ICT, cultural knowledge, and teacher education in\ud Africa

In this paper, we make a case for the need to carry out more culturally\ud appropriate research on ICT and teacher education in Africa generally and in\ud Uganda more specifically. We begin by examining the promise of ICTs and digital\ud literacies, and highlight the importance ascribed to ICTs for national development\ud and educational change. While agreeing that ICTs may have transformative\ud potential in developing countries, we argue that the much-hyped potential may not\ud be realized if the major focus of promoting ICTs in a developing country like\ud Uganda is merely to provide greater access to global information, rather than\ud encouraging local knowledge production for wealth creation. We frame our\ud argument with reference to the New Literacy Studies perspective of viewing\ud literacy as a social practice situated in a specific sociocultural context

Girls’ visual representations of literacy in a rural Ugandan community

This Ugandan‐based study examined how visual modes of communication provide insights into girls’ perceptions of literacy, and open broader dialogues on literacy, women, and development. Twenty‐nine primary school girls used drawing and 15 secondary school girls used photography to depict local literacy practices in relation to their own lives and experiences. The images they captured provide a window on the interface between local and global literacy practices, and the “freedoms” (Sen, 1999) associated with literacy. Drawing and photography move beyond language to make visible the barriers that have historically marginalized and excluded girls from full participation in the development process

Uncovering Literacy Narratives Through Children’s Drawings

Children’s drawings about reading and writing have unrealized potential for helping uncover the literacy narratives students bring to school and use to make sense of reading and writing. In this article, we highlight how one boy’s drawing about literacy revealed his interpretation of his school’s policy on violence as a topic of writing, which tended to constrain his interest in writing. His drawing reinforced the importance of adopting multiple perspectives to interpret the various texts that students produce. Keywords: multiliteracies, children’s drawings, multimodal representations Les dessins d’enfants traitant de la lecture et de l’écriture offrent un potentiel inexploité pour la découverte des récits au sujet de la littératie que les élèves apportent à l’école et dont ils se servent dans leur éveil à la lecture et à l’écriture. Dans cet article, nous mettons en relief comment le dessin d’un garçon au sujet de la littératie révélait son interprétation de la politique de son école sur la violence comme sujet de rédaction, laquelle avait tendance à restreindre son intérêt pour la production écrite. Son dessin renforce l’importance d’adopter des perspectives diversifiées lors de l’interprétation des divers textes que les élèves produisent. Mots clés : multilittéracies, dessins d’enfants, représentations multimodales

Residential child care qualifications audit 2007

In recent years there has been a drive to develop a fully qualified residential child care sector in Scotland. In 2003 the Scottish Social Services Council (SSSC) announced the baseline qualifications for residential child care staff and set down a target for attaining it. This qualifications framework was subsequently reviewed and expanded in 2004. The Scottish Institute for Residential Child Care (SIRCC), commissioned by the Scottish Executive, has previously undertaken two inquiries into the qualification levels of the residential child care workforce in Scotland. The first Qualifications Audit (Frondigoun, Maclean, Hosie & Kendrick, 2002) was undertaken before the SSSC’s initial qualification framework was known and the second (Hunter, Hosie, Davidson & Kendrick, 2004) was based on it. The previous qualifications audit (Hunter et al., 2004) reported that 18% of residential child care staff were fully qualified in accordance with the SSSC’s qualification criteria (SSSC, 2004). The report forecast that the number of fully qualified staff would rise to 29.1% if all qualifications being undertaken were achieved. The purpose of this current audit is to determine whether levels of qualified staff have risen and to identify qualification trends throughout the residential child care sector in Scotland

Multimodality and English education in Ugandan schools

In this article, we have made the case that multimodal pedagogies that include drawing, photography and drama have significant potential for enhancing teachers’ understanding of the way English is incorporated into students’ lives and how students can improve their understanding and use of the English language. In many ways, multimodal pedagogies represent a hybridization of indigenous and contemporary forms of communication. Drawings, as Vygotsky (1 12-1 13) notes, are children’s earliest representations of experience and stimulate their narrative impulse to create stories. By complementing such drawings with written narratives, teachers might encourage younger children to experiment not only with diverse reader identities, but also a range of writer identities. With reference to photography, it is clear that the careful and rigorous process of taking pictures of meaningful places, people and events gives children a sense of ownership over their worlds. As Norton (145-146) notes, ownership of meaning-making is crucial for the development of literacy. What makes the use of photography particularly effective is the contextual use of reading, writing, listening and speaking activities. Finally, we have argued that drama provides the opportunity for students to experiment with different forms of English, and that the writing of plays and poems used for dramatic performance complement the oral and visual dimensions of performance

Examining Rhetorics of Play in Curricula in Five Provinces: Is Play at Risk in Canadian Kindergartens?

