Sounds of Waitakere: Using practitioner research to explore how Year 6 recorder players compose responses to visual representations of a natural environment

How might primary students utilise the stimulus of a painting in a collaborative composition drawing on a non-conventional sound palette of their own making? This practitioner research features 17 recorder players from a Year 6 class (10–11-year-olds) who attend a West Auckland primary school in New Zealand. These children were invited to experiment with the instrument to produce collectively an expanded ‘repertoire’ or ‘palette’ of sounds. In small groups, they then discussed a painting by an established New Zealand painter set in the Waitakere Ranges and attempted to formulate an interpretation in musical terms. On the basis of their interpretation, drawing on sounds from the collective palette (complemented with other sounds), they worked collaboratively to develop, refine and perform a structured composition named for their chosen painting. This case study is primarily descriptive (providing narrative accounts and rich vignettes of practice) and, secondarily, exploratory (description and analysis leading to the development of hypotheses). It has implications for a range of current educational issues, including curriculum integration and the place of composition and notation in the primary-school music programme

The Orff approach in the professional lives and practices of teachers in the Aotearoa/New Zealand school context

This doctoral research investigated issues concerned with the application of the Orff approach to music education in the Aotearoa New Zealand school context. The author brought to the study an in-depth knowledge of the Orff approach as a result of engagement with both the practice and theory of the Orff approach over a 15-year span of teaching music in a state primary school. She noted the scarcity of contemporary studies that systematically investigate the potentialities and constraints of the Orff approach, particularly in the New Zealand context. Drawing upon a praxial philosophy, this project considered from a scholarly perspective the way in which engagement with the Orff approach impacted on the professional lives of nine teachers, all of whom had adapted this approach to their respective school settings. Taking into account the widely acknowledged inconsistency in the quality, or even existence, of music programmes in the state school system, this study sought to investigate the impact of professional learning in the Orff approach upon the provision of music education programmes in schools. In epistemological terms, this study was qualitative in its interest in the participants’ experiences and how they interpreted them. The nine participant teachers, had all undertaken, over a period of three or more years, a number of courses offered by Orff New Zealand Aotearoa (ONZA). Using multiple case studies, this project aimed to gain access to the wealth of knowledge and know-how that teachers develop in their everyday work lives. Mixed methods in the form of questionnaires, observations and interviews and a focus group discussion were used to gather data. Findings emerging from a quantitative analysis of the questionnaire responses were used to illuminate and triangulate with findings from other data, which were analysed thematically. A recursive approach to analysis of the data produced findings which indicated that the Orff approach impacted upon how teachers thought about what it means to do music, to be a musician and to teach music. These findings are illustrated in individual case studies, which offer a richly textured description of the impact of the Orff approach upon these teachers and their respective classroom practices. Although all participants described the approach as making an impact in broadly similar terms upon their thinking, the practices observed and reported on in their classroom settings were varied in terms of their choice of materials activities and purposes. Findings of a more generally thematic nature indicate that the professional learning that occurred for these teachers yielded significant sources of self-efficacy, which in turn impacted upon the formation of professional identity formation. The construction of teaching as an artistic endeavour emerged as a characteristic of the understanding and application of the Orff approach in the New Zealand setting. This study contributes to the understanding of the impact of the Orff approach upon teachers’ lives and work. In particular it illustrates some of the consequences of the construction of music as a form of embodied behaviour available to all people and offers some examples of specific ways in which educational practices can reflect this belief. This study engages respectfully with the work of teachers ‘on the ground’ at a time when calls for so called ‘accountability’, through ever-increasing bureaucratic systems of standards-based assessment and teacher monitoring. To a small extent it offers a voice for these teachers and the work they do in enabling success for all in music for their pupils. For a greater understanding and to enable critical interrogation of music education in Aotearoa New Zealand, studies which are focused on classroom practice and ask the question: ‘What is the construction of music and of teaching and/or of education that lies beneath or pervades practice?’ needs to be asked in order to continue the debate regarding the role and efficacy of music education practices in New Zealand schools

Exploring disconnected discourses about patient and public involvement and volunteer involvement in English health and social care

