined cost-effectiveness. CONCLUSIONS: Campaigns aim to provide MSM with information to help prevent transmission of HIV and to address increasing motivation and changing norms towards precautionary behaviours. However, the limitations of mass media in imparting skills in effecting behaviour change should be recognised, and campaigns supplemented by additional components may be better-suited to achieving these goals

Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours.

BACKGROUND: Sexual behaviour is a major determinant of sexual and reproductive health. We did a National Survey of Sexual Attitudes and Lifestyles (Natsal 2000) in 1999-2001 to provide population estimates of behaviour patterns and to compare them with estimates from 1990-91 (Natsal 1990). METHODS: We did a probability sample survey of men and women aged 16-44 years who were resident in Britain, using computer-assisted interviews. Results were compared with data from respondents in Natsal 1990. FINDINGS: We interviewed 11161 respondents (4762 men, 6399 women). Patterns of heterosexual and homosexual partnership varied substantially by age, residence in Greater London, and marital status. In the past 5 years, mean numbers of heterosexual partners were 3.8 (SD 8.2) for men, and 2.4 (SD 4.6) for women; 2.6% (95% CI 2.2-3.1) of both men and women reported homosexual partnerships; and 4.3% (95% CI 3.7-5.0) of men reported paying for sex. In the past year, mean number of new partners varied from 2.04 (SD 8.4) for single men aged 25-34 years to 0.05 (SD 0.3) for married women aged 35-44 years. Prevalence of many reported behaviours had risen compared with data from Natsal 1990. Benefits of greater condom use were offset by increases in reported partners. Changes between surveys were generally greater for women than men and for respondents outside London. INTERPRETATION: Our study provides updated estimates of sexual behaviour patterns. The increased reporting of risky sexual behaviours is consistent with changing cohabitation patterns and rising incidence of sexually transmitted infections. Observed differences between Natsal 1990 and Natsal 2000 are likely to result from a combination of true change and greater willingness to report sensitive behaviours in Natsal 2000 due to improved survey methodology and more tolerant social attitudes

Introduction

This introductory chapter begins by briefly explaining what is meant by the ‘decriminalisation’ of abortion, before outlining the relevant current law. It then moves on to offer an overview of trends in the incidence of abortion in the UK and how these have been shaped by broad demographic factors and sexual and reproductive health policy. Finally, the chapter considers how reform might come about and what form it might take, before briefly introducing the five chapters to follow