25 research outputs found

    INTEGRATING BLENDED TEACHING INTO EDUCATION CURRICULUM

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    The onset of the 21st century has brought about tremendous changes in all areas of the world, whether it's education, technology, economy, or society. Recently, there has been a shift in the educational landscape from teacher-centered to learner-centered education approaches to enhance the active participation of students for effective learning. The COVID 19 pandemic is also throwing up a lot of challenges for individuals to cope with its impacts, especially in education. Blended learning has been adopted widely as it seems to be a promising approach to address most of the 21st-century challenges; however, no meaningful learning takes place without meaningful teaching. Research and literature on blended learning seem to be expanding with less increase in research on blended teaching. This has, however, left educators and instructors wondering how they can effectively carry out blended teaching for effective blended learning. As blended learning becomes more prevalent, opportunities for research into blended teaching should also increase. Educators need to know how they apply blended teaching effectively in this era. To remedy this situation, this review synthesizes how teachers can integrate blended teaching into an education curriculum to guide learning experiences and activities of students properly for effective learning. Concepts such as curriculum, integration, blended teaching, and ways of integrating blended teaching into an education curriculum were discussed. The models and approaches of blended teaching, principles for integrating blended teaching into the curriculum, and factors determining the integration of blended teaching into the curriculum of an education programme were identified. The paper concludes by discussing the various challenges to integrating blended teaching into an education curriculum

    Towards resilient and profitable farming systems in Central Mozambique using an open innovation platform approach

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    Farmers in Central Mozambique do not benefit adequately from growing markets for crops and livestock. Ecological, economic and social barriers are intertwined: • Absence of functional markets restricting farmers from investing in agriculture; • Lack of incentives to improve agricultural practices resulting in unavailability of biomass limiting surplus; • Lack of motivation to engage in social organization; As a consequence, farmers lose the ability to respond to market opportunities and to adapt to different forms of shocks that threaten their livelihoods. Innovation platforms (IPs) help to address some of the barriers and underlying dynamics, but do not tackle the root causes impeding transition from subsistence to sustainable, market-oriented farming..

    Sustainable intensification of smallholder farming in central Mozambique: Benefits from better integration of crops and livestock

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    The Government of Mozambique gives particular importance to strategies for sustainable intensification of agriculture in the smallholder-farming sector, accounting for more than 95% of the total agricultural land. Better integration of crops and livestock is key to sustaining vital smallholder farming, rewarding higher agricultural production and improving the overall wellbeing of smallholder farms, especially in provinces like Tete and Manica, with high potential for crops and livestock. Farmers with animal draft power can cultivate larger parts of their land in time and are thereby able to also produce more feed, critical for improving animal performance. Better-managed and fed animals reproduce more, provide better draft services and avail manure as important source of locally available organic fertilizer. Farmers thereby increase production at reduced costs and risk, overall farm net returns increase more than through single technologies. These benefits can be harvested over large areas, and with different agro-ecological potential. Farmers with cattle cultivated more land than those without cattle: in Dororo, Manica province, with high agro-ecological potential, 4.4 ha as compared to 2.9 ha cropland; in drought prone Marara, Tete province, 3.1 ha of as compared to 2.1 ha. On average farmers with cattle made 20% higher cereal yields in Dororo, and 30% higher cereal yields in Marara. Yet 52% and 45 % of the households don’t have cattle in Dororo and Marara respectively. This leaflet illustrates the benefits from better integration of crops and livestock. We describe forage production and draft power animal management as two complementary technologies critical for sustainable intensification of smallholder farms, demonstrated in the MOREP project. These technologies are useful for farmers in similar environments like in Tete and Manica provinces

    Sustainability transitions for smallholder farmers: How can government, research and development programs support profitable goat markets in Tete?

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    For Mozambique the goat sector provides huge opportunities for reducing rural poverty levels, improving food security and contributing to the national economy. Mozambique has a huge demand for goat meat and products. Large and medium size buyers fail to source enough goats of the right quality and supply consistently to feed the growing demand in urban markets. Despite its potential, the goat sector is not fully developed. Improved goat production can provide an additional annual income of US$50 million at the national level. In the short term farmers can double their income from goats. Though farmers realize the critical role of goats as source of saving and possible source of investment, they do not invest much in goats and are not able to make an adequate profit from selling their goats. Mortality rates of around 15%, poor quality of goats being sold to markets, and livestock theft are losses to entire rural economies. There are many causes for the low productivity, the primary reasons being: a) Lack of a market structure through which farmers and the private sector can interact; b) Absence of a grading system that rewards farmers for their investments in quality production; and c) Livestock theft that destroys community trust, and eventually hampers collective action among farmers..

    Characterization of Recurrence Patterns and Outcomes of Medulloblastoma in Adults: The University of Texas MD Anderson Cancer Center Experience

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    BACKGROUND: Medulloblastoma in adults is rare and treatment decisions are largely driven from pediatric literature. We sought to characterize recurrent medulloblastoma in adults. METHODS: From a single-institution dataset of 200 adult patients diagnosed with medulloblastoma during 1978-2017, those with recurrence were analyzed for clinical features, treatment, and outcome. RESULTS: Of the 200 patients, 82 (41%) with median age of 29 years (18-59) had recurrence after a median follow-up time of 8.4 years (95% CI = 7.1, 10.3). Of these, 30 (37%) were standard-risk, 31 (38%) were high-risk, and 21 (26%) had unknown-risk diseases at the time of initial diagnosis. Forty-eight (58%) presented with recurrence outside the posterior fossa, of whom 35 (43%) had distant recurrence only. Median Progression-free survival (PFS) and OS from initial surgery were 33.5 and 62.4 months, respectively. Neither PFS nor OS from initial diagnosis differed between the standard-risk and high-risk groups in those who experience recurrence ( CONCLUSIONS: Recurrent medulloblastoma in adults has a poor prognosis irrespective of initial risk stratification. Recurrence commonly arises outside the posterior fossa years after initial diagnosis

    Clinical management of COVID-19: Experiences of the COVID-19 epidemic from Groote Schuur Hospital, Cape Town, South Africa

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    The SARS-CoV-2 pandemic has presented clinicians with an enormous challenge in managing a respiratory virus that is not only capable of causing severe pneumonia and acute respiratory distress syndrome, but also multisystem disease. The extraordinary pace of clinical research, and particularly the surge in adaptive trials of new and repurposed treatments, have provided rapid answers to questions of whether such treatments work, and has resulted in corticosteroids taking centre stage in the management of hospitalised patients requiring oxygen support. Some treatment modalities, such as the role of anticoagulation to prevent and treat potential thromboembolic complications, remain controversial, as does the use of high-level oxygen support, outside of an intensive care unit setting. In this paper, we describe the clinical management of COVID-19 patients admitted to Groote Schuur Hospital, a major tertiary level hospital at the epicentre of South Africa’s SARS-CoV-2 epidemic during its first 4 months

    Risk factors for Coronavirus Disease 2019 (COVID-19) death in a population cohort study from the Western Cape Province, South Africa

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    BACKGROUND. Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) and tuberculosis on COVID-19 outcomes are unknown. METHODS. We conducted a population cohort study using linked data from adults attending public-sector health facilities in the Western Cape, South Africa. We used Cox proportional hazards models, adjusted for age, sex, location, and comorbidities, to examine the associations between HIV, tuberculosis, and COVID-19 death from 1 March to 9 June 2020 among (1) public-sector “active patients” (≥1 visit in the 3 years before March 2020); (2) laboratory-diagnosed COVID-19 cases; and (3) hospitalized COVID-19 cases. We calculated the standardized mortality ratio (SMR) for COVID-19, comparing adults living with and without HIV using modeled population estimates. RESULTS. Among 3 460 932 patients (16% living with HIV), 22 308 were diagnosed with COVID-19, of whom 625 died. COVID- 19 death was associated with male sex, increasing age, diabetes, hypertension, and chronic kidney disease. HIV was associated with COVID-19 mortality (adjusted hazard ratio [aHR], 2.14; 95% confidence interval [CI], 1.70–2.70), with similar risks across strata of viral loads and immunosuppression. Current and previous diagnoses of tuberculosis were associated with COVID-19 death (aHR, 2.70 [95% CI, 1.81–4.04] and 1.51 [95% CI, 1.18–1.93], respectively). The SMR for COVID-19 death associated with HIV was 2.39 (95% CI, 1.96–2.86); population attributable fraction 8.5% (95% CI, 6.1–11.1). CONCLUSIONS. While our findings may overestimate HIV- and tuberculosis-associated COVID-19 mortality risks due to residual confounding, both living with HIV and having current tuberculosis were independently associated with increased COVID-19 mortality. The associations between age, sex, and other comorbidities and COVID-19 mortality were similar to those in other settings.The Western Cape Provincial Health Data Centre from the Western Cape Department of Health, the US National Institutes for Health (grant numbers R01 HD0804, the Bill and Melinda Gates Foundation, the United States Agency for International Development and the Wellcome Trust.https://academic.oup.com/cid/am2023Veterinary Tropical Disease
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