Background: Patient and public involvement (PPI) in health and social care policy, service decision-making and research are presented as good practice in England. Yet the explicit rationale for PPI and how it is positioned within the literature, policy and practice remain confused, in particular, in relation to Volunteer Involvement (VI). In health and social care, PPI and VI are managed and valued as conceptually distinct, yet the discourses in their policy and practice documents treat them as closely related in fundamental ways.  Objective: Compare and critically evaluate discourses framing PPI and VI within English health and social care.  Design: A critical discourse approach was used to explore the accounts of PPI and VI in policy. These accounts were then compared and contrasted with personal accounts of volunteering in health and social care settings.  Results: Twenty documents from key national health and social care bodies were discursively examined in terms of their framing PPI and VI. A narrative disconnect between the two was repeatedly confirmed. This finding contrasted with an analysis of personal accounts of VI which displayed VI as a form of PPI.  Conclusion: There is a disconnect between language, narratives and practice in PPI and in VI which may have direct consequences for policy and practice. Recognising and managing it can offer innovative ways of enabling volunteers to be involved across health and social care settings, ensuring the experiential value added by volunteers’ service contributions, to be recognised so that their democratic participation may be seen to shape services

Design and feasibility testing of a novel group intervention for young women who binge drink in groups

BackgroundYoung women frequently drink alcohol in groups and binge drinking within these natural drinking groups is common. This study describes the design of a theoretically and empirically based group intervention to reduce binge drinking among young women. It also evaluates their engagement with the intervention and the acceptability of the study methods.MethodsFriendship groups of women aged 18–35 years, who had two or more episodes of binge drinking (>6 UK units on one occasion; 48g of alcohol) in the previous 30 days, were recruited from the community. A face-to-face group intervention, based on the Health Action Process Approach, was delivered over three sessions. Components of the intervention were woven around fun activities, such as making alcohol free cocktails. Women were followed up four months after the intervention was delivered. Results The target of 24 groups (comprising 97 women) was recruited. The common pattern of drinking was infrequent, heavy drinking (mean consumption on the heaviest drinking day was UK 18.1 units). Process evaluation revealed that the intervention was delivered with high fidelity and acceptability of the study methods was high. The women engaged positively with intervention components and made group decisions about cutting down. Twenty two groups set goals to reduce their drinking, and these were translated into action plans. Retention of individuals at follow up was 87%.ConclusionsThis study successfully recruited groups of young women whose patterns of drinking place them at high risk of acute harm. This novel approach to delivering an alcohol intervention has potential to reduce binge drinking among young women. The high levels of engagement with key steps in the behavior change process suggests that the group intervention should be tested in a full randomised controlled trial

Protein-coding variants implicate novel genes related to lipid homeostasis contributing to body-fat distribution.

Body-fat distribution is a risk factor for adverse cardiovascular health consequences. We analyzed the association of body-fat distribution, assessed by waist-to-hip ratio adjusted for body mass index, with 228,985 predicted coding and splice site variants available on exome arrays in up to 344,369 individuals from five major ancestries (discovery) and 132,177 European-ancestry individuals (validation). We identified 15 common (minor allele frequency, MAF ≥5%) and nine low-frequency or rare (MAF <5%) coding novel variants. Pathway/gene set enrichment analyses identified lipid particle, adiponectin, abnormal white adipose tissue physiology and bone development and morphology as important contributors to fat distribution, while cross-trait associations highlight cardiometabolic traits. In functional follow-up analyses, specifically in Drosophila RNAi-knockdowns, we observed a significant increase in the total body triglyceride levels for two genes (DNAH10 and PLXND1). We implicate novel genes in fat distribution, stressing the importance of interrogating low-frequency and protein-coding variants

Obesity and Gastroesophageal Reflux: Quantifying the Association Between Body Mass Index, Esophageal Acid Exposure, and Lower Esophageal Sphincter Status in a Large Series of Patients with Reflux Symptoms

