Peer observation in professional development : occupational therapists perceptions

Aims: peer observation of practice is used to promote reflection and facilitate personal and professional development. However, there appears to be no published research on the use of peer observation by occupational therapists working in higher education. This action research project explored the perceptions of occupational therapy staff within a higher education setting towards the use of a peer observation of practice scheme. Methods: all colleagues within a directorate of occupational therapy were invited to complete a questionnaire. Additionally, five staff were invited to take part in semi-structured interviews and core themes were identified following thematic analysis, typified by grounded theory. Findings: staff used a range of methods to support professional development, including peer observation. Key themes identified were the concept that peer observation has both positive and negative connotations, that feedback must be carefully managed, that the relationship between observed and observer is important and that staff want clear ground rules for peer observation schemes. Conclusions: findings indicated the need for further research into peer observation and how such a scheme could be formally implemented

Studies on the mechanism of retinoid-induced pattern duplications in the early chick limb bud: temporal and spatial aspects.

All-trans-retinoic acid causes striking digit pattern changes when it is continuously released from a bead implanted in the anterior margin of an early chick wing bud. In addition to the normal set of digits (234), extra digits form in a mirror-symmetrical arrangement, creating digit patterns such as a 432234. These retinoic acid-induced pattern duplications closely mimic those found after grafts of polarizing region cells to the same positions with regard to dose-response, timing, and positional effects. To elucidate the mechanism by which retinoic acid induces these pattern duplications, we have studied the temporal and spatial distribution of all-trans-retinoic acid and its potent analogue TTNPB in these limb buds. We find that the induction process is biphasic: there is an 8-h lag phase followed by a 6-h duplication phase, during which additional digits are irreversibly specified in the sequence digit 2, digit 3, digit 4. On average, formation of each digit seems to require between 1 and 2 h. The tissue concentrations, metabolic pattern, and spatial distribution of all-trans-retinoic acid and TTNPB in the limb rapidly reach a steady state, in which the continuous release of the retinoid is balanced by loss from metabolism and blood circulation. Pulse-chase experiments reveal that the half-time of clearance from the bud is 20 min for all-trans-retinoic acid and 80 min for TTNPB. Manipulations that change the experimentally induced steep concentration gradient of TTNPB suggest that a graded distribution of retinoid concentrations across the limb is required during the duplication phase to induce changes in the digit pattern. The extensive similarities between results obtained with retinoids and with polarizing region grafts raise the possibility that retinoic acid serves as a natural "morphogen" in the limb

Ethnographic Research with young people: methods and rapport.

This paper accounts for, and reflects upon, the research design and the methodological approach adopted in ethnographic research with young people. In particular, the paper reinforces the significance of conducting qualitative participatory and innovative methods with young people, alongside the value of rapport building. Qualitative participatory methods are understood as the most appropriate way to empower and respect young people in the research process. Alongside such methods the ethnographic nature of the research is discussed in conveying the importance of rapport building with young people in the field. In doing so the paper examines a number of important considerations when conducting youth research. The triangulation of qualitative methods was fundamental in exploring and understanding young people’s lives in each locality and allowed for deep and meaningful explorations of specific themes. The additional and complementary methods employed alongside traditional methods was particularly suited to understanding young people’s everyday lives, as complex experiences are not always conveyed through traditional methods alone. Conducting participatory methods produced narratives around safety, security and governance in public places. Being reflexive and adapting to a research setting in order to enhance the process of building and maintaining trust with young people is the most important facet when conducting youth research. Giving careful consideration to the impact of a researcher’s presence in the field needs to be carefully navigate

Lee-Carter mortality forecasting: a multi-country comparison of variants and extensions

We compare the short- to medium-term accuracy of five variants or extensions of the Lee-Carter method for mortality forecasting. These include the original Lee-Carter, the Lee-Miller and Booth-Maindonald-Smith variants, and the more flexible Hyndman-Ullah and De Jong-Tickle extensions. These methods are compared by applying them to sex-specific populations of 10 developed countries using data for 1986-2000 for evaluation. All variants and extensions are more accurate than the original Lee-Carter method for forecasting log death rates, by up to 61%. However, accuracy in log death rates does not necessarily translate into accuracy in life expectancy. There are no significant differences among the five methods in forecast accuracy for life expectancy.functional data, Lee-Carter method, mortality forecasting, nonparametric smoothing, principal components, state space

A new pathway for lower limb ulceration

Leg ulceration is a common cause of suffering for patients, additionally it places a significant burden on the NHS. As the NHS continues to face times of austerity, services need to find other ways of working to reduce cost and release nursing time whilst maintaining standards of care. The implementation of a pathway for the treatment of leg ulceration, which aids diagnosis and uses compression hosiery kits as a first-line management for venous leg ulceration, can form part of the solution by ensuring patient safety, improving patient experience, releasing nursing time and increasing effectiveness of care