339 research outputs found

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

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    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

    HB 1134: Amendments to the Georgia Street Gang Terrorism and Prevention Act

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    The Act amends the Georgia Street Gang Terrorism and Prevention Act to provide the attorney general with concurrent authority to prosecute criminal gang activity alongside local prosecuting attorneys in Georgia. Modeled after a similar act that created concurrent authority for the attorney general to prosecute human trafficking crimes, the Act seeks to enhance the government’s investigation and prosecution of gang crimes in the state by making the effort more corroborative, coordinated, and multi-jurisdictional

    While my guitar gently weeps : an exegesis presented in partial fullfillment of the requirements for the degree in Masters of Fine Arts at Massey University, Wellington, New Zealand

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    Figures XIII (p. 27), XVIII (p. 34), XXXI & XXXII (p. 49) removed for copyright reasons.This exegesis explores the ways in which my practice, while aesthetically and thematically varied, seeks to elevate the banal and transcend the everyday. I use collage, photography, and multimedia installation, working intuitively with an emphasis on making as way of developing, informing, and working through ideas. My practice is loosely autobiographical, drawing from both childhood experiences and everyday environment, with a desire to remain suspended somewhere between the actual and the imagined. This reimagining and recontextualising through the process of making allows me to retain a sense of control while simultaneously providing an escape or relief from harsher realities. I examine various artists and filmmakers/films in order to further contextualise my practice, specifically those whose works evoke a psychological tension. Although my work is autobiographically-informed, I am not interested in pursuing this in a literal sense,but rather in aestheticising a departure point into the imaginary

    Usefulness of the SF-36 Health Survey in screening for depressive and anxiety disorders in rheumatoid arthritis

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    BACKGROUND: This study aimed to assess the accuracy of the Short-Form Health Survey (SF-36) mental health subscale (MH) and mental component summary (MCS) scores in identifying the presence of probable major depressive or anxiety disorder in patients with rheumatoid arthritis. METHODS: SF-36 data were collected in 100 hospital outpatients with rheumatoid arthritis. MH and MCS scores were compared against depression and anxiety data collected using validated measures as part of routine clinical practice. Sensitivity and specificity of the SF-36 were established using receiver operating characteristic (ROC) curve analysis, and area under the curve (AUC) compared the performance of the SF-36 components with the 9-item Patient Health Questionnaire (PHQ9) for depression and the 7-item Generalised Anxiety Disorder (GAD7) questionnaire for anxiety. RESULTS: The MH with a threshold of ≤52 had sensitivity and specificity of 81.0 and 71.4 % respectively to detect anxiety, correctly classifying 73.5 % of patients with probable anxiety disorder. A threshold of ≤56 had sensitivity and specificity of 92.6 and 73.2 % respectively to detect depression, correctly classifying 78.6 % of patients, and the same threshold could also be used to detect either depression or anxiety with a sensitivity of 87.9 %, specificity of 76.9 % and accuracy of 80.6 %. The MCS with a threshold of ≤35 had sensitivity and specificity of 85.7 and 81.9 % respectively to detect anxiety, correctly classifying 82.8 % of patients with probable anxiety disorder. A threshold of ≤40 had sensitivity and specificity of 92.3 and 70.2 % respectively to detect depression, correctly classifying 76.3 % of patients. A threshold of ≤38 could be used to detect either depression or anxiety with a sensitivity of 87.5 %, specificity of 80.3 % and accuracy of 82.8 %. CONCLUSION: This analysis may increase the utility of a widely-used questionnaire. Overall, optimal use of the SF-36 for screening for mental disorder may be through using the MCS with a threshold of ≤38 to identify the presence of either depression or anxiety. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12891-016-1083-y) contains supplementary material, which is available to authorized users

    Data quality predicts care quality: findings from a national clinical audit

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    Background: Missing clinical outcome data are a common occurrence in longitudinal studies. Data quality in clinical audit is a particular cause for concern. The relationship between departmental levels of missing clinical outcome data and care quality is not known. We hypothesise that completeness of key outcome data in a national audit predicts departmental performance. Methods: The National Clinical Audit for Rheumatoid and Early Inflammatory Arthritis (NCAREIA) collected data on care of patients with suspected rheumatoid arthritis (RA) from early 2014 to late 2015. This observational cohort study collected data on patient demographics, departmental variables, service quality measures including time to treatment, and the key RA clinical outcome measure, disease activity at baseline, and 3 months follow-up. A mixed effects model was conducted to identify departments with high/low proportions of missing baseline disease activity data with the results plotted on a caterpillar graph. A mixed effects model was conducted to assess if missing baseline disease activity predicted prompt treatment. Results: Six thousand two hundred five patients with complete treatment time data and a diagnosis of RA were recruited from 136 departments. 34.3% had missing disease activity at baseline. Mixed effects modelling identified 13 departments with high levels of missing disease activity, with a cluster observed in the Northwest of England. Missing baseline disease activity was associated with not commencing treatment promptly in an adjusted mix effects model, odds ratio 0.50 (95% CI 0.41 to 0.61, p < 0.0001). Conclusions: We have shown that poor engagement in a national audit program correlates with the quality of care provided. Our findings support the use of data completeness as an additional service quality indicator

    Contraception advice and provision for the prevention of under 18 conceptions and STIs : A rapid review

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    Report conducted by the Centre for Research in Primary and Community Care (CRIPACC

    The impact of cue-elicited multisensory imagery on alcohol craving: A randomized controlled trial

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    Introduction: Elaborated intrusion theory suggests that imagery is central to craving; however, the possibility that cue-elicited multisensory imagery produces such urges has not been studied enough in the literature. Thus, we investigated the role of cue-elicited multisensory imagery on alcohol craving in individuals who are hazardous and social drinkers compared to mental and neutral imagery conditions. Methods: In an online experiment, hazardous and social drinkers (N = 348) between 18 and 45 years old were randomised to multisensory, mental, and neutral imagery exposure. The level of craving intensity was measured before and after imagery exposure. Also, participants rated vividness and sensory features scales after the exposure. Results: The level of craving was significantly higher in multisensory imagery condition compared to neutral condition (b = 1.94, p < 0.001, SE = 0.30, t(344) = 6.52, standardised mean difference [SMD] = 0.89) and in mental imagery condition compared to neutral condition (b = 1.82, SE = 0.30, t(344) = 6.52, p < 0.001, SMD = 0.83). The difference between the level of craving intensity between the multisensory and mental was not significant (b = 0.12, SE = 0.22, t(344) = 0.53, p = 0.594, SMD = 0.06). Moreover, craving intensity in response to multisensory versus neutral imagery was significantly stronger among hazardous drinkers (b = −2.90, SE = 0.83, t(341) = −3.50, p < 0.001). The level of vividness was not significantly different between any conditions. The difference between levels of sensory features was higher in multisensory imagery condition compared to neutral (b = 0.95, SE = 0.30, t(345) = 3.17, p = 0.002, SMD = 0.49) and mental imagery condition (b = 0.67, SE = 0.23, t(345) = 2.36, p = 0.004, SMD = 0.35). Conclusion: Results suggest that cue-elicited multisensory imagery may be a useful tool for eliciting alcohol craving responses and provide an additional means for better understanding the multi-layered mechanism of craving
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