Crafting resilient futures by looking to the past: 25 years of online learning at FSU and Illinois

For 25 years, the iSchools at Florida State University (FSU) and the University of Illinois Urbana-Champaign have been leaders in online learning, providing education to students who might not otherwise have had access to a master’s-level degree. This panel, made up of faculty and staff from FSU and Illinois, will discuss the history of online learning at these schools, the challenges faced and lessons learned, and the positive impact their online programs have had on access, equity, diversity, and inclusion. The landscape of higher education and of the information professions has changed significantly over the past quarter century. The rise of the Internet, organizational realignment and mergers in higher education, and the iSchool movement have all had an impact on the information professions and the ways we educate students to become information professionals. In the mid-90s, FSU and Illinois began offering online programs as a way of contributing to the resilience of the information professions, especially librarianship, and ensuring the resilience of their own programs. Both programs were pioneers in offering online learning, and from the outset they employed unique strategies: both use a combination of synchronous and asynchronous learning, while Illinois also uses a cohort model. Online learning at both institutions has fostered resilience by increasing access for students; promoting equity, diversity, and inclusion; encouraging innovative uses of technology; and inspiring scholarship that bridges online learning research and practice. This panel will consist of four 10-minute presentations by faculty and staff from FSU and Illinois (see below for specific presentation titles and descriptions). The session will also feature a discussion with the audience organized around three questions: 1. What have been your best successes with online learning? 2. What have been your greatest challenges, and how have you dealt with them? 3. What is the future of online learning—both at your institution and in general? Presentations “Crafting Resilience Through Engagement: Synchronous Online Learning” – Kathleen Burnett (FSU): Today, there are numerous options for learning management systems and applications to support interaction online, but in 1996 when FSU and Illinois began their programs, these simply did not exist. At FSU, what became one of the earliest research progams to investigate interaction in online learning, began as a collaborative effort to construct the best environment we could to meet our goal of serving the geographically and socio-economically diverse population of Florida, without uprooting them from the communities they called home. “Crafting Resilience Through Community: The Cohort Model in Online Learning” – Linda C. Smith (Illinois): A distinguishing feature of the Illinois Leep online option for the MS/LIS degree has been the emphasis on shaping a cohort identity as a means of building community and enhancing retention and student success. The program provides students flexibility both with courses they take and the pace at which they move through the program. Cohort identity is not defined by taking a large number of courses together, but instead by forming relationships that remain a strong source of support throughout the program and beyond. The collaborative spirit that infused cohort 1 in 1996 continues to characterize cohorts today. “Crafting Resilience Through Access: The Role of Technology” – Jill Gengler (Illinois): Technology can be a tool that enables access for anyone who wants further education. Early on in the Illinois Leep program, the support staff chose solutions that allowed students to overcome barriers to earn their degrees. Staff worked with campus partners to make the program accessible to individuals with disabilities. Our program remained committed to a caring approach to ensure all students felt supported in order to overcome feelings of isolation in a distance education program. The goal was to make technology as simple as possible to enable our outstanding faculty and students to collaborate effectively. “Crafting Resilience By Connecting Research and Practice in Online Learning” – Michelle Kazmer (FSU): Early research about knowledge- and community-building through synchronous classes and residency requirements at Illinois demonstrated the importance of the residency to student success. Ongoing research in FSU’s program, which avoided an on-campus requirement, showed how community could be supported for entirely-remote students. Simultaneously, scholars throughout the discipline generated a robust body of research about online learning in LIS. This research helped promulgate the open-minded approaches to evidence-based technology experimentation and implementation that were fostered by the early-adopter programs and have shaped 25 years of resilience in LIS online education. Panel Participants Don Latham (moderator), Professor, School of Information, FSU. Don was a student in the master’s program at FSU when the online learning program began. Since joining the faculty, he has taught a number of graduate-level online courses using a variety of platforms. Kathleen Burnett, F. William Summers Professor and Director, School of Information, FSU. Kathy’s first faculty meeting at FSU was held in July 1996, following the announcement that the then School of Library and Information Studies would offer the first comprehensive distance learning degree program at FSU. Although her contract had not yet started, she eagerly darted down the rabbit hole of online learning, where she can still be found teaching and problem-solving 25 years later. Linda C. Smith, Professor Emerita and Interim Executive Associate Dean, Illinois. Linda taught online from fall 1997 through spring 2019 and coordinated the Leep online option for the MS/LIS degree. With Bruce Kingma of Syracuse, she co-founded the WISE (Web-based Information Science Education) consortium. Jill Gengler, Director of Alumni Affairs, Illinois. After earning her MS from the School of Information Sciences, Jill spent 10 years supporting the technology for the Leep program followed by 10 years managing the iSchool’s Help Desk. She is currently the Director of Alumni Affairs for the iSchool since her favorite aspect of her technology jobs was always talking to the students. Michelle Kazmer, Professor and Associate Dean, School of Information, FSU. Michelle was the first online TA in the Illinois “LEEP3” program in 1997, and joined the faculty at FSU in 2002. She has conducted research in community processes in online learning, and continues to relish teaching online after (almost!) 25 years

Responding to Hospital Staff’s Paranormal Experiences Related to a Medical Assistance in Dying Room

Staff reported paranormal experiences in connection with the outpatient Medical Assistance in Dying room at the hospital. This case study reports on staff experiences and illustrates how the Ethics team’s role expanded to deal with this novel situation by facilitating an interdisciplinary response

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

SummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication

Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial.