In this article, school division and Ministry of Education–based early childhood consultants and university researchers respond to the question of whether play is at risk in kindergartens in five Canadian provinces by analyzing current and previous kindergarten curricula using Sutton-Smith’s framework of rhetorics of play. We find that play is integral to kindergarten curricula in Saskatchewan and Ontario, but only implicitly mentioned in the Alberta, British Columbia, and Manitoba curricula where support documents provide more support for play. The rhetoric of play as progress is the dominant discourse of current kindergarten curricula

Application of a theoretical model to evaluate COPD disease management

Background: Disease management programmes are heterogeneous in nature and often lack a theoretical basis. An evaluation model has been developed in which theoretically driven inquiries link disease management interventions to outcomes. The aim of this study is to methodically evaluate the impact of a disease management programme for patients with chronic obstructive pulmonary disease (COPD) on process, intermediate and final outcomes of care in a general practice setting. Methods. A quasi-experimental research was performed with 12-months follow-up of 189 COPD patients in primary care in the Netherlands. The programme included patient education, protocolised a

Reducing depression in older home care clients: design of a prospective study of a nurse-led interprofessional mental health promotion intervention

Abstract Background Very little research has been conducted in the area of depression among older home care clients using personal support services. These older adults are particularly vulnerable to depression because of decreased cognition, comorbid chronic conditions, functional limitations, lack of social support, and reduced access to health services. To date, research has focused on collaborative, nurse-led depression care programs among older adults in primary care settings. Optimal management of depression among older home care clients is not currently known. The objective of this study is to evaluate the feasibility, acceptability and effectiveness of a 6-month nurse-led, interprofessional mental health promotion intervention aimed at older home care clients with depressive symptoms using personal support services. Methods/Design This one-group pre-test post-test study aims to recruit a total of 250 long-stay (> 60 days) home care clients, 70 years or older, with depressive symptoms who are receiving personal support services through a home care program in Ontario, Canada. The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach. The primary outcome is the change in severity of depressive symptoms from baseline to 6 months using the Centre for Epidemiological Studies in Depression Scale. Secondary outcomes include changes in the prevalence of depressive symptoms and anxiety, health-related quality of life, cognitive function, and the rate and appropriateness of depression treatment from baseline to 12 months. Changes in the costs of use of health services will be assessed from a societal perspective. Descriptive and qualitative data will be collected to examine the feasibility and acceptability of the intervention and identify barriers and facilitators to implementation. Discussion Data collection began in May 2010 and is expected to be completed by July 2012. A collaborative nurse-led strategy may provide a feasible, acceptable and effective means for improving the health of older home care clients by improving the prevention, recognition, and management of depression in this vulnerable population. The challenges involved in designing a practical, transferable and sustainable nurse-led intervention in home care are also discussed. Trial Registration ClinicalTrials.gov: NCT0140792

Post-intervention Status in Patients With Refractory Myasthenia Gravis Treated With Eculizumab During REGAIN and Its Open-Label Extension

OBJECTIVE: To evaluate whether eculizumab helps patients with anti-acetylcholine receptor-positive (AChR+) refractory generalized myasthenia gravis (gMG) achieve the Myasthenia Gravis Foundation of America (MGFA) post-intervention status of minimal manifestations (MM), we assessed patients' status throughout REGAIN (Safety and Efficacy of Eculizumab in AChR+ Refractory Generalized Myasthenia Gravis) and its open-label extension. METHODS: Patients who completed the REGAIN randomized controlled trial and continued into the open-label extension were included in this tertiary endpoint analysis. Patients were assessed for the MGFA post-intervention status of improved, unchanged, worse, MM, and pharmacologic remission at defined time points during REGAIN and through week 130 of the open-label study. RESULTS: A total of 117 patients completed REGAIN and continued into the open-label study (eculizumab/eculizumab: 56; placebo/eculizumab: 61). At week 26 of REGAIN, more eculizumab-treated patients than placebo-treated patients achieved a status of improved (60.7% vs 41.7%) or MM (25.0% vs 13.3%; common OR: 2.3; 95% CI: 1.1-4.5). After 130 weeks of eculizumab treatment, 88.0% of patients achieved improved status and 57.3% of patients achieved MM status. The safety profile of eculizumab was consistent with its known profile and no new safety signals were detected. CONCLUSION: Eculizumab led to rapid and sustained achievement of MM in patients with AChR+ refractory gMG. These findings support the use of eculizumab in this previously difficult-to-treat patient population. CLINICALTRIALSGOV IDENTIFIER: REGAIN, NCT01997229; REGAIN open-label extension, NCT02301624. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that, after 26 weeks of eculizumab treatment, 25.0% of adults with AChR+ refractory gMG achieved MM, compared with 13.3% who received placebo

Minimal Symptom Expression' in Patients With Acetylcholine Receptor Antibody-Positive Refractory Generalized Myasthenia Gravis Treated With Eculizumab

The efficacy and tolerability of eculizumab were assessed in REGAIN, a 26-week, phase 3, randomized, double-blind, placebo-controlled study in anti-acetylcholine receptor antibody-positive (AChR+) refractory generalized myasthenia gravis (gMG), and its open-label extension