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Time to write

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Edited by Jonathan Vernon, Friday, 2 Aug 2013, 20:55

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Fig.1 H809 EMA Mindmap (for fellow H809 / MA ODErs I've added a PDF version in the TMA Forum) Created using Simpleminds.

  • H809 - Practice-based research in e-learning
  • MA ODE - Masters in Open and Distance Education
  • TMA - Tutor Marked Assignment
  • PDF - PDF

Yonks ago I realised for me the best time to study was v.early in the morning. 4.00 am to breakfast isn't unusual, 5.00 am is more typical. All it costs is an early night. This is easy too - no television. Its move from the shed to the dump is imminent.

A week ahead of schedule I find I have an EMA to complete - this'll give me a three hour, exam like run of it. Even the dog knows not to bother me.

For those on the same path the mindmap of my H809 EMA is above.

Ask if you're interested in a legible PDF version.

This gorse bush off density has patterns within it that I can decipher. The net result ought to come out somewhere around the 4,000 word mark too. This approach could not be more different to my earliest TMAs and EMAs three years ago - they were too often the product of what I call 'jazz writing' (this kind of thing), just tapping away to see where it takes you. This process used to start on scrolls of backing wallpaper taped to my bedroom wall. Now it goes onto a whiteboard first.

As always this blog is an e-portfolio: most notes, moments in student forums and references are in here.

I recommend using a blog platform in this way. You can default to 'private', or share with the OU community ... or 'anyone in the world'. One simple addition to this would be a 'share with your module cohort'.

By now I have clicked through some 165 posts taggeed H809 and can refer to H809ema for those picked out for it.

One split occured - I very much wanted to explore the use of augmented reality in museum visits, but found instead a combination of necessity and logic taking me back to the H809 TMA 01 and a substantial reversioning of it. Quite coincidentally this proposed research on adherence to preventer drugs amongst moderate to severe asthmatics had me taking a very close interest on a rare visit to a hospital outpatient's. Nasal endoscopy must look like a circus trick to the casual observer as the consultant carefully 'lances' my skull through the nose with a slender and flexible rod on which there is a tiny camera and light. 'Yes, I can see the damage from surgery' he declares (this was 33 years ago), 'but no signs of cancer'.

There's a relief.

An unexplained nose bleed lasting the best part of 10 weeks was put down to my good-boy adherence to a steroid nasal spray that had damaged the soft tissue. And the medical profession wonder why drug adherence can be so low? 20% to 60% 33 years on and courtesy of the OU Library I found a wholly convincing diagnosis - allergic rhinitis. The 'paper' runs to over 80 pages excluding references and has some 20 contributors (Bousquet, 2008). I'll so miss access to the online library as most papers appear to cost around the £9 to download. This desire to remain attached by a digital umbilical chord to such a resource is one reason I wish to pursue yet more postgraduate studying and potentially even an academic career. I get extraordinary satisfaction browsing 'stuff' to feed my curiosity.

When I stop diddling around here I'll pick off this mindmap in a strick clockwise direction from around 1 O'Clock.

Simpleminds is great as a free App. It's taken me a couple of years to get round to paying £6 for a version that can be exported into a word file though I rather enjoy the slower, more considered 'cut and paste' which adds another opportunity to reflect, expand or ditch an idea.

REFERENCE

Bousquet, J, Khaltaev, N, Cruz, A, Denburg, J, Fokkens, W, Togias, A, Zuberbier, T, Baena-Cagnani, C, Canonica, G, Van Weel, C, Agache, I, Aït-Khaled, N, Bachert, C, Blaiss, M, Bonini, S, Boulet, L, Bousquet, P, Camargos, P, Carlsen, K, & Chen, Y (2008) 'Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 Update (in collaboration with the World Health Organization, GA2LEN', Allergy, 63, pp. 8-160, Academic Search Complete, EBSCOhost, viewed 19 June 2013.

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Making Connections

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Edited by Jonathan Vernon, Thursday, 13 Jun 2013, 08:42

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  • Stuff found behind the sofa
  • Mindstorms - Seymor Papert
  • Seven Years in Tibet - Heinrich Harra
  • The Future of Pharma - Brian Smith
  • H809 EMA
  • EPHMRA Conference 2013
  • P.hD Research

The stuff that came out of the sofa means nothing to me. These got shoved down the back and sides of the thing nearly a decade ago and whilst I can relate these bits to a child and our dog I cannot see the moment where the stuffing took place ... or even how it could have occurred. Lego bits got constructed on the floor. The dog should have been on the floor. We never used 'soothers' with our children so I guess a parent visited, removed one from a baby and it was lost. In learning terms I liken these artifacts to the niche ideas of an author whose context I don't comprehend - given my recent multiple visits to various museums it is also like going to a museum and walking past exhibits for which you have no context.