BACKGROUND: Remote ischaemic conditioning with transient ischaemia and reperfusion applied to the arm has been shown to reduce myocardial infarct size in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). We investigated whether remote ischaemic conditioning could reduce the incidence of cardiac death and hospitalisation for heart failure at 12 months. METHODS: We did an international investigator-initiated, prospective, single-blind, randomised controlled trial (CONDI-2/ERIC-PPCI) at 33 centres across the UK, Denmark, Spain, and Serbia. Patients (age >18 years) with suspected STEMI and who were eligible for PPCI were randomly allocated (1:1, stratified by centre with a permuted block method) to receive standard treatment (including a sham simulated remote ischaemic conditioning intervention at UK sites only) or remote ischaemic conditioning treatment (intermittent ischaemia and reperfusion applied to the arm through four cycles of 5-min inflation and 5-min deflation of an automated cuff device) before PPCI. Investigators responsible for data collection and outcome assessment were masked to treatment allocation. The primary combined endpoint was cardiac death or hospitalisation for heart failure at 12 months in the intention-to-treat population. This trial is registered with ClinicalTrials.gov (NCT02342522) and is completed. FINDINGS: Between Nov 6, 2013, and March 31, 2018, 5401 patients were randomly allocated to either the control group (n=2701) or the remote ischaemic conditioning group (n=2700). After exclusion of patients upon hospital arrival or loss to follow-up, 2569 patients in the control group and 2546 in the intervention group were included in the intention-to-treat analysis. At 12 months post-PPCI, the Kaplan-Meier-estimated frequencies of cardiac death or hospitalisation for heart failure (the primary endpoint) were 220 (8·6%) patients in the control group and 239 (9·4%) in the remote ischaemic conditioning group (hazard ratio 1·10 [95% CI 0·91-1·32], p=0·32 for intervention versus control). No important unexpected adverse events or side effects of remote ischaemic conditioning were observed. INTERPRETATION: Remote ischaemic conditioning does not improve clinical outcomes (cardiac death or hospitalisation for heart failure) at 12 months in patients with STEMI undergoing PPCI. FUNDING: British Heart Foundation, University College London Hospitals/University College London Biomedical Research Centre, Danish Innovation Foundation, Novo Nordisk Foundation, TrygFonden

A História da Alimentação: balizas historiográficas

Os M. pretenderam traçar um quadro da História da Alimentação, não como um novo ramo epistemológico da disciplina, mas como um campo em desenvolvimento de práticas e atividades especializadas, incluindo pesquisa, formação, publicações, associações, encontros acadêmicos, etc. Um breve relato das condições em que tal campo se assentou faz-se preceder de um panorama dos estudos de alimentação e temas correia tos, em geral, segundo cinco abardagens Ia biológica, a econômica, a social, a cultural e a filosófica!, assim como da identificação das contribuições mais relevantes da Antropologia, Arqueologia, Sociologia e Geografia. A fim de comentar a multiforme e volumosa bibliografia histórica, foi ela organizada segundo critérios morfológicos. A seguir, alguns tópicos importantes mereceram tratamento à parte: a fome, o alimento e o domínio religioso, as descobertas européias e a difusão mundial de alimentos, gosto e gastronomia. O artigo se encerra com um rápido balanço crítico da historiografia brasileira sobre o tema

An exploration of design opportunities for gardening end-user programmers\u27 ideas

Despite recent advances in supporting end-user programmers, empirical studies continue to report barriers that end users experience in problem solving with programming environments. We hypothesize that an important barrier that still needs to be overcome is the lack of support for nurturing end-user programmers\u27 ideas on how a program should be written or on how to solve programming difficulties. Therefore, in this paper, we present a qualitative empirical investigation and triangulate the results with theories from problem solving and creativity. Moreover, we explore design opportunities and a design space for idea gardening , a new approach to nurturing end-user programmers\u27 ideas and to helping them gradually gain expertise as they overcome barriers. Our results suggest that nurturing end-user programmers\u27 ideas is a fertile area for research with an interesting, multidimensional design space. © 2011 IEEE

“No decisions about us without us”? Individual healthcare rationing decisions in a fiscal ice age

Jill Russell and colleagues examine whether patients and the public should be involved in rationing decisions about individual patient access to healthcare interventions