Obesity and gastroesophageal reflux disease (GERD) are increasingly important health problems. Previous studies of the relationship between obesity and GERD focus on indirect manifestations of GERD. Little is known about the association between obesity and objectively measured esophageal acid exposure. The aim of this study is to quantify the relationship between body mass index (BMI) and 24-h esophageal pH measurements and the status of the lower esophageal sphincter (LES) in patients with reflux symptoms. Data of 1,659 patients (50% male, mean age 51 ± 14) referred for assessment of GERD symptoms between 1998 and 2008 were analyzed. These subjects underwent 24-h pH monitoring off medication and esophageal manometry. The relationship of BMI to 24-h esophageal pH measurements and LES status was studied using linear regression and multiple regression analysis. The difference of each acid exposure component was also assessed among four BMI subgroups (underweight, normal weight, overweight, and obese) using analysis of variance and covariance. Increasing BMI was positively correlated with increasing esophageal acid exposure (adjusted R 2 = 0.13 for the composite pH score). The prevalence of a defective LES was higher in patients with higher BMI (p < 0.0001). Compared to patients with normal weight, obese patients are more than twice as likely to have a mechanically defective LES [OR = 2.12(1.63–2.75)]. An increase in body mass index is associated with an increase in esophageal acid exposure, whether BMI was examined as a continuous or as a categorical variable; 13% of the variation in esophageal acid exposure may be attributable to variation in BMI

Relational consequences of compulsive Internet use: A longitudinal study among newlyweds

This article examines how compulsive Internet use and marital well-being are related to each other. We suggest that they are negatively related and explore whether compulsive Internet use predicts marital well-being or vice versa. The relation between compulsive Internet use and marital well-being is tested in a two-wave prospective study among 190 newlywed couples. The results suggest that (a) compulsive Internet use predicts marital well-being, and not vice versa, (b) that this is a within- rather than a cross-partner effect, and (c) that the frequency of Internet use may be positively related to marital well-being. The results are discussed in terms of the mechanisms that underlie the link between compulsive Internet use and relationship quality

APOE ε4 lowers age at onset and is a high risk factor for Alzheimer's disease; A case control study from central Norway

<p>Abstract</p> <p>Background</p> <p>The objective of this study was to analyze factors influencing the risk and timing of Alzheimer's disease (AD) in central Norway. The <it>APOE </it>ε4 allele is the only consistently identified risk factor for late onset Alzheimer's disease (LOAD). We have described the allele frequencies of the apolipoprotein E gene (<it>APOE</it>) in a large population of patients with AD compared to the frequencies in a cognitively-normal control group, and estimated the effect of the <it>APOE </it>ε4 allele on the risk and the age at onset of AD in this population.</p> <p>Methods</p> <p>376 patients diagnosed with AD and 561 cognitively-normal control individuals with no known first degree relatives with dementia were genotyped for the <it>APOE </it>alleles. Allele frequencies and genotypes in patients and control individuals were compared. Odds Ratio for developing AD in different genotypes was calculated.</p> <p>Results</p> <p>Odds Ratio (OR) for developing AD was significantly increased in carriers of the <it>APOE </it>ε4 allele compared to individuals with the <it>APOE </it>ε3/ε3 genotype. Individuals carrying <it>APOE </it>ε4/ε4 had OR of 12.9 for developing AD, while carriers of <it>APOE </it>ε2/ε4 and <it>APOE </it>ε3/ε4 had OR of 3.2 and 4.2 respectively. The effect of the <it>APOE </it>ε4 allele was weaker with increasing age. Carrying the <it>APOE </it>ε2 allele showed no significant protective effect against AD and did not influence age at onset of the disease. Onset in LOAD patients was significantly reduced in a dose dependent manner from 78.4 years in patients without the <it>APOE </it>ε4 allele, to 75.3 in carriers of one <it>APOE </it>ε4 allele and 72.9 in carriers of two <it>APOE </it>ε4 alleles. Age at onset in early onset AD (EOAD) was not influenced by <it>APOE </it>ε4 alleles.</p> <p>Conclusion</p> <p><it>APOE </it>ε4 is a very strong risk factor for AD in the population of central Norway, and lowers age at onset of LOAD significantly.</p