Mindstorms is often quoted and I can see why. It draws a lot from Piaget and even mentions Claude Levi-Strauss. I need to investigate both further. It ties into the work of Montessori too and the lessons we gain from understanding how children, or infants in particular, learn.

Seven Years in Tibet and other books by Heinrich Harrer might be better books that a film. I enjoyed the film with Brad Pitt as a lesson, not just as entertainment. My wife couldn't handle his Austrian accent. I was intrigued by the Dalai Llama and the breaking of rules which allowed his tutor to get closer than court etiquette would have permitted. It says a lot about formal vs. informal learning. As well as the drive of the pupil to comprehend.

The pharmaceutical industry inevitably touches on any research into use of prescription drugs. This academic, business school authored book, without becoming popularist, provides a serious of invaluable insights that put adherence to drugs in the wider context of funding, government, longer life and big business.

I am pulling together the EMA for H809. This segues into first interviews with potential supervisors for P.hD research in e-learning in healthcare.

My wife baulked at the £2000 fee to attend a Pharma Conference - EPHMRA. She isn't attending and will skip these things unless she joins Big Pharma or agency. Her contacts on the phone will provide some insights. Already though I squirm at 'papers' presented for an by corporate players as I cannot help but find holes - critiques being the modus operandi of H809.

 

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Teenagers and technology

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Edited by Jonathan Vernon, Tuesday, 11 Jun 2013, 11:11

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Fig.1. Letters from Iwa Jima. Clint Eastwood directed Movie.

In one of those bizarre, magic ways the brain works, last nigmt I watched the Clint Eastwood film 'Letters from Iwo Jima' then stayed up reading in bed (quest for a very specific paper/set of papers on teenagers/young adults, health, presription medication) while waiting for my own teenagers to come in from a concert in Brighton.

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Fig.2. Last minute reading for H809 TMA01

I stumbled upon 'Teenagers and Technology' by Chris Davies and Rebecca Eynon.

After a chapter of this I did a One Click on Amazon and kept on reading through the next couple of chapters.

I kept reading once they got home.

My mind constructed a dream in which instead of bagging letters home from soldiers, I found myself, Japanese of course, constructing, editing and reassembling some kind of scroll or poster. I could 're-enter' this dream but frankly don't see the point - it seems self-evident. I'll be cutting and pasting my final thoughts, possibly literally on a 6ft length of backing wall paper (I like to get away from a keyboard and screen from time to time). Reinforced by a Business School module, B822 Creativity Innovation and Change I found that 'working with dreams' and 'keeping a dream diary' are some of the tools that can be used.

If I wish to I could re-enter this dream over the next few months as a short cut to my subconscious.

We'll see.

I'm not sure how you'd come up with a Harvard Reference for a dream.

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Fig.3. fMRI scan - not mine, though they did me a few years ago

Perhaps in 20 years time when we can where an fMRI scanner like a pair of headphones a set of colourised images of the activity across different parts of the brain could be offered.

Dream on smile

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H809 Reflection on Block 1 - towards compliance for those with moderate severe asthma

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Edited by Jonathan Vernon, Tuesday, 11 Jun 2013, 11:16
The most straight forward of assignments has proved anything but ... not for how to write this 2000 word piece, that is straight forward, but rather committing to a subject, then narrowing down the theme, possible research question and then dig up some papers ... and not simply offer the lot, but give the five 'that say it all'. To pick five how many must you read, at least as abstracts. I made three false starts, even read a PhD thesis on blogging before deciding it is a minefield. I may like to blog but I no more want to research it for an OU assignment than sort out pebbles on Brighton Beach. Lifelogging, memory and neuroscience all interest me ... but are too big to get my head around in a few months - a few years perhaps. Looking at my notes I see I have papers also on augmented learning for field trips and museum visits. Then I returned to a platform that caught my eye three yesrs ago on H807 when I interviewed Dr. B. Price Kerfoot of Harvard Medical School on 'Spaced Education'. So far this system has been usef with doctors, to support their learning and decission making ... the next step will be patients. One of the humdingers here is 'compliance' - taking the medication you are prescribed if you have a chronic condition. What dawned on me this afternoon is that as a asthmatic I am the perfect patient - compliant to the nth degree. What surprised me is that such a large percentage of asthmatics are not. But with alleregies - a double-whammy of irritations, I ignore the nasal steroids and antehistemines almost completely. Compliant, and defiant in one go so just about canceeling the two out. But why? This is what fasciantes. You know you need to take something to avoid a return of the symptoms, but as there are no symptoms you stop taking the medication. Anyway, I am sifting through papers to set me straight and to offer some answers. If you have a moderately severe chronic condition and wish to share your medication regime or attitude please speak up - asthma, allergies, diabetes, epilepsy, other mental illnesses - chat on Skype? Meanwhile I checked my preventer inhaler - it was empty. I at least had a spare and will get a repeat prescription in tomorrow.
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Are you asthmatic?

