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Connecting to improve clinical practice - lessons from implementation science
No full textIt is often cited it takes 17 years for evidence to get into everyday practice, though the pandemic demonstrated how this varies dramatically. In stroke and neurorehabilitation, the evidence suggests that for optimal motor recovery to occur, rehabilitation should include intensive, and repetitive task specific practice for a prolonged period. However, the reality is that dose of rehabilitation is low and often of limited intensity. Implementation science, the scientific study of methods to promote the uptake of research findings into routine healthcare practice, emerged to improve evidence use. The evidence regarding implementation of research into the real clinical world will be discussed, identifying what we know
about how to implement evidence to improve neurorehabilitation practice. This will include examples from our work in stroke rehabilitation and highlight the importance of connections. Conclusions will be made about how to apply an implementation lens to increase the use of evidence in practice and discuss ways forward to improve clinical practice
'Mind Your Language': L2 English Email Requests during Study Abroad
No full textThere is an ever-growing consensus amongst EFL/ESL researchers that while L2 learners may improve their English language proficiency during a period of study abroad in the target language, they may not show concomitant development of pragmatic competence. This study aimed to examine this interlanguage issue by tracking asymmetrical email communication with academic staff. Using 170 authentic L2 emails in comparison to a reference corpus of 161 authentic L1 emails, we identified three distinct features of the Chinese learners’ L2 email requests to faculty: significant directness and limited choices of conventional indirectness, extensive external modification and relative limited internal modification, and heavy reliance on the request perspectives of ‘you’ and ‘I’. L2 email practices also remained largely unchanged during study abroad in England, suggesting a ten-month immersion in the L2 environment alone was insufficient to evidence developmental change. Learners found it challenging to implicitly acquire more complicated pragmatic structures such as internal modification, for instance. Retrospective interviews revealed learner agency played a key role in pragmatic learning and unlearning, the latter of which refers to the process by which learners actively dissociate from L2 norms when conflicts with the L1 systems arise, implying that L2 pragmatic development is fluid
Invisible Narratives² Exhibition at Yamamoto Keiko Rochaix 22nd May -19th June 2021
No full text‘July 1976’ Silkscreen print, with painted and collage elements
‘Courtyard 13040’ Mixed Media installation presented as part of Invisible Narrative²
“A rural ecologist, an urban drifter and a diasporic optimist examine the invisible layers underneath, the lost spaces on the edge and the forgotten places in between.” Lubaina Himid
‘Invisible Narratives²’ exhibition explored the work of three artists, Rebecca Chesney, Lubaina Himid and Magda Stawarska-Beavan who consider the poetic investigation of place, space and time, through painting, sound installation and place-based research.
All three artists use their work to uncover the hidden, understand a place as it is experienced by those who know it well, and remember apparently unknown histories. The investigation is made all the more intricate as each artist brings in her sensibility and layers to the infinitely-intertwined picture.
Some of the questions being asked include; when places are on the edge of time and memory, how can we see what is there and talk about what appears not to be there, while there are issues no one wants to acknowledge? Or how can we examine trauma by picturing the sublime; can incomprehensible events and dilemmas eventually provide openings for new political formations? Listening also comes into play; for some people sounds are familiar because they are heard every day, for others they seem familiar but at the same time unknown.
Each artist has made new work for the show which marks for them an opportunity to develop ideas and relationships forged in the first iteration of ‘Invisible Narratives’ at Newlyn Art Gallery, Cornwall in 2019. (from press release Yamamoto Keiko Rochaix
Women as active agents: Female perpetrators of sexual harassment and domestic abuse.
No full textBeginning with Darwin’s theory of sexual selection, evolutionary psychology has been dominated by the view that women are the “choosy sex” and, through intrasexual competition, males the “aggressive sex”. This view was supported by seminal works (e.g. Buss et al., 1990; Clark & Hatfield, 1989), which formed the basis of a considerable body of work. Moreover, they lent credence to the popular view that women are less interested in the sexual side of human relationships, instead being focused on protection and stability. Combined with the notion that males are the dominant/aggressive sex, the literature has therefore insufficiently examined female aggression. When female aggression does occur, it is often viewed as a retaliation against male aggression (i.e. self-defence), rather than an as active strategy used by a small, but not insignificant proportion of women. The focus on male aggression and female self-defence not only deprives women of agency, it also means that their victims are not taken as seriously, and rehabilitation programmes for female offenders are scarce. This paper will discuss evidence that women act aggressively, focusing on why and when women engage in sexual harassment and domestic abuse. It will seek to establish the underlying mechanisms for such strategies (e.g. the personality traits associated with increased aggression in women), which future research should explore. Moreover, because, historically, the evolutionary literature has taken a heteronormative approach, female aggression will be examined in the context of diverse human relationships
Technical Report: Towards State and Situation Awareness for Driverless Vehicles Using Deep Neural Networks
Full text linkIn this report, how the intelligence of Self-Driving Vehicles (SDVs) is being built by the automotive industry for the efficient deployment of handover wheels is analysed and applications of machine intelligence for SDVs are implemented using Deep Neural Learning. This report shows how machine intelligence of SDVs for state and situation awareness (SSA) can be developed using visual perception. More specifically, this paper proposes a system for detecting and recognising other vehicles, their positional states, traffic signs, and road structures including lanes using DL approaches
Transitioning from Virtual to Traditional: Unravelling the Distinct Challenges Faced by Medical Students Switching from Online to Offline Education.
No full textBackground
Over a year after WHO declared the end of the COVID-19 pandemic in May 2023, students across all educational stages, including higher education, have faced challenges transitioning from online to offline teaching environments. As institutions return to in-person teaching, many students are still adjusting to traditional classroom settings.
Methods
In May 2024, a study using a questionnaire with nine open-ended questions was distributed to 115 medical students to investigate these transition challenges. We received 27 voluntary responses (23.5% response rate). The qualitative data were analysed to identify common themes, challenges, and improvement suggestions.
Results
Students admitted to medical schools post-pandemic have struggled with re-adapting to offline learning after becoming accustomed to online platforms during the pandemic. Significant adjustments were needed in areas such as discipline, engagement, social interaction, and learning methodologies. While online education offered flexibility and convenience, offline education provided a more structured and engaging environment, underscoring the need for a balanced approach to accommodate diverse student needs.
Discussion
Suggestions such as a gradual transition, flexible attendance policies, multiple time options, clear health and safety information, and learning enhancement classes are recommended to address the diverse needs and challenges faced by students during this transition
Hyperpigmentation
No full textDisorders of hyperpigmentation can be challenging to treat, are highly stigmatising and have a profound impact upon patients’ quality of life. In this lecture, I will discuss a stepwise approach to treating hyperpigmentary disorders. The first priority is addressing underlying causes of the pigmentation, including proactive treatment of pre-existing inflammatory dermatoses and stopping procedures that may induce post-inflammatory hyperpigmentation and considering the many pharmaceutical precipitants of pigmentation. The effect of the environment upon pigmentation and steps to mitigate this will be discussed, including the effects of sunlight upon melanocytes and the need to select a broad spectrum sunblock with protection against UVB, UVA and visible light. I will then discuss the use and integration of depigmenting agents including hydroquinone, retinoids and the emerging field of cosmeceuticals. Nuances of laser treatments for pigmentary disorders, the use of oral tranexamic acid and oral photoprotective agents will also be discussed