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Edited by Jonathan Vernon, Monday, 11 Mar 2013, 08:11

I'm most interested in those who, like me, who have Moderate Persistent Asthma

Where you not taking medication regularly (or when they run out and you forget to get a new prescription ... I do too often) then the asthma symptoms would occur almost daily.

Your asthma severity is classified as moderate persistent asthma when:

  • You have asthma symptoms daily.

  • You wake up from your asthma more than one night per week, but not every night.

  • You use your rescue inhaler daily.

  • Your asthma moderately interferes with your daily activities.

With moderate persistent asthma, you will need daily asthma medication with anti-inflammatory properties, as well as a second medication.

You are able to gain control of your asthma with two medications, what we call the 'blue one' and the 'brown one'.

The brown one, the inhaled steroid, you take a couple of puffs in the morning and a couple at night.

The blue one, the reliever, or what in North America they call the 'rescue' inhaler, you take as required.

My interest is based on some research done in Brighton by Robert Horne 'Compliance, adherence, and concordance: implications for asthma treatment' makes for interesting reading.

30% of patients ignore the advice, don't bother with their 'brown one' and over use their 'blue one'. This group are far more likely to end up in hospital, develop further complications and dependencies on drugs, or even die.

In our family, my father's stubborn refusal to take his daily medication led to him having a major asthma attack, he was put on a nebuliser and injected steroids to keep him alive and as a result became diabetic.

So why don't people take their medication?

All down to a combination of personality and false perceptions about taking inhaled steriods. Nor does it help when invariably the weakest (Lord of the Flies) or the baddest (Casino Royale) are portrayed as asthmatic.

REFERENCE

Horne, R (2006), 'Compliance, adherence, and concordance: implications for asthma treatment', Chest, 130, 1, pp. 65S-72s, CINAHL, EBSCOhost, (viewed 10 March 2013).

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H810: Activity 5.3 National Policies on provision for people with disabilities

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Edited by Jonathan Vernon, Sunday, 19 Oct 2014, 07:50

I work for a global e–learning company Lumesse which has 73 offices spread around some 40 countries. It would be interesting for me to see what accessibility polcies exist (I'll search online) probably a nod in each case to national or regional policy and legislation.

Of greater interest and relevance and running in close parallel to education at all levels: primary, secondary and tertiary and beyond – is the policy for sports in the UK and for swimming in particular. (I'm familiar with Swimming Governing bodies in the US, France and Australia so could check these too).

As the 'Swim21 co–ordinator' for one of the largest swimming clubs in Southern England I compile a report with supporting evidence every four years to achieve various Amateur Swimming Assocation (ASA) national accreditiations. This includes provision for disabled swimmers. The award is used as a management tool – the club is a limited company with over 1000 members, some 26 paid staff and 60+ volunteers.

Swim21 – which stands for 'Swimming for the 21st century', goes beyond national legislation regarding disability, equality and inclusion – so much so that it impinges on the Data Protection act – those party to the information we make available have a current CRB check and have signed various documents agreeing to abide by certain disclosure rules, an ethics policy and an equity in sport code of practice.

Educational institutions would benefit from taking a look at this – I can see that it would, if permitted, cover far more than they do or are prepared to do in Tertiary Education. Would they carry the cost, even the potential risk?

The Swim21 report is divided into three parts: Compliance, Athlete Development and Workforce Development.

In each of these there are criteria the club must reach regarding disabled swimmers. I believe that most institutions – universities and businesses, tick boxes for compliance but fail to address the development of and support of their people – including disabled staff. There are notable corporate exceptions, but I can't think of a university other than The OU that champions learning for disabled students ... or provides so well for disabled staff (I worked on The OU campus for a year).

What I find interesting in relation to H810 and ASA policy is the close interplay between various apparently innocuous or tangential criteria that make what the club does such a success – in fact our club is a regional centre of excellence or 'Beacon Club' for disabled swimmers. It is this weave that integrates what we do that makes provision, and therefore access for disabled swimmers possible.

Crucial to this is a good working relationship with the pool operator, local schools for disabled students and a couple of champions who hold on tenaciously to what we can provide.

The relationship with the pool operator, meetings, adherence to their emergency and health and safety policies, provision of appropriate facilities and so on is a starting point. Tangential, but crucial to have in place. There has to be physical access for disabled athletes to changing rooms, toilets and the pool(s) with trained, sympathetic staff on hand.

The fundamental ingredient is what we call 'water time' – access to the pool or pools at times that suit the swimmers, rather than being marginalized to an evening slot on a Saturday or Sunday which is the policy in many pool operators when it comes to disabled swimmers. In relation to H810 then access to 'air time' is key, access to include the right, motivated, experienced and educated tutors, with appropriate resources – with access ring–fenced, protected and treasured.

Our disabled swimmers, themselves divided into two ability groups, have slots on a Saturday morning and a late afternoon/early evening on Wednesday. We integrate certain disabled swimmers into mainstream learn to swim and teenage swim groups and when they come along or develop would include them in squad sessions too. Here too Tertiary Education needs to understand the need not only for total, or part time integration, but also the provision for full or part time specialist, niche provision. This is provided by and should be informed by national organisations for sight, hearing, physical and learning impairments.

Provision for disabled swimmers is ASA Swim21 policy and includes: self–assessment on the Disability Discrimination Act (DDA), attendance by coaches on an ASA approved Disability Awareness Course and partnership with local disability organisations.

Supporting this, coach/athlete ratios are moderated to match the needs of the swimmer with 1:1 for some disabled swimmers, even 1:2 or 1:3 at times. We have to declare these ratios and demonstrate that they meet criteria by swimming level, age group and disability. There is a club Child Protection Policy and Equity Policy, and coaches agree to abide by a Code of Ethics – these embrace all swimmers.

In relation to H810, and where Tertiary Education might learn something – we maintain a record of club personnel which includes CRB and current relevant qualifications, as well as safeguarding and protecting children training. Most significantly with membership we capture medical conditions of all participants, disability information and emergency contact information. Teachers and coaches, on a need to know basis, have this information too (though it is wrapped in a data protection statement).

We attend ASA approved workshops on Swimming for Disabled Athletes.

All members, which includes parents and other volunteers, agree to a code of conduct. Anyone working with or likely to work with children have a current CRB check whilst every three years the club puts on a Child Protection Workshop which includes working with vulnerable and disabled swimmers. This is now supplemented by several ASA e–learning modules that include niche topics on coaching swimmers with visual impairment, physical disabilities, learning difficulties and/or behavioural issues.

The note on a swimmer is vital to a teacher or coach

Just a line or two and we can seek further advice and of course speak to the swimmer themselves leading to conversations on what they want to do and where they have problems to overcome. We improvise, compromise and accommodate. The context poolside is of course very different to e–learning if we think of e–learning as distance or independent learning, however, if we think of it as social learning online and do more supported synchronous and quasi–synchronous learning, then there are close parallels. The mistake is to think of e–learning purely in terms of ways to get 1,000 people a year through the same induction process or 2,000 through the same postgraduate module – wherein lies the importance of access to and the engagement of the tutor, and other people in support. People create access, improvise, accommodate difference, find ways around barriers ... and come to understand one person to another, what their strengths and weaknesses are.

Reflecting on this, there is another vital component 

We very often know the disabled swimmer from age 9 or 10 into their late teens – volunteers who work in specialist schools may well have known the swimmer for even longer. Some stay on to swim as adults. Given that there are so many kinds of disability and such a spectrum for each, this knowledge is vital. For example, it helps to know that a swimmer who is barely able to walk can, with assistance, balance on a starting block long enough to start a race. I'm starting to wonder where the equivalents exist in higher education and for e–learning in particular - perhaps this same swimmer using a specialist keyboard to be as active on social networks online as anyone else, not quite an avatar, but as 'free in the airwaves' online as they are in the swimming pool.

